Ingabe inhliziyo yakho ayitholi igazi elanele? Ake sixoxe nge-Myocardial Ischemia!

Ingabe ngezinye izikhathi uzizwa umuzwa ongavamile, onesicanucanu esifubeni sakho? Kufana nokuthi kunzima ukuphefumula, sengathi isifuba sakho siyaqina? Mhlawumbe awukunaki kakhulu, ucabanga ukuthi, "Lokhu kuyinto encane." Kodwa ngezinye izikhathi lezi zimpawu zingabangelwa inkinga ngenhliziyo yethu, ngoba inhliziyo ayitholi igazi elanele. Yileyo ndlela esizokhuluma ngayo ngesimo namuhla lapho inhliziyo ingatholi igazi elanele, ngakho-ke umoya-mpilo kanye nokudla okudingakalayo kuncipha. Lokhu kubizwa ngokuthi 'i-Myocardial Ischemia' ngokwezokwelapha.

Kuyini lokhu kuncipha kwegazi eliya emisipheni yenhliziyo (`Ischemia ye-Myocardial`)?

Kalula nje, i-myocardial ischemia isho ukuthi imisipha yenhliziyo (imisipha yenhliziyo) ayitholi igazi elanele ukuze isebenze kahle. Inhliziyo yethu ifana nephampu, ehlala ipompa igazi emzimbeni wonke. Ngakho inhliziyo idinga umoya-mpilo omningi kanye nezakhamzimba ukuze yenze umsebenzi wayo. Inhliziyo ithola lokhu ohlelweni olukhethekile lwemithambo yegazi oluhlinzeka ngegazi enhliziyweni. Lokhu sikubiza ngokuthi imithambo yenhliziyo .

Cabanga nje, uma inani legazi eligeleza ngale mithambo yenhliziyo lincipha ngesizathu esithile, inani lomoya-mpilo elidingwa yinhliziyo alanele. Njengoba nje uma ipayipi lamanzi eliya embalini livaleka, imbali izobuna. Uma lokhu kuntuleka kwegazi kuba kubi kakhulu, noma uma kuqhubeka isikhathi esingaphezu kwemizuzu embalwa, imisipha yenhliziyo iqala ukulimala. Yilapho-ke sikubiza khona ngokuthi ukuhlaselwa yinhliziyo (`Myocardial Infarction` noma `Heart Attack`) .

Okubaluleke kakhulu: Ukuhlaselwa yinhliziyo kuyisimo esiphuthumayo sezokwelapha . Uma usola ukuthi unayo, into engcono kakhulu ongayenza ukushayela u-1990 bese uthola i-ambulensi ngokushesha , kunokuchitha isikhathi bese othile ekuyisa esibhedlela. Abasebenzi bezokwelapha abaku-ambulensi bangaqala ukunikeza usizo lokuqala oludingekayo lapho befika.

Ubani othinteka kakhulu yilesi simo esithi `Myocardial Ischemia`?

Manje ake sibone ukuthi obani abasengozini enkulu yokuncipha kwegazi eliya emisipheni yenhliziyo. Kukhona abanye abantu, akunjalo? Ngisho noma bekhathele kancane, babamba isifuba sabo bathi, "O, isifuba sami sibuhlungu." Abantu abanjalo kudingeka baqaphele kakhulu ngalesi simo. Lesi simo sivame ukubonakala ku:

• Kubantu abanomfutho wegazi ophezulu . Okusho ukuthi, uma umfutho wegazi ogeleza ngaphakathi kwemithambo yegazi uhlala uphezulu, kubeka ukucindezeleka okukhulu enhliziyweni. Ngokuhamba kwesikhathi, lokhu kungalimaza imithambo yegazi.
• Kulabo abanamazinga aphezulu e-cholesterol egazini. Le cholesterol yilokho okufakwa ezindongeni zemithambo yegazi, okuyenza inciphe kancane kancane.
• Kulabo abanesifo sikashukela (`i-Diabetes Mellitus`) . Isifo sikashukela sinjengesitha esithule, singalimaza imithambo yenhliziyo nemithambo yegazi emzimbeni wonke.
• Noma ubani emndenini, okungukuthi umama, ubaba, izingane zakubo , unesifo senhliziyo (`Isifo Senhliziyo`)Uma unayo. Ngezinye izikhathi lezi zinto zingadluliselwa ezizukulwaneni ngezizukulwane, ngakho-ke kubalulekile ukuqaphela umlando wezokwelapha womndeni wakho.
• Kulabo abanomlando wokusebenzisa imikhiqizo kagwayi (ugwayi, ama-beedis, ugwayi, njll.) Ukubhema kungenye yezitha ezinkulu zenhliziyo. Kulimaza ngqo imithambo yegazi.

