Isifo sentliziyo

Umxholo

• Uphengululo lwe

Ibhinqa elinye kwabane laseMerika libulawa sisifo sentliziyo nyaka ngamnye. Ngo-2004, phantse iipesenti ezingama-60 abasetyhini abaninzi babulawa sisifo sentliziyo (zombini isifo sentliziyo kunye nokufa icala) kunazo zonke iintlobo zomhlaza ezidityanisiweyo. Nantsi into ekufuneka uyazi ngoku ukuthintela iingxaki kamva.

Yintoni

Isifo sentliziyo sibandakanya inani leengxaki ezichaphazela intliziyo kunye nemithambo yegazi entliziyweni. Iintlobo zesifo senhliziyo ziquka:

• Imithambo yegazi (I-CAD) lolona hlobo luxhaphakileyo kwaye sesona sizathu siphambili sokuhlaselwa sisifo sentliziyo. Xa une-CAD, imithambo yakho iba nzima kwaye imxinwa. Igazi lifumana ubunzima ekufikeni entliziyweni, ngoko ke intliziyo ayilifumani lonke igazi elifunekayo. I-CAD inokukhokelela ku:
• Angina-intlungu esifubeni okanye ukungonwabi okwenzekayo xa intliziyo ingafumani gazi laneleyo. Isenokuvakala ngathi kukucinezela okanye ukukhama iintlungu, rhoqo esifubeni, kodwa ngamanye amaxesha iintlungu zisemagxeni, ezingalweni, entanyeni, emhlathini okanye ngasemva. Inokuziva ngathi kukungxengxeza (isisu esibuhlungu). U-Angina ayisosifo sentliziyo, kodwa ukuba ne-angina kuthetha ukuba kunokwenzeka ukuba uhlaselwe sisifo sentliziyo.
• Ukuhlaselwa yintliziyo--kwenzeka xa umthambo uvinjwe ngokuqatha okanye uvaleke ngokupheleleyo, kwaye intliziyo ayilifumani igazi eliyifunayo ngaphezulu kwemizuzu engama-20.
• Ukumelwa yintliziyo kwenzeka xa intliziyo ingakwazi ukumpompa igazi emzimbeni kwaye kufanelekile. Oku kuthetha ukuba amanye amalungu, aqhele ukufumana igazi entliziyweni, awafumani gazi laneleyo. Ayithethi ukuba intliziyo iyama. Iimpawu zokusilela kwentliziyo zibandakanya:
• Ukuphefumla okufutshane (uziva ngathi awunakufumana umoya owaneleyo)
• Ukudumba kweenyawo, amaqatha kunye nemilenze
• Ukudinwa okugqithisileyo
• Iimpawu zentliziyo lutshintsho ekubetheni kwentliziyo. Uninzi lwabantu luye lwaziva lunesiyezi, lutyhafile, luphelelwa ngumoya okanye luneentlungu esifubeni ngaxeshanye. Ngokubanzi, olu tshintsho ekubetheni kwentliziyo aluyongozi. Njengoko ukhula, kunokwenzeka ukuba ube ne-arrhythmias. Musa ukothuka ukuba unamacwecwe ambalwa okanye ukuba intliziyo yakho ibaleka kube kanye ngexeshana. Kodwa ukuba uneeflitha kunye nezinye iimpawu ezinje ngokuba nesiyezi okanye ukuphefumla kancinci, tsalela umnxeba ku-911 ngoko nangoko.

Iimpawu

Isifo sentliziyo kaninzi asinazo iimpawu. Kodwa, kukho ezinye iimpawu ekufuneka uzijonge:

• Intlungu yesifuba okanye yengalo okanye ukungonwabi kunokuba luphawu lwesifo sentliziyo kunye nomqondiso wokulumkisa wokuhlaselwa sisifo sentliziyo.
• Ukuphefumla okufutshane (uziva ngathi awunakufumana umoya owaneleyo)
• Ukuba nesiyezi
• Isihlunu (ukuziva ugula kwisisu sakho)
• Ukubetha kwentliziyo okungaqhelekanga
• Ndiziva ndidiniwe

Thetha nogqirha wakho ukuba unayo nayiphi na kwezi mpawu. Tshela ugqirha wakho ukuba ukhathazekile ngentliziyo yakho. Ugqirha wakho uya kuthatha imbali yezonyango, enze uvavanyo lomzimba, kwaye angayalela uvavanyo.

