Angina - ukubhobhoza

I-Angina luhlobo lwesifo esifubeni ngenxa yokungahambi kakuhle kwegazi kwimithambo yegazi yemisipha yentliziyo. Eli nqaku lixoxa ngendlela onokuzikhathalela ngayo xa uphuma esibhedlele.

Ubune angina. U-Angina iintlungu zesifuba, uxinzelelo lwesifuba, zihlala zinxulunyaniswa nokuphefumla okufutshane. Unale ngxaki xa intliziyo yakho yayingafumani gazi laneleyo neoksijini. Unokuba okanye awunakho ukuhlaselwa yintliziyo.

Ungaziva ulusizi. Ungaziva uxhalabile kwaye kufuneka ulumke kakhulu malunga nento oyenzayo. Zonke ezi mvakalelo ziqhelekile. Bemka baya kubantu abaninzi emva kweeveki ezi-2 okanye ezi-3.

Unokuziva udiniwe xa uphuma esibhedlele. Kuya kufuneka uzive ungcono kwaye ube namandla ngakumbi kwiiveki ezi-5 emva kokuba ukhutshiwe esibhedlele.

Yazi iimpawu kunye neempawu ze-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 banokuziva bengonwabanga ngasemva, emagxeni, nakwindawo yesisu.
• Unokuba ne-indigestion okanye uzive ugula kwisisu sakho. Ungaziva udiniwe kwaye ungaphefumli, ubile, unentloko encinci, okanye ubuthathaka. Unokuba nazo ezi mpawu ngexesha lomsebenzi womzimba, njengokunyuka izinyuko, ukunyuka intaba, ukuphakamisa, kunye nokwenza izinto zesondo.
• Unokuba neempawu rhoqo kwimozulu ebanda. Unokuba neempawu xa uphumla, okanye xa uvuka ebuthongweni bakho.

Buza umboneleli wakho wezempilo ukuba uyinyanga njani isifuba sakho xa kusenzeka.

Yithathe lula ekuqaleni. Kuya kufuneka uthethe ngokulula xa usenza nawuphi na umsebenzi. Ukuba awukwazi, misa umsebenzi.

Buza umboneleli wakho malunga nokubuyela emsebenzini kwaye loluphi uhlobo lomsebenzi oza kuba nakho ukwenza.

Umboneleli wakho unokukuthumela kwinkqubo yokuvuselela intliziyo. Oku kuya kukunceda ufunde ukuba ungawonyusa njani umthambo wakho. Uya kufunda nokuba ungasinyamekela njani isifo sentliziyo yakho.

Zama ukunciphisa umda kwindlela osela ngayo. Buza umboneleli wakho xa kulungile ukusela, kwaye kukhuseleke kangakanani?

Musa ukutshaya iisigarethi. Ukuba uyatshaya, cela umboneleli wakho akuncede uyeke. Musa ukuvumela nabani na atshaye ekhayeni lakho.

Funda ngakumbi malunga nento ofanele uyitye ukuze ube nentliziyo esempilweni kunye nemithambo yegazi. Kuphephe ukutya okunetyiwa nokunamafutha. Hlala kude kwindawo yokutyela. Umboneleli wakho unokukuthumela kwingcali yokutya, onokukunceda ucwangcise ukutya okusempilweni.

Zama ukunqanda iimeko zoxinzelelo. Ukuba uziva uxinezelekile okanye ulusizi, xelela umboneleli wakho. Banokudlulisela kumcebisi.

Buza umboneleli wakho malunga nokwabelana ngesondo. Amadoda akufuneki athathe amayeza okanye nasiphi na isongezelelo semifuno seengxaki zokwakha ngaphandle kokujonga kumboneleli wabo kuqala. La machiza akhuselekanga xa esetyenziswa nge-nitroglycerin.

Gcwalisa yonke imigqaliselo yakho ngaphambi kokuba ugoduke. Kufuneka uthathe amayeza akho ngendlela oxelelwe ngayo. Buza umboneleli wakho ukuba usenokuthatha amanye amayeza amayeza, amayeza, okanye izongezo obusele uzithatha.

Thatha amayeza akho ngamanzi okanye ngejusi. Sukusela ijusi ye grapefruit (okanye utye igrapefruit), kuba oku kutya kunokutshintsha umzimba xa uwafunxa amayeza athile. Buza umboneleli wakho okanye usokhemesti malunga noku.

