Koj puas xav tias koj lub plawv nqaim? Cia peb tham txog Coronary Artery Spasm!

Tej zaum koj kuj yuav hnov ​​​​​​ib yam dab tsi txawv txawv, zoo li lub hauv siab nruj, uas tuaj thiab ploj mus, puas yog? Tej zaum koj yuav tsis tau ua tib zoo saib xyuas nws. Tab sis qhov no yuav yog vim cov hlab ntsha hauv lub plawv nqaim, ib qho mob uas peb hu ua 'Coronary Artery Spasm' . Cia peb tham txog qhov no kom ntxaws ntxiv hnub no, vim qhov no tsis yog ib yam dab tsi uas yuav tsum tsis quav ntsej.

Qhov mob plawv dhia ceev no yog dab tsi? ('Coronary Artery Spasm')

Zoo, ua ntej, cia peb saib seb cov hlab ntsha hauv lub plawv no yog dab tsi. Koj lub plawv yog ib lub cev zoo kawg nkaus uas ua haujlwm tsis tu ncua thoob plaws hnub, txawm tias thaum koj pw tsaug zog los xij. Yog li cov hlab ntsha uas muab cov pa oxygen thiab cov as-ham rau cov leeg plawv kom ua haujlwm tau zoo yog qhov peb hu ua cov hlab ntsha hauv lub plawv . Qhov no zoo li lub kaw lus kav dej uas coj dej mus rau hauv tsev.

Tam sim no, '(Coronary Artery Spasm)' yog qhov kev nruj ntawm cov hlab ntsha hauv lub plawv uas nqa cov ntshav mus rau lub plawv, zoo li ib daim nqaij hauv peb ceg raug ntswj. Peb hu qhov kev nruj no ua ' Contraction' . Qhov no feem ntau tsis kav ntev, thiab koj yuav tsis hnov ​​​​​​nws hauv ob peb feeb. Txawm li cas los xij, qhov mob no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob plawv thiab lwm yam teeb meem ntawm kab mob plawv. Yog vim li cas nws thiaj li tseem ceeb kom paub txog qhov no.

Qhov txawv ntawm tus kab mob plawv thiab angina yog dab tsi?

Tej zaum koj twb tau hnov ​​lo lus 'Angina' lawm, puas yog? Hais yooj yim xwb, nws txhais tau tias mob hauv siab. Mob hauv siab tuaj yeem tshwm sim thaum muaj cov hlab ntsha hauv lub plawv dhia tsis taus. Peb hu qhov no ua vasospastic angina .

Feem ntau, qhov ua rau mob angina yog vim cov roj cholesterol ('Plaque') thaiv cov hlab ntsha. Tab sis qhov tshwj xeeb ntawm tus mob '(Vasospastic Angina)' no yog tias qhov mob no tuaj yeem tshwm sim txawm tias thaum koj so . Lwm hom mob angina feem ntau tshwm sim thaum peb nkees, xws li thaum peb tawm dag zog. Qhov no yog qhov sib txawv tseem ceeb.

Leej twg yuav muaj feem mob "Coronary Artery Spasm" ntau dua?

Tam sim no cia peb saib seb leej twg yuav muaj tus mob no. Yog tias koj muaj cov yam ua rau muaj kab mob plawv, koj kuj muaj feem yuav muaj tus mob 'Coronary Artery Spasm' no. Cov yam tseem ceeb uas cuam tshuam rau qhov no yog:

• Ntshav siab (Hypertension).
• Cov roj cholesterol ntau hauv cov ntshav ('Hyperlipidemia').
• Kev siv luam yeeb, txhais tau tias kev siv luam yeeb thiab beedis , yog ib qho teeb meem uas cuam tshuam rau ntau tus neeg.
• Qee qhov kev siv tshuaj yeeb tsis raug cai .

