Samalani ndi akatswiri a cardilogist akuganiza mu "njira yachikhalidwe"
Mmene timaganizira za Coronary Artery Disease (CAD) ndi chithandizo chake chiri pakati pa kusintha kwakukulu, ndipo lero, akatswiri ena a mtima atembenukira ku "njira yatsopano" yoganizira, pamene ena adakalibe "njira yachikhalidwe . " Kusiyanitsa pakati pa masukulu awiriwa amaganiza bwino kwambiri zomwe zikuchitika pakadali pano pakati pa akatswiri a mtima wa mtima omwe angayesetse CAD, momwe angawawonetse iwo, omwe amafunika kuwachitira CAD, ndi momwe angachitire.
Mwamwayi, madokotala adakalibe mchitidwe walingaliro akusowa ngalawa - ndipo motero, akugonjetsa odwala awo onse ku chiopsezo ndi kuperewera.
Njira Yachikhalidwe Yoganizira za CAD
Mwachizoloŵezi, CAD imatanthauza kuti pali chimodzi kapena zingapo zoperekera m'mitsempha yamakono . Izi zimapangitsa kuti magazi asatuluke, zomwe zingabweretse angina (kupweteka kwa chifuwa), ndipo ngati zikuluzikulu zimakhala zovuta kwambiri, zimakhala zovuta kuti thupi likhale ndi mitsempha yambiri, yomwe imatchedwa "myocardial infarction" kapena matenda a mtima. . Popeza vuto lalikulu ndilokutsekedwa, chithandizo chachikulu ndicho kuthetsa kutsekemera, komwe kungatheke ndi opaleshoni yochulukirapo . Chifukwa cha chikhalidwe cha CAD, chimawoneka pazomwe zimakhalapo, zomwe zikutanthauza kuti malo enieni a anatomic ndi chiwerengero cha mapulogalamu ofunikira ndi ofunika kwambiri poyang'anira CAD. Mayesero opatsirana omwe samapereka chidziwitso ichi ndi mankhwala omwe samachotsa mavitaminiwo sali okwanira mokwanira.
Akatswiri a zapamwamba omwe amaganiza kuti kawirikawiri amaumirira catheterizations wamtima monga chiyeso chokwanira chodziwitsa komanso chokhalitsa ngati chithandizo chokha chokwanira, komabe iwo amalola kuti nthawi zina dokotala wa opaleshoni wa mtima ayenerere kutenga nawo mbali zovuta kwambiri kapena zovuta.
Njira Yatsopano Yoganizira za CAD
Ife tsopano tikudziwa kuti CAD ili pafupi kwambiri kuposa ma blockages. CAD ndi matenda osapitirira, amene amayamba kufalikira m'mitsempha yamtunduwu kuposa momwe amachitira ndi kupezeka kapena kupezeka kwapadera. Mipata imakhalapo mitsempha yomwe imawoneka "yachibadwa" pa catheterization ya mtima . Ndipotu, odwala ena, makamaka akazi , akhoza kukhala ndi CAD yomwe imapangitsa kuti mitsempha yowonongeka ikhale yopanda malire. Komanso, kupweteka kwa mtima kumapangidwa pamene chipika chimatuluka ndikupangira chovala chomwe chimatseka mitsempha mwadzidzidzi - ndipo kawirikawiri izi zimapezeka pamapangidwe omwe samayambitsa kupweteka kwawo ndipo angatchedwe kuti ndi "opanda pake" pa catheterization ya mtima. Mfungulo wa CAD sikuti pali mapulani enieni omwe alipo, koma ngati miyala yamakono yamtunduwu (yomwe nthawi zambiri siimayambitsa mapulani aakulu) alipo.
Kodi Izi Zikutanthauza Chiyani Kwa Inu?
