Uzizwa sengathi inhliziyo yakho iyancipha? Ake sixoxe nge-Coronary Artery Spasm!

Ngezinye izikhathi ungase uzizwe into engavamile, njengokucinana esifubeni sakho, okufika kudlule, akunjalo? Ungase ungakunaki kakhulu. Kodwa lokhu kungaba ngenxa yokuncipha kwemithambo yegazi enhliziyweni, isimo esisibiza ngokuthi i-'Coronary Artery Spasm' ngokwezokwelapha. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, ngoba lokhu akuyona into okufanele ungayinaki.

Kuyini lokhu kuphazamiseka kwemithambo yenhliziyo? (`I-Coronary Artery Spasm`)

Kulungile, ake siqale sibheke ukuthi le mithambo yenhliziyo iyini. Inhliziyo yakho iyisitho esimangalisayo esisebenza ngokungayeki usuku lonke, ngisho nalapho ulele. Ngakho-ke imithambo yegazi enikeza imisipha yenhliziyo umoya-mpilo kanye nezakhamzimba ezidingekayo ukuze isebenze kahle yilokho esikubiza ngokuthi imithambo yenhliziyo . Lokhu kufana nohlelo lwamapayipi oluletha amanzi endlini.

Manje, i-`(Coronary Artery Spasm)` iwukuqina okungazelelwe kwemithambo yenhliziyo ethwala igazi liye enhliziyweni, njengengcezu yenyama emlenzeni wethu iphenduka. Lokhu sikubiza ngokuthi ' Ukuqiniswa' . Lokhu ngokuvamile akuhlali isikhathi eside, futhi ungase ungakuzwa ngisho nangemizuzu embalwa. Kodwa-ke, lesi simo singandisa ingozi yokuhlaselwa yinhliziyo nezinye izinkinga zesifo senhliziyo. Yingakho kubalulekile ukuqaphela lokhu.

Uyini umehluko phakathi kwesifo semithambo yenhliziyo kanye ne-angina?

Cishe uke wezwa igama elithi 'Angina', akunjalo? Kalula nje, lisho ubuhlungu besifuba. Ubuhlungu besifuba bungenzeka uma kukhona ukuqaqamba kwemithambo yenhliziyo. Lokhu sikubiza ngokuthi i -vasospastic angina .

Ngokuvamile, imbangela eyinhloko ye-angina ukuvaleka kwemithambo yegazi yizinto ezifana ne-cholesterol (`Plaque`). Kodwa okukhethekile kwalokhu `(Vasospastic Angina)` ukuthi lobu buhlungu bungenzeka ngisho nalapho uphumule . Ezinye izinhlobo ze-angina zivame ukuba khona lapho sikhathele, njengalapho sizivocavoca. Lona umehluko omkhulu.

Ubani onamathuba amaningi okuthola i-"Coronary Artery Spasm"?

Manje ake sibone ukuthi ubani ongase abe nalesi simo. Uma unezici eziyingozi zesifo senhliziyo, nawe usengozini yalesi `(Coronary Artery Spasm)`. Izici eziyinhloko ezithinta lokhu yilezi:

• Umfutho wegazi ophezulu (i-Hypertension).
• Amazinga aphezulu e-cholesterol egazini (`i-Hyperlipidemia`).
• Ukusetshenziswa kukagwayi, okusho ukusetshenziswa kukagwayi kanye ne-beedis , kuyinkinga ethinta abantu abaningi.
• Ukusetshenziswa kwezidakamizwa okungekho emthethweni .

Kodwa into emangazayo ukuthi le "Coronary Artery Spasm" iyenzeka nakubantu abangenayo i-high blood pressure noma i-cholesterol ephezulu. Kuyaphawuleka kakhulu ukuthi iningi lalaba bantu babhema njalo. Ngakho-ke, kungacatshangwa ukuthi ukubhema kunomthelela omkhulu kulokhu.

Yini ebangela lokhu kuvinjelwa?

Kulungile, pho yini ngempela ebangela "i-Coronary Artery Spasm"? Ezinye izifo zenhliziyo zingayibangela:

• Amafutha afakwa emithanjeni yegazi, ayenze inciphe (`I-Atherosclerosis`). Lokhu kufana nokugqwala okwakheka ngaphakathi kwepayipi lamanzi elidala, okuvala imbobo epayipini.
• Umfutho wegazi ophakeme .
• I-cholesterol ephezulu .

