Ingaba le ntlungu yesifuba luphawu lokuhlaselwa yintliziyo? (I-Angina engazinzile)

Ngaba ngequbuliso uziva intlungu exineneyo okanye ecinezelweyo esifubeni sakho? Mhlawumbi uziva le ntlungu ngakumbi xa uhleli nje okanye ubukele iTV kunaxa wawusebenza egadini. Ngaba le ntlungu ibonakala imbi kakhulu kunangaphambili, kwaye ibonakala ngathi ifika ngamaxesha angalindelekanga? Musa ukuyityeshela nje. Oku kungaba sisilumkiso esinzulu esivela entliziyweni yakho. Yile nto sithetha ngayo namhlanje.

Yintoni kanye kanye le angina engazinzile?

Ngamafutshane, i-Unstable Angina yintlungu yesifuba eyenzeka xa izihlunu zentliziyo yakho zingafumani umlinganiselo ofanelekileyo wegazi elineoksijini. Cinga ngentliziyo yakho njengenjini esebenza rhoqo. Le injini ifuna umbane ohlala ufumaneka, igazi elineoksijini. Eli gazi liziswa entliziyweni ngemithambo yentliziyo.

Ekuhambeni kwexesha, izinto ezifana ne-cholesterol namafutha avela ekutyeni esikutyayo ziqala ukuqokelelana ngaphakathi kwezi mithambo yegazi. Siyibiza ngokuba yi-'(Plaque)`. Olu luhlu lwe-'plaque' luyayinciphisa kancinci kancinci imithambo yegazi. Ukuba igazi liqhekeka ngequbuliso kuloo ndawo inciphileyo lize libambeke, ukuhamba kwegazi entliziyweni kuyanqanyulwa kakhulu. Kulapho ke kuvela khona intlungu yesifuba ebizwa ngokuba yi -Unstable Angina .

Ziziphi iimpawu ze-angina engazinzile?

Kubaluleke kakhulu ukuzazi ezi mpawu, kuba zahlukile kwiintlungu zesifuba eziqhelekileyo.

Le ntlungu ihlala imizuzu eli-15 nangaphezulu. Ukuba ayinyangwa, le ntlungu ingaphinda ivele.

Ziziphi izizathu eziphambili kunye nezinto ezibangela le meko?

Isizathu esiphambili soku sisifo semithambo yegazi yentliziyo. Njengoko besitshilo ngaphambili, oku kubangelwa kukuqokelelana kwe-cholesterol namafutha kwimithambo yegazi yentliziyo, nto leyo ethintela ukuhamba kwegazi, okanye i-atherosclerosis.

Ngubani osengozini enkulu yoku?

• Kwabantu abadala
• Ukuba kukho nabani na kusapho (umama, utata, abantakwabo noodadewabo) onesifo sentliziyo
• Kwabo batshayayo
• Kwabo banesifo seswekile
• Kwabo bane-high blood pressure
• Kwabo banezinga eliphezulu le-cholesterol egazini

Kodwa khumbula, nomntu ongekho semngciphekweni unokuba ne-angina engazinzile. Ngoko ke, kubaluleke kakhulu ukuba wonke umntu azi iimpawu.

Zeziphi iingxaki ezinkulu ezinokubangela oku?

Ukuba i-angina engazinzile ayinyangwa ngokukhawuleza, inokukhokelela kwiingxaki ezinkulu.

• Uhlaselo lwentliziyo: Le yeyona ngxaki inzima. Ukuhanjiswa kwegazi kwimisipha yentliziyo kunqanyulwa ngokupheleleyo, nto leyo ebangela ukuba imisipha yentliziyo ife.
• Ukusilela kwentliziyo: Imeko apho intliziyo yonakele ngenxa yokuhlaselwa yintliziyo kwaye ingakwazi ukupompa igazi elaneleyo emzimbeni.
• Istroke:Ukuvaleka okanye ukuqhekeka komthambo wegazi ohambisa igazi engqondweni.
• Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia): Ukubetha kwentliziyo okungaqhelekanga.
• Ukuma kwentliziyo ngequbuliso: Intliziyo iyeka ukusebenza ngequbuliso. (Oku kunqabile kakhulu).

Ugqirha uyixilonga njani le nto?

Xa usiya esibhedlele unezi mpawu, ugqirha uza kukubuza ngeenkcukacha ngeempawu zakho. Emva koko uza kujonga uxinzelelo lwakho lwegazi aze ahlole umzimba wakho. Ukongeza, uza kuyalela ezi mvavanyo.

