Kuongorora Chikonzero cheChipfuva Chirwere
Sezvo munhu anenge achiziva, kurwadziwa kwepfupa chimwe chezviratidzo izvo zvisingambofaniri kutorwa. Kunyange zvazvo ichokwadi kuti pane dzimwe nguva kurwadziwa kwepfupa kunogona kukonzerwa nemamwe maitiro akanaka uye asina kukodzera, zvakare ndeyechokwadi kuti kurwadziwa kwepfupa kunogona kuva chiratidzo chako che-5 chechiratidzo chokuti chimwe chinhu chakanyanya kuoma uye kutyisa upenyu kuri kuitika kwamuri, uye nguva iyoyo ndeye essence.
Saka kurwadziwa kwepfupa chiratidzo chinogara chichifanira kuongororwa nehutano.
Chisarudzo chinonyanya kukosha chinofanira kuitwa pakuita iyo kuongorora ndeyako. Iwe unofanira kuedza "kutasva" zviratidzo zvako uye kuzivisa chiremba wako pane imwe nguva yakanyanya kunaka, kana iwe unofanirwa kutsvaga rubatsiro rwekurapa munguva pfupi? Kune rumwe rutivi rwemubvunzo chisarudzo chisina kunaka chinogona kutungamirira kumari isina kukodzera uye kusagadzikana. Asi kune rumwe rutivi rwemubvunzo chisarudzo chisina kunaka chinogona kutungamirira kukuremara kwekugara nekusingaperi kana kufa.
Kuora kwepfupa kunogona kukonzerwa nehuwandu hwakasiyana hwehutano , uye zviratidzo izvo vanachiremba nevarwere vanotsanangura se "kurwadziwa kwepfupa" kunogona kusiyanisa zvakanyanya kubva kumunhu kusvika kumunhu uye mamiriro ezvinhu.
Saka kana iwe uine marwadzo epfuva, unoziva sei kuti unorapa sezvinoitika?
Hapana mitemo yakaoma uye inokurumidza pano. Dzimwe nguva kunyange zviratidzo zvechifukidzo zviduku zvinogona kuitika nekuda kwechirwere chetachiona chirwere (CAD) .
Kutaura zvazviri, kusvika 30% yekutambudzwa kwemwoyo kunofambidzana nezviratidzo zvisinganzwisisiki kuti munhu anenge atambudzwa haazvioni - kana kuti anozvibvisa. Izvo zvinonzi " kunyarara kwemwoyo. "
Saka, tinokwanisa kutaura pamusoro pemamwe mazano anokwanisa kuve ari anobatsira pakusarudza kana iwe uchida kuenda kuchivako chekukurumidzira nekuda kwekurwadziwa kwepfupa.
Asi ramba uchiyeuka kuti izvi zvinyorwa - chero zvirevo zvepamusoro - hazvisi nguva dzose zvinotungamirira kusarudzo yakanakisisa.
Hapana munhu angakukanganisa iwe kudana 911 nekuda kwekurwadziwa kwepfupa - pasinei nokuti chii chinokonzera kuva. Paunenge usina mubvunzo, ita iyo call.
Zviratidzo Zvaunofanira Kuwana Rubatsiro Rwakananga
Kurwadziwa kwepfupa kunowanzoreva mamiriro ezvinhu ane ngozi - uye kunofanirwa kutarisirwa semhirizhonga - kana chimwe cheizvi chiri chechokwadi:
- Iwe uri nemakore makumi mana kana kupfuura, uye une rimwe kana zvimwe zvinowanzoisa mungozi yeCAD (mhuri nhoroondo, kusvuta, kuora muviri, mararamiro ehupenyu hwepamusoro, cholesterol yakakwirira, chirwere cheshuga). Verenga zvakawanda pamusoro pengozi yeCAD.
- Iwe uri zera chero ripi uye unove nemhuri yakasimba yekare yehutano hwepfungwa.
- Marwadzo anogona kunyatsorondedzerwa nemashoko ekusimbiswa, kudzvinyirira, kuoma, kana kupwanya.
- Marwadzo anowanikwa neutera, kushungurudzika, kupererwa kwemhepo, kutuka, chizuru kana kupera.
- Kutambudzika "kunopenya" kumapfudzi, maoko, kana musaya.
- Marwadzo acho akaoma kudarika chero awakambove nawo.
- Zvinorwadza zvinowirirana nemanzwiro erima, kana kunzwa kuti chimwe chinhu chakashata zvakanyanya (izvi zvinowanzodanwa navanachiremba, "pfungwa yekuparadzwa kunouya").
- Marwadzo anoramba achiipisisa pamusoro pemakore gumi kana gumi nemashanu.
- Marwadzo aya matsva - iwe hauna kumbonzwa chero chinhu chakafanana nazvo kare.
Kana imwe yemamiriro aya ane chokuita nekurwadziwa kwepfupa yako, unofanira kuitora semhepo inotyisa.
Zvinyorwa Zvokuti Chepuru Inorwa Zvishoma Haingave Nengozi
Kurwadziwa kwepfupa hakusviki kunomiririra dambudziko rekushaya mwoyo mukati mekuda kana chero chipi chinotevera chiri chechokwadi:
- Utano hunovimbika uye hunochinja zvinokonzerwa nekuchinja mumuviri wako.
- Huri kurwadziwa kwechinguva kana kupera.
- Iwe wakanga uine marwadzo akafanana munguva yakapfuura, uye chirwere chemwoyo chakatongerwa kunze kwekunge kuongororwa kwakazara kwehutano.
Kana marwadzo ako achiita seanoti akakwanisa kupinda mu "nengozi" muchikwata, tora uende kune imwe nzvimbo yekukurumidzira.
Kana zvisina kudaro, kana zvisingaiti, iwe unofanira kuramba uchitendera chiremba wako kuziva nezviratidzo zvako.
Kuongorora Chest Pain in the Emergency Room
Kana ukasarudza iwe unoda kutarisirwa nokukurumidza pamarwadzo ako emapfupa, kazhinji chinhu chakachengeteka chaunofanira kuita ndechekufonera 911 uye uendeswa kune imwe nzvimbo yepamhanho yekukurumidza.
Izvo zvinopindura EMTs kana mazamupamuponi zvichakwanisa kuongorora tsanangudzo yekutanga, nekubatsira kugadzirisa chirwere chako (iwe unofanirwa kuchida) kunyange usati wasvika pane imwe nzvimbo yezvechiremba.
Kana uchinge uri pamberi pechiremba, kuongorora kwekutanga kunowanzove kuongorora kana chirwere chepfupa chiri chitsva (acute), kana kuti chinomiririra dambudziko risingaperi.
Kana Chest Pain Is In Inset:
Kana iwe uri kuongororwa nehutachiona hwehutachiona hwechipfuva, chiremba anowanzosvika pamudzi wechinetso chako nokukurumidza 1) kutora mhedziso, yakanyorerwa nhoroondo yezvokurapa, 2) kuita chiitiko chekuongorora, 3) kuwana ECG nemavumbi emuviri .
Iyi kuongorora kakawanda ichagadzirisa kana iwe uri kutarisana nemhepo inokurumidzira. Kana mushure mekutsvaga kwekutanga kwekuongorora kwacho kuchiri kusava nechokwadi, kupfuurira mberi kunozodiwa, zvichienderana nehupi hwehutano hunoita sechida kune chiremba wako panguva iyoyo.
Kuti udzoke zvakare, urongwa hwekutanga hwebhizimisi ndohwekutonga kunze kwechinetso chinotyisa-chinotyisa chemoyo - acon coronary syndrome (ACS) , kana asina kana chaiyo myocardial infarction (kurwisa kwemwoyo) , kazhinji kuve kunyanya kunetseka. ( Aortic dissection - kuputika kworusvingo rwe-aorta - kunopisa upenyu, asi kunowanzosanyanya kudarika.) Kukurumidza kuongorora kurwisa kwemwoyo kunonyanya kukosha kubva apo kurapwa kwakangoita kunogona kuderedza zvakanyanya kuwanda kwekuparara kwemwoyo kusingaperi, uye kunogona ponesa hupenyu hwako. Kunyanya kukosha ndeyekuongororwa kwema angina asina kugadzikana , sezvo kukurumidza uye kushungurudza kwechiitiko ichi zvakare kunoda kudzivisa kuora mwoyo kwekusingaperi.
Kana ACS ichinyatsofungidzirwa, iwe uchazobvumirwa kubvumirwa kune imwe nhengo huru yekuchengetedza uye kurapa kuchagadziriswa. Vanachiremba vako vanogonawo kutsvaga zvidzidzo zvinowanikwa kuti zviitwe pakarepo, kuitira kuvhara pasi kuongororwa-zvichida kusanganisira echocardiogram , thallium scan , CT scan , kana catheterization yemwoyo .
Kune rumwe rutivi, kana dambudziko rinotyisa hupenyu rave risina kutongerwa kunze, vanachiremba vekukurumidzira vese vanozoita kuti vanyatsoziva kuti chii chinokonzera kurwadziwa kwepfuva (ndiko kuti, ivo vachati chimwe chinhu chakadai, "Ichi ndicho zvichida chii chinokonzera marwadzo ako, ") uye anokutaurira kune chiremba wako wekutevera-up uye kurapa.
Kana Chest Pain is More Chronic, Recurrent, kana Isina-acute Symptom
Kana chipfuva chako chirwadziwa chimwe chinhu chawaimbova nacho, chiremba wako chinonyanya kunetsa iwe pachako kana iwe uine angina . Angina inowanzokonzerwa neCAD yakawanda, asi inogonawo kubudiswa nemamiriro ezvinhu epasiki asingazivikanwi akadai sekugadzirisa arteri spasm kana chirwere chemwoyo x . Zvichienderana nekamuri yepamhanho chiremba chiremba wekufungira, nyanzvi yemapurisa inogona kubvunzurudzwa pakarepo, kana iwe ungadzoserwa zvakare kune chiremba wako (kana kumudzidzisi wemapurisa) kuti uongorore zvakakwana.
Apo chimwe chinhu chinopfuura angina chinofungidzirwa chiri kuita kuti chipfuva chako chirwadzire, kunyatsoongororwa kunodawo kuitwa kuitira kuti kurapa kwakakodzera kunogona kutanga. Zvichienderana nezvinetso zvehutano izvo chiremba wako anofungidzira kuti ndizvo zvinokonzera, unogona kudiwa x-rays, endoscopy yako GI tract , pulmonary (mapapu) maitiro ekushanda , kana zvimwewo kuedza kuvhara pasi. Kazhinji kazhinji, chiremba wekukurumidzira chiremba achakuendesa kuna chiremba wako (kana kune mumwe munhu akakodzera) kuti aone kuonekwa kwekupedzisira.
Shoko Rinobva
Sezvaunogona kuona, kutanga kwebhizimisi pakuongorora marwadzo emapfupa ndekuita kuti urege kufa, kana kuti utambure hupenyu hwemwoyo. Kuzadzisa chinangwa ichi kunobva pane zvinhu zviviri. Kutanga, iwe pachako unofanirwa kuita sarudzo yakakodzera pamusoro pokutsvaga kurapwa kwechimbichimbi. (Kana usina mubvunzo, ita saizvozvo.) Uye rwechipiri, chiremba anofanira kuita chiitiko chinokurumidza kuedza kuti ave nechokwadi kuti hakuna hupenyu hunopfuurira kana huripo huripo, kana kuti chero humwe hutano hunotyisa hunotyisa hupenyu.
Kana izvi zvaitika, uchifunga kuti mamiriro ezvinhu anotyisidzira akaiswa kunze, iwe ungangodaro uchatumirwa kuti uongorore kunze kwenzvimbo yekutsvaga mukana.
> Sources:
> Connor, RE, Bossaert, L, Arntz, HR, uye, al. Nechinangwa cheAacute Coronary Syndrome Chitsauko Vashandi. Chikamu 9: Chirwere cheCoronary Syndromes: 2010 International Consensus pamusoro peCardiopulmonary Resuscitation uye Emergency Cardiovascular Care Science ne Treatment Recommendations. Circulation 2010; 122: S427.
> Ebell MH. Kuongorora Chest Pain In Primary Care Patients. Ndiye Chiremba weNzara 2011; 83: 603.
> Wertli MM, Ruchti KB, Steurer J, Akabatwa U. Zviratidzo Zviratidzo Zvisina Mwoyo Muchifupa Marwadzo: Ongororo Yakarongeka uye Meta-analysis. BMC Med 2013; 11: 239.