KUKHALA OTHANDIZA Kufufuza zovuta zimagwiritsidwa ntchito posautsa m'magulu odwala a CAD
Kugwiritsidwa ntchito kwapakati kwa odwala okhala ndi matenda othetsera ubongo (CAD) adatsutsidwa mwamphamvu mu kuyesedwa kwa COURAGE, koyamba kuwonetsedwa mu 2007. Mu mayesero awa, odwala omwe ali ndi CAD okhazikika adatha kupeza chithandizo chabwino cha mankhwala okha kapena njira yabwino yothandizira kuchipatala pamodzi ndi mphuno. Phunziroli silinasonyeze kusiyana pakati pa magulu awiriwa pambuyo pa zaka 4.6.
Kukanikira ku Zotsatira za ZOYENERA Mlandu
Zotsatira za kuyesedwa kwa COURAGE ziyenera kuti zinapangitsa onse a cardiologists kuti ayambiranenso pamene amagwiritsa ntchito masentimenti ndi odwala. Koma akatswiri a cardiologist sanasinthe makhalidwe awo okhudzana ndi ntchentche. Iwo ankaganiza kuti anthu ambiri amakhulupirira kuti kutsegulidwa kwazitsulo kokha kumakhala kofunika kwambiri kuposa njira zamankhwala popewera mtima ndi imfa. Choncho, zotsatira kuchokera ku COURAGE ziyenera kukhala zolakwika. Iwo amakhulupirira kuti zikanakhala kuti nthawi yayitali yotsatira idzaululira choonadi.
Koma mu November 2015, zotsatira zotsiriza za COURAGE zinasindikizidwa. Patadutsa zaka pafupifupi 12, zintchito sizinapindulitse chithandizo chabwino cha mankhwala.
Zambiri za mayankho a COURAGE
Mu kuyesedwa kwa COURAGE, odwala 2,287 okhala ndi CAD wodalirika ("khola" CAD amatanthawuza kuti matenda osokoneza bongo sakuwoneka) sanadziwitsidwe kuti adzalandira mankhwala abwino okha kapena mankhwala othandiza omwe ali ndi mankhwala ochepa.
Zotsatira za kuvutika kwa mtima ndi imfa zinayambika.
Panalibe kusiyana pakati pa magulu. Odwala omwe amalandira mavitaminiwa, amatha kuwongolera bwino zizindikiro zawo za angina kusiyana ndi odwala omwe amamwa mankhwala okhaokha, koma vuto lawo la kupweteka kwa mtima ndi imfa sizinasinthe.
Kusanthula kutsatila kwa 2015 kunayang'ana kusiyana kwa zaka zambiri pakati pa magulu awiriwa. Pambuyo pa zaka 11.9, panalibe kusiyana kwakukulu. Odwala 25 peresenti ya odwala omwe amalandira stenti anamwalira, poyerekezera ndi 24 peresenti ya odwala omwe amachizidwa ndi mankhwala okha.
Ofufuza ankayang'ana magulu angapo a odwala kuti awone ngati gawo lina likhoza kukhala labwino ndi zochepa. Iwo adapeza kuti palibe.
Kodi Nthawi Yabwino Iyenera Kugwiritsidwa Ntchito?
Tsopano zikuwoneka bwino kuti mphutsi siziyenera kugwiritsidwa ntchito ngati mankhwala oyamba mu CAD yokhazikika kuti zisawonongeke mtima chifukwa mphuno sizothandiza kwambiri popewera matenda a mtima mu mkhalidwe uwu kuposa njira yabwino ya mankhwala. Ndipotu, pali funso lenileni lonena za kuchuluka kwa ntchentche zomwe zimathandiza pothana ndi angina .
Mitsempha iyenera kugwiritsidwa ntchito , mu CAD yokhazikika, pokhapokha ngati angina yochulukirabe ikuchitikabe ngakhale kuti pali mankhwala abwino kwambiri.
Kodi COURAGE ingagwiritsidwe ntchito bwanji?
Zotsatira za kuyesedwa kwa COURAGE zimagwirizana ndi maganizo atsopano pa CAD ndi momwe mtima umayambira. Kugonjetsedwa kwa mtima sikungayambidwe ndi chikhomo chokhazikika chimene chimakula pang'onopang'ono kuti chilepheretse mitsempha. Mmalo mwake, amayamba chifukwa cha chipika chomwe chimaphuluka pang'ono, motero kumayambitsa mwadzidzidzi magazi mkati mwa mitsempha, yomwe imatseketsa mitsempha mwadzidzidzi .
Kuwombera ndi kutseketsa mwinamwake kungakhale kovuta kuchitika mu chipika chomwe chimatseka 10 peresenti ya mitsempha ngati imodzi yomwe imalepheretsa 80 peresenti.
Kuwongolera ma "malingaliro" ofunika kudzakuthandizira kuthetsa angina iliyonse yomwe imayambitsidwa ndi kutsekedwa. Koma, mwachiwonekere, sizitha kuchepetsa chiopsezo chachikulu cha mtima-makamaka chifukwa chakuti zambiri mwazirombozi zimagwirizanitsidwa ndi zilembo zomwe akatswiri a mtima amachitcha "zopanda pake."
Kulepheretsa kupwetekedwa kwa mabala, ndipo motero kupewa matenda a mtima, akuyang'ana mochuluka ngati vuto lachipatala m'malo mwa "vuto lamadzi." Ndizochiritsidwa bwino ndi mankhwala ndi kusintha kwa moyo .
"Kulimbitsa" miyala yamakono (kuwapangitsa kuti asawonongeke) kumafuna kupsa mtima kwa cholesterol, kuthamanga kwa magazi, ndi kutupa. Kufunikiranso kuchita masewera olimbitsa thupi nthawi zonse ndikupanga zochepa. Mankhwala osokoneza bongo akuphatikizapo aspirin, statins, beta blockers, ndi mankhwala a magazi (ngati n'koyenera).
Ngati muli ndi khola lokhazikika - ngati mulibe stent kuti muwoneke angina-kuteteza mtima wa mtima muyenera kukhala pa chithandizo chamankhwala chopweteka. Muyenera kukhala otsimikiza kuti mukambirane ndi katswiri wanu wamaphunziro omwe angakhale chithandizo chamankhwala chabwino kwambiri mwa inu.
> Zotsatira:
> Boden WE, O'Rourke RA, Teo KK, et al. Thandizo labwino lachipatala kapena popanda PCI kwa matenda okhazikika odwala. N Engl J Med 2007; DOI: 10.1056 / NEJMe070829.
> Borden WB, Redberg RF, Mushlin AI, ndi al. Zitsanzo ndi mphamvu za mankhwala ochiritsira kwa odwala omwe amatha kupititsa patsogolo. JAMA 2011; 305: 1882-1889.
> Sedlis SP, Hartigan PM, Teo KK, et al. Zotsatira za PCI pa Kukhalitsa Kwanthaŵi Yaitali kwa Odwala Ndi Matenda Ovuta a Ischemic Heart. New England Journal of Medicine . 2015; 373 (20): 1937-1946. lembani: 10.1056 / nejmoa1505532.