Ivame kangakanani i-'Myocardial Ischemia'?

Kalula nje, ezweni elifana neMelika kuphela, abantu abangaphezu kwesigidi bayafa ngenxa yesifo senhliziyo minyaka yonke. Isizathu esiyinhloko salokhu ukuntuleka kwegazi nomoya-mpilo oya emisipheni yenhliziyo, isimo esibizwa ngokuthi 'i-Myocardial Ischemia'. Isifo senhliziyo sesivamile naseSri Lanka.

I-'Myocardial Ischemia' ithinta kanjani umzimba wakho?

Lesi simo sithinta kanjani umzimba wakho? Uma une-'Myocardial Ischemia', ukuzivocavoca noma ukwenza noma yimuphi umsebenzi onzima, ikakhulukazi uma kubanda, kungaba nzima kakhulu. Lokhu kungenxa yokuthi inhliziyo kufanele isebenze kanzima futhi idinga umoya-mpilo owengeziwe. Kodwa ngenxa yokuthi igazi aliliningi, alitholi ngokwanele.

Njengoba isimo sakho siba sibi kancane kancane, izimpawu ze-'Myocardial Ischemia' zingase zivele ngisho nalapho ungenzi umsebenzi omningi, mhlawumbe uhambahamba nje endlini. Ngokuhamba kwesikhathi, ngisho nokukhwela izitebhisi kungaba yinto enkulu. Ekugcineni, lezi zimpawu zingase zivele ngisho nalapho umi noma uphumule.

Ziyini izimpawu ze-'Myocardial Ischemia'?

Uphawu oluyinhloko noluvame kakhulu lwalokhu ubuhlungu besifuba obubizwa ngokuthi i-angina (noma i-angina pectoris) . Kodwa lokhu akuzizwa ngendlela efanayo kuwo wonke umuntu. Kwabanye, kungase kuzwakale sengathi isisu sigcwele, noma njengesilungulela. Lokhu kusho ukuthi:

• Ukungakhululeki esifubeni, isicanucanu .
• Ukuzizwa sengathi isifuba sakho sinzima.
• Kuzwakala sengathi isifuba sakho siyacindezelwa, sengathi othile uyasicindezela.
• Ukuzwa ukucindezeleka esifubeni.
• Ubuhlungu, ubuhlungu.
• Umuzwa oshisayo esifubeni.
• Isifuba sami sizizwa singasasebenzi.
• Umuzwa wokugcwala esifubeni, njengokungathi kukhona okubambekile.

Kunezinhlobo ezimbili ze-angina:

• I-Angina Ezinzile: Lokhu kuvame ukwenzeka uma ucindezelekile noma uzivocavoca. Ngokuvamile kuyaphela ngokushesha uma uphumula noma uthatha imithi oyinikezwe udokotela wakho (isib. i-nitroglycerin).
• I-Angina Engazinzile: Lokhu kuyingozi kancane. Kungavela nganoma yisiphi isikhathi, noma ngabe umile noma ulele. Kungase kungapheli ngisho nangemithi. Kungaba uphawu lokuhlaselwa yinhliziyo.

Ngaphandle kwalokhu, ezinye izimpawu ze-'Myocardial Ischemia' zingase zihlanganise:

• Ubuhlungu noma ukungakhululeki emzimbeni wakho ongaphezulu, okusho izingalo zakho (ikakhulukazi ingalo yakho yesobunxele), ihlombe lesobunxele, umhlane, intamo, umhlathi, noma isisu esingaphezulu.
• Ubunzima bokuphefumula, uzizwa sengathi uyacinana.
• Ukujuluka, ikakhulukazi "ukujuluka okubandayo."
• Ukuzizwa usuthi, njengokungathi ukudla akugayi, noma njengokungathi kukhona okubhajwe emphinjeni (kungase kuzwakale njengokusha esifubeni).
• Ukucanuzela noma ukuhlanza.
• Isiyezi , umuzwa wokuba nekhanda elithambile, ubuthakathaka, kanye nokukhathazeka.
• Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile.

