Angina - kumaliseche

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

Mumakhala ndi angina. Angina ndi kupweteka pachifuwa, kuthamanga pachifuwa, komwe kumalumikizidwa ndi kupuma movutikira. Munali ndi vutoli pomwe mtima wanu sunali kupeza magazi ndi mpweya wokwanira. Mutha kukhala kuti mwadwala kapena simunakhalepo ndi vuto la mtima.

Mutha kumva chisoni. Mutha kukhala ndi nkhawa ndikuti muyenera kukhala osamala kwambiri pazomwe mumachita. Malingaliro onsewa ndi abwinobwino. Amachoka kwa anthu ambiri pakatha masabata awiri kapena atatu.

Mwinanso mungatope mukamachoka kuchipatala. Muyenera kumva bwino ndikukhala ndi mphamvu zambiri pakatha milungu 5 mutatulutsidwa mchipatala.

Dziwani zizindikiro za 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 osasangalala kumbuyo kwawo, m'mapewa, ndi m'mimba.
• Muthanso kudzimbidwa kapena kumva kudwala m'mimba mwanu. Mutha kumva kutopa ndikusowa mpweya, kutuluka thukuta, mutu wopepuka, kapena kufooka. Mutha kukhala ndi zizindikilo izi pakuchita masewera olimbitsa thupi, monga kukwera masitepe, kukwera phiri, kukweza, komanso kuchita zachiwerewere.
• Mutha kukhala ndi zizindikilo nthawi zambiri kukuzizira. Muthanso kukhala ndi zizindikilo mukamapumula, kapena mukadzuka kutulo.

Funsani wothandizira zaumoyo wanu momwe angachiritsire kupweteka pachifuwa chanu zikachitika.

Khalani osavuta poyamba. Muyenera kulankhula mosavuta mukamachita chilichonse. Ngati simungathe, siyani ntchitoyi.

Funsani omwe akukuthandizani za kubwerera kuntchito ndi mtundu wanji wa ntchito yomwe mudzachite.

Wothandizira anu akhoza kukutumizirani ku pulogalamu yokonzanso mtima. Izi zikuthandizani kuphunzira momwe mungakulitsire pang'onopang'ono masewera olimbitsa thupi. Muphunziranso momwe mungasamalire matenda amtima wanu.

Yesetsani kuchepetsa mowa womwe mumamwa. Funsani omwe akukuthandizani ngati zili bwino kumwa, komanso kuti ndi zotani.

Osasuta ndudu. Ngati mumasuta, funsani omwe akukuthandizani kuti akuthandizeni kusiya. Musalole aliyense kusuta m'nyumba mwanu.

Dziwani zambiri pazomwe muyenera kudya kuti mukhale ndi mtima wathanzi komanso mitsempha yamagazi. Pewani zakudya zamchere ndi zamafuta. Khalani kutali ndi malo odyera mwachangu. Wothandizira anu akhoza kukutumizirani kwa katswiri wazakudya, yemwe angakuthandizeni kukonzekera zakudya zabwino.

Yesetsani kupewa zovuta. Ngati mukuvutika maganizo kapena kukhumudwa, uzani omwe akukuthandizani. Atha kukutumizirani kwa aphungu.

Funsani omwe akukuthandizani zokhudzana ndi kugonana. Amuna sayenera kumwa mankhwala kapena mankhwala aliwonse azitsamba pothana ndi vuto la erection popanda kufunsa wopereka chithandizo kaye. Mankhwalawa sakhala otetezeka akagwiritsidwa ntchito ndi nitroglycerin.

Lembani mankhwala anu onse musanapite kunyumba. Muyenera kumwa mankhwala anu monga momwe adauzidwira. Funsani omwe akukuthandizani ngati mutha kumwa mankhwala ena azitsamba, zitsamba, kapena zowonjezera zomwe mwakhala mukumwa.

Tengani mankhwala anu ndi madzi kapena madzi. Musamamwe msuzi wamphesa (kapena kudya zipatso zamphesa), chifukwa zakudya izi zimatha kusintha momwe thupi lanu limayamwa mankhwala ena. Funsani omwe amakupatsani kapena wamankhwala za izi.

