Izifo Zemikhumbi Emincane

-Delile

• Izimpawu zesifo somkhumbi omncane
• Izimbangela zesifo somkhumbi esincane
• Izici zobungozi zesifo esincane somkhumbi
• Ukuxilongwa
• Ukwelashwa kwezifo zomkhumbi omncane
• Ukuvimbela

Siyini isifo semikhumbi esincane?

Isifo semikhumbi emincane yisimo lapho izindonga zemithambo encane esenhliziyweni yakho - amagatsha amancane asuka emithanjeni emikhulu yenhliziyo - alimele futhi angavuleki kahle. Imikhumbi yakho emincane idinga ukwanda ukuhlinzeka ngegazi elicebile oksijini enhliziyweni yakho. Uma zilimele, ukugeleza kwegazi kuya enhliziyweni yakho kuyehla. Lokhu kungadala izinkinga ezinkulu enhliziyweni yakho ezingaholela ezinkingeni kwezinye izingxenye zomzimba.

Sibizwa futhi ngokuthi isifo se-coronary microvascular kanye nesifo esincane semithambo.

Izimpawu zesifo semikhumbi encane zilingisa lezo zesifo senhliziyo ngisho nokuhlaselwa yinhliziyo. Kungaba nzima ukuxilonga izifo ezincane zomkhumbi ngaphandle kokuhlolwa okufanele ukuhlukanisa phakathi kwazo nezinye izindaba zenhliziyo.

Uma singelashwa, isifo somkhumbi esincane singasongela impilo.

Izimpawu zesifo somkhumbi omncane

Izimpawu zesifo semikhumbi emincane zivame ukulingisa lezo zesifo senhliziyo. Uma unesifo esincane somkhumbi, ungathola izimpawu kufaka phakathi:

• ukuphelelwa umoya
• ukukhathala
• ukujuluka
• isicanucanu
• isiyezi
• ukuquleka
• ubuhlungu ku-mandible yakho, entanyeni, ehlombe langakwesobunxele, nasengalweni, emuva, noma esiswini
• ubuhlungu besifuba se-anginal nengcindezi, okuhlala isikhathi eside kunemizuzu eyi-10

Ungahle uhlangabezane nalezi zimpawu ngemuva komsebenzi ojwayelekile wansuku zonke noma izikhathi zokucindezeleka. Ubuhlungu besifuba obujwayelekile obukulesi simo bungahlala noma kuphi kusuka kumizuzu eyi-11-30 noma ngaphezulu.

Uma izimpawu zakho ziba zimbi kakhulu, noma uzwa ubuhlungu obungaphezu kwesifuba sakho, shayela udokotela wakho ngokushesha.

Izimbangela zesifo somkhumbi esincane

Isifo semikhumbi emincane senzeka lapho izindonga zangaphakathi zemikhumbi emincane enhliziyweni yakho zilimele, kuthinta amandla abo okukwazi ukunwebeka kahle.

Lo monakalo ungabangelwa:

• umfutho wegazi ophakeme
• cholesterol ephezulu
• ukukhuluphala ngokweqile
• isifo sikashukela

Uma sishiywa singelashwa, isifo semikhumbi esincane sizophoqelela inhliziyo yakho ukuthi isebenze kanzima ukupompa igazi emzimbeni wakho. Lokhu kungadala umfutho we-coronary artery constriction / spasms, isifo senhliziyo, ukwehluleka kwenhliziyo, noma ukufa.

Izici zobungozi zesifo esincane somkhumbi

Noma ngubani angaba nesifo semikhumbi esincane, kepha abesifazane basengozini enkulu.

Ezinye izinto eziyingozi yilezi:

• ukudla okungenampilo

Ukuxilongwa

Ukuthola izifo ezincane zomkhumbi kungaba nzima. Udokotela wakho kuzofanele ahlole umlando wakho wezokwelapha, umlando womndeni, nezimpawu.

Izinqubo zokucabanga zokuxilonga zezifo ezincane zomkhumbi ngokujwayelekile ziyefana nalabo abafuna ezinye izinhlobo zesifo senhliziyo. Lezi zinqubo zikhombisa ukwakheka noma ukusebenza kwemithambo yegazi yakho emikhulu nezinye izingxenye zenhliziyo, futhi zingakhombisa ukuvinjelwa kwemithambo yenhliziyo. Lezi zivivinyo zingafaka:

• ukuhlolwa kwengcindezi yenhliziyo ngemifanekiso yenuzi noma i-transthoracic echocardiogram
• i-MRI yenhliziyo
• ukuskena kwenhliziyo kwe-CT angiography
• ukuskena kwe-PET kwenhliziyo
• i-coronary artery angiogram, ehlaselayo futhi edinga i-catheterization yenhliziyo yangakwesokunxele

Uma kungekho ukuvinjelwa okuphawulekayo emithanjeni yakho emikhulu yenhliziyo, odokotela bazosebenzisa isivivinyo esihlaselayo, bejova imishanguzo ehlukene emthanjeni we-coronary, ukubheka ukuvinjelwa kwemithambo yakho emincane ngesikhathi se-catheterization yenhliziyo engakwesokunxele. Lokhu kubizwa ngokuthi yi-endothelial dysfunction test. Lokhu kuvumela udokotela ukukala ukugeleza kwegazi ngemikhumbi yakho emincane.

Ukwelashwa kwezifo zomkhumbi omncane

Izinketho zokwelashwa okuyisisekelo zezifo ezincane zomkhumbi zibandakanya imishanguzo eqeda izinhlungu, elapha izinto ezinobungozi, kanye nezimpawu ezihambisanayo. Le mithi izothuthukisa ukugeleza kwegazi okuncane futhi ivimbele ukuhlaselwa yinhliziyo.

Eminye imithi ejwayelekile yile:

• i-aspirin
• i-nitroglycerin
• ukwelashwa kwe-beta blocker
• Ukwelashwa kwe-ACE-inhibitor
• ukwelashwa kwe-statin

Ukuvimbela

Ngokwe-American Heart Association, izifundo ezithile zokuvimbela izifo ezincane zomkhumbi azikenziwa. Kodwa-ke, ukuguquka kwendlela yokuphila kanye nokudla okunempilo kunganciphisa ingozi yokuba nesifo senhliziyo. Lezi zinguquko zifaka:

• Yeka ukubhema imikhiqizo kagwayi.
• Yehlisa isisindo uma isisindo sakho siphezulu kakhulu.
• Vivinya umzimba njalo.
• Gcina umfutho wegazi ophilile.
• Lawula izinga likashukela egazini lakho, ikakhulukazi uma utholwe unesifo sikashukela.
• Gcina izinga le-cholesterol enempilo.