Uke wezwa ngesifo esithinta imithambo yegazi emincane enhliziyweni yakho? Ake sixoxe nge-'Microvascular Coronary Disease (Isifo Semithambo Emincane)'!

Ingabe ngezinye izikhathi uzizwa unesicanucanu noma ubuhlungu obungavamile esifubeni sakho? Kodwa uma uya kudokotela, bathi akukho lutho olungalungile ngemithambo emikhulu? Lokho kungaba njalo. Ngoba, ngaphezu kwemithambo yegazi emikhulu enhliziyweni, kukhona nenethiwekhi yemithambo yegazi emincane kakhulu , ethambile njengomucu wezinwele. Ngezinye izikhathi inkinga ingaba khona. Yilokho esizokhuluma ngakho namuhla.

Iyini le nto ebizwa ngokuthi 'i-Microvascular Coronary Disease'?

Kalula nje, i-'Microvascular Coronary Disease' (MCD) yisimo esithinta imithambo yegazi emincane kakhulu , ethambile (ebizwa nangokuthi 'i-coronary microvasculature') ehlukana nemithambo yegazi eyinhloko enhliziyweni yakho. Kufana nokuba nepayipi lamanzi eliletha amanzi ekhaya lakho, kodwa uma ipayipi elincane eliholela empompini livalekile, amanzi ngeke aphume.

Kukhona amanye amagama alokhu, okungenzeka ukuthi uke wezwa ngawo:

• `Isifo semithambo emincane`
• Isifo semithambo emincane
• Isifo senhliziyo X
• Isifo se-Microvessel
• "Isifo senhliziyo esingenamvimba" (isimo lapho kungekho ukuvaleka ngenxa yokugcwala kwamafutha emithanjeni emikhulu)

Lenzani lolu hlelo lwemithambo yegazi emincane (Coronary Microvasculature) enhliziyweni?

Cabanga ngenhliziyo yakho njengomshini omncane ohlala usebenza. Ukuze lo mshini ugcine usebenza kahle, udinga ukondliwa njalo nomoya-mpilo. Lowo msebenzi obalulekile wenziwa yilolu chungechunge lwemithambo emincane efana nezinwele ebizwa ngokuthi 'i-coronary microvasculature.'

Le mithambo emincane ilawula ukugeleza kwegazi enhliziyweni. Ibalulekile futhi enqubweni eyinkimbinkimbi ebizwa ngokuthi i-capillary exchange. I-capillary exchange isho ukuthi le mithambo emincane iletha igazi elinomoya-mpilo ezicutshini zenhliziyo futhi ibuyisele igazi elingenawo umoya-mpilo enhliziyweni. Kufana nenkonzo yokuthumela, iletha izinto ezinhle futhi isuse izinto ezimbi. Kulokhu kushintshana, izinto eziningi ziyashintshaniswa, okuhlanganisa amagesi, izakhamzimba, kanye nemikhiqizo engcolile.

Uyini umehluko phakathi kwalesi 'Sifo Semithambo Yenhliziyo Esincane' kanye 'NeSifo Semithambo Yenhliziyo Esivame Ukuzwa Ngaso'?

Zombili lezi zimo zandisa ingozi yakho yokuba nesifo senhliziyo . Kodwa-ke, kunomehluko omncane endleleni ezithinta ngayo inhliziyo.

• Isifo Semithambo Yenhliziyo: Lokhu kuthinta imithambo yegazi emikhulu egijimela enhliziyweni yakho (imithambo yenhliziyo). Ngokuvamile kubangelwa ukugcwala kwamafutha (ama-plaque - njengokungcola epayipini lamanzi) okwakheka ngaphakathi kwemithambo yegazi, okunciphisa noma okuvimba ngokuphelele ukugeleza kwegazi.
• Isifo Senhliziyo Esincane: Lokhu kuthinta imithambo yegazi emincane, ethambile ('i-microvasculature') ehlukana nemithambo yegazi emikhulu. Lokhu kuphuca izicubu zenhliziyo izakhamzimba ezizidingayo. Lokhu akubangelwa ukugcwala kwamafutha ('ama-plaque')., kungaba ngenxa yomonakalo wale mithambo emincane noma ngenxa yephutha elithile ekusebenzeni kwayo.

