Angina akatsiga

Akagadzikana angina kurwadziwa kwepfupa kana kusagadzikana kunowanzoitika nebasa kana kushushikana mupfungwa.Angina inokonzerwa nekusarongeka kweropa kuyerera kuburikidza nemidziyo yeropa mumoyo.

Mwoyo wako mhasuru inoda kugara ichipiwa oxygen. Iyo aronon arteri inotakura okisijeni-yakazara ropa kune moyo.

Kana mhasuru yemoyo ichifanira kushanda nesimba, inoda oxygen yakawanda. Zviratidzo zve angina zvinoitika kana kupihwa kweropa kune mhasuru yemwoyo kwadzikira. Izvi zvinoitika kana tsinga dzekoniyoni dzakadzikira kana kuvharika ne atherosclerosis kana neropa.

Chikonzero chakanyanya kukonzera angina chirwere checoronary artery. Angina pectoris ndiro izwi rekurapa rerudzi urwu rwekurwadziwa kwepfupa.

Angina yakadzikama haina kudzikira pane angina isina kugadzikana, asi inogona kurwadza kana kusagadzikana.

Kune zvakawanda zvinokonzeresa zviitiko zvecoronary arteri chirwere. Zvimwe zvinosanganisira:

• Chirwere cheshuga
• Kuwedzera kweropa
• Yakakwira LDL cholesterol
• Yakaderera HDL cholesterol
• Sedentary mararamiro
• Kusvuta
• Kukwegura
• Varume bonde

Chero chipi zvacho chinoita kuti mhasuru yemoyo inoda yakawanda okisijeni kana kudzikisa huwandu hweoksijeni iyo yaunowana inogona kukonzera angina kurwisa kune mumwe munhu ane chirwere chemwoyo, kusanganisira:

• Kutonhora kwemamiriro ekunze
• Rovedza muviri
• Kushungurudzika mupfungwa
• Kudya kukuru

Zvimwe zvinokonzera angina zvinosanganisira:

• Abnormal moyo mutinhimira (moyo wako unorova nekukurumidza zvikuru kana moyo wako mutinhimira usiri wenguva dzose)
• Anemia
• Coronary arteri spasm (inonziwo Prinzmetal angina)
• Kutadza kwemoyo
• Chirwere chevharuvhu yemoyo
• Hyperthyroidism (yakanyanyisa hutachiona)

Zviratidzo zveakaina angina zvinowanzo fungidzirwa. Izvi zvinoreva kuti iyo yakafanana chiyero chekurovedza muviri kana chiitiko chinogona kukonzera kuti angina yako iitike. Angina yako inofanira kusimudzira kana kuenda kana iwe ukamira kana kunonoka iko kuita.

Chiratidzo chakajairika kurwadziwa kwepfupa kunoitika kuseri kwechifuva kana zvishoma kuruboshwe kwaro. Kurwadziwa kweangina yakadzikama kazhinji kunotanga zvishoma nezvishoma uye kunowedzera kuwedzera pamaminetsi mashoma anotevera usati waenda.

Kazhinji, kurwadziwa kwepachipfuva kunonzwa senge kuomarara, kumanikidza, kumanikidza, kana kupwanya kunzwa. Inogona kupararira kune iyo:

• Ruoko (kazhinji kazhinji kuruboshwe)
• Kudzoka
• Shaya
• Neck
• Pfudzi

Vamwe vanhu vanoti marwadzo anonzwa kunge gasi kana indigestion.

Zvishoma zviratidzo zvinozivikanwa zveangina zvinogona kusanganisira:

• Kuneta
• Kufema kwekufema
• Kushaya simba
• Dzungu kana hurema
• Kushungurudza, kurutsa, uye kutuka
• Palpitations

Marwadzo kubva angina akatsiga:

• Kazhinji kazhinji kunouya nebasa kana kushushikana
• Inoita avhareji yemaminetsi 1 kusvika gumi nemashanu
• Inorerutswa nezororo kana mushonga unonzi nitroglycerin

Kurwiswa kweAngina kunogona kuitika chero nguva masikati. Kazhinji, zvinoitika pakati pa6 am uye masikati.

Anokuchengetedza hutano anokuongorora uye otarisa BP yako. Miedzo inogona kuitwa inosanganisira:

• Coronary angiography
• Ropa cholesterol nhoroondo
• ECG
• Exercise shiviriro bvunzo (kunetseka bvunzo kana treadmill bvunzo)
• Nyukiliya mushonga (thallium) kunetseka bvunzo
• Kushungurudzika echocardiogram
• Mwoyo CT scan

Kurapa kweangina kunogona kusanganisira:

• Mararamiro anochinja
• Mishonga
• Maitiro senge coronary angiography ine stent kuiswa
• Coronary artery inopfuura nekuvhiya

Kana iwe uine angina, iwe nemupi wako munovandudza chirongwa chezuva nezuva chekurapa. Iri zano rinofanira kusanganisira:

• Mishonga yaunogara uchitora kudzivirira angina
• Zviito zvaunogona kuita uye izvo zvaunofanira kudzivirira
• Mishonga iwe yaunofanirwa kutora kana iwe uine kurwadziwa kweangina
• Zviratidzo zvinoreva kuti angina yako iri kuwedzera kuipa
• Paunofanira kufonera chiremba kana kuwana rubatsiro rwechimbichimbi

MISHONGA

Ungangoda kutora imwe kana yakawanda mishonga yekurapa BP, chirwere cheshuga, kana yakakwira cholesterol mazinga. Tevedza zvinongedzo zvemupi wako padhuze kuti ubatsire kudzivirira angina yako kubva pakuipa.