Kubaluleke kakhulu: Uma unesifo se-angina noma esinye salezi zimpawu isikhathi esingaphezu kwemizuzu emihlanu , ungakhohlwa ukushayela ucingo ku-1990 ngokushesha bese ucela iseluleko sezokwelapha .

Ngezinye izikhathi, lesi simo 'se-ischemia', noma ukuhlaselwa yinhliziyo, singavela ngaphandle kwezimpawu. Lokhu kubizwa ngokuthi 'i-Silent Myocardial Ischemia '. Nakuba kuvame kakhulu kubantu abanesifo sikashukela, kungenzeka kunoma ubani onesifo senhliziyo.

Yiziphi izimbangela ze-'Myocardial Ischemia'?

Ngokuvamile, umuntu angaba nezimbangela ezingaphezu kweyodwa zalesi simo se-'Myocardial Ischemia'. Izimbangela eziyinhloko yilezi:

• Isifo Semithambo Yenhliziyo (CAD). Lesi yisona sizathu esiyinhloko nesivame kakhulu. Ama-fatty deposits (i-Plaque) kanye ne-cholesterol kwakheka emithanjeni yenhliziyo enikeza igazi enhliziyweni yethu, futhi imithambo yegazi iyancipha kancane kancane. Kufana nokugqwala okwakheka epayipini lamanzi elidala. Khona-ke igazi elicebile nge-oxygen elidingwa yinhliziyo alikwazi ukugeleza kahle, futhi imisipha yenhliziyo ayitholi i-oxygen eyanele. Yilokhu okubangela i-Ischemia kanye ne-angina. Le depositi yamafutha ebizwa ngokuthi i-Atherosclerotic Plaque ibangela u-70% wokuhlaselwa yinhliziyo okubulalayo.
• Ihlule legazi (`Ihlule Legazi`). Uma ingxenye yamafutha (`I-Plaque`) eqoqene emithanjeni yenhliziyo emincane iphuka ngokuzumayo, ihlule legazi lingakheka lapho. Uma leli hlule legazi libhajwa emthanjeni wenhliziyo osuvele unciphile, ukuhamba kwegazi kungavinjelwa ngokuphelele. Lokhu kubizwa nangokuthi 'i-Thrombosis' . Lesi yimbangela eyinhloko yokuhlaselwa yinhliziyo.
• I-Coronary Artery Spasm. Lokhu kwenzeka lapho imithambo yenhliziyo incipha ngokuzumayo nangokunzima. Lokhu kunciphisa noma kumise ukugeleza kwegazi enhliziyweni okwesikhashana. Lokhu kungenzeka kubantu ababhemayo noma abasebenzisa izidakamizwa ezifana ne-cocaine.
• Ukusetshenziswa kwe-cocaine: I-cocaine iyingozi kakhulu enhliziyweni.
• Ukuhlukaniswa Kwemithambo Yenhliziyo. Lesi yisimo esingavamile kakhulu. Kulesi simo, udonga lomthambo wenhliziyo luyadabuka, luvumele igazi livuze kulo futhi livale umthambo.

Lesi simo se-'ischemia' cishe singenzeka lapho inhliziyo yakho idinga umoya-mpilo omningi kanye nezakhamzimba ezingaphezu kwalokho ekutholayo. Okusho ukuthi, lapho isidingo segazi lomzimba wakho sanda futhi inhliziyo yakho ingakwazi ukuqhubeka. Nazi ezinye zezikhathi lapho umzimba wakho udinga igazi eliningi:

• Uma usebenza/uvivinya umzimba.
• Uma udla (ikakhulukazi ukudla okunzima).
• Uma ujabule futhi ukhathazekile.
• Uma ucindezelekile.
• Uma usendaweni ebandayo.

I-'Myocardial Ischemia' ihlolwa kanjani?

