I-Angina - ukukhishwa

I-Angina uhlobo lokungaphatheki kahle kwesifuba ngenxa yokuhamba kwegazi okuncane ngemithambo yegazi yemisipha yenhliziyo. Lo mbhalo ukhuluma ngokuthi ungazinakekela kanjani lapho uphuma esibhedlela.

Ubukade une-angina. U-Angina ubuhlungu besifuba, ingcindezi yesifuba, okuvame ukuhambisana nokuphefumula okuncane. Ube nale nkinga lapho inhliziyo yakho ingatholi igazi ne-oxygen eyanele. Kungenzeka noma awukaze uhlaselwe yinhliziyo.

Ungase uzizwe udabukile. Ungazizwa ukhathazekile nokuthi kufanele uqaphele kakhulu okwenzayo. Yonke le mizwa ijwayelekile. Ziya kubantu abaningi ngemuva kwamasonto amabili noma amathathu.

Ungase futhi uzizwe ukhathele lapho uphuma esibhedlela. Kufanele uzizwe ungcono futhi ube namandla athe xaxa ngemuva kwamasonto ama-5 ukhishiwe esibhedlela.

Yazi izimpawu nezimpawu ze-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 bangazizwa bengakhululekile emuva kwabo, emahlombe nasendaweni yesisu.
• Ungahle ube nokugaya noma uzizwe ugula esiswini sakho. Ungazizwa ukhathele futhi uswele ukuphefumula, ujuluke ubala, unekhanda elincane, noma ubuthakathaka. Ungaba nalezi zimpawu ngesikhathi sokuzivocavoca umzimba, njengokukhuphuka izitebhisi, ukukhuphuka umqansa, ukuphakamisa, nokwenza ucansi.
• Ungaba nezimpawu kaningi esimweni sezulu esibandayo. Ungaba nezimpawu lapho uphumule, noma lapho uvuka ebuthongweni bakho.

Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi angabelapha kanjani ubuhlungu besifuba sakho lapho kwenzeka.

Thatha kalula ekuqaleni. Kufanele ukwazi ukukhuluma kalula uma wenza noma yimuphi umsebenzi. Uma ungakwazi, misa umsebenzi.

Buza umhlinzeki wakho ngokubuyela emsebenzini nokuthi hlobo luni lomsebenzi ozokwazi ukuwenza.

Umhlinzeki wakho angakudlulisela ohlelweni lokuvuselela inhliziyo. Lokhu kuzokusiza ufunde ukuthi ungakukhulisa kanjani kancane ukuzivocavoca umzimba. Uzofunda nokuthi ungasinakekela kanjani isifo senhliziyo yakho.

Zama ukunciphisa ukuthi uphuza kangakanani utshwala. Buza umhlinzeki wakho uma kulungile ukuphuza, nokuthi kungakanani okuphephile.

Ungabhemi osikilidi. Uma ubhema, cela umhlinzeki wakho akusize uyeke. Ungavumeli noma ngubani abheme ekhaya lakho.

Funda kabanzi mayelana nokuthi yini okufanele uyidle ukuze ube nenhliziyo enempilo nemithambo yegazi. Gwema ukudla okunosawoti nokunamafutha. Hlala kude nezindawo zokudlela ezidayisa ukudla okusheshayo. Umhlinzeki wakho angakudlulisela kuchwepheshe wezokudla, ongakusiza ukuhlela ukudla okunempilo.

Zama ukugwema izimo ezicindezelayo. Uma uzizwa ucindezelekile noma udabukile, tshela umhlinzeki wakho. Bangakudlulisela kumeluleki.

Buza umhlinzeki wakho ngomsebenzi wezocansi. Abesilisa akufanele bathathe imishanguzo noma yiziphi izithasiselo zemithi yezinkinga zokwakhiwa ngaphandle kokubuza kumhlinzeki wabo kuqala. Le mithi ayiphephile uma isetshenziswa ne-nitroglycerin.

Gcwalisa yonke imiyalo yakho ngaphambi kokuba uye ekhaya. Kufanele uthathe izidakamizwa zakho ngendlela otshelwe ngayo. Buza umhlinzeki wakho ukuthi usengakwazi yini ukuthatha eminye imishanguzo kadokotela, amakhambi, noma izithasiselo obukade uzithatha.

Thatha izidakamizwa zakho ngamanzi noma ujusi. Ungaphuzi ujusi wamagilebhisi (noma udle izithelo zomvini), ngoba lokhu kudla kungashintsha indlela umzimba wakho oyimunca ngayo imithi ethile. Buza umhlinzeki wakho noma usokhemisi ngalokhu.

