3 Mafunso Oyenera Kufunsa Dokotala Wanu
Tonse tazimva zonena kuti akatswiri a cardiologists akuika mowonjezereka kwambiri odwala omwe ali ndi matenda amtundu wa matenda (CAD) . Ndipo zoona zake n'zakuti izi zimachitika mochuluka kuposa momwe tingakonde kuganizira.
Ndiye kodi muyenera kuchita chiyani ngati dokotala akukuuzani kuti mukufunikira stent? Kodi ndiwe mmodzi mwa anthu omwe akufunikiradi mankhwala oyenera - kapena dokotala ayenera kuti akuyankhulani nanu za mankhwala achipatala m'malo mwake?
Ngati dokotala akukuuzani kuti mukusowa stent, mwina ayenera kuyesa kufotokoza chifukwa chake. Koma vutoli likhoza kukhala lovuta, ndipo dokotala wanu sangakhale womveka bwino mufotokozedwe lake. Ndipo mwina mungadabwe kwambiri ndi nkhani kuti mukufunikira stent kuti muganizire kwathunthu zomwe mukuuzidwa.
Mwamwayi, ngati dokotala akukuuzani kuti mukufunikira stent, pali mafunso atatu osavuta omwe mungadzifunse omwe angakuuzeni zomwe mukufuna kudziwa. Ngati mufunsa mafunso atatu awa, mumakhala mwayi wabwino kwambiri wokhala ndi stent ngati mukufunadi.
Funso Loyamba: Kodi Ndili ndi Matenda a Mtima?
Ngati muli pachiyambi cha vuto lalikulu la mtima, kutsekedwa kwa stent kungalepheretse kukhumudwa kwa mtima wanu, ndipo kungakuthandizeni kuchepetsa mwayi wodwala matenda a mtima kapena imfa. Ngati yankho la funsoli ndi "inde," ndiye stent ndi lingaliro labwino kwambiri.
Palibe chifukwa chopitabe ku Funso lachiwiri.
Funso Lachiwiri: Kodi ndili ndi Angina wosakhazikika?
Angina wosakhazikika , ngati matenda enieni a mtima, ndi mtundu wa matenda oopsa a m'mimba (ACS) - choncho imayenera kuonedwa ngati yowopsa mwachipatala. Kuikidwa koyambirira kwa stent kumatha kukhazikitsa chipika chimene chimapangitsa kuti zinthu zidziwike mwamsanga ndipo zingasinthe zotsatira zake.
Ngati yankho la funsoli ndi "inde," kuika stent ndibwino kuti muchite. Palibe chifukwa chopitabe ku Funso lachitatu.
Funso Lachitatu: Kodi Pali Njira Zochiritsira Zomwe Ndingayesere Poyamba?
Mukafika ku Funso lachitatu, zikutanthauza kuti mulibe vuto la mtima kapena angina wosakhazikika. M'mawu ena, zikutanthauza kuti muli ndi CAD yolimba. Choncho, ngakhale pang'ono, kuika stent si chinthu chomwe chiyenera kuchitidwa nthawi yomweyo. Muli ndi nthawi yoganizira za izi, ndikuganizirani zomwe mungachite.
Ndi odwala omwe ali ndi khola lokhazikika lomwe, malinga ndi umboni wabwino wachipatala alipo, akulandira zochepa kwambiri. Mu CAD yokhazikika, ntchentche zimakhala zabwino kwambiri pakuthana ndi angina , koma siziletsa matenda a mtima kapena kuchepetsa imfa ya mtima. Choncho, chifukwa chabwino chokha chokhazikitsa anthu otukuka omwe ali ndi CAD chokhazikika ndichotseretsa angina mosalekeza pamene mankhwala osokoneza bongo amalephera kuchita.
Njira Yabwino Kwambiri Yodalirika CAD
Chithandizo chabwino kwambiri cha anthu omwe ali ndi CAD yolimba ndikutenga phazi lililonse lomwe likupezeka kuti likhale lokhazikika m'mitsempha yotchedwa coronary mitsempha - ndiko kuti, kusunga zipikazo kuti zisatuluke. (Ndilo kupweteka kwa chipika chomwe chimapanga ACS pamalo oyamba).
Kulimbitsa ma plaques kumafuna kulamulira kolesterolini , kuthamanga kwa magazi , ndi kutupa, kusuta fodya , kuchita masewera olimbitsa thupi nthawi zonse, ndi kusokoneza pang'ono. Mankhwala osokoneza bongo akuphatikizapo aspirin , statins , beta blockers , ndi mankhwala a magazi (ngati n'koyenera). Ngati muli ndi angina, kuwonjezera nitrates, calcium channel blockers , ndi / kapena ranolazine kawirikawiri amayang'anira zizindikiro.
Ngati angina wanu akupitirizabe ngakhale mankhwala oopsawa, ndiye kuti, mwa njira zonse, mbola ndi chinthu chomwe chiyenera kuganiziridwa mozama. Koma kumbukirani kuti mbola imangotenga chipika chimodzi komanso kuti anthu ambiri omwe ali ndi CAD ali ndi mapulogalamu angapo.
Komanso, pamene ambiri mwa mapepalawa amaonedwa kuti ndi "opanda pake" ndi miyambo ya chikhalidwe (popeza sakuwombera kwambiri mu mitsempha), tsopano zikuwoneka kuti ambiri a ACS amapezeka pamene mwadzidzidzi umodzi wa miyala "yosafunika" imatha.
Izi zikutanthawuza kuti, kaya mutha kukhala ndi stent ya CAD yanu yodalirika kapena ayi, mukufunikira thandizo lachipatala pofuna kupewa kutsekedwa kwa chimodzi mwa "zida" zina, "zopanda pake," zomwe akatswiri a cardiologists amatha kufotokozera pang'ono kapena ayi.
Chidule
Ngati muuzidwa kuti mukusowa stent, mungathe kudziwa mwamsanga kuti mukusowa chotani, mwafunsapo mafunso atatu osavuta. Mafunso awa ndi ovuta kuti dokotala wanu ayankhe - kawirikawiri ndi ee yosavuta kapena ayi - kuti sipadzakhalanso chifukwa choti iye alephera kuwatenga.
Koma ngati zikutanthauza kuti muli ndi CAD yokhazikika, motero mbola imakhala yosadetsa nkhawa, muli ndi ngongole yokwanira yokhudza njira zonse zomwe mungasankhire musanamukakamize kuti mukhale wolimba.
> Chitsime:
> Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / ATS / PCNA / SCAI / STS Malangizo Othandizira Kuzindikira ndi Kusamalira Odwala Amene Ali ndi Matenda Aakulu a Ischemic Heart: Lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines, ndi American College of Physicians, American Association for Odwala Opaleshoni, Opaleshoni Yopereka Mavoti Achikondi, Association of Cardiovascular Angiography and Interventions, ndi Society of the Thoracic Surgeons. Kuthamanga kwa 2012; 126: e354.