Azimayi ndi a Coronary Artery Disease

Matenda a mitsempha ya Coronary nthawi zambiri siwowoneka mwa amayi

Amayi amafa ndi matenda a mtima kuposa zifukwa zina zilizonse, ndipo ambiri mwa iwo amafa chifukwa cha matenda a mitsempha (CAD) . Komabe, mwa njira zingapo zofunika, amayi ena a CAD amatha kukhala osiyana kwambiri ndi "CAD" yachidule yomwe ikufotokozedwa m'mabuku azachipatala. Mwa amayiwa, kusiyana kumeneku kungachititse kuchedwa pakupanga matenda oyenera, motero, kungakhudze zotsatira zawo.

Amayi ambiri omwe ali ndi CAD amakhala ndi "mtundu" wa matendawa - matendawa amachititsa momwe malemba amanenera kuti "amayenera" kukhala ndi khalidwe, kutanthauza momwe zimakhalira ndi amuna. Kawirikawiri, amayi omwe amakhala ndi CAD ali ndi zaka pafupifupi 10 kuposa amuna omwe amapanga CAD, ndipo akazi "achikulire "wa amakhala ndi zotsatira zofanana ndi za amuna, ngati ali ndi zaka zakubadwa - nthawi yomwe CAD yawo imapezedwa ndi kuchiritsidwa panthaŵi yake mafashoni.

Ambiri mwa amayi omwe ali ndi CAD akugwera mwa "wodwalayo", chitsanzo cha CAD ".

• Werengani apa za "CAD" yeniyeni.

"CAD" ya Apt in Women

Mwamwayi, amayi ambiri kuposa amuna amasonyeza njira zowonongeka pamene akukulitsa CAD, ndipo machitidwe achilendowa nthawi zambiri amachititsa kuti asaphonye ndikupeza mankhwala osayenera, choncho, ku zotsatira zoipitsitsa.

Makamaka pali zigawo zitatu za CAD zomwe zimakhala zovuta kwa amayi:

• Zizindikiro za CAD zingakhale zosiyana ndi akazi.

• Njira zenizeni zogwiritsira ntchito CAD zikhoza kusocheretsa akazi.
• CAD yokha ikhoza kukhala yowoneka mwa akazi.

Zochitika zapaderazi za CAD, komanso zolakwika (zomwe zidakalipo ndi madokotala ambiri) kuti "akazi samangokhala ndi matenda a mtima," zimapereka mwamphamvu kwambiri kuchepetsa kuchepetsa matenda ndi matenda a CAD mwa amayi.

Tiyeni tione zinthu zitatu izi motere:

Zizindikiro za CAD Zingakhale Zosiyana Kwa Akazi.

Azimayi akamakhala ndi angina , amakhala ovuta kuposa amuna kuti aziwona zizindikiro zovuta.

M'malo mopweteka pachifuwa, nthawi zambiri amatha kumva kutentha kapena kutentha, kapena ngakhale kukhudza, komwe kumakhala kumbuyo, mapewa, mikono kapena nsagwada - ndipo nthawi zambiri akazi alibe chifuwa chilichonse.

Dokotala wochenjera adzaganiza za angina pamene wodwala aliyense (mwamuna kapena mkazi) akulongosola zovuta zapadera, zovuta zowonjezera zomwe zilipo pamwamba pa chiuno, ndipo siziyenera kutayidwa ndi zizindikiro zoterezi.

Komabe, ngati madokotala akuganiza mozama za kuthekera kwa CAD, iwo ndi otheka kwambiri kulemba zizindikiro zotere ndikumva kupweteka kwa minofu kapena mitsempha ya m'mimba.

Kugonjetsedwa kwa mitsempha ya m'mimba kumayambanso kuchita mosiyana ndi akazi. Kawirikawiri, m'malo mopweteka pachifuwa chomwe chimagwiritsidwa ntchito ngati matenda a mtima, akazi amatha kusokonezeka, kusanza, indigestion, dyspnea (kupuma pang'ono), kapena kutopa kwambiri - koma palibe chomwe amachiwona ngati ululu wamtima. Mwatsoka, izi "zizindikiro" zowonongeka ndi zosavuta kunena kuti chinthu china osati mtima.

Komanso, amayi (makamaka amayi omwe ali ndi shuga ) ndi ovuta kuposa amuna kuti azikhala ndi mtima "wamtendere" - kutanthauza kuti, matenda a mtima omwe amapezeka popanda zizindikiritso, ndipo amapezeka kokha panthawi ina.

• Werengani zambiri zokhudza zizindikiro za mtima kwa amayi.