Kanye nalezi zimbangela eziyisisekelo, izinto ezithile zingabangela lokhu kuvinjelwa. Okusho ukuthi, zibangela ukuthi kwenzeke ngokuzumayo. Cabanga ngakho njengomuntu ovusa ibhubesi elilele. Lezi zimbangela zifaka:

• Ukusetshenziswa kukagwayi (ugwayi, ama-beedis). Lesi yisitha sokuqala.
• Ukuchayeka emakhazeni amakhulu. Cabanga ngento efana nokugeza emanzini abandayo kakhulu ngesikhathi esisodwa, noma ukuya endaweni ebanda kakhulu.
• Ukucindezeleka okukhulu . Lokhu kuyinto ethinta abantu abaningi, kanye nezinkinga esinazo ekuphileni kwethu kwansuku zonke. Izinkinga emsebenzini, izinkinga zomndeni, zonke lezi zingasithinta.
• Ukusetshenziswa kwezinhlobo ezithile zezikhuthazi , isibonelo, izidakamizwa ezingekho emthethweni njenge-`(Amphetamines)` noma `(Cocaine)`.

Ziyini izimpawu ze-`(Coronary Artery Spasm)`?

Esikhathini esiningi, lokhu `(Coronary Artery Spasm)` kungaba khona ngaphandle kwezimpawu . Yilokho okwesabisayo kancane. Kodwa-ke, uma kuvela izimpawu, nazi ezinye izinto ongase uzizwe:

• Ukuqina kwesifuba noma ukucindezeleka. Kungase kuzwakale sengathi othile ukucindezela isifuba sakho, noma sengathi kunesisindo esifubeni sakho.
• Ubuhlungu besifuba. Lobuhlungu buyilokhu okulandelayo:
• Kungenzeka uma uphumule . Kuvame ukubonakala ngemva kwamabili noma ekuseni kakhulu .
• Lobuhlungu buvame ukuzwakala ohlangothini lwesobunxele lwesifuba.
• Ngezinye izikhathi lokhu `(Coronary Artery Spasm)` kungavusa ebusuku .
• Lokhu kuvinjelwa kungenzeka kaningi njengezikhathi ezimbalwa ngonyaka, kuya kaningi njengezikhathi eziningana ngosuku. Kuyahlukahluka kuye ngomuntu nomuntu.

Lokhu kuvinjelwa kungahlala isikhathi esingakanani? Kuzwakala kanjani?

Ubude be-"Coronary Artery Spasm" bungahluka kumuntu nomuntu. Bungahlala noma kuphi kusukela emizuzwini emihlanu kuya kwengu-30 . Kwabanye abantu, bungaba bufushane, kanti kwabanye, bungaba bude kancane.

Ngokuqondene nokuthi kuzwakala kanjani, njengoba ngishilo ngaphambili, ngezinye izikhathi ungase ungezwa lutho nhlobo. Noma ungase uzizwe izinto ezinjengalezi:

• Ukuqina kwesifuba.
• Ubuhlungu bungase buzwakale sengathi buphuma esifubeni sakho buye entanyeni, engalweni (ikakhulukazi engalweni yakho yesobunxele), noma emhlathini, njengokuhlaselwa yinhliziyo.

Ungayixilonga kanjani ngokunembile i-"Coronary Artery Spasm"?

Ukuze ahlole lesi simo ngokunembile, udokotela wakho uzokwenza izivivinyo eziningana ukuhlola impilo yenhliziyo yakho. Lokhu akuyona into engabikezelwa ngokuqagela. Eziyinhloko yilezi:

• I-Echocardiogram (`Echocardiogram` - `Ukuhlolwa kwe-Echo`): Lokhu kusebenzisa amaza omsindo ukuthatha izithombe zenhliziyo yakho. Kufana nokuskena okwenziwa komama abakhulelwe. Kungabheka ukuthi amakamelo nama-valve enhliziyo asebenza kanjani.
• I-Electrocardiogram (EKG noma i-ECG): Lokhu kulinganisa umsebenzi kagesi wenhliziyo yakho. Kungakunikeza umbono wokuthi inhliziyo yakho ishaya kanjani nokuthi kukhona yini ukugeleza kwegazi okunciphile enhliziyweni.
• I-Coronary Angiography : Lokhu kuvame ukuba ukuhlolwa kokuxilonga okucacile kakhulu. Kulokhu kuhlolwa, kufakwa idayi ekhethekile emithanjeni yenhliziyo ngomthambo ongalweni noma emlenzeni, bese kuthathwa izithombe ze-X-ray. Lokhu kungabonisa ngokucacile ukuthi kukhona yini ukuncipha noma ukuqaqamba kwemithambo yegazi.