Iimpawu zesifo sentliziyo

Kokubini abasetyhini kunye namadoda, olona phawu luqhelekileyo lokuhlaselwa sisifo sentliziyo ziintlungu okanye ukungaphatheki kumbindi wesifuba. Intlungu okanye ukungaphatheki kakuhle kunokuba mnene okanye komelele. Inokuhlala ngaphezulu kwemizuzu embalwa, okanye isenokuhamba ibuye.

Ezinye iimpawu eziqhelekileyo zesifo sentliziyo zibandakanya:

• Ubuhlungu okanye ukungonwabi kwingalo enye okanye zombini, umqolo, intamo, umhlathi, okanye isisu
• Ukuphefumla kancinci (ukuziva ngathi awufumani moya waneleyo). Ukuphefumla okufutshane kuhlala kwenzeka ngaphambi okanye kunye nentlungu yesifuba okanye ukungonwabi.
• Isihlunu (ukuziva ugula esiswini) okanye ukugabha
• Ukuziva utyhafile okanye uboya
• Ebila ngumsindo obandayo

Abasetyhini kunokwenzeka ngakumbi kunamadoda ukuba abe nale miqondiso iqhelekileyo yokuhlaselwa sisifo sentliziyo, ngakumbi ukuphefumla kancinci, isicaphucaphu okanye ukugabha, kunye nentlungu emqolo, entanyeni, okanye emhlathini. Abasetyhini banamathuba amaninzi okuba neempawu eziqhelekileyo zokuhlaselwa kwentliziyo, kubandakanya:

• Isitshisa
• Ukuphelelwa ngumdla wokutya
• Ndiziva ndidiniwe okanye ndibuthathaka
• Ukukhohlela
• Intliziyo iyabhabha

Ngamanye amaxesha iimpawu zesifo sentliziyo zenzeka ngesiquphe, kodwa zisenokukhula kancinci, ngaphezulu kweeyure, iintsuku, kwaneeveki ngaphambi kokuhlaselwa sisifo sentliziyo.

Okukhona usenokuhlaselwa sisifo sentliziyo, kokukhona kunokwenzeka ukuba uhlaselwe sisifo sentliziyo. Kwakhona, ukuba sele uhlaselwe yintliziyo, yazi ukuba iimpawu zakho azinakufana nenye.Nokuba awuqinisekanga ukuba unesifo sentliziyo, kuya kufuneka ujongiwe.

Ngubani osemngciphekweni?

Umdala umfazi ufumana, kunokwenzeka ukuba abe nesifo senhliziyo. Kodwa abafazi babo bonke ubudala kufuneka bakhathazeke ngesifo senhliziyo kwaye bathathe amanyathelo okuthintela.

Bobabini abesilisa nabasetyhini banesifo sentliziyo, kodwa uninzi lwabasetyhini abanesifo sentliziyo bayafa kubo. Unyango lunokunciphisa umonakalo wentliziyo kodwa kufuneka lunikezelwe ngokukhawuleza emva kokuba uhlaselo lwentliziyo luqalisile. Ngokufanelekileyo, unyango kufuneka luqale kwiyure enye yeempawu zokuqala. Izinto ezonyusa umngcipheko zibandakanya:

• Imbali yosapho (ukuba utata wakho okanye umntakwenu wayehlaselwe sisifo sentliziyo ngaphambi kweminyaka engama-55, okanye ukuba umama okanye udade wakho wayenayo ngaphambi kweminyaka engama-65, kunokwenzeka ukuba ube nesifo sentliziyo.)
• Ukutyeba ngokugqithisileyo
• Ukunqongophala kokusebenza komzimba
• Igazi elonyukayo
• Seswekile
• Ukuba ngumMerika waseMerika kunye ne-Hispanic American / Latina

Indima yoxinzelelo lwegazi oluphezulu

Uxinzelelo lwegazi kukunyanzelwa okwenziwa ligazi lakho kwiindonga zemithambo yakho. Uxinzelelo luphezulu xa intliziyo yakho impompa igazi kwimithambo yakho-xa ibetha. Iphantsi kakhulu phakathi kokubetha kwentliziyo, xa intliziyo yakho ikhululekile. Ugqirha okanye umongikazi uya kurekhoda uxinzelelo lwegazi njengenani eliphezulu kwinani elisezantsi. Uxinzelelo lwegazi olungaphantsi kwe-120/80 ludla ngokuthathwa njengesiqhelo. Uxinzelelo lwegazi olusezantsi kakhulu (ngaphantsi kwama-90/60) ngamanye amaxesha lunokuba sisizathu sokukhathazeka kwaye kufuneka luhlolwe ngugqirha.

