Isifo seNqanawa esincinci

Umxholo

• Iimpawu zesifo senqanawa esincinci
• Izizathu zesifo esincinci senqanawa
• Izinto ezinobungozi kwisifo esincinci senqanawa
• Uxilongo
• Unyango oluncinci lwezifo
• Uthintelo

Siyintoni isifo senqanawa esincinci?

Isifo esincinci senqanawa yimeko apho iindonga zemithambo yegazi encinci entliziyweni yakho - amasebe amancinci kwimithambo yegazi emikhulu - eyonakeleyo kwaye engadanga kakuhle. Iinqanawa zakho ezincinci kufuneka zandiswe ukubonelela ngegazi eline-oksijini entliziyweni yakho. Xa zonakalisiwe, ukuhamba kwegazi entliziyweni yakho kuyancipha. Oku kunokubangela iingxaki ezinzulu entliziyweni yakho ezingakhokelela kwiingxaki kwamanye amalungu omzimba.

Kukwabizwa ngokuba sisifo se-coronary microvascular disease kunye nesifo somthambo esincinci.

Iimpawu zesifo esincinci senqanawa zilingisa ezo zesifo sentliziyo kwanokuhlaselwa sisifo sentliziyo. Kunokuba nzima ukufumanisa isifo esincinci senqanawa ngaphandle kovavanyo olululo lokwahlula phakathi kwayo kunye neminye imiba yentliziyo.

Ukuba ishiywe inganyangwa, isifo esincinci senqanawa sinokubeka ubomi esichengeni.

Iimpawu zesifo senqanawa esincinci

Iimpawu zesifo esincinci senqanawa zihlala zilingisa ezo zesifo sentliziyo. Ukuba unesifo esincinci senqanawa, unokufumana iimpawu kubandakanya:

• ukuqhawukelwa ngumphefumlo
• ukudinwa
• ukubila
• isicaphucaphu
• isiyezi
• isiqaqa
• Ubuhlungu kwi-mandible yakho, intamo, igxalaba lasekhohlo, nengalo, umqolo, okanye isisu
• iintlungu zesifuba kunye noxinzelelo, zihlala ixesha elide kunemizuzu eyi-10

Unokufumana ezi mpawu emva kokusebenza rhoqo kwemihla ngemihla okanye amaxesha oxinzelelo. Iintlungu zesifuba eziqhelekileyo ezivela kule meko zinokuhlala naphi na ukusuka kwimizuzu eyi-11-30 okanye nangaphezulu.

Ukuba iimpawu zakho ziba zibi, okanye ufumana iintlungu ngaphaya kwesifuba sakho, biza ugqirha wakho ngokukhawuleza.

Izizathu zesifo esincinci senqanawa

Isifo esincinci senqanawa senzeka xa iindonga zangaphakathi zemikhumbi encinci entliziyweni yakho zonakalisiwe, zichaphazela amandla abo okukwazi ukwandiswa ngokufanelekileyo.

Lo monakalo unokubangelwa:

• igazi elonyukayo
• cholesterol ephezulu
• ukutyeba kakhulu
• iswekile yemellitus

Ukuba ishiywe inganyangwa, isifo esincinci senqanawa siya kunyanzela intliziyo yakho ukuba isebenze nzima ukupompa igazi emzimbeni wakho. Oku kunokubangela ukuba i-coronary artery constriction / spasms, isifo sentliziyo, ukusilela kwentliziyo, okanye ukufa.

Izinto ezinobungozi kwisifo esincinci senqanawa

Nabani na onokuhlakulela isifo esincinci senqanawa, kodwa abasetyhini basemngciphekweni omkhulu.

Eminye imingcipheko yile:

• ukutya okungenampilo

Uxilongo

Ukuchonga isifo senqanawa esincinci kunokuba nzima. Ugqirha wakho kuya kufuneka avavanye imbali yakho yezonyango, imbali yosapho, kunye neempawu.

Inkqubo yokucinga yokuqonda isifo sesikhephe esincinci iyafana nezo zikhangela ezinye iintlobo zesifo sentliziyo. Ezi nkqubo zibonisa ukwakheka okanye ukusebenza kwemithambo yegazi yakho emikhulu kunye nezinye iinxalenye zentliziyo, kwaye kunokubonisa ukuvaleka kwemithambo yegazi. Olu vavanyo lunokubandakanya:

• ukuvavanywa koxinzelelo lwentliziyo kunye nengcinga yenyukliya okanye i-transthoracic echocardiogram
• I-MRI yentliziyo
• Ukuskena kwentliziyo i-CT angiography
• Ukuskena iPET kwentliziyo
• Umthambo we-coronary angiogram, ongenayo kwaye ufuna i-catheterization yentliziyo yasekhohlo

Ukuba akukho zibhloka zibalulekileyo kwimithambo yegazi yakho emikhulu, oogqirha baya kusebenzisa uvavanyo olungenelelayo, batofa amayeza ahlukeneyo kumthambo wecoronary, ukujonga ukuvaleka kwemithambo yakho encinci ngexesha lentliziyo ekhohlo. Oku kubizwa ngokuba luvavanyo lwe-endothelial dysfunction. Oku kuvumela ugqirha ukuba alinganise ukuhamba kwegazi kwiinqanawa zakho ezincinci.

Unyango oluncinci lwezifo

Unyango olusisiseko kunyango lwesifo esincinci senqanawa kubandakanya amayeza athoba iintlungu, anyange iimeko zomngcipheko, kunye nolawulo lweempawu ezinxulumene noko. La mayeza aya kuphucula ukuhamba kwegazi kunye nokuthintela ukuhlaselwa yintliziyo.

Amanye amayeza aqhelekileyo:

• Iasprini
• initroglycerin
• Unyango lwe-beta blocker
• Unyango lwe-ACE-inhibitor
• Unyango lwe-statin

Uthintelo

Ngokwe-American Heart Association, izifundo ezithile malunga nendlela yokuthintela isifo esincinci senqanawa khange zenziwe. Nangona kunjalo, utshintsho kwindlela yokuphila kunye nokutya okunempilo kunokunciphisa umngcipheko wokuba nesifo sentliziyo. Olu tshintsho lubandakanya:

• Yeka ukutshaya iimveliso zecuba.
• Nciphisa ubunzima ukuba ubunzima bakho buphezulu kakhulu.
• Yenza umthambo rhoqo.
• Gcina uxinzelelo lwegazi olusempilweni.
• Lawula inqanaba leswekile yegazi, ngakumbi ukuba ufumene ukuba unesifo seswekile.
• Gcina inqanaba le-cholesterol esempilweni.