Ingabe uvame ukuzwa ukuqina, ukusinda, noma ubuhlungu esifubeni sakho? Ingabe lobu buhlungu buyanda ikakhulukazi uma ukhathele kancane, lapho ukhuphuka izitebhisi, noma lapho uzizwa ukhathazekile? Kodwa-ke wenze i-ECG, mhlawumbe ngisho ne-angiogram, kodwa udokotela wathi akukho ukuvinjelwa emithanjeni yegazi emikhulu yenhliziyo (imithambo ye-coronary), futhi iphilile ngokuphelele. Ungase ucabange, "Pho kungani nginalobu buhlungu esifubeni?" Empeleni lokhu kuyinkinga abantu abaningi abanayo. Awuwedwa. Namuhla sikhuluma ngohlobo lobuhlungu esifubeni olungatholakali kalula ngokuhlolwa okukhulu, kodwa olukhona ngempela. Lokhu sikubiza ngokuthi i-microvascular angina.
Kuyini i-Microvascular Angina?
Kalula nje, lokhu futhi yi-angina, okuwubuhlungu besifuba obubangelwa ukunganeli kwegazi elinomoya-mpilo elifinyelela enhliziyweni. Kodwa nansi umehluko. Ku-angina evamile, inkinga isemithanjeni yegazi emikhulu eyinhloko ehlinzeka ngegazi enhliziyweni. Ingase ivinjwe yizinqwaba zamafutha.
Kodwa ku-angina ye-microvascular, inkinga ayikho kuleyo mithambo yegazi emikhulu. Isemithanjeni yegazi emincane kakhulu, emincane ehlukana naleyo mithambo emikhulu (i-coronary microvasculature). Cabanga ngakho, sinepayipi elikhulu eliletha amanzi endlini yethu. Kulungile lokho. Kodwa uma amapayipi amancane aya empompini ezincane nasemashaweni endlini evalekile futhi egqwalile, amanzi ngeke aphume. Yilokho okwenzekayo nalapha. Uma lolu hlelo oluncane lwemithambo yegazi oluthwala umoya-mpilo luyisa emisipheni yenhliziyo lungasebenzi kahle, uzwa ubuhlungu esifubeni.
Yingakho uma ubheka imithambo yakho emikhulu ezivivinyweni ezifana ne-angiogram, ibukeka ijwayelekile. Kodwa ubuhlungu bukhona ngempela. Esikhathini esidlule, odokotela babevame ukubiza lesi simo ngokuthi 'i-Cardiac Syndrome X.'
Ziyini izimpawu zalesi simo?
Lezi zimpawu zifana kakhulu neze-angina ejwayelekile. Ubuhlungu bungahlala imizuzu eyi-15 noma ngaphezulu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu besifuba noma ukungakhululeki | Umuzwa wokuqina, ingcindezi, noma isisindo esifubeni. Lokhu kuvame ukwanda ngokuzikhandla noma ukucindezeleka. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula ngisho noma uzikhandla kancane, uzizwa sengathi unesifo sohlangothi. |
| Ukukhathala okungavamile | Ukuzizwa ukhathele kakhulu futhi ungenawo amandla ngaphandle kwesizathu. |
| Ezinye izici | Abanye abantu bangase babe nezinto ezifana nokujuluka, isicanucanu kanye nesiyezi, kanye nobuhlungu besisu. |
Kungani lokhu kwenzeka? Yiziphi izimbangela kanye nezici eziyingozi?
Kunezizathu eziningana zalokhu. Odokotela bahlukanisa lokhu ngezigaba ezimbili: eyokuqala neyesibili.
- Izimbangela eziyinhloko: Inkinga lapha isemithanjeni yegazi emincane ngokwayo. Iqina ngokuzumayo (i-spasm), noma ayivuleki kahle lapho umzimba udinga igazi eliningi. Lokhu kubizwa ngokuthi "isifo se-Coronary microvascular".
- Izimbangela zesibili: Lokhu kwenzeka lapho inkinga ngemithambo yegazi emincane ivela njengomphumela ongemuhle wesinye isimo sezokwelapha. Isibonelo, ingabangelwa yizimo ezifana ne-cardiomyopathy, ebuthakathaka imisipha yenhliziyo, noma izifo ezizimele, ezihlasela amangqamuzana omzimba.
Futhi, abanye abantu basengozini enkulu yokuthola lesi simo.
| Isici Sengozi | Ubani osengozini enkulu? |
|---|---|
| Ukuba ngowesifazane | Abesifazane abake badlula esikhathini sokunqamuka kokuya esikhathini basengozini enkulu kakhulu. |
| Isifo sikashukela | Ngoba isifo sikashukela singalimaza imithambo yegazi. |
| Umfutho wegazi ophezulu (i-Hypertension) | Umfutho wegazi ophezulu ungalimaza imithambo yegazi ebucayi. |
| I-cholesterol ephezulu `(i-Hyperlipidemia)` | Kungathinta ukusebenza kwemithambo yegazi. |
| Ukusetshenziswa kwemikhiqizo kagwayi | Ukubhema kuyimbangela enkulu yokuncipha nokulimala kwemithambo yegazi. |
Kuphathwa kanjani lokhu?
