I-Angina - lapho unezinhlungu esifubeni

I-Angina uhlobo lokungaphatheki kahle kwesifuba ngenxa yokuhamba kwegazi okuncane ngemithambo yegazi yemisipha yenhliziyo. Lo mbhalo ukhuluma ngokuthi ungazinakekela kanjani uma une-angina.

Ungase uzwe ingcindezi, ukukhama, ukushisa, noma ukuqina esifubeni sakho. Ungaba nengcindezi, ukucindezela, ukushisa, noma ukuqina ezingalweni zakho, emahlombe, entanyeni, emhlathini, emphinjeni, noma emuva.

Abanye abantu bangaba nezimpawu ezahlukahlukene, kufaka phakathi ukuphefumula okuncane, ukukhathala, ubuthakathaka, nomhlane, ingalo, noma ubuhlungu bentamo. Lokhu kusebenza ikakhulukazi kwabesifazane, abantu asebekhulile, kanye nabantu abanesifo sikashukela.

Ungase futhi ube nokugaya noma ugule esiswini sakho. Ungazizwa ukhathele. Ungahle uphelelwe umoya, ujuluke ubala, unamakhanda amancane, noma ubuthakathaka.

Abanye abantu bane-angina lapho bevezwa yisimo sezulu esibandayo. Abantu futhi bayayizwa ngesikhathi sokuzivocavoca umzimba. Izibonelo ukukhuphuka izitebhisi, ukuhamba ekukhuphukeni, ukuphakamisa okuthile okusindayo, noma ukuya ocansini.

Hlala, hlala phansi, uphumule. Izimpawu zakho zivame ukuphela ngokushesha ngemuva kokuyeka umsebenzi.

Uma ulele phansi, hlala embhedeni. Zama ukuphefumula okujulile ukusiza ngokucindezeleka noma ukukhathazeka.

Uma ungenayo i-nitroglycerin futhi izimpawu zakho zingasekho ngemuva kokuphumula, shayela u-9-1-1 ngokushesha.

Umhlinzeki wakho wezokunakekelwa kwempilo kungenzeka anikeze amaphilisi e-nitroglycerin noma afafaze ukuhlaselwa kanzima. Hlala noma ulale lapho usebenzisa amaphilisi noma isifutho sakho.

Uma usebenzisa ithebhulethi yakho, beka iphilisi phakathi kwesihlathi nenhlaka. Ungayifaka futhi ngaphansi kolimi lwakho. Vumela ukuthi ichithe. Ungayigwinyi.

Uma usebenzisa isifutho sakho, unganyakazisi isitsha. Bamba isitsha eduze komlomo wakho ovulekile. Futha umuthi olimini lwakho noma ngaphansi kolimi lwakho. Musa ukuhogela noma ukugwinya umuthi.

Linda imizuzu engu-5 ngemuva komthamo wokuqala we-nitroglycerin. Uma izimpawu zakho zingcono, zimbi kakhulu, noma ubuya ngemuva kokuhamba, shayela u-9-1-1 ngaso leso sikhathi. Opharetha ophendulayo uzokunikeza ezinye izeluleko mayelana nokuthi wenzeni.

(Qaphela: umhlinzeki wakho kungenzeka ukuthi ukunikeze izeluleko ezihlukile mayelana nokuthatha i-nitroglycerin lapho unezinhlungu esifubeni noma ingcindezi. Abanye abantu bazotshelwa ukuthi bazame imithamo emi-3 ye-nitroglycerin imizuzu emihlanu ngokuhlukana ngaphambi kokushayela u-9-1-1.)

Ungabhemi, ungadli, noma uphuze imizuzu emihlanu kuya kweyishumi ngemuva kokuthatha i-nitroglycerin. Uma ubhema, kufanele uzame ukuyeka. Umhlinzeki wakho angasiza.

Ngemuva kokuthi izimpawu zakho seziphelile, bhala phansi imininingwane embalwa ngalo mcimbi. Bhala phansi:

• Umcimbi wenzeke ngasiphi isikhathi sosuku
• Obukwenza ngaleso sikhathi
• Ubuhlungu buhlale isikhathi esingakanani
• Ubuhlungu buzwakala kanjani
• Okwenzile ukudambisa ubuhlungu bakho

Zibuze imibuzo ethile:

• Ingabe uyithathe yonke imithi yakho ejwayelekile yenhliziyo ngendlela efanele ngaphambi kokuba ube nezimpawu?
• Ngabe ubukhuthele kakhulu kunokujwayelekile?
• Ngabe usanda kudla kakhulu?

Yabelana ngalolu lwazi nomhlinzeki wakho lapho uvakashelwa njalo.

