Kana uine chirwere chemwoyo (chinonziwo myocardial infarction , kana MI), iwe zvino unoziva chimwe chinhu pamusoro pako iwe unogona kunge usina kuziva kare. Iwe unoziva kuti une chirwere chetachiona chirwere (CAD) . Izvi zvakakosha ruzivo.
(Kunyange zvazvo kushaya mwoyo kunogona kukonzerwa nemamwe mamiriro ezvinhu , CAD inonyanya kukonzera chikonzero.Taura nachiremba wako kuti uone kuti une CAD.)
CAD chirwere chisingagumi chinowanzokonzera maronary coronary munzvimbo dzinopfuura imwe, uye izvo zvinowedzera kufambira mberi kwenguva. Izvi zvinoreva kuti iwe unoda kutora matanho ekudzikisa matambudziko ako ekuva nemamwe MI munguva yemberi.
Kuti udzivise humwe hutsinye hwemwoyo, iwe nachiremba wako muchada kugadzirisa nyaya mbiri dzakasiyana. Kutanga, iwe uchada kutora matanho ekudzivirira kubviswazve kweatrosclerotic plaque yakakonzera MI yako. Chechipiri, iwe uchada kuita zvose zvaunogona kuti udzike kana kuti usiye kufambira mberi kweCAD yako iri pasi.
Kugadzirisa Njodzi Yenguva Isipi
Varwere vanopona MI vanogona kuva nehuwandu hwekuwana kudzokorora kwechirwere chinonzi coronary syndrome (ACS) mukati memavhiki mashoma kana mwedzi. ACS - inokonzerwa nokuputika kwepakiti - inobereka angina isina kusimba kana imwe MI.
Aya "okutanga" okudzoka kweAACs anowanzokonzerwa nekudzokazve kwechimwechete icho chakakonzera MI yepakutanga.
Dambudziko rekudzoka kwepakutanga rakakwirira apo "chigumbuso" ichocho ichiri kuunza kuvhara kwechikamu chakanyanya muuroniconary.
Kana MI yako yakaoma yakarapwa nenzira inopesana (kureva, neyokurumidza angioplasty uye inopisa), ipapo icho chinangwa chinogona kunge chave chave chakatorwa.
Nyaya yacho yakasiyana kana pane iwe wakarapwa usina-kutadza nemishonga yeprombolytic . Iyi mishonga - inonziwo "clot-busters" - inoshandisa arteri inowanzoitwa nekupedza ropa rakawanda rinowanikwa neAACS. Kunyange zvakadaro, chikonzero ichocho chinoramba chiri dambudziko. Saka, musati mabuda muchipatara zvichange zvakakosha kuongororai kana kuvharidzirwa kwechikamu kwakanyanya kuchiripo. Iko kuongorora kunogona kuitwa pamwe nekushaya kemwoyo , kana kushungurudzika / thallium kudzidza .
Kana zvakatemwa kuti kuvharwa kwakanyanya kunoramba kuripo, chiremba wako achakurukurirana newe maitiro ekurapa inoshandiswa pakudzivirira kudzoka kweAACS-kare kusarudzo iyo inosanganisira kurapwa kweCAD , angioplasty, uye kupisa, kana kuti aronicyria arter bypass kubatanidza .
Kuderedza Dambudziko Renguva refu
Kazhinji kazhinji mushure meMI, varwere vakasara vane pfungwa yokuti, hongu, ivo vane chirwere chakakura cheutano, asi iye zvino chave chakatorwa, uye vanogona kungoenderera mberi nehupenyu hwavo sekunge zvisati zvachinja.
Hapana chinogona kuwedzera kubva muchokwadi. Hazvikwanise kusimbiswa zvikuru kuti atherosclerosis chirwere chisingagumi chinopfuurira chinowanzokonzera nzvimbo dzinoverengeka mukati me coronary arteries.
Chero chipi zvacho chinonzi atherosclerotic - pasinei nehukuru hwahwo - chinogona kuputsa uye kubereka ACS.
Saka kana wave uine MI, iwe unofanirwa kuita zvose zvaunogona kuti udzike kana kumira kufambira mberi kwechikonzero chechirwere ichi. Izvi zvinoda kuzvipira kukuru kune iwe, uye kune vanachiremba vako.
Pane zvikamu zviviri zvakakosha iwe iwe nachiremba wako achafanirwa kugadzirisa - drug therapy uye mararamiro ehupenyu. Iyo iri nyore iri mushonga wezvinodhaka.
Kurapa Kwemishonga Pashure Pekurwa Kwemwoyo
Kuti ubatsire kudzivirira ramangwana reMIs, unofanira kupiwa mishonga yakaratidzwa kuti inogona kuderedza kufambira mberi kweCAD kana kudzivirira kusvibiswa kwechirwere chetachiona chetachiona chinorwara (nekudzivisa kuvhara ropa kunokonzera kusvibiswa).
Iyi mishonga inemasimine uye aspirin.
Statins: Makirini emakiriniki akawanda zvino anoratidza kuti kutora mutemo wemishonga mushure mokunge MI inoderedza zvikuru njodzi yekuva nemamwe MI, uyewo njodzi yekufa. Ichi chigumisiro chinoshanda kunyange kuvarwere vane cholesterol mazinga asina kunyanya kukwirira. Saka kunze kwekuti iwe usingakwanisi kuregerera zvinyorwa, unofanirwa kutora imwe mushure memwoyo wako.
Aspirin: Aspirin inoderedza "kuvimbika" kweplateletti yeropa, uye nokudaro inoderedza mukana wekudzidzira ropa clot panzvimbo yea atherosclerotic plaque. Aspirin yakaratidzwa kuti inoderedza zvakanyanya njodzi yekufa kune varwere vane CAD inozivikanwa, uye inofanira kurongerwa muM MI yose kunze kwekunge kune zvikonzero zvakasimba zvekusadaro.
Chiremba wako anogonawo kusarudza kukupa mishonga inobatsira kudzivirira angina . Iyi mishonga inogona kusanganisira nitrates , kana calcium channel blockers .
Mukuwedzera kune mishonga iyi, iwe unofanirwawo kugamuchira beta blockers uye ACE inhibitors kuti ubatsire kudzivisa mwoyo kusagadzikana.
Maitiro Emararamiro Mushure memwoyo wekurwa
Sezvo zvakakosha sekurapa kwechirwere ndiko mararamiro anoita mararamiro ayo achaderedza dambudziko rako rekupedzisira mushure me MI. Izvi zvinosanganisira kubudirira nekuchengetedza uwandu hwakakosha, kutanga moyo-utano hwakanaka , kupedza kushandiswa kwefodya, kuwana hutano hwakanaka hwechirwere cheshuga nehuwandu hwehutachiona (kana huripo), uye uchiita zvekuita nguva dzose.
Munhu wose anonzwisisa kuti kuchinja mararamiro aya kwakaoma zvikuru kupfuura kutora mapiritsi. Asi yeuka: kugamuchira kufungidzirwa kweCAD ndiko kudanidzira kune zvombo. Iwe une chirwere chinowedzera kuwedzerwa pane nguva kunze kwekunge iwe uchirwisa iyo seunogona kurwisa kuongororwa kwekenza. Kurapa hakusi nyore, asi kazhinji kunoshanda. Saka simbisa iwe pachako, tora pfungwa, uye uite mararamiro ehupenyu iwe zvaunoda kuita.
Chimwe chinhu chinokosha chekukubatsira kubudirira izvi zvinoshandura kuchinja mararamiro ndezvekuti chiremba wako akureve kune chirongwa chekuvandudza mwoyo wepfungwa. Vanachiremba vakawanda kwazvo, zvinosuruvarisa, kusazvidza danho rinokosha. Kana iwe ukakanganwa, kumuyeuchidza.
Iwe unodawo kubvunza chiremba wako zvakanyanyisa kana zvakachengeteka kuti iwe utangezve kutyaira, zvepabonde , uye chero mamwe mabasa ayo waunoda kudzokerazve pakarepo kana yakachengeteka.
Pano pane zvakawanda pane zvaunoda kuita shure kwe MI
Sources:
OGara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA nhungamiro yehutungamiri hwe ST-elevation myocardial infarction: mushumo weAmerican College of Cardiology Foundation / American Heart Association Task Force pamusoro pekushandisa mazano. Circulation 2013; 127: e362.
Smith, SC Jr, Allen, J, Blair, SN, et al. AHA / ACC mirayiridzo yekudzivirirwa kwechipiri kuvarwere vane coronary uye mamwe atherosclerotic vascular disease: 2006 update yakatsigirwa ne National Heart, Lung, uye Blood Institute. J Am Coll Cardiol 2006; 47: 2130.