Ciwon zuciya

Mafi yawan ciwon zuciya na faruwa ne ta hanyar daskarewar jini da ke toshe ɗaya daga cikin jijiyoyin jijiyoyin jini. Jijiyoyin jijiyoyin jiki suna kawo jini da oxygen a zuciya. Idan jini ya toshe, zuciya tana fama da yunwar iskar oxygen sannan kwayoyin zuciya su mutu.

Kalmar likitanci ga wannan ita ce infarction na ƙwayar cuta.

Wani abu da ake kira plaque na iya ginawa a bangon jijiyoyin jijiyoyin jikinka. Wannan almara ta kunshi cholesterol da sauran kwayoyin halitta.

Ciwon zuciya na iya faruwa lokacin da:

• Rushewa a cikin tambarin yana faruwa. Wannan yana haifar da platelet na jini da sauran abubuwa don samar da daskararren jini a wurin da ke toshe mafi yawan ko duk jinin da ke dauke da iskar oxygen daga gudana zuwa wani sashi na jijiyar zuciya. Wannan shine mafi yawan dalilin bugun zuciya.

Dalilin bugun zuciya ba koyaushe aka san shi ba, amma akwai sanannun abubuwan haɗari.

Ciwon zuciya na iya faruwa:

• Lokacin da kake hutawa ko barci
• Bayan karuwar kwatsam na motsa jiki
• Lokacin da kake aiki a waje cikin yanayin sanyi
• Bayan kwatsam, matsanancin motsin rai ko damuwa na jiki, gami da rashin lafiya

Yawancin dalilai masu haɗari na iya haifar da haɓakar alƙallan rubutu da bugun zuciya.

Ciwon zuciya shine gaggawa na likita. Idan kana da alamun bugun zuciya, kira 911 ko lambar gaggawa ta gida kai tsaye.

• KADA KA YI kokarin tuƙa kanka zuwa asibiti.
• KADA KA JIRA. Kuna cikin mafi haɗarin haɗarin mutuwa kwatsam a farkon awannin farkon bugun zuciya.

Ciwon kirji shine mafi yawan alamun cututtukan zuciya.

• Kuna iya jin zafi a cikin ɓangaren jikinku ɗaya kawai KO
• Ciwo zai iya motsawa daga kirjinka zuwa hannuwanka, kafada, wuya, hakora, muƙamuƙi, yankin ciki, ko baya

Ciwo na iya zama mai tsanani ko sauƙi. Yana iya jin kamar:

• Bandaƙƙƙen band a kusa da kirji
• Rashin narkewar abinci
• Wani abu mai nauyi zaune a kirjinka
• Matsewa ko matsin lamba

Ciwon yakan fi minti 20 tsawo. Huta da magani don sassauta magudanan jini (wanda ake kira nitroglycerin) ƙila ba zai iya magance zafin ciwon zuciya gaba ɗaya ba. Hakanan cututtukan cututtukan na iya wucewa su dawo.

Sauran alamun cututtukan zuciya na iya haɗawa da:

• Tashin hankali
• Tari
• Sumewa
• Haskewar kai, jiri
• Tashin zuciya da amai
• Gabatarwa (jin kamar zuciyarka tana bugawa da sauri ko ba bisa ka'ida ba)
• Rashin numfashi
• Gumi, wanda yana iya zama mai nauyi sosai

Wasu mutane (gami da tsofaffi, masu fama da ciwon sukari, da mata) na iya samun ƙarancin ciwo ko a'a. Ko kuma, suna iya samun alamun alamomin da basu dace ba kamar ƙarancin numfashi, gajiya, da rauni. "Rashin bugun zuciya" bugun zuciya ne ba tare da alamun alamomin da ka iya faruwa ba.

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya saurari kirjinku ta amfani da stethoscope.

• Mai ba da sabis ɗin na iya jin sautukan da ba na al'ada ba a cikin huhunku (da ake kira crackles), gunaguni na zuciya, ko wasu sautukan da ba na al'ada ba.
• Kuna iya samun bugun sauri ko mara nauyi.
• Jinin ku na iya zama al'ada, babba, ko ƙasa.

Zaku sami lantarki (ECG) don neman lalacewar zuciya. Sau da yawa, wasu canje-canje akan ECG suna nuna kana fama da ciwon zuciya, kodayake ciwon zuciya na iya faruwa ba tare da canje-canje na ECG ba.

Gwajin jini na iya nuna idan kuna da lalacewar nama. Wannan gwajin zai iya tabbatar da cewa kana fama da ciwon zuciya. Ana maimaita gwajin sau da yawa akan lokaci.

Ana iya yin angiography na jijiyoyin kai tsaye ko kuma daga baya a rashin lafiya.

• Wannan gwajin yana amfani da fenti na musamman da x-ray don ganin yadda jini ke gudana a cikin zuciyar ku.
• Zai iya taimaka wa likitanka yanke shawara game da maganin da kake buƙatar gaba.

Sauran gwaje-gwaje don duba zuciyar ku wanda za'a iya yi yayin da kuke cikin asibiti:

• Echocardiography tare da ko tare da gwajin damuwa
• Motsa jiki gwajin gwaji
• Gwajin gwajin nukiliya
• Zuciyar CT ta duba ko MRI na zuciya

MAGANIN GAGGAWA

• Za a haɗa ku da na'urar kulawa ta zuciya, don haka ƙungiyar kula da lafiyar ku iya ganin yadda zuciyar ku ke bugawa a kai a kai.
• Zaka sami oxygen.
• Za a sanya layin jijiya (IV) a cikin jijiyoyin ku. Magunguna da ruwaye suna wucewa ta wannan IV.
• Kuna iya samun nitroglycerin da morphine don taimakawa rage ciwon kirji.
• Kuna iya karɓar aspirin, sai dai idan ba zai kasance lafiya a gare ku ba. A irin wannan yanayin, za a sake ba ku wani magani wanda yake hana daskarewar jini.
• Za'a iya bi da bugun zuciya mara haɗari (arrhythmias) ta hanyar magani ko girgiza wutar lantarki.

HANYOYIN GAGGAWA

Angioplasty hanya ce don buɗe kunkuntar ko toshe hanyoyin jini waɗanda ke ba da jini ga zuciya.

• Angioplasty shine yawancin zaɓi na farko na magani. Ya kamata ayi a cikin mintina 90 bayan an isa asibiti, kuma galibi baya wuce awanni 12 bayan bugun zuciya.
• Stent ƙarami ne, bututun ƙarfe na ƙarfe wanda yake buɗewa (faɗaɗa) a cikin jijiyoyin jijiyoyin jini. Yawancin lokaci ana sanya sitati bayan ko yayin angioplasty. Yana taimakawa hana jijiyoyin sake rufewa.

Za'a iya baka kwayoyi don fasa daskarewa. Wannan shi ake kira thrombolytic far. Zai fi kyau idan ana ba da waɗannan magungunan ba da daɗewa ba bayan farawar alamun cutar, yawanci ba zai wuce awanni 12 bayanta ba kuma daidai a cikin minti 30 na isa asibiti.

Wasu mutane na iya yin aikin tiyata na zuciya don buɗe ƙuntataccen ko toshe hanyoyin jini waɗanda ke ba da jini ga zuciya. Wannan hanyar ana kiranta kuma jijiyoyin bugun zuciya da / ko budewar tiyata.

MAGANI BAYAN RUFE ZUCIYA

Bayan kwanaki da yawa, za a sake ku daga asibiti.

Wataƙila kuna buƙatar shan magunguna, wasu har tsawon rayuwarku. Yi magana da mai ba da sabis koyaushe kafin tsayawa ko canza yadda kuke shan kowane magunguna. Dakatar da wasu magunguna na iya zama na mutuwa.

Yayinda kake karkashin kulawar ƙungiyar kiwon lafiyar ka, zaka koya:

• Yadda ake shan magunguna don magance matsalar zuciyar ka da hana ƙarin bugun zuciya
• Yadda ake cin abincin mai wadatar zuci
• Yadda ake aiki da motsa jiki lafiya
• Abin da za ku yi idan kuna da ciwon kirji
• Yadda za a daina shan taba

Emotionsarfin motsin rai na kowa ne bayan bugun zuciya.

• Kuna iya jin baƙin ciki
• Kuna iya jin damuwa da damuwa game da hankali game da duk abin da kuke yi

Duk waɗannan abubuwan na yau da kullun ne. Suna tafi ga yawancin mutane bayan makonni 2 ko 3.

Hakanan zaka iya jin gajiya lokacin da ka bar asibiti don komawa gida.

Mafi yawan mutanen da suka kamu da bugun zuciya suna shiga cikin aikin gyaran zuciya.

Mutane da yawa suna amfana daga shiga cikin ƙungiyoyin tallafi don mutanen da ke fama da cututtukan zuciya.

Bayan bugun zuciya, kuna da babbar dama ta sake kamuwa da ciwon zuciya.

Yaya kyau kuke yi bayan ciwon zuciya ya dogara da dalilai da yawa kamar:

• Yawan lalacewar jijiyoyin zuciyarka da bawul din zuciyar ka
• Inda wannan lalacewar take
• Kulawarka bayan bugun zuciya

Idan zuciyar ka ba zata iya fitar da jini zuwa cikin jikin ka kamar da ba, zaka iya samun gazawar zuciya. Abubuwa na al'ada na al'ada na iya faruwa, kuma suna iya zama barazanar rai.

Yawancin mutane zasu iya komawa sannu a hankali zuwa ayyukan yau da kullun bayan bugun zuciya. Wannan ya hada da yin jima'i. Yi magana da mai baka game da yadda yawan aiki yake a gare ka.

Ciwon zuciya; MI; Babban MI; ST - hauhawar cututtukan zuciya; Ba-ST - hauhawar cututtukan zuciya; NSTEMI; CAD - bugun zuciya; Ciwan jijiyoyin zuciya - bugun zuciya

• Angioplasty da mai ƙarfi - zuciya - fitarwa
• Cholesterol - maganin ƙwayoyi
• Cholesterol - menene za a tambayi likita
• Ciwon zuciya - fitarwa
• Ciwon zuciya - abin da za a tambayi likita
• Rashin zuciya: abin da za a tambayi likitanka
• Hawan jini - abin da za ka tambayi likitanka
• Shan warfarin (Coumadin, Jantoven) - abin da zaka tambayi likitanka
• Shan warfarin (Coumadin)

• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani
• Cigaban ci gaban abin rubutu a jijiyoyin jijiyoyin jini
• Babban MI
• Sanya tasirin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ECG
• Jijiyoyin zuciya na baya
• Jijiyoyin zuciya na baya
• Alamun bugun zuciya
• Muƙamuƙi da ciwon zuciya

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

Arnett DK, Blumenthal RS, Albert MA, da sauransu. Jagoran 2019 ACC / AHA game da rigakafin farko na cututtukan zuciya: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka a kan Sharuɗɗan Ayyukan Clinical. Kewaya. 2019; 140 (11): e596-e646. PMID: 30879355 pubmed.ncbi.nlm.nih.gov/30879355/.

Bohula EA, Morrow DA. -Addamarwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ta ST: gudanarwa. 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; 2019: babi na 59.

Giugliano RP, Braunwald E. Nonaddamar da -arancin ST mai saurin ciwon zuciya. 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; 2019: babi na 60.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA jagora don gudanar da cutar infarction na ST-elevation: rahoto na Kwalejin Kwalejin Kwakwar Kwalejin Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Ka'idodin Aiwatarwa. J Am Coll Cardiol. 2013; 61 (4): 485-510. PMID: 23256913 pubmed.ncbi.nlm.nih.gov/23256913/.

Scirica BM, Libby P, Morrow DA. -Addamarwar ƙwaƙwalwar ƙwayar cuta ta ST-haɓakawa: pathophysiology da ci gaban asibiti. 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; 2019: babi na 58.

Tamis-Holland JE, Jneid H, Reynolds HR, et al. Binciken yau da kullum da kuma kula da marasa lafiya da cututtukan zuciya idan ba tare da cututtukan jijiyoyin jini ba: bayanin kimiyya daga Heartungiyar Zuciya ta Amurka. Kewaya. 2019; 139 (18): e891-e908. PMID: 30913893 pubmed.ncbi.nlm.nih.gov/30913893/.