Angina - mukakhala ndi ululu pachifuwa

Angina ndi mtundu wa kusapeza pachifuwa chifukwa chamagazi osayenda bwino kudzera mumitsempha yamagulu amtima. Nkhaniyi ikufotokoza momwe mungadzisamalire mukakhala ndi angina.

Mutha kumva kupanikizika, kufinya, kuwotcha, kapena kukakamira pachifuwa. Muthanso kukakamizidwa, kufinya, kuwotcha, kapena kulimba m'manja, mapewa, khosi, nsagwada, mmero, kapena kumbuyo.

Anthu ena amatha kukhala ndi zizindikilo zosiyanasiyana, kuphatikiza kupuma movutikira, kutopa, kufooka, ndi msana, mkono, kapena kupweteka kwa khosi. Izi zimagwira makamaka kwa azimayi, okalamba, komanso anthu omwe ali ndi matenda ashuga.

Muthanso kudzimbidwa kapena kudwala m'mimba mwanu. Mutha kumva kutopa. Ukhoza kupuma movutikira, kutuluka thukuta, mutu wopepuka, kapena kufooka.

Anthu ena amakhala ndi angina akagwidwa ndi nyengo yozizira. Anthu amamvanso panthawi yochita masewera olimbitsa thupi. Zitsanzo ndikukwera masitepe, kukwera phiri, kukweza chinthu cholemetsa, kapena kugonana.

Khalani, khalani odekha, ndi kupumula. Zizindikiro zanu nthawi zambiri zimatha mukangosiya ntchito.

Ngati mukugona, khalani pabedi. Yesani kupuma mwakuya kuti muthandize kupsinjika kapena kuda nkhawa.

Ngati mulibe nitroglycerin ndipo matenda anu sanathe atapuma, itanani 9-1-1 nthawi yomweyo.

Wothandizira zaumoyo wanu atha kukhala kuti wakulemberani mapiritsi a nitroglycerin kapena kupopera mankhwala kuti awonongeke kwambiri. Khalani kapena kugona pansi mukamagwiritsa ntchito mapiritsi kapena utsi wanu.

Mukamagwiritsa ntchito piritsi lanu, ikani piritsi pakati pa tsaya lanu ndi chingamu. Muthanso kuyika pansi pa lilime lanu. Lolani kuti lisungunuke. Osameza.

Mukamagwiritsa ntchito kutsitsi kwanu, musagwedeze chidebecho. Gwirani beseni pafupi ndi pakamwa panu. Thirani mankhwalawo pansi kapena pansi pa lilime. Osapumira kapena kumeza mankhwalawo.

Yembekezani kwa mphindi 5 mutatha kumwa mankhwala oyamba a nitroglycerin. Ngati zizindikiro zanu sizili bwino, zikuipiraipira, kapena kubwerera mukachoka, itanani 9-1-1 nthawi yomweyo. Woyendetsa ntchito yemwe angayankhe akupatsaninso upangiri wina wazomwe mungachite.

(Chidziwitso: omwe akukuthandizani atha kukupatsani upangiri wosiyanasiyana wokhudza kumwa nitroglycerin mukamamva kupweteka pachifuwa kapena kukakamizidwa. Anthu ena adzauzidwa kuti ayese milingo itatu ya nitroglycerin mphindi 5 asanaitane 9-1-1.)

Osasuta, kudya, kapena kumwa kwa mphindi 5 mpaka 10 mutamwa nitroglycerin. Ngati mumasuta fodya, muyenera kuyesetsa kuti musiye. Wopereka wanu atha kuthandiza.

Zizindikiro zanu zitatha, lembani mwatsatanetsatane za mwambowu. Lembani:

• Ndi nthawi yanji ya tsikuli zomwe zidachitika
• Zomwe mumachita panthawiyo
• Ululuwo udatenga nthawi yayitali bwanji
• Momwe ululu umamvekera
• Zomwe mudachita kuti muchepetse ululu wanu

Dzifunseni mafunso ena:

• Kodi mudamwa mankhwala anu amtima nthawi zonse musanakhale ndi zisonyezo?
• Munali otakataka kuposa zanthawi zonse?
• Kodi mudangodya chakudya chachikulu?

Gawani izi ndi omwe akukuthandizani mukamacheza pafupipafupi.

