Rayuwa da cututtukan zuciya da angina

Cututtukan zuciya na zuciya (CHD) taƙaitaccen ƙananan hanyoyin jini ne waɗanda ke ba da jini da iskar oxygen ga zuciya. Angina shine ciwon kirji ko rashin jin daɗi wanda galibi yakan faru yayin da kake yin wasu ayyuka ko jin damuwa. Wannan labarin yana tattauna abin da zaka iya yi don gudanar da ciwon kirji da rage haɗarin ka ga cutar zuciya.

CHD takaitawa ne daga ƙananan hanyoyin jini waɗanda ke ba da jini da iskar oxygen ga zuciya.

Angina shine ciwon kirji ko rashin jin daɗi wanda yawanci yakan faru yayin da kake yin wasu ayyuka ko jin damuwa. Hakan na faruwa ne ta sanadiyyar jini mara kyau ta hanyoyin jijiyoyin zuciya.

Idan kana da cutar hawan jini, ciwon suga, ko cholesterol, mai kula da lafiyar ka na iya baka shawara:

• Kiyaye karfin jinin ka mafi sau da yawa zuwa 130/80. Mayananan na iya zama mafi kyau idan kuna da ciwon sukari, cututtukan koda, bugun jini, ko matsalolin zuciya, amma mai ba da sabis ɗin zai ba ku maƙasudinku na musamman.
• Medicinesauki magunguna don rage yawan cholesterol.
• Rike HbA1c da sukarin jini a matakan da aka bada shawara.

Wasu dalilai masu haɗari da za'a iya shawo kansu don cututtukan zuciya sune:

• Shan barasa. Idan zaka sha, ka ragewa kanka yawan abin da ya wuce sha 1 a rana ga mata, ko kuma 2 a rana ga maza.
• Lafiyar motsin rai. Bincika kuma a bi da ku don ɓacin rai, idan an buƙata.
• Motsa jiki. Nemi yawan motsa jiki na motsa jiki, kamar tafiya, iyo, ko keke, aƙalla minti 40 a rana, aƙalla kwanaki 3 zuwa 4 a mako.
• Shan taba. Kar ka sha taba ko taba.
• Danniya. Guji ko rage damuwa kamar yadda zaka iya.
• Nauyi. Kula da lafiya mai nauyi. Yi ƙoƙari don ƙididdigar girman jiki (BMI) tsakanin 18.5 da 24.9 da kugu mafi ƙarancin inci 35 (santimita 90).

Kyakkyawan abinci mai gina jiki yana da mahimmanci ga lafiyar zuciyar ku. Halin cin abinci mai kyau zai taimaka maka sarrafa wasu abubuwan haɗarin ka don cutar zuciya.

• Ku ci 'ya'yan itace da yawa, da kayan marmari, da hatsi.
• Zaɓi sunadaran da ba su da ƙoshin lafiya, irin su kaza marar kifi, kifi, da wake.
• Ku ci kayayyakin kiwo da ba su da mai mai yawa, kamar madarar da aka kiwo da yogurt mara mai mai.
• Guji abincin da ke ɗauke da babban sinadarin sodium (gishiri).
• Karanta alamun abinci. Guji abinci mai ɗauke da kitsen mai mai ƙamshi da mai ƙanshi ko mai narkewar abinci. Waɗannan su ne ƙwayoyin mai da ba su da lafiya waɗanda galibi ana samun su a cikin soyayyen abinci, abincin da aka sarrafa, da kuma kayan da aka toya.
• Ku rage cin abinci wanda ke ɗauke da cuku, kirim, ko ƙwai.

Mai ba ku sabis zai iya rubuta magani don magance CHD, hawan jini, ciwon sukari, ko kuma yawan matakan cholesterol. Waɗannan na iya haɗawa da:

• ACE masu hanawa
• Masu hana Beta
• Masu toshe tashar calcium
• Diuretics (kwayoyi na ruwa)
• Statins don rage cholesterol
• Nitroglycerin kwayoyi ko fesawa don hana ko dakatar da harin angina

Don rage haɗarin kamuwa da bugun zuciya, ana iya gaya maka ka sha aspirin, clopidogrel (Plavix), ticagrelor (Brilinta) ko prasugrel (Effient) kowace rana. Bi umarnin magabatan ku a hankali don kiyaye cututtukan zuciya da angina daga yin muni.

Yi magana da mai ba da sabis koyaushe kafin ku daina shan duk wani maganin ku. Dakatar da waɗannan kwayoyi ba zato ba tsammani ko canza canjin ka zai iya sa angina ya zama mafi muni ko haifar da ciwon zuciya.

Irƙiri shiri tare da mai ba da sabis don kula da angina. Ya kamata shirinku ya haɗa da:

• Waɗanne ayyuka ne ya dace ku yi, kuma waɗanne ne ba su ba
• Waɗanne magunguna ne ya kamata ku sha yayin da kuke da angina
• Menene alamun da ke nuna cewa angina yana ci gaba da tsananta
• Lokacin da ya kamata ka kira mai ba ka sabis ko 911 ko lambar gaggawa ta gida

San abin da zai iya sa angina ya yi muni, kuma yi ƙoƙari ka guje wa waɗannan abubuwa. Misali, wasu mutane suna ganin cewa yanayin sanyi, motsa jiki, cin abinci mai yawa, ko bacin rai ko damuwa yana kara angina.

Ciwan jijiyoyin zuciya - rayuwa tare da; CAD - rayuwa tare da; Ciwon kirji - rayuwa tare da

• Lafiyayyen abinci

Eckel RH, Jakicic JM, Ard JD, et al. Jagoran 2013 AHA / ACC game da tsarin rayuwa don rage haɗarin zuciya da jijiyoyin jini: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan jagororin aiki. J Am Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. PMID: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.

Fihn SD, Blankenship JC, Alexander KP, 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 Am Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860/.

Morrow DA, de Lemos JA. Ciwon cututtukan zuciya na ischemic. 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 61.

Mozaffarian D. Gina Jiki da cututtukan zuciya da cututtukan rayuwa. 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; 2018: babi na 49.

Dutse NJ, Robinson JG, Lichtenstein AH, et al. 2013 ACC / AHA jagora game da maganin cholesterol na jini don rage haɗarin atherosclerotic na zuciya da jijiyoyin jini a cikin manya: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Americanungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan jagororin aiki.J Am Coll Cardiol. 2014; 63 (25 Pt B): 2889-2934. PMID: 24239923 pubmed.ncbi.nlm.nih.gov/24239923/.

Thompson PD, Ades PA. Aikin motsa jiki, cikakken gyaran 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 54.

• Angina
• Ciwon jijiyoyin jini