Kuvhiya kwepamoyo - kubuda

Kuvhiya kwemoyo kwepashure kunogadzira nzira nyowani, inonzi yekupfuura, yeropa neoksijeni kutenderera kutenderera kuti usvike pamwoyo wako. Kuvhiya kunoshandiswa kurapa chirwere chemwoyo checoronary. Ichi chinyorwa chinokurukura zvaunofanira kuita kuti uzvichengete iwe paunobuda muchipatara.

Muvhiyi wako akatora tsinga kana tsinga kubva kune chimwe chikamu chemuviri wako kuti agadzire, kana kupfuura, kukomberedza tsinga yakanga yakavharika uye yaisagona kuunza ropa rakaringana pamoyo wako.

Kuvhiya kwako kwakaitwa kuburikidza necision (cheka) muchipfuva chako. Kana akavhiya akapfuura nepachipfuva chako, chiremba anovhiya akaigadzira newaya nendiro yesimbi, uye ganda rako rakavharwa nemisono. Iwe zvakare waive nekacheche kakagadzirwa mugumbo kana ruoko, uko tsinga yakatorwa kuti ishandiswe pakudarika.

Mushure mekuvhiyiwa, zvinotora 4 kusvika kumavhiki matanhatu kupora zvakakwana uye kutanga kunzwa zviri nani. Zvakajairika ku:

• Iva nemarwadzo mubhokisi rako nzvimbo yakatenderedza yako incision
• Iva nehurombo hwekudya kwemavhiki maviri kusvika mana
• Iva nemafungiro uye unonzwa kuora mwoyo
• Iva nekuzvimba mugumbo iro rakatorwa mutsinga
• Inzwa kuchenesa, kushaya simba, kana kushushikana kutenderedza pane kwako chipfuva negumbo kwemwedzi mitanhatu kana kupfuura
• Unotadza kurara husiku
• Kuzvimbirwa kubva kumishonga yekurwadziwa
• Une dambudziko nekurangarira kwenguva pfupi kana kunzwa kunetseka ("fuzzy-musoro")
• Iva wakaneta kana kusava nesimba rakawanda
• Iva nekufema kwekufema. Izvi zvinogona kuve zvakaipisisa kana iwe zvakare uine matambudziko emapapu. Vamwe vanhu vanogona kushandisa oxygen pavanoenda kumba.
• Iva neutera mumaoko ako kwemwedzi wekutanga

Iwe unofanirwa kuve nemumwe munhu anogara newe mumba mako kweinenge yekutanga 1 kusvika 2 mavhiki mushure mekuvhiyiwa.

Dzidza maitiro ekutarisa yako kurova, uye woitarisa mazuva ese.

Ita zvekufema zvawadzidza muchipatara kwe4 kusvika kumavhiki matanhatu.

Shower mazuva ese, uchishambidza iyo incision zvinyoro nesipo nemvura. Usashambira, nyura mutabhu inopisa, kana kugeza kusvikira incision yako yapora zvachose. Tevera kudya kunovaka moyo.

Kana iwe uchinzwa kushushikana, taura nemhuri yako neshamwari. Kumbira mupi wako wezvehutano nezve kuwana rubatsiro kubva kumupi wezano.

Ramba uchitora mishonga yako yese yemoyo wako, chirwere cheshuga, kuwedzerwa kweropa, kana chero mamwe mamiriro auinawo.

• Usarega kutora chero mushonga usati watanga kutaura nemupi wako.
• Mupiki wako anogona kukurudzira antiplatelet (ropa-kutetepa) zvinodhaka senge aspirin, clopidogrel (Plavix), prasugrel (Effient), kana ticagrelor (Brilinta) kubatsira kuchengetedza arteri yako kubatanidza yakavhurika.
• Kana iwe uri kutora ropa rakatetepa, senge warfarin (Coumadin), iwe ungangoda kuve nekuwedzera kuongororwa kweropa kuti uone kuti yako dosi iri chaiyo.

Ziva maitiro ekupindura kune angina zviratidzo.

Ramba uchishanda panguva yako yekupora, asi tanga zvishoma nezvishoma.

