Kodi ndi njira yabwino yothetsera matenda a mitsempha yotani?
Kuzindikira matenda a mitsempha yamakono (CAD) kungakhale kovuta kwa odwala onse ndi madokotala awo chifukwa pali anthu ambiri omwe ali pangozi ya CAD ndi mayeso ochuluka omwe angagwiritsidwe ntchito. Ndani ayenera kuyesedwa, ndipo ndi mayesero ati omwe ayenera kukhala nawo?
Kodi CAD N'chiyani?
CAD ndi matenda aakulu a mitsempha ya coronary . Mu CAD, matenda a atherosclerosis amachititsa kuti mitsempha yowonongeka, yowuma ndi yotupa ndi " miyala " yomwe ili ndi calcium, mafuta, ndi maselo osapsa.
Mipangidwe imeneyi ikhoza kuyendetsa muyeso wa mitsempha, zomwe zimapangitsa kuti magazi asamawonongeke, zomwe zimayambitsa angina . Makomitiwo amatha kuphwanyidwa mwadzidzidzi, kuchititsa kuti magazi aziwombera mwakayakaya mkati mwa mitsempha yomwe imatulutsa mwadzidzidzi kutuluka kwa magazi. Mavuto ambiri a myocardial ( matenda a mtima ) amayamba chifukwa cha kupweteka kwakukulu kwa chipika.
CAD ndi matenda aakulu, omwe amapita patsogolo omwe nthawi zambiri amakhalapo kwa zaka zambiri munthu asadziwe kuti pali vuto lililonse. Kawirikawiri, chizindikiro choyamba chosonyeza kuti pali vuto ndi pamene nthawi zina sitingathe kuchitapo kanthu, monga matenda a myocardial kapena kumangidwa kwa mtima . Izi zikutanthauza kuti ngati muli pangozi yaikulu ya CAD, simuyenera kuyembekezera kuti zizindikiro zikuyambe musanadziwe ngati muli ndi vuto.
Kuzindikira CAD
Kudziwa Blockages "Zofunika"
Mwachizoloŵezi, matenda a CAD adadalira mayesero omwe amayang'ana umboni wa "zazikulu" zam'mimba mkati mwa mitsempha yamakono .
(Kawirikawiri, akatswiri a cardiologists amalingalira kuti "chofunika" kuzimitsa kuti chikhale chomwe chimalepheretsa 70% kapena kuposa njira ya artery.)
Kuyezetsa magazi (kapena kupimitsa maganizo ) nthawi zambiri kumawathandiza kupeza mitsempha yowonongeka yochepa. Kuyeza kupanikizika kwapadera kungabweretse zizindikiro za angina ndi kusintha kusintha pa electrocardiogram (ECG) - zofukufuku zomwe zimatanthawuza kuti mapulaneti alipo.
Werengani za Kuyesedwa kwapanikizika
Kupanga mayesero okhudza kupanikizika pogwiritsa ntchito thallium / kuphunzira kwa Cardiolite kapena echocardiogram kumapangitsa kukhala ndi mitsempha yowonongeka yochepa. Thallium ndi Cardiolite ndi zinthu zowonongeka zomwe zimayikidwa mu mitsempha pazochita zolimbitsa thupi. Zinthu izi zimatengedwa kupita kumtima wa mitsempha ndi mitsempha yamakono , motero mtima umaganiziridwa ndi kamera yapadera. Ngati mitsempha imodzi kapena ingapo yamkati imatsekedwa pang'ono, madera a minofu ya mtima yomwe imaperekedwa ndi mitsempha imeneyi imakhala pa chithunzi ngati mdima. Chombocho chimapanga chithunzi cha mtima wokonda pogwiritsa ntchito mafunde amphamvu. Kusuntha kulikonse komwe kuli mu mtima wa minofu kuwonedwa pa echocardiogram pamene zochitika zimasonyeza CAD.
Werengani za thallium / kuyeza kwa Cardiolite ndi ma echocardiogram
Ngati kupanikizika kwapadera kumaonetsa kuti palipakati imodzi kapena zingapo, odwala ambiri amatumizidwa kuti azikhala ndi matenda a mtima . Cholinga cha catheterization ndikutanthauzira kwathunthu malo ndi kutalika kwa mazenera amtundu uliwonse , kawirikawiri pofuna cholinga cha angioplasty , kupopera kapena kupitirira opaleshoni .
Werengani Za Catheterization Yamtima
Mayesero osagwiritsidwa ntchito omwe akutsatiridwa akuthandizidwa kuti tsiku lina likhazikitse chosowa cha catheterization ya mtima.
Izi zikuphatikizidwe ndi CT scanning ndi MRI ya mtima . Mwatsoka, palibe njira izi lero zomwe zingathetse m'malo mwa kusowa kwa catheterization ya mtima .
Kuzindikiritsa Mipangidwe Yomwe Silikuchititsa Mabwalo Ofunika Kwambiri
M'zaka zaposachedwapa, akatswiri a cardiologist adziwa kuti ziwalo za myocardial ndi angina zosasunthika zimayambitsidwa chifukwa cha kutaya kwa miyala mu mitsempha ya coronary . Zikuoneka kuti ambiri kapena osawerengeka, mapepala omwe amatha kubwezeretsa amatengedwa ngati "opanda ntchito" (mwachitsanzo, osayambitsa kutsekemera kwakukulu) asanagwidwe. Ichi ndichifukwa chake nthawi zambiri timamva za anthu omwe akudwala matenda a mtima atangouzidwa kuti alibe CAD yayikulu.
(Izi ndi zomwe zinachitikira mtolankhani wa pa TV, Tim Russert mu 2008.)
Popeza chidutswa chilichonse chikhoza kutha, ndibwino kudziŵa ngati pali mapepala - ngakhale ang'onoang'ono. Anthu omwe ali ndi ndalama zambiri za CAD ayenera kutenga njira zolimbitsa zipika ndi kuchepetsa chiopsezo cha kuphulika kwala . (Zowonongeka nthawi zambiri zimaphatikizapo kuyendetsa zinthu zoopsa, kusintha kwa moyo, statins , ndi aspirin.)
Malingaliro a calcium akuwonekera ngati njira yothandiza yodziwira kupezeka kwa ngakhale CAD pang'ono. Kuyeza kwa calcium ndi mtundu wa CT scanning umene ungawononge ndalama zambiri za calcium m'mitsempha yamakono . Popeza kuti kashiamu imakhalapo m'miyala, kuyeza kuchuluka kwa calcium m'mitsempha kumasonyeza ngati CAD (komanso zipika) zilipo komanso momwe CAD zingakhalire. Pokuchenjezani kuti muli ndi CAD yokwanira kuti mupange mapepala a "silence", calcium scan ingakupatseni mwayi wosintha moyo wanu, ndipo mwinamwake mutenge mankhwala oyenerera, pakadali nthawi yokwanira.
Werengani Zambiri Pa Zithunzi za Calcium ndi Amene Angapindule nazo
Zotsatira:
Gibbons, RJ, Balady, GJ, Timothy Bricker, J, et al. ACC / AHA 2002 Ndondomeko yoyenera kutsata kuyesa zochitika: mwachidule. Lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines (Komiti Yothetsanso Malangizo a Kuyesera Zochitika mu 1997). J Am Coll Cardiol 2002; 40: 1531.
Califf, RM, Armstrong, PW, Carver, JR, et al. Task Force 5. Stratification wa odwala kukhala apamwamba, apakati ndi otsika pang'onopang'ono magulu pofuna cholinga chiopsezo chisamaliro. J Am Coll Cardiol 1996; 27: 1007.