Abantu abane-angina bahlala befumana la mayeza angezantsi. Kodwa ngamanye amaxesha la machiza anokungakhuseleki ukuwathatha. Thetha nomboneleli wakho ukuba awusele uthathe elinye lala machiza:

• Izidakamizwa ze-Antiplatelet (i-blood thinners), njenge-aspirin, i-clopidogrel (i-Plavix), i-prasugrel (i-Efient), okanye i-ticagrelor (i-Brilinta)
• Amanye amayeza, anje nge-warfarin (Coumadin), ukunceda ukugcina igazi lakho lingonakali
• I-Beta-blocker kunye namayeza e-ACE inhibitor, ukunceda ukukhusela intliziyo yakho
• I-Statins okanye ezinye iziyobisi ukunciphisa i-cholesterol yakho

Ungaze uyeke ukuthatha naliphi na kula machiza. Sukuyeka ukuthatha nawaphi na amanye amayeza onokuthi uwathathele isifo seswekile, uxinzelelo lwegazi oluphezulu, okanye naziphi na ezinye iingxaki zonyango.

Ukuba uthatha igazi elincinci, unokufuna ukuba ube novavanyo lwegazi olongezelelekileyo ukuze uqiniseke ukuba idosi yakho ichanekile.

Fowunela umboneleli wakho ukuba uziva:

• Ubuhlungu, uxinzelelo, ukuqina, okanye ubunzima esifubeni, engalweni, entanyeni, okanye emhlathini
• Ukuqhawukelwa ngumphefumlo
• Iintlungu zegesi okanye ukungcola
• Ubudenge ezingalweni zakho
• Ukubila, okanye ukuba ulahlekelwa ngumbala
• Unentloko elula

Utshintsho kwi-angina yakho lunokuthetha ukuba isifo sentliziyo siyanda. Fowunela umboneleli wakho ukuba ngaba i-angina yakho:

• Yomelela
• Zenzeka rhoqo
• Ihlala ixesha elide
• Yenzeka xa ungasebenzi okanye xa uphumla
• Ukuba iziyobisi azincedi ukunciphisa iimpawu zakho ze-angina njengoko beqhele ukwenza

Intlungu yesifuba - ukukhutshwa; I-angina ezinzileyo - ukukhutshwa; I-angina engapheliyo - ukukhutshwa; I-angina eyahlukileyo - ukukhutshwa; I-angina pectoris - ukukhutshwa; Ukukhawulezisa i-angina - ukukhutshwa; I-angina entsha - ukukhutshwa; I-angina-engazinzanga - ukukhutshwa; Inkqubela phambili ye-angina - ukukhutshwa; Angina-ezinzileyo - ukukhutshwa; I-angina-chronic - ukukhutshwa; Umahluko kwi-Angina - ukukhutshwa; Prinzmetal angina - ukubhobhoza

• Ukutya okusempilweni

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; 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; 149 (3): e5-e23. 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): e362-e425. IINKCUKACHA: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• UAngina
• I-angioplasty kunye nokubekwa kwindawo entle-umthambo wecarotid
• Iinkqubo zokupheliswa kwentliziyo
• Iintlungu zesifuba
• Umthambo weCoronary spasm
• Utyando lwentliziyo ngokudlula
• Utyando lwentliziyo olugqithisileyo- olungenayo intsholongwane
• Intliziyo yomenzi wentliziyo
• Amanqanaba aphezulu e-cholesterol egazini
• Isixhobo se-Cardioverter-defibrillator esinokufakwa
• Angina ezinzile
• Iingcebiso malunga nendlela yokuyeka ukutshaya
• Angina engazinzanga
• Isixhobo sokuncedisa umoya

• I-ACE inhibitors
• UAngina-yintoni oza kuyibuza ugqirha wakho
• UAngina - xa unentlungu esifubeni
• I-Angioplasty kunye ne-stent-heart-discharge
• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• Ukusebenza emva kokuhlaselwa yintliziyo
• Ukusebenza xa unesifo senhliziyo
• Ibhotolo, imajarini neeoli zokupheka
• Ukucinywa kwentliziyo - ukukhutshwa
• Cholesterol kunye nendlela yokuphila
• Cholesterol - unyango lweziyobisi
• Ukulawula uxinzelelo lwegazi oluphezulu
• Kuchazwe amafutha ezempilo
• Iingcebiso zokutya okukhawulezayo
• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukuhlaselwa sisifo sentliziyo- ukubuza ugqirha
• Utyando lokudlula kwentliziyo-ukukhutshwa
• Utyando lokudlula kwentliziyo-ukukhutshwa kancinci okungafunekiyo
• Isifo sentliziyo - umngcipheko
• Uxinzelelo lwegazi oluphezulu- yintoni oza kuyibuza ugqirha wakho
• Ufunda njani iilebheli zokutya
• Ukutya kweMeditera

• UAngina