Peb lub plawv yog ib lub cev zoo kawg nkaus uas ua haujlwm 24 teev hauv ib hnub, tsis muaj kev so. Nws zoo li lub tshuab uas khiav tsis tu ncua. Yog li, rau lub plawv ua haujlwm hnyav no thiab nws cov leeg kom ua haujlwm tau zoo, lawv xav tau cov ntshav huv thiab muaj oxygen ntau tas li. Tab sis xav txog, yuav ua li cas yog tias cov kav dej me me uas nqa ntshav mus rau lub plawv no pib txhaws? Qhov ntawd yog qhov peb hu ua Kab Mob Coronary Artery ( CAD ) .
Hais yooj yim xwb, kab mob plawv (CAD) yog dab tsi?
Hais yooj yim xwb, qhov no yog thaum cov hlab ntsha hauv lub plawv, uas muab cov ntshav uas muaj oxygen rau peb lub plawv, nqaim lossis raug thaiv. Raws li lub sijhawm dhau mus, cov khoom xws li cov roj cholesterol sib sau ua ke rau ntawm phab ntsa ntawm cov hlab ntsha no, tsim ib txheej uas peb hu ua 'plaque' .
Qhov no zoo li xeb uas sib sau ua ke hauv cov kav dej qub. Cov plaque no ua rau qhov chaw hauv cov hlab ntsha tsawg dua, uas txwv tsis pub cov ntshav ntws mus rau lub plawv.
Xav txog seb ntawm txoj kev loj uas muaj peb txoj kab, vim yog kev tsim kho txoj kev, tag nrho cov tsheb raug muab tso rau hauv ib txoj kab. Tom qab ntawd cov tsheb txav qeeb heev, puas yog? Qhov ntawd yog qhov tshwm sim thaum cov hlab ntsha no raug thaiv.
Feem ntau, tus mob no tuaj yeem tshwm sim hauv lub cev tau ntau xyoo yam tsis muaj tsos mob. Yog vim li ntawd qee tus neeg thiaj hu nws ua "tus neeg tua neeg ntsiag to." Qee zaum, ib qho ntawm cov pob zeb no tuaj yeem tawg tam sim ntawd, ua rau cov ntshav txhaws uas thaiv cov hlab ntsha tag. Thaum ntawd peb muaj xwm txheej ceev peb hu ua mob plawv nres .
Muaj ob hom kab mob no tseem ceeb.
Peb tab tom tham txog tus kab mob no ua ob ntu tseem ceeb.
1. Kab Mob Plawv Tsis Muaj Zog ( Stable Ischemic Heart Disease): Qhov no yog hom kab mob uas maj mam loj hlob zuj zus. Koj cov hlab ntsha hauv lub plawv yuav maj mam nqaim zuj zus mus ntau xyoo. Tej zaum koj yuav muaj qee cov tsos mob (xws li mob hauv siab ), tshwj xeeb tshaj yog thaum koj ntxhov siab. Tab sis feem ntau koj tuaj yeem ua koj cov dej num txhua hnub.
2. Mob plawv dhia ceev heev:Qhov no yog ib qho mob txaus ntshai uas tshwm sim sai sai thiab xav tau kev kho mob tam sim ntawd. Qhov tshwm sim yog tias cov plaque hauv cov hlab ntsha tam sim ntawd tawg, ua rau cov ntshav txhaws rau saum nws, thaiv cov ntshav ntws tag nrho. Qhov no yog qhov ua rau mob plawv nres. Qhov no yog xwm txheej ceev kho mob .
Cov tsos mob ntawm tus kab mob no yog dab tsi?
Muaj coob tus neeg tsis muaj tsos mob ntev heev. Qhov no yog vim tias cov pob zeb no siv sijhawm ntau xyoo, txawm tias ntau xyoo, los tsim. Tab sis thaum cov hlab ntsha pib nqaim, koj yuav pib muaj cov tsos mob me me. Cov no yog cov cim qhia tias koj lub plawv ua haujlwm hnyav dua li niaj zaus kom tau txais cov pa oxygen uas nws xav tau.
Cov tsos mob tseem ceeb yog:
- Mob Angina ruaj khov: Qhov no yog cov tsos mob feem ntau. Nws yog tus yam ntxwv los ntawm lub hauv siab nruj, hnyav, mob, lossis tsis xis nyob. Nws feem ntau tshwm sim thaum koj tawm dag zog, taug kev sai, lossis npau taws. Qhov mob feem ntau ploj mus tom qab so luv luv.
- Ua tsis taus pa: Qee tus neeg muaj kev ua pa luv luv , feem ntau ua pa nyuaj, txawm tias thaum ua tej haujlwm yooj yim, xws li nce ntaiv.
