Coronary mob plawv

Kab mob rau lub plawv yog txoj kev nqaim ntawm cov hlab ntshav me me uas muab cov ntshav thiab cov pa oxygen rau lub plawv. Coronary heart disease (CHD) tseem hu ua kab mob rau cov hlab ntsha.

CHD yog qhov ua rau ploj tuag nyob rau hauv Tebchaws Meskas rau cov txiv neej thiab poj niam.

CHD tshwm sim los ntawm kev tsim cov quav hniav hauv cov hlab ntsha rau koj lub plawv. Qhov no kuj tseem yuav raug hu ua tawv tawv ntawm cov hlab ntsha.

• Cov khoom siv rog thiab lwm yam tshuaj ua cov quav hniav tsim rau ntawm cov phab ntsa ntawm koj cov hlab ntshav txhaws. Txoj hlab ntshav tawm ntshav coj ntshav thiab oxygen mus rau koj lub plawv.
• Qhov buildup no ua rau cov hlab ntsha nqaim.
• Raws li qhov tshwm sim, cov ntshav ntws mus rau lub plawv tuaj yeem ua kom qeeb lossis nres.

Ib qho kev pheej hmoo rau lub siab mob plawv yog qee yam uas ua rau koj muaj feem ntau uas yuav tau txais. Koj tsis tuaj yeem hloov qee yam kev pheej hmoo rau mob plawv, tab sis koj tuaj yeem hloov pauv lwm tus.

Muaj qee kis, cov tsos mob tuaj yeem pom pom heev. Tabsis, koj tuaj yeem mob tus kab mob thiab tsis muaj mob dabtsi. Qhov no feem ntau muaj tseeb nyob rau theem thaum ntxov ntawm kab mob plawv.

Kev mob hauv siab lossis kev tsis xis nyob (angina) yog qhov tshwm sim feem ntau cov tsos mob. Koj hnov ​​qhov mob no thaum lub siab tsis tau txais ntshav lossis oxygen. Qhov mob yuav xav txawv ntawm ib tug neeg mus rau lwm tus.

• Tej zaum nws yuav hnyav los sis zoo li lwm tus neeg zawm koj lub siab. Koj tuaj yeem hnov ​​nws hauv qab koj lub cev pob txha (sternum). Koj yuav hnov ​​nws hauv koj lub caj dab, caj npab, plab, lossis nraub qaum.
• Qhov mob feem ntau tshwm sim nrog kev ua si lossis kev xav. Nws ploj mus nrog kev so los yog cov tshuaj hu ua nitroglycerin.
• Lwm cov tsos mob muaj xws li ua pa luv thiab qaug zog nrog ua ub no (exertion).

Qee tus neeg muaj cov tsos mob uas tsis yog mob hauv siab, xws li:

• Nkees
• Ua tsis taus pa
• General tsis muaj zog

Koj tus kws kho mob yuav tshuaj xyuas koj. Koj feem ntau yuav xav tau ntau dua ib qho kev sim ua ntej yuav kuaj mob.

Kev ntsuam xyuas los soj ntsuam rau CHD yuav suav nrog:

• Coronary angiography - Txoj kev ntsuam xyuas qhov tsis zoo uas ntsuam xyuas lub plawv txoj hlab ntshav hauv qab xoo hluav taws xob.
• Echocardiogram kev ntsuam xyuas kev nyuaj siab.
• Electrocardiogram (ECG).
• Cov xaim hluav taws xob-kab xeb tomography (EBCT) txhawm rau txhawm rau nrhiav tshuaj calcium nyob rau hauv ob sab phlu ntawm cov hlab ntsha. Cov calcium ntau dua, koj qhov muaj feem ntau rau CHD.
• Kev tawm tsam kev ntxhov siab.
• Lub plawv CT scan.
• Nuclear kev nyuab siab kuaj.

Tej zaum yuav kom koj 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 kom zoo los pab tiv thaiv CHD kom tsis txhob mob ntxiv.

Cov hom phiaj kho cov mob no hauv cov neeg uas muaj CHD:

• Feem ntau cov hom phiaj ntsuas ntshav siab rau cov neeg muaj mob plawv tsawg dua 130/80, tab sis koj tus kws kho mob yuav pom zoo kom muab cov ntshav siab txawv.
• Yog tias koj muaj ntshav qab zib, koj cov qib HbA1c yuav raug kuaj xyuas thiab txo qis dua koj tus kws kho mob pom zoo.
• Koj qib roj cholesterol LDL yuav raug txo qis nrog cov tshuaj statin.

Kev kho yog nyob ntawm koj tus tsos mob thiab tus mob hnyav npaum li cas. Koj yuav tsum paub txog:

• Lwm yam tshuaj siv los kho mob angina.
• Yuav ua li cas thaum koj mob hauv siab.
• Nquag nquag siv thaum koj muaj kab mob plawv.
• Kev noj zaub mov zoo rau lub plawv.

Tsis txhob tsum tsis noj koj cov tshuaj yam tsis tau tham ua ntej nrog koj tus kws kho mob. Tsum cov tshuaj kho plawv tam sim ntawd tuaj yeem ua rau koj cov angina mob ntxiv lossis ua rau lub plawv nres.

Koj yuav raug xa mus rau kev kho mob plawv kom pab kho koj lub siab kom zoo.

Cov txheej txheem thiab phais mob siv los kho CHD suav nrog:

• Angioplasty thiab stent muab tso rau, hu ua percutaneous coronary interventions (PCIs)
• Cov hlab ntshav leeg txoj kev phais mob
• Tsawg ua qhov phais plawv

Txhua tus zoo rov qab sib txawv. Qee cov neeg tuaj yeem muaj kev noj qab haus huv los ntawm kev hloov lawv kev noj zaub mov, txiav kev haus luam yeeb, thiab noj lawv cov tshuaj raws li kev qhia. Lwm tus yuav xav tau cov txheej txheem kho mob xws li mob angioplasty lossis phais.

Feem ntau, kev tshawb nrhiav thaum ntxov ntawm CHD feem ntau ua rau muaj kev ua tiav zoo dua.

Yog tias koj muaj kev pheej hmoo txaus ntshai rau CHD, tham nrog koj tus kws kho mob txog kev tiv thaiv thiab cov txheej txheem yuav kho tus mob.

Hu rau koj lub chaw kho mob, hu rau tus xov tooj xwm ceev hauv zos (xws li 911), lossis mus rau chav kho mob ceev yog tias koj muaj:

• Mob taub hau lossis hauv siab
• Ua tsis taus pa
• Cov tsos mob ntawm lub plawv nres

Ua raws li cov theem no los pab tiv thaiv kom txhob mob plawv.

• Yog koj haus luam yeeb, tsum. Muaj ntau yam kev qhia los pab kom koj tsis txhob haus luam yeeb.
• Kawm paub yuav noj cov zaub mov zoo rau lub plawv los ntawm kev hloov pauv yooj yim. Piv txwv li, xaiv cov rog rog lub plawv muaj roj ntau dua butter thiab lwm yam rog.
• Ua kom ib ce muaj zog tas li, qhov xav kom tsawg kawg 30 feeb feem ntau hnub. Yog tias koj muaj kab mob plawv, tham nrog koj tus kws kho mob txog kev pib ua qoj ib ce.
• Tswj lub cev nyhav kom zoo.
• Txo cov roj (cholesterol) siab nrog kev hloov pauv hauv lub neej, thiab yog tias xav tau, cov tshuaj statin.
• Txo cov ntshav siab ntau dua siv kev noj haus thiab tshuaj noj.
• Tham nrog koj tus kws kho mob txog kev kho mob aspirin.
• Yog tias koj muaj ntshav qab zib, ua kom nws muaj kev tswj hwm zoo kom pab tiv thaiv kev mob plawv thiab mob stroke.

Txawm hais tias koj twb muaj kab mob plawv, kev ua raws li cov theem no yuav pab tiv thaiv koj lub plawv thiab tiv thaiv kev puas tsuaj ntxiv.

Kab mob hauv lub plawv, Mob plawv Coronary, Coronary artery disease; Arteriosclerotic mob plawv; CHD; CAD

• Tom qab phais ceeb-poob - dab tsi uas yuav nug koj tus kws kho mob
• Antiplatelet tshuaj - P2Y12 inhibitors
• Cov tshuaj aspirin thiab kab mob plawv
• Ua ntej kev phais mob ua kom poob ceeb thawj - muaj dab tsi nug koj tus kws kho mob
• Roj Cholesterol - tshuaj kho mob
• Tswj koj cov ntshav siab
• Kev noj haus cov rog piav qhia
• Cov lus qhia zaub mov nrawm
• Pais plab bypass phais - tawm
• Kev phais plawv bypass - kev tso tawm
• Kev phais plawv bypass - tsawg minasally tus - tawm
• Kab mob hauv lub plawv - yam txaus ntshai
• Lub plawv tsis ua haujlwm - tso tawm
• Lub plawv tsis ua haujlwm - haus dej thiab cov tshuaj ua kom ntshav qab zib
• Kev mob plawv tsis zoo - tshuaj xyuas tsev
• Lub plawv khiav ceev - paug
• Yuav nyeem daim ntawv zaub mov li cas
• Implantable cardioverter defibrillator - muaj paug
• Laparoscopic lub plab zom mov - tso tawm
• Noj ntsev tsawg
• Mediterranean noj

• Lub Plawv - seem ntawm ntu nruab nrab
• Plawv - saib ua ntej
• Ua ntej ntawm cov hlab ntsha hauv plawv
• Plab plawv mob txhaws
• Mob MI
• Cov roj khov tsim

Arnett DK, Blumenthal RS, Albert MA, li al. 2019 ACC / AHA cov lus qhia txog kev tiv thaiv kab mob plawv thawj zaug. Kev ncig. 2019 [Epub ua ntej luam tawm] PMID: 30879355 pubmed.ncbi.nlm.nih.gov/30879355/.

Lub cev PEB. Angina pectoris thiab ruaj khov ischemic mob plawv. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 62.

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. Kev ncig. Xyoo 2014; 130 (19): 1749-1767.PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Cim AR. Kev mob raum thiab mob hlwb. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 47.

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 plawv. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 61.

Whelton PK, Carey RM, Aronow WS, li al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Cov Lus Qhia rau Kev Tiv Thaiv, Kev Tshawb Nrhiav, Kev Tshuaj Xyuas, thiab Kev Tswj Ntshav Ntshav siab hauv cov neeg laus: Ib Daim Ntawv Tshaj Qhia ntawm Asmeskas College ntawm Cardiology / Asmeskas Lub Koom Haum Ua Haujlwm Pab Pawg Koom Tes ntawm Kev Ntsuas Ua Raws. 2018; 71 (19): 2275-2279]. J Am Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.