Ukuphila nesifo senhliziyo kanye ne-angina

Isifo senhliziyo iCoronary (CHD) ukuncipha kwemithambo yegazi emincane enikezela ngegazi nomoya-mpilo enhliziyweni. I-Angina ubuhlungu besifuba noma ukungakhululeki okuvame ukwenzeka lapho wenza imisebenzi ethile noma uzizwa ucindezelekile. Lo mbhalo ukhuluma ngalokho ongakwenza ukuphatha ubuhlungu besifuba nokunciphisa ubungozi besifo senhliziyo.

I-CHD ukuncipha kwemithambo yegazi emincane ehambisa igazi ne-oxygen enhliziyweni.

I-Angina ubuhlungu besifuba noma ukungakhululeki okuvame ukwenzeka lapho wenza imisebenzi ethile noma uzizwa ucindezelekile. Kubangelwa ukungahambi kahle kwegazi ngemithambo yegazi yemisipha yenhliziyo.

Uma une-high blood pressure, isifo sikashukela, noma i-cholesterol ephezulu, umhlinzeki wakho wokunakekelwa kwezempilo angakweluleka ukuthi:

• Gcina umfutho wakho wegazi ulawulwa kaningi kuya ku-130/80. Okuphansi kungaba ngcono uma unesifo sikashukela, isifo sezinso, isifo sohlangothi, noma izinkinga zenhliziyo, kepha umhlinzeki wakho uzokunikeza izinhloso zakho ezithile.
• Thatha imithi yokwehlisa i-cholesterol yakho.
• Gcina i-HbA1c yakho noshukela wegazi kumazinga anconyiwe.

Ezinye zezinto ezinobungozi ezilawulwayo zesifo senhliziyo yilezi:

• Ukuphuza utshwala. Uma uphuza, zikhawulele ekuphuzeni okungaphezu kwesisodwa ngosuku kwabesifazane, noma 2 ngosuku kwabesilisa.
• Impilo engokomzwelo. Hlola futhi welashelwe ukudangala, uma kudingeka.
• Ukuzivocavoca umzimba. Thola ukuzivocavoca okuningi kwe-aerobic, njengokuhamba ngezinyawo, ukubhukuda, noma ukuhamba ngebhayisikili, okungenani imizuzu engama-40 ngosuku, okungenani izinsuku ezi-3 kuye kwezine ngesonto.
• Ukubhema. Ungabhemi noma usebenzise ugwayi.
• Ukucindezeleka. Gwema noma ukunciphisa ukucindezeleka ngangokunokwenzeka.
• Isisindo. Gcina isisindo esinempilo. Lwela inkomba yomzimba (BMI) phakathi kuka-18.5 no-24.9 kanye nesinqe sincane kunamasentimitha angama-35 (90 centimeters).

Ukudla okunomsoco kubalulekile empilweni yenhliziyo yakho. Imikhuba yokudla enempilo izokusiza ulawule ezinye zezinto ezinobungozi zesifo senhliziyo.

• Yidla izithelo, imifino nezinhlamvu eziningi.
• Khetha amaprotheni amancane, njengenkukhu engenasikhumba, inhlanzi nobhontshisi.
• Yidla imikhiqizo yobisi engenamafutha noma ephansi, njengobisi olunamafutha kanye neyogathi enamafutha amancane.
• Gwema ukudla okuqukethe amazinga aphezulu e-sodium (usawoti).
• Funda amalebula okudla. Gwema ukudla okuqukethe amafutha agcwele kanye namafutha angaphansi kwe-hydrogenated noma ama-hydrogenated. Lawa ngamafutha angenampilo avame ukutholakala ekudleni okuthosiwe, ekudleni okusetshenzisiwe, nasezintweni ezibhakiwe.
• Yidla ukudla okumbalwa okuqukethe ushizi, ukhilimu noma amaqanda.