Ngaphezu kokubuza ngezimpawu zakho, umlando wezokwelapha womndeni, kanye nokwenza ukuhlolwa ngokomzimba, udokotela wakho angase futhi acele ukuhlolwa okunjengalokhu ukuqinisekisa isimo nokuqonda ubucayi baso:

• I-Electrocardiogram (EKG noma i-ECG): Njengoba sonke sazi, i-ECG. Lokhu kulinganisa umsebenzi kagesi wenhliziyo futhi kunganikeza umbono wokuthi ngabe kukhona yini isimo esibizwa ngokuthi i-'ischemia' noma ukuhlaselwa yinhliziyo.
• I-Echocardiogram: Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungabheka amakamelo enhliziyo, ama-valve, umsebenzi wemisipha yenhliziyo, kanye nendlela epompa ngayo igazi.
• I-Holter Monitor: Lena idivayisi encane egqokwa emzimbeni wakho usuku olulodwa noma ezimbili futhi iqopha njalo umsebenzi wenhliziyo yakho (ECG). Lokhu kuyasiza ngoba ngezinye izikhathi izimpawu ziyafika zihambe.
• Isivivinyo Sokucindezeleka Kokuzivocavoca: Lokhu kuhilela ukugijima ku-treadmill noma ukuhamba ngokushesha, kuyilapho i-ECG yakho kanye nomfutho wegazi kubhekwa. Lokhu kwenzelwa ukubona ukuthi inhliziyo yakho ithola ukugeleza kwegazi okuncane yini uma ucindezelekile.
• I-Coronary Angiogram: Lena yindlela engcono kakhulu yokubona ukuthi kukhona yini ukuvaleka kwemithambo yakho yenhliziyo. Lokhu kuhilela ukufaka ithubhu elincane emlenzeni noma engalweni yakho, ulifake emithanjeni yenhliziyo yakho, ufake idayi (uhlobo lwedayi) kuyo, bese uthatha i-X-ray ukuze ubone ukuthi imithambo incane kangakanani nokuthi ivalekile kuphi.
• I-X-ray yesifuba: Lokhu kungahlola izinto ezifana nosayizi wenhliziyo kanye nesimo samaphaphu.
• Ukuthwebula izithombe zenhliziyo nge-magnetic resonance (`Heart MRI` noma `Cardiac MRI`): Lokhu kunganikeza ulwazi oluningiliziwe mayelana nesakhiwo kanye nomsebenzi wenhliziyo.

Udokotela angase futhi enze ukuhlolwa kwegazi ukuze ahlole:

• Ukubona ukuthi kukhona yini amaprotheni nama-enzyme athile (isib. i-Troponin) akhishwa egazini kuphela lapho imisipha yenhliziyo yonakele. Uma la mazinga ephakanyisiwe, kuwuphawu lokuhlaselwa yinhliziyo.
• Ezinye izinto zingabangela ischemia, isibonelo, amazinga kashukela egazini kanye nokusebenza kwezinso.
• Amazinga e-cholesterol egazini (i-cholesterol enhle `HDL`, i-cholesterol embi `LDL`, `Triglycerides`).

Yiziphi izindlela zokwelapha i-'Myocardial Ischemia'?

I-Myocardial Ischemia ingelashwa ngemithi noma izinqubo zezokwelapha ezithuthukisa ukugeleza kwegazi emisipheni yenhliziyo yakho. Ukwelashwa okutholayo kuzoncika embangela yenkinga, ukuthi isimo sakho sibi kangakanani, kanye nempilo yakho iyonke. Udokotela wakho uzoxoxa nawe ngokwelashwa okungcono kakhulu kuwe.

Imigomo eyinhloko yokwelashwa yile:

• Ukunciphisa izimpawu (ikakhulukazi ubuhlungu be-angina).
• Ukunciphisa ingozi yokuba nesifo senhliziyo.
• Ukubuyisela ukusebenza kwenhliziyo.

