Coronary chirwere chemoyo

Coronary chirwere chemoyo ndiko kudzikira kwemidziyo midiki yeropa inopa ropa neoksijeni kumoyo. Coronary mwoyo chirwere (CHD) inonzi zvakare coronary arteri chirwere.

CHD ndiyo inonyanya kukonzera rufu muUnited States kuvarume nevakadzi.

CHD inokonzerwa neyakavakwa yeplate mune arteri kune moyo wako. Izvi zvinogona zvakare kunzi kuomarara kwetsinga.

• Zvinhu zvine mafuta nezvimwe zvinhu zvinoumba dombo pakuvaka pamadziro etsinga dzako. Iyo coronary arteri inounza ropa uye oxygen kumoyo wako.
• Kuvaka uku kunokonzera tsinga kutetepa.
• Nekuda kweizvozvo, kuyerera kweropa kuenda pamoyo kunogona kudzikira kana kumira.

Njodzi yechirwere chemoyo chinhu chinowedzera mukana wako wekuchiwana. Iwe haugone kuchinja zvimwe zvinenjodzi zvehosha yemoyo, asi iwe unogona kushandura zvimwe.

Mune zvimwe zviitiko, zviratidzo zvinogona kunge zvichinyatso kuoneka. Asi, iwe unogona kuve nechirwere uye usingave nezviratidzo. Izvi zvinowanzoitika muzvikamu zvekutanga zvehosha yemoyo.

Kurwadziwa pachifuva kana kusagadzikana (angina) ndicho chiratidzo chinowanzoonekwa. Iwe unonzwa kurwadziwa uku kana moyo usiri kuwana ropa rakakwana kana oxygen. Marwadzo anogona kunzwa akasiyana kubva kumunhu kumunhu.

• Inogona kunzwa inorema kana kunge mumwe munhu ari kusvina moyo wako. Iwe unogona kuinzwa pasi pezamu rako pfupa (sternum). Iwe unogona zvakare kuzvinzwa mumutsipa wako, maoko, mudumbu, kana kumusoro kumusoro.
• Marwadzo anowanzoitika nebasa kana nemanzwiro. Inoenda nekuzorora kana mushonga unonzi nitroglycerin.
• Zvimwe zviratidzo zvinosanganisira kupfupika kwemweya wekufema uye kurukutika pamwe nekuita (kushingairira).

Vamwe vanhu vane zviratidzo kunze kwekurwadziwa kwepfupa, senge:

• Kuneta
• Kufema kwekufema
• Kazhinji kushaya simba

Anokuchengetedza hutano achakuongorora. Iwe unowanzozoda kanopfuura kamwe bvunzo usati waongororwa.

Kuyedza kuongorora CHD kunogona kusanganisira:

• Coronary angiography - Iyo inopinda bvunzo inoongorora iyo yemoyo arteri pasi pe x-ray.
• Echocardiogram kushushikana bvunzo.
• Electrocardiogram (ECG).
• Electron-beam computed tomography (EBCT) kutsvaga calcium mumucheto wemitsinga. Iyo yakawedzera calcium, inowedzera mukana wako weCHD.
• Exercise kunetseka bvunzo.
• Mwoyo CT scan.
• Nyukireya kunetseka bvunzo.

Iwe unogona kukumbirwa kutora imwe kana yakawanda mishonga yekurapa BP, chirwere cheshuga, kana yakakwira cholesterol mazinga. Tevedza zvinongedzo zvemupi wako padhuze kuti ubatsire kudzivirira CHD kubva pakuipa.

Zvinangwa zvekurapa aya mamiriro kune vanhu vane CHD:

• Iyo inowanzo shandiswa yeropa tarisheni kune vanhu vane chirwere chemoyo iri pasi pe130 / 80, asi mupi wako anogona kukurudzira rakasiyana reropa.
• Kana iwe uine chirwere cheshuga, ako HbA1c mazinga anozotariswa uye kudzikisirwa padanho rinokurudzirwa nemupi wako.
• Yako LDL cholesterol mwero ichadzikiswa nema statin zvinodhaka.

Kurapa kunoenderana nezviratidzo zvako uye kuti chirwere chakanyanya sei. Iwe unofanirwa kuziva nezve:

• Mimwe mishonga inoshandiswa kurapa angina.
• Zvaunofanira kuita kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwadza pachipfuva.
• Kuva unoshingaira kana uine chirwere chemwoyo.
• Kudya kudya kunovaka moyo.