Anthu omwe ali ndi angina nthawi zambiri amalandira mankhwalawa pansipa. Koma nthawi zina mankhwalawa sangakhale otetezeka kumwa. Lankhulani ndi omwe amakupatsani ngati simukugwiritsa ntchito mankhwalawa:

• Mankhwala osokoneza bongo (opopera magazi), monga aspirin, clopidogrel (Plavix), prasugrel (Efient), kapena ticagrelor (Brilinta)
• Mankhwala ena, monga warfarin (Coumadin), othandiza magazi anu kuti asagundane
• Beta-blockers ndi ACE inhibitor mankhwala, kuti muteteze mtima wanu
• Statins kapena mankhwala ena kuti muchepetse cholesterol yanu

Osangosiya kumwa chilichonse mwa mankhwalawa. Osasiya kumwa mankhwala ena aliwonse omwe mungamwe nawo matenda ashuga, kuthamanga kwa magazi, kapena mavuto ena aliwonse azachipatala.

Ngati mukumwa magazi ochepera magazi, mungafunike kuyezetsa magazi kuti mutsimikizire kuti mlingo wanu ndiwolondola.

Itanani omwe akukuthandizani ngati mukumva kuti:

• Ululu, kupanikizika, kulimba, kapena kulemera pachifuwa, mkono, khosi, kapena nsagwada
• Kupuma pang'ono
• Kupweteka kwa gasi kapena kudzimbidwa
• Kunjenjemera m'manja mwanu
• Thukuta, kapena ngati mwataya utoto
• Opepuka

Kusintha kwa angina kungatanthauze kuti matenda anu amtima akukulirakulira. Itanani omwe akukuthandizani ngati angina anu:

• Amakhala amphamvu
• Zimapezeka nthawi zambiri
• Imatenga nthawi yayitali
• Zimapezeka pamene simukugwira ntchito kapena pamene mukupuma
• Ngati mankhwala sakuthandizani kuchepetsa matenda anu angina monga kale

Kupweteka pachifuwa - kutulutsa; Angina wolimba - kutulutsa; Matenda angina - kumaliseche; Angina - kutulutsa; Angina pectoris - kutulutsa; Kuthamangira angina - kumaliseche; Angina watsopano - kutulutsa; Angina-wosakhazikika - kutulutsa; Kupita patsogolo angina - kumaliseche; Angina-khola - kutulutsa; Angina-aakulu - kumaliseche; Angina-zosintha - kumaliseche; Prinzmetal angina - kumaliseche

• Zakudya zabwino

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; 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; 149 (3): e5-e23. 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): e362-e425. PMID: 23247303 pubed.ncbi.nlm.nih.gov/23247303/.

• Angina
• 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
• Kuchuluka kwa cholesterol m'magazi
• Chokhazika mtima chosintha mtima
• Angina wolimba
• Malangizo a momwe mungasiyire kusuta
• Angina wosakhazikika
• Ventricular assist chida

• Zoletsa za ACE
• Angina - zomwe mungafunse dokotala wanu
• Angina - mukakhala ndi ululu pachifuwa
• Angioplasty ndi stent - mtima - kutulutsa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Kukhala wachangu mutadwala matenda amtima
• Kukhala achangu mukakhala ndi matenda amtima
• Batala, majarini, ndi mafuta ophikira
• Catheterization yamtima - kutulutsa
• Cholesterol ndi moyo
• Cholesterol - mankhwala osokoneza bongo
• Kulamulira kuthamanga kwa magazi
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Matenda a mtima - kutulutsa
• Matenda a mtima - zomwe mungafunse dokotala wanu
• Opaleshoni ya mtima - kutulutsa
• Opaleshoni yamtima - yotulutsa pang'ono - kutulutsa
• Matenda a mtima - zoopsa
• Kuthamanga kwa magazi - zomwe mungafunse dokotala wanu
• Momwe mungawerenge zolemba za chakudya
• Zakudya zaku Mediterranean

• Angina