Kalula nje, enye ifana nethrafikhi emgwaqweni omkhulu (i-Coronary Artery Disease), kanti enye ifana nomgwaqo omncane onebhuloho eliphukile (i-Microvascular Coronary Disease). Zombili ziyaphazamisa uhambo.

Ubani onamathuba amaningi okuthola 'i-Microvascular Coronary Disease'?

Lesi simo, esibizwa ngokuthi `Isifo Semithambo Emincane`, sivame kakhulu ukwenzeka kwabesifazane kunakwabesilisa. Le ngozi iphezulu kakhulu kwabesifazane abanamazinga aphansi e-hormone `estrogen` (isibonelo, ngesikhathi sokunqamuka kokuya esikhathini).

Ngaphandle kwalokho, kunezinye izici eziningana eziyingozi:

• Isifo sokuzivikela komzimba: Isibonelo, izimo ezifana ne-vasculitis (ukuvuvukala kwemithambo yegazi). Lokhu kwenzeka lapho amasosha omzimba wethu ehlasela amangqamuzana ethu.
• Ukukhuluphala ngokweqile: Isisindo somzimba esiningi sibangela izifo eziningi.
• Isifo Sikashukela: Isifo sikashukela yisimo lapho amazinga kashukela egazini engalawulwa khona. Lokhu kungalimaza nemithambo yegazi.
• Ukudla okungenampilo: Ukudla usawoti omningi, amafutha agcwele, kanye nokudla okucutshungulwe.
• Umfutho wegazi ophezulu: Umfutho wegazi ophezulu nawo awulungele imithambo yegazi.
• I-cholesterol ephezulu: Amazinga aphezulu amafutha egazini.
• Izifo ze-rheumatologic: Isibonelo, izifo ezifana ne-lupus noma i-rheumatoid arthritis.
• Indlela yokuphila yokungahlali phansi: Ukungawuvivinyi umzimba kuyimbangela yezifo eziningi.
• Ukubhema: Ukubhema akukubi nje enhliziyweni kuphela, kodwa nakuwo wonke umzimba.

Kungani lesi 'Sifo Semithambo Yenhliziyo Esincane' senzeka? Ziyini izimbangela?

Lesi simo sithinta imisipha ebushelelezi ezindongeni zemithambo emincane enhliziyweni yakho. Enhliziyweni enempilo, le misipha kufanele ifinyele futhi ikhule njengoba kudingeka. Njengoba nje ilensi yekhamera ingakhula futhi ifinyele ukuze ihlangabezane nezidingo zenhliziyo ezishintshayo, yile ndlela ukuhamba kwegazi okulawulwa ngayo.

Kodwa kumuntu onesifo se-'Microvascular Coronary Disease', izindonga zangaphakathi zale mithambo emincane ziyalimala. Ngenxa yalomonakalo, ngezinye izikhathi le mithambo ingaqina ngokuzumayo ('ukuqhekeka'). Bese ukugeleza kwegazi enhliziyweni kuyaphazamiseka. Cabanga nje sengathi ipayipi lamanzi lichotshozwa ngokuzumayo, ukugeleza kwamanzi kuzoncipha.

Yiziphi izimpawu zesifo semithambo emincane? Wazi kanjani?

Uphawu oluyinhloko ubuhlungu besifuba noma ukungakhululeki okubizwa ngokuthi `i-angina` . Lokhu ngokuvamile kungahlala imizuzu eyi-10 noma ngaphezulu., noma uphumule. Lobuhlungu bungakhula ngokucindezeleka kwengqondo, kodwa cishe abukhuli ngokuzivocavoca umzimba. Lezi zimpawu ze-'Microvascular Coronary Disease' zingenza kube nzima ukwenza imisebenzi yansuku zonke.