Usamborega kutora mishonga yako usati watanga kutaura nemupi wako. Kumisa mishonga yemwoyo kamwe kamwe kunogona kuita kuti angina yako iwedzere kana kukonzera chirwere chemwoyo.

Unogona kutumirwa kuchirongwa chekuvandudza moyo kuti ubatsire kunatsiridza kugwinya kwemoyo wako.

Maitiro uye kuvhiya zvinoshandiswa kurapa CHD zvinosanganisira:

• Angioplasty uye stent kuisirwa, inonzi percutaneous coronary interventions (PCIs)
• Coronary artery inopfuura nekuvhiya
• Kuvhiyiwa kwemoyo kushoma

Wese munhu anopora zvakasiyana. Vamwe vanhu vanogona kugara vakagwinya nekushandura chikafu chavo, kurega kuputa, uye kutora mishonga yavo sekurairwa. Vamwe vangangoda nzira dzekurapa senge angioplasty kana kuvhiyiwa.

Pakati pese, kutanga kuona CHD kunowanzoendesa kumhedzisiro iri nani.

Kana iwe uine zvinhu zvine njodzi zveCHD, taura nemupi wako nezvekudzivirira uye nhanho dzekurapa dzinogona kuitika.

Fonera mupiki wako, fonera iyo yemuno emergency emergency (yakadai se911), kana enda kuimba yekukurumidzira ipapo kana uine:

• Angina kana kurwadziwa pachipfuva
• Kufema kwekufema
• Zviratidzo zvekurwadziwa kwemoyo

Tora matanho aya kubatsira kudzivirira chirwere chemwoyo.

• Ukasvuta, mira. Kune zvakawanda zviwanikwa zviripo zvekubatsira iwe kurega kuputa.
• Dzidza maitiro ekudya moyo-hutano chikafu nekuita nyore kutsiva. Semuenzaniso, sarudza mafuta-ane hutano mafuta pane bota uye mamwe mafuta akazara.
• Gara uchiita maekisesaizi, zvirinani maminetsi makumi matatu mazuva mazhinji. Kana iwe uine chirwere chemwoyo, taura nemupi wako nezve kutanga maitiro ekurovedza muviri.
• Chengetedza huremu hwemuviri hwakanaka.
• Yakadzika yakakwira cholesterol nemararamiro ehupenyu, uye kana zvichidikanwa, statin mishonga.
• Deredza kukwirira kweropa uchishandisa kudya uye mishonga.
• Taura nemupi wako nezve aspirin therapy.
• Kana iwe uine chirwere cheshuga, chengeta chakachengetedzwa-zvakanaka kubatsira kudzivirira kurwisa kwemoyo uye sitiroko.

Kunyangwe iwe uchitova nechirwere chemwoyo, kutora matanho aya kunobatsira kuchengetedza moyo wako uye kudzivirira kumwe kukuvara.

Chirwere chemwoyo, Coronary moyo chirwere, Coronary tsinga chirwere; Arteriosclerotic mwoyo chirwere; CHD; CAD

• Mushure mekuvhiyiwa-kurasikirwa nekuvhiyiwa - chii chekubvunza chiremba wako
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Usati waremerwa-kurasikirwa uremu - chii chekubvunza chiremba wako
• Cholesterol - kurapwa kwemishonga
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Gastric bypass kuvhiya - kubuda
• Kuvhiya kwepamoyo - kubuda
• Moyo wekupfuura kuvhiya - kushomeka zvisingaite - kubuda
• Chirwere chemwoyo - njodzi zvinhu
• Kutadza kwemoyo - kubuda
• Kutadza kwemoyo - zvinwiwa uye diuretics
• Kutadza kwemoyo - kuongorora kumba
• Mwoyo pacemaker - kubuda
• Maitiro ekuverenga zvinyorwa zvekudya
• Inodyara cardioverter defibrillator - kubuda
• Laparoscopic gastric banding - kubuda
• Kudya kwakaderera-munyu
• Kudya kweMediterranean

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Anterior moyo arteri
• Mashure emoyo arteri
• Acute MI
• Vanogadzira cholesterol

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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 yakashambadzirwa.ncbi.nlm.nih.gov/25070666/.

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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.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Nongedzo yekudzivirira, Kuongorora, Kuongorora, uye manejimendi Yekudzvinyirira Ropa muVakuru: Chirevo cheAmerican College yeCardiology / American Heart Association Task Force paKiriniki Dzidzira Maitiro. [Rakaburitswa gadziriso rinowanikwa muna J Am Coll Cardiol 2018; 71 (19): 2275-2279]. J Ndiri Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubed.ncbi.nlm.nih.gov/29146535/.