Ngaphezu kwalokho, udokotela wakho angakunika idivayisi encane (i-'Ambulatory Monitor' noma i-'Holter Monitor') ongayigqoka ekhaya. Lokhu kurekhoda umsebenzi kagesi wenhliziyo yakho amahora angu-24, 48, noma ngaphezulu ngenkathi wenza imisebenzi yakho yansuku zonke. Lokhu kubaluleke kakhulu ngoba '(I-Coronary Artery Spasm)' ivame ukwenzeka ebusuku noma uma uphumule, ngakho-ke kubaluleke kakhulu ukuqopha umsebenzi wenhliziyo yakho ngalezo zikhathi.

Iphathwa kanjani le `(Coronary Artery Spasm)`?

Kunemigomo emibili eyinhloko yokwelashwa. Eyokuqala ukuvimbela lokhu kuqaqamba kwemisipha , kanti enye ukunciphisa ubuhlungu besifuba .

Uma uvele ube ne-spasm ngokuzumayo, umuthi obizwa ngokuthi i-nitroglycerin (isib. i-Nitrostat®) unikezwa ngaleso sikhathi. Usebenza ngokwandisa imithambo yegazi, ukuthuthukisa ukugeleza kwegazi, nokunciphisa ngokushesha ubuhlungu besifuba. Ngokuvamile unikezwa njengephilisi elincane elibekwa ngaphansi kolimi, ukuze limuncwe ngokushesha emzimbeni.

Ukuze uvimbele lokhu kuvinjelwa kwesikhathi eside, udokotela wakho angase akunike eminye imithi ongayisebenzisa njalo:

• Ama-calcium channel blocker : Isibonelo, imithi efana ne-Amlodipine (Norvasc®), i-Diltiazem (Cardizem®), noma i-Nifedipine (Procardia®). Lawa asebenza ngokukhulula izindonga zemithambo yakho yegazi, anciphise ukuvaleka kwayo.
• Ama-statin : Isibonelo, imithi efana ne-Atorvastatin (Lipitor®) noma i-Simvastatin (Zocor®). Nakuba lena ngokuyinhloko iyimithi yokwehlisa i-cholesterol, itholakale futhi isiza ekuvimbeleni lokhu kuphazamiseka ngokuthuthukisa ukusebenza kolwelwesi lwangaphakathi lwemithambo yegazi.

Ngezinye izikhathi, lokhu `(I-Coronary Artery Spasm)` kungabangela ukushaya kwenhliziyo okungajwayelekile nokuyingozi (`I-Ventricular Arrhythmia`) emakamelweni aphansi enhliziyo. Lesi yisimo esibi kakhulu, njengoba singasongela impilo. Uma une-`(Ventricular Arrhythmia)` enjalo, udokotela wakho angase ancome i-defibrillator ye-cardioverter engafakwa (`ICD`) ukuze avimbele izinkinga ezinkulu. I-`(ICD)` ithola ukushaya kwenhliziyo okungajwayelekile futhi isebenzisa izimpawu zikagesi ukusiza ukugcina inhliziyo yakho ishaya ngesigqi esijwayelekile.

Ngingayinciphisa kanjani ingozi yokuqina kwemithambo yegazi yenhliziyo?

Uma unezici eziyingozi njenge-cholesterol ephezulu kanye nomfutho wegazi ophakeme, ukuphatha lezo zimo ngendlela efanele kunganciphisa ingozi yakho yokuthola lesi `(Spasm)`. Kubaluleke kakhulu futhi ukugwema izinto (`Izibangeli`) ezingabangela lesi `(Coronary Artery Spasm)`.