• Usamire kana kugara panzvimbo imwechete kwenguva refu. Famba-famba zvishoma.
• Kufamba chiitiko chakanaka chemapapu nemoyo mushure mekuvhiyiwa. Usave nehanya nezve kukurumidza kwauri kufamba. Tora zvishoma.
• Kukwira masitepisi kwakanaka, asi chenjera. Balance inogona kunge iri dambudziko. Zorora pakati nepakati pamatanho kana uchida.
• Chiedza mabasa epamba, akadai sekumisa tafura, kupeta mbatya, kufamba, uye kukwira masitepisi, zvinofanirwa kunge zvakanaka.
• Zvishoma nezvishoma wedzera huwandu uye kusimba kwezviito zvako pamusoro pemwedzi mitatu yekutanga.
• Usarovedze kunze kana kuchitonhora kana kupisa zvakanyanya.
• Mira kana iwe uchinzwa kushoma mweya, dzungu, kana chero kurwadziwa muchipfuva chako. Usaite chero chiitiko kana kurovedza muviri kunokonzera kudhonza kana kurwadziwa pachipfuva chako, sekushandisa muchina wekukwasva kana kusimudza uremu.
• Chengetedza nzvimbo dzako dzekucheka dzakadzivirirwa kubva kuzuva kudzivirira kupisa kwezuva.

Usatyaire kweanosvika mavhiki mana kusvika matanhatu mushure mekuvhiyiwa kwako. Kumonyoroka kunoitwa mukutenderedza vhiri remudhiraivho kunogona kukweva pane yako incision. Kumbira mupi wako kana iwe ungadzokera kubasa, uye kutarisira kuva kure nebasa kwemavhiki matanhatu kusvika masere.

Usafambe kweanenge mavhiki maviri kana mana. Kumbira mupiki wako kana kufamba kwakanaka. Zvakare, bvunza mupi wako usati watanga kuita bonde zvakare. Kazhinji yenguva yacho zvakanaka mushure memasvondo mana.

Iwe unogona kuendeswa kune yakasarudzika chirongwa chemoyo chekuvandudza. Iwe unozowana ruzivo uye kurairwa nezve chiitiko, chikafu, uye rinotariswa kurovedza muviri.

Kwemavhiki matanhatu ekutanga mushure mekuvhiyiwa kwako, unofanirwa kungwarira nezvekushandisa maoko ako uye nemusoro muviri paunofamba.

• Usasvika kumashure.
• Usarega chero munhu achikweva maoko ako chero chikonzero - semuenzaniso, kana ivo vari kukubatsira iwe kufamba famba kana kusimuka pamubhedha.
• Usasimudze chero chinhu chinorema kupfuura mapaundi mashanu kusvika ku7 (maviri kusvika matatu makirogiramu).
• Usaite kunyange rakareruka basa remumba kweinenge maviri kusvika matatu mavhiki.
• Tarisa nemubatsiri wako usati washandisa maoko nefudzi rako zvakanyanya.

Kukwesha mazino ako kwakanaka, asi usaite zvimwe zviitiko zvinochengeta maoko ako pamusoro pemapfudzi ako chero nguva yenguva. Chengetedza maoko ako padyo nemativi ako paunenge uchizvishandisa kuti ubve pamubhedha kana pachigaro. Unogona kukotama kumberi kuti usunge shangu dzako. Nguva dzose mira kana iwe uchinzwa uchidhonza pane rako zamu pfupa.

Wako mupi achakutaurira maitiro ekuchengeta ronda rako repachipfuva. Iwe ungango bvunzwa kuchenesa yako yekuvhiya yakatemwa zuva nezuva nesipo nemvura, uye zvinyoronyoro kuomesa. Usashandise chero mafuta, mafuta, mapoda, kana mairi kunze kwekunge mupi wako akakuudza kuti zvakanaka.

Dai iwe waive nekucheka kana kucheka pagumbo rako:

• Chengetedza makumbo ako akasimudzwa pawakagara.
• Pfeka hosi yakasununguka yeTED kwemasvondo maviri kusvika matatu kusvikira kuzvimba kwapera uye wave kunyanya kushanda.

