Isifo somthambo we-coronary ngokuvamile asivamile kubantu besifazane
Abesifazane bafa ngesifo senhliziyo kunanoma yimuphi omunye umphumela, futhi iningi lalabo abafa ngenxa yesikhumba se- coronary (CAD) . Kodwa-ke, ngezindlela ezimbalwa ezibalulekile, i-CAD abesifazane abathile abahlangenwe nakho bangase bahluke kakhulu kwi "CAD" ye-classic echazwe ezincwadini zezokwelapha. Kulaba besifazane, umehluko ungabangela ukubambezeleka ekwenzeni ukuxilongwa okufanele, ngakho-ke, kungathinta imiphumela yabo.
Iningi labesifazane abane-CAD banesimo "esivamile" lesi sifo - lesi sifo siziphatha ngendlela izincwadi ezisho ngayo ukuthi "kufanele" ukuziphatha, okungukuthi, indlela eziphatha ngayo kubantu. Ngokwesilinganiso, abesifazane abahlakulela i-CAD baneminyaka engaba ngu-10 ubudala kunamadoda abakha i-CAD, futhi labesifazane "abadala" banamiphumela afanayo namadoda, uma kuqhathaniswa iminyaka yobudala - okungenani uma i-CAD yabo ikhona futhi iphathwa ngesikhathi fashion.
Abaningi besifazane abane-CAD bangena kule "isiguli esidala, iphethini ejwayelekile ye-CAD".
"I-Atypical" CAD yabesifazane
Ngeshwa, abesifazane abaningi kakhulu kunamadoda babonisa amaphethini "atypical" uma behlakulela i-CAD, futhi la maphethini atypical ngokuvamile aholela ekuxilongweni okulahlekile nokutheleleka kokwelapha, ngakho-ke, emiphumeleni embi kakhulu.
Ngokuyinhloko, kunezici ezintathu ze-CAD ezivame ukukhathazeka kwabesifazane:
- Izimpawu ze-CAD zingahluka kubantu besifazane.
- Izindlela ezijwayelekile zokuhlola i-CAD zingadukisa kwabesifazane.
- I-CAD ngokwayo ingaba yindlala kubantu besifazane.
Lezi zici ze-CAD, lapho zihlanganiswa nomqondo ongamanga (okwamanje zinyatheliswa odokotela abaningi) ukuthi "abesifazane abatholi isifo senhliziyo," banomthelela ekubambezelweni okubucayi ekuxilongweni nasekuphatheni i-CAD kwabesifazane.
Ake sibheke lezi zinto ezintathu eduze kakhulu:
Izimpawu ze-CAD zingahle zihluke kwabesifazane.
Lapho abesifazane be- angina , banamathuba amaningi kunamadoda ukuzwa izimpawu ze-"atypical".
Esikhundleni sokubuhlungu kwesifuba, cishe banomzwelo oshisayo noma ovuthayo, noma ngisho nesithintelo sokuthinta, okungenzeka sitholakale ngemuva, amahlombe, izingalo noma umhlathi - futhi ngokuvamile abesifazane abanakho ukuhlukumeza esifubeni nhlobo.
Udokotela oqaphile uzokucabanga nge-angina nanoma yisiphi isiguli (indoda noma owesifazane) ichaza noma yikuphi ukungahambi kahle, okungahambisani nokuzikhandla okukhona kunoma iyiphi indawo ngenhla, futhi akufanele baphonswe yizincazelo ezifana nalezi "ze-atypical" zezimpawu.
Kodwa-ke, ngaphandle kokuba odokotela becabanga ngokucacile ukuthi kungenzeka i-CAD, kungenzeka ukuthi bayabhala lezo zimpawu ebuhlungu besisindo somzimba noma ukuphazanyiswa kwamathumbu.
Ukuhlukunyezwa kwe-myocardial (ukuhlaselwa kwenhliziyo) kubuye kube nokuziphatha okuhlukile kwabesifazane. Ngokuvamile, esikhundleni sobuhlungu besifuba esicindezelayo okubhekwa njengento evamile yokuhlaselwa yinhliziyo, abesifazane bangase babe nesicashu, ukuhlanza, i-indigestion, i- dyspnea (ukuphefumula), noma ukukhathala okwedlulele - kodwa akukho lutho olubhekisela ekubuyeni kwesifuba. Ngeshwa, lezi zibonakaliso "ezingezinhle" nazo zilula ukufakazela okuthile ngaphandle kwenhliziyo.
