Ngati muli ndi matenda amtundu wambiri (CAD), muyenera kuwona chithandizo chake mofanana ndi kumenya nkhondo: Ndikumenyana kwa nthawi yaitali komwe kumayenera kumenyedwa pambali zosiyanasiyana, ndipo ngati mutalola kuti muteteze mukhoza kulipira mtengo. Choncho, ngati mwapezeka kuti muli ndi CAD, inu ndi dokotala wanu muli ndi zambiri zoti mukonzekere, komanso ziganizo zambiri zomwe mungachite.
Nkhaniyi ikufotokoza zinthu zomwe muyenera kuziganizira pamene inu ndi dokotala mumasankha njira yoyenera yothandizira matenda anu . Zina mwa mankhwalawa (monga kutenga njira zochepetsera chiwerengero cha matendawa) ziyenera kulandiridwa ndi wodwala aliyense ndi CAD. Zosankha zina (monga kupyolera opaleshoni kapena angioplasty ndi stenting) ndizoyenera kokha pansi pazifukwa zina. Kuti muonetsetse kuti zonse zomwe zikuyenera kuchitidwa zikuchitika, inu ndi adokotala muyenera kuyankha mwatsatanetsatane mafunso atatu:
- Kodi muyenera kuchita chiyani kuti mutha kupewa matenda a mtima ischemia ndi angina?
- Kodi muyenera kuchita chiyani kuti muteteze matenda a mtima ndi mavuto ena a mtima?
- Kodi muyenera kuchita chiyani kuti muchepetse kapena kuimitsa kuonjezera kwa CAD yanu?
Pulogalamu yanu ya mankhwala siimatha pokhapokha mutayankha mafunso atatu ovuta awa.
Kodi Mungatani Kuti Muchepetse Kuopsa Kwako Kachilombo ka Ischemia ndi Angina?
CAD imayambitsidwa ndi atherosclerosis , matenda omwe amachititsa kuti miyala ikhale m'makoma a mitsempha yanu.
Makhalidwe amenewa amatha kutulutsa mitsempha yambiri ya mitsempha yomwe imatsogolera ku matenda a mtima. Koma patatsala nthawi yaitali kuti izi zitheke, ziphuphu zazing'ono zimayamba kukula m'mitsempha yamakono.
Izi ndizofunika ku thanzi lanu chifukwa mitsempha yochepa ya mitsempha ya m'mimba imatha kuchepetsa kutuluka kwa magazi ku minofu ya mtima.
Choncho, pamene mtima wanu umakhala mukupeza magazi onse pamene mukukhala momasuka komanso mukupumula, mitsempha yotereyi ingalepheretse mtima wanu kutaya mpweya wokwanira pamene mukuchita kapena mukuvutika. Panthawiyi - pamene mtima wanu umafuna mpweya wochuluka kusiyana ndi mitsempha yowonongeka yopanda phindu ingapereke - mtima wanu wamisala ndizochitika. Osijeni-njala (ischemic) minofu ya mtima ingayambitse kupweteka kosautsa kapena kovuta komwe timatcha angina. Chifukwa chakuti mtundu uwu wa angina umakhala chifukwa chokhazikika bwino, ndipo chifukwa chakuti angina imabala zipatso zimakhala zosayembekezereka (ndiko kuti, panthaŵi ya masewera olimbitsa thupi), timayitcha kuti angina yosakhazikika .
Pali njira ziwiri zothandizira zothandizira kupewa ischemia ndi angina okhazikika kwa odwala omwe ali ndi CAD.
- Njira yoyamba ndi imodzi yomwe timakonda kumva zambiri ndi kugwiritsa ntchito zomwe zimatchedwa "mankhwala opatsirana" - kutanthauza kugwiritsa ntchito opaleshoni kapena angioplasty ndikuwongoleratu kuti athetse mitsempha yeniyeni mkati mwake.
- Njira yachiwiri ndiyo kugwiritsa ntchito mankhwala osokoneza bongo ndi mitundu ina ya mankhwala osagwiritsa ntchito opaleshoni, osakhala a catheter.
