Matenda achilengedwe

Matenda oopsa a coronary syndrome amatanthauza gulu lazomwe zimayima mwadzidzidzi kapena kuchepetsa kwambiri magazi kuti asayende mpaka pamtima wam'mimba. Magazi akakhala kuti sangathe kuyenda mpaka mumtima, minofu yamtima imatha kuwonongeka. Matenda a mtima ndi angina osakhazikika onse ndi ma coronary syndromes (ACS).

Mafuta omwe amatchedwa plaque amatha kupanga m'mitsempha yomwe imabweretsa magazi okosijeni pamtima mwanu. Chipilala chimapangidwa ndi cholesterol, mafuta, maselo, ndi zinthu zina.

Chipika chimalepheretsa magazi kuyenda m'njira ziwiri:

• Ikhoza kuyambitsa mtsempha wamagazi kukhala wopapatiza pakapita nthawi mpaka imatsekedwa mokwanira kupangitsa zizindikilo.
• Mwalawo umang'ambika mwadzidzidzi ndipo magazi amaundana kuzungulira iwo, ndikuchepetsa kwambiri kapena kutseka mtsempha.

Zambiri zomwe zimayambitsa matenda amtima zimatha kubweretsa ACS.

Chizindikiro chofala kwambiri cha ACS ndi kupweteka pachifuwa. Kupweteka pachifuwa kumatha kubwera mwachangu, kubwera ndikupita, kapena kuwonjezeka ndikupumula. Zizindikiro zina zitha kuphatikiza:

• Ululu paphewa, mkono, khosi, nsagwada, kumbuyo, kapena m'mimba
• Kusokonezeka komwe kumamverera ngati kukakamira, kufinya, kuphwanya, kuwotcha, kutsamwa, kapena kupweteka
• Zovuta zomwe zimachitika ndikupumula sizimatha mosavuta mukamamwa mankhwala
• Kupuma pang'ono
• Nkhawa
• Nseru
• Kutuluka thukuta
• Kumva chizungulire kapena wamutu wopepuka
• Mofulumira kapena osasinthasintha kugunda kwa mtima

Amayi ndi achikulire nthawi zambiri amakumana ndi izi, ngakhale kuwawa pachifuwa kumawonekeranso.

Wothandizira zaumoyo wanu adzakuyesani, kumvetsera pachifuwa chanu ndi stethoscope, ndikufunsani mbiri yanu yazachipatala.

Mayeso a ACS ndi awa:

• Electrocardiogram (ECG) - ECG nthawi zambiri ndimayeso oyamba omwe dokotala angayese. Imayeza magwiridwe antchito amagetsi pamtima panu. Mukamayesedwa, mudzakhala ndi ziyangoyango zing'onozing'ono zojambulidwa pachifuwa ndi mbali zina za thupi lanu.
• Kuyezetsa magazi - Mayeso ena amwazi amathandizira kuwonetsa zomwe zimayambitsa kupweteka pachifuwa ndikuwona ngati muli pachiwopsezo chachikulu cha matenda amtima. Kuyezetsa magazi kwa troponin kumatha kuwonetsa ngati maselo mumtima mwanu awonongeka. Kuyesaku kungatsimikizire kuti mukudwala matenda a mtima.
• Echocardiogram - Mayesowa amagwiritsa ntchito mafunde akumveka kuti ayang'ane mtima wanu. Zikuwonetsa ngati mtima wanu wawonongeka ndipo mutha kupeza mitundu ina yamavuto amtima.

Coronary angiography itha kuchitidwa nthawi yomweyo kapena mukakhazikika. Mayeso awa:

• Gwiritsani ntchito utoto wapadera ndi ma x-ray kuti muwone m'mene magazi amayendera mumtima mwanu
• Itha kuthandiza omwe akukuthandizani kusankha chithandizo chomwe mungafune

Mayesero ena oti ayang'ane mtima wanu omwe atha kuchitika mukakhala mchipatala ndi awa:

• Chitani masewera olimbitsa thupi
• Kuyesa kwa kupsinjika kwa nyukiliya
• Kupsinjika kwa echocardiography

Wothandizira anu amatha kugwiritsa ntchito mankhwala, opareshoni, kapena njira zina zochizira matenda anu ndikubwezeretsanso magazi mumtima mwanu. Chithandizo chanu chimadalira momwe muliri komanso kuchuluka kwa kutsekeka m'mitsempha yanu. Chithandizo chanu chingaphatikizepo:

