Qhov ruaj khov angina

Lub siab angina yog mob hauv siab lossis tsis xis nyob uas feem ntau tshwm sim nrog kev ua si lossis kev ntxhov siab.Angina yog vim cov ntshav khiav tsis zoo hauv cov hlab ntshav hauv lub plawv.

Koj lub plawv mob xav tau cov pa oxygen tas li. Cov hlab ntshav ntawm cov hlab ntsha nqa ntshav oxygen-ntshav txaus rau lub siab.

Thaum lub plawv mob ua haujlwm hnyav, nws xav tau oxygen ntau dua. Cov tsos mob ntawm angina tshwm sim thaum muab ntshav mus rau cov leeg mob plawv. Qhov no tshwm sim thaum mob hlab ntsha hauv cov hlab ntsha nqaim lossis thaiv los ntawm atherosclerosis lossis los ntawm cov ntshav txhaws.

Qhov feem ntau ua rau mob angina yog mob rau cov hlab ntshav hlab ntsha. Angina pectoris yog lub sij hawm kho mob rau hom mob hauv siab no.

Lub taub hau khov kho tsis tshua hnyav dua lub pob taws tsis ruaj khov, tab sis nws tuaj yeem hnov ​​mob heev lossis tsis xis nyob.

Muaj ntau yam kev pheej hmoo rau tus mob rau cov hlab ntsha ua rau mob hlab ntsha. Qee tus muaj xws li:

• Mob ntshav qab zib
• Ntshav siab
• Cov roj cholesterol siab LDL
• Cov roj (cholesterol) HDL tsawg
• Sedentary lub neej
• Haus Yeeb
• Nyuaj xyoo
• Txiv neej nrog txiv neej pw

Txhua yam uas ua rau lub plawv mob xav tau pa oxygen ntau dua lossis txo qis cov pa oxygen tau txais tuaj yeem ua rau mob angina rau qee tus neeg mob plawv, suav nrog:

• Huab cua txias
• Kev tawm dag zog
• Kev ntxhov siab
• Pluas mov loj

Lwm yam ua rau mob angina xws li:

• Lub plawv tsis zoo (lub plawv dhia ceev ceev lossis koj lub plawv dhia tsis xwm yeem)
• Mob Kev Plab
• Coronary artery spasm (tseem hu ua Prinzmetal angina)
• Lub plawv tsis ua hauj lwm
• Mob plawv valve
• Hyperthyroidism (ua rau mob qog)

Cov tsos mob ntawm angina ruaj khov feem ntau yeej paub tau tseeb tseeb. Qhov no txhais tau hais tias ib qho kev tawm dag zog lossis kev qoj ib ce tuaj yeem ua rau koj lub pob ntseg sawv. Koj lub caj dab yuav tsum txhim kho lossis ploj mus thaum koj nres lossis maj mam ua.

Feem ntau cov tsos mob feem ntau yog mob hauv siab uas tshwm sim tom qab ntawm lub mis los yog ib nyuag mus rau sab laug ntawm nws. Qhov mob ntawm angina ruaj khov feem ntau pib maj mam thiab mob heev dua ob peb feeb ua ntej kom ploj mus.

Feem ntau, qhov mob hauv siab hnov ​​zoo li zawm, hnyav, nyem, lossis hnov ​​mob. Nws kis mus rau:

• Caj npab (feem ntau feem ntau sab laug)
• Tom qab
• Puab tsaig
• Caj dab
• Lub xub pwg

Qee tus neeg hais tias qhov mob siab zoo li roj lossis kem plab.

Tsawg dua cov tsos mob ntawm angina yuav muaj:

• Nkees
• Ua tsis taus pa
• Neeg tsis muaj zog
• Kiv taub hau lossis teeb pom kev zoo
• Xeev siab, ntuav, thiab tawm hws
• Cov lus cuav

Mob los ntawm kev hnov ​​mob ruaj khov:

• Feem ntau ua rau cov kev ua si los yog kev ntxhov siab
• Ntev ntev li ntawm 1 mus rau 15 feeb
• Txo nrog so los yog cov tshuaj hu ua nitroglycerin

Mob Angina tuaj yeem tshwm sim lub sijhawm twg los tau nruab hnub. Feem ntau, lawv tshwm sim ntawm 6 a.m. txog tav su.

Koj tus kws kho mob yuav kuaj koj thiab tshuaj xyuas koj cov ntshav siab. Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Coronary angiography
• Ntshav roj profile
• ECG
• Kev tawm dag zog ua lub zog (ntsuas kev ntxhov siab lossis ntsuas cos)
• Nuclear tshuaj (thallium) ntsuas kev ntxhov siab
• Kev nyuab siab echocardiogram
• Lub plawv CT scan

Kev kho mob ntawm angina yuav suav nrog:

• Txoj kev ua neej hloov
• Cov tshuaj kho mob
• Cov txheej txheem xws li cov duab pob txha taub hau nrog lub ntsej muag stent
• Cov hlab ntshav leeg txoj kev phais mob

Yog tias koj hnov ​​mob angina, koj thiab koj tus kws kho mob yuav tsim kho phiaj xwm txhua hnub. Cov phiaj xwm no yuav tsum muaj:

• Cov tshuaj uas koj niaj hnub noj txhawm rau tiv thaiv angina
• Cov haujlwm koj tuaj yeem ua thiab cov uas koj yuav tsum zam
• Cov tshuaj uas koj yuav tsum noj thaum koj mob angina
• Cov phiajcim uas txhais tau hais tias koj lub siab hnov ​​zoo dua
• Thaum koj yuav tsum hu rau tus kws khomob lossis tau txais kev pabcuam khomob sai sai

COV TSHUAJ KHO MOB

Koj yuav tsum tau noj ib lossis ntau hom tshuaj los kho ntshav siab, ntshav qab zib, lossis kom cov ntshav siab ntau. Ua raws li koj tus kws kho mob cov lus qhia ua kom zoo kom pab tiv thaiv koj lub siab kom txhob mob ntxiv.

Nitroglycerin tshuaj los yog tshuaj tsuag yuav siv los ua kom tsis txhob mob hauv siab.

Cov tshuaj tiv thaiv ntshav txhaws xws li cov tshuaj aspirin thiab clopidogrel (Plavix), ticagrelor (Brilinta) lossis prasugrel (Effient) tuaj yeem pab tiv thaiv cov ntshav txhaws los ntawm kev ua rau koj cov hlab ntsha thiab txo kev pheej hmoo ntawm lub plawv nres. Nug koj tus kws kho mob yog tias koj yuav tsum tau noj cov tshuaj no.

Koj yuav tsum noj tshuaj ntau ntxiv los pab tiv thaiv koj kom tsis txhob mob angina. Cov no suav nrog:

• ACE inhibitors txo qis ntshav siab thiab tiv thaiv koj lub plawv
• Beta-blockers kom txo qis lub plawv dhia, ntshav siab, thiab siv oxygen los ntawm lub plawv
• Cov calcium calcium blockers txhawm rau txo cov hlab ntsha, txo ntshav siab, thiab txo qis ntshav ntawm lub plawv
• Nitrates los pab tiv thaiv angina
• Ranolazine (Ranexa) los kho tus mob angina

TSIS TXHOB NRES LOS YEEJ TSIS TAU TXOJ CAI NTAWM COV COJ UAS COJ RAU KOJ TUS KHEEJ. Tham nrog koj tus kws khomob ua ntej. Tsum cov tshuaj noj no ib pliag tuaj yeem ua rau koj lub plawv tsis zoo lossis ua kom lub plawv dhia. Qhov no muaj tseeb tshwj xeeb rau kev muab tshuaj tiv thaiv cov ntshav (cov tshuaj aspirin, clopidogrel, ticagrelor thiab prasugrel).

Koj tus kws khomob yuav qhia cov phiaj xwm kev kho kom rov zoo lub plawv txhawm rau pab txhim kho koj lub siab.

KEV KHO MOB

Qee tus neeg yuav tuaj yeem tswj hwm angina nrog cov tshuaj thiab tsis tas muaj kev phais mob. Lwm tus yuav xav tau cov txheej txheem hu ua angioplasty thiab cov chaw tso quav (tseem hu ua percutaneous kev cuam tshuam kev txhim kho txoj hlab ntshav) txhawm rau qhib cov hlab ntshav uas thaiv lossis nqaim uas xa ntshav mus rau lub plawv.

Cov kev txwv uas tsis tuaj yeem kho cov mob angioplasty tej zaum yuav tsum tau phais mob lub plawv kom hloov ntshav ntws ib ncig ntawm cov ntshav me lossis thaiv cov hlab ntshav.

Lub taub hau ruaj khov feem ntau txhim kho thaum noj tshuaj.

Mus nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj qhov tshiab, qhia txog mob hauv siab lossis siab dua. Yog tias koj tau mob angina ua ntej, hu rau koj tus kws khomob.

Hu rau 911 lossis tus npawb xov tooj xwm ceev hauv ib cheeb tsam yog koj qhov mob angina:

• Tsis zoo dua 5 feeb tom qab koj siv cov tshuaj nitroglycerin
• Tsis ploj mus tom qab 3 koob tshuaj nitroglycerin
• Mob zuj zus
• Rov qab los tom qab nitroglycerin pab thaum xub thawj

Hu rau koj tus kws khomob yog:

• Koj muaj mob angina ntau dua
• Koj tab tom mob angina thaum koj zaum (so angina)
• Koj mloog zoo li nkees ntau
• Koj tau hnov ​​tsaus muag lossis lightheaded
• Koj lub siab ntaus qeeb heev (tsawg dua 60 yeej ib feeb) lossis nrawm heev (ntau dua 120 neeg ntaus ib feeb), lossis nws tsis khov (li niaj zaus)
• Koj tab tom muaj teeb meem noj tshuaj mob plawv
• Koj muaj lwm cov tsos mob txawv txawv

Mus nrhiav kev pab kho mob sai li sai tau yog hais tias tus neeg mob angina tsis nco qab (hla dhau).

Ib qho kev pheej hmoo txaus ntshai yog qee yam txog koj uas ua rau koj muaj feem kis mob lossis muaj qee yam mob.

Qee yam kev pheej hmoo ntawm kab mob plawv koj tsis tuaj yeem hloov, tab sis qee yam koj tuaj yeem hloov tau. Hloov cov kev pheej hmoo txaus ntshai uas koj tuaj yeem tswj hwm yuav pab koj nyob ntev dua thiab muaj lub neej nyob nyab xeeb.

Angina - ruaj khov; Angina - mob ntev; Angina pectoris; Kev mob hauv siab - mob angina; CAD - angina; Coronary artery disease - angina; Kab mob hauv lub plawv - angina

• Angina - tawm hauv
• Angina - yuav tsum nug koj tus kws kho mob li cas
• Angina - thaum koj mob hauv siab
• Plawv nres - dab tsi yuav nug koj tus kws kho mob

• Plawv - saib ua ntej
• Qhov ruaj khov angina

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