Tiamsis qhov xav tsis thoob yog tias qhov "Coronary Artery Spasm" no kuj tshwm sim rau cov neeg uas tsis muaj ntshav siab lossis roj cholesterol ntau. Nws yog qhov pom tseeb tshwj xeeb tias feem ntau ntawm cov neeg no yog cov neeg haus luam yeeb tas li. Yog li ntawd, nws tuaj yeem xav tias kev haus luam yeeb muaj feem cuam tshuam loj rau qhov no.

Dab tsi ua rau qhov kev thaiv no?

Zoo, yog li cas tiag tiag ua rau "Coronary Artery Spasm"? Qee yam mob plawv tuaj yeem ua rau nws:

• Cov rog uas nyob hauv cov hlab ntsha, ua rau lawv nqaim ('Atherosclerosis'). Qhov no zoo li xeb uas sib sau ua ke hauv cov kav dej qub, ua rau lub qhov hauv cov kav dej txhaws.
• Ntshav siab .
• Cov roj cholesterol siab .

Nrog rau cov laj thawj tseem ceeb no, qee yam tuaj yeem ua rau qhov kev thaiv no. Uas yog, lawv ua rau nws tshwm sim sai sai. Xav txog nws zoo li ib tug neeg tsa ib tug tsov ntxhuav uas tsaug zog. Cov laj thawj no suav nrog:

• Siv luam yeeb (luam yeeb, beedis). Qhov no yog tus yeeb ncuab thib ib.
• Raug cua txias heev. Xav txog ib yam dab tsi zoo li da dej hauv dej txias heev ib zaug, lossis mus rau hauv ib qho chaw txias heev.
• Kev ntxhov siab heev . Qhov no yog ib yam dab tsi uas cuam tshuam rau ntau tus neeg, nrog rau cov teeb meem uas peb muaj hauv peb lub neej txhua hnub. Cov teeb meem ntawm kev ua haujlwm, teeb meem tsev neeg, tag nrho cov no tuaj yeem cuam tshuam rau peb.
• Siv qee hom tshuaj stimulants , piv txwv li, cov tshuaj yeeb tsis raug cai xws li "(Amphetamines)" lossis "(Cocaine)".

Cov tsos mob ntawm '(Coronary Artery Spasm)' yog dab tsi?

Feem ntau, qhov "(Coronary Artery Spasm)" no tuaj yeem tshwm sim yam tsis muaj tsos mob . Qhov ntawd yog qhov txaus ntshai me ntsis. Txawm li cas los xij, yog tias cov tsos mob tshwm sim, ntawm no yog qee yam uas koj yuav ntsib:

• Lub hauv siab nruj los yog muaj kev nyuaj siab. Tej zaum yuav zoo li muaj ib tug neeg tab tom zawm koj lub hauv siab, los yog zoo li muaj ib qho hnyav nyob rau ntawm koj lub hauv siab.
• Mob hauv siab. Qhov mob no tshwj xeeb tshaj yog:
• Nws tuaj yeem tshwm sim thaum koj so . Feem ntau pom tom qab ib tag hmo lossis thaum sawv ntxov .
• Qhov mob no feem ntau hnov ​​​​​​nyob rau sab laug ntawm lub hauv siab.
• Qee zaum qhov "coronary artery spasm" no tuaj yeem ua rau koj sawv thaum hmo ntuj .
• Cov kev thaiv no tuaj yeem tshwm sim tsawg tsawg li ob peb zaug hauv ib xyoos, mus txog ntau zaus hauv ib hnub. Nws txawv ntawm ib tus neeg mus rau ib tus neeg.

Qhov kev thaiv no yuav kav ntev npaum li cas? Nws zoo li cas?

Lub sijhawm ntawm "Coronary Artery Spasm" yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Nws tuaj yeem kav ntev li ntawm tsib feeb mus rau 30 feeb . Rau qee tus neeg, nws tuaj yeem luv dua, thiab rau lwm tus, nws tuaj yeem ntev dua me ntsis.