Imithi kanye nokwelashwa okusetshenzisiwe

• Ukuze unciphise ubuhlungu be-angina ngokushesha, beka amaphilisi e -nitroglycerin noma ufuthe ngaphansi kolimi lwakho.
• Ama-Beta-blocker: Lawa anciphisa izinga lokushaya kwenhliziyo, anciphise umfutho wegazi, futhi anciphise umthwalo womsebenzi enhliziyweni.
• Ama-Calcium Channel Blockers: Lawa andisa kancane imithambo yenhliziyo, okwenza ukugeleza kwegazi kube lula.
• I-aspirin kanye neminye imithi yokulwa nama-platelet: Isibonelo, i-Clopidogrel . Lokhu kunciphisa ukwakheka kwama-blood clots.
• Imithi yokwehlisa i-cholesterol (ama-Statins): Le mithi yehlisa izinga le-cholesterol embi egazini futhi ivimbele ukwakheka kwamafutha ngaphakathi kwemithambo yegazi.
• Ama-ACE inhibitors noma ama-ARB: Lawa asiza ukulawula umfutho wegazi nokuvikela inhliziyo.
• Imithi ye-Thrombolytics (noma imithi yokuqeda amahlule): Le mithi inikezwa emahoreni ambalwa okuqala ngemva kokuhlaselwa yinhliziyo. Isebenza ngokuncibilikisa amahlule egazi nokubuyisela ukugeleza kwegazi okuvamile.
• Ukufakwa kwe-Angioplasty kanye ne-stent: Lokhu kungenziwa ngesikhathi esifanayo ne-coronary angiogram. Ibhaluni elincane lifakwa emthanjeni we-coronary ovinjiwe bese livuvukala, kwandiswe indawo encishisiwe. Idivayisi encane efana ne-mesh (i-stent) ibe isifakwa endaweni ukuvimbela indawo encishisiwe ukuthi ingancishi futhi.
• I-Coronary Artery Bypass Graft (CABG): Lokhu ukuhlinzwa okukhulu. Kuhilela ukudala umthambo wegazi omusha ozungeze umthambo ovalekile, kusetshenziswa ucezu lomthambo oluthathwe kwenye ingxenye yomzimba (isb., umlenze, isifuba) noma umthambo wokwenziwa. Lokhu kuhlinzwa kwenziwa uma imithambo engaphezu kowodwa ivalekile, noma uma ukuvaleka kukhulu kakhulu ukuba kungelashwa nge-angioplasty.

Izinkinga zokwelashwa

Izinkinga ezilandelayo zingase zenzeke, ikakhulukazi ngemva kokuhlinzwa kwe-Coronary Artery Bypass Graft:

• Ukutheleleka endaweni yokuhlinzwa.
• Ukopha.
• Ukwehla kwesikhashana kokusebenza kwezinso (Ukungasebenzi kahle kwezinso).
• Isifo sohlangothi.
• Ukuhlaselwa yinhliziyo.
• Ukushaya kwenhliziyo okungajwayelekile (`Arrhythmia`).

Akuvamile kakhulu, ezinye zalezi zinkinga zingavela ngemva kwe-angioplasty noma ukufakwa kwe-stent. Kodwa-ke, izinzuzo zalezi zindlela zokwelapha zidlula kakhulu izingozi.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Ngemva kokufakelwa kwe-coronary artery bypass, kuzodingeka uhlale esibhedlela cishe isonto elilodwa kuya kwayishumi. Ngemva kwalokho, kungathatha cishe amasonto ayi-6 kuya kwayi-12 ukululama ngokuphelele ngemva kokubuyela ekhaya.

Ngemva kokuhlinzwa kwe-angioplasty noma ukufakwa kwe-stent, cishe uzokwazi ukuya ekhaya ngemva kosuku olulodwa noma ezimbili esibhedlela. Kufanele ukwazi ukubuyela emisebenzini evamile phakathi nesonto noma amabili.

Unganciphisa kanjani ingozi ye-'Myocardial Ischemia'?

Udokotela wakho angase ancome imithi noma izinguquko zendlela yokuphila ukuze kuncishiswe ingozi yakho ye-myocardial ischemia. Kubalulekile ukulandela le miyalelo ngokucophelela.

Ukunciphisa ingozi ngemithi

• Ukuthatha i-aspirin yomntwana nsuku zonke (noma umthamo onqunywe udokotela wakho) ukuvimbela ukuhlaselwa yinhliziyo.
• Ama-beta-blocker.
• Imithi yokwehlisa i-cholesterol (`imithi yokwehlisa i-cholesterol` - ama-Statins).
• Ama-inhibitors e-ACE.

