Acute coronary syndrome

Acute coronary syndrome izwi rinoreva boka remamiriro ezvinhu anomira pakarepo kana kudzikisira zvakanyanya ropa kubva pakuyerera kuenda kumhasuru yemoyo. Kana ropa risingakwanise kuyerera kuenda kumhasuru yemwoyo, mhasuru yemwoyo inogona kukuvara. Kurwadziwa kwemoyo uye angina isina kugadzikana zvese zviri zviviri zvakanyanya coronary syndromes (ACS).

Chinhu chine mafuta chinonzi plaque chinogona kuvaka mukati meetsinga dzinounza ropa rakazara oxygen mumoyo mako. Dombo rinoumbwa necholesterol, mafuta, masero, uye zvimwe zvinhu.

Dombo rinogona kudzivisa kuyerera kweropa munzira mbiri:

• Inogona kukonzera arteri kuti ive yakatetepa nekufamba kwenguva zvekuti inozovharwa zvakakwana kukonzera zviratidzo.
• Dombo racho rinodonhedza kamwe kamwe uye ropa rinoumbika rakatenderedza, zvakanyanya kudzikisira kana kuvhara tsinga.

Zvakawanda zvinokonzeresa zvechirwere chemoyo zvinogona kutungamira kune ACS.

Chiratidzo chinowanzozivikanwa che ACS kurwadziwa kwepfupa. Iyo kurwadziwa kwepfupa kunogona kuuya nekukurumidza, kuuya nekuenda, kana kutowedzera nekuzorora. Zvimwe zviratidzo zvinogona kusanganisira:

• Marwadzo mupfudzi, ruoko, mutsipa, shaya, musana, kana dumbu nzvimbo
• Kusagadzikana kunonzwa sekusunga, kusvina, kupwanya, kupisa, kudzipa, kana kurwadziwa
• Kusagadzikana kunoitika pakuzorora uye hakupere nyore kana iwe ukanwa mushonga
• Kufema kwekufema
• Kufunganya
• Nausea
• Kudikitira
• Kunzwa dzungu kana musoro wakareruka
• Kurumidza kana kusajairika kurova kwemoyo

Vakadzi uye vanhu vakuru vanowanzoona izvi zvimwe zviratidzo, kunyangwe kurwadziwa muchipfuva kwakajairika kwavari.

Anokuchengetedza hutano achaita bvunzo, teerera chipfuva chako ne stethoscope, uye bvunza nezve nhoroondo yako yekurapa.

Miedzo ye ACS inosanganisira:

• Electrocardiogram (ECG) - Iyo ECG ndiyo inowanzo bvunzo yekutanga chiremba wako achamhanya. Inoyera basa remagetsi emoyo wako. Munguva yekuyedzwa, iwe unenge uine madiki madiki akaiswa pachipfuva chako uye nedzimwe nzvimbo dzemuviri wako.
• Kuongororwa kweropa - Kumwe kuongororwa kweropa kunobatsira kuratidza chinokonzera kurwadziwa kwepfupa uye kuona kana uri panjodzi huru yekurwara nemoyo. Kuedzwa kweropa kwetroponin kunogona kuratidza kana maseru ari mumoyo mako akakuvadzwa. Bvunzo iyi inogona kusimbisa kuti uri kurwara nemoyo.
• Echocardiogram - Bvunzo iyi inoshandisa mafungu eruzha kutarisa pamwoyo wako. Iyo inoratidza kana moyo wako wakakuvadzwa uye uchigona kuwana mamwe marudzi ematambudziko emoyo.

Coronary angiography inogona kuitwa ipapo ipapo kana kana iwe wakadzikama. Muedzo uyu:

• Inoshandisa dhayi yakasarudzika uye x-ray kuona kuti ropa rinoyerera sei kuburikidza nemoyo wako
• Inogona kubatsira mupi wako kusarudza kuti ndeapi marapirwo aunoda anotevera

Mimwe bvunzo yekutarisa pamwoyo wako inogona kuitwa iwe uri muchipatara inosanganisira:

• Exercise kunetseka bvunzo
• Nyukireya kunetseka bvunzo
• Kushungurudzika echocardiography

