Imithambo yegazi: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Zeziphi iimvavanyo zokuchonga
• Ngubani osengozini enkulu
• Unyango lwenziwa njani
• Ukuthintela isifo sentliziyo

Isifo somthambo seCoronary sibonakaliswa kukuqokelelwa kwelethi kwimithambo yentliziyo encinci ehambisa igazi kwinyama yemisipha. Xa oku kusenzeka, iiseli zentliziyo yezihlunu azifumani oksijini yaneleyo kwaye ziphela zingasebenzi kakuhle, oko kukhokelela kwiimpawu ezinje ngesifuba esibuhlungu rhoqo okanye ukudinwa okulula.

Ukongeza, xa elinye lala macwecwe liqhekeka, kuthotho lweenkqubo zokudumba ezithi zibangele ukuphazamiseka kwenqanawe, ibangele igazi liyeke ukudlula ngokupheleleyo entliziyweni kwaye libangele ukubonakala kweengxaki ezinje nge-angina pectoris, infarction , arrhythmia okanye nokufa ngesiquphe.

Ke, kubalulekile ukuthintela isifo semithambo ukuba singaphumi okanye, ukuba sele sikhona, singambi. Ukwenza oku, kubalulekile ukuba utye ukutya okunesondlo kwaye ugcine umthambo rhoqo. Kunganyanzeleka ukuba usebenzise amanye amayeza, xa kubonisiwe sisifo sentliziyo.

Iimpawu eziphambili

Iimpawu zesifo se-coronary disease zihambelana ne-angina, evakalelwa yintlungu ngendlela yokuqina kwesifuba, esihlala imizuzu eyi-10 ukuya kwengama-20 nesinokuphuma siye esilevini, entanyeni nasezingalweni. Kodwa umntu unokuba nezinye iimpawu kunye neempawu, ezinje:

• Ukudinwa xa usenza imizamo emincinci,
• Ukuziva uphefumla kancinci;
• Isiyezi;
• Ukubila okubandayo;
• Isihlunu kunye / okanye ukugabha.

Ezi mpawu kuhlala kunzima ukuzichaza kuba zihlala zivela kancinci, kwaye kunzima ukuzibona. Ngesi sizathu, kuqhelekile ukuba isifo sentliziyo sichongwe kwinqanaba eliphezulu kakhulu okanye xa sibangela ingxaki enzulu, enjenge-infarction.

Abantu abanezinto ezinobungozi ezifana ne-cholesterol ephezulu, isifo seswekile okanye ukuhlala phantsi bahlala emngciphekweni wokuba nesifo kwaye, ke, kufuneka babe novavanyo rhoqo kugqirha wezentliziyo ukubona ukuba ngaba basemngciphekweni wokuba nengxaki enkulu, ukuqala unyango ngokukhawuleza njengoko kwakufuneka.

Zeziphi iimvavanyo zokuchonga

Ukuchongwa kwesifo sentliziyo kufuneka kwenziwe ngugqirha wezifo zentliziyo kwaye kuhlala kuqala ngovavanyo lomngcipheko wesifo sentliziyo, kubandakanya uhlalutyo lwembali yezonyango, kunye novavanyo lwexinzelelo lwegazi kunye nenqanaba le-cholesterol kuvavanyo lwegazi.

Ukongeza, kwaye ukuba kufanelekile, ugqirha unokucela ezinye iimvavanyo ezithile, ezinje nge-electrocardiogram, i-echocardiogram, i-coronary angiography, uvavanyo loxinzelelo, ikhompyuter ye-tomography kunye nolunye uvavanyo lwegazi. Ezi mvavanyo azincedi nje kuphela ekufikeleleni ekufumanekeni kwesifo sentliziyo, kodwa zikwalawula ezinye iingxaki ezinokubakho zentliziyo.

Khangela ukuba zeziphi iimvavanyo ezinceda ukufumanisa iingxaki zentliziyo.

Ngubani osengozini enkulu

Umngcipheko wokuba nesifo semithambo yegazi mkhulu kubantu:

• Bayatshaya;
• Unoxinzelelo lwegazi oluphezulu;
• Zine-cholesterol eninzi;
• Abazilolonga rhoqo;
• Banesifo seswekile.

Ke, eyona ndlela yokuphepha ukukhula kolu hlobo lwesifo kukuba ube nendlela yokuphila esempilweni, ebandakanya ukwenza umthambo ubuncinci amaxesha ama-3 ngeveki, ukunqanda ukutshaya, ukusela okanye ukusebenzisa iziyobisi kunye nokutya ukutya okwahlukeneyo okunezondlo. ifayibha kunye nemifuno.

Bukela le vidiyo ilandelayo ngendlela yokwenza ukutya okunempilo kwimpilo yentliziyo:

Unyango lwenziwa njani

Unyango lwesifo sentliziyo kubandakanya ukuzivocavoca rhoqo, ukukhupha uxinzelelo kunye nokutya kakuhle, ukunqanda ukutya okunamafutha kakhulu okanye okuneswekile, kunye nokuthintela eminye imingcipheko yesi sifo, njengokutshaya okanye ukusela utywala, umzekelo.

Ngenxa yoku, unyango luhlala lukhokelwa yi-cardiologist, ovavanya isidingo sokuqalisa ukusebenzisa amayeza ukulawula i-cholesterol, uxinzelelo lwegazi okanye isifo seswekile. La machiza kufuneka asetyenziswe njengokuyalelwa nakubomi bonke.

Kwiimeko ezinzima kakhulu, kunokuba yimfuneko ukwenza uhlobo oluthile lotyando ukwenza i-catheterization yentliziyo kwaye, ukuba kukho imfuneko, i-angioplasty yokubeka uthungelwano ngaphakathi kwenqanawa okanye nokuba, uqhaqho lwe-revascularization ngokubekwa kwebele kunye ne-saphenous bypass.

Ukuthintela isifo sentliziyo

Ukuthintela isifo sentliziyo kungenziwa ngeendlela ezintle zokuphila njengokuyeka ukutshaya, ukutya ngokufanelekileyo, ukwenza imisebenzi yomzimba kunye nokunciphisa amanqanaba e-cholesterol. Amanqanaba e-cholesterol afanelekileyo ngala:

• I-HDLngaphezulu kwe-60 mg / dl;
• I-LDL: ngaphantsi kwe-130 mg / dl; ukuba ngaphantsi kwama-70 kwizigulana esele zinesifo sentliziyo okanye ezinesifo seswekile, uxinzelelo lwegazi oluphezulu okanye umsi, umzekelo.

Abo basemngciphekweni omkhulu wokuhlaselwa sisifo sentliziyo, ukongeza ekwenziweni kwendlela yokuphila esempilweni, kufuneka balandele ugqirha wentliziyo ubuncinane amaxesha ama-1-2 ngonyaka.