Ukuxilongwa "kwe-acon coronary syndrome" kukuqala kwaye kubonisa ukudibanisa kwemibonakalo engenzeka nge-infyoction ye-myocardial (kunye nangaphandle kokuphakama kwesigaba se-ST) kunye ne-angina ebonakaliswe ukungazinzi.
Izizathu zemo
Isizathu sokuvela kwesifo se-coronary syndrome siphulaphula intliziyo yesifuba, okanye kunoko, siyinike ngegazi. Oku kwenzeka kwiimeko ezilandelayo:
- ukubunjwa kwee-atherosclerotic plaques zincinci i-lumen yemithambo yegazi;
- ukuphulwa kwe-elasticity kunye nokubunjwa kwamathambo eninzi kwimibhobho, ukubonelela nge-myocardium ngegazi;
- i-thrombosis yamatriyiti eneempawu ezitholakala kuyo nayiphi na inxalenye yomzimba, kodwa xa ziqhekekile, zihanjiswa ngegazi kwi-artery coronary.
Ukukhupha isifo se-coronary syndrome sinokuthi:
- indlela yokuphila engahambelaniyo;
- ukutya okunokulinganisela;
- Sifo seswekile;
- uxinzelelo lwegazi oluphezulu;
- uzuzo lwezinto;
- uxinzelelo oluqhubekayo.
Kufuneka kwakhona kuqatshelwe ukuba ukuxilongwa kwe-acon coronary syndrome ngokuqhelekileyo kubonakala kwindoda, kunye nabantu abaneminyaka engama-40.
Iimpawu ze-coronary syndrome
Njengokuba kukho iintlungu zentliziyo, uphawu oluphambili lwe-coronary syndrome luqala ixesha elide (ngaphezu kweyure) intlungu echukumisayo kwindawo ye-myocardium kunye nekhohlo lomzimba. Inokuhamba kunye nokuphefumula okufutshane (ukungabi nomoya). Ukongezelela, kukho ubuthakathaka obuthakathaka, kwanokuphelelwa amandla . Isikhumba siphezulu kwaye siphumezela, isantya sokuqhekeka kwentliziyo iphukile.
Uncedo lokuqala kwi-coronary syndrome
Ukuba ukrokrela i-coronary syndrome ekhuselekileyo, kufuneka uncedo lokuqala. Ngaphambi kokuba kufika oogqirha oogqirha, kunje ngale ndlela:
- Kubalulekile ukulala phantsi, ukuphakamisa inxalenye engaphezulu yomzimba, ukuxhomekeka kwimithwalo, iimpahla, njl.
- Ukuhlafuna iipilisi 1-2 ze-aspirin (i-acetylsalicylic acid).
- Faka ipilisi ye-nitroglycerin phantsi kweelwimi (ngokungabikho kokuzinza kwesi simo, ukuthatha inkunkuma yonke imizuzu emi-5-10).
- Nika umoya owaneleyo ngokuvula iifestile.
Unyango kunye nokuthintela
Unyango lwe-coronary syndrome eqaqambileyo luqala emva kokusungulwa kobuchule bokuhlakulela ukuhlaselwa kwentliziyo kwaye kuquka imisebenzi enjalo:
- Ukulala okulalayo.
- Oxygen unyango.
- Ukwamkelwa kweentlungu zamachiza.
Kwimeko nganye, ukulawulwa kwamachiza anqunyelwe ukuphelisa ukubonakaliswa kwe-atherosclerotic imiselwe. Njengomthetho, ezi zilungiselelwe ngamaqela alandelayo:
- beta-blockers (iziyobisi ezinceda ukunciphisa izinga lentliziyo, ukuphelisa intlungu);
- I-Nitrate (iziyobisi ezinciphisa umgangatho wesidingo senhliziyo kwi-oksijini kwaye zikhuthaza ukunyuka kwemithambo yegazi);
- iziyobisi ezinciphisa i-viscosity yegazi;
- amalungiselelo enempembelelo;
- imimiselo (iziyobisi ezinganciphisa izinga le-cholesterol);
- iziyobisi ezichaphazela ukuchithwa kwee-clots zegazi ezitsha.
Ngeentlobo eziqhelekileyo zesifo se-coronary syndrome kunye nokuba kukho izikhombisi ezithile, iindlela zokurhoxisa ukubuyisela igazi kwintliziyo zinokucetyiswa. Oku kuyintsikelelo kunye ne-coronary bypass.
Ukuthintela izifo ze-myocardial, kubandakanywa emva kwe-acon coronary syndrome, kubandakanya ukutshintsha indlela yokuphila ekuphuculeni umgangatho wayo. Ukwenza oku, kuyimfuneko ukuhlaziywa ukutya kwakho, ukuphucula nge-cellulose, imifuno entsha kunye neziqhamo. Kufuneka kunciphise nokusetyenziswa kokutya okunamafutha.
Kukhethwa ukuyeka imikhwa emibi (ukutshaya notywala), ngakumbi ukuba ube yomoya omtsha. Ukuzivocavoca umzimba, ukubhukuda, i-yoga inika umphumo omuhle ekuqiniseni intliziyo yesisu nokunciphisa izinga loxinzelelo. Njengoprophylaxis yezokwelapha, kufuneka uqaphele uxinzelelo lwegazi, kunye nezinga le- cholesterol egazini.