U-Angina ubhekisela kwiimpawu (ngokuqhelekileyo intlungu yesifuba okanye ukungathandeki kwesifuba) okuveliswa yi- ischemia yesahlulo se-muscle ye-heart - oko kukuthi, xa i-muscle yenhliziyo ingatholi oksijini. Isizathu esiqhelekileyo se-angina sisifo se-coronary disease (CAD) .
Yintoni Enamandla Angina?
Xa ugqirha enza ukuxilongwa kwe-angina, isinyathelo esilandelayo kukuqinisekisa ukuba "isigxina" okanye "ayizinzile" angina.
I-angina engazinzile-apho iimpawu zivela ngokuphumla, okanye ngokunyanzeliswa okungaqhelekanga, okanye ngamaxesha amaninzi angaqhelekanga-ngokuqhelekileyo uhlobo lwe -coronary syndrome , kwaye kufuneka uphathwe njengongxamiseko lwezonyango. I-angina engaqinisekanga ibangelwa ukuphuka kwi- plaque ye-atherosclerotic .
Ngethamsanqa, abaninzi abantu abane-CAD bazinzile .
I-angina enesigxina ibangelwa iplani ezinzileyo engazange iphule, kodwa kunokuba ivelise ukukhutshwa okukodwa, okucwangcisiweyo kwi-coronary artery. Ukukhutshwa ngokukhawuleza ngokuqhelekileyo kuvumela ukuhamba kwegazi okwaneleyo ukuya kwiintliziyo zengqondo ngexesha lokuphumla, ngoko ke ekuphumleni akukho nto i-angina. Nangona kunjalo, ukukhutshwa ngokukhawuleza kunciphisa ukuphuma kwegazi umthamo unako ukubonelela. Ngoko, ngamanye amaxesha intliziyo yesifuba ifuna ukusebenza nzima, njengokuba kunokunyamekela ngokomzimba okanye ukuxinezeleka kwengqondo, ukuhamba kwegazi akunako ukwandisa ngokwaneleyo ukuhlangabezana neemfuno ezandisiweyo kwimisipha yentliziyo.
I-oxygen-starved hunger is becomechemic, kwaye i-angina ivela.
Xa ukunyameka komzimba kumisiwe - mhlawumbi ngenxa yokuba isigulane siqala ukufumana i-angina-i-oksijini efunekayo yintliziyo yesisu iyahla ukuya kumgangatho wayo wesiseko. Ngemizuzu embalwa, i-ischemia isombulula kwaye i-angina iyahamba.
Iinkcukacha zeStable Angina
Izigulane ezine-angina ezizinzileyo zisoloko zingenayo impawu xa ziphumla okanye ngexesha lomsebenzi omnene, ekubeni ukuphuma kwegazi kwintliziyo yabo isiswane ngokwaneleyo phantsi kwezi meko.
U-Angina ngokuqhelekileyo uvela ngokuzikhandla, kwaye ngokuphindaphindiweyo ngendlela ehlaziywa kakuhle kwaye eqikelelwe. Ngokomzekelo, umntu onokuzimela angina angazibonakalisa iimpawu kuphela xa ekhupha i-esitezi yesibini, okanye emva kokuhamba ngaphezu kweethathu.
Ngenxa yokuba i-angina ezinzileyo ithambekele ekuveliseni, oogqirha banokusebenzisa uvavanyo lokunyamezela ukuba benze uqikelelo olunzima lwezinga lokukhutshwa okuveliswa yi-plapic plaque. I-Angina eyenzeka emva kwemizuzwana engama-30 kwitekisi yokunyathelisa isenokubangelwa yi-plaque evelisa umqobo omkhulu. Ukuba i-angina yenziwa kuphela emva kwemizuzu eyi-10, isantya sokukhusela sisenokungabi namandla kakhulu.
Ngokufanayo, ukuvavanywa koxinzelelo lweengxaki kungasetyenziselwa ukugweba ukwanela unyango, kunye nokunika isiguli ingcamango ethile yokuba bangayenza njani ngaphandle kwe-carchemac ischemia.
Ukunyanga iStina
Injongo yokunyanga i-angina ezinzileyo iphindwe kathathu: ukukhupha okanye ukunciphisa iimpawu ze-angina, ukuzama ukukhusela ukuqhubela phambili kwe-atherosclerotic plaques, nokuzama ukukhusela imiphumo emibi ye-CAD-okuthi, i- myocardial infarction , ukungaphumeleli kwentliziyo , kunye ukufa.
Ulwaphulo olufunekayo ukufezekisa zonke ezi njongo lunokuba nzima, kwaye luhlala luquka ukwenza ezinye izigqibo zonyango ezibalulekileyo.
Nabani na o-angina kufuneka aqonde imiba echaphazelekayo ekwenzeni ezi zigqibo.
Imithombo:
Fihn SD, Gardin JM, Abrams J, et al. I-ACCF / AHA / ACP / AATS / PCNA / SCAI / I-ATS / PCN / SCAI / i-STS isikhokelo sokuxilongwa kunye nokulawulwa kwezigulane ezinezifo zesimo senhliziyo esisisigxina: isishwankathelo esiphetheyo: ingxelo ye-American College of Cardiology Foundation / i-American Heart Association iqela elikhokelayo, kunye ne-American College of Physicians, i-American Association ye-Thoracic Surgery, i-Preventive Cardiovascular Association, i-Society for Cardiovascular Angiography kunye neNongenelelo, kunye noMbutho weeNgcali zeTriracic. Ukuhamba ngo-2012; 126: 3097.