

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
I-Angina ubuhlungu noma ukungakhululeki kwesifuba okuvela uma isifuba sakho singatholi igazi elinokulinganisela le-oksijini. Cabanga ngakho njengendlela yentliziyo yakho yokukutshela ukuthi idinga ukwanda kokugeleza kwegazi ukuze isebenze kahle.
Lokhu kwenzeka uma ama-artery e-coronary (izitho zegazi ezondla inhliziyo yakho) ziqina noma zivalekile. Uma inhliziyo yakho isebenza kanzima ngesikhathi somsebenzi womzimba noma ukucindezeleka, idinga oksijini okuningi, kodwa ama-artery aqinile awanakho ukuletha igazi elanele ukuhlangabezana nalolu sidingo.
I-Angina ngokwayo akuyona ukushaywa kwentliziyo, kodwa ingaba yisibonakaliso sokuthi unesongo elikhulu lokuba nalo. Izindaba ezinhle ukuthi ngokwelashwa okufanele kanye nezinguquko zendlela yokuphila, abantu abaningi abane-angina baphila impilo egcwele, esebenzayo.
Isimpawu esivamile kakhulu ubuhlungu noma ukucindezela kwesifuba, kodwa i-angina ingazizwa ngezindlela ezahlukene kumuntu ngamunye. Abanye bayichaza njengokucindezela, ukushisa, noma ukuzizwa sengathi othile uhlezi phezu kwesifuba sabo.
Nazi izimpawu ongazihlangabezana nazo ngesikhathi se-angina:
Abesifazane nabantu abadala ngezinye izikhathi bahlangabezana nezimpawu ezahlukene kunokuthi ubuhlungu besifuba obuvamile. Ungase uzizwe ukhuluphuka kakhulu, ukuphefumula okufushane, noma ukukhathala okukhulu esikhundleni sokungakhululeki kwesifuba okucacile.
Lezi zimpawu ngokuvamile zihlala imizuzu embalwa futhi zivame ukuthuthuka ngokuphumula noma ngemithi. Uma izimpawu zakho zintsha, ziyaqina, noma zihlala isikhathi eside kunokujwayelekile, kubalulekile ukufuna ukunakekelwa kwezokwelapha ngokushesha.
Kunezinhlobo eziningi ze-angina, nokuqonda ukuthi yiluphi uhlobo olukhona kusiza ukuqondisa ukwelashwa kwakho. Uhlobo ngalunye lunezimbangela nezindlela ezahlukene.
I-angina eqinile uhlobo oluvamile kakhulu. Kwenzeka ngokubikezelwayo ngesikhathi somsebenzi womzimba noma ukucindezeleka komzwelo futhi iyahamba ngokuphumula noma ngemithi. Iziqephu ngokuvamile zihlala isikhathi esifanayo futhi zizizwa zifana njalo.
I-angina engaqinile iyingozi futhi ayibikezelwe. Ingenzeka ngisho nalapho uphumula futhi ingase ihlale isikhathi eside kunokuthi i-angina eqinile. Lolu hlobo alulandeli iphethini futhi lungase lungathuthuki ngemithi yakho evamile.
I-angina eguqukayo (ebizwa nangokuthi i-angina ka-Prinzmetal) ayivamile futhi ivela uma i-artery ye-coronary ihlushwa isikhashana futhi icine. Lolu hlobo ngokuvamile luvela ngokuphumula, ngokuvamile ngesikhathi sokulala noma ekuqaleni kwamahora.
Kukhona futhi i-microvascular angina, ethinta ama-artery amancane e-coronary. Lolu hlobo lungase lube nzima ukuthola ukuthi yini ngoba ukuhlolwa okuvamile kungase kungabonisi ukuvimba ema-artery amakhulu.
I-Angina ivela uma isifuba sakho singatholi igazi elinokulinganisela le-oksijini ukuze sihlangabezane nezidingo zalo. Lokhu ngokuvamile kwenzeka ngenxa yezinkinga ngama-artery e-coronary.
Imbangela evamile kakhulu yisifo se-artery ye-coronary, lapho amafutha abizwa ngokuthi i-plaque akha ngaphakathi kwama-artery akho. Ngokuhamba kwesikhathi, le plaque iqina futhi icine ama-artery, inciphisa ukwanda kwegazi esibungwini sakho.
Nazi izinto eziyinhloko ezingabangela i-angina:
Ngokungavamile, izimo ezinjengokuqubuka okuqinile, izifo ze-thyroid, noma imithi ethile zingabangela izimpawu ze-angina. Ngezinye izikhathi, ukucindezeleka komzimba noma komzwelo kungaletha izimpawu ngisho nalapho isifo se-coronary esiyisisekelo sibuthakathaka.
