Ingabe Ubuhlungu Besifuba Buyi-Gastritis? Ake Sifunde Nge-Myocardial Ischemia

Ingabe ngezinye izikhathi uzizwa usinda, ukuqina, noma ubuhlungu esifubeni sakho uma ukhathele kancane, lapho ukhuphuka izitebhisi, noma lapho uzizwa ukhathazekile kancane? Abaningi bethu bayakukhohlwa lokhu, becabanga ukuthi kuyinto evamile, mhlawumbe isifo sofuba. Kodwa akuzona zonke izinhlungu zesifuba okufanele ziphathwe kanjalo kalula. Mhlawumbe lokhu kuyisibonakaliso esibaluleke kakhulu inhliziyo yakho ekunikeza sona. Yilokho esikhuluma ngakho namuhla, ukuthi inhliziyo ayitholi igazi elanele.

Kalula nje, kuyini i-Myocardial Ischemia?

Igama lizwakala liyinkimbinkimbi kancane, kodwa iqiniso lilula. I-Myocardial Ischemia yilapho imisipha yenhliziyo yakho ingatholi inani legazi elidingekayo ukuze isebenze kahle. Siyazi ukuthi igazi yilo elithwala umoya-mpilo nezinye izakhamzimba emzimbeni wonke. Ngakho-ke lapho inani legazi eligeleza enhliziyweni lehla, alitholi umoya-mpilo owanele.

Njengoba nje injini yamanzi idinga amanzi ukuze isebenze, inhliziyo yethu nayo idinga ukunikezwa kwegazi njalo. Uma lokhu kunikezwa kwegazi kuma isikhashana noma kwehla kakhulu, amaseli emisipha yenhliziyo aqala ukonakala. Uma lesi simo siba sibi kakhulu, singaba ukuhlaselwa yinhliziyo (i-Myocardial Infarction noma i-Heart Attack) .

Ubani osengozini enkulu yokuthola lesi simo?

Nakuba lesi simo singaba khona kunoma ubani, abanye abantu basengozini enkulu. Bheka ukuze ubone ukuthi unazo yini lezi zinto eziyingozi.

Ziyini izimpawu zalokhu?

Uphawu oluyinhloko noluvame kakhulu lwalesi simo ubuhlungu besifuba obubizwa ngokuthi i-angina . Lokhu kungazwakala njengesilungulela noma ukugayeka kokudla, kodwa kuhlukile kancane.

Kuzwakala kanjani ubuhlungu be-angina?

• Ukuzizwa sengathi kukhona isisindo esinzima esifubeni
• Ukuzwa ukuqina esifubeni
• Ukuqina kwesifuba
• Njengomuzwa oshisayo ngaphakathi esifubeni.
• Ngezinye izikhathi kuzwakala sengathi kuyisiphukuphuku

Kunezinhlobo ezimbili ze-angina.

I-Angina ingahlukaniswa ngezinhlobo ezimbili eziyinhloko. Kubaluleke kakhulu ukwazi umehluko phakathi kwalezi ezimbili.

1. I-Angina Ezinzile: Lokhu kuvame ukwenzeka uma ucindezelekile (isib., ukuzivocavoca, ukuhamba ngokushesha). Ubuhlungu buyaphela uma uphumula noma uthatha imithi udokotela wakho ayinikezayo (isib., iphilisi okufanele ulibeke ngaphansi kolimi lwakho) .

2. I-Angina Engazinzile: Lesi yisimo esiyingozi kakhulu . Lobuhlungu bungenzeka ngisho noma uphumule noma ulele ebusuku. Futhi abupheli ngisho nangemva kokuthatha imithi. Lokhu kungaba uphawu lokuhlaselwa yinhliziyo, ngakho-ke kufanele ufune iseluleko sezokwelapha ngokushesha .

Izimpawu ngaphandle kwe-angina

Ngaphezu kobuhlungu besifuba, izimpawu ezilandelayo zingase zivele:

• Ubuhlungu noma ukungakhululeki okusabalala engalweni yesobunxele, ehlombe, entanyeni, emhlathini, emhlane, noma esiswini .
• Ukuphelelwa umoya .
• Ukuzizwa ubanda futhi ujuluka .
• Umuzwa wokugcwala, ukungagayi kahle kokudla, noma iqhubu emphinjeni.
• Ukucanuzela noma ukuhlanza .
• Ukuzizwa unesizungu , ikhanda elibuthakathaka, ubuthakathaka obukhulu, noma ukuzizwa ukhathazekile.
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.

Uma unesinye noma ngaphezulu kwalezi zimpawu isikhathi esingaphezu kwemizuzu emi-5, kuyisimo esiphuthumayo. Shayela i-1990 Ambulance Service ngokushesha.