Isibonelo, ungenza izinto ezinjengokugwema ukuchayeka ngokuzumayo emakhazeni amakhulu, uyeke ukubhema ngokuphelele (lokhu kuyinto okufanele uyenze nakanjani), futhi uthole izindlela zokulawula ukucindezeleka ngokweqile (njengokuzindla kanye ne-yoga).

Lokho kusho ukwenza izinguquko ezithile endleleni yokuphila enempilo. Lokhu kuhlanganisa ukudla ukudla okunempilo (okunamafutha amancane, usawoti, noshukela, kanye nezithelo nemifino eminingi) kanye nokuzivocavoca njalo .

Uma ngine-`(Coronary Artery Spasm)`, yini okufanele ngiyilindele?

I-Coronary Artery Spasm yisimo esingamahlalakhona . Lokhu kusho ukuthi kunzima ukwelapha ngokuphelele, kodwa singalawulwa. Uzodinga ukwelashwa kwesikhathi eside kanye nokubhekwa kwezokwelapha ukuze usilawule. Kodwa ungakhathazeki.

Ngokwelashwa okufanele, abantu abaningi bangakwazi ukulawula izimpawu zabo, banciphise ukuvama kwalokhu kuhlaselwa, futhi baphile impilo enhle nejwayelekile. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo, uphuze imithi yakho ngesikhathi, futhi uqhubeke nokwenza izinguquko endleleni yokuphila.

Kufanele ngiye nini egumbini lezimo eziphuthumayo (ER)?

Lokhu kuyindaba ebaluleke kakhulu, kungaba yindaba yokuphila nokufa . Uma ukuqaqamba kwemithambo yenhliziyo kuqhubeka isikhathi eside, kungaba ukuhlaselwa yinhliziyo. Ngakho-ke, uma uzwa izimpawu zokuhlaselwa yinhliziyo, ungalibali ngisho nomzuzu bese ushayela u-1990 (Suvaseriya) ngokushesha noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze.

Ziyini izimpawu zokuhlaselwa yinhliziyo? Bheka eyodwa noma ngaphezulu yalezi zimpawu kanye nobuhlungu besifuba:

• Isiyezi noma ikhanda elibuthakathaka .
• Ukulahlekelwa ukwazi (`i-Syncope`).
• Uzizwa sengathi inhliziyo yakho ishaya ngokushesha, isifuba sakho siyashaya (`Izinhlungu zenhliziyo`).
• Ukucanuzela noma ukuhlanza, ukuzizwa sengathi awugayi kahle ukudla (`Isicanucanu` noma `I-Dyspepsia`).
• Ubunzima bokuphefumula, uzizwa sengathi uyacinana (i-Dyspnea).
• Ukujuluka okubandayo.
• Ukukhathala okungazelelwe, umuzwa wokukhathala okukhulu.

Uma unesinye noma ngaphezulu salezi zimpawu kanye nobuhlungu besifuba, ungahlali nje ekhaya ucabanga ukuthi yi-gastritis. Funa usizo lwezokwelapha ngokushesha. Isikhathi yisona sici esibaluleke kakhulu ekusindiseni impilo.

Yimuphi umyalezo esifuna ukuwuthatha ekhaya kule ndaba?

I-Coronary Artery Spasm iwukufinyela okungazelelwe, okunciphile noma okuqinile kwemithambo yegazi ehambisa igazi enhliziyweni. Lokhu kungase kufike kudlule ngaphandle kobuhlungu. Kodwa-ke, kungandisa ingozi yokuhlaselwa yinhliziyo. Kungenzeka ikakhulukazi phakathi nobusuku noma ekuseni kakhulu futhi kungavusa.

Into engcono kakhulu ukuthi, kunezindlela zokwelapha lokhu. Unganciphisa ubuhlungu besifuba futhi uvimbele lokhu kuvinjelwa. Uma unezimpawu ezifana nalezo okukhulunywe ngazo kulesi sihloko, kubaluleke kakhulu ukubona udokotela bese uthola iseluleko. Unganciphisa futhi le ngozi ngokugwema ngokuphelele ukubhema nokuphila impilo enempilo. Nakekela inhliziyo yakho! Iyigugu lakho eliyigugu kakhulu.

Isifo senhliziyo , umthambo wenhliziyo, ubuhlungu besifuba, i-angina, ukuhlaselwa yinhliziyo, i-Coronary Artery Spasm, impilo yenhliziyo