Zicabange ukhuphuka izitebhisi, noma uhamba ngokushesha. Kungazelelwe, uzwa ukuqina phakathi kwesifuba sakho, njengokungathi othile ukhuphuka esifubeni sakho, ukucindezeleka, nobuhlungu. Kodwa into emangalisayo ukuthi, uma uyeka lokho okwenzayo bese uhlala phansi isikhashana, ubuhlungu buyanyamalala ngokuphelele ngemizuzu embalwa. Uke waba nalokhu okuhlangenwe nakho? Khona-ke lokhu kungaba yi-Stable Angina . Ungesabi uma uzwa lokhu. Lesi yisibonakaliso esincane esinikezwa yinhliziyo yakho. Ake sixoxe ngalokhu ngokucacile nangokulula.
Kalula nje, iyini i-Stable Angina?
I-Stable Angina akuyona ngempela isifo, iyisibonakaliso. Uma sikhuluma iqiniso, iyisibonakaliso esiyinhloko sesifo senhliziyo esibizwa ngokuthi i-Coronary Artery Disease (CAD), esibangelwa ukuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni.
Cabanga ngenhliziyo yethu njengomshini osebenza ngokungayeki. Lo mshini udinga ukuhlinzekwa njalo kwegazi elihlanzekile, elinomoya-mpilo ukuze usebenze. Leli gazi liyiswa enhliziyweni ngamapayipi amancane abizwa ngokuthi imithambo yenhliziyo. Ngokuhamba kwesikhathi, izinto ezifana ne-cholesterol ekudleni esikudlayo ziqala ukwakheka ngaphakathi kwala mapayipi. Kufana nokhula olukhula ngaphakathi kwepayipi lamanzi. Lokhu sikubiza ngokuthi 'i-plaque' . Lolu ngqimba lwe-plaque lunciphisa kancane kancane ukugeleza kwegazi.
Manje, uma usuphilile, uphumule, inhliziyo yakho inegazi elanele lokudlula kule ndawo encane. Kodwa uma uzivocavoca, uhamba ngokushesha, ukhuphuka izitebhisi, noma ucindezelekile, inhliziyo yakho kufanele isebenze kanzima kunokujwayelekile. Bese inhliziyo icela umoya-mpilo owengeziwe. Kodwa leyo mithambo yegazi encane ayikwazi ukunikeza inhliziyo igazi elengeziwe eliyidingayo. Ngaleso sikhathi, imisipha yenhliziyo iyakhala ithi, "Asinawo umoya-mpilo owanele." Lokho kumemeza yilokho esikuzwayo njengobuhlungu besifuba.
Lokhu kubizwa ngokuthi "Okuzinzile" ngoba indlela lobu buhlungu obuvela ngayo yenzeka ngendlela ethile.
- Ngokuvamile kwenzeka uma wenza into ekhathazayo.
- Ubuhlungu buzwakala bufana njalo.
- Iyanyamalala ngemva kokuphumula isikhashana, cishe imizuzu emi-5.
I-angina ezinzile izwakala kanjani?
Nakuba lokhu kuhluka kumuntu nomuntu, kunezimpawu ezivamile. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Indlela okuzwakala ngayo |
|---|---|
| Ubuhlungu besifuba noma ukungakhululeki | Lokhu kufana kakhulu nobuhlungu obubukhali, ukuqina kwesifuba, njengobunzima esifubeni, kanti kwabanye, kungazwakala njengokuvuvukala kwesisu (njenge-gastritis). |
| Ukusabalalisa ubuhlungu | Ngokuvamile, ubuhlungu buqala maphakathi nesifuba futhi bungasakazekela ehlombe lesobunxele, phansi engalweni yesobunxele, entanyeni, emhlathini, noma emhlane. |
| Ubunzima bokuphefumula | Kanye nobuhlungu besifuba, ungase uzizwe kunzima ukuphefumula futhi uzizwe sengathi uyaminza. |
| Ezinye izici | Abanye abantu bangase babe nesiyezi, isicanucanu, kanye nokukhathala. |
Kungani lesi simo senzeka? (Izimbangela kanye nezimbangela)
Njengoba sixoxile ngaphambili, imbangela eyinhloko ye-angina ezinzile yi-Coronary Artery Disease (CAD) , okuwukuncipha kwemithambo yegazi enhliziyweni. Kodwa-ke, lesi simo singabangelwa nezinye izici eziningana.
- Ukwehluleka kwenhliziyo ngemva kokuhlaselwa yinhliziyo
- Izinkinga ze-valve yenhliziyo
- Izinkinga zesigqi senhliziyo
- I-Hyperthyroidism
- Ukwehla kwe-hemoglobin egazini (i-Anemia)
Izimbangela ze-Angina
Nakuba imbangela yalesi simo ingaphakathi, kunezinto ezithile ezingadala ubuhlungu. Lokhu sikubiza ngokuthi 'izisusa'.
- Ukuzikhandla ngokomzimba: Izinto ezifana nokuhamba ngokushesha, ukukhuphuka izitebhisi, nokuphakamisa izinsimbi.
- Ukucindezeleka: Imizwa enamandla njengentukuthelo eyeqile, ukudabuka, nokukhathazeka.
- Ukushintsha kwezinga lokushisa okungazelelwe: Ukusuka endaweni eshisayo kakhulu kuya ekamelweni elibandayo kakhulu (i-AC).
- Ukudla ukudla okunzima: Abanye abantu bangase bazizwe bekhululekile ngisho nangemva kokudla ukudla okugcwele.
Yini okufanele uyenze uma uthola i-angina? Yiziphi izindlela zokwelapha?
Uma uqala ukuzwa ubuhlungu be-angina, ungesabi bese wenza lezi zinto kuqala.
1. Yeka lokho okwenzayo: Uma uhamba noma wenza okuthile, yeka ngokushesha.
2. Hlala phansi noma ulale phansi: Phumula ngokuhlala esihlalweni noma ulale embhedeni.
3. Sebenzisa umuthi udokotela wakho akunike wona: Uma udokotela wakho ekunike iphilisi le -nitroglycerin noma isifutho, sibeke ngaphansi kolimi lwakho. Lokhu kwandisa imithambo yegazi enhliziyweni yakho okwesikhashana, okwenza kube lula ukuthi igazi ligeleze liye enhliziyweni yakho.
Ngokuvamile, ubuhlungu kufanele buphele ngokuphelele kungakapheli imizuzu emihlanu yokuphumula nokuthatha i-Nitroglycerin. Uma lokho kungasebenzi, udokotela wakho uzobe ekunike imiyalelo yokuthi wenzeni. Kubalulekile ukulandela leyo miyalelo ngqo.
Lesi yisisombululo sesikhashana nje. Ukuze ulawule i-angina esikhathini eside, udokotela wakho uzokunikeza eminye imithi okufanele uyithathe nsuku zonke. Isibonelo, ama-beta-blockers , i-nitroglycerin ekhishwa isikhathi eside , noma i-ranolazine .
Futhi, ukwelashwa kuyadingeka ukwelapha imbangela eyinhloko ye-angina (CAD). Lokhu kungase kuhilele ukufaka idivayisi encane efana ne-mesh (i-stent) emithanjeni yegazi ukuze kwandiswe ukuvaleka, noma ukuhlinzwa kwe-bypass . Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe futhi akuchazele kona.
Yini okufanele siyenze ukuze sizivikele kulesi simo?
Indlela engcono kakhulu yokuvimbela i-angina ezinzile ukunciphisa ingozi yokuthola isifo semithambo yenhliziyo (CAD), okuyimbangela eyinhloko. Lokho kusho ukwenza izinguquko endleleni yokuphila.
Indlela yokuphila enempilo yenhliziyo iyindlela enamandla kakhulu yokwelapha kunemithi.
- Ukudla okunempilo kwenhliziyo: Nciphisa ukudla okunamafutha amaningi, usawoti, noshukela ngangokunokwenzeka. Esikhundleni salokho, faka imifino, izithelo, ubhontshisi, izinhlanzi ezincane, kanye nokudla okucebile nge-fiber (irayisi elinsundu, i-oats) ekudleni kwakho.
- Ukuzivocavoca okuvamile: Zivocavoce kalula, njengokuhamba okungenani imizuzu engama-30 ngosuku. Kodwa-ke, uma une-angina, kubalulekile ukubuza udokotela wakho ukuthi yiziphi izivocavoca ezikufanele.
- Ukuphatha ezinye izifo: Uma unomfutho wegazi ophakeme, isifo sikashukela, noma i-cholesterol ephezulu, thatha imithi udokotela wakho ayinikezayo bese uphatha lezo zimo kahle.
- Yeka ukubhema ngokuphelele: Uma ubhema, yeka namuhla. Yinkonzo enkulu kunazo zonke ongayenzela inhliziyo yakho.
- Nciphisa ukucindezeleka: Londoloza inhlalakahle yengqondo ngokwenza izinto ezifana nokuzindla, i-yoga, ukulalela umculo, nokuzibandakanya entweni oyithandayo.
Kufanele simbone nini udokotela?
Uma uzwa ubuhlungu besifuba noma ukungakhululeki okunje okokuqala empilweni yakho, ungakushayi indiva. Bonana nodokotela ngokushesha. Udokotela uzokuxilonga futhi, uma kudingeka, acele ukuhlolwa okunje.
| Ukuhlolwa | Kalula nje... |
|---|---|
| Ukuhlolwa kwegazi | Hlola ukuthi kukhona yini umonakalo enhliziyweni, nokuthi amazinga akho e-cholesterol kanye noshukela anjani. |
| I-ECG (i-Electrocardiogram) | Umsebenzi kagesi wenhliziyo uyaqoshwa ukuze kubonakale ukuthi kukhona yini inkinga. |
| Ukuhlolwa Kokucindezeleka (i-ECG Yokuzivocavoca) | I-ECG ithathwa ngenkathi uhamba nge-treadmill, kubhekwe ukuthi inhliziyo isabela kanjani ekuzikhandleni. |
| I-Angiography ye-Coronary | Kusetshenziswa i-X-ray ekhethekile ukuhlola ngokunembile ukuvaleka kwemithambo yegazi yenhliziyo. |
| I-CT Scan | I-X-ray esetshenziswa yikhompyutha ithatha izithombe ezinemininingwane zenhliziyo nemithambo yegazi. |
Isimo Esiphuthumayo! Kufanele niye nini e-ETU (Emergency Treatment Unit) ndawonye?
Ngisho nakumuntu one-angina engaguquki, lesi simo singaba sibi ngezinye izikhathi. Lokhu kungaba uphawu lwe -angina engaguquki noma ukuhlaselwa yinhliziyo . Ezimweni ezilandelayo, iya egumbini lezimo eziphuthumayo (ETU) esibhedlela ngaphandle kokulibala noma ushayele isevisi ye-ambulensi ku-1990.
| Isici sengozi | Okufanele ngikwenze |
|---|---|
| Uma ubuhlungu bunganciphi ngisho nangemva kokuthatha i-nitroglycerin (noma uma inani lemithamo ebekwe udokotela linganele). | Yiya ku-ETU ngokushesha. |
| Uma ubuhlungu bububi kakhulu kunokuvamile, noma uma buphela bese buphinde bubuye . | Yiya ku-ETU ngokushesha. |
| Uma ubuhlungu buvela ngisho nalapho uphumule (ngaphandle kokuzikhandla). | Yiya ku-ETU ngokushesha. |
| Uma ubuhlungu buzwakala buhlukile kunobuvamile (isib., uma buhambisana nokujuluka, ukujuluka ngokweqile, noma ukuhlanza). | Yiya ku-ETU ngokushesha. |
I-Stable Angina akuyona isifo senhliziyo. Kodwa iyisibonakaliso esiqinile sokuthi isifo senhliziyo sizokwenzeka. Ngakho-ke ungalokothi ungazinaki lesi sibonakaliso.
Kuvamile ukuzizwa wesaba futhi ukhathazekile ngezinye izikhathi uma uphila nalesi simo. Khuluma nodokotela wakho ngokukhululekile ngaso. Uzokunikeza ukwesekwa neseluleko osidingayo. Kunezinto eziningi ongazenza ukuze uvikele inhliziyo yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-angina ezinzile ubuhlungu besifuba obwenzeka ngokuzikhandla futhi buphele ngokuphumula, futhi bunendlela ethile.
- Lokhu kuyisibonakaliso sesifo semithambo yenhliziyo (CAD), hhayi ukuhlaselwa yinhliziyo. Kodwa kuyisibonakaliso esiqinile sesixwayiso sokuhlaselwa yinhliziyo.
- Ukuphumula kanye nomuthi we-nitroglycerin onikezwe udokotela ngokuvamile kunciphisa ubuhlungu.
- Uma uzwa ubuhlungu besifuba okokuqala, noma uma ubuhlungu buhlukile kobuvamile, bukhulu, noma buvela ngisho nalapho uphumule, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha.
- Ungaphila impilo enempilo ngokwamukela indlela yokuphila enempilo yenhliziyo nokulandela ukwelashwa okunqunywe udokotela wakho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment