Angina wosakhazikika

Zamkati

• Nchiyani chimayambitsa angina wosakhazikika?
• Ndani ali pachiwopsezo cha angina wosakhazikika?
• Kodi zizindikiro za angina wosakhazikika ndi ziti?
• Kodi angina wosakhazikika amapezeka bwanji?
• Kodi angina wosakhazikika amathandizidwa bwanji?
• Mankhwala
• Opaleshoni
• Zosintha m'moyo
• Kodi ndingapewe bwanji angina wosakhazikika?

Angina wosakhazikika ndi chiyani?

Angina ndi mawu ena okhudza kupweteka pachifuwa kokhudzana ndi mtima. Muthanso kumva kuwawa mbali zina za thupi lanu, monga:

• mapewa
• khosi
• kubwerera
• mikono

Kupweteka kumachitika chifukwa chakuchepa kwamagazi pamisempha ya mtima wanu, yomwe imalanda mpweya wa mtima wanu.

Pali mitundu iwiri ya angina: yokhazikika komanso yosakhazikika.

Angina wolimba amapezeka molosera. Zimachitika mukamayesetsa kulimbitsa thupi kapena kupsinjika. Khola la angina silimasintha pafupipafupi ndipo silimangowonjezereka pakapita nthawi.

Angina wosakhazikika ndikumva kupweteka pachifuwa komwe kumachitika kupumula kapena kuyesetsa kapena kupsinjika. Kupweteka kumawonjezeka pafupipafupi komanso mwamphamvu. Angina wosakhazikika amatanthauza kuti zotchinga m'mitsempha yomwe imapatsa mtima wanu magazi ndi mpweya zidafika pachimake.

Kuukira kwa angina wosakhazikika ndikwadzidzidzi ndipo muyenera kupita kuchipatala mwachangu. Ngati sangasamalire, angina wosakhazikika amatha kudwala matenda a mtima, kulephera kwa mtima, kapena arrhythmias (mayendedwe osasinthasintha amtima). Izi zitha kukhala zoopseza moyo.

Nchiyani chimayambitsa angina wosakhazikika?

Choyambitsa chachikulu cha angina wosakhazikika ndimatenda amtima amayambitsidwa ndi zolengeza zambiri pamakoma amitsempha yanu. Chikwangwanicho chimapangitsa mitsempha yanu kukhala yopapatiza komanso yolimba. Izi zimachepetsa kuthamanga kwa magazi mpaka minofu ya mtima wanu. Pamene minofu ya mtima ilibe magazi ndi mpweya wokwanira, mumamva kupweteka pachifuwa.

Ndani ali pachiwopsezo cha angina wosakhazikika?

Zowopsa za matenda amtima ndi awa:

• matenda ashuga
• kunenepa kwambiri
• mbiri yabanja yamatenda amtima
• kuthamanga kwa magazi
• mafuta otsika kwambiri a lipoprotein (LDL) cholesterol
• mafuta otsika kwambiri a lipoprotein (HDL) cholesterol
• kukhala wamwamuna
• kugwiritsa ntchito fodya wamtundu uliwonse
• kukhala moyo wongokhala

Amuna azaka 45 kapena kupitilira ndipo akazi azaka 55 kapena kupitilira apo amatha kukhala ndi angina wosakhazikika.

Kodi zizindikiro za angina wosakhazikika ndi ziti?

Chizindikiro chachikulu cha angina ndikumva kupweteka pachifuwa kapena kupweteka. Zomverera zimatha kusiyanasiyana kutengera munthu.

Zizindikiro za Angina ndi izi:

• kupweteka pachifuwa komwe kumamverera ngati kophwanya, konga kuthamanga, kufinya, kapena lakuthwa
• ululu womwe umafikira kumalekezero anu (nthawi zambiri kumanzere) kapena kumbuyo
• nseru
• nkhawa
• thukuta
• kupuma movutikira
• chizungulire
• Kutopa kosamveka

N'zotheka kuti angina wokhazikika apite patsogolo ku angina wosakhazikika. Ngati muli ndi angina okhazikika, dziwani zowawa zilizonse pachifuwa zomwe mumamva ngakhale mutapuma. Onaninso zowawa za pachifuwa zomwe zimatenga nthawi yayitali kuposa momwe zimakhalira kapena zomwe zimangomva mosiyana ndi inu. Ngati mutenga nitroglycerin, mankhwala omwe amalimbikitsa kutuluka kwa magazi, kuti mupumule pakadwala khosi la angina, mutha kupeza kuti mankhwalawa sagwira ntchito pakhosi losakhazikika la angina.

Kodi angina wosakhazikika amapezeka bwanji?

Dokotala wanu adzakuyesani komwe kumaphatikizapo kuwona kuthamanga kwa magazi. Atha kugwiritsa ntchito mayeso ena kutsimikizira angina wosakhazikika, monga:

• kuyesa magazi, kuti muwone ngati creatine kinase ndi ma biomarkers a mtima (troponin) omwe amatuluka mumtima mwanu ngati awonongeka
• electrocardiogram, kuti muwone zochitika m'mitima yanu yomwe ingasonyeze kuchepa kwa magazi
• Echocardiography, kuti apange zithunzi za mtima wanu zomwe zimawonetsa umboni wamavuto amwazi
• mayesero a kupsinjika, kuti mtima wanu ugwire ntchito molimbika ndikupangitsa kuti angina ipezeke mosavuta
• kuwerengera tomography angiography
• coronary angiography ndi mtima catheterization, kuti muphunzire zaumoyo ndi mawonekedwe amitsempha yanu

Chifukwa coronary angiography imathandizira dokotala kuti athe kuwona m'mitsempha iliyonse yocheperako komanso yotseka, ndiimodzi mwamayeso omwe amagwiritsidwa ntchito kwambiri kuti apeze angina wosakhazikika.

Kodi angina wosakhazikika amathandizidwa bwanji?

Chithandizo cha angina wosakhazikika chimadalira kukula kwa matenda anu.

Mankhwala

Imodzi mwa mankhwala oyamba omwe dokotala angakulimbikitseni ndi magazi owonda, monga aspirin, heparin, kapena clopidogrel. Magazi anu akakhala osakhuthala, amatha kuyenda momasuka kwambiri kudzera mumitsempha yanu.

atha kugwiritsa ntchito mankhwala ena ochepetsa angina, kuphatikiza mankhwala omwe amachepetsa:

• kuthamanga kwa magazi
• mafuta m'thupi
• nkhawa
• arrhythmia zizindikiro

Opaleshoni

Ngati muli ndi chotchinga kapena chopapatiza kwambiri mumtsempha, dokotala wanu angakulimbikitseni njira zina zowononga. Izi zikuphatikizapo angioplasty, pomwe amatsegula mtsempha wamagazi womwe kale unkatsekedwa. Dokotala wanu amathanso kuyika chubu chaching'ono chotchedwa stent kuti mitsempha yanu izitseguka.

Nthawi zovuta, mungafunike kuchitidwa opaleshoni yamtima. Njirayi imabwezeretsanso magazi kuchoka pamitsempha yotsekedwa kuti ikuthandizireni kuti magazi aziyenda mumtima mwanu.

Zosintha m'moyo

Ngakhale vuto lanu ndi lotani, mungafunikire kusintha moyo wanu wanthawi yayitali. Kusintha kwa moyo wanu komwe kumatha kusintha thanzi la mtima wanu ndi monga:

• kudya chakudya chopatsa thanzi
• kuchepetsa nkhawa
• kuchita zambiri
• kuonda ngati wonenepa kwambiri
• kusiya kusuta ngati mukusuta fodya

Kusintha konseku kumachepetsa mwayi wanu wopwetekedwa ndi angina ndikuchepetsa chiopsezo chanu cha mtima. Lankhulani ndi dokotala wanu zakusintha koyenera pamoyo wanu, kuphatikizapo zakudya zabwino komanso masewera olimbitsa thupi.

Mapulogalamu abwino kwambiri mchaka chosiya kusuta »

Kodi ndingapewe bwanji angina wosakhazikika?

Zomwe mungachite posamalira nokha ndi monga kuchitapo kanthu kuti muchepetse thupi, kusiya kusuta fodya, komanso kuchita masewera olimbitsa thupi pafupipafupi. Kugwira ntchito kuti mukhale ndi moyo wathanzi kumatha kukonza mtima wanu ndikuchepetsa chiopsezo chamaphunziro angina osakhazikika mtsogolo.