Ukuba unesifo se-coronary disease (CAD), kufuneka ukhangele unyango lwakhe olunjengeyokulwa nemfazwe: Umzabalazo wexesha elide omele ulwe kwimida emininzi eyahlukeneyo, kwaye ukuba uvumelekile ukuba uhlawule unako ukuhlawula phezulu xabiso. Ngoko, ukuba ufumaniswe ukuba unayo i-CAD, wena kunye nodokotela wakho kuninzi ukulungiselela, kunye nezigqibo ezininzi ezinokwenza.
Eli nqaku lichaza izinto ofuna ukuziqwalasela njengoko ugqirha wakho ugqiba ngendlela efanelekileyo yokunyanga isifo sakho senhliziyo. Ezinye zezi zonyango (ezifana nokuthatha amanyathelo okunciphisa ukuqhubela phambili kwesifo) kufuneka zamkelwe yilowo nalowo isigulane ngeCAD. Ezinye iinketho (ezifana nokuhlinzwa ngonyango okanye i- angioplasty kunye ne-stenting) zifanelekileyo kuphela phantsi kweemeko ezithile. Ukuze uqiniseke ukuba yonke into ekufuneka yenziwe yenziwa, wena kunye nogqirha wakho uya kuyifuna ngokukhawuleza kwaye uphendule ngokucophelela imibuzo emithathu:
- Yintoni omele uyenze ukukhusela i-carchemac ischemia kunye ne-angina?
- Yintoni omele uyenze ukukhusela isifo senhliziyo kunye nezinye iimeko eziphuthumayo zentliziyo?
- Yintoni omele uyenze ukuze unciphise okanye umise ukunyuka kwe-CAD yakho?
Inkqubo yakho yokonyango ayiphelelanga ngaphandle kokuba udibanise yonke le mibuzo emithathu.
Ungayinciphisa njani Ubungozi bakho beCaracac Ischemia neAngina?
I-CAD ibangelwa yi- atherosclerosis , isifo esibangela iiplati ukuba zifake kwiindonga zeerterotic yakho.
Ezi zihlabazo zingagqiba ukuvelisa ngokupheleleyo imirhobho, ekhokelela kwisifo se-myocardial (intliziyo yehlaselo). Kodwa ixesha elide ngaphambi kokuba kwenzeke, iiblockages ezincane zivame ukukhula kwimibhobho ye-coronary.
Oku kubalulekile empilweni yakho kuba iimpawu zokungabikho kweempawu ze-coronary arteries zinganciphisa ukuhamba kwegazi entliziyweni yakho.
Ngoko, ngelixa i-heart muscle ifumana zonke igazi elizifunayo ngelixa ukhululekile kwaye uphumle, ezi zithintelo zincinci ziyakuthintela intliziyo yakho ukuba ifumane i-oksijeni eyaneleyo xa usebenzisa okanye uxinzelelekile . Ngeli xesha - xa intliziyo yakho idinga i-oksijeni engaphezulu kune-artery yeconary block blocked it can - it is your heart muscle ischemia . I-oksijeni-indlala (ischemic) intliziyo yentliziyo ingabangela ubuhlungu okanye ubunzima obuvelayo esibhekisela kuyo njenge-angina. Ngenxa yokuba olu hlobo lwe-angina lubangelwa ukucima ngokuqinileyo, kwaye ngenxa yokuba i-angina ivelisa kwenzeka ngokukhawuleza (oko kukuthi, ngexesha lomlinganiselo othile wokuzilolonga), siyibiza ngokuba yi- angina eqinile .
Kukho iindlela ezimbini zonyango jikelele zokukhusela i-ischemia kunye ne-angina ezinzileyo kwizigulane ezine-CAD.
- Indlela yokuqala kunye nalowo sivame ukuva ngakumbi malunga nokusebenzisa oko kuthiwa "unyango olungenayo" - oko kukuthi, ukusebenzisa i-surpass operation okanye i-angioplasty kunye ne- stenting yokunciphisa izithintelo ezithile kwiimitha ze-coronary.
- Indlela yesibini kukusebenzisa unyango lweziyobisi kunye nezinye iindlela zokuncedisa unyango olungenagqirha.
Ezi zombini iinkqubo zinokusebenza kakuhle, kwaye indlela nganye ihamba neenzuzo zayo okanye ukungonakali.