Muaj ib txhia neeg thawj zaug kawm txog tus kab mob no tom qab muaj mob plawv nres, yog li nws tseem ceeb heev uas yuav tsum paub txog cov tsos mob no.
Vim li cas peb thiaj muaj tus kab mob no? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Qhov ua rau muaj kab mob plawv yog atherosclerosis . Ntawd yog, raws li peb tau tham ua ntej, kev sib sau ua ke ntawm cov roj cholesterol thiab lwm yam khoom hauv cov phab ntsa ntawm cov hlab ntsha, tsim cov plaque. Thaum qhov mob no cuam tshuam rau cov hlab ntsha ntawm lub plawv, peb hu nws tias CAD.
Muaj ntau yam uas ua rau muaj tus kab mob no. Qee yam peb tswj tsis tau, tab sis ntau yam peb tswj tau los ntawm kev hloov pauv lub neej thiab tshuaj. Cia peb saib seb cov no yog dab tsi.
| Hom kev pheej hmoo | Kev piav qhia |
|---|---|
| Cov Yam Tsis Tswj Tau | |
| Hnub nyoog | Cov txiv neej hnub nyoog tshaj 45 xyoos, cov poj niam hnub nyoog tshaj 55 xyoos. |
| Keeb kwm tsev neeg (Genetics) | Yog tias ib tug neeg hauv tsev neeg (txiv, kwv tij, niam, muam) tau muaj kab mob plawv thaum nws tseem hluas. |
| Cov Yam Uas Tswj Tau | |
| Haus luam yeeb | Haus luam yeeb los yog siv cov khoom luam yeeb. |
| Ntshav Siab | Ntshav siab tsis tswj tau. |
| Cov roj cholesterol ntau | Cov roj cholesterol phem (LDL) nce ntxiv thiab cov roj cholesterol zoo (HDL) txo qis. |
| Kab mob ntshav qab zib | Muaj tus kab mob ntshav qab zib uas tsis tswj tau. |
| Kev rog dhau | Qhov hnyav ntawm lub cev (BMI) ntau dua 25. |
| Kev noj zaub mov tsis zoo | Kev noj zaub mov uas muaj cov khoom noj ua tiav lawm, roj, qab zib, thiab ntsev ntau. |
| Tsis muaj kev tawm dag zog | Tsis ua si lub cev. |
Tus kws kho mob kuaj mob li cas?
Koj tus kws kho mob yuav xub nug koj txog koj cov tsos mob, koj txoj kev ua neej, thiab tej yam mob hauv koj tsev neeg. Tom qab ntawd nws yuav kuaj koj lub cev thiab ntsuas koj cov ntshav siab. Raws li cov ntaub ntawv no, yog tias nws xav tias koj muaj tus mob no, nws yuav pom zoo kom kuaj ntxiv kom paub tseeb tias koj muaj tus mob no.
Ib txhia ntawm lawv yog:
- Kev Kuaj Ntshav: Xyuas tej yam xws li cov roj cholesterol thiab cov piam thaj.
- ECG (Electrocardiogram): Xyuas seb lub plawv ua haujlwm li cas.
- Kev Ntsuas Kev Nyuaj Siab Thaum Ua Si (Kev Ntsuas Treadmill): Koj lub plawv raug saib xyuas los ntawm kev siv ECG thaum koj taug kev saum lub treadmill.
- Echocardiogram: Kev tshuaj xyuas lub plawv.
- CT Coronary Angiogram: Ib daim CT scan tshwj xeeb uas thaij cov duab peb-seem ntawm cov hlab ntsha ntawm lub plawv.
- Kev Siv Tshuaj Ntsuam Xyuas Lub Plawv (Coronary Angiogram) (Cardiac Catheterization): Hauv qhov no, ib lub raj nyias nyias raug xa mus rau hauv lub plawv los ntawm cov leeg ntshav hauv caj npab lossis ceg, txhaj tshuaj xim rau hauv, thiab thaij duab X-ray kom pom tseeb tias cov hlab ntsha raug thaiv npaum li cas.
Cov kev xaiv kho mob yog dab tsi?
Muaj ob lub hom phiaj tseem ceeb hauv kev kho tus kab mob plawv. Ib qho yog los tswj cov tsos mob thiab txhim kho lub neej zoo. Qhov thib ob yog los txo qhov kev pheej hmoo ntawm cov teeb meem loj, xws li mob plawv nres.
Cov kev kho mob muaj peb pawg tseem ceeb:
1. Kev hloov pauv txoj kev ua neej
Qhov no yog qhov tseem ceeb tshaj plaws thiab tseem ceeb tshaj plaws.
- Tso kev haus luam yeeb kiag li.
- Kev noj zaub mov zoo rau lub plawv: Tsis txhob muaj ntsev, roj, thiab qab zib ntau, thiab muaj zaub, txiv hmab txiv ntoo, zaub ntsuab, thiab fiber ntau.