Zama ukungenzi imisebenzi ehlupha inhliziyo yakho. Umhlinzeki wakho angakunikeza umuthi okufanele uwuthathe ngaphambi komsebenzi. Lokhu kungavimbela izimpawu.

Shayela u-9-1-1 uma ubuhlungu bakho be-angina:

• Akungcono imizuzu emihlanu ngemuva kokuthatha i-nitroglycerin
• Akusuki ngemuva kwemithamo emi-3 yomuthi (noma njengoba kuqondiswe ngumhlinzeki wakho)
• Kuya ngokuya kuba kubi
• Ibuyisa emuva kokuthi umuthi ususizile

Fonela nomhlinzeki wakho uma:

• Unezimpawu kaningi.
• Uba ne-angina uma uhleli ngokuthula noma awusebenzi. Lokhu kubizwa ngokuthi yi-rest angina.
• Uzizwa ukhathele kaningi.
• Uzizwa uphela amandla noma unekhanda elincane.
• Inhliziyo yakho ishaya kancane (ishaya ngaphansi kwezingu-60 ngomzuzu) noma ishesha kakhulu (ukushaya okungaphezu kuka-120 ngomzuzu), noma ayizinzile.
• Unenkinga yokuphuza imithi yakho yenhliziyo.
• Unezinye izimpawu ezingavamile.

I-acute coronary syndrome - ubuhlungu besifuba; Isifo semithambo yegazi - ubuhlungu besifuba; I-CAD - ubuhlungu besifuba; Isifo senhliziyo seCoronary - ubuhlungu besifuba; I-ACS - ubuhlungu besifuba; Isifo senhliziyo - ubuhlungu besifuba; I-infarction ye-myocardial - ubuhlungu besifuba; MI - ubuhlungu besifuba

I-Amsterdam EA, uWenger NK, uBrindis RG, et al. Umhlahlandlela we-2014 AHA / ACC wokuphathwa kweziguli ezine-non-ST-elevation acute coronary syndromes: umbiko we-American College of Cardiology / American Heart Association Task Force ngemihlahlandlela yokusebenza. UJ Am Coll Cardiol. 2014; 64 (24): e139-e228. I-PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Boden WE. I-Angina pectoris kanye nesifo senhliziyo esizinzile se-ischemic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 62.

ILungu lePhalamende laseBonaca, iSabatine MS. Sondela esigulini ngobuhlungu besifuba. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier Saunders; 2019: isahluko 56.

UFihn SD, uBlankenship JC, u-Alexander KP, uBittl JA, et al. Isibuyekezo esigxile ku-2014 ACC / AHA / AATS / PCNA / SCAI / STS somhlahlandlela wokuxilongwa nokuphathwa kweziguli ezinesifo senhliziyo esisimeme: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice, kanye ne I-American Association for Thoracic Surgery, I-Preventive Cardiovascular Nurses Association, i-Society for Cardiovascular Angiography kanye nokungenelela, kanye ne-Society of Thoracic Odgeons. J Thorac Cardiovasc Ukuhlinzwa. 2015 Mar; 149 (3): e5-23. I-PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

U-OGara PT, uKushner FG, u-Ascheim DD, et al. Umhlahlandlela we-ACCF / AHA ka-2013 wokuphathwa kwe-ST-elevation myocardial infarction: isifinyezo esiphezulu: umbiko we-American College of Cardiology Foundation / American Heart Association Task Force ngemihlahlandlela yokusebenza. Ukujikeleza. 2013; 127 (4): 529-555. I-PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• Ukubekwa kwe-Angioplasty nokuqina - umthambo we-carotid
• Izinqubo zokukhipha inhliziyo
• Ubuhlungu besifuba
• Umthambo weCoronary spasm
• Ukuhlinzwa kokudlula kwenhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo - kukuhlasela kancane
• Umenzi wenhliziyo
• I-cardioverter-defibrillator engafakelwa
• Angina esitebeleni
• I-angina engazinzile

• I-Angina - ukukhishwa
• U-Angina - ukuthi ubuze ini kudokotela wakho
• Ukukhishwa kwe-angioplasty ne-stent - inhliziyo
• I-Aspirin nesifo senhliziyo
• Ukusebenza lapho unesifo senhliziyo
• I-catheterization yenhliziyo - ukukhishwa
• Isifo senhliziyo - ukukhipha
• Ukuhlinzwa kokudlula kwenhliziyo - ukukhipha
• Ukuhlinzwa kokudlula kwenhliziyo - ukukhipha okungatheni okweqile
• Ukuhluleka kwenhliziyo - ukukhipha

• Angina