Ukuqonda ukuthi yini ebangela i-angina yakho kusiza wena nodokotela wakho ukuba wenze uhlelo lokwelapha oluhle kakhulu olufanele isimo sakho.
Kufanele ubheke udokotela ngokushesha uma uhlangabezana nobuhlungu noma ukungakhululeki kwesifuba okokuqala. Ngisho noma awuqiniseki ukuthi yi-angina, kuhlale kungcono ukuhlolwa ngokushesha.
Shaya u-911 ngokushesha uma ubuhlungu besifuba bakho bukhulu, buhlala isikhathi eside kunimizuzu embalwa, noma buza nokubila, ukuphefumula okufushane, noma ubuhlungu obuya esandleni sakho noma emaxatheni. Lokhu kungaba izimpawu zokushaywa kwentliziyo.
Kufanele futhi ufuna ukunakekelwa kwezokwelapha okusheshayo uma una-angina eyaziwayo kodwa izimpawu zakho zishintsha. Lokhu kufaka phakathi ubuhlungu obukhulu kunokujwayelekile, obuhlala isikhathi eside, obuvela njalo, noma obuvela lapho uphumula.
Hlela i-aphoyintimenti ejwayelekile nodokotela wakho uma unekungakhululeki okuncane kwesifuba okuza nokudlula, ikakhulukazi uma kwenzeka ngesikhathi somsebenzi womzimba noma ukucindezeleka. Ukuhlolwa kwasekuqaleni kungasiza ukuvimbela izinkinga ezinkulu ngokuhamba kwesikhathi.
Izinto eziningi zingandisa amathuba akho okukhula kwe-angina, nokuqonda lokhu kungakusiza ukuba uthathe izinyathelo zokuvikela impilo yentliziyo yakho.
Ezinye izinto ezingaholela kulokhu awunakho ukuzishintsha, kodwa eziningi zilawulwa ngezinqumo zokuphila kanye nokuphathwa kwezokwelapha.
Izinto ezingaholela kulokhu ongenakho ukuzishintsha:
Izinto ezingaholela kulokhu ongazithinta:
Izinto ezingaholela kulokhu eziningi onazo, amathuba akho okukhula kwe-angina aphezulu. Noma kunjalo, ukwenza izinguquko ezinhle ezintweni ezingalawuleka kunganciphisa kakhulu ingozi yakho futhi kuthuthukise impilo yakho yonke yentliziyo.
Nakuba i-angina ngokwayo ingabi yingozi eyingozi ngokushesha, ingabonisa izinkinga zentliziyo ezingase ziholele ezingozini ezinkulu uma zingaphathwa.
Ingozi ephambili kakhulu ukuba nokushaywa kwentliziyo. Lokhu kwenzeka uma i-artery ye-coronary ivaliwe ngokuphelele, isikhawula ukwanda kwegazi engxenyeni yesifuba sakho. Abantu abane-angina banengozi enkulu yokushaywa kwentliziyo kunalabo abangenayo.
Nazi izingozi ezingase zenzeke okufanele uzazi:
Izingozi ezingavamile kodwa ezingathi sína zingafaka i-stroke uma futhi unezinye izinto ezingaholela kulokhu ezingozi. Abanye abantu bathuthukisa ukwehluleka kwentliziyo okuqhubekayo ngokuhamba kwesikhathi uma isifo sabo se-coronary artery siqhubeka.
Izindaba ezinhle ukuthi ukwelashwa okufanele kanye nezinguquko zokuphila kunganciphisa kakhulu ingozi yalezi zingozi. Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezokwelapha kusiza ukuqinisekisa imiphumela emihle kakhulu.
Izehlakalo eziningi ze-angina zingavimbeka ngokuhlala inhliziyo yakho nemiphunga yegazi iphilile impilo yakho yonke. Okubalulekile ukulungisa izinto ezingaholela kulokhu ezingaphansi ngaphambi kokuba ziholele esifweni se-coronary artery.
Iqhinga elikhulu kakhulu lokuvimbela ukugcina indlela yokuphila enempilo yentliziyo. Lokhu kusho ukudla ukudla okulinganiselayo okunomsoco wezithelo, imifino, ama-grains aphelele, namaprotheni ahlanzekile ngenkathi kuncishiswa amafutha agcwele, ukudla okucutshunguliwe, kanye nensipho engaphezulu.
Nazi izindlela eziyinhloko zokuvimbela:
Uma unezimo ezinjengokuqina kwegazi, i-diabetes, noma i-kolesterol ephezulu, ukusebenzisana nodokotela wakho ukulawula lokhu ngokuphumelelayo kubalulekile. Ukuthatha imithi ebekiwe njengoba kuqondiswe nokubheka lezi zimo njalo kungavimbela ukuba zingonakalisi ama-artery akho.