Nangona kunjalo, khumbula ukuba kubantu abaninzi abane-angina ezinzile, iziphumo kunye neyeza lonyango ziyafana neyeza elingahambiyo. Uya kufuneka uxoxe nodokotela wakho malunga nendlela efanelekileyo ngayo kwimeko yakho - ngokuqhelekileyo ukuhlanganiswa kwezi ndlela zombini kuya kufuneka.
Unokuyithintela njani iinjongo zeentliziyo kunye nezinye iingxaki ezintle ngeCAD?
Ukongezelela ekuphuhliseni ngokuthe kancinci izibhengezo kwiingxubevange zakho ze-coronary, abantu abane-CAD basengozini yokutshatyalaliswa ngokukhawuleza , oogqirha ababiza i -coronary syndrome (ACS). I-ACS ibangelwa ukwenziwa ngokukhawuleza kwe-clot yegazi (thrombosis) ngaphakathi kwintsimbi ye-coronary, ngokuqhelekileyo ngenxa yokuphuka kwiplani eludongeni lwe-artery.
I-ACS inokubangela ukuba i-angina engaqinisekanga okanye i-heart attack. Enye ifom ye-ACS yinkxalabo yonyango .
Kungenxa yokuba nabani na abane-CAD bangakha i-ACS-nangabantu abanamacwecwe abo angabonakali "ukukhutshwa" okubaluleke kakhulu kubo bonke abantu abaneCAD ukuba babe kunyango ukunceda ukukhusela i-ACS . Unokuthatha amanyathelo amaninzi ukunceda ukunciphisa umngcipheko, kwaye kufuneka uxoxe nodokotela wakho malunga ngamnye.
Ungalimaza njani okanye Uyeke ukulungiswa kweCAD?
I-Atherosclerosis iyisifo esingasigxina, esiqhubekayo esona sibi ngakumbi ngexesha . Ngoko kungakhathaliseki ukuba yintoni na amanye unyango kwi-CAD onokufumana, ngaphandle kokuba uthathe amanyathelo okucotha okanye ukuyeka ukuhamba phambili kwe-atherosclerosis, unokulindela ukuphucula iingxaki ezininzi nangaphezulu njengoko ixesha lihamba.
Kunokwenzeka ukuphucula ukuqhubela phambili kwe-CAD ngenkqubo enobudlova yokuguqulwa kwendlela yokuphila kunye neyeza unyango, kuquka ne-anti-cholesterol yonyango enamandla (ngokuqhelekileyo idinga ama-statins), ukulawula ubunzima, ukusetyenziswa komsi, ukuyeka ukutshaya , ukulawula uxinzelelo lwegazi oluphezulu kunye nokulawula ngokunyameko isifo sikashukela. , ukuba unayo.
Ukuqulunqa
Ukwenza konke oku akuyi kuba lula, kodwa kubaluleke kakhulu ukunqoba imfazwe kwisifo sakho senhliziyo. Ngeendlela ezininzi, isifo senhliziyo sifana nesinye isifo esifanayo, umhlaza. Njengomhlaza, i-CAD isifo esisongela ubomi esilungele ukukubulala, kungekudala okanye kamva, ngaphandle kokuba kuphathwa ngokufanelekileyo. Kwaye, njengomdlavuza, unyango lunzima. Impatho ephumelelayo idinga ukuzinikela ngokukrakra, kwaye ngokwenene idinga ukuguquka okuyisigxina kwisimo sengqondo nokugxila. Ukuba unomdlavuza, mhlawumbi uya kwamkela ukuba nayiphi na into-ithatha isimo sengqondo. Kufuneka ufumane isimo esifanayo ngoku: Ubomi bakho buxhomekeke kuyo.
> Imithombo:
> Fihn SD, Gardin JM, Abrams J, et al. I-ACCF / AHA / ACP / AATS / PCNA / SCAI / STS Isikhokelo soLwazi kunye nokuLawula izigulane ezineSifo seSikimicic Heart Heart: Ingxelo ye-American College of Cardiology Foundation / i-American Heart Association iqela elikukhokelo, kunye ne-American Ikholeji yamaGqirha, i-American Association ye-Thoracic Surgery, i-Preventive Cardiovascular Association Association, uMbutho we-Cardiovascular Angiography kunye neNongenelelo, kunye noMbutho weeNgcali zeTriracic. Ukuhamba ngo-2012; 126: e354.
Amalungu eBasebenzi, uMontalescot G, Sechtem U, et al. Izikhokelo ze-ESC ze-2013 kwi-Management of Stable Coronary Artery Disease: iQela leMisebenzi kwiCandelo leCononary Artery Disease ye-European Society of Cardiology. I-Eur Heart J 2013; 34: 2949.