Njira ziwirizi zingakhale zogwira mtima, ndipo njira iliyonse imakhala ndi ubwino wake kapena ubwino wake.
Komabe, kumbukirani kuti anthu ambiri omwe ali ndi angina okhazikika, zotsatirapo ndi mankhwala azachipatala ndi ofanana ndi mankhwala opatsirana. Muyenera kuyankhula ndi dokotala wanu za njira yomwe ili yoyenera pa inu - nthawi zambiri kuphatikiza njira ziwirizi zikufunikira.
Kodi Mungapewe Bwanji Kugonjetsa Mtima ndi Zina Zovuta Kulimbana ndi CAD?
Kuphatikiza pa pang'onopang'ono kumakhala ndi mitsempha yamakono m'mitima yanu, anthu omwe ali ndi CAD ali pangozi yowonongeka mwadzidzidzi , zomwe madokotala amachitcha kuti aconic syndrome (ACS). ACS imayambitsidwa ndi kupanga mwadzidzidzi magazi clot (thrombosis) mkati mwa mitsempha yamakono, kawirikawiri chifukwa cha kuphulika kwa chipika pa khoma la mitsempha.
ACS ingayambitse angina wosakhazikika kapena matenda a mtima. Fomu iliyonse ya ACS ndizochitika mwamsanga zachipatala .
Chifukwa aliyense amene ali ndi CAD angathe kukhala ndi ACS - ngakhale anthu omwe mapale awo sakhala nawobe "oyenera" - ndizofunika kwambiri kuti aliyense ali ndi CAD kuti athandizidwe kuteteza ACS . Mukhoza kutenga njira zingapo kuti muthe kuchepetsa vutoli, ndipo muyenera kuyankhula ndi dokotala wanu payekha.
Kodi Mungayende Bwanji Kapena Mulepheretse Kukula kwa CAD?
Matenda a atherosclerosis ndi matenda osapitirira, omwe amapitirirabe kuposa nthawi . Kotero ziribe kanthu kuti mankhwala ena a CAD mungalandire bwanji, pokhapokha ngati mutatenga njira zothandizira kapena kuchepetsa kupititsa patsogolo kwa matenda a atherosclerosis, mukhoza kuyembekezera kuti mukhale ndi mavuto ochulukirapo pakapita nthawi.
N'zotheka kuchepetsa chiwerengero cha CAD ndi ndondomeko yowopsya ya kusintha kwa moyo ndi mankhwala, kuphatikizapo mankhwala opatsirana kwambiri a cholesterol (kawirikawiri amafunika maimidwe), kulemera, kuchita masewera olimbitsa thupi, kusuta fodya , kuthamanga kwa magazi , komanso kusamala kwambiri shuga , ngati muli nacho.
Kuwongolera Iwo
Kuchita zonsezi sikudzakhala kophweka, koma ndikofunikira kuti tipambane nkhondo pa matenda anu. Mu njira zambiri, matenda a mtima ndi ofanana ndi matenda ena, khansa. Monga khansara, CAD ndi matenda owopsya omwe amatha kukupha, mwamsanga kapena mtsogolo, pokhapokha ataperekedwa mokwanira. Ndipo, monga khansara, mankhwalawa ndi owopsa. Kuchita bwino kumafuna kudzipereka kwakukulu, ndipo ndithudi nthawi zambiri kumafuna kusintha kwakukulu pamalingaliro ndi kuganizira. Ngati mudakhala ndi khansa, mumatha kukhala ndi maganizo otere. Muyenera kukhala ndi maganizo omwewo tsopano: Moyo wanu umadalira.
> Zotsatira:
> Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS Malangizo Othandizira Kuzindikira ndi Kusamalira Odwala Amene Ali ndi Matenda Ovuta a Ischemic Heart: Report of the American College of Cardiology Foundation / American Heart Association pazochita zogwiritsa ntchito, 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.
> Anthu a Task Force, Montalescot G, Sechtem U, ndi al. Malangizo a ESC a 2013: Utsogoleri wa Stable Coronary Artery Disease: Task Force on Management of Stable Coronary Artery Disease of the European Society of Cardiology. Mtima; 34: 2949.