Kurarama nechirwere chemwoyo uye angina

Coronary mwoyo chirwere (CHD) kudzikira kwemidziyo midiki yeropa inopa ropa neoksijeni kumoyo. Angina kurwadziwa muchipfuva kana kusagadzikana kunowanzoitika kana iwe uchiita zvimwe zviitiko kana kunzwa kushushikana. Ichi chinyorwa chinokurukura zvaunogona kuita kudzora kurwadziwa kwepfupa uye kudzikisa njodzi dzako kuchirwere chemwoyo.

CHD kudzikira kwemidziyo midiki yeropa inopa ropa neoksijeni kumoyo.

Angina kurwadziwa muchipfuva kana kusagadzikana kunowanzoitika kana iwe uchiita zvimwe zviitiko kana kunzwa kushushikana. Inokonzereswa nekusarongeka kweropa kuyerera kuburikidza nemidziyo yeropa yemutsipa wemwoyo.

Kana iwe uine yakakwira BP, chirwere cheshuga, kana yakakwira cholesterol, wako wekuchengeta hutano anogona kukuraira kuti:

• Chengetedza yako yeropa inodzorwa kazhinji kusvika 130/80. Pazasi zvinogona kuve zvirinani kana iwe uine chirwere cheshuga, hosha yeitsvo, sitiroko, kana matambudziko emoyo, asi wako mupi achakupa zvinangwa zvako.
• Tora mishonga yekudzikisa cholesterol yako.
• Chengetedza HbA1c uye shuga yeropa pamatanho akakurudzirwa.

Zvimwe zvinodzora njodzi zvehosha yemwoyo ndeizvi:

• Kunwa doro. Kana iwe uchinwa, zvigadzirise kwete inopfuura 1 yekumwa pazuva kune vakadzi, kana 2 pazuva kune varume.
• Hutano hwepfungwa. Ongorora uye ubatwe kushushikana, kana zvichidikanwa.
• Rovedza muviri. Wana maekisesaizi akawanda, sekufamba, kushambira, kana kuchovha bhasikoro, ingangoita maminetsi makumi mana pazuva, mazuva matatu kusvika mana pavhiki.
• Kusvuta. Usapute kana kushandisa fodya.
• Kushungurudzika. Dzivisa kana kuderedza kunetseka zvakanyanya sezvaunogona.
• Kurema. Chengetedza huremu hune hutano. Vavarira muviri mass index (BMI) pakati pe18.5 ne24.9 uye chiuno chidiki pane makumi matatu nemashanu (90 masentimita).

Chikafu chakanaka chakakosha kune moyo wako hutano. Hutano kudya tsika kuchakubatsira iwe kudzora zvimwe zvengozi zvinhu zvako zvemoyo chirwere.

• Idya michero yakawanda, miriwo, uye zviyo zvakakwana.
• Sarudza mapuroteni akaonda, akadai sehuku isina ganda, hove uye bhinzi.
• Idya zvisina mafuta kana zvakaderera-mafuta zvigadzirwa zvemukaka, zvakadai semukaka wakasviba uye yogati ine mafuta mashoma.
• Dzivisa chikafu chine huwandu hwakawanda hwesodium (munyu).
• Verenga zvinyorwa zvekudya. Dzivisa chikafu chine mafuta akazara uye zvishoma hydrogenated kana hydrogenated mafuta. Aya ndiwo mafuta asina hutano anowanzo kuwanikwa muzvikafu zvakakangwa, chikafu chakagadzirwa, uye zvinhu zvakabikwa.
• Idya zvekudya zvishoma zvine chizi, kirimu kana mazai.

Wako mupi anogona kupa mishonga yekurapa CHD, kuwedzerwa kweropa, chirwere cheshuga, kana yakakwira cholesterol mazinga. Izvi zvinogona kusanganisira:

• ACE inhibitors
• Beta-blockers
• Calcium chiteshi blockers
• Diuretics (mapiritsi emvura)
• Statins kudzikisa cholesterol
• Nitroglycerin mapiritsi kana pfapfaidzo kudzivirira kana kumisa angina kurwisa

Kuti uderedze njodzi yekurwara nemoyo, unogona zvakare kunzi utore aspirin, clopidogrel (Plavix), ticagrelor (Brilinta) kana prasugrel (Effient) mazuva ese. Tevedza zvinongedzo zvemupi wako zvakanyatso chengetedza chirwere chemwoyo uye angina kubva pakuipa.

Gara uchitaura nemupi wako usati wamira kutora chero ipi yemishonga yako. Kumisa mishonga iyi nekukasira kana kuchinja dhizaini yako kunogona kuita kuti angina yako iwedzere kana kukonzera kurwara kwemoyo.

Gadzira chirongwa neako mupi wekutarisira angina yako. Zano rako rinofanira kusanganisira:

• Ndezvipi zviitiko zvakanaka kuti iwe uite, uye ndeapi asina
• Ndeapi mishonga yaunofanira kutora kana uine angina
• Ndezvipi zviratidzo zvekuti angina yako iri kuwedzera kuipa
• Paunofanira kufonera mupiki wako kana 911 kana iyo yemuno emergency nhamba

Ziva zvinogona kuita kuti angina yako iwedzere, uye edza kudzivisa zvinhu izvi. Semuenzaniso, vamwe vanhu vanoona kuti kutonhora kwemamiriro ekunze, kurovedza muviri, kudya chikafu chakakura, kana kutsamwa kana kushushikana kunowedzera huma yavo.

Coronary tsinga chirwere - kugara na; CAD - kugara ne; Kurwadziwa pachifuva - kugara na

• Kudya zvine hutano

Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA / ACC nhungamiro pane manejimendi manejimendi yekudzora njodzi yemoyo: chirevo cheAmerican College yeCardiology / American Heart Association Task Force pamitemo yekudzidzira. J Ndiri Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. PMID: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.

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/.

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.

Mozaffarian D. Nutrition uye zvemwoyo uye metabolic hosha. 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; 2018: chits. 49.

Dombo NJ, Robinson JG, Lichtenstein AH, et al. 2013 ACC / AHA nhungamiro yekurapwa kweropa cholesterol kuderedza atherosclerotic yemoyo njodzi kune vanhu vakuru: chirevo cheAmerican College yeCardiology / American Heart Association Task Force pane maitiro ekudzidzira.J Ndiri Coll Cardiol. 2014; 63 (25 Pt B): 2889-2934. PMID: 24239923 pubmed.ncbi.nlm.nih.gov/24239923/.

Thompson PD, Ades PA. Exercise-based, yakazara yemoyo kugadzirisa. 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 54.

• Angina
• Coronary Artery Zvirwere