Iva nehanya nevanodzidza mapurisa vachifunga "nenzira yezvetsika"
Nzira yatinofunga pamusoro peCononary Artery Disease (CAD) uye kurapa kwayo iri pakati pekuchinja kukuru, uye nhasi, mamwe ma cardiologist akanyatsotamira kune "nzira itsva" yokufunga, nepo vamwe vachiri kubatanidzwa mu "nzira yepamutemo . " Kusiyana pakati pezvikoro zviviri zvepfungwa zvinonyatsotsanangura zvakawanda zvekukakavadzana ikozvino kuitika pakati pevanhu vane mwoyo yehutano pamusoro paani kuti vaongorore kuCAD, kuti vadziidze sei, avo vanofanirwa kutarisirwa kuCAD, uye kuti vangabata sei.
Zvinosuruvarisa, vanachiremba vachiri kushamwaridzana nenzira yemagariro yekufambisa iri kushaya chikepe - uye somugumisiro, vari kuisa vazhinji vevarwere vavo kune zvose zvinokurudzirwa uye kuwedzererwa.
Nzira Yenzira yekufunga nezveCAD
Nenzira, CAD zvinoreva kuti pane imwechete kana kuti mamwe mabhejika mumakorotori e coronary . Izvi zvinogona kudzivirira ropa kuderera, izvo zvinogona kubudisa angina (chifuko chisina kunaka), uye, kana chakaipa, blockages inogona kuve yakakwana, zvichiita kuti mwoyo musumbu ugove neyeri iyo kufa, iyo inonzi "myocardial infarction" kana kuora mwoyo . Sezvo chinetso chikuru chiri kubviswa, kunyanya kurapwa ndiko kubvisa kuvhara, izvo zvinogona kuitwa nekuvhiyiwa kwepamusoro kana kupisa . Iko tsika yeCAD, zvino, inotarisa pamagetsi, izvo zvinoreva kuti nzvimbo chaiyo yeatomic uye dhigiriji yakakosha pakuongorora CAD. Kuongororwa kwekutarisa uko hakupei ruzivo urwu uye mishonga isingabatsiri zvibhakera hazvikwani zvakakwana.
VanaCardiologists vanofunga nenzira yakawanda vanowanzomira pamaketani emwoyo sekutsvaga kuongororwa kwekuongorora uye kunokanganisa sechirwere chinokwana chete, kunyange vachizobvuma kuti dzimwe nguva chiremba wepachimara anofanirwa kubatanidzwa kune zvakanyanya zvakanyanya kana kuti zvakaoma kuvhara.
Nzira Itsva Yokufunga NeCAD
Isu iye zvino tinoziva kuti CAD inenge yakawanda kupfuura kungovhara mabheji. CAD chirwere chisingagumi, chinopfuurira chinowanzove chakanyanya kupararira mukati memakrionary coronary kupfuura zvinorehwa nekuvapo kana kusavapo kwemakabheji chaiwo. Mabheji anowanzovapo mumisungo inoratidzika se "yakasarudzwa" pamusoro pemaitiro epamwoyo . Ichokwadi, vamwe varwere, kunyanya vakadzi , vanogona kuva neCAD yakawanda iyo inobatanidza kuderedza kwemagetsi eeronic without any blockages. Uyezve, kurwisa kwemwoyo kunobudiswa kana bundu rinoputika uye rinokonzera chivharo kuti chigadzire chinokanganisa ariti-uye kazhinji izvi zvinowanikwa pamakanda asingabvumiri kuputika uye angadai akanzi "hauna basa" pamusoro pecatheterization yemwoyo. Chinokosha cheCAD hachisi chekuti mabheji chaiwo anowanikwa, asi kana maronari artery plaques (iyo kazhinji isingakonzereki mabhuku makuru) aripo.
Izvi Zvinorevei Kwauri
Kunyange zvazvo mabheji chaiwo anogona uye anoita kuti angina uye mwoyo inorwiswa uye apo kurapa zvikamu zvakasiyana-siyana zvinowanzokosha, kurapa kunotarisirwa mukurapa mavhareji hawanzodiki kana kukwana kugadzirisa zvakakwana CAD. Uchapupu huri kuvaka nehutano hwemishonga yakawanda - zvikurukuru huchibva kune zvinyorwa asiwo kusanganisira hutsinye hunokonzerwa nehuwandu hwezvinhu-CAD inogona kugadziriswa kana kunyange kuchinjwa, uye zvirongwa zvinogona "kugadziriswa" kuderedza zvinetso zvavanoparara.
Muvanhu ava, kuvhenekera , kusvuta kupera , kuora muviri, kudzivirira kweropa uye (nyanzvi dzakawanda dzinotenda) cholesterol kudzivirira inonyanya kukosha.
Chinokosha, zvino, ndechokusarudza kana munhu angangodaro ane CAD anoshingaira, kureva kuti, kana mapepa angangodaro aripo, ezvo otungamira kurapa saizvozvo. Kumwero mukuru, kusarudza kana mabheti angangodaro aripo anogona kuzadzikiswa kwete. Tanga nehurongwa huri nyore hwehuwandu hwekutarisa kana njodzi yako iri pasi, iri pakati kana yakakwirira. ( Onai nzira yekuongorora nayo njodzi yako nyore uye nyore .) Vanhu vari mumatambudziko akadai vangangodaro vasingadi kubatsirwezve.
Vanhu vari mumatambudziko akakwirira vanofanira kuitirwa utsinye (vane statins uye ngozi-factor factor modification), sezvo ivo vanogona kunge vane mavara. Vanhu vari pakati pepakati pezvipingamupinyi vanofanira kufungidzira kuongorora kusingaoneki neEBT kuongorora (calcium scans) : kana calcium inenge iripo pamakironi inonzi coronary, saka ine mapepa uye inofanira kuitirwa utsinye.
Nguva Yokutsvaga Blockages
Blockages mumaketari e coronary achiri kukosha. Nyanzvi dzakawanda dzinofunga kuti vanhu vari munharaunda yepamusoro-soro vanofanira kuva nekudzvinyirira thallium test . Kana iyi muedzo inofadza zvekuvhara kukuru, catheterization yemwoyo inofanira kufungwa. Kuongororwa kwepfungwa kana catheterization yemwoyo kunofanirawo kunyatsoongororwa kune chero munhu (chero pasinei nehuwandu hwehutano hwavo) ane zviratidzo zvema angina. Kununura mabheji nekuvhiyiwa kana kunhuwa kunogona kubatsira zvikuru mukurapa angina uye, mune mamwe mamiriro ezvinhu, kunogona kuvandudza kupona.
Summary
Kufunga kwedu pamusoro peCAD kwakachinja zvikuru kudarika makore gumi akapfuura kana zvakadaro. Haisi chirwere chezviputi zvinokonzerwa ne stents. Mishonga inotarisirwa kumisa kana kuchinja CAD isingagumi uye pakusimbisa mabheji kuti kuderedze maitiro avanozoparara, zvinokosha zvikuru, kana zvibato "zvakakosha" zviripo kana kwete.
Sources:
USPreventative Services Task Force. Kuongorora kwechirwere chepfungwa chemoyo: chirevo chekurudziro. Ann Intern Med 2004; 140 (7): 569.
Naghavi M, Falk E, Hecht HS, et al. Kubva pamatambudziko akaoma kumurwere anotambura: Chikamu III. Kuzivisa chimiro chitsva chekudzivirira kushaya mwoyo; kuzivikanwa uye kurapwa kwechiremera chinotambura chinorwara. Kuongorora Kuda Kwemwoyo Kudzivirira uye Dzidzo (SHAPE) mushumo weboka rebasa. Executive Summary. Am J Cardiol 2006; DOI: 10.1016.