• Mankhwala - Wopatsa wanu akhoza kukupatsani mtundu umodzi kapena mitundu ya mankhwala, kuphatikiza aspirin, beta blockers, ma statin, opopera magazi, mankhwala osungunula magazi, Angiotensin otembenuza enzyme (ACE) inhibitors, kapena nitroglycerin. Mankhwalawa amatha kuthandiza kupewa kapena kuphwanya magazi, kuthandizira kuthamanga kwa magazi kapena angina, kuchepetsa kupweteka pachifuwa, ndikukhazikitsa mtima wanu.
• Angioplasty - Njirayi imatsegula mitsempha yotseka pogwiritsa ntchito chubu lalitali, locheperako lotchedwa catheter. Chubu chimayikidwa mumtsempha ndipo woperekayo amalowetsa chibaluni chaching'ono. Buluni imakhuta mkati mwa mtsempha kuti mutsegule. Dokotala wanu akhoza kuyika chubu cha waya, chotchedwa stent, kuti mitsempha ikhale yotseguka.
• Opaleshoni ya Bypass - Uku ndikuchita opaleshoni yoyendetsa magazi mozungulira mtsempha womwe watsekedwa.

Mumachita bwino bwanji ACS ikadalira:

• Mumalandira chithandizo mwachangu
• Chiwerengero cha mitsempha yomwe yatsekedwa komanso momwe kutsekeka kwake kuliri koyipa
• Kaya mtima wanu wawonongeka kapena ayi, komanso kukula kwake ndi malo ake, ndi komwe kuwonongeka kuli

Kawirikawiri, msanga wanu ukatsegulidwa mwachangu, simudzawonongeka pamtima. Anthu amakonda kuchita bwino kwambiri mtsempha wotsekedwa ukatsegulidwa mkati mwa maola ochepa kuyambira pomwe zizindikilo zimayamba.

Nthawi zina, ACS imatha kubweretsa zovuta zina kuphatikizapo:

• Nyimbo zosadziwika bwino zamtima
• Imfa
• Matenda amtima
• Kulephera kwa mtima, komwe kumachitika pamene mtima sungapope magazi okwanira
• Kung'ambika kwa gawo lina la minofu yamtima kumayambitsa tamponade kapena kutuluka kwakukulu kwa valavu
• Sitiroko

ACS ndi vuto lazachipatala. Ngati muli ndi zizindikiro, imbani 911 kapena nambala yanu yadzidzidzi mwachangu.

OSA:

• Yesetsani kuyendetsa nokha kuchipatala.
• Yembekezerani - Ngati mukudwala matenda a mtima, muli pachiwopsezo chachikulu chofa mwadzidzidzi m'mawa.

Pali zambiri zomwe mungachite kuti muteteze ACS.

• Idyani chakudya chopatsa thanzi. Khalani ndi zipatso, veggies, mbewu zonse, ndi nyama zowonda. Yesetsani kuchepetsa zakudya zokhala ndi mafuta ambiri m'thupi komanso mafuta ochuluka, chifukwa zinthu zochuluka kwambiri zimatha kutseka mitsempha yanu.
• Chitani masewera olimbitsa thupi. Khalani ndi nthawi yochita masewera olimbitsa thupi kwa mphindi 30 masiku ambiri sabata.
• Kuchepetsa thupi, ngati muli wonenepa kwambiri.
• Siyani kusuta. Kusuta kumatha kuwononga mtima wanu. Funsani dokotala ngati mukufuna thandizo kuti musiye.
• Pezani zowunika zodzitetezera. Muyenera kukaonana ndi dokotala wanu kukayezetsa magazi pafupipafupi komanso kuthamanga kwa magazi ndikuphunzira momwe mungayang'anire manambala anu.
• Sinthani thanzi, monga kuthamanga kwa magazi, cholesterol, kapena matenda ashuga.

Matenda a mtima - ACS; M'mnyewa wamtima infarction - ACS; MI - ACS; MI yovuta - ACS; ST kukwera kwa m'mnyewa wamtima infarction - ACS; Osati ST-kukwera kwa m'mnyewa wamtima infarction - ACS; Angina wosakhazikika - ACS; Kuthamangitsa angina - ACS; Angina - wosakhazikika-ACS; Angina wopita patsogolo

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