Nitroglycerin mapiritsi kana pfapfaidzo inogona kushandiswa kumisa kurwadziwa muchipfuva.

Anti-clotting zvinodhaka zvakadai seaspirin uye clopidogrel (Plavix), ticagrelor (Brilinta) kana prasugrel (Effient) inogona kubatsira kudzivirira kugwamba kweropa kubva mukuumba mutsinga dzako uye kuderedza njodzi yekurwadziwa nemoyo. Kumbira mupiki wako kana uchifanira kutora mishonga iyi.

Ungangoda kutora mimwe mishonga kuti ikubatsire kudzivirira kubva kune angina. Izvi zvinosanganisira:

• ACE inhibitors kudzikisa BP uye chengetedza moyo wako
• Beta-blockers kudzikisa kurova kwemoyo, kuwedzerwa kweropa, uye oksijeni kushandiswa nemoyo
• Calcium chiteshi blockers yekuzorodza tsinga, kudzikisa BP, uye kudzikisira kuomesa pamoyo
• Nitrate kubatsira kudzivirira angina
• Ranolazine (Ranexa) kurapa angina isingagumi

Usambofa Wakamira Kutora Chero IYE ZVINODZIDZISWA IZVI PANE YAKO. Nguva dzose taura nemupi wako kutanga. Kumisa mishonga iyi nekukasira kunogona kuita kuti angina yako iwedzere kana kukonzera chirwere chemwoyo. Izvi zvinonyanya kuitika kune anti-clotting zvinodhaka (aspirin, clopidogrel, ticagrelor uye prasugrel).

Mupiki wako anogona kukurudzira chirongwa chekuvandudza moyo kuti ubatsire kunatsiridza kugwinya kwemoyo wako.

KUVhiyiwa

Vamwe vanhu vanozogona kudzora angina nemishonga uye vasingade kuvhiyiwa. Vamwe vachada nzira inonzi angioplasty uye stent placement (inonziwo percutaneous coronary kupindira) kuvhura yakavharika kana kudzikisira tsinga dzinopa ropa kumoyo.

Blockages iyo isingakwanise kurapwa ne angioplasty ingangoda moyo kupfuudza kuvhiyiwa kuti itungamirezve kuyerera kweropa kutenderedza iyo yakatetepa kana yakavharika mitsipa yeropa.

Angina akatsiga kazhinji anovandudza pakutora mishonga.

Tora rubatsiro rwechiremba ipapo ipapo kana uine nyowani, isingatsanangurwe chipfuva kurwadziwa kana kumanikidza. Kana iwe wakambove neangina kare, fonera mupi wako.

Fonera 911 kana iyo yemuno emergency emergency kana yako angina kurwadziwa:

• Hazvisi nani maminetsi mashanu mushure mekutora nitroglycerin
• Hazvibve mushure memadosi matatu e nitroglycerin
• Zviri kuwedzera
• Inodzoka mushure meiyo nitroglycerin yakabatsira pakutanga

Fonera mupiki wako kana:

• Iwe une angina zviratidzo kazhinji
• Iwe une angina pawakagara (zorora angina)
• Uri kunzwa kuneta kakawanda
• Uri kunzwa kupera simba kana kureruka musoro
• Mwoyo wako uri kurova zvishoma nezvishoma (pasi pemakumi matanhatu kurova paminiti) kana nekukurumidza zvakanyanya (anopfuura makumi matanhatu kurova paminiti), kana kuti haina kudzikama (yakajairika)
• Iwe uri kunetseka kutora yako mwoyo mishonga
• Iwe une zvimwe zviratidzo zvisina kujairika

Wana rubatsiro rwechiremba ipapo ipapo kana munhu ane angina akarasikirwa nehana (akapfuura).

Chinhu chengozi chinhu pamusoro pako icho chinowedzera mukana wako wekutora chirwere kana kuve nehumwe hutano mamiriro.

Zvimwe zvinenjodzi zvechirwere chemwoyo haugone kuchinja, asi zvimwe unogona. Kuchinja zvinhu zvine njodzi zvaunogona kudzora zvinokubatsira iwe kurarama hupenyu hwakareba, hune hutano.

Angina - akatsiga; Angina - chisingaperi; Angina pectoris; Kurwadziwa pachifuva - angina; CAD - angina; Coronary tsinga chirwere - angina; Chirwere chemwoyo - angina

• Angina - kubuda
• Angina - chii chekubvunza chiremba wako
• Angina - kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara pachipfuva
• Kurwisa kwemoyo - chii chekubvunza chiremba wako

• Moyo - pamberi pekutarisa
• Angina akatsiga

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Boden WE. Angina pectoris uye yakagadzikana ischemic chirwere chemoyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsamba 62.

Bonaca MP. Sabatine MS. Iyo nzira kune murwere ane kurwadziwa pachipfuva. 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: chitsuwa 56.

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. J Ndiri Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860/.

Morrow DA, de Lemos JA .. Yakagadzikana 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.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA nhungamiro yekudzivirira, kuona, kuongorora, uye manejimendi yeropa muvanhu vakuru: pfupiso yepamusoro: mushumo weAmerican College ye Cardiology / American Heart Association Task Force paKiriniki Yekudzidzira Mazano. J Ndiri Coll Cardiol. 2018; 71 (19) 2199-2269. PMID: 29146533 pubmed.ncbi.nlm.nih.gov/29146533/.