Ngaphezu kwalokho, abesifazane (ikakhulukazi abesifazane abanesifo sikashukela ) banamathuba amaningi kunokuba amadoda ahlaselwe "ukuthula" kwenhliziyo - okungukuthi, ukuhlaselwa kwenhliziyo okwenzeka ngaphandle kwezimpawu ezibonakalayo, futhi okutholakala kuphela esikhathini esizayo ..
Ukuxilongwa kwe-CAD kwabesifazane kungaba nzima nakakhulu.
Ukuhlolwa kokuhlola okuvame ukusebenza kahle kwamadoda ngezinye izikhathi kungadukisa abesifazane. Inkinga evame kakhulu ibonakala ngokuhlolwa kokucindezeleka . Kwabesifazane, i- electrocardiogram (ECG) ngesikhathi sokuvivinya umzimba ngokuvamile ibonisa izinguquko ezikhomba ukuthi i-CAD, ngabe i-CAD ikhona noma cha, ngaleyo ndlela yenza kube nzima ukutadisha.
Abaningi be-cardiologists bafaka i- echocardiogram noma isifundo se- thallium lapho besenza ukuhlolwa kokucindezeleka owesifazane, okuthuthukisa kakhulu ukunemba kokuxilonga.
Kubesifazane abane-CAD ejwayelekile, i- coronary angiography yiyo yonke into ewusizo njengamadoda; likhomba indawo ngqo yendawo yokuvimbela (okuyi-blockages) ngaphakathi kwemithambo ye-coronary , futhi iqondisa izinqumo zokwelapha. Kodwa-ke, kulaba besifazane abanezinkinga zamathambo e-atypical coronary (okuzoxoxwa ngaso esigabeni esilandelayo), ama-angiograms e-coronary avame ukubonakala ejwayelekile. Ngakho-ke, kubesifazane besiography ngokuvamile akuyona izinga legolide ukuxilongwa, njengoba kuningi amadoda.
I-CAD yabesifazane ingathatha ama-Atypical Forms.
Izinhlobo ezingenani ezine "ezingokwemvelo" ze-coronary artery disorders zingenzeka kubafazi, ngokuvamile ezincane (okungukuthi, abesifazane besandulela ngculaza). Ngayinye yalezi zimo zingenza izibonakaliso ze-angina ne-artery coronary "ejwayelekile" (okungukuthi, imishanguzo ye-coronary disease ingase ibonakale isesimweni sokujwayelekile). Inkinga, ngokusobala, ukuthi uma udokotela ebeka konke ukwethembela kwakhe emiphumeleni ye-angiogram, kungenzeka ukuthi uyaphuthelwa ukuxilongwa kwangempela.
Nazi ezinye izinhlobo ezine ze-coronary artery disease ezibonakala kubesifazane kaningi kunamadoda. Landela izixhumanisi zengxoxo eningiliziwe ngalunye.
Izwi elivela
Nakuba i-CAD ivame kakhulu kubantu besifazane, sekuye kwacaca ukuthi i-CAD yabesifazane ingahluka kakhulu ku-CAD kumadoda. Lokhu kwenza ukuxilongwa okulungile inselele ethile kubesifazane.
Uma wena noma othandekayo ukhathazekile ukuthi ungase ube ne-CAD, qinisekisa ukuthi uyazi ngezimpawu ezingenasifo esivame ukuhambisana ne-CAD kwabesifazane, kanye nemiphumela ye-atypical yezivivinyo zokuhlola ongase uhlangabezane nazo ngesikhathi sokuhlola kwakho. Futhi njengoba kubalulekile, qinisekisa ukuthi udokotela wakho uyazi ukuthi lezi zindlela ezithokozisayo, ngaphambi kokuba abhale izimpawu zakho njengengewona inhliziyo.
> Imithombo:
> Hemal K, Pagidipati NJ, Coles A, et al. Ukwahluka kocansi ku-Demographics, Factors Risk, Presentation, kanye Nokuhlolwa Okungavunyelwe Kuziguli Eziphuthumayo Eziphephile Izifo Ezibangelwa Izifo Ezibangelwa Izifo: Insights Kusuka ku-PROMISE Trial. I-JACC Cardiovasc Imaging 2016; 9: 337.
> Poon S, Goodman SG, Yan RT, et al. Ukugqoka i-Gender Gap: Ukuqonda Okuvela Ekuhlaziyweni Kwamanje Kwezinkinga Ezihlobene Nezocansi Ku-Treatment And Outcomes Of Patients With Acute Coronary Syndromes. Am Heart J 2012; 163: 66.
> Stangl V, Witzel V, Baumann G, Stangl K. Imiqondo yamanje yokuhlola ukuthola i-Coronary Artery Disease Kwabesifazane. I-Eur Heart J 2008; 29: 707.