Fonera mupiki wako kana:

• Iwe une kurwadziwa kwepachipfuva kana kufema kwekufema kusingaendi kana uchizorora.
• Kupomba kwako kunonzwa kusinganzwisisike - kunononoka (kushoma pane makumi matanhatu kurova paminiti) kana kukurumidza kwazvo (pamusoro pezana kusvika zana nemakumi matanhatu kurova miniti).
• Une dzungu, kufenda, kana kuti wakaneta zvakanyanya.
• Iwe une musoro wakakomba usingaperi.
• Une chikosoro chisingapere
• Uri kukosora ropa kana yero kana girini mamota.
• Une matambudziko ekutora chero emoyo wako mishonga.
• Kurema kwako kunokwira neanopfuura mapaundi maviri (kilogiramu imwe) pazuva kwemazuva maviri akateedzana.
• Ronda rako rinochinja. Iro rakatsvuka kana kuzvimba, rakavhura, kana kune rimwe dhirina rinouya kubva kwariri.
• Iwe une kutonhora kana fivha inopfuura 101 ° F (38.3 ° C).

Off-pombi coronary arteri kupfuura - kubuda; OPCAB - kuburitsa; Kurova kuvhiyiwa kwemoyo - kubuda; Bypass kuvhiya - moyo - kubuda; CABG - kuburitsa; Coronary arteri inopfuura kubatanidza - kubuda; Coronary artery inopfuura nekuvhiya - kubuda; Coronary yekupfuura kuvhiya - kubuda; CAD - yekupfuura kuburitsa; Coronary arteri chirwere - kupfuura kubuda

• Maitiro ekutora yako wrist pulse
• Kutora yako carotid pulse

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS yakanangana nekudzidziswa kweiyo gwara rekuongororwa uye manejimendi evarwere vane yakatsiga ischemic moyo chirwere: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane Dzidzira Maitiro, uye iyo American Association for Thoracic Kuvhiya, Kudzivirira Cardiovascular Nurses Association, Sosaiti yeCardiovascular Angiography uye Kupindira, uye Sosaiti yeTracic Surgeons. Kutenderera. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS nhungamiro yekuongororwa uye manejimendi evarwere vane yakatsiga ischemic moyo chirwere: mushumo weAmerican College yeCardiology Foundation / American Heart Association boka rezvemitemo yekudzidzira uye iyo American College yeVarapi, American Association for Thoracic Kuvhiya, Kudzivirira Cardiovascular Nurses Association, Sosaiti yeCardiovascular Angiography uye Kupindira, uye Sosaiti yeVanyoro Vanachiremba. Kutenderera. 2012; 126 (25): 3097-3137. PMID: 23166210 pubmed.ncbi.nlm.nih.gov/23166210/.

Fleg JL, Fomu DE, Berra K, et al. Sekondari kudzivirira atherosclerotic yemwoyo chirwere muvakuru vakuru: chirevo chesainzi kubva kuAmerican Heart Association. Kutenderera. 2013; 128 (22): 2422-2446. PMID: 24166575 pubmed.ncbi.nlm.nih.gov/24166575/.

Kulik A, Ruel M, Jneid H, uye al. Sekondari kudzivirira mushure mecoronary artery inopfuura yekuvhiya graft: chirevo chesainzi kubva kuAmerican Heart Association. Kutenderera. 2015; 131 (10): 927-964. PMID: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.

Mangwana DA, de Lemos JA. Yakasimba ischemic chirwere chemoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 61.

Omer S, Cornwell LD, Bakaeen FG. Kuwana chirwere chemoyo: coronary insufficiency. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 59.

• Angina
• Coronary chirwere chemoyo
• Moyo unopfuura kuvhiya
• Kutadza kwemoyo
• Yakakwira ropa cholesterol cholesterol
• Matipi ekusiya kusvuta

• Angina - kubuda
• Angina - chii chekubvunza chiremba wako
• Angina - kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara pachipfuva
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Kuva unoshingaira mushure mekurwadziwa kwemoyo wako
• Kuva unoshingaira kana uine chirwere chemwoyo
• Butter, majarini, uye mafuta ekubikisa
• Cholesterol uye mararamiro
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Kurwadziwa kwemoyo - kubuda
• Kurwisa kwemoyo - chii chekubvunza chiremba wako
• Moyo wekupfuura kuvhiya - kushomeka zvisingaite - kubuda
• Chirwere chemwoyo - njodzi zvinhu
• Maitiro ekuverenga zvinyorwa zvekudya
• Kudya kweMediterranean
• Kuchengeta ronda rekuvhiya - rakavhurika
• Wet-to-yakaoma kupfeka shanduko

• Coronary Artery Bypass Kuvhiya