Uxinzelelo lwegazi, okanye uxinzelelo lwegazi, kukufunda koxinzelelo lwegazi ngo-140/90 okanye ngaphezulu. Iminyaka yoxinzelelo lwegazi oluphezulu inokulonakalisa udonga lwe-artery, lubangele ukuba babe lukhuni kwaye babe mxinwa. Oku kuquka imithambo ehambisa igazi entliziyweni. Ngenxa yoko, intliziyo yakho ayinakufumana igazi elifunekayo ukuba lisebenze kakuhle. Oku kunokubangela ukuhlaselwa yintliziyo.

Uxinzelelo lwegazi lokufunda ngo-120/80 ukuya ku-139/89 lubonwa njengaphambi koxinzelelo lwegazi. Oku kuthetha ukuba awunayo uxinzelelo lwegazi ngoku kodwa kunokwenzeka ukuba uyiphuhlise kwixesha elizayo.

Indima yecholesterol ephezulu

I-Cholesterol yinto ene-waxy efumaneka kwiiseli kuwo onke amalungu omzimba. Xa kukho icholesterol eninzi egazini lakho, icholesterol inokwakha ezindongeni zemithambo yakho kwaye ibangele amahlwili egazi. Ikholesterol inokuyivala imithambo yakho kwaye igcine intliziyo yakho ingafumani gazi liyifunayo. Oku kunokubangela ukuhlaselwa yintliziyo.

Zimbini iintlobo zecholesterol:

• Ubuninzi be-lipoprotein (LDL) ihlala ibizwa ngokuba "luhlobo olubi" lwecholesterol kuba ingavala imithambo ehambisa igazi isiya entliziyweni. Kwi-LDL, amanani asezantsi angcono.
• Ubuninzi be-lipoprotein (HDL) yaziwa ngokuba "ilungile" i-cholesterol kuba isusa i-cholesterol embi egazini lakho kwaye iyigcina ingazakhi kwimithambo yakho. Kwi-HDL, amanani aphezulu angcono.

Bonke abantu ababhinqileyo abaneminyaka engama-20 nangaphezulu kufuneka babe ne-cholesterol yegazi kunye namanqanaba e-triglyceride ahlolwe ubuncinci kube kanye kwiminyaka emihlanu.

Ukuqonda amanani

Inqanaba le-cholesterol epheleleyo-Lower ingcono.

Ngaphantsi kwama-200 mg / dL -Enqwenelekayo

200 - 239 mg / dL - Umda oPhezulu weBorderline

240 mg / dL nangaphezulu-phezulu

I-LDL (embi) i-cholesterol - Okusezantsi kungcono.

Ngaphantsi kwe-100 mg / dL -Efanelekileyo

I-100-129 mg / dL - Ikufuphi neyona nto iphezulu / ngaphezulu kweyona nto ibhetele

I-130-159 mg / dL-Umda ophezulu kumda

160-189 mg / dL - Phezulu

I-190 mg / dL nangaphezulu-Kuphezulu kakhulu

HDL (elungileyo) cholesterol -Iphezulu ibhetele. Ngaphezu kwe-60 mg / dL iyona nto ingcono.

Amanqanaba e-Triglyceride - Umzantsi ungcono. Ngaphantsi kwe-150mg/dL yeyona nto ingcono.

Iipilisi zokulawula inzala

Ukusela iipilisi zoqingqo-nzala (okanye isiziba) ngokuqhelekileyo kukhuselekile kumabhinqa aselula, asempilweni ukuba akatshayi. Kodwa iipilisi zokulawula ukuzalwa zingabangela ingozi yesifo senhliziyo kwabanye abafazi, ngakumbi abafazi abangaphezu kweminyaka engama-35; abafazi abanoxinzelelo lwegazi oluphezulu, isifo seswekile, okanye icholesterol ephezulu; kunye nabafazi abatshayayo. Thetha nogqirha wakho ukuba unemibuzo malunga nepilisi.

Ukuba uthatha iipilisi zokulawula ukuzalwa, jonga iimpawu zengxaki, kubandakanya:

• Iingxaki zamehlo ezinjengokungaboni kakuhle okanye ukubona kabini
• Ubuhlungu kumzimba ophezulu okanye ingalo
• Iintloko ezibuhlungu
• Iingxaki zokuphefumla
• Ukutshiza igazi
• Ukudumba okanye iintlungu emlenzeni
• Mthubi ulusu okanye amehlo
• Amaqhuma amabele
• Okungaqhelekanga (okungaqhelekanga) ukopha kakhulu kwilungu lobufazi bakho

Uphando luyaqhubeka ukubona ukuba umngcipheko wamahlwili egazi uphezulu kubasebenzisi beepetshi. Amahlwili egazi anokukhokelela ekuhlaselweni yintliziyo okanye ukubetha. Thetha nogqirha wakho ukuba unemibuzo malunga nepatch.

Unyango lweHormone Therapy (MHT)

Unyango lwe-hormone ye-Menopausal (MHT) lunokunceda ngezinye iimpawu zokuyeka ukuya exesheni, kubandakanywa ukukhanya okutshisayo, ukoma kwe-vaginal, ukuguquka kwemizwelo, kunye nokulahleka kwethambo, kodwa kukho imingcipheko, nayo. Kwabanye abafazi, ukuthatha iihomoni kunokunyusa amathuba abo okuhlaselwa yintliziyo okanye ukubetha. Ukuba uthatha isigqibo sokusebenzisa iihomoni, zisebenzise ngeyona dosi iphantsi enceda elona xesha lifutshane lifunekayo. Thetha nogqirha wakho ukuba unemibuzo malunga ne-MHT.

Uxilongo

Ugqirha wakho uya kufumanisa isifo se-coronary disease (CAD) ngokusekelwe:

• Iimbali zakho zonyango kunye nosapho lwakho
• Izinto zakho zomngcipheko
• Iziphumo zovavanyo lomzimba kunye novavanyo lokuqonda kunye neenkqubo

Akukho vavanyo lunye olunokufumanisa i-CAD. Ukuba ugqirha wakho ucinga ukuba uneCAD, mhlawumbi uya kwenza olunye okanye ngaphezulu kwezi mvavanyo zilandelayo:

I-EKG (i-Electrocardiogram)

I-EKG luvavanyo olulula olufumanisa kwaye lurekhode umsebenzi wombane wentliziyo yakho. I-EKG ibonisa ukuba ikhawuleza kangakanani intliziyo yakho ukubetha nokuba inesingqisho esiqhelekileyo. Ikwabonisa amandla kunye nexesha lemiqondiso yombane njengoko idlula kwindawo nganye yentliziyo yakho.

Iipateni ezithile zombane ezifunyanwa yi-EKG zinokucebisa ukuba ngaba i-CAD inokwenzeka. I-EKG nayo inokubonisa iimpawu zentliziyo engaphambili okanye yangoku.

Uvavanyo loxinzelelo

Ngexesha lovavanyo loxinzelelo, wenza umthambo ukwenza intliziyo yakho isebenze nzima kwaye ibethe ngokukhawuleza ngelixa uvavanyo lwentliziyo lwenziwa. Ukuba awukwazi ukwenza umthambo, unikwa amayeza okukhawulezisa ukubetha kwentliziyo yakho.

Xa intliziyo yakho ibetha ngokukhawuleza kwaye isebenza nzima, ifuna igazi elininzi kunye neoksijini. Imithambo yegazi emxinwa yi-plaque ayikwazi ukubonelela ngegazi elineoksijini eyaneleyo ukuhlangabezana neemfuno zentliziyo yakho. Uvavanyo loxinzelelo lunokubonisa iimpawu ezinokwenzeka zeCAD, ezifana:

• Utshintsho olungaqhelekanga kwintliziyo yakho okanye uxinzelelo lwegazi
• Iimpawu ezifana nokuphefumla kancinci okanye iintlungu esifubeni
• Utshintsho olungaqhelekanga kwisingqi sentliziyo yakho okanye kwimisebenzi yombane wentliziyo yakho

Ngexesha lovavanyo loxinzelelo, ukuba awukwazi ukwenza imithambo ixesha elide njengoko kuthathwa njengesiqhelo kumntu okule minyaka yakho, inokuba luphawu lokuba alonelanga igazi eliya entliziyweni yakho. Kodwa ezinye izinto ngaphandle kweCAD zinokukuthintela ekusebenziseni ixesha elide ngokwaneleyo (umzekelo, izifo zemiphunga, i-anemia, okanye ukungondleki kakuhle jikelele).

Ezinye iimvavanyo zoxinzelelo zisebenzisa idayi ene-radioactive, amaza esandi, ipositron emission tomography (PET), okanye i-cardiac magnetic resonance imaging (MRI) ukuze ifote intliziyo yakho xa isebenza nzima naxa iphumle.

Olu vavanyo loxinzelelo lokucinga lunokubonisa ukuba igazi lihamba njani kwiindawo ezahlukeneyo zentliziyo yakho. Banokubonisa ukuba intliziyo yakho impompa igazi njani xa ibetha.

Echocardiography

Olu vavanyo lusebenzisa amaza omsindo ukwenza umfanekiso oshukumayo wentliziyo yakho. I-Echocardiografi ibonelela ngolwazi malunga nobukhulu kunye nokumila kwentliziyo yakho kunye nendlela esebenza ngayo amagumbi eentliziyo kunye neevalvu.

Uvavanyo lukwanokuchonga iindawo zokuhamba kwegazi okungalunganga ukuya entliziyweni, iindawo zentliziyo yemisipha engangqinelaniyo ngesiqhelo, kunye nokulimala kwangaphambili kwentliziyo yemisipha ebangelwa kukuhamba gazi okungalunganga.

X-Ray yesifuba

I-x-ray yesifuba ithatha umfanekiso wamalungu kunye nolwakhiwo ngaphakathi kwesifuba, kubandakanya intliziyo, imiphunga kunye nemithambo yegazi. Inokutyhila iimpawu zokungaphumeleli kwentliziyo, kunye nokuphazamiseka kwemiphunga kunye nabanye oonobangela beempawu ezingezizo ngenxa yeCAD.

Uvavanyo Lwegazi

Uvavanyo lwegazi lujonga amanqanaba amafutha athile, icholesterol, iswekile, kunye neeproteni egazini lakho. Amanqanaba angaqhelekanga anokubonisa ukuba unemingcipheko ye-CAD.

I-Electron-Beam yeComputer Tomography

Ugqirha wakho unokucebisa i-electron-beam computed tomography (EBCT). Olu vavanyo lufumanisa kwaye lulinganisele iidiphozithi zekhalsiyam (ebizwa ngokuba lubalo) ngaphakathi nakwimithambo yemithambo yentliziyo. Okukhona i-calcium ifunyenwe, kokukhona uya kuba ne-CAD.

I-EBCT ayisetyenziswanga rhoqo ukufumanisa i-CAD, kuba ukuchaneka kwayo akukaziwa.

I-Coronary Angiography kunye neCatheterization yeCardiac

Ugqirha wakho unokukucela ukuba ube ne-coronary angiography ukuba ezinye iimvavanyo okanye iimeko zibonisa ukuba unokuba neCAD. Olu vavanyo lusebenzisa idayi kunye ne-x-reyi ekhethekileyo ukubonisa ngaphakathi kwimithambo yakho yemithambo yegazi.

Ukufumana idayi kwimithambo yakho yegazi, ugqirha wakho uya kusebenzisa inkqubo ebizwa ngokuba yicatheterization yentliziyo. Umbhobho omde, obhityileyo, oguqukayo obizwa ngokuba yi-catheter ufakwa kumthambo wegazi engalweni yakho, kumphakamo (ethangeni eliphezulu), okanye entanyeni. Umbhobho emva koko ufakwa kwimithambo yakho yegazi, kwaye idayi ikhutshelwa kwigazi lakho. Imitha ekhethekileyo ye-x ithathwa ngelixa idayi ihamba kwimithambo yakho ye-coronary.

I-catheterization ye-cardiac idla ngokuqhutyelwa esibhedlele. Uvukile ngexesha lenkqubo. Ihlala ibangela ukuba kungabikho ntlungu, nangona usenokuziva ubukrakra kwisitya segazi apho ugqirha abeke khona ipayipi.

Unyango

Unyango lwe-coronary artery disease (CAD) inokubandakanya utshintsho kwindlela yokuphila, amayeza, kunye neenkqubo zonyango. Iinjongo zonyango zezi:

• Ukuphelisa iimpawu
• Ukunciphisa imingcipheko ngeenzame zokucotha, ukumisa, okanye ukubuyisela umva ukwakheka kwe-plaque
• Yehlisa umngcipheko wokuba amahlwili egazi enze, nto leyo enokubangela ukuhlaselwa yintliziyo
• Yenza banzi okanye yidlule imithambo evalekileyo
• Thintela iingxaki zeCAD

Utshintsho kwindlela yokuphila

Ukwenza utshintsho kwindlela yokuphila kubandakanya isicwangciso sokutya esisempilweni sentliziyo, ungatshayi, ukunciphisa utywala, ukuzilolonga kunye nokunciphisa uxinzelelo kunokuhlala kuthintela okanye kunyanga i-CAD. Abanye abantu, olu tshintsho inokuba kuphela kwonyango olufunekayo.

Uphando lubonisa ukuba esona siqhelo sixela ukuba nesifo sentliziyo sisiganeko esicaphukisayo ngokwasemoyeni, ngakumbi esomsindo. Kodwa ezinye zeendlela abantu abajamelana noxinzelelo, ezinjengokusela, ukutshaya, okanye ukutya kakhulu, ayinantliziyo iphilileyo.

Umsebenzi womzimba unokunceda ekunciphiseni uxinzelelo kunye nokunciphisa ezinye izinto ezinobungozi kwi-CAD. Abantu abaninzi bafumanisa ukuba ukucamngca okanye unyango lokuphumla lubanceda banciphise uxinzelelo.

Amayeza

Unokufuna amayeza ukunyanga i-CAD ukuba utshintsho kwindlela yokuphila alwanelanga. Amayeza anokuthi:

• Yehlisa umsebenzi entliziyweni yakho kwaye ukhulule iimpawu zeCAD
• Yehlisa amathuba okuba uhlaselwe yintliziyo okanye usweleke ngequbuliso
• Nciphisa i-cholesterol yakho kunye noxinzelelo lwegazi
• Thintela amahlwili egazi
• Ukuthintela okanye ukulibazisa isidingo senkqubo ekhethekileyo (umzekelo, i-angioplasty okanye i-coronary artery bypass grafting (CABG))

Amayeza asetyenziselwa ukunyanga i-CAD abandakanya i-anticoagulants, i-aspirin kunye namanye amayeza e-antiplatelet, i-ACE inhibitors, i-beta blockers, i-calcium channel blockers, i-nitroglycerin, i-glycoprotein IIb-IIIa, i-statins, kunye ne-oyile yeentlanzi kunye nezinye izongezo eziphezulu kwi-omega-3 fatty acids.

Iinkqubo zonyango

Unokufuna inkqubo yonyango ukunyanga iCAD. Zombini i-angioplasty kunye ne-CABG zisetyenziswa njengonyango.

• I-Angioplasty ivula imithambo yegazi ebhlokiweyo okanye emxinwa. Ngexesha le-angioplasty, ityhubhu ebhityileyo enebhaluni okanye esinye isixhobo esiphelayo sifakwa kwisitya segazi ukuya kumthambo we-coronary omxinwa okanye ovaliweyo. Nje ukuba ibekwe endaweni, ibhaluni inyuselwe phezulu ukuze ityhale iplagi ngaphandle eludongeni lweartery. Oku kwandisa umthambo kwaye kubuyisela ukuhamba kwegazi.
  
  I-Angioplasty inokuphucula ukuhamba kwegazi kuye entliziyweni yakho, kunciphise iintlungu zesifuba, kwaye mhlawumbi kuthintele isifo sentliziyo. Ngamanye amaxesha ityhubhu encinci yemesh ebizwa ngokuba yi-stent ifakwa kwi-artery ukuze ihlale ivulekile emva kwenkqubo.

• Kwi ICABG, imithambo okanye imithambo evela kwezinye iindawo emzimbeni wakho zisetyenziselwa ukugqitha (Oko kukuthi, jikeleza) imithambo yakho yemithambo ecutheneyo. I-CABG inokuphucula ukuhamba kwegazi entliziyweni yakho, ikhulule iintlungu zesifuba, kwaye mhlawumbi ithintele ukuhlaselwa yintliziyo.

Wena kunye nogqirha wakho uya kugqiba ukuba loluphi unyango olufanelekileyo kuwe.

