Ukuphila nesifo sentliziyo kunye ne-angina

Isifo sentliziyo iCoronary (CHD) kukucuthwa kwemithambo yegazi encinci ebonelela ngegazi kunye neoksijini entliziyweni. U-Angina yintlungu yesifuba okanye ukungonwabi okuhlala kwenzeka xa usenza imisebenzi ethile okanye uziva uxinezelekile. Eli nqaku lixoxa ngento onokuyenza ukulawula iintlungu esifubeni kunye nokunciphisa umngcipheko wesifo sentliziyo.

I-CHD kukuncipha kwemithambo yegazi encinci ebonelela ngegazi kunye neoksijini entliziyweni.

U-Angina yintlungu yesifuba okanye ukungonwabi okuhlala kwenzeka xa usenza imisebenzi ethile okanye uziva uxinezelekile. Kubangelwa kukungahambi kakuhle kwegazi kwimithambo yegazi yemisipha yentliziyo.

Ukuba unoxinzelelo lwegazi oluphezulu, isifo seswekile, okanye icholesterol ephezulu, umboneleli wakho wezempilo angakucebisa ukuba:

• Gcina uxinzelelo lwegazi lulawulwa rhoqo ukuya kwi-130/80. Ezantsi kunokuba bhetele ukuba unesifo seswekile, isifo sezintso, ukubetha, okanye iingxaki zentliziyo, kodwa umboneleli wakho uya kukunika iithagethi zakho.
• Thatha amayeza ukunciphisa i-cholesterol yakho.
• Gcina i-HbA1c kunye neswekile yegazi kwinqanaba elicetyiswayo.

Ezinye izinto ezinokulawulwa ngumngcipheko wesifo sentliziyo zezi:

• Ukusela utywala. Ukuba uyasela, zilinganisele kwisiselo esingaphaya kwesi-1 ngemini kubafazi, okanye 2 ngosuku kumadoda.
• Impilo yeemvakalelo. Jonga kwaye unyangwe uxinzelelo, ukuba kukho imfuneko.
• Zilolonge. Fumana umthambo omninzi, njengokuhamba, ukuqubha, okanye ukukhwela ibhayisikile, ubuncinci imizuzu engama-40 ngosuku, ubuncinci iintsuku ezi-3 ukuya kwezi-4 ngeveki.
• Ukutshaya. Musa ukutshaya okanye usebenzise icuba.
• Uxinzelelo. Kuphephe okanye ukunciphisa uxinzelelo kangangoko unako.
• Ubunzima. Gcina ubunzima obusempilweni. Zama isalathiso sobunzima bomzimba (BMI) phakathi kwe-18.5 ukuya kuma-24.9 kunye nesinqe esincinci kune-intshi ezingama-35 (iisentimitha ezingama-90).

Ukutya okunesondlo kubalulekile kwimpilo yentliziyo yakho. Imikhwa yokutya esempilweni iya kukunceda ulawule eminye yemingcipheko yesifo sentliziyo.

• Yitya iziqhamo, imifuno, kunye neenkozo ezininzi.
• Khetha iiproteni ezinqinileyo, njengenkuku engenasikhumba, intlanzi kunye neembotyi.
• Yitya iimveliso ezingena-mafutha okanye ezinamafutha asezantsi, ezinje ngobisi olunamafutha kunye neyoghur ephantsi.
• Gwema ukutya okuqulethe amanqanaba aphezulu esodium (ityuwa).
• Funda iilebheli zokutya. Gwema ukutya okuqulethe amafutha amaninzi kunye ne-hydrogenated okanye i-hydrogenated fat. La ngamafutha angenampilo afunyanwa ngokufuthi kukutya okuthosiweyo, ukutya okwenziweyo, kunye nezinto ezibhakiweyo.
• Yitya ukutya okumbalwa okunesonka samasi, ukhilimu, okanye amaqanda.

Umboneleli wakho unokumisela amayeza anyange i-CHD, uxinzelelo lwegazi oluphezulu, isifo seswekile, okanye amanqanaba aphezulu e-cholesterol. Oku kunokubandakanya:

• I-ACE inhibitors
• Beta-iibhlokhi
• Iibhlokhi zesitayile seCalcium
• I-diuretics (iipilisi zamanzi)
• Iingxelo zokunciphisa i-cholesterol
• Iipilisi zeNitroglycerin okanye ukutshiza ukuthintela okanye ukumisa uhlaselo lwe-angina

Ukunciphisa umngcipheko wesifo sentliziyo, usenokuxelelwa ukuba uthathe iasprini, clopidogrel (Plavix), ticagrelor (Brilinta) okanye iprasugrel (Effient) yonke imihla. Landela izikhokelo zomboneleli wakho ngononophelo ukugcina isifo sentliziyo kunye ne-angina isiya isiba mandundu.

Soloko uthetha nomboneleli wakho phambi kokuba uyeke ukuthatha nawaphi na amayeza akho. Ukuyeka la mayeza ngesiquphe okanye ukutshintsha idosi kungenza i-angina yakho ibe mandundu okanye kubangele isifo sentliziyo.

Yenza isicwangciso kunye nomboneleli wakho wokulawula i-angina yakho. Isicwangciso sakho kufuneka sibandakanye:

• Yeyiphi imisebenzi ekulungeleyo ukuba uyenze, kwaye yeyiphi engekhoyo
• Ngawaphi amayeza ekufuneka uwathathe xa une-angina
• Zeziphi iimpawu ezibonisa ukuba i-angina yakho iya isiba mandundu?
• Xa kufuneka ubize umnikezeli wakho okanye u-911 okanye inombolo yongxamiseko yendawo

Yazi ukuba yintoni enokwenza i-angina yakho ibe mandundu, kwaye uzame ukunqanda ezi zinto. Umzekelo, abanye abantu bafumanisa ukuba imozulu ebandayo, ukuzilolonga, ukutya ukutya okuninzi, okanye ukukhathazeka okanye uxinzelelo luyenza mandundu i-angina yabo.

Imithambo yegazi yeCoronary - ukuhlala nayo; I-CAD - uhlala nayo; Intlungu yesifuba - ukuhlala kunye

• Ukutya okusempilweni

U-Eckel RH, uJakicic JM, uArd JD, et al. Isikhokelo se-AHA / ACC se-2013 kulawulo lwendlela yokuphila ukunciphisa umngcipheko wentliziyo: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zomsebenzi. J NdinguColl Cardiol. 2014; 63 (25 Pt B): 2960-2984. IINKCUKACHA: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.

UFihn SD, uBlankenship JC, uAlexander KP, 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 NdinguColl Cardiol. Ngo-2014; 64 (18): 1929-1949. IINKCUKACHA: 25077860 pubmed.ncbi.nlm.nih.gov/25077860/.

UMorrow DA, de Lemos JA. Isifo sentliziyo esomeleleyo. 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 61.

I-Mozaffarian D. Isondlo kunye nezifo zentliziyo kunye neemetabolism. 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; 2018: isahluko 49.

Ilitye NJ, uRobinson JG, uLichtenstein AH, et al. Isikhokelo se-ACC / AHA sika-2013 kunyango lwecholesterol yegazi ukunciphisa umngcipheko wentliziyo kubantu abadala: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zokusebenza.J NdinguColl Cardiol. Ngo-2014; 63 (25 Pt B): 2889-2934. IINKCUKACHA: 24239923 pubmed.ncbi.nlm.nih.gov/24239923/.

I-Thompson PD, iAds PA. Ukuzilolonga okusekwe kwimithambo, ukubuyisela kwimo yesiqhelo intliziyo ebanzi. 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 54.

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