3 Mibvunzo Yekubvunza Chiremba Wako
Isu tose takanzwa zvirevo zvekuti cardiologists iri kuisa maronda akawanda muvarwere vane coronary artery chirwere (CAD) . Uye chokwadi ndechokuti izvi zvinoitika kakawanda kupfuura zvatinoda kufunga.
Saka iwe unofanira kuitei kana chiremba wako achiti unoda stent? Iwe uri mumwe wevanhu ivavo avo vanonyatsoda stent - kana kuti chiremba wenyu anofanira kunge achitaura newe nezverapi yezvechiremba pane?
Kana chiremba wako achikuudza kuti unoda stent, zvichida iye achaedza kutsanangura chikonzero nei. Asi nyaya inogona kuva yakaoma, uye chiremba wako angasave akanyatsojeka mukutsanangura kwake. Uye iwe unogona kushamisika zvikuru nemashoko kuti unoda stent kuisa pfungwa dzako pane zvauri kuudzwa.
Nenzira yakanaka, kana chiremba wako achiti unoda stent, pane mibvunzo mitatu iri nyore iwe unogona kukubvunza kuti ndiani achakuudza zvaunoda chaizvo kuziva. Kana iwe ukabvunza mibvunzo mitatu iyi, iwe unomira mukana wakanaka kwazvo wekuwana stent chete kana iwe uchida chaizvo imwe.
Mubvunzo Wokutanga: Ndiri Kutambura Kwemwoyo Here?
Kana iwe uri mumatanho ekutanga ekurwadza kwepfungwa yakaoma, kuiswa nokukurumidza kwe stent kunogona kumisa kukanganisa kwemwoyo wako musuru, uye kunogona kubatsira kuderedza mikana yako yekutambura nekuremara kwemwoyo kana kufa. Kana mhinduro kumubvunzo uyu ichiti "hongu," ipapo stent inofunga zvakanaka.
Hapana chikonzero chekuenderera mberi kuMubvunzo wechipiri.
- Verenga pamusoro pezviratidzo zvekurwa kwemwoyo.
- Verenga pamusoro pokuti ungapona sei kurwisa kwemwoyo.
Mubvunzo Wechipiri: Ndine Angina Yakasimba Here?
Angina isina kugadzikana , seyakakonzerwa nemwoyo chaiwo, inoratidziro yeconary coronary syndrome (ACS) - uye naizvozvo inofanira kuonekwa sechirwere chekukurumidzira. Kuiswa kwekutanga kwe stent kunogona kugadzirisa kuputsika kwepachika kuri kuunza dambudziko uye kunogona kuvandudza mhinduro yako.
Kana mhinduro kumubvunzo uyu ichiti "hongu," kuisa stent inogona kunge yakakodzera kuita. Hapana chikonzero chekuenderera mberi kuMubvunzo weTatu.
Mubvunzo Wechitatu: Hausi Iko Kurapa Ndiri Kuedza Kutanga Here?
Kana ukasvika kuChidzidzo Chechitatu, zvinoreva kuti iwe hauna chirwere chemwoyo chakaoma kana angina isina kugadzikana. Mune mamwe mazwi, zvinoreva kuti une CAD yakasimba. Saka, pane zvishoma, kuisa stent hakusi chinhu chinofanira kuitwa pakarepo. Iwe une nguva yekufunga nezvazvo, uye kufungisisa zvaunogona kuita.
Ndivo varwere vane CAD vakasimba avo, maererano nehutano hwakanaka hwehupiki huripo huripo, vari kuwana mazamu akawanda kwazvo. Muchigarire CAD, stents inofanirwa kuva yakanakisisa pakuburitsa angina , asi haidzivisi kutambudza kwemwoyo kana kuderedza ngozi yekufa kwemoyo. Saka, chikonzero chega chakanaka chekuisa stents kuvanhu vane CAD yakagadzikana ndechokubvisa angina inoramba ichinge apo kushungurudzwa kwechisimba nemishonga inokundikana kuita saizvozvo.
Nzira Yakanakisisa yeStable CAD
Kurapa kwakanakisisa kwevanhu vane CAD yakagadzikana ndekutora matanho ose anowanikwa kuti agadzikane matanda mumaketari e-coronary - kureva, kuchengetedza mapepa kubva pakukanda. (Ndiyo kuputika kwepakiti inobereka ACS pakutanga).
Kutsigira mapepa kunoda kudzora cholesterol , kuwedzerwa kweropa , nekuputika, kusasvuta , kugara uchirovedza muviri, nekuita kuti zvive zvishoma. Kushandisa zvinodhaka zvinodhaka zvinosanganisira aspirin , statins , beta blockers , uye ropa remishonga mishonga (kana zvichidiwa). Kana iwe uine angina, kuwedzera nitrates, calcium channel blockers , uye / kana ranolazine inowanzobata zviratidzo.
Kana angina yako inopfuurira pasinei nerudzi urwu rwechirwere chinotyisa, ipapo, nenzira dzose, stent chinhu chinofanira kunyatsofungidzirwa. Asi ramba uchiyeuka kuti stent inongobata imwe pepa uye kuti vanhu vazhinji vane CAD vane mazita akawanda.
Uyezve, nepo huzhinji hwemashoko aya hunoonekwa se "husina maturo" nemaitiro ezvetsika (sezvo zvisiri kuburitsa zvakanyanya mumuviri), zvino zvinoonekwa kuti vazhinji vezvirwere zveAACS zvinoitika apo chimwe chezvi "zvisakoshi" zvikamu zvinoparara kamwe.
Izvi zvinorevei, kuti kana iwe unopedzisira uwana stent yeCAD yako yakagadzikana, iwe uchange uchida kurapwa kwechirwere chisimba kuti udzivise kuputsika kweimwe "iyo" mamwe mapepa, ayo "asina basa", ayo ayo Nhamba dzakawanda dzezvemapurisa dzinogona kutaura zvishoma kana kuti kwete.
Summary
Kana iwe uchiudzwa kuti unoda stent, unogona kukurumidza kuona kuti iwe unoda zvakadini, kana zvachose, nokubvunza mibvunzo mitatu iri nyore. Iyi mibvunzo yakanyanya nyore kuti chiremba wako apindure - kazhinji neyekuti hongu kana kwete-kuti hapazovi nechikonzero chekuti akwanise kutora ivo pamwe newe.
Asi kana zvichiitika kuti iwe une CAD yakagadzikana, saka saka stent inenge isati iri dambudziko, iwe unokweretwa hurukuro yakazara pamusoro pezvose zvaunosarudza kurapa usati waomanikidzirwa kuenda kune stent.
> Kwakabva:
> Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS Nhungamiro yeKutsvaga uye Kutarirwa kwevarwere vane Stable Ischemic Heart Disease: Nyaya yeAmerican College of Cardiology Foundation / American Heart Association Basa reMakadziro Emitemo Yezvokuita, uye America College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, uye Society of Thoracic Surgeons. Circulation 2012; 126: e354.