Izinguquko zendlela yokuphila

Kubaluleke kakhulu ukwenza lezi zinguquko zendlela yokuphila. Zingaba namandla kakhulu kunemithi:

• Uma unesifo sikashukela , thola ukwelashwa okufanele futhi ulawule amazinga kashukela egazini lakho.
• Uma unomfutho wegazi ophakeme , thola ukwelashwa futhi ulawule umfutho wegazi lakho.
• Uma une -cholesterol ephezulu , yelashwe futhi ulawule amazinga akho e-cholesterol.
• Vivinya umzimba. Thola okungenani imizuzu engama-30 yokuzivocavoca okulingene ngosuku, iningi lezinsuku. Izinto ezifana nokuhamba, ukugibela ibhayisikili nokubhukuda zinhle.
• Yidla ukudla okunempilo. Nciphisa ukudla okunamafutha amaningi, usawoti, noshukela, bese udla izithelo eziningi, imifino, ubhontshisi, okusanhlamvu okuphelele, kanye nokudla okucebile nge-fiber. Kithina eSri Lanka, kungcono ukudla irayisi nemifino emihle, ubhontshisi, nenhlanzi, elungiselelwe ngamafutha amancane.
• Uma usebenzisa imikhiqizo kagwayi (njengogwayi, ama-beedis), yeka ukuyisebenzisa ngokushesha. Cela usizo kudokotela wakho ngalokhu.
• Gcina isisindo esinempilo. Kubalulekile ukugcina isisindo esifanele ubude bakho.
• Nciphisa ukucindezeleka. Ungalawula ukucindezeleka ngezinto ezifana nokuzindla, i-yoga, kanye nezinto zokuzilibazisa.

Yini umuntu one-'Myocardial Ischemia' angayilindela?

Abantu abane -angina engazinzile ngokuvamile basengozini enkulu yokuba nesifo senhliziyo ezinyangeni ezintathu ezizayo. Inani elikhulu labantu abanesifo senhliziyo liyafa emahoreni ambalwa okuqala. Yingakho ukufuna iseluleko sezokwelapha kanye nokwelashwa okuphuthumayo ngokushesha nje lapho kuvela izimpawu kusindisa impilo.

Kodwa-ke, abantu abaningi abathola ukwelashwa ngokushesha futhi badlule ezinsukwini ezimbalwa zokuqala ngemva kokuhlaselwa yinhliziyo balulama ngokuphelele. Kodwa-ke, abanye abantu bangaba nezinkinga ngemva kokuhlaselwa yinhliziyo. Ngakho-ke, kubaluleke kakhulu ukulandela iseluleko sezokwelapha nokwenza izinguquko endleleni yokuphila.

I-'Myocardial Ischemia' ihlala isikhathi esingakanani?

Ubuhlungu be-angina obubangelwa yi-'Myocardial Ischemia' buvame ukuhlala imizuzu eyi-10 noma ngaphansi, ikakhulukazi uma kuyi-'Stable Angina'. I-'Unstable Angina' ingahlala isikhathi eside, futhi iyisimo esiphuthumayo.

Ngizinakekela kanjani?

Ukuzivocavoca kubalulekile ekuthuthukiseni impilo yakho yenhliziyo nemithambo yegazi. Kuletha umoya-mpilo owengeziwe emisipheni yenhliziyo yakho, okungasiza ngezimpawu. Odokotela batusa ukuzivocavoca imizuzu engama-30 kuya kwengama-60 ngosuku, izinsuku ezinhlanu noma ngaphezulu ngesonto.

Ezinye izindlela zokuhlala uphilile yilezi:

• Thatha yonke imithi oyinikezwe udokotela wakho ngesikhathi, njengoba nje uyalelwe. Ungaphuthelwa usuku olulodwa.
• Yidla ukudla okunempilo.
• Gcina isisindo esinempilo.
• Gwema ngokuphelele imikhiqizo kagwayi.
• Qiniseka ukuthi uya kudokotela ngezinsuku ezihleliwe.

Kufanele ngimbone nini udokotela?

Uma ungalulami ngemithi oyinikeziwe, noma uma imiphumela emibi imbi kakhulu, bona udokotela wakho. Uma uke waba ne-angioplasty kanye ne-stent, noma i-coronary artery bypass graft, cishe kuzodingeka ubone udokotela wakho cishe njalo ezinyangeni eziyisithupha ngonyaka wokuqala. Kuzodingeka uye kokuhlolwa njalo ngezikhathi ezithile ngemva kwalokho.