Hais txog qhov nws xav li cas, zoo li kuv tau hais ua ntej lawm, qee zaum koj yuav tsis xav li cas li. Los yog koj yuav xav li no:

• Lub hauv siab nruj.
• Qhov mob yuav zoo li nws kis mus rau ntawm koj lub hauv siab mus rau koj lub caj dab, caj npab (tshwj xeeb tshaj yog koj sab caj npab sab laug), lossis lub puab tsaig, zoo li mob plawv nres.

Yuav ua li cas koj thiaj paub tseeb tias muaj "Coronary Artery Spasm"?

Yuav kom paub tseeb tias koj muaj mob no, koj tus kws kho mob yuav ua ntau yam kev kuaj mob kom paub tseeb tias koj lub plawv noj qab nyob zoo. Qhov no tsis yog ib yam uas yuav kwv yees tau los ntawm kev kwv yees xwb. Cov kev kuaj mob tseem ceeb yog:

• Echocardiogram (`Echocardiogram` - `Echo test`): Qhov no siv cov suab nthwv dej los thaij duab ntawm koj lub plawv. Nws zoo ib yam li kev luam theej duab uas tau ua rau cov niam cev xeeb tub. Nws tuaj yeem saib seb lub plawv chav thiab cov qhov dej ua haujlwm li cas.
• Electrocardiogram (EKG lossis ECG): Qhov no ntsuas qhov hluav taws xob ntawm koj lub plawv. Nws tuaj yeem muab lub tswv yim rau koj txog seb koj lub plawv dhia li cas thiab seb puas muaj ntshav ntws mus rau lub plawv tsawg dua.
• Kev kuaj mob plawv (Coronary Angiography ): Qhov no feem ntau yog qhov kev kuaj mob uas paub tseeb tshaj plaws. Hauv qhov kev kuaj no, ib qho xim tshwj xeeb raug txhaj rau hauv cov hlab ntsha ntawm lub plawv los ntawm cov hlab ntsha hauv caj npab lossis ceg, thiab cov duab X-ray raug thaij. Qhov no tuaj yeem qhia meej meej yog tias muaj kev nqaim lossis mob hauv cov hlab ntsha.

Ntxiv mus, koj tus kws kho mob yuav muab ib lub cuab yeej me me rau koj (lub 'Ambulatory Monitor' lossis 'Holter Monitor') kom koj hnav tau hauv tsev. Qhov no sau koj lub plawv txoj kev ua haujlwm hluav taws xob rau 24, 48, lossis ntev dua thaum koj ua koj cov haujlwm txhua hnub. Qhov no tseem ceeb heev vim tias '(Coronary Artery Spasm)' feem ntau tshwm sim thaum hmo ntuj lossis thaum koj so, yog li nws tseem ceeb heev uas yuav tsum sau koj lub plawv txoj kev ua haujlwm thaum lub sijhawm ntawd.

Yuav kho tus mob 'Coronary Artery Spasm' no li cas?

Muaj ob lub hom phiaj tseem ceeb ntawm kev kho mob. Ib qho yog tiv thaiv cov mob ntswj no kom tsis txhob tshwm sim , thiab qhov thib ob yog txo qhov mob hauv siab .

Yog tias koj muaj mob ntswj sai sai, ces yuav muab tshuaj hu ua nitroglycerin (piv txwv li Nitrostat®) rau koj thaum ntawd. Nws ua haujlwm los ntawm kev nthuav cov hlab ntsha, ua kom cov ntshav ntws zoo dua, thiab txo qhov mob hauv siab sai sai. Feem ntau nws yog muab ua ib lub tshuaj me me uas muab tso rau hauv qab tus nplaig, yog li nws sai sai nqus mus rau hauv lub cev.

