Kunyanya MuVasikana Vakadzi, Mwoyo Inoshungurudza Inogona Kuve Nokuda Kwezviitiko
Kwemakore anoverengeka, cardiologists yaziva kuti coronary artery chirwere (CAD) muvakadzi inogona kunge yakasiyana zvakanyanya kupfuura iyo iri mumarume. Zviratidzo zvevakadzi zvinogona kunge zvakasiyana , miedzo yekuongororwa inoshandiswa kuCAD inokwanisa kupa mhinduro "isina kururama" kuvakadzi , uye chirwere chepachizvaro pachacho chinogona kunge chakasiyana .
zvave zvakajeka kuti kune rumwe mutsauko umo CAD "inoita" mune vamwe vakadzi.
Madzimai madzimai vane chirwere chemyocardial (heart attack) , coronary thrombosis (ropa clot muuroniconary artery) iyo inobereka kukanganisa kwemwoyo kunogona kukonzerwa nekudengenyeka kweatrosclerotic plaque , pane kungowedzera kupararira kwepakiti . Kana chirwere chemwoyo chinokonzerwa nekudengenyeka, zviratidzo zvingave zvisinganzwisisiki uye zvishoma kudarika pane "kazhinji" kushaya mwoyo. uye inogona kushaikwa (kana kubviswa) nechiremba. Somugumisiro, kurapwa kungave kwakanonoka uye zviitiko zvingave zvakanyanya kuipa.
Iyo Mwoyo Inoparadza Inowanzoitika
Kazhinji, acon coronary syndrome (ACS) inokonzerwa nokuputika kwepakiti. Kuparara kwepara kazhinji chinhu chakaoma uye chakasiyana chakakonzera mhedziso pakarepo. Kuparara kunotsanangurira "gunk" mukati memucheka (cholesterol, calcium, masero ekuvhiringidza, nezvimwewo zvinhu) kune ropa - uye izvi zvinowanzokonzera kuumbwa kwekivha.
Kazhinji, chipfeko chinokonzera kukwana (kana kuti kunopera kukanganisa) kusagadzikana kwegoni yerononi, uye kubuda kweropa kusvika kune chikamu chemuviri wemwoyo chinopiwa neyeri iyo yakavharwa. Izvi zvinowanzoendesa kune kamwe kamwe uye zvinoshamisa zviratidzo zvinosangana neAACS - zviratidzo zvekurwadziwa kwepfungwa kana kuti angina dzisina kugadzikana , kana kunyange kusvika pakufa kwepanyama kamwe kamwe .
Chii Chinoita Kuti Coronary Artery Erosion Kusiyane?
Zvinoratidzika kuti, kunyanya kuvakadzi vane kurwadziwa kwemwoyo vasati vava nemakore makumi mashanu (kunyanya, mumadzimai anonzi pre-menopausal), kuparara kwemavara hakuwanzo kukonzera ropa clot. Pane kudaro, chivharo chacho chinogona kukonzerwa nokukanganiswa kweropa remadziro.
Ndechipi musiyano pakati pekuputsika nekukura? Zvakanaka, kuputika kwepakiti kwakafanana nepimple iyo inotanga kuzarura. (Kutaura zvazviri, zvinhu zviri mukati mukati mezvinyorwa izvi hazvisi zvakasiyana zvachose nezvimwe zvinhu mukati meatrosclerotic plaque.) Asi kudengenyeka kwakafanana nechirwere chiduku. Chidimbu chinosanganiswa nekukwira kwevhu kunogona kuva chiduku, kana pangasave nebhokisi pasi pekudengenyeka zvachose.
Kubudirira, sekuputika kwemavara, kunogona kukonzera kuumbwa kweropa. Zvisinei, nokuti kudengenyeka (zvakasiyana nekuputsika), hachisi chiitiko chakaoma, chivharo chinowanzoita zvakawanda zvishoma nezvishoma. Zviratidzo, naizvozvo, zvinogonawo kukura zvishoma nezvishoma zvishoma nezvishoma, zvinyengeri, uye zvinowanzowanzo "nyanzvi."
Nei Ichi Ichikosha?
Izvo zvave zvichizivikanwa kwemazana emakore izvo, apo mwoyo unorwisana nevasikana vaduku hauna kujairika, apo pavanowanzoitika vakadzi ava vanowanzova nemigumisiro yakaipisisa kupfuura varume vezera rakadaro. Izvi zvinowedzera kuitika, ikozvino zvinooneka, inogona kunge iine chikamu chimwe chikamu pamusana pokuti vazhinji vekurwadziwa kwemoyo uku kunokonzerwa nekodonary artery kukorera.
Hazvirevi chete kuti zviratidzo zvine hutano hwehutachiona hunokonzerwa nekudengenyeka, kushungurudzika kana chimwe chinhu chisina chikonzero chemwoyo, asiwo mazamu acho angaguma ave akaipisisa kupfuura mazamu anogadzira nekuda kwekupera. Sezvakataurwa, mavheti anoumba nekukwira kwevhu anowanzokura zvishoma nezvishoma. Nokuda kwechikonzero ichi (uye nokuti zviratidzo izvo zvinokonzera hazviwanzovhundutsa) mavhavha aya ane nguva yekukura. Nokudaro, nenguva iyo kuongororwa kwepfungwa yemoyo inooneka, mazamu acho anowedzera kukura, akasimba, uye zvakaoma kuchinja.
Kuongorora Coronary Artery Erosions
Zvinosuruvarisa, artery inogadziriswa matambudziko yakaoma zvikuru kuongorora asati aita kuparadza.
Zvinowanzosakwanisa kuona, somuenzaniso, panguva yekushaya catheterization yemwoyo kana kushungurudzika / kuongorora thallium . Saka hutano hwehutano huri huri humwe humwe hutano hwehutano hwehutano hunobatanidza ne "normal" coronary arteries .
Ndiani Anowana Coronary Artery Erosions?
Nepo munhu wese anogona kuwedzera maronary artery erosions, izvi zvinoratidzika kuva mamiriro ezvinhu anowanzoonekwa muvakadzi vepenopaopausal, kazhinji muvanopisa fodya. Saka, apo kusvuta chinhu chinotyisa kune ani zvake, inonyanya kukonzera njodzi yekoniyoni yeropa. Icho chikonzero chakanakisisa nei vasikana vechidiki vanoputa vanofanira kusiya.
Kunewo humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe hunoti hutungamiri huripo hunoonekwa kakawanda mumadzimai avo vakadzokorora zvinyorwa zvemakironi, sezvakaita Prinzmetal's angina .
Summary
CAD kuvakadzi vaduku kazhinji kacho chirwere chakasiyana ne "CAD yekare" inowanikwa kune varume nevakadzi vakuru. Kuzivikanwa kweizvi kunotungamirira kuedza kuwana ruzivo rwakakwana rwekusiyana uku uye kukudziridza mazano anoshanda ekurapa.
> Sources:
> Genuardi L. Burzotta F, Veralio R, et al. Mahara Erosion Anoita ST-segment Elevation Myocardial Infarction: Report of Optical Coherence Tomography-yakanyorwa Case uye Concise Literature Review. Coronary Artery Disease 2017; Doi: 10.1097 / MCA.0000000000000463
> Kramer MCA, Rittersma SZH, de Winter RJ, et al. Ukama hweTrombus Kuporesa kusvika Pasi Paka Morphology mu Sudden Coronary Death. J Am Coll Cardiol 2009; DOI: 10.1016 / j.jacc.2009.09.007.
> Zoccai G, Peruzzi M, Romagnoli E. Ndiyo Pathophysiology yeChina Inokuvadza muAigute MI Kuchinja? Kudzokororazve Mahara Erosion vs. Kupfuura. Zvekare muCardiology. American College of Cardiology 2016; http://www.acc.org/latest-in-cardiology/articles/2016/02/26/09/34/is-the-pathophysiology-of-plaque-injury-in-acute-mi-changing (yakawana February 26, 2017)