Yesetsani kuti musachite zinthu zomwe zimasokoneza mtima wanu. Wothandizira anu akhoza kukupatsani mankhwala oti mutenge musanachitike. Izi zitha kuteteza zizindikilo.

Itanani 9-1-1 ngati kupweteka kwanu kwa angina:

• Si bwino mphindi 5 pambuyo kumwa nitroglycerin
• Sichitha pambuyo pa kuchuluka kwa mankhwala atatu (kapena monga akuwuzira omwe akukuthandizani)
• Zikukulirakulira
• Kubwezera mankhwala atathandiza

Komanso itanani omwe akukuthandizani ngati:

• Mukukhala ndi zizindikiro pafupipafupi.
• Mukukhala ndi angina mukakhala chete kapena simukugwira ntchito. Izi zimatchedwa rest angina.
• Mukumva kutopa nthawi zambiri.
• Mukumva kukomoka kapena ndi mutu wopepuka.
• Mtima wanu ukugunda pang'onopang'ono (zosakwana 60 kumenyera mphindi) kapena mwachangu kwambiri (kuposa 120 kumenyetsa mphindi), kapena sikukhazikika.
• Mukuvutika kumwa mankhwala amtima wanu.
• Muli ndi zizindikiro zina zachilendo.

Matenda amtundu wa coronary - kupweteka pachifuwa; Mitima matenda - kupweteka pachifuwa; CAD - kupweteka pachifuwa; Mitima matenda - kupweteka pachifuwa; ACS - kupweteka pachifuwa; Matenda a mtima - kupweteka pachifuwa; M'mnyewa wamtima infarction - kupweteka pachifuwa; MI - kupweteka pachifuwa

Amsterdam EA, Wenger NK, Brindis RG, ndi al. Chitsogozo cha AHA / ACC cha 2014 pakuwongolera odwala omwe alibe ST-elevation acute coronary syndromes: lipoti la American College of Cardiology / American Heart Association Task Force pamayendedwe othandizira. J Ndine Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubed.ncbi.nlm.nih.gov/25260718/.

Kutumiza WE. Angina pectoris ndi khola la ischemic matenda amtima. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 62.

MP wa Bonaca, Sabatine MS. Yandikirani kwa wodwalayo ndi kupweteka pachifuwa. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: mutu 56.

Fihn SD, Blankenship JC, Alexander KP, Bittl JA, ndi al. Chidziwitso cha 2014 ACC / AHA / AATS / PCNA / SCAI / STS chitsogozo chazidziwitso zakuwunika ndi kuwunika kwa odwala omwe ali ndi matenda osakhazikika amtima: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines, ndi American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Intervention, ndi Society of Thoracic Surgeons. J Thorac Cardiovasc Opaleshoni. 2015 Mar; 149 (3): e5-23. PMID: 25827388 pubed.ncbi.nlm.nih.gov/25827388/.

O'Gara PT, Kushner FG, Ascheim DD, ndi al. Chitsogozo cha 2013 ACCF / AHA pakuwongolera ST-elevation myocardial infarction: chidule chachikulu: lipoti la American College of Cardiology Foundation / American Heart Association Task Force pamayendedwe othandizira. Kuzungulira. 2013; 127 (4): 529-555. PMID: 23247303 pubed.ncbi.nlm.nih.gov/23247303/.

• Angioplasty ndi stent mayikidwe - mtsempha wamagazi wa carotid
• Njira zochotsera mtima
• Kupweteka pachifuwa
• Mitsempha ya Coronary spasm
• Opaleshoni ya mtima
• Opaleshoni ya mtima - yowopsa pang'ono
• Mtima pacemaker
• Chokhazika mtima chosintha mtima
• Angina wolimba
• Angina wosakhazikika

• Angina - kumaliseche
• Angina - zomwe mungafunse dokotala wanu
• Angioplasty ndi stent - mtima - kutulutsa
• Aspirin ndi matenda amtima
• Kukhala achangu mukakhala ndi matenda amtima
• Catheterization yamtima - kutulutsa
• Matenda a mtima - kutulutsa
• Opaleshoni ya mtima - kutulutsa
• Opaleshoni yamtima - yotulutsa pang'ono - kutulutsa
• Kulephera kwa mtima - kutulutsa

• Angina