Mupiki wako anogona kushandisa mishonga, kuvhiya, kana mamwe maitiro ekurapa zviratidzo zvako uye kudzorera kuyerera kweropa mumoyo mako. Kurapa kwako kunoenderana nemamiriro ako uye huwandu hwekuvhara mumatsinga ako. Kurapa kwako kunogona kusanganisira:

• Mushonga - Wako anokupa anogona kukupa imwe kana yakawanda mhando dzemishonga, kusanganisira aspirin, beta blockers, statins, vatete veropa, clot inopedza mishonga, Angiotensin inoshandura enzyme (ACE) inhibitors, kana nitroglycerin. Iyi mishonga inogona kubatsira kudzivirira kana kupaza ropa, kubata yakakwira BP kana angina, kudzikamisa kurwadziwa kwepfupa, uye kudzikamisa moyo wako.
• Angioplasty - Maitiro aya anovhura iyo yakavharika tsinga uchishandisa refu, yakatetepa chubhu inonzi catheter. Iyo chubhu inoiswa mune tsinga uye mupi anoisa diki rakabviswa bharumu. Bharumu rakafemerwa mukati meari tsinga kuti rivhure. Chiremba wako anogona kuisa chubhu yewaya, inonzi stent, kuti arteri ivhure.
• Bypass kuvhiya - Uku kuvhiya kuendesa ropa rakatenderedza arteri yakavharwa.

Unonyatsoita sei mushure me ACS zvinoenderana ne:

• Unokurumidza kurapwa sei
• Huwandu hwetsinga dzinovharika uye kuti hwakaipa sei kuvhara
• Ungave moyo wako wakakuvara kana kwete, pamwe nekuwanda uye nzvimbo yekukuvara, uye iko kukuvara kuri kupi

Pakati pese, iyo inokurumidza tsinga yako kuvhurika, kushoma kukuvara iwe kwaunove nako kumoyo wako. Vanhu vanowanzoita zvakanyanya kana arter yakavharwa yakavhurwa mukati maawa mashoma kubva panguva iyo zviratidzo zvatanga.

Mune zvimwe zviitiko, ACS inogona kutungamira kune mamwe matambudziko ehutano anosanganisira:

• Abnormal moyo mutinhimira
• Rufu
• Kumira kurova kwemoyo
• Kukundikana kwemoyo, kunoitika kana moyo usingakwanise kupomba ropa rakaringana
• Kubvaruka kwechimwe chetsandanyama yemoyo kuchikonzera tamponade kana kukomba kwevhavha kwakanyanya
• Kurohwa

ACS inyaya yekurapa. Kana iwe uine zviratidzo, fonera 911 kana yako yemunharaunda emergency emergency.

USA:

• Edza kuzvityaira kuenda kuchipatara.
• MIRIRA - Kana iwe uine chirwere chemwoyo, uri panjodzi huru yekufa kamwe kamwe mumaawa ekutanga.

Pane zvakawanda zvaunogona kuita kubatsira kudzivirira ACS.

• Idya kudya kunovaka moyo. Iva nezvibereko zvakawanda, miriwo, zviyo zvizere, uye nyama dzakaonda. Edza kudzikamisa chikafu chine cholesterol yakawanda uye mafuta akazara, sezvo zvakawanda zvezvinhu izvi zvinogona kuvhara tsinga dzako.
• Tora kurovedza muviri. Vavarira kuwana kanokwana maminitsi makumi matatu ekurovedza muviri zvine mwero mazuva mazhinji evhiki.
• Deredza uremu, kana iwe uri kufuta.
• Regedza kusvuta. Kusvuta kunogona kukuvadza moyo wako. Kumbira chiremba wako kana iwe uchida rubatsiro kurega.
• Wana hutano hwekudzivirira kuongororwa. Iwe unofanirwa kuona chiremba wako wenguva dzose cholesterol uye bvunzo yeropa uye dzidza maitiro ekuchengeta ako manhamba mukutarisa.
• Chengetedza mamiriro ehutano, akadai sekukwirira kweropa, cholesterol yakawanda, kana chirwere cheshuga.

Kurwadziwa kwemoyo - ACS; Myocardial infarction - ACS; MI - ACS; Acute MI - ACS; ST kukwirisa myocardial infarction - ACS; Kwete ST-kukwirira myocardial infarction - ACS; Angina isina kugadzikana - ACS; Kufambisa angina - ACS; Angina - kusagadzikana-ACS; Angina inofambira mberi

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