Mushure mokunge iwe wapona chirwere chemwoyo ( myocardial infarction ), une zvakawanda zvokudzidza nezvazvo zvakawanda zvokufunga nezvazvo . Mumazuva ekare akare iwe ungangodaro waive nevhiki kana maviri yekurapa kuti uchinje kune zvinhu-kuti upinde muongororo yose, kuongororwa kwematambudziko, dzidzo, uye kutanga kwerapi inodiwa kuti uwedzere kushandiswa kwenguva refu.
Nhasi, zvisinei, chero chipi zvacho chinozoitika chinofanira kuitika mumatatu ekutanga (kana kuti zvichida mana, kana iwe uine chirongwa chehutano hwakanaka) mazuva.
Vanachiremba uye zvipatara zvakanyatsotarisana kuti zvive nehanya zvakakwana kune munhu anoratidzira ane acute myocardial infarction . Asi dzimwe nguva vanodonha bhora kana zvasvika pakupa kutarisira kwakakodzera mushure mekutanga kwemaawa anooma. Vakawanda vanochengeta vanoedza zvakaoma kuita zvose zvinoda kuitwa mumazuva mashomanana mushure mekurwa kwepfungwa. Dzimwe nguva, zvisinei, "zvose zvinoda kuzadzikiswa" zvinongokuvadza, kwavari uye kuvarwere vavo. Somugumisiro, kazhinji vanhu vane hutsinye hwemwoyo havagamuchiri zvese zvinongororwa, dzidzo, uye kurapwa kwavanoda kuti vatsigire zvakakosha kwenguva yakareba mugumisiro.
Chinokosha chekubudirira kubudirira nenzira yako kuenda kune hurefu, hutano hupenyu mushure mekurwa kwemoyo iwe . Iwe unofanirwa kuziva kuti rudzi rwekuedza runofanira kuitwa, rudzii rwekutumira runofanira kuitwa, uye marudzi api emishonga (uye mamwe marapirwo) anofanira kutanga, kana kuti kunyatsofungidzirwa.
Kana pane chimwe chinhu chinowira mumakumbo, iwe unofanira kuchiendesa kuchiremba wako.
Vanachiremba vanoda chaizvo kuita chinhu chakanaka. Ndizvo chete, zvakapiwa zvinomanikidza uye zvinetso zvavari kushanda pasi, kubva kumakambani maviri einishuwarenzi uye hurumende, dzimwe nguva unofanirwa kukuyeuchidza kuti ndiani wavari kunyatsosungirwa, uye kuti chii chaunotarisirwa pane iyo.
Uye saka, unofanirwa kuva netarisiro yakarurama.
Kusvikira kune izvi, heino mutsara unonyatsotarisa wezvinhu zvinofanira kuitika-iwe usati waenda kuchipatara-mushure mekurwa kwemoyo wako. Shandisa urongwa uhwu kuti uone kuti zvese zvakakosha zvigadziriswa uye kuti iwe nachiremba wako mose munoita zvinhu zvose zvakanaka kuti muvandudze mikana yekugara kwenguva refu uye utano hwakanaka kwenguva refu.
Verenga zvakawanda:
A Post-Heart Attack Ongororo
1) Upenyu hunochinja uye humwe dzidzo:
- Ndakadzidziswa zvizere pamusoro pezviratidzo zvinonyevera uye zviratidzo zvekurwadziwa kwemoyo uye zviito zvingaita kana ndikawana zviratidzo kana zviratidzo. (y / n)
- Kana ini ndiri kusvuta, ndakapiwa zano rokuti ndimire, uye ndakataurira kune imwe kana kupfuura dzimwe purogiramu yekurega kusvuta. (y / n)
- Ndakadzidziswa zvakakwana pamwoyo-kudya kunovaka muviri . (y / n)
- Chiremba wangu akambotaura kwandiri nezvekuda kwandinoda kuora muviri, uye kuwanda kwandaifanira kurasikirwa. (y / n)
- Ndakagamuchira zvakakwana mirayiridzo yevhiki dzinotevera kusvika kumatanhatu uye ndakatumirwa kurongwa hwekuvandudza mwoyo . (y / n)
- Kukosha kwekutora nguva refu kwenguva refu kwakatsanangurwa kwandiri. (y / n)
- Chiremba wangu akambotaura neni nezvekuti ndinokwanisa kudzokazve zvepabonde . (y / n)
- Chiremba wangu akambotaura neni pamusoro pandinokwanisa kudzoka zvakare. (y / n)
2) Kuongorora njodzi yeimwe chirwere chemwoyo munguva inotevera:
- Nzvimbo yemaroto angu emakoroni ave akaongororwa kana kudzvinyirira / thallium kudzidza (y / n) kana catheterization yemwoyo . (y / n)
- Mamiriro ezvinhu emaroto angu akashandurwa kwandiri nenzira iyi:
- Chirongwa chekutevera chimiro chemaroto angu ekugadzirisa kwenguva ndeyekuti:
3) Kuwanda kwekuparadzwa kwakaitwa pamwoyo wangu kwakaongororwa ne:
- Kushungurudzika / thallium kudzidza (y / n)
- Cardiac catheterization (y / n)
- MUGA scan (y / n)
- Echocardiogram (y / n)
(Cherechedza: imwe yezviedzo izvi zvina inofanira kuitwa kuitira kuti uone chikamu chejoko .)
- Ini (ndinoita / handiiti) ndine imwe yero yekushaya mwoyo .
4) Nhamba dzinokosha dzandinoda kuziva:
- Nhoroondo yangu yechipfuva yakave yakayerwa, uye zvabuda ndeizvi:
- Total cholesterol:
- LDL cholesterol:
- HDL cholesterol:
- Triglycerides:
- Ropa rangu dambudziko nderokuti:
- Kutsanya kwangu kweropa glucose ndeyokuti:
- Chikamu changu chokunyungurudza ndechekuti:
(Cherechedza: Kana chikamu chiduku chiri 35 muzana kana pasi, ona # 6 pasi apa.)
5) Mazita uye mapepa emishonga yakanyorwa kwandiri:
- Aspirin :
- Anti-platelet mishonga (yakadai seLlavix, Brilinta, kana Effir):
- Beta blocker :
- ACE inhibitor :
- Spironolactone (kana chikamu changu chekufungidzira chiri 40 muzana kana pasi):
- Statin :
Cherechedza: Yese yemishonga iyi yakaratidzwa kubatsira kubvisa humwe hutambudzi hwemoyo uye kuderedza dambudziko rekufa. Kana ini ndisina kugamuchira mishonga yemumwe chete kana kupfuura mishonga iyi, chikonzero ndechekuti:
- Ndakurukura nachiremba wangu kana ini ndichida kurapwa nehutachiona . (y / n)
- Ndakurukura nachiremba wangu kana ndichida kurapwa chirwere cheshuga kana chirwere cheshuga chisati chaitika . (y / n)
6) Kudzivirira kufa kamwe kamwe
- Kana kachikamu kangu ejection ari 30 muzana kana pasi (kana kana ndave nemwoyo wakakundikana uye chikamu changu chekudzivirira chikamu chikamu 35 kubva pasi kana pasi), ndakatumirwa kune electrophysiologist kuti ndikurukure kuve kwekugadziriswa kwegadziriro inogadziriswa . (y / n)
- Nhengo dzemhuri yangu dzakadzidziswa muCPR. (y / n)
Sources:
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.
OGara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA nhungamiro yehutungamiri hweS ST-elevation myocardial infarction: executive summary: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pamusoro pekushandisa mazano. Circulation 2013; 127: 529.