Mob ntshav qab zib - tiv thaiv lub plawv nres thiab mob hlab ntsha tawg

Cov neeg muaj ntshav qab zib muaj feem ntau yuav muaj lub plawv nres thiab hlab ntshav siab dua cov uas tsis muaj ntshav qab zib. Haus luam yeeb thiab muaj ntshav siab thiab ntshav siab ntau ua rau cov kev pheej hmoo haj yam loj ntxiv. Kev tswj cov ntshav qab zib, ntshav siab, thiab cov qib roj cholesterol yog qhov tseem ceeb heev rau kev tiv thaiv kev mob plawv thiab ntshav npleem.

Mus ntsib koj tus kws kho mob uas kho koj cov ntshav qab zib kom ntau li qhov tau qhia. Thaum mus ntsib no, cov kws saib xyuas kev noj qab haus huv yuav kuaj koj cov roj (cholesterol), ntshav qab zib, thiab ntshav siab. Nws tseem yuav qhia koj kom noj tshuaj.

Koj tuaj yeem txo qis koj txoj kev pheej hmoo ntawm lub plawv lossis mob hlab ntsha tawg los ntawm kev nquag lossis qoj ib ce txhua hnub. Piv txwv li, txoj kev taug kev 30 feeb txhua hnub tuaj yeem pab txo koj cov kev pheej hmoo.

Lwm yam koj tuaj yeem ua kom txo koj cov kev pheej hmoo yog:

• Ua raws li koj txoj kev noj mov thiab saib seb koj yuav noj ntau npaum li cas. Qhov no tuaj yeem pab koj kom poob phaus yog koj rog dhau rog lossis rog dhau.
• Tsis txhob haus luam yeeb. Tham nrog koj tus kws kho mob yog tias koj xav tau kev pab txiav. Tsis tas li zam kev haus luam yeeb.
• Noj koj cov tshuaj raws li cov kws kho mob pom zoo.
• Nco ntsoov mus ntsib kws kho mob.

Kev tswj hwm ntshav qab zib tau zoo tuaj yeem txo qis kev pheej hmoo ntawm kab mob plawv thiab mob stroke. Qee cov tshuaj kho ntshav qab zib muaj qhov ua tau txiaj ntsig zoo dua li lwm qhov hauv kev txo qis kev pheej hmoo ntawm lub plawv thiab mob npleem.

Saib xyuas koj cov tshuaj ntshav qab zib nrog koj tus kws kho mob. Qee cov tshuaj ntshav qab zib muaj cov txiaj ntsig zoo dua li lwm qhov hauv kev txo qis kev pheej hmoo ntawm lub plawv thiab mob npleem. Qhov txiaj ntsig no muaj zog dua yog tias koj twb tau txheeb xyuas qhov teeb meem plawv plawv.

Yog tias koj tau mob plawv lossis mob stroke, koj muaj feem yuav muaj lwm yam mob plawv lossis mob stroke. Tham nrog koj tus kws kho mob saib koj puas nyob rau hauv cov tshuaj kho ntshav qab zib uas muaj kev tiv thaiv zoo tshaj plaws los ntawm kev mob plawv thiab mob stroke.

Thaum koj muaj cov roj (cholesterol) hauv koj cov ntshav, nws tuaj yeem nyob sab hauv koj lub plawv (cov hlab ntsha). Qhov buildup no yog hu ua cov quav hniav. Nws tuaj yeem nqaim koj cov hlab ntsha thiab txo lossis nres ntshav khiav. Cov quav hniav kuj tseem tsis ruaj khov thiab ua rau tuaj yeem tawg tam sim ntawd thiab ua rau ntshav txhaws. Qhov no yog qhov ua rau lub plawv nres, mob stroke, lossis lwm yam mob plawv heev.

Feem ntau ntawm cov neeg muaj ntshav qab zib tau sau npe rau tshuaj los txo lawv cov ntshav siab LDL. Cov tshuaj hu ua statins feem ntau siv. Koj yuav tsum kawm paub yuav noj koj cov tshuaj statin thiab li cas saib xyuas kev phiv. Koj tus kws kho mob yuav qhia koj yog tias muaj phiaj LDL qib uas koj xav tau coj los ntsuas.

Yog tias koj muaj lwm yam kev pheej hmoo rau mob plawv lossis mob hlab ntsha tawg, koj tus kws kho mob yuav sau ntawv muab tshuaj ntau dua rau hauv cov tshuaj statin.

Koj tus kws kho mob yuav tsum kuaj koj qib roj (cholesterol) tsawg kawg ib xyoos ib zaug.

Noj cov zaub mov uas muaj roj tsawg thiab kawm yuav khoom noj thiab ua zaub mov zoo rau koj lub plawv.

Tau ua kom ib ce muaj zog, ib yam nkaus. Tham nrog koj tus kws kho mob txog yam kev tawm dag zog uas haum rau koj.

Tshuaj xyuas koj cov ntshav siab ntau. Koj tus kws khomob yuav tsum kuaj xyuas koj cov ntshav siab txhua zaus koj tuaj ntsib. Rau feem ntau cov neeg mob ntshav qab zib, lub hom phiaj ntshav siab zoo yog systolic (tus naj npawb saum toj) ntshav siab ntawm 130 txog 140 hli Hg, thiab ntshav diastolic ntshav siab (qis naj npawb) tsawg dua 90 hli Hg. Nug koj tus kws kho mob seb qhov twg zoo tshaj rau koj. Cov lus pom zoo tuaj yeem ua qhov txawv yog tias koj twb muaj lub plawv nres lossis mob hlab ntsha tawg.

Kev tawm dag zog, noj zaub mov muaj ntsev tsawg, thiab poob phaus (yog koj rog dhau lossis rog dhau) tuaj yeem txo koj cov ntshav siab. Yog tias koj cov ntshav siab dhau, koj tus kws kho mob yuav muab tshuaj rau nws kom txo qis. Kev tswj ntshav siab yog qhov tseem ceeb raws li kev tswj ntshav qab zib kom tiv thaiv kev mob plawv thiab mob stroke.

Kev tawm dag zog yuav pab koj tswj koj cov ntshav qab zib thiab ua kom koj lub plawv muaj zog. Nco ntsoov tham nrog koj tus kws kho mob ua ntej koj pib ua ib qho kev tawm dag zog tshiab lossis ua ntej koj nce qee qhov kev tawm dag zog uas koj tab tom ua. Qee tus neeg mob ntshav qab zib yuav muaj mob plawv thiab tsis paub vim tias lawv tsis muaj tsos mob tshwm sim. Ua kev tawm dag zog lub cev tsawg kawg yog 2 teev sij hawm txhua lub lim tiam tuaj yeem pab tiv thaiv kab mob plawv thiab mob stroke.

Noj tshuaj aspirin txhua hnub tuaj yeem txo qis koj txoj hmoo ntawm kev muaj mob plawv. Qhov koob tshuaj pom zoo yog 81 milligrams (mg) ib hnub. Tsis txhob noj cov tshuaj aspirin hauv txoj kev no yam tsis tau tham nrog koj tus kws kho mob ua ntej. Nug koj tus kws kho mob txog kev noj cov tshuaj aspirin txhua hnub yog tias:

• Koj yog tus txiv neej dhau 50 lossis poj niam hnub nyoog tshaj 60 xyoo
• Koj tau mob plawv
• Cov neeg hauv koj tsev neeg muaj teeb meem plawv
• Koj muaj ntshav siab lossis cov qib roj cholesterol siab
• Koj yog tus haus luam yeeb

Mob ntshav qab zib muaj teeb meem - lub plawv; Coronary artery disease - ntshav qab zib; CAD - ntshav qab zib; Cerebrovascular tus kab mob - mob ntshav qab zib

• Mob ntshav qab zib thiab ntshav siab

Koom Haum Asmeskas Mob Ntshav Qab Zib. 10. Kev mob plawv thiab kev tswj hwm pheej hmoo: cov qauv kev kho mob hauv ntshav qab zib-2020. Ntshav Qab Zib Kho MobCov. 2020; 43 (Cov Khoom Siv 1): S111-S134. PMID: 31862753 pubmed.ncbi.nlm.nih.gov/31862753/.

Eckel RH, Jakicic JM, Ard JD, li al. Xyoo 2013 AHA / ACC cov txheej txheem qhia txog kev tswj hwm kev ua neej txhawm rau txo qis kev mob plawv: daim ntawv tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm cov qauv qhia ua. Kev ncigCov. Xyoo 2014; 129 (25 Cov Khoom Siv 2): S76-S99. PMID: 24222015 pubmed.ncbi.nlm.nih.gov/24222015/.

Marx N, Reith S. Tswj kev mob raum ua mob rau cov neeg mob ntshav qab zib. Hauv: De Lemos JA, Omland T, eds. Kab Mob Hlwb Hlwb Ntev: Tus Khuj Hlwb rau Braunwald's Kab Mob PlawvCov. Philadelphia, PA: Elsevier; 2018: chap 24.

• Cov ntshav siab hauv cov qib siab
• Ntshav siab - cov neeg laus
• Cov lus qhia txog yuav ua li cas txiav luam yeeb
• Yam 1 ntshav qab zib
• Mob ntshav qab zib Hom 2

• ACE inhibitors
• Antiplatelet tshuaj - P2Y12 inhibitors
• Roj Cholesterol - qhov yuav tsum nug koj tus kws kho mob
• Tswj koj cov ntshav siab
• Kev mob hlab ntshav tob - ua paug tawm
• Mob ntshav qab zib thiab tawm dag zog
• Mob ntshav qab zib kho qhov muag
• Mob ntshav qab zib - mob rwj
• Mob ntshav qab zib - ua kom nquag plias
• Mob ntshav qab zib - tu koj txhais taw
• Ntsuas ntshav qab zib thiab kuaj mob
• Mob ntshav qab zib - thaum koj mob
• Muaj piam thaj hauv ntshav tsawg - kev saib xyuas tus kheej
• Tswj koj cov ntshav qab zib
• Ntshav qab zib Hom 2 - dab tsi yuav nug koj tus kws kho mob

• Mob ntshav qab zib ua lwm yam mob
• Ntshav Qab Zib Lub Plawv