Mawallafi: Gregory Harris
Ranar Halitta: 15 Afrilu 2021
Sabuntawa: 1 Yuli 2024
Anonim
Mallakin Zuciya EPS 4 YT
Video: Mallakin Zuciya EPS 4 YT

Ciwon cututtukan jijiyoyin zuciya lokaci ne na rukunin yanayi wanda kwatsam zai iya dakatar ko rage yawan jini daga guduna zuwa ga tsokar zuciya. Lokacin da jini ba zai iya gudana zuwa jijiyar zuciya ba, jijiyar zuciya na iya lalacewa. Ciwon zuciya da rashin kwanciyar hankali angina duka cututtukan jijiyoyin zuciya ne (ACS).

Wani abu mai maiko wanda ake kira plaque na iya tasowa a jijiyoyin da suke kawo jini mai wadataccen oxygen a zuciyar ka. Alamar ruwa ta kunshi cholesterol, kitse, ƙwayoyin halitta, da sauran abubuwa.

Alamar na iya toshe gudan jini ta hanyoyi biyu:

  • Zai iya haifar da jijiya ta zama ta zama matsattsiya a kan lokaci wanda zai zama ya toshe sosai don haifar da bayyanar cututtuka.
  • Alamar tana zubar da hawaye ba zato ba tsammani kuma gudan jini ya samo kewaye da shi, yana taƙaitawa ko toshe jijiyoyin.

Yawancin dalilai masu haɗari ga cututtukan zuciya na iya haifar da ACS.

Mafi yawan alamun ACS shine ciwon kirji. Ciwon kirji na iya zuwa da sauri, ya zo ya tafi, ko kuma ya yi tsanani tare da hutawa. Sauran cututtuka na iya haɗawa da:

  • Jin zafi a kafaɗa, hannu, wuya, muƙamuƙi, baya, ko yankin ciki
  • Rashin jin daɗi da ke ji kamar matsi, matsewa, murƙushewa, ƙonewa, shaƙewa, ko ciwo
  • Rashin jin daɗi wanda ke faruwa a lokacin hutawa kuma baya saurin fita lokacin da kuka sha magani
  • Rashin numfashi
  • Tashin hankali
  • Ciwan
  • Gumi
  • Jin jiri ko annuri
  • Bugun zuciya ko sauri

Mata da tsofaffin mutane galibi suna fuskantar waɗannan alamun, kodayake ciwon kirji na kowa ne a gare su.


Mai ba ku kiwon lafiya zai yi gwaji, ya saurari kirjinku tare da stethoscope, kuma ya yi tambaya game da tarihin lafiyarku.

Gwaje-gwaje don ACS sun haɗa da:

  • Electrocardiogram (ECG) - ECG yawanci shine gwajin farko da likitanka zai fara. Yana auna aikin lantarki na zuciyarka. Yayin gwajin, za a sanya maka wasu kananan faci a kirjin ka da sauran sassan jikin ka.
  • Gwajin jini - Wasu gwaje-gwajen jini suna taimakawa wajen nuna abin da ke haifar da ciwon kirji da ganin ko kuna cikin babban haɗarin bugun zuciya. Gwajin jini na troponin na iya nuna idan ƙwayoyin da ke zuciyarku sun lalace. Wannan gwajin zai iya tabbatar maka da ciwon zuciya.
  • Echocardiogram - Wannan gwajin yana amfani da raƙuman sauti don duba zuciyar ku. Yana nuna idan zuciyar ka ta lalace kuma zata iya samun wasu nau'ikan matsalolin zuciya.

Za'a iya yin maganin ƙwaƙwalwar ƙwaƙwalwa nan da nan ko kuma lokacin da ka sami kwanciyar hankali. Wannan gwajin:

  • Yana amfani da fenti na musamman da x-ray don ganin yadda jini ke gudana ta cikin zuciyar ku
  • Zai iya taimaka wa mai ba ku shawara game da wane irin magani kuke buƙata a gaba

Sauran gwaje-gwajen don duba zuciyar ka wanda za'a iya yi yayin da kake cikin asibiti sun haɗa da:


  • Motsa jiki gwajin gwaji
  • Gwajin gwajin nukiliya
  • Ewarewar echocardiography

Mai ba ku sabis na iya amfani da magunguna, tiyata, ko wasu hanyoyin don magance alamunku da dawo da jini zuwa zuciyar ku. Maganin ku ya dogara da yanayin ku da kuma yawan toshewar jijiyoyin ku. Jiyya na iya haɗawa da:

  • Magunguna - Mai ba ka sabis na iya ba ka magunguna iri ɗaya ko fiye, ciki har da asfirin, masu toshe beta, statins, masu rage jini, ƙwayoyin narkewar jini, Magungunan hana yaduwar enzyme (ACE), ko nitroglycerin. Wadannan magunguna na iya taimakawa wajen hana ko fasa daskarewar jini, magance cutar hawan jini ko angina, sauqaqa ciwon qirji, da daidaita zuciyarka.
  • Angioplasty - Wannan aikin yana buɗe murfin jijiyar ta amfani da dogon, siririn bututu wanda ake kira catheter. An sanya bututun a cikin jijiyar kuma mai bayarwa yana saka karamin balan-balan. An cika balan-balan ɗin a cikin jijiyar don buɗe ta. Likitanka na iya saka bututun waya, wanda ake kira stent, don barin jijiyar a bude.
  • Tiyata ta kewayewa - Wannan tiyata ce don bi ta hanyar jini a kusa da jijiyar da aka toshe.

Yaya kyau kuke yi bayan ACS ya dogara da:


  • Yaya sauri kake samun magani
  • Adadin jijiyoyin da aka toshe da kuma irin munin abin da toshewar ta yi
  • Shin ko zuciyar ka ta lalace, da kuma iyakaci da wurin lalacewar, da kuma inda barnar take

Gabaɗaya, da sauri bugun jijiyarka ya toshe, ƙananan lalacewar da zaka samu ga zuciyarka. Mutane suna iya yin mafi kyau yayin da aka toshe jijiyar da aka toshe a cikin 'yan awanni kaɗan daga lokacin da alamun cutar suka fara.

A wasu lokuta, ACS na iya haifar da wasu matsalolin lafiya ciki har da:

  • Heartarfin zuciya mara kyau
  • Mutuwa
  • Ciwon zuciya
  • Rashin zuciya, wanda ke faruwa yayin da zuciya ba zata iya fitar da isasshen jini ba
  • Rushewar wani sashi na tsokar zuciya da ke haifar da tabo ko kwararar bawul mai tsanani
  • Buguwa

ACS shine gaggawa na gaggawa. Idan kana da alamomi, kira 911 ko lambar gaggawa ta gida da sauri.

KAR KA:

  • Yi kokarin tuka kanka zuwa asibiti.
  • JIRA - Idan kuna fama da ciwon zuciya, kuna cikin haɗarin haɗarin mutuwa kwatsam a farkon lokacin.

Akwai abubuwa da yawa da zaku iya yi don taimakawa hana ACS.

  • Ku ci abinci mai ƙoshin lafiya. Kasance da yalwar 'ya'yan itatuwa, kayan lambu, hatsi, da nama mara kyau. Yi ƙoƙari ka iyakance abincin da ke cike da ƙwayar cholesterol da mai mai ƙanshi, tunda yawancin waɗannan abubuwa zasu iya toshe jijiyoyin ka.
  • Motsa jiki. Yi nufin samun aƙalla mintina 30 na motsa jiki matsakaici yawancin ranakun mako.
  • Rage nauyi, idan ka yi kiba.
  • Dakatar da shan taba. Shan taba na iya lalata zuciyar ka. Tambayi likitan ku idan kuna buƙatar taimako barin.
  • Samun gwajin lafiya. Yakamata kaje ganin likitanka domin yawan gwajin cholesterol da hawan jini kuma koya yadda zaka kiyaye lambobinka.
  • Sarrafa yanayin lafiya, kamar hawan jini, hauhawar jini, ko ciwon sukari.

Ciwon zuciya - ACS; Cutar infarction - ACS; MI - ACS; Acute MI - ACS; ST haɓaka infarction na myocardial - ACS; Rashin ST-hauhawar ƙwayar cuta na zuciya - ACS; M angina - ACS; Hanzarta angina - ACS; Angina - m-ACS; Ci gaban angina

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/.

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.

Eckel RH, Jakicic JM, Ard JD, et al. Jagoran 2013 AHA / ACC game da gudanar da rayuwa don rage haɗarin zuciya da jijiyoyin jini: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka a kan Ka'idodin Aiki. Kewaya. 2014; 129 (25 Gudanar da 2): S76-S99. PMID: 24222015 pubmed.ncbi.nlm.nih.gov/24222015/.

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 cututtukan cututtukan zuciya na ST-haɓakawa: taƙaitaccen bayani: rahoto na Kwalejin Kwalejin Kwakwar Baƙin Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Ka'idodin Aiki. Kewaya. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

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.

Smith SC Jr, Benjamin EJ, Bonow RO, et al. AHA / ACCF rigakafin sakandare da kuma rage haɗarin haɗari ga marasa lafiya da cututtukan zuciya da sauran cututtukan jijiyoyin jini: sabuntawa na 2011: jagora daga Heartungiyar Zuciya ta Amurka da Kwalejin Kwalejin Zuciya ta Amurka. Kewaya. 2011; 124 (22): 2458-2473. PMID: 22052934 pubmed.ncbi.nlm.nih.gov/22052934/.

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