Ngisho noma unomlando womndeni wesifo sentliziyo, lezi zinguquko zokuphila zinganciphisa kakhulu ingozi yakho futhi zikusize ugcine impilo engcono yentliziyo njengoba ukhula.
Ukuthola i-angina kuqala ngodokotela wakho oqaphela izimpawu zakho nomlando wakho wezokwelapha. Uzothanda ukwazi ukuthi ubuhlungu besifuba bakho buvela nini, buzizwa kanjani, nokuthi yini eyenziwa ngcono noma ebi kakhulu.
Udokotela wakho uzoqhuba ukuhlolwa komzimba, ahlole ukucindezeleka kwegazi, alalele inhliziyo nemiphunga yakho, futhi abuke izimpawu zesifo sentliziyo noma ezinye izimo.
Ukuhlolwa okuningi kungasiza ukuqinisekisa ukuxilongwa nokuthola ukuthi isimo sakho sibukhulu kangakanani:
Udokotela wakho angaqala ngokuvivinya okulula bese eya kokuningiliziwe uma kudingeka. Akuwona wonke umuntu odinga ukuhlolwa konke, futhi udokotela wakho uzothola ukuxuba okulungile ngokuya ngezimpawu zakho nezinto ezingaholela kulokhu.
Ngezinye izikhathi ukuxilongwa kuyaqina ngokuhamba kwesikhathi njengoba udokotela wakho eqaphela ukuthi uphendula kanjani ekwelapheni noma indlela izimpawu zakho zishintsha ngayo.
Ukuphathwa kwe-angina kugxile ekuthuthukiseni izimpawu zakho, ukuvimbela iziqephu zesikhathi esizayo, nokunciphisa ingozi yakho yokushaywa kwentliziyo. Udokotela wakho uzoqamba uhlelo olufanele olufanele uhlobo lwakho lwe-angina nempilo yakho yonke.
Imithi ngokuvamile iyilona lokuqala lokwelapha futhi ingaba nomphumela omkhulu ekulawuleni izimpawu. Lokhu kungafaka imithi yokuthuthukisa ukwanda kwegazi, ukunciphisa umsebenzi wentliziyo yakho, noma ukuvimbela ama-blood clots.
Imithi evamile ifaka:
Kwezinye izimo ezinkulu, izinqubo zingase zidingeke. I-Angioplasty ingavula ama-artery avimbile usebenzisa ibhaluni elincane futhi ngokuvamile ihlanganisa ukufaka i-stent ukuze igcine i-artery ivuliwe. Ukuhlinzwa kwe-coronary artery bypass kudala izindlela ezintsha ezingaphansi kwama-artery avimbile.
Izinqumo zokuphila zibaluleke ngokulinganayo futhi zisebenza ndawonye nokwelashwa kwezokwelapha. Udokotela wakho cishe uzoqondisa izinguquko ekudleni kwakho, uhlelo lokuzivocavoca, kanye nezinqubo zokulawula ukucindezeleka.
Umgomo ukukusiza uphile ngokunethezeka ngenkathi uvikela inhliziyo yakho isikhathi eside. Abantu abaningi bathola ukuthi ukuxuba kokwelashwa kusebenza kangcono.
Ukulawula i-angina ekhaya kuhilela ukwazi ukuthi ungaphatha kanjani iziqephu lapho zenzeka futhi uthathe izinyathelo zansuku zonke zokuzivimbela. Udokotela wakho uyonika imiyalo ethile efanele isimo sakho.
Ngesikhathi se-angina, isinyathelo sokuqala ngokuvamile ukuyeka lokho okwenzayo bese uphumula. Hlala phansi noma ulele endaweni enhle bese uzama ukuhlala uzolile.
Ukuthola ukukhululeka okusheshayo:
Izindlela zokulawula zansuku zonke:
Funda ukuqaphela izimpawu zezexwayiso zokuthi i-angina yakho ingase ibe mbi. Lokhu kufaka izimpawu ezivame kakhulu, ezinkulu, noma ezahlukene kunephethini yakho evamile.
Ukuba neqhinga eliqondile lokwenza okuthile kukusiza uzizwe uqinile futhi kuqinisekisa ukuthi uthola usizo lapho ukudingayo kakhulu.
Ukulungiselela ukuvakasha kwakho nodokotela kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu e-aphoyintimenti yakho futhi uthole ukunakekelwa okuhle kakhulu. Ukulungiselela okuhle kungasiza futhi udokotela wakho ukuba enze ukuxilongwa okuchane kakhulu ngokushesha.