Abantu abane-angina bavame ukuthola le mithi engezansi. Kepha kwesinye isikhathi le mithi kungenzeka ingaphephile ukuyiphuza. Khuluma nomhlinzeki wakho uma ungathathi omunye wale mithi:

• Izidakamizwa ze-antiplatelet (izinciphisi zegazi), njenge-aspirin, i-clopidogrel (i-Plavix), i-prasugrel (i-Efient), noma i-ticagrelor (i-Brilinta)
• Eminye imithi, njenge-warfarin (i-Coumadin), ukusiza ukugcina igazi lakho linganqwabeki
• Imithi ye-Beta-blocker kanye ne-ACE inhibitor, ukusiza ukuvikela inhliziyo yakho
• Izitatimende noma ezinye izidakamizwa ukwehlisa i-cholesterol yakho

Ungalokothi uyeke ukuthatha noma iyiphi yalezi zidakamizwa. Ungayeki ukuthatha ezinye izidakamizwa okungenzeka ukuthi uziphuzela isifo sikashukela, umfutho wegazi ophakeme, noma ezinye izinkinga zezokwelapha.

Uma uthatha igazi elincanyana, kungadingeka ukuthi uhlolwe igazi elengeziwe ukuze uqiniseke ukuthi umthamo wakho ulungile.

Shayela umhlinzeki wakho uma uzizwa:

• Ubuhlungu, ingcindezi, ukuqina, noma isisindo esifubeni, engalweni, entanyeni noma emhlathini
• Ukuphelelwa umoya
• Izinhlungu zegesi noma ukugaya ukudla
• Ubudoda ezandleni zakho
• Ukujuluka, noma uma ulahlekelwa umbala
• Ikhanda elikhanyayo

Izinguquko ku-angina yakho zingasho ukuthi isifo senhliziyo yakho siya ngokuya siba sibi. Shayela umhlinzeki wakho uma i-angina yakho:

• Iyaqina
• Kuvela kaningi
• Ihlala isikhathi eside
• Kuvela uma ungasebenzi noma uphumule
• Uma izidakamizwa zingakusizi ukunciphisa izimpawu zakho ze-angina njengoba zazivame ukwenza

Ubuhlungu besifuba - ukukhishwa; Angina esitebeleni - ukukhishwa; I-angina engapheli - ukukhishwa; I-angina ehlukile - ukukhishwa; I-angina pectoris - ukukhishwa; Ukusheshisa i-angina - ukukhishwa; I-angina entsha - ukukhishwa; Angina-engazinzile - ukukhipha; I-angina eqhubekayo - ukukhishwa; Ukuzinza kwe-Angina - ukukhishwa; I-angina-chronic - ukukhishwa; Ukuhluka kwe-Angina - ukukhishwa; I-Prinzmetal angina - ukukhishwa

• Ukudla okunempilo

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; 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; 149 (3): e5-e23. 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): e362-e425. I-PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• Angina
• 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
• Amazinga aphezulu e-cholesterol egazini
• I-cardioverter-defibrillator engafakelwa
• Angina esitebeleni
• Amathiphu wokuthi ungakuyeka kanjani ukubhema
• I-angina engazinzile
• Idivayisi yokusiza ye-Ventricular

• Ama-ACE inhibitors
• U-Angina - ukuthi ubuze ini kudokotela wakho
• I-Angina - lapho unezinhlungu esifubeni
• Ukukhishwa kwe-angioplasty ne-stent - inhliziyo
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Ukusebenza ngemuva kokuhlaselwa yisifo senhliziyo
• Ukusebenza lapho unesifo senhliziyo
• Ibhotela, imajarini namafutha okupheka
• I-catheterization yenhliziyo - ukukhishwa
• Cholesterol nendlela yokuphila
• I-cholesterol - ukwelashwa kwezidakamizwa
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Isifo senhliziyo - ukukhipha
• Isifo senhliziyo - okufanele ubuze udokotela wakho
• Ukuhlinzwa kokudlula kwenhliziyo - ukukhipha
• Ukuhlinzwa kokudlula kwenhliziyo - ukukhipha okungatheni okweqile
• Isifo senhliziyo - izici eziyingozi
• Umfutho wegazi ophakeme - okufanele ubuze udokotela wakho
• Uwafunda kanjani amalebula okudla
• Ukudla kwaseMedithera

• Angina