Ciwon zuciya

Cutar cututtukan zuciya shine ƙarancin ƙananan hanyoyin jini waɗanda ke ba da jini da oxygen zuwa zuciya. Ana kuma kiran cututtukan zuciya na zuciya (CHD).

CHD shine babban dalilin mutuwa a Amurka ga maza da mata.

Ana haifar da cutar ta kwayar cutar ne ta hanyar liƙawa a cikin jijiyoyin zuwa zuciyar ka. Hakanan ana iya kiran shi harden jijiyoyin jini.

• Abubuwa masu kitse da sauran abubuwa sun zama abin adon abu a bangon jijiyoyin jijiyoyin ku. Jijiyoyin jijiyoyin jiki suna kawo jini da oxygen a zuciyarka.
• Wannan ginin yana haifar da jijiyoyin jiki su zama kunkuntar.
• A sakamakon haka, gudan jini zuwa zuciya na iya ragewa ko tsayawa.

Halin haɗari ga cututtukan zuciya wani abu ne wanda ke ƙara damar samunku. Ba za ku iya canza wasu abubuwan haɗarin cututtukan zuciya ba, amma kuna iya canza wasu.

A wasu lokuta, bayyanar cututtuka na iya zama sananne sosai. Amma, zaku iya kamuwa da cutar kuma ba ku da wata alama. Wannan ya fi zama gaskiya a farkon matakan cututtukan zuciya.

Ciwon kirji ko rashin jin daɗi (angina) shine mafi yawan alamu. Kuna jin wannan ciwo lokacin da zuciya ba ta samun isasshen jini ko oxygen. Jin zafi na iya jin dabam daga mutum zuwa mutum.

• Yana iya jin nauyi ko kamar wani yana matse zuciyar ka. Kuna iya jin shi ƙarƙashin ƙashin ƙirjin ku (sternum). Hakanan zaka iya jin shi a cikin wuyanka, hannunka, ciki, ko baya.
• Ciwon yana yawan faruwa tare da aiki ko tausayawa. Yana wucewa da hutawa ko wani magani da ake kira nitroglycerin.
• Sauran cututtukan sun haɗa da ƙarancin numfashi da gajiya tare da aiki (aiki).

Wasu mutane suna da alamun cutar banda ciwon kirji, kamar:

• Gajiya
• Rashin numfashi
• Babban rauni

Mai ba da lafiyar ku zai bincika ku. Sau da yawa zaka buƙaci gwaji fiye da ɗaya kafin samun ganewar asali.

Gwaji don kimantawa ga CHD na iya haɗawa da:

• Coronary angiography - Gwajin cin zali wanda ke kimanta jijiyoyin zuciya a karkashin x-ray.
• Echocardiogram danniya gwajin.
• Wutar lantarki (ECG).
• Ronididdigar lantarki-katako (EBCT) don neman alli a cikin rufin jijiyoyin jini. Calciumarin alli, hakan shine mafi girman damar ku ga CHD.
• Motsa jiki gwajin gwaji.
• Zuciyar CT.
• Gwajin gwajin nukiliya.

Ana iya tambayarka ka sha guda daya ko sama don magance cutar hawan jini, ciwon suga, ko kuma yawan matakan cholesterol. Bi umarnin magabatan ku a hankali don taimakawa hana CHD daga yin muni.

Burin don magance waɗannan yanayin a cikin mutanen da suka kamu da cutar ta CHD:

• Mafi yawan abin da ake amfani da shi na hawan jini ga mutanen da ke da cututtukan zuciya bai kai 130/80 ba, amma mai ba ka sabis na iya bayar da shawarar wani maƙasudin hawan jini.
• Idan kana da ciwon suga, za a kula da matakan HbA1c ɗinka har zuwa matakin da mai ba ka shawara ya bayar.
• Matsayi na cholesterol na LDL zai sauka tare da magungunan statin.

Jiyya ya dogara da alamun cutar ku da kuma yadda cutar ta kasance mai tsanani. Ya kamata ku sani game da:

• Sauran magunguna da ake amfani dasu don magance angina.
• Abin da za ku yi idan kuna da ciwon kirji.
• Yin aiki lokacin da kake da cututtukan zuciya.
• Cin abinci mai ƙoshin lafiya.

Kada ka daina shan magungunan ka ba tare da fara magana da mai baka ba. Dakatar da magungunan zuciya ba zato ba tsammani na iya sa angina ya zama mafi muni ko haifar da ciwon zuciya.

Za a iya tura ka zuwa shirin gyaran zuciya don taimakawa inganta lafiyar zuciyar ka.

Hanyoyi da aikin tiyata da ake amfani da su don magance CHD sun haɗa da:

• Angioplasty da wuri mai mahimmanci, wanda ake kira tsoma bakin jijiyoyin jijiyoyin jiki (PCIs)
• Magungunan jijiyoyin jijiyoyin jiki
• Surgeryanƙƙan ƙwayar cuta ta zuciya

Kowa ya murmure daban. Wasu mutane na iya kasancewa cikin koshin lafiya ta hanyar canza abincinsu, dakatar da shan sigari, da shan magunguna kamar yadda aka tsara. Wasu na iya buƙatar hanyoyin kiwon lafiya irin su angioplasty ko tiyata.

Gabaɗaya, gano farkon cutar CHD gabaɗaya yana haifar da kyakkyawan sakamako.

Idan kana da wasu dalilai masu haɗari na cutar ta CHD, yi magana da mai ba ka sabis game da rigakafi da matakan maganin da zai yiwu.

Kira mai ba da sabis, kira lambar gaggawa na gida (kamar 911), ko je dakin gaggawa nan da nan idan kuna da:

• Angina ko ciwon kirji
• Rashin numfashi
• Alamomin bugun zuciya

Auki waɗannan matakan don taimakawa hana cututtukan zuciya.

• Idan ka sha taba, to ka tsaya. Akwai albarkatu da yawa da zasu taimake ka ka daina shan sigari.
• Koyi yadda ake cin abinci mai ƙoshin lafiya ta yin sauye sauye. Misali, zabi mai lafiyayyen zuciya akan man shanu da sauran maiko.
• Samun motsa jiki na yau da kullun, mafi dacewa aƙalla mintina 30 mafi yawan kwanaki. Idan kana da cututtukan zuciya, yi magana da mai baka game da fara aikin motsa jiki.
• Kula da lafiyayyen nauyin jiki.
• Rage ƙananan cholesterol tare da canje-canje na rayuwa, kuma idan an buƙata, magungunan statin.
• Rage hawan jini ta amfani da abinci da magunguna.
• Yi magana da mai baka game da maganin asfirin.
• Idan kana da ciwon suga, kiyaye shi sosai don taimakawa hana ciwon zuciya da bugun jini.

Koda kuwa kana da cutar zuciya, ɗaukar waɗannan matakan zai taimaka kare zuciyar ka da kiyaye ƙarin lalacewa.

Ciwon zuciya, Ciwon zuciya da cututtukan zuciya, Ciwon jijiyoyin jini; Ciwon zuciya na Arteriosclerotic; CHD; CAD

• Bayan tiyata-asarar nauyi - abin da za a tambayi likita
• Magungunan Antiplatelet - Masu hanawa P2Y12
• Asfirin da cututtukan zuciya
• Kafin tiyata-asarar nauyi - abin da za a tambayi likita
• Cholesterol - maganin ƙwayoyi
• Kula da hawan jini
• An bayyana kitsen abincin
• Abincin abinci mai sauri
• Tiyatar ciki ta hanji - fitarwa
• Yin aikin tiyata na zuciya - fitarwa
• Yin tiyata ta zuciya - fitina kaɗan - fitarwa
• Ciwon zuciya - abubuwan haɗari
• Rashin zuciya - fitarwa
• Rashin zuciya - ruwaye da diuretics
• Rashin zuciya - kulawa gida
• Mai bugun zuciya - fitarwa
• Yadda ake karanta alamun abinci
• Gyarawa mai jujjuyawar zuciya - fitarwa
• Laparoscopic gastric banding - fitarwa
• Cincin gishiri mara nauyi
• Rum abinci

• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani
• Jijiyoyin zuciya na baya
• Jijiyoyin zuciya na baya
• Babban MI
• Masu samar da cholesterol

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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.

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 Kewaya. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Alamar AR. Zuciya da aikin jini. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 47.

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 ta Cutar Cutar: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 61.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Jagororin Rigakafin, Ganowa, Kimantawa, da Gudanar da Matsalar Hawan Jini a cikin Manya: Rahoton Kwalejin Zuciyar Amurka / Amurka Associationungiyar Associationungiyar Heartungiyar Zuciya a kan Ka'idodin Aiwatar da Clinical. [Gyaran da aka buga ya bayyana a cikin J Am Coll Cardiol. 2018; 71 (19): 2275-2279]. J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.