Ngaphambi kwe-aphoyintimenti yakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi zenzeka nini, zihlala isikhathi esingakanani, nokuthi yini eyenziwa ngcono noma ebi kakhulu. Yiba uchwepheshe ngangokunokwenzeka ngendawo nohlobo lobuhlungu obuhlangabezana nalo.
Ulwazi olumele ulethe:
Imibuzo ongafuna ukuyibuza:
Cabanga ukuletha ilungu lomndeni noma umngani ukukusiza ukuba ukhumbule ulwazi olubalulekile. Unganqikazi ukucela incazelo uma ungakuqondi okuthile udokotela wakho akuchaza.
I-Angina iyindlela yentliziyo yakho yokukutshela ukuthi idinga igazi eliningi le-oksijini, futhi nakuba ingase ikhathaze, iyisimo esilawuleka ngokunakekelwa okufanele. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuqaphela nokwelashwa kwasekuqaleni kungasiza ukuvimbela izinkinga ezinkulu zentliziyo.
Abantu abaningi abane-angina baphila impilo egcwele, esebenzayo ngokusebenzisana eduze neqembu labo lokunakekelwa kwezokwelapha nokwenza izinqumo zokuphila ezempilo yentliziyo. Okubalulekile ukuthatha izimpawu zakho ngokungathi sína nokulandelwa uhlelo lwakho lokwelapha njalo.
Ungawunaki ubuhlungu noma ukungakhululeki kwesifuba, ikakhulukazi uma kutsha noma kuhlukile kunalokho ohlangabezana nako ngaphambili. Impilo yakho yentliziyo ifanele ivikwe, futhi kunezindlela eziningi zokwelapha ezisebenzayo ezitholakalayo ukukusiza uzizwe ungcono futhi uhlale usebenza.
Khumbula ukuthi ukuba ne-angina akusho ukuthi uya ekuhlushweni kwentliziyo. Ngokunakekelwa okufanele kanye nezinguquko zokuphila, unganciphisa kakhulu ingozi yakho futhi uthuthukise ikhwalithi yempilo yakho.
Iziqephu ze-Angina ngokuvamile ziyaphela ngokuphumula noma ngemithi, kodwa isimo esiyisisekelo esibangela i-angina ngokuvamile sidinga ukwelashwa okuqhubekayo. Nakuba iziqephu ngazinye zingase ziyeke zodwa, kubalulekile ukusebenzisana nodokotela wakho ukulungisa imbangela yangempela nokuvimbela iziqephu zesikhathi esizayo. Ukungayinaki i-angina kungabangela izinkinga ezinkulu zentliziyo ngokuhamba kwesikhathi.
Cha, i-angina ayifani nokushaywa kwentliziyo, nakuba zingase zizwe zifana. I-Angina ubuhlungu besifuba besikhashana obubangelwa ukunciphisa ukwanda kwegazi entliziyweni, kuyilapho ukushaywa kwentliziyo kwenzeka lapho ukwanda kwegazi kuvaliwe ngokuphelele, kubangela umonakalo ophakade esibungwini sentliziyo. Noma kunjalo, i-angina ingaba yisibonakaliso sokuthi unesongo elikhulu lokuba nokushaywa kwentliziyo.
Nakuba i-angina ivame kakhulu kubantu abadala, abantu abasebasha bangayithola futhi, ikakhulukazi uma benesifo se-diabetes, ukuqina kwegazi, ukubhema, noma umlando womndeni onamandla wesifo sentliziyo. Izimo ezingavamile ezinjengokuhlaselwa kwe-coronary artery noma izifo zentliziyo ezingokuzalwa zingabangela futhi i-angina kubantu abasebasha.
Iziqephu eziningi ze-angina zihlala phakathi kwemizuzu engu-1 kuya kwengu-15 futhi ziyathuthuka ngokuphumula noma i-nitroglycerin. I-Angina eqinile ngokuvamile ilandela iphethini nezikhathi ezibikezelwayo. Uma ubuhlungu besifuba bakho buhlala isikhathi eside kunimizuzu engu-20, bukhulu kunokujwayelekile, noma abuthuthuki ngokwelashwa kwakho okuvamile, funa ukunakekelwa kwezokwelapha okusheshayo ngokushesha.
Yebo, ukucindezeleka komzwelo kungenza kube khona iziqephu ze-angina. Uma ucindezelekile, izinga lokugijima kwentliziyo yakho nokucindezeleka kwegazi kuyanda, kwenza inhliziyo yakho isebenze kanzima futhi idinge oksijini okuningi. Uma ama-coronary arteries akho aqinile kakade, lolu sidingo olukhulu lungabangela ubuhlungu besifuba. Ukufunda izindlela zokulawula ukucindezeleka kuyisigaba esibalulekile sokwelashwa kwe-angina.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.