Umhlinzeki wakho angakunikeza umuthi wokwelapha i-CHD, umfutho wegazi ophakeme, isifo sikashukela, noma amazinga aphezulu e-cholesterol. Lokhu kungafaka:

• Ama-ACE inhibitors
• Ama-beta blockers
• Ama-block block wesiteshi seCalcium
• I-diuretics (amaphilisi wamanzi)
• Izitatimende zokwehlisa i-cholesterol
• Amaphilisi eNitroglycerin noma fafaza ukuvimbela noma ukumisa i-angina attack

Ukunciphisa ubungozi bokuhlaselwa yisifo senhliziyo, ungatshelwa futhi ukuthi uthathe i-aspirin, i-clopidogrel (i-Plavix), i-ticagrelor (i-Brilinta) noma i-prasugrel (i-Effient) nsuku zonke. Landela izinkomba zomhlinzeki wakho ngokucophelela ukuze ugcine isifo senhliziyo ne-angina singabi sibi kakhulu.

Hlala ukhuluma nomhlinzeki wakho ngaphambi kokuba uyeke ukuthatha noma imuphi umuthi wakho. Ukumisa le mithi ngokungazelelwe noma ukuguqula umthamo wakho kungenza i-angina yakho ibe yimbi kakhulu noma kubangele isifo senhliziyo.

Dala uhlelo nomhlinzeki wakho lokuphatha i-angina yakho. Uhlelo lwakho kufanele lubandakanye:

• Yimiphi imisebenzi OKULUNGILE ongayenza, futhi iyiphi engalungile
• Imiphi imithi okufanele uyithathe uma une-angina
• Ziyini izimpawu zokuthi i-angina yakho iya ngokuya iba yimbi
• Lapho kufanele ushayele umhlinzeki wakho noma u-911 noma inombolo ephuthumayo yendawo

Yazi ukuthi yini engenza i-angina yakho ibe yimbi kakhulu, bese uzama ukugwema lezi zinto. Isibonelo, abanye abantu bathola ukuthi isimo sezulu esibandayo, ukuzivocavoca umzimba, ukudla ukudla okukhulu, noma ukucasuka noma ukucindezelwa kubhebhethekisa i-angina yabo.

Isifo semithambo yegazi - ukuhlala no; I-CAD - ehlala nayo; Ubuhlungu besifuba - ukuhlala no

• Ukudla okunempilo

U-Eckel RH, uJakicic JM, u-Ard JD, et al. Umhlahlandlela we-2013 AHA / ACC ekuphathweni kwendlela yokuphila ukunciphisa ubungozi benhliziyo: umbiko we-American College of Cardiology / American Heart Association Task Force ngemihlahlandlela yokusebenza. UJ Am Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. I-PMID: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.

UFihn SD, uBlankenship JC, u-Alexander KP, 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. UJ Am Coll Cardiol. 2014; 64 (18): 1929-1949. I-PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860/.

UMorrow DA, de Lemos JA. Isifo senhliziyo esisimeme. 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 61.

Mozaffarian D. Ukudla okunomsoco kanye nezifo zenhliziyo nemithambo yegazi. 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; 2018: isahluko 49.

UStone NJ, uRobinson JG, uLichtenstein AH, et al. Umhlahlandlela we-ACC / AHA ka-2013 ekwelapheni i-cholesterol egazini ukunciphisa ingozi ye-atherosclerotic yenhliziyo kubantu abadala: umbiko we-American College of Cardiology / American Heart Association Task Force ngemihlahlandlela yokusebenza.UJ Am Coll Cardiol. 2014; 63 (25 Pt B): 2889-2934. I-PMID: 24239923 pubmed.ncbi.nlm.nih.gov/24239923/.

I-Thompson PD, i-Ades PA. Ukuzivocavoca umzimba okusekelwe ekuzivocavoca umzimba. 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 54.

• Angina
• Isifo Se-Coronary Artery