Angina - lokacin da kake da ciwon kirji

Angina wani nau'in rashin jin kirji ne saboda rashin kwararar jini ta hanyoyin jijiyoyin zuciya. Wannan labarin yayi magana akan yadda zaka kula da kanka yayin da kake da angina.

Zaka iya jin matsi, matsewa, ƙonewa, ko matsewa a kirjinka. Hakanan zaka iya samun matsi, matsewa, ƙonawa, ko matsewa a cikin hannunka, kafadu, wuya, muƙamuƙi, maƙogwaro, ko baya.

Wasu mutane na iya samun alamomi daban-daban, gami da ƙarancin numfashi, gajiya, rauni, da baya, hannu, ko wuyan wuya. Wannan ya shafi musamman mata, tsofaffi, da mutanen da ke fama da ciwon sukari.

Hakanan zaka iya samun rashin narkewar abinci ko rashin lafiyar cikinka. Kuna iya jin gajiya. Kuna iya zama ƙarancin numfashi, gumi, mai haske, ko rauni.

Wasu mutane suna da angina lokacin da suke fuskantar yanayin sanyi. Hakanan mutane suna ji dashi yayin motsa jiki. Misalai sune hawa bene, yin tafiya sama, daga wani abu mai nauyi, ko yin jima'i.

Zauna, ka natsu, ka huta. Alamunka na yau da kullun za su shuɗe jim kaɗan bayan ka daina aiki.

Idan kana kwance, zauna a bakin gado. Gwada zurfin numfashi don taimakawa cikin damuwa ko damuwa.

Idan baka da nitroglycerin kuma alamunka basu tafi bayan hutawa ba, kira 9-1-1 yanzunnan.

Mai yiwuwa malamin kiwon lafiyarku ya rubuta allunan nitroglycerin ko fesawa don kai hare-hare masu tsanani. Zauna ko kwanta lokacin da kake amfani da allunanka ko feshi.

Lokacin amfani da kwamfutar hannu, sanya kwaya tsakanin kuncinka da danko. Hakanan zaka iya sanya shi ƙarƙashin harshenka. Bada shi ta narke. Kada ku haɗiye shi.

Lokacin amfani da feshi, karka girgiza akwatin. Riƙe akwatin kusa da bakinku na buɗe. Zuba maganin a kan ko a ƙarƙashin harshenka. Kada ku sha iska ko haɗiye maganin.

Jira minti 5 bayan an fara amfani da sinadarin nitroglycerin. Idan alamun ku basu fi kyau ba, sun fi muni, ko sun dawo bayan sun tafi, kira 9-1-1 nan da nan. Mai ba da sabis ɗin da ya amsa zai ba ku ƙarin shawara game da abin da za ku yi.

(Lura: mai ba ka sabis na iya ba ka shawarwari daban-daban game da shan nitroglycerin lokacin da kake da ciwon kirji ko matsa lamba. Wasu za a gaya musu su gwada ƙwayoyin nitroglycerin 3 na mintina 5 kafin su kira 9-1-1.)

Kada a sha taba, a ci, ko a sha na mintina 5 zuwa 10 bayan shan sinadarin nitroglycerin. Idan kana shan sigari, ya kamata ka yi ƙoƙari ka daina. Mai ba da sabis naka na iya taimakawa.

Bayan alamun ku sun tafi, rubuta detailsan bayanai game da abin da ya faru. Rubuta:

• Wani lokaci na rana taron ya faru
• Abin da kuke yi a lokacin
• Yaya tsawon zafi ya dade
• Abin da zafin ya ji
• Abin da kuka yi don rage zafinku

Ka tambayi kanka wasu tambayoyi:

• Shin kun ɗauki dukkanin magungunan zuciyarku na yau da kullun ta hanyar da ta dace kafin ku sami bayyanar cututtuka?
• Shin kun kasance mafi aiki fiye da al'ada?
• Shin kawai kuna da babban abinci?

Raba wannan bayanin tare da mai ba da sabis a ziyararku na yau da kullun.

Yi ƙoƙari kada ku yi ayyukan da ke ɓata zuciyar ku. Mai ba ku sabis na iya rubuta muku magani don ku sha kafin aiki. Wannan na iya hana bayyanar cututtuka.

Kira 9-1-1 idan angina ya yi zafi:

• Ba shine mafi kyau ba minti 5 bayan shan nitroglycerin
• Baya tafiya bayan allurai 3 na maganin (ko kamar yadda mai ba da sabis ya umurta)
• Yana kara tabarbarewa
• Komawa bayan maganin ya taimaka

Har ila yau kira mai ba ku idan:

• Kuna samun alamun bayyanar cutar sau da yawa.
• Kuna samun angina lokacin da kuke zaune shiru ko baku aiki. Wannan ana kiransa hutu angina.
• Kuna yawan jin kasala.
• Kuna jin suma ko haske.
• Zuciyarka tana bugawa a hankali sosai (kasa da 60 a minti daya) ko kuma da sauri (sama da doke 120 a minti daya), ko kuma bai daidaita ba.
• Kuna samun matsala shan magungunan zuciyar ku.
• Kuna da wasu alamun bayyanar.

Ciwon cututtukan zuciya na zuciya - ciwon kirji; Ciwan jijiyoyin zuciya - ciwon kirji; CAD - ciwon kirji; Ciwon zuciya na zuciya - ciwon kirji; ACS - ciwon kirji; Ciwon zuciya - ciwon kirji; Cutar infarction - ciwon kirji; MI - ciwon kirji

Amsterdam EA, Wenger NK, Brindis RG, et al. Jagoran 2014 AHA / ACC don kula da marasa lafiya tare da cututtukan cututtukan cututtukan zuciya marasa ƙarfi wanda ba a ɗauke da ST ba: rahoto na Collegeungiyar Kwalejin Ciwon Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan jagororin aiki. J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Boden MU. Maganin ƙwaƙwalwar angina da kwanciyar hankali cututtukan zuciya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 62.

Bonaca MP, Sabatine MS. Kusanci ga mai haƙuri tare da ciwon kirji. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: babi na 56.

Fihn SD, Blankenship JC, Alexander KP, Bittl JA, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS sun ƙaddamar da sabuntawa game da jagora don ganewar asali da kula da marasa lafiya tare da kwanciyar hankali na cututtukan zuciya: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Sharuɗɗan Aiki, da Americanungiyar (asar Amirka game da Tiyata Thoracic, Nungiyar Magunguna na Nakasassu na Jiji, Angungiyar Kula da Magungunan Zuciya da Ayyuka, da ofungiyar Likitocin Thoracic J Thorac Cardiovasc Surg. 2015 Mar; 149 (3): e5-23. PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA jagora don gudanar da cututtukan cututtukan zuciya na ST-haɓakawa: taƙaitaccen bayani: rahoto na Kwalejin Kwalejin Cardiology ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka game da ka'idojin aiki. Kewaya. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• Angioplasty da stent jeri - carotid jijiya
• Tsarin cirewar zuciya
• Ciwon kirji
• Jijiyoyin jijiyoyin jiki spasm
• Yin aikin tiyata na zuciya
• Yin aikin tiyata na zuciya - mara haɗari
• Mai bugun zuciya
• Gyarawa mai juyawa-defibrillator
• Barga angina
• M angina

• Angina - fitarwa
• Angina - abin da za a tambayi likitanka
• Angioplasty da mai ƙarfi - zuciya - fitarwa
• Asfirin da cututtukan zuciya
• Yin aiki lokacin da kake da cututtukan zuciya
• Cardiac catheterization - fitarwa
• Ciwon zuciya - fitarwa
• Yin aikin tiyata na zuciya - fitarwa
• Yin tiyata ta zuciya - fitina kaɗan - fitarwa
• Rashin zuciya - fitarwa

• Angina