Ngakhale kuti zizindikiro zenizeni zimatha komanso zimayambitsa matenda a angina ndi mtima pomwe nthawi zambiri zimakhala zofunikira, mankhwala omwe amawathandiza kuti asamalidwe nthawi zambiri sakhala oyenerera kapena sangakwanitse kuchiza matenda a CAD. Umboni umapanga kuti ndi mankhwala ochiritsira kwambiri - makamaka chifukwa cha zilembo zamtunduwu komanso kuphatikizapo zoopsa zowonongeka -CAD ikhoza kuimitsidwa kapena kusinthidwa, ndipo mapulogalamu akhoza "kukhazikika" kuti athe kuchepetsa.
Mwa anthuwa, masewero olimbitsa thupi , kusuta fodya , kulemera kwa thupi, kuthamanga kwa magazi komanso (akatswiri ambiri amakhulupirira) kulamulira kwa cholesterol n'kofunika kwambiri.
Chofunika kwambiri ndiye kusankha ngati munthu akhoza kukhala ndi CAD, kapena kuti zikhazikitso zingakhalepo, ndikuwongolera chithandizo. Pakati ponse, kusankha ngati zikhomo zomwe zingakhaleko zingatheke mosavuta. Yambani ndi zosavuta kufufuza zoopsa kuti muone ngati chiopsezo chanu chiri chochepa, chapakati kapena chapamwamba. ( Pano pali momwe mungayesere pangozi yanu mosavuta komanso mosavuta .) Anthu omwe ali m'magulumagulu ang'onoang'ono safunikira kusowa thandizo.
Anthu omwe ali pachiopsezo chachikulu ayenera kuchitidwa nkhanza (ndi statins ndi kusintha kwa chidziwitso), chifukwa ali ndi zipika. Anthu omwe ali pachiopsezo chotenga kachilombo ka HIV ayenera kuganizira zoyezetsa magazi ndi EBT kusanthula (calcium scans) : Ngati mapulogalamu a calcium alipo pa mitsempha yamakono, ndiye kuti ali ndi zipika ndipo ayenera kuzunzidwa mwachiwawa.
Nthawi yofuna Blockages
Blockages mu mitsempha yamakono ali ofunikabe. Akatswiri ambiri amaganiza kuti anthu omwe ali pachiopsezo chotere ayenera kukhala ndi vuto la thallium . Ngati mayeserowa akuwonetseratu kutsekula kwakukulu, catheterization ya mtima iyenera kuganiziridwa. Kuyesa kupanikizika kapena kuperewera kwa mtima kumaganiziranso kwambiri ndi aliyense (kaya ali ndi chiopsezo chotani) yemwe ali ndi zizindikiro za angina. Kuthetsa mitsempha mwa opaleshoni kapena kupopera kungakhale kothandiza kwambiri pochiza angina ndipo, nthawi zina, akhoza kupulumuka.
Chidule
Maganizo athu pa CAD asintha kwambiri pazaka khumi zapitazi. Sikuti ndi matenda okhaokha omwe amayenera kuchitidwa mwachangu. Chithandizo chofuna kuimitsa kapena kubwezeretsa CAD yosakayika komanso kukhazikitsa zizindikiro kuti zikhale zovuta kuti ziwonongeke, ndikofunikira kwambiri, kaya pali "mapulani" omwe alipo kapena ayi.
Zotsatira:
Gulu la Ntchito Yopereka Zogulitsa. Kuwonetsetsa kwa matenda a mtima wodwala: ndondomeko yolangiza. Ann Intern Med 2004; 140 (7): 569.
Naghavi M, Falk E, Hecht HS, et al. Kuchokera ku chiopsezo chotere kuchipatala choopsya: Gawo III. Kuwunikira pulogalamu yatsopano pofuna kupewa matenda a mtima; chidziwitso ndi chithandizo cha wodwalayo wosatetezeka. Kuchenjeza kwa Kuteteza Kwambiri Kwa Mtima ndi Maphunziro (SHAPE) Report Report Force Force. Chidule cha akuluakulu. Am J Cardiol 2006; DOI: 10.1016.