• I-ECG (i-Electrocardiogram): Uvavanyo olujonga ukusebenza kombane kwentliziyo. Oku kunokunika umbono wokuba intliziyo yonakele okanye ukuba ukuhamba kwegazi kuye kwehla na.
• Uvavanyo lweGazi leNtliziyo: Kukho iintlobo ezithile zee-enzymes eziqokelelana egazini xa intliziyo yonakele. Amanqanaba azo ayajongwa.
• I-Echocardiogram: Olu luvavanyo lwentliziyo. Lunokujonga izinto ezifana nendlela intliziyo esebenza ngayo kunye nendlela epompa ngayo igazi.
• I-Coronary Angiogram: Olu lolona vavanyo luchanekileyo. Ityhubhu encinci ifakwa ngomthambo osengalweni okanye emlenzeni wakho, idluliselwe kwimithambo yegazi yentliziyo yakho, kwaye kufakwa ulwelo olukhethekileyo, kwaye kuthathwa imifanekiso ye-X-ray. Oku kungabonisa ngqo ukuba kuphi kwaye kungakanani na ukuvaleka kwemithambo yegazi yentliziyo yakho.

Iphathwa njani?

I-Angina engazinzileyo ayisosifo esinokunyangwa ekhaya. Ngokuqinisekileyo kuyimfuneko ukuya esibhedlele kwaye unyangwe. Kuba umngcipheko wokuhlaselwa yintliziyo uphezulu nangaliphi na ixesha.

Injongo ephambili kukubuyisela ukuhamba kwegazi entliziyweni, ukulawula iintlungu, nokuthintela ukuhlaselwa yintliziyo.

Amayeza anikiweyo

Ugqirha angakunika iintlobo ezahlukeneyo zamayeza, ezifana nezi:

• I-Nitroglycerin: Yehlisa iintlungu zesifuba kwaye yandisa imithambo yegazi, yenza ukuhamba kwegazi kube lula.
• Izinto zokunciphisa igazi: Amayeza afana ne-Aspirin kunye ne-Clopidogrel athintela ukwakheka kwamahlwili egazi amatsha.
• Ii-Beta-blockers: Yehlisa isantya sentliziyo kwaye yehlise umthwalo womsebenzi wentliziyo.
• Amayeza okunciphisa i-cholesterol: Lawula amanqanaba e-cholesterol egazini.
• Amayeza oxinzelelo lwegazi oluphezulu: Lawula uxinzelelo lwegazi.

Iinkqubo ukuba kuyimfuneko

Ukuba amayeza ewodwa awakwazi ukulawula imeko, okanye ukuba kukho ukuvaleka okukhulu kwemithambo yegazi, ugqirha angasebenzisa olu hlobo lonyango.

• I-Angioplasty ene-Stent Implantation: Umthambo ovalekileyo uvuthelwa ngesixhobo esifana nebhaluni kwaye isixhobo esifana ne-mesh (Stent) sifakwa ngaphakathi kumthambo ukuze ungavaleki kwakhona.
• Utyando lweNtliziyo:Utyando oludlula umthambo ovalekileyo luze lusebenzise iqhekeza lomthambo elithathwe kwenye inxalenye yomzimba ukudala indlela entsha yokuthumela igazi entliziyweni.

Yenza ezi zinto ukuze usindise ubomi bakho

Ixesha lokuya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko

• Ukuba intlungu yesifuba sakho ihlala ngaphezulu kwemizuzu eli-15 .
• Ukuba intlungu ayipheli nasemva kokusebenzisa amayeza e-nitroglycerin achazwe ngugqirha.
• Ukuba intlungu iphela okwethutyana ize ibuye okanye ibe mandundu kunangaphambili .

Izinto onokuzenza ukunciphisa umngcipheko

Emva konyango, kuxhomekeke kuwe ukuqinisekisa ukuba le meko ayiphindi yenzeke.

• Sela amayeza achazwe ngugqirha wakho kanye, ngexesha elifanelekileyo. Ungaze uyeke ukuwasela amayeza akho ngaphandle kokubuza ugqirha wakho.
• Ukuba uyatshaya, yeka namhlanje.
• Zimisele ukutya okunempilo. Yitya imifuno neziqhamo ezingaphezulu. Nciphisa ioyile, ityuwa, kunye neswekile.
• Zilolonge rhoqo. Nokuba uhamba nje imizuzu engama-30 ngosuku kwanele.
• Lawula ubunzima bakho.
• Ukuba unesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye i-cholesterol, zilawule kakuhle.
• Nciphisa uxinzelelo.

Akunyanzelekanga ukuba uhambe wedwa kolu hambo. Thetha nogqirha wakho ngale nto. Yazisa nosapho lwakho ngale nto. Kubaluleke kakhulu kubo ukuba bazi ukuba benze ntoni xa kukho imeko engxamisekileyo.