Kungani ukugeleza kwegazi enhliziyweni kwehla? Ziyini izimbangela?

Imbangela eyinhloko nevame kakhulu yalokhu yi -Coronary Artery Disease . Kalula nje, lokhu kuwukuqongelela kwe-cholesterol namafutha (esikubiza ngokuthi `(i-Plaque)`) emithanjeni ehambisa igazi enhliziyweni (imithambo ye-coronary), okwenza imithambo ibe mincane. Kufana nokugqwala okwakheka epayipini lamanzi ngokuhamba kwesikhathi bese kuwuvala. Lapho imithambo iba mincane, inani legazi elidingwa yinhliziyo alikwazi ukugeleza.

Ezinye izizathu:

• Ihlule Legazi: Uma ungqimba olunamafutha (i-plaque) oluqongeleleke emthanjeni onciphile luqhuma, ihlule legazi lingakheka kuleyo ndawo futhi livale ngokuphelele umthambo.
• I-Coronary Artery Spasm: Ngezinye izikhathi imithambo yegazi enhliziyweni iyavaleka ngokuzumayo, imise ukuhamba kwegazi okwesikhashana.
• Ukusetshenziswa kwezidakamizwa ezifana ne-cocaine.
• Ukusikwa Kwemithambo Yenhliziyo: Lesi yisimo esingavamile kakhulu lapho udonga lomthambo wegazi ludabuka khona.

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela, uzokubuza ngezimpawu zakho, ahlole umzimba, futhi angase akuncomele nokuhlolwa okumbalwa.

• I-ECG (i-Electrocardiogram): Ihlola ukusebenza kukagesi kwenhliziyo.
• I-Echocardiogram: Ukuskena kwenhliziyo. Kungabheka umsebenzi kanye nesakhiwo senhliziyo.
• Ukuhlolwa Kokucindezeleka Kokuzivocavoca: I-ECG ithathwa ngenkathi uhamba ku-treadmill, iqapha izinguquko enhliziyweni yakho njengoba uzivocavoca.
• I-Coronary Angiogram: Kufakwa uketshezi olukhethekile emithanjeni yegazi yenhliziyo bese kuthathwa i-X-ray ukuze kubonakale ukuthi imithambo ivimbeke kangakanani.
• Ukuhlolwa kwegazi: Ukuhlola umonakalo emisipheni yenhliziyo nokuhlola izinto ezifana namazinga e-cholesterol.

Wenzani njengokwelashwa?

Ukwelashwa kuncike ebunzimeni kanye nembangela yesimo sakho. Umgomo oyinhloko ukubuyisela ukugeleza kwegazi emisipheni yenhliziyo nokuvimbela ukuhlaselwa yinhliziyo esikhathini esizayo.

Izinhlobo zemithi:

• I-Nitroglycerin:Umuthi osiza ngokushesha ebuhlungwini be-angina.
• Ama-Beta-blockers kanye nama-calcium channel blockers: Lawula ukusebenza kwenhliziyo kanye nomfutho wegazi, kunciphisa umthwalo wenhliziyo.
• Ama-anticoagulant (isib. i-Aspirin, i-Clopidogrel): Avimba ukwakheka kwamahlule egazi ngaphakathi kwemithambo yegazi.
• Imithi yokwehlisa i-cholesterol.

Izindlela zokwelapha kanye nokuhlinzwa:

• I-Angioplasty kanye nokubekwa kwe-Stent: Umthambo wegazi ovalekile uvuvukele ngedivayisi efana nebhaluni bese kufakwa idivayisi efana ne-mesh (stent) ukuze uvimbele ukuthi ungaphinde uvaleke.
• I-Coronary Artery Bypass Graft: Umthambo omusha wegazi udalwa ngokudlula umthambo ovalekile kusetshenziswa ucezu lomthambo oluthathwe kwenye ingxenye yomzimba.

Yini esingayenza ukuze sinciphise ingozi?

Ukwenza izinguquko ezincane endleleni yakho yokuphila kunganciphisa kakhulu le ngozi.

• Uma unesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol, zilawule kahle ngokwemiyalelo kadokotela wakho.
• Zivocavoce imizuzu engama-30-60 ngosuku, okungenani izinsuku ezi-5 ngesonto. (Ngisho nokuhamba ngokushesha kwanele.)
• Nciphisa ukudla okunamafutha amaningi, usawoti kanye noshukela, bese udla imifino eminingi, izithelo, amakhambi kanye nokusanhlamvu okuphelele.
• Uma ubhema, yeka ngokuphelele.
• Nciphisa ukucindezeleka.
• Gcina isisindo somzimba siphilile.