Kufanele ngiye nini egumbini lezimo eziphuthumayo (ER)?

• Uma ucabanga ukuthi unesifo senhliziyo (izimpawu ezifana nobuhlungu obukhulu esifubeni, ukuphelelwa umoya, ukujuluka), shayela u-1990 ngokushesha futhi, uma kungenzeka, hlafuna iphilisi le-aspirin (300mg) . Uma unegazi elijiyile komunye wemithambo yakho yenhliziyo, i-aspirin ingasiza ekulawuleni ukukhula kwayo.
• Futhi, uma usenobuhlungu be-angina ngemva kokuthatha imithamo emithathu ye-nitroglycerin (eyodwa njalo ngemizuzu emihlanu) , kufanele uye ekamelweni eliphuthumayo ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela, ungabuza imibuzo efana nale:

• Kufanele ngikubone isikhathi esingakanani ngemva kokuqala ukuzivocavoca? Hlobo luni lokuzivocavoca olungifanele?
• Ingabe kuzodingeka ngithathe imithi oyinikezile impilo yami yonke? Iyini imiphumela emibi yalo muthi?
• Iyini ingozi yami yokuba nesifo senhliziyo?
• Yiziphi izinguquko okufanele ngizenze ekudleni kwami?
• Kufanele ngiqale nini ukubuyela emsebenzini?

Ingabe i-'Myocardial Ischemia' iyafana ne-'Angina'?

Cha. I-Angina iyisibonakaliso esivame kakhulu sesimo esibizwa ngokuthi i-Myocardial Ischemia. I-Myocardial Ischemia iyimbangela (ukuntuleka kwegazi eliya enhliziyweni), kanti i-Angina iyisibonakaliso sayo.

Ingabe i-'Myocardial Ischemia' iyi-'Stroke'?

Cha. I-Myocardial Ischemia yisimo lapho ukunikezwa kwegazi emisipheni yenhliziyo yakho kuncipha khona. Isifo sohlangothi sibangelwa ukwehla kokunikezwa kwegazi ebuchosheni bakho noma ukuqhuma komthambo wegazi ebuchosheni. Nakuba kokubili kuyizinkinga zemithambo yegazi, isitho esithintekile sihlukile.

Ungaphila isikhathi esingakanani ne-'Myocardial Ischemia'?

Kuncike ezintweni eziningana, isibonelo:

• Ukuthi uzoba nesifo senhliziyo noma cha.
• Indlela osheshe uxilongwe futhi welashwe ngayo.
• Indlela olandela ngayo iseluleko sikadokotela wakho mayelana nokushintsha indlela yokuphila.
• Indlela ophatha kahle ngayo izinto ezibangela i-myocardial ischemia (ngokuvamile i-atherosclerosis, isifo sikashukela, umfutho wegazi ophakeme).

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ubuhlungu besifuba obubangelwa yi-'Myocardial Ischemia' yinto okufanele ukhathazeke ngayo. Kodwa, asikho isidingo sokwesaba. Uma usuthole ukuxilongwa okufanele kanye nohlelo lokwelashwa olufanele, uzozizwa ukhululekile. Ukulandela imiyalelo kadokotela wakho, ukuthatha imithi oyinikeziwe, nokwenza izinguquko ezidingekayo endleleni yokuphila kuyindlela engcono kakhulu yokuthuthukisa impilo yenhliziyo yakho.

Futhi, noma ungafuni ukucabanga ngakho, kubalulekile ukuqaphela izimpawu eziyisixwayiso zokuhlaselwa yinhliziyo. Ukuba nohlelo lokwenza isinyathelo ngokushesha futhi ungesabi uma kwenzeka okuthile kungasiza kakhulu ekusizeni wena noma othandekayo wakho. Inhliziyo yakho ingeyakho, yinakekele!

I - Ischemia yenhliziyo, ukuhlaselwa yinhliziyo, i-angina, ubuhlungu besifuba, isifo senhliziyo, isifo semithambo yenhliziyo, impilo yenhliziyo