Yuav kom tiv thaiv cov kev thaiv no mus ntev, koj tus kws kho mob yuav sau ntawv rau lwm cov tshuaj rau koj siv tsis tu ncua:

• Cov tshuaj calcium channel blockers : Piv txwv li, cov tshuaj xws li Amlodipine (Norvasc®), Diltiazem (Cardizem®), lossis Nifedipine (Procardia®). Cov no ua haujlwm los ntawm kev so cov phab ntsa ntawm koj cov hlab ntsha, txo lawv txoj kev nqaim.
• Cov tshuaj Statins : Piv txwv li, cov tshuaj xws li Atorvastatin (Lipitor®) lossis Simvastatin (Zocor®). Txawm hais tias cov no feem ntau yog cov tshuaj txo cov roj cholesterol, lawv kuj tau pom tias pab tiv thaiv qhov kev ntswj no los ntawm kev txhim kho kev ua haujlwm ntawm cov hlab ntsha sab hauv.

Qee zaum, qhov "(Coronary Artery Spasm)" no tuaj yeem ua rau lub plawv dhia tsis xwm yeem, txaus ntshai ("Ventricular Arrhythmia") hauv cov chav qis ntawm lub plawv. Qhov no yog ib qho mob hnyav, vim nws tuaj yeem ua rau tuag taus. Yog tias koj muaj "(Ventricular Arrhythmia)" zoo li no, koj tus kws kho mob yuav pom zoo kom siv lub tshuab defibrillator ("ICD") los tiv thaiv cov teeb meem loj. Lub "(ICD)" ntes tau lub plawv dhia tsis xwm yeem thiab siv cov teeb liab hluav taws xob los pab kom koj lub plawv dhia zoo li qub.

Kuv yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev mob plawv coronary spasm?

Yog tias koj muaj tej yam uas ua rau koj muaj feem yuav mob xws li roj cholesterol ntau thiab ntshav siab, kev kho cov mob no kom zoo yuav pab txo tau koj txoj kev pheej hmoo ntawm kev mob "Spasm" no. Nws tseem ceeb heev uas yuav tsum zam tej yam ("Triggers") uas ua rau mob "Coronary Artery Spasm" no.

Piv txwv li, koj tuaj yeem ua tej yam xws li zam kev raug cua txias heev, tsum haus luam yeeb tag nrho (qhov no yog ib yam dab tsi uas koj yuav tsum ua), thiab nrhiav txoj hauv kev los tswj kev ntxhov siab ntau dhau (xws li kev xav thiab yoga).

Qhov ntawd txhais tau tias yuav tsum hloov qee yam kev ua neej kom noj qab nyob zoo. Qhov no suav nrog kev noj zaub mov kom zoo (tsis muaj roj, ntsev, thiab qab zib, thiab muaj txiv hmab txiv ntoo thiab zaub ntau) thiab kev tawm dag zog tsis tu ncua .

Yog tias kuv muaj '(Coronary Artery Spasm)', kuv yuav tsum xav li cas?

Kab mob plawv coronary artery spasm yog ib yam mob uas mob ntev mus ntev los lawm . Qhov no txhais tau tias nws nyuaj rau kho kom zoo, tab sis nws tuaj yeem tswj tau. Koj yuav xav tau kev kho mob mus sij hawm ntev thiab kev saib xyuas kho mob kom tswj tau nws. Tab sis tsis txhob txhawj.

Yog tias kho tau zoo, feem ntau cov neeg tuaj yeem tswj tau lawv cov tsos mob, txo qhov zaus ntawm cov kev tawm tsam no, thiab ua neej zoo li qub. Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia kom raug, noj koj cov tshuaj raws sijhawm, thiab txuas ntxiv hloov pauv txoj kev ua neej.

Kuv yuav tsum mus rau chav kho mob ceev (ER) thaum twg?

Qhov no yog ib qho tseem ceeb heev, nws tuaj yeem yog ib qho teeb meem ntawm txoj sia thiab kev tuag . Yog tias cov hlab ntsha coronary spasm tseem nyob ntev, nws tuaj yeem ua rau mob plawv nres. Yog li ntawd, yog tias koj muaj cov tsos mob ntawm mob plawv nres, tsis txhob ncua ib pliag thiab hu rau 1990 (Suvaseriya) tam sim ntawd lossis mus rau chav kho mob ceev ntawm tsev kho mob ze tshaj plaws.

Cov tsos