Ua neej nyob nrog kab mob plawv thiab angina

Kab mob rau lub plawv (CHD) yog txoj kev nqaim ntawm cov hlab ntsha me uas muab cov ntshav thiab cov pa oxygen rau lub plawv. Angina yog mob hauv siab lossis tsis xis nyob uas feem ntau tshwm sim thaum koj ua qee yam haujlwm lossis ntxhov siab. Kab lus no tham txog dab tsi uas koj tuaj yeem ua los tswj kev mob hauv siab thiab txo koj cov kev pheej hmoo rau mob plawv.

CHD yog qhov nqaim ntawm cov hlab ntsha me uas muab cov ntshav thiab cov pa oxygen rau lub plawv.

Angina yog mob hauv siab lossis tsis xis nyob uas feem ntau tshwm sim thaum koj ua qee yam haujlwm lossis ntxhov siab. Nws tshwm sim los ntawm cov ntshav ntws tsis zoo los ntawm cov hlab ntshav ntawm lub plawv.

Yog tias koj muaj ntshav siab, ntshav qab zib, lossis ntshav siab, koj tus kws kho mob yuav qhia koj rau:

• Tswj koj cov ntshav siab feem ntau tswj hwm 130/80. Qhov qis dua tuaj yuav zoo dua yog tias koj muaj ntshav qab zib, mob raum, mob hlab ntsha tawg, lossis mob plawv, tab sis koj tus kws kho mob yuav muab koj cov hom phiaj tshwj xeeb rau koj.
• Noj tshuaj los txo koj cov roj (cholesterol).
• Khaws koj cov HbA1c thiab ntshav qab zib kom nyob rau hauv qib.

Qee yam txaus ntshai rau kab mob plawv yog:

• Haus cawv. Yog koj haus, txwv koj tus kheej kom tsis txhob ntau dua 1 haus ib hnub rau cov poj niam, lossis 2 ib hnub twg rau cov txiv neej.
• Kev siab ntsws mob. Tau mus kuaj thiab kho kev nyuaj siab kho mob, yog tias xav tau.
• Kev tawm dag zog. Tau txais kev tawm dag zog ib ce, xws li taug kev, ua luam dej, lossis caij tsheb kauj vab, yam tsawg 40 feeb hauv ib hnub, tsawg kawg 3 mus rau 4 hnub hauv ib lub lis piam.
• Haus Yeeb. Tsis txhob haus luam yeeb lossis haus luam yeeb.
• Kev ntxhov siab. Zam zam lossis txo kev ntxhov siab kom ntau li ntau tau.
• Nyhav. Tswj qhov hnyav. Mob siab rau kev ntsuas lub cev (BMI) nruab nrab ntawm 18.5 thiab 24.9 thiab lub duav me dua 35 ntiv tes (90 centimeters).

Kev noj zaub mov zoo yog qhov tseem ceeb rau koj lub siab. Kev noj zaub mov zoo rau lub cev yuav pab koj tswj qee yam koj yuav phom sij txog kab mob plawv.

• Noj cov txiv hmab txiv ntoo, zaub, thiab nplej kom ntau.
• Xaiv cov rog tsis rog, xws li nqaij qaib tsis muaj nqaij, ntses, thiab taum.
• Noj cov khoom uas tsis muaj rog lossis tsis muaj rog, xws li mis nyuj thiab cov kua mis nyeem qaub uas tsis muaj rog.
• Zam cov zaub mov uas muaj ntsev ntau (ntsev) ntau.
• Nyeem cov ntawv cim khoom noj. Tsis txhob noj cov khoom noj uas muaj cov roj nyeem thiab cov roj nyeem thiab hydrogenated. Cov no yog cov rog uas tsis zoo uas feem ntau pom hauv cov khoom kib, cov zaub mov tiav, thiab cov khoom ci.
• Noj tsawg cov khoom noj uas muaj cheese, qab zib, lossis qe.

Koj tus kws kho mob yuav sau ntawv muab tshuaj los kho CHD, ntshav siab, ntshav qab zib, lossis ntshav siab. Cov no suav nrog:

• ACE inhibitors
• Beta-blockers
• Cov calcium calcium blockers
• Diuretics (dej tshuaj)
• Statins kom txo cov roj (cholesterol)
• Nitroglycerin tshuaj los yog tshuaj tsuag los tiv thaiv los sis nres qhov mob nres

Txo txoj kev pheej hmoo ntawm lub plawv nres, koj tseem yuav tau hais kom noj tshuaj aspirin, clopidogrel (Plavix), ticagrelor (Brilinta) lossis prasugrel (Effient) txhua hnub. Ua raws li koj tus kws kho mob cov lus qhia ua tib zoo xyuas kom tsis txhob mob plawv thiab mob taub hau.

Nco ntsoov nrog koj tus kws khomob tham uantej koj tsum tsis noj koj cov tshuaj ib zaug ntxiv. Tsum cov tshuaj no dheev lossis hloov koj cov koob tshuaj tuaj yeem ua rau koj lub plawv tsis zoo lossis ua kom lub plawv dhia.

Tsim txoj phiaj xwm nrog koj tus kws kho mob rau kev tswj hwm koj lub siab. Koj txoj kev npaj yuav tsum muaj:

• Yam haujlwm dab tsi zoo rau koj ua, thiab yam twg tsis yog
• Yam tshuaj twg koj yuav tsum tau noj thaum koj muaj angina
• Cov cim qhia tias koj lub siab npau taws zuj zus
• Thaum koj yuav tsum hu rau koj tus kws khomob lossis 911 lossis tus npawb xovtooj xwm ceev hauv ib cheeb tsam

Paub txog dab tsi tuaj yeem ua rau koj lub chaw npau taws tsis zoo, thiab sim ua kom tsis txhob muaj tej no. Piv txwv li, qee cov neeg pom tias huab cua txias, qoj ib ce, noj mov loj, lossis chim siab lossis ntxhov siab ua rau lawv lub siab npau taws.

Coronary artery disease - nyob nrog; CAD - nyob nrog; Kev mob hauv siab - nyob nrog

• Kev noj qab haus huv zoo

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. J Am Coll CardiolCov. Xyoo 2014; 63 (25 Pt B): 2960-2984. PMID: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.

Fihn SD, Blankenship JC, Alexander KP, li al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS tau hloov kho cov lus qhia rau kev kuaj mob thiab kev tswj hwm cov neeg mob uas muaj lub plawv mob ischemic ruaj khov: ib tsab ntawv tshaj tawm ntawm Asmeskas College ntawm Cardiology / American Heart Association Task Force ntawm Kev Coj Qhia, thiab Cov Koom Haum Asmeskas rau Thoracic Kev Kho Mob, Kev Tiv Thaiv Kab Mob Hauv Lub Hlwb, Cov Koom Haum Rau Kev Mob Hlwb Plawv thiab Cov Kev Tiv Thaiv, thiab Lub Koom Haum ntawm Thoracic Cov Neeg phais. J Am Coll CardiolCov. Xyoo 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860/.

MAY DA, de Lemos JA. Lub plawv ruaj khov ischemic. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 61.

Mozaffarian D. Khoom Noj Khoom Haus thiab kab mob plawv thiab ntshav qab zib. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2018: chap 49.

Pob zeb NJ, Robinson JG, Lichtenstein AH, li al. 2013 ACC / AHA cov lus qhia txog kev kho mob ntshav siab txhawm rau txo atherosclerotic mob plawv rau cov neeg laus: ib tsab ntawv tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm cov lus qhia xyaum.J Am Coll CardiolCov. Xyoo 2014; 63 (25 Pt B): 2889-2934. PMID: 24239923 pubmed.ncbi.nlm.nih.gov/24239923/.

Thompson PD, Ades PA. Kev qoj ib ce-raws, kev txhim kho mob plawv kom zoo. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 54.

• Angina
• Kab Mob Hlwb Pob