Ukuxilongwa "kwe-coronary syndrome" kuyisiqalo futhi kubonisa inhlanganisela yezibonakaliso ezingase zenzeke nge-infarction ye-myocardial (nangaphandle kokuphakama kwesigaba se-ST) futhi ku-angina ibonakala ukungabi nakwazi.
Izimbangela zesimo
Isizathu sokuvela kwe-coronary syndrome enamandla ukuhlukumeza imisipha yenhliziyo, noma kunalokho, ukunikeze ngegazi. Lokhu kwenzeka kumacala alandelayo:
- ukwakhiwa kwamapulethi e-atherosclerotic anciphisa ukukhanya kweminye yegazi;
- ukwephulwa kokuqina kanye nokubunjwa kwama-dense emithanjeni, ukunikeza i-myocardium ngegazi;
- i-thrombosis ye-arteries ne-plaques engatholakala kunoma iyiphi ingxenye yomzimba, kodwa uma ixoshiwe, ihanjiswa ngegazi emthonjeni we-coronary.
Ukuvusa i-coronary syndrome enamandla kungase kube nezici ezifana nalezi:
- indlela yokuphila engavamile;
- ukudla okungenamkhawulo;
- Isifo sikashukela;
- umfutho wegazi ophezulu;
- ukulungiswa kwefa;
- ukucindezeleka okuqhubekayo.
Kufanele kuphawulwe ukuthi ukuxilongwa kwe-coronary syndrome eyingozi ngokuvamile kubonakala kumadoda, nakubantu abaneminyaka engaphezu kwengu-40.
Izimpawu ze-coronary syndrome enamandla
Njengasezinkingeni eziningi zenhliziyo, uphawu oluyinhloko lwe-coronary syndrome eliyingozi luqala ukwelashwa okwesikhathi eside (okungaphezu kwehora) ukucindezela endaweni yesimobhayisikobho naseceleni kwesobunxele lomzimba. Kungase kuhambisane nokuphefumula (ukungabi nomoya). Ngaphezu kwalokho, kukhona ubuthakathaka obubukhali, ngisho nokuphelelwa amandla . Isikhumba siphundukile futhi kukhona ukujula okubandayo, isigqi sezinqamuzana zenhliziyo siphukile.
Usizo lokuqala lwe-coronary syndrome enamandla
Uma usola isifo se-coronary syndrome, usizo lokuqala luyadingeka. Ngaphambi kokufika odokotela bama-ambulensi, kulandela lokhu:
- Kudingeka ulale phansi, uphakamise kancane ingxenye engaphezulu yomzimba, uncike emithonjeni, izingubo, njll.
- Ukuhlaziya amaphilisi 1-2 e-aspirin (i-acetylsalicylic acid).
- Faka iphilisi ye-nitroglycerin ngaphansi kolimi (ngokungabikho kokuqiniswa kwesimo, ukuthatha isidakamizwa njalo imizuzu emihlanu kuya ku-10).
- Nikeza umoya owanele ngokuvula amawindi.
Ukwelashwa nokuvimbela
Ukuphathwa kwe-coronary syndrome eqala kuqala ngemuva kokusungulwa kwamathuba okuthuthukisa ukuhlaselwa kwenhliziyo futhi kufaka phakathi imisebenzi enjalo:
- Ukuphumula okuqhelile.
- Ukwelashwa kwe-oksijeni.
- Ukwamukelwa kwemithi yobuhlungu.
Esimweni ngasinye, ukuphathwa kwemithi enqunyelwe ukuqeda ukubonakaliswa kwe-atherosclerotic kunqunywe. Njengomthetho, lezi zilungiso zamaqembu alandelayo:
- beta-blockers (izidakamizwa ezisiza ukunciphisa isilinganiso senhliziyo, ukuqeda ubuhlungu);
- I-nitrate (izidakamizwa ezinciphisa izinga lesidingo senhliziyo emoyeni futhi zithuthukise ukwanda kwemithambo yegazi);
- izidakamizwa ezinciphisa i-viscosity yegazi;
- amalungiselelo nge-effect antithrombotic;
- statins (izidakamizwa ezinganciphisa izinga le-cholesterol);
- izidakamizwa ezithinta ukuchithwa kwezindwangu zegazi ezintsha.
Ngezikhathi ezijwayelekile ze-coronary syndrome eyingozi futhi phambi kwezinkomba ezithile, izindlela zokuhlinzwa zokubuyisela igazi enhliziyweni zinganconywa. Lokhu kuyisimangaliso esivusa amadlingozi.
Ukuvimbela izifo ze-myocardial, kufaka phakathi ngemuva kwe-coronary syndrome eyingozi, kuhlanganisa ekuguquleni indlela yokuphila ekuthuthukiseni ikhwalithi yayo. Ukuze wenze lokhu, kubalulekile ukuvuselela ukudla kwakho, ukuwuthisa nge cellulose, imifino fresh nezithelo. Kumele futhi kuncishiswe ukusetshenziswa kokudla okunamafutha.
Kungcono ukushiya imikhuba emibi (ukubhema nokuphuza utshwala), okungaphezulu ukuba ube emoyeni omusha. Ukuzivocavoca umzimba, ukubhukuda, i-yoga inikeza umphumela omuhle ekuqiniseni imisipha yenhliziyo nokunciphisa izinga lokucindezeleka. Njenge-prophylaxis yezokwelapha, kufanele uqaphe ukucindezeleka kwegazi, kanye nezinga le- cholesterol egazini.