Kunezindlela ezimbili eziyinhloko zokuphatha lesi simo. Ukushintsha indlela yokuphila kanye nemithi. Zombili zibaluleke ngokulinganayo.
Izinguquko zendlela yokuphila okufanele zenziwe
- Uma ubhema, yeka ngokuphelele. Lesi yisinyathelo esibaluleke kakhulu ongasithatha.
- Yamukela ukudla okunempilo kwenhliziyo. Nciphisa amafutha nenyama ebomvu, bese udla imifino eminingi, izithelo, kanye nokudla okucebile nge-fiber.
- Vivinya umzimba njalo. Ngisho nento elula njengokuhamba imizuzu engama-30 ngosuku ingaba usizo kakhulu. Kodwa-ke, buza udokotela wakho ukuthi hlobo luni lokuzivocavoca olukufanele.
- Gcina isisindo esinempilo.
- Lala kahle futhi wehlise ukucindezeleka. Izinto ezifana nokuzindla kanye ne-yoga zingasiza.
- Uma unezinye izifo ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol, zilawule kahle.
Umuthi onikezwe udokotela
Udokotela wakho angase akunikeze imithi ehlukahlukene yokuthuthukisa ukusebenza kwale mithambo yegazi nokunciphisa ubuhlungu.
- Izithiyo zesiteshi se-calcium
- Ama-Beta-blocker
- Ama-nitrate - isibonelo, i-nitroglycerin
- Ama-statin - ukwehlisa i-cholesterol
- Izithibi ze-ACE
Okubaluleke kakhulu: Le mithi inqunywa udokotela wakho ngemva kokuhlola ngokucophelela isimo sakho. Ungasebenzisi le mithi ngokusekelwe ezeluleko zabanye noma njengoba ubona kufanele.
Uzobona nini udokotela? kanye nokuxilongwa
Impendulo elula ithi, uma unesifo esifubeni, kufanele nakanjani ubonane nodokotela. Kungaba yisifo sohudo kuphela, kodwa kuxhomeke kudokotela ukuthi ngabe kuyinkinga yenhliziyo noma cha.
Njengoba lesi simo singaba nzima ukusithola, kubalulekile ukucacisa izimpawu zakho kudokotela wakho. Ungesabi ukusho ukuthi, "Ngisenobuhlungu esifubeni uma ngicindezelekile," noma ngabe ukuhlolwa akubonisi izinkinga ngemithambo yakho emikhulu.
Uma udokotela esola lesi simo, angenza ezinye izivivinyo eziningana ezikhethekile.
- Ukuhlolwa Kokucindezeleka: Ukubona ukuthi ukugeleza kwegazi enhliziyweni kuyehla yini uma uzivocavoca (i-Myocardial Ischemia).
- Ukuhlolwa Kokugeleza Kwenhliziyo (i-CFR): Ukulinganisa ukuthi inhliziyo ingakwandisa yini ukuphakelwa kwegazi layo ukuze ihlangabezane nesidingo sayo se-oxygen.
- Ukuskena okukhethekile: Ukuskena kwe-nuclear, i-MRI, noma ukuhlolwa okukhethekile kwe-cardiac catheterization kungabona ukungasebenzi kahle kwale mithambo emincane.
Uma kungelashwa, ukuntuleka kwegazi njalo enhliziyweni kungabangela umonakalo ohlala njalo emisipheni yenhliziyo. Ngakho-ke ungawunaki lobuhlungu besifuba njengophawu nje. Kuyisibonakaliso esibalulekile esivela enhliziyweni yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-angina ye-microvascular uhlobo lobuhlungu besifuba oluvela lapho imithambo yegazi emikhulu enhliziyweni isebenza kahle, kodwa ngenxa yezinkinga ngokusebenza kwemithambo yegazi emincane kakhulu.
- Ubuhlungu besifuba, ukuphelelwa umoya, kanye nokukhathala okukhulu yizimpawu eziyinhloko .
- Uma uqhubeka nokuba nobuhlungu besifuba yize imiphumela yakho yokuhlolwa ijwayelekile, ungabushayi indiva. Khuluma nodokotela wakho ngakho futhi.
- Lokhu kuvame kakhulu kwabesifazane, abantu abanesifo sikashukela, umfutho wegazi ophezulu kanye ne-cholesterol ephezulu.
- Ngokuhlonzwa nokwelashwa okufanele (ukushintsha indlela yokuphila kanye nemithi), lesi simo singaphathwa kahle futhi izinga lempilo elihle lingagcinwa.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
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