Uthintelo

Unokuwanciphisa amathuba okufumana isifo sentliziyo ngokuthatha la manyathelo:

• Lwazi uxinzelelo lwegazi. Iminyaka yoxinzelelo lwegazi inokukhokelela kwisifo sentliziyo. Abantu abanoxinzelelo lwegazi bahlala bengenazimpawu, ngoko ke jonga uxinzelelo lwegazi rhoqo emva kweminyaka emi-1 ukuya kwemi-2 kwaye ufumane unyango ukuba uyalufuna.
• Musa ukutshaya. Ukuba uyatshaya, zama ukuyeka. Ukuba unengxaki yokuyeka, cela ugqirha wakho okanye umongikazi malunga neepicotches kunye neentsini okanye ezinye iimveliso kunye neenkqubo ezinokukunceda uyeke.

• Zivavanyele isifo seswekile. Abantu abanesifo seswekile baneglucose ephezulu yegazi (edla ngokubizwa ngokuba yiswekile yegazi). Rhoqo, azinazo iimpawu, kungoko i-glucose yegazi yakho ihlolwe rhoqo. Ukuba nesifo seswekile kuphakamisa amathuba akho okufumana isifo sentliziyo. Ukuba unesifo seswekile, ugqirha wakho uya kuthatha isigqibo sokuba ngaba ufuna iipilisi zeswekile okanye ii-insulin shots. Ugqirha wakho unokukunceda wenze ukutya okunempilo kunye nesicwangciso sokuzilolonga.
• Yenza uvavanyo lwe-cholesterol kunye ne-triglyceride yakho. I-cholesterol ephezulu yegazi inokuvala imithambo yakho kwaye igcine intliziyo yakho ingafumani igazi eliyifunayo. Oku kunokubangela isifo sentliziyo. Amanqanaba aphezulu e-triglycerides, uhlobo lwamafutha kumjelo wakho wegazi, adibene nesifo sentliziyo kwabanye abantu. Abantu abane-cholesterol ephezulu yegazi okanye i-triglycerides yegazi ephezulu bahlala bengenazo iimpawu, kungoko amanqanaba omabini ekhangelwe rhoqo. Ukuba amanqanaba akho aphezulu, thetha nogqirha wakho malunga nento onokuyenza ukuyithoba. Unokwazi ukwehlisa zombini ngokutya ngcono kwaye usebenzise ngakumbi. (Ukuzilolonga kunokunceda ukuthoba i-LDL kunye nokunyusa i-HDL.) Ugqirha wakho unokukunika amayeza anokunceda ukuthoba i-cholesterol yakho.
• Gcina ubunzima obunempilo. Ukutyeba kakhulu kuphakamisa umngcipheko wesifo sentliziyo. Bala i-Body Mass Index (BMI) yakho ukuze ubone ukuba unobunzima obusempilweni na. Ukhetho lokutya okunempilo kunye nomsebenzi womzimba kubalulekile ukuze uhlale kubunzima obunempilo:
• Qala ngokongeza ngakumbi iziqhamo, imifuno, kunye nokutya okuziinkozo kukutya kwakho.
• Veki nganye, jolise ukufumana ubuncinane iiyure ezi-2 kunye nemizuzu engama-30 yokuzivocavoca umzimba okuphakathi, iyure e-1 kunye nemizuzu eyi-15 yokwenza umthambo onamandla, okanye indibaniselwano yomsebenzi ophakathi kunye namandla.
• Nciphisa ukusela utywala. Ukuba usela isiselo esinxilisayo, silinganisele kwisiselo esingaphezulu kwesinye (ibhiya enye ye-12, iglasi enye yeewayini ezi-5, okanye ifilitha enye ye-1.5 yotywala)).
• I-aspirin ngosuku. I-Aspirin inokuba luncedo kwabasetyhini abasemngciphekweni omkhulu, njengabo sele behlaselwe sisifo sentliziyo. Kodwa ispirin sinokuba neziphumo ebezingalindelekanga ezimandundu kwaye sinokuba yingozi xa sixutywe namayeza athile. Ukuba ucinga ngokuthatha i-aspirin, thetha nogqirha wakho kuqala. Ukuba ugqirha wakho ucinga ukuba iasprini lukhetho olufanelekileyo kuwe, qiniseka ukuyithatha ngokuchanekileyo njengoko kumiselwe
• Fumana iindlela ezisempilweni zokumelana noxinzelelo. Yehlisa inqanaba loxinzelelo lwakho ngokuthetha nabahlobo bakho, ukwenza umthambo, okanye ukubhala kwijenali.

Imithombo: National Heart Lung and Blood Institute (www.nhlbi.nih.gov); Iziko leSizwe loLwazi lwezeMpilo yabaseTyhini (www.womenshealth.gov)

Uphengululo lwe