Ezinye izimpawu zingase zihlanganise:

• Ukukhathala: Umuzwa wokukhathala okukhulu.
• Ukuphefumula kanzima: Ubunzima bokuphefumula ngisho noma uzikhandla kancane.
• Izinkinga zokulala: Izinto ezifana nokungalali.

Okubalulekile: Ubuhlungu besifuba bungaba uphawu lokuhlaselwa yinhliziyo. Ngakho-ke qaphela lezi zinto:

* Uma ubuhlungu besifuba sakho bungapheli noma buba bubi kakhulu.

* Uma unezinye izimpawu zokuhlaselwa yinhliziyo, njengokuphelelwa umoya, ubuhlungu emhlane, entanyeni, noma ezingalweni, kanye nobuhlungu besifuba, shayela u-911 ngokushesha noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze.

Ungayixilonga kanjani ngokunembile 'Isifo Semithambo Yenhliziyo Esincane'? ('Ukuxilongwa')

Uma ngikhuluma iqiniso, kungaba nzima kancane ukuthola isifo senhliziyo esinemithambo yegazi emincane. Ngenxa yokuthi imithambo yegazi emincane ibuthakathaka kakhulu, kunzima ukuyibona ngokuhlolwa kwenhliziyo okujwayelekile. Ngakho-ke, kungcono ukubona udokotela wenhliziyo ochwepheshe besifo semithambo yegazi emincane. Ngemuva kwalokho ungathola ukuxilongwa okunembile nokwelashwa okusheshayo.

Ukuhlolwa okungcono kakhulu ("izinga elifanele"`) ukuqinisekisa ukuthi lokhu "kuyi-"Microvascular Coronary Disease"` yi-"Cardiac Catheterization" (i-heart catheterization) ngesilinganiso se-"Coronary Flow Reserve (CFR)``. Lokhu ukuhlolwa okuyinkimbinkimbi kakhulu. Kubheka ukuthi leyo mithambo emincane ingakhula ngokushesha kangakanani futhi inikeze igazi eliningi enhliziyweni, kuye ngezidingo zomzimba wakho.

Ngaphezu kwalokho, kunezinye izivivinyo ezilinganisa inani lokugeleza kwegazi enhliziyweni:

• `Ukuhlolwa kokucindezeleka kwenhliziyo yenuzi (i-PET scan)`
• `I-MRI yenhliziyo enokufakwa kwegazi`

Yiziphi izindlela zokwelapha lesi simo? ('Ukwelashwa')

Imithi ivame ukunikezwa njengokwelashwa. Le mithi isebenza ngokuthuthukisa ukusebenza kwemithambo yegazi nokunciphisa ingozi yezinkinga.

Lokhu kwelashwa kungafaka:

• Ama-inhibitor e-Angiotensin-converting enzyme (ACE): Lawa andisa imithambo yegazi futhi anciphise umfutho wegazi.
• Ama-anticoagulant: Lawa avimbela igazi ukuthi lingaqini.
• I-aspirin: Lokhu kusiza futhi ekunciphiseni ukujiya kwegazi.
• Ama-Beta-blocker: Yehlisa izinga lokushaya kwenhliziyo futhi yehlise umfutho wegazi.
• Ama-calcium channel blockers: Andisa imithambo yegazi.
• Imithi yokwehlisa umfutho wegazi: Yehlisa umfutho wegazi ngokususa amanzi nosawoti omningi emzimbeni.
• Ama-statin: Amazinga e-cholesterol egazini aphansi.

Udokotela wakho uzohlola isimo sakho bese enquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe.

Singazivikela kanjani kulesi 'Sifo Semikhumbi Emincane'? ('Ukuvimbela')

Ukunakekela inhliziyo yakho kahle kungakusiza ukuthi uhlale uphilile futhi kunciphise izinkinga zalezi zifo. Izinto ezilandelayo zingasiza:

• Yiba nomdlandla ngokwengeziwe ngokomzimba: Kubalulekile ukuvivinya umzimba nsuku zonke. Uma usanda kuqala ukuzivocavoca, uhlelo lokuvuselela inhliziyo lungakusiza.
• Ukudla ukudla okunempilo kwenhliziyo: ukudla okunamafutha amancane, usawoti, noshukela, kanye nezithelo nemifino eminingi.
• Ukugcina umfutho wegazi usezingeni elifanele.
• Ukugcina isisindo esinempilo esikufanele.
• Gwema ngokuphelele ukubhema.
• Ukulawula amazinga kashukela egazini, ikakhulukazi uma unesifo sikashukela.

Ngisho noma ukwenza lezi zinto kungase kubonakale kunzima kancane, ungabona umehluko omkhulu uma uzijwayela kancane kancane.

Yimaphi amathuba okululama komuntu onesifo 'semithambo emincane'? ('Outlook')

Ngokwelashwa okuphumelelayo, abantu abaningi bayalulama kahle futhi bayakwazi ukuqhubeka nemisebenzi yabo yansuku zonke. Kodwa-ke, kubalulekile ukuqhubeka nokuthola ukunakekelwa okulandelayo ukuqinisekisa ukuthi ukwelashwa kusebenza kahle.

Kunjani ukuphila nesifo senhliziyo esibizwa ngokuthi ‘Microvascular Heart Disease’?

Kuthatha isikhathi ukujwayela ukuphuza imithi nokwenza izinguquko endleleni yokuphila. Eminye imithi ingabangela imiphumela emibi, njengesiyezi. Kubalulekile ukukhuluma nodokotela wakho ngalezi zinkinga. Angakusiza, mhlawumbe akunike umuthi ohlukile, noma akufundise ukuthi ungazuza kanjani ngokugcwele ekwelashweni kwakho.

Udokotela wakho angase akucele ukuthi ugcine idayari yansuku zonke yezimpawu zakho nezinto ezifana nomfutho wegazi lakho. Lolu lwazi lungabasiza ukuthi bahlele ukwelashwa kwakho ngokwezidingo zakho kanye nezinto ozithandayo.

Okokugcina, khumbula ukuthi i-Microvascular Coronary Disease yisimo esithinta ukugeleza kwegazi emithanjeni yegazi emincane kakhulu enhliziyweni. Akuyona into ebangela ukuvaleka kwamafutha njengesifo semithambo yegazi, kodwa kunalokho umonakalo emithanjeni yegazi. Lesi simo singabangela ubuhlungu besifuba obuqhubekayo futhi sandise ingozi yokuhlaselwa yinhliziyo. Kodwa-ke, ngemithi efanele kanye nezinguquko zendlela yokuphila, abantu abaningi bangalawula izimpawu zabo futhi bagweme izinkinga.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• Isifo senhliziyo esincane yisifo esithinta imithambo yegazi emincane yenhliziyo, esihlukile kwisifo senhliziyo esivamile esibangelwa ukuvaleka kwemithambo emikhulu.
• Lesi simo sivamile kwabesifazane , ikakhulukazi ngesikhathi sokunqamuka kokuya esikhathini.
• Izimpawu zingase zihlanganise ubuhlungu besifuba (i-angina), ukuphelelwa umoya, kanye nokukhathala. Ungazinaki lezi.
• Ukuxilonga kungaba nzima ngezinye izikhathi, kodwa kungenziwa ngokuhlolwa okuqondile.
• Isimo esingaphathwa ngempumelelo ngemithi kanye nokushintsha indlela yokuphila.
• Uma unalezi zimpawu, funa iseluleko sezokwelapha. Ungakhathazeki, ngokwelashwa okufanele, unethuba elihle lokululama.

Nakekela inhliziyo yakho!

Isifo senhliziyo , isifo semithambo emincane, isifo senhliziyo esincane, ubuhlungu besifuba, impilo yabesifazane, ingozi yokuhlaselwa yinhliziyo, impilo yenhliziyo