Kuzindikira kwa CAD mu Akazi Kungakhale Kovuta Kwambiri.

Zoyezetsa matenda zomwe zimagwira ntchito bwino mwa abambo nthawi zina zimatha kusocheretsa akazi. Vuto lofala kwambiri likuwoneka ndi kuyesedwa kwa kupanikizika . Kwa amayi, electrocardiogram (ECG) nthawi ya masewera olimbitsa thupi nthawi zambiri amatha kusonyeza kusintha kwa CAD, kaya CAD ilipo kapena ayi, motero kupanga phunziroli kulivuta kumasulira.

Akatswiri ambiri a m'maganizo amawonjezera kafukufuku wamakono kapena maphunziro a thallium pamene akuyesa kupanikizika kwa mkazi, zomwe zimapangitsa kuti munthu azindikire molondola.

Kwa amayi omwe ali ndi CAD yeniyeni, angonography yamakono ndi yothandiza kwambiri ngati amuna; imatchula malo enieni omwe amaletsa mabotolo (ie, blockages) mkati mwa mitsempha yamakono , ndipo amatsogolera zosankha zothandizira. Komabe, m'mayi omwe ali ndi matenda oopsa a mitsempha (kuti akambirane mu gawo lotsatirali), mayina amtunduwu amaoneka ngati osayenera. Choncho, mwa amai angiography nthawi zambiri sizoyendetsera golide, monga momwe zilili ndi amuna ambiri.

Akazi Akazi angatengere mawonekedwe a Atypical.

Mitundu inayi ya "atypical" ya matenda a mitsempha yamakono ingayambike mwa amayi, kawirikawiri ndi wamng'ono (ie, asanamwali a mimba). Zonsezi zikhoza kuwonetsa zizindikiro za angina ndi mitsempha yowoneka ngati "yachibadwa" (yomwe ili, mitsempha yamatenda yowonongeka ikhoza kuwonekera mwachibadwa pamtundu wa angiogram). Vuto, mwachiwonekere, ndiloti ngati dokotala amakhulupirira zonse zomwe zimachitika chifukwa cha kuwonetsa kwake, amatha kuphonya matenda enieni.

• Werengani zambiri za kupweteka kwa chifuwa ndi mitsempha yodalirika yomwe imapezeka m'mayi.

Pano pali mitundu ina yonyansa ya matenda a mitsempha ya m'mimba yomwe imawoneka mwa amayi nthawi zambiri kusiyana ndi amuna. Tsatirani maulumikizidwe a zokambirana zambiri.

• Angina Prinzmetal
• Cardiac Syndrome X (CSX)
• Mkazi-Zitsanzo Zachikhalidwe
• Mitsempha yamakono ya Coronary

Mawu Ochokera

Ngakhale kuti CAD ndi yofala kwambiri kwa amayi, zakhala zikuonekeratu kuti amayi a CAD akhoza kukhala osiyana kwambiri ndi a CAD mwa amuna. Izi zimapangitsa kuti matendawa akhale ovuta makamaka kwa amayi.

Ngati inu kapena wokondedwa wanu mukudandaula kuti mukhoza kukhala ndi CAD, onetsetsani kuti mukudziwa za zizindikiro zoopsa zomwe nthawi zambiri zimayendera limodzi ndi amayi, komanso zotsatira zowonongeka zomwe mungakumane nazo pakuyesa kwanu. Ndipo chofunika kwambiri, onetsetsani kuti adokotala amadziwa zochitika izi, asanayambe kulemba zizindikiro ngati kuti si mtima.

> Zotsatira:

> Hemal K, Pagidipati NJ, Coles A, et al. Kusiyana kwa kugonana pakati pa chiwerengero cha anthu, Zoopsa, Kuwonetsera, ndi Kuyesedwa kosayembekezereka mwa Odwala Okhazikika Ndi Odwala Coronary Artery Disease: Odziwika Kuchokera PAMAKHALIZO Mayeso. JACC Cardiovasc Imaging 2016; 9: 337.

> Poon S, Goodman SG, Yan RT, ndi al. Kukhazikitsa Gender Gawo: Malingaliro Kuchokera M'nthaŵi Yakale Yoganizira Kusiyanitsa Kokhudza Kugonana Mu Chithandizo ndi Zotsatira za Odwala Amene Ali Ndi Matenda Ogwiritsidwa Mwapang'onopang'ono. Chiwonongeko; 163: 66.

> Stangl V, Witzel V, Baumann G, Stangl K. Mfundo Zowonongeka Zamakono Zowona Matenda a Coronary Artery In Women. Mtima; 29: 707.