Hais kom tus kws tshaj lij: Hom 2 Ntshav Qab Zib thiab Lub Plawv Dhia Txuas Nrog

Zoo Siab

• 1. Qhov txuas ntawm cov ntshav qab zib hom 2 thiab lub plawv mob yog dab tsi?
• 2. Kuv tuaj yeem ua dab tsi los txhawm rau txhawm rau tiv thaiv cov mob ntshav qab zib hom 2?
• 3. Puas muaj lwm yam cuam tshuam dab tsi rau kuv uas yuav muaj kev pheej hmoo siab mob plawv heev?
• 4. Tus kws kho mob puas yuav soj qab xyuas kuv qhov kev pheej hmoo mob plawv, thiab kuv yuav tau mus ntsib ib tus heev npaum li cas?
• 5. Cov kws kho mob yuav siv dab tsi los soj ntsuam kuv lub plawv kev noj qab haus huv?
• 6. Kuv tuaj yeem ua kom kuv cov ntshav siab ntshav qab zib li cas tau?
• 7. Kuv yuav ua li cas Kuv thiaj li txo qis kuv cov cholesterol nrog cov ntshav qab zib?
• 8. Puas muaj lwm yam kev khomob uas kuv tuaj yeem siv los tiv thaiv kuv lub plawv?
• 9. Puas muaj cov cim qhia tias kuv tab tom pib mob plawv?

1. Qhov txuas ntawm cov ntshav qab zib hom 2 thiab lub plawv mob yog dab tsi?

Kev txuam nrog rau hom 2 mob ntshav qab zib thiab kev mob plawv yog ob zaug.

Ua ntej, yam ntshav qab zib hom 2 yog nquag koom nrog cov kev pheej hmoo plawv. Qhov no suav nrog kev ntshav siab, ntshav siab, thiab rog rog.

Thib ob, ntshav qab zib nws tus kheej nce txoj kev pheej hmoo ntawm kab mob plawv. Atherosclerotic kab mob plawv yog qhov ua rau ploj tuag rau cov neeg muaj ntshav qab zib. Qhov no suav nrog kev mob plawv, mob stroke, thiab mob hlab ntsha leeg.

Lub plawv tsis ua hauj lwm kuj tshwm sim ntau hauv cov neeg muaj ntshav qab zib.

Koj tuaj yeem sim tawm Lub American College ntawm Cardiology lub laij lej los kwv yees koj txoj kev pheej hmoo 10 xyoo ntawm kab mob plawv.

2. Kuv tuaj yeem ua dab tsi los txhawm rau txhawm rau tiv thaiv cov mob ntshav qab zib hom 2?

Ntshav qab zib Hom 2 cuam tshuam nrog cov teeb meem microvascular thiab macrovascular.

Cov teeb meem microvascular cuam tshuam rau kev puas tsuaj rau cov ntshav me me. Qhov no suav nrog:

• cov kab mob ntshav qab zib retinopathy, uas yog kev puas tsuaj rau lub qhov muag
• nephropathy, uas yog kev puas tsuaj rau lub raum
• neuropathy, uas yog kev puas tsuaj rau lub paj hlwb peripheral

Macrovascular cov teeb meem cuam tshuam nrog kev puas tsuaj rau cov hlab ntsha loj. Cov no ua rau muaj kev pheej hmoo ntawm lub plawv nres, hlab ntsha tawg, thiab mob hlab ntsha nrog leeg.

Kev tswj koj cov ntshav qab zib kom tsawg yuav ua rau koj muaj feem mob microvascular ntau dua. Cov ntshav qab zib cov hom phiaj nyob ntawm koj lub hnub nyoog thiab comorbidities. Cov neeg feem ntau yuav tsum muaj cov ntshav qab zib kom ntau txog 80 rau 130 mg / dL yoo mov, thiab qis dua 160 mg / dL ntawm ob teev tom qab noj mov, nrog qhov A1C tsawg dua 7.

Koj tuaj yeem txo koj txoj kev pheej hmoo mob macrovascular los ntawm kev tswj hwm koj cov roj (cholesterol), ntshav siab, thiab ntshav qab zib. Koj tus kws kho mob kuj tseem tuaj yeem pom zoo kom hloov cov tshuaj aspirin thiab kev hloov pauv hauv lub neej, xws li txiav luam yeeb.

3. Puas muaj lwm yam cuam tshuam dab tsi rau kuv uas yuav muaj kev pheej hmoo siab mob plawv heev?

Ntxiv rau hom ntshav qab zib hom 2, cov pheej hmoo ua rau mob plawv muaj xws li:

• muaj hnub nyoog
• haus luam yeeb
• tsev neeg muaj keeb kwm muaj teeb meem plawv
• ntshav siab
• cov roj (cholesterol) siab
• rog dhau
• theem siab ntawm cov kab mob albumin, muaj protein nyob hauv koj cov zis
• mob raum

Koj tsis tuaj yeem hloov qee yam kev pheej hmoo, xws li koj tsev neeg zaj keeb kwm, tab sis lwm tus tuaj yeem kho tau.

4. Tus kws kho mob puas yuav soj qab xyuas kuv qhov kev pheej hmoo mob plawv, thiab kuv yuav tau mus ntsib ib tus heev npaum li cas?

Yog koj nyuam qhuav raug kuaj pom muaj tus mob ntshav qab zib hom 2, koj tus kws kho mob yog tus neeg uas yuav pab koj tswj koj cov ntshav qab zib thiab lub plawv muaj feem. Koj kuj yuav tsum tau mus ntsib tus kws endocrinologist rau kev tswj ntshav qab zib kom ntau.

Qhov uas nquag mus ntsib kws kho mob mas sib txawv ntawm ib tus neeg mus rau lwm tus. Tseem, nws yog ib lub tswv yim zoo los mus kuaj tsawg kawg ob zaug hauv ib xyoos yog hais tias koj tus mob yog tswj tsis tau zoo. Yog tias koj cov ntshav qab zib ua ntau dua, koj yuav tsum mus ntsib koj tus kws kho mob li plaub zaug hauv ib xyoos.

Yog tias koj tus kws kho mob xav tias lub siab mob, lawv yuav tsum xa koj mus rau tus kws kho plawv rau kev kuaj tshwj xeeb.

5. Cov kws kho mob yuav siv dab tsi los soj ntsuam kuv lub plawv kev noj qab haus huv?

Koj tus kws kho mob yuav soj ntsuam koj cov kab mob plawv los ntawm koj cov keeb kwm kho mob, kuaj mob lub cev, kuaj ntshav, thiab electrocardiogram (EKG).

Yog tias koj cov tsos mob los yog so EKG yog qhov txawv txav, kev ntsuam xyuas ntxiv yuav suav nrog kev ntsuas kev ntxhov siab, mob echocardiogram, lossis mob hlab ntsha hlwb. Yog tias koj tus kws kho mob xav tias yog kab mob vuv lossis mob carotid, lawv yuav siv Doppler ultrasound.

6. Kuv tuaj yeem ua kom kuv cov ntshav siab ntshav qab zib li cas tau?

Ntshav siab yog qhov muaj feem yuav ua rau mob plawv thiab lub raum, yog li nws yog ib qho tseem ceeb uas tswj hwm nws. Feem ntau, peb hom phiaj muaj ntshav siab qis dua 140/90 rau cov neeg feem coob. Muaj qee kis, xws li cov neeg muaj lub raum lossis mob plawv, peb lub hom phiaj qis dua 130/80 yog tias cov lej qis dua tuaj yeem muaj kev nyab xeeb.

Txo koj cov ntshav siab suav nrog kev sib txuam ntawm kev ua neej pauv thiab noj tshuaj. Yog tias koj tau pom tias koj rog dhau heev lossis rog dhau, kev pom zoo kom poob ceeb thawj.

Koj yuav tsum tau hloov pauv koj li kev noj haus, xws li ua raws li DASH kev noj haus (Kev noj zaub mov kom ua kom tsis txhob tawg). Qhov kev noj zaub mov no kom tsawg dua 2.3 g ntawm sodium ib hnub thiab 8 txog 10 servings ntawm txiv hmab txiv ntoo thiab zaub ib hnub. Nws tseem muaj cov khoom noj muaj roj tsawg.

Koj yuav tsum tsis txhob haus cawv ntau dhau thiab ua rau koj cov qib ua haujlwm ntau ntxiv.

7. Kuv yuav ua li cas Kuv thiaj li txo qis kuv cov cholesterol nrog cov ntshav qab zib?

Koj cov khoom noj yog qhov tseem ceeb hauv koj cov qib roj cholesterol. Koj yuav tsum tau noj kom tsawg dua thiab cov rog pauv, thiab nce koj kev noj zaub mov muaj omega-3 fatty acids thiab fiber.Ob lub pluas noj uas muaj txiaj ntsig zoo rau kev tswj hwm cov cholesterol yog DASH cov khoom noj thiab cov zaub mov Mediterranean.

Nws yog ib lub tswv yim zoo los txhawb koj lub cev kom ua si thiab.

Rau feem ntau, ntau tus neeg uas muaj ntshav qab zib hom 2 tseem yuav tsum siv cov tshuaj statin los txo lawv cov roj (cholesterol). Txawm hais tias cov roj (cholesterol) li ib txwm ua, cov tshuaj no tau pom ua rau txo qis kev pheej hmoo mob plawv.

Hom thiab kev siv ntawm cov tshuaj statin thiab hom phiaj cov roj (cholesterol) tseem ceeb nyob ntawm ntau yam. Qhov no suav nrog koj lub hnub nyoog, comorbidities, thiab koj qhov kev kwv yees 10-xyoo pheej hmoo ntawm atherosclerotic vascular disease. Yog tias koj qhov kev pheej hmoo ntau dua 20 feem pua, koj yuav tsum tau kho mob hnyav dua.

8. Puas muaj lwm yam kev khomob uas kuv tuaj yeem siv los tiv thaiv kuv lub plawv?

Ib lub neej zoo-rau lub cev suav nrog kev noj zaub mov zoo, zam kev haus luam yeeb, thiab kev tawm dag zog ib txwm. Ntxiv rau, txhua txhua yam muaj feem yuav ua rau lub plawv tswj hwm tau. Qhov no suav nrog ntshav siab, ntshav qab zib thiab ntshav siab.

Feem ntau ntawm cov neeg muaj ntshav qab zib hom 2 yuav tsum siv tshuaj statin kom txo txoj kev pheej hmoo ua rau mob ntshav siab. Cov tib neeg muaj keeb kwm mob plawv los sis cov neeg muaj pheej hmoo siab rau nws yuav yog cov neeg siv cov tshuaj aspirin los yog lwm cov tshuaj tiv thaiv kab mob. Cov kev kho mob no sib txawv ntawm ib tus neeg.

9. Puas muaj cov cim qhia tias kuv tab tom pib mob plawv?

Cov cim ceeb toom rau qhov muaj kab mob plawv tuaj yeem suav nrog:

• hauv siab lossis sab tes tsis xis nyob
• txog siav
• palpitations
• cov tsos mob neurological
• txhais ceg o
• plab hlaub
• kiv taub hau
• tsaus muag

Hmoov tsis zoo, ntawm kev muaj ntshav qab zib, kab mob plawv feem ntau ntsiag to. Piv txwv, qhov blockage tuaj yeem pom nyob rau ntawm cov hlab ntshav txhaws yam tsis muaj mob hauv siab. Qhov no paub zoo li silent ischemia.

Qhov no yog vim li cas proactively hais tag nrho koj cov kev pheej hmoo mob plawv yog ib qho tseem ceeb heev.

Dr. Maria Prelipcean yog tus kws kho mob tshwj xeeb hauv endocrinology. Tam sim no nws ua haujlwm ntawm Southview Medical Group hauv Birmingham, Alabama, ua tus kws kho mob endocrinologist. Xyoo 1993, Dr. Prelipcean kawm tiav Carol Davila Tsev Kawm Ntawv Kho Mob nrog nws tus kws kho mob. Xyoo 2016 thiab 2017, Dr. Prelipcean tau muaj npe ua ib tus kws kho mob siab tshaj plaws hauv Birmingham los ntawm B-Metro Magazine. Hauv nws lub sijhawm muaj sijhawm, nws nyiam nyeem ntawv, ncig tebchaws, thiab siv sijhawm nyob nrog nws cov menyuam.