- Kev tawm dag zog tsis tu ncua: Ua kev tawm dag zog, xws li kev taug kev sai sai, tsawg kawg 30 feeb hauv ib hnub, tsawg kawg 5 hnub hauv ib lub lim tiam.
- Tswj qhov hnyav ntawm lub cev.
- Txo kev ntxhov siab.
2. Tshuaj (tshuaj)
Koj tus kws kho mob yuav sau ntawv rau ntau yam tshuaj kom tswj tau cov yam txaus ntshai thiab txo cov tsos mob.
- Cov tshuaj txo cov roj cholesterol (statins).
- Tshuaj tswj ntshav siab.
- Cov tshuaj uas tiv thaiv cov ntshav txhaws (xws li Aspirin).
- Cov tshuaj uas tswj tau qhov mob hauv siab (Angina).
3. Kev phais thiab lwm txoj kev
Rau ib txhia neeg, tshwj xeeb tshaj yog cov uas cov raj ntshav txhaws hnyav heev, kev siv tshuaj ib leeg xwb tsis txaus. Yog tias muaj li no, yuav tsum tau siv hom kev kho mob no.
- Angioplasty thiab stenting (Percutaneous Coronary Intervention - PCI): Qhov no suav nrog kev muab ib lub raj nyias nyias nrog lub npas tso rau hauv cov hlab ntsha uas raug thaiv, ua kom nws nthuav dav kom rov qhib cov hlab ntsha, thiab tom qab ntawd ntxig ib lub raj me me hu ua stent kom tiv thaiv cov hlab ntsha kom tsis txhob nqaim dua.
- Kev phais plawv (Coronary Artery Bypass Grafting - CABG):Qhov no zoo li tsim ib txoj kev tshiab ncig cov hlab ntsha uas raug txhaws. Ib txoj hlab ntsha noj qab haus huv uas raug coj los ntawm lwm qhov ntawm lub cev (feem ntau yog ceg lossis hauv siab) txuas nrog thaj chaw raug txhaws thiab nraub qaum, tsim ib txoj kev tshiab rau cov ntshav ntws.
Thaum twg kuv yuav tsum mus ntsib kws kho mob sai sai/mus rau ETU?
Yog koj muaj cov tsos mob ntawm kev mob plawv nres , mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd lossis hu rau lub tsheb thauj neeg mob. Lub sijhawm yog qhov tseem ceeb ntawm no.
Cov tsos mob tseem ceeb ntawm kev mob plawv nres:
- Mob hnyav, mob nias, thiab mob sib tsoo hauv nruab nrab ntawm lub hauv siab.
- Qhov mob no kis mus rau sab caj npab laug, caj dab, lub puab tsaig, nraub qaum, lossis xub pwg.
- Ua pa nyuaj.
- Hws noo heev, kiv taub hau, ntuav.
Tsis txhob tsis quav ntsej cov tsos mob no. Tsis txhob xav tias, "Qhov no tej zaum yog mob gastritis." Yog tias koj tsis paub meej, nrhiav kev pab kho mob tam sim ntawd.
Yog tias koj muaj kab mob plawv (coronary artery disease), nws yog ib qho tseem ceeb uas yuav tsum tau nrog koj tus kws kho mob sib tham tas li. Yog tias koj muaj cov tsos mob tshiab, muaj cov kev mob tshwm sim los ntawm koj cov tshuaj, lossis muaj lus nug txog koj tus mob, hu rau koj tus kws kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob plawv (CAD) yog kev txhaws ntawm cov hlab ntsha uas xa ntshav mus rau lub plawv. Qhov no yog ib qho mob hnyav heev.
- Ntshav siab, ntshav qab zib, roj cholesterol ntau, thiab haus luam yeeb yog cov yam tseem ceeb uas ua rau muaj kev pheej hmoo.
- Kab mob no yuav tswj tau zoo los ntawm kev hloov pauv koj txoj kev ua neej (kev noj zaub mov zoo, kev tawm dag zog) thiab noj cov tshuaj uas koj tus kws kho mob tau sau tseg raws li tau sau tseg.
- Tsis txhob tsis quav ntsej cov tsos mob xws li mob hauv siab thiab ua pa nyuaj.
- Yog koj muaj cov tsos mob ntawm kev mob plawv nres, mus rau tsev kho mob tam sim ntawd yam tsis muaj kev ncua.
- Yog koj pom tias koj muaj tus kab mob no, tsis txhob poob siab. Yog koj kho tau zoo thiab hloov koj lub neej, koj yuav muaj sia nyob ntev thiab noj qab nyob zoo. Tham nrog koj tus kws kho mob kom lawv npaj txoj kev kho mob zoo tshaj plaws rau koj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus