Kana uine chirwere chetachiona (CAD), unofanirwa kuona kuti kurapwa kwacho kwakangofanana nekurwa hondo: Ndirwendo rwenguva refu rwunofanira kurwisana pamiganhu yakasiyana-siyana, uye kana iwe ukarega wakarinda iwe unogona kuripa mutengo. Saka, kana iwe uine chirwere cheCAD, iwe nachiremba wako mune zvakawanda zvokugadzirira, uye zvizhinji zvezvigadziro zvekuita.
Nyaya iyi inotsanangura zvinhu zvaunoda kufunga pamusoro pako sezvo iwe nechiremba wako musarudza nzira yakarurama yekurapa chirwere chemoyo wenyu. Zvimwe zvezvipatara izvi (zvakadai sokutora matanho ekuderedza kufambira mberi kwechirwere) inofanira kugamuchirwa nemumwe murwere ane CAD. Zvimwe zvingasarudzwa (zvakadai sokuvhiyiwa kwepasipera kana kuti angioplasty uye kupisa) zvakakodzera chete mumamiriro ezvinhu chaiwo. Kuti uve nechokwadi chokuti zvinhu zvose zvinofanira kuitika zviri kuitwa, iwe nachiremba wako vachada kunyatsoongorora uye kunyatsopindura mibvunzo mitatu:
- Chii chaunofanira kuita kuti utadze mwoyo ischemia uye angina?
- Chii chaunofanira kuita kuti udzivise kurwadziwa kwepamweya uye zvimwe zvirwere zvepfungwa zvinokurumidza?
- Chii chaunofanira kuita kuti uderedze kana kuti usiye kuwedzera kweCAD yako?
Purogiramu yako yekurapa haina kukwana kunze kwekunge iwe uchitaura zvose zvitatu zvemibvunzo yakakosha.
Unogona Sei Kuderedza Dambudziko Rako reCardiac Ischemia neAngina?
CAD inokonzerwa ne- atherosclerosis , chirwere chinokonzera mapapanga kuti aumbe mumadziro eeronotro yako.
Iyo mahwendefa inogona kuguma kubudisa kuvhara kwakakwana kwemasero, iyo inotungamirira kune myocardial infarction (kurwisa kwemoyo). Asi kwenguva refu zvisati zvaitika, zvivharo zvishoma zvinowanzobudirira mumaroto e coronary.
Izvi zvinokosha kuhutano hwako nokuti zvikamu zviduku zveion coronary zvinogona kuderedza kubuda kweropa kumoyo wako mususu.
Saka, apo mwoyo wako unogona kunge uri kuwana ropa rose raunoda iwe paunenge wakasununguka uye uchizorora, izvi zvishoma zvishoma zvinogona kudzivirira mwoyo wako musuru kubva pakuwana huwandu hwakakwana hwe okisijeni paunenge uchidzidzira kana uchinetseka . Munguva iyi - apo mwoyo wako unoda oksijeni yakawanda kupfuura iyo yakavharidzirwa yakagadziriswa artery inogona kupa - mwoyo wako musumbu zvakaitika ischemia . Iyo oksijeni-inoshayiwa (ischemic) mwoyo musumbu inogona kukonzera kurwadziwa kana kunetseka kwatinotaridzirwa sein angina. Nemhaka yokuti rudzi urwu rwe angina runokonzerwa nekudzivirirwa kwakasimba, uye nokuti angina iyo inobereka inoitika zvisingatarisirwi (kureva, panguva yemumwe wekurovedza muviri), tinoitumidza kuti yakasimba angina .
Pane maviri maitiro ekurapa maitiro ekudzivirira ischemia uye yakagadzikana angina kune varwere vane CAD.
- Nzira yekutanga uye iyo yatinofarira kunzwa zvakawanda pamusoro payo ndeyokushandisa izvo zvinonzi "invasive therapy" - kureva, kushandisa kana kupora chirwere kana angioplasty uye kunotyisa kuti ibvise zvikamu zvakananga mukati memakironary arononi.
- Nzira yechipiri yekushandisa kushandisa chirongwa chezvinodhaka uye mamwe maitiro asina kushandura, asina-catheter-based based treatment.
Nzira mbiri idzi dzinogona kuva dzakabudirira kwazvo, uye nzira imwe neimwe inobata zvigaro kana kuti zvisingabatsiri.
Zvisinei, gara uchiyeuka kuti kune vanhu vakawanda vane angina akachengetedza, zvinogumuchirwa nemishonga yezvechiremba zvakafanana neine invasive therapy. Iwe uchada kutaura nechiremba wako nezvekuti ndeipi nzira yakakosha pane yako - kazhinji kusanganiswa kwemaitiro maviri aya anozodiwa.
Ungadzivisa Sei Kukonzwa Kwemwoyo uye Zvimwe Zvinetso Zvakaoma NeCAD?
Mukuwedzera pane zvishoma nezvishoma kuwedzera mavhareji mumaketheni ako emakoroni, vanhu vane CAD vari panjodzi yekudengenyeka kamwe kamwe , izvo vanachiremba vanoshevedza acon coronary syndrome (ACS). ACS inokonzerwa nokukurumidza kuumbwa kweropa (tete) (thrombosis) mukati mechizimburo chegoni, kazhinji nokuda kwekuparara kwechidimbu murusvingo rwetari.
ACS inogona kukonzera kana angina isina kusimba kana kurwisa kwemwoyo. Chero fomu ye ACS ndeyekukurumidzira mune zvehutano .
Nokuti munhu wese ane CAD anogona kukura ACS - kunyange vanhu vane mabheti asiri kuunza "maitiro" anokosha - zvakakosha zvikuru kuti munhu wese ane CAD ave mushonga kuti abatsire kudzivisa ACS . Iwe unogona kutora matanho akawanda kuti ubatsire kuderedza dambudziko iri, uye iwe unoda kutaura nachiremba wako nezveumwe neumwe wavo.
Unogona Sei Kuderedza Kana Kurega Kuwedzera kweCAD?
Atherosclerosis chirwere chisingaperi, chinopfuurira chinowedzera kupfuura nguva . Saka hazvina mhosva kuti mamwe maitiro engadini eCAD iwe ungagamuchira, kunze kwekuti iwewo uchitora matanho ekuderedza kana kumisa mberi kweAristrosclerosis, unogona kutarisira kuwedzera matambudziko akawanda sekufamba kwenguva.
Zvinokonzerwa kukonzera kufambira mberi kweCAD nehurongwa hutsinye hwekuchinja mararamiro uye kurapwa kwechiremba, kusanganisira yakasimba anti-cholesterol therapy (kazhinji inoda zvipimo), kurerisa, kuedza kusvuta , kushandura kupera kweropa , uye kunyatsochenjerera chirwere cheshuga , kana iwe uine.
Summing It Up
Kuita zvose izvi hakuzovi nyore, asi zvinokosha zvakakosha kukunda hondo pamusoro pehutano hwemwoyo wako. Munzira dzakawanda, chirwere chemwoyo chakangofanana nechimwe chirwere chinowanikwa, kenza. Kufanana nekenza, CAD chirwere chinopisa upenyu chinogona kukuuraya iwe, nokukurumidza kana kuti gare gare, kunze kwekuti yakakodzera kurapwa. Uye, sekufanana nekenza, kurapa kwakaoma. Kubudirira kurapwa kunoda kuzvipira kwakadzika, uye zvechokwadi inowanzodikanwa kushanduka kwemaonero uye maonero. Kana uine kenza, iwe ungangodaro unobvuma kuti chero chii-chinotora mafungiro. Iwe unoda kuva nemafungiro akafanana iye zvino: Upenyu hwako hunoenderana nezvahwo.
> Sources:
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> Task Force Members, Montalescot G, Sechtem U, et al. 2013 ESC Zvinyorwa pamusoro pekutungamirirwa kweSouth Coronary Artery Disease: Task Force pamusoro pekutonga kweStable Coronary Artery Disease yeEuropean Society of Cardiology. Eur Moyo J 2013; 34: 2949.