UAngina - xa unentlungu esifubeni

I-Angina luhlobo lwesifo esifubeni ngenxa yokungahambi kakuhle kwegazi kwimithambo yegazi yemisipha yentliziyo. Eli nqaku lixoxa ngendlela onokuthi uzikhathalele ngayo xa une-angina.

Unokuziva uxinzelelo, ucinezela, utshisa, okanye uxinekile esifubeni sakho. Unokuba noxinzelelo, ucinezela, utshise, okanye ubambe iingalo zakho, amagxa, intamo, umhlathi, umqala, okanye umqolo.

Abanye abantu banokuba neempawu ezahlukeneyo, kubandakanya ukuphefumla kancinci, ukudinwa, ubuthathaka, kunye nomqolo, ingalo, okanye iintlungu zentamo. Oku kusebenza ngakumbi kwabasetyhini, abantu abadala, kunye nabantu abanesifo seswekile.

Unokuba ne-indigestion okanye ugule kwisisu sakho. Usenokuziva udiniwe. Unokuphefumla kancinci, ubile, unentloko elula, okanye ubuthathaka.

Abanye abantu bane-angina xa bevezwa yimozulu ebandayo. Abantu baziva ngathi ngexesha lomsebenzi. Imizekelo kukunyuka ngezinyuko, ukunyuka intaba, ukuphakamisa into enzima, okanye ukwabelana ngesondo.

Hlala, uhlale uzolile, kwaye uphumle. Iimpawu zakho zihlala zihamba ngokukhawuleza emva kokuyeka umsebenzi.

Ukuba ulele phantsi, hlala ebhedini; Zama ukuphefumla nzulu ukunceda ngoxinzelelo okanye uxinzelelo.

Ukuba awunayo i-nitroglycerin kwaye iimpawu zakho azihambanga emva kokuphumla, biza u-9-1-1 kwangoko.

Umboneleli wakho wezempilo unokumisela iipilisi ze-nitroglycerin okanye ukutshiza ngohlaselo oluqatha. Hlala okanye ulale xa usebenzisa iipilisi okanye ukutshiza.

Xa usebenzisa ithebhulethi yakho, beka ipilisi phakathi kwesidlele nentsini. Ungayibeka phantsi kolwimi lwakho. Vumela ukuba ichithe. Ungayiginyi.

Xa usebenzisa isitshizi sakho, sukuyishukumisa ingqayi. Bamba isikhongozeli kufutshane nomlomo wakho ovulekileyo. Tshiza iyeza kulwimi okanye phantsi kolwimi. Musa ukungenisa okanye ukuginya iyeza.

Lindela imizuzu emi-5 emva kwethamo lokuqala le-nitroglycerin. Ukuba iimpawu zakho azingcono, zibi kakhulu, okanye ubuye emva kokuhamba, tsalela u-9-1-1 kwangoko. Umsebenzisi ophendulayo uya kukunika iingcebiso ezongezelelekileyo malunga nokuba wenzeni.

(Qaphela: umboneleli wakho unokukunika iingcebiso ezahlukeneyo malunga nokuthatha i-nitroglycerin xa unentlungu esifubeni okanye uxinzelelo. Abanye abantu baya kuxelelwa ukuba bazame iidosi ezi-3 ze-nitroglycerin imizuzu emi-5 bucala ngaphambi kokuba ubize u-9-1-1.)

Musa ukutshaya, ungatyi, okanye usele imizuzu emi-5 ukuya kweli-10 emva kokuthatha i-nitroglycerin. Ukuba uyatshaya, kufuneka uzame ukuyeka. Umboneleli wakho unokunceda.

Emva kokuba iimpawu zakho zimkile, bhala phantsi iinkcukacha ezimbalwa malunga nomsitho. Bhala phantsi:

• Lenzeka nini ixesha lemini
• Into ubuyenza ngeloxesha
• Ihlala ixesha elingakanani intlungu
• Ngaba iintlungu zazinjani
• Into oyenzileyo ukunciphisa intlungu yakho

Zibuze le mibuzo:

• Ngaba uthathe onke amayeza entliziyo rhoqo ngendlela efanelekileyo ngaphambi kokuba ube neempawu?
• Ngaba ubukhuthele ngaphezu kwesiqhelo?
• Ngaba ubunesidlo nje esikhulu?

Yabelana ngolu lwazi nomboneleli wakho kutyelelo lwakho rhoqo.

Zama ukungazenzi izinto ezihluza intliziyo yakho. Umboneleli wakho unokumisela amayeza ukuba uwathathe ngaphambi komsebenzi. Oku kunokuthintela iimpawu.

Fowunela i-9-1-1 ukuba intlungu yakho ye-angina:

• Akukho bhetele kwimizuzu emi-5 emva kokuthatha i-nitroglycerin
• Awuyi emva kweedosi ezi-3 zamayeza (okanye njengoko kuyalelwe ngumboneleli wakho)
• Iya isiba mandundu
• Ibuyisa emva kokuba iyeza lincedile

Fowunela umnikezeli wakho ukuba:

• Unempawu rhoqo.
• Unayo i-angina xa uhleli uthule okanye awusebenzi. Oku kubizwa ngokuba yi-angina yokuphumla.
• Uziva udiniwe rhoqo.
• Uziva utyhafile okanye unentloko encinci.
• Intliziyo yakho ibetha kancinci (ngaphantsi kwe-60 beats ngomzuzu) okanye ngokukhawuleza kakhulu (ngaphezulu kwe-120 beats ngomzuzu), okanye ayizinzanga.
• Unengxaki yokuthatha amayeza entliziyo.
• Unazo naziphi na ezinye iimpawu ezingaqhelekanga.

Isifo se-coronary syndrome - iintlungu zesifuba; Umthambo isifo - iintlungu esifubeni; I-CAD - iintlungu zesifuba; Isifo sentliziyo - iintlungu esifubeni; I-ACS - iintlungu zesifuba; Isifo sentliziyo - iintlungu esifubeni; I-infyoction ye-myocardial - iintlungu zesifuba; I-MI - iintlungu zesifuba

IAmsterdam EA, uWenger NK, uBrindis RG, et al. Isikhokelo se-AHA / ACC se-2014 solawulo lwezigulana ezingekho kwi-ST-elevation acon coronary syndromes: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zokusebenza. J NdinguColl Cardiol. Ngo-2014; 64 (24): e139-e228. IINKCUKACHA: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Boden WE. I-Angina pectoris kunye nesifo sentliziyo esisigxina se-ischemic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 62.

ILungu lePalamente leBonaca, iSabatine MS. Indlela kwisigulana esineentlungu esifubeni. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 56.

UFihn SD, uBlankenship JC, uAlexander KP, uBittl JA, et al. Ngo-2014 i-ACC / AHA / AATS / i-PCNA / i-SCAI / i-STS igxile ekuhlaziyweni kwesikhokelo sokuchongwa kunye nolawulo lwezigulana ezinesifo sentliziyo esisigxina: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuSebenza, kunye Umbutho waseMelika woNyango lwe-Thoracic, uMbutho wabahlengikazi abaThintelayo be-Cardiovascular, uMbutho we-Cardiovascular Angiography kunye nongenelelo, kunye noMbutho woNyango lweTroacic. J Thorac Cardiovasc Uqhaqho. Ngo-2015 Mar; 149 (3): e5-23. IINKCUKACHA: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

U-OGara PT, uKushner FG, uAscheim DD, et al. Isikhokelo se-ACCF / AHA sika-2013 kulawulo lwe-ST-elevation myocardial infarction: isishwankathelo sesigqeba: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwizikhokelo zokusebenza. Ukujikeleza. Ngo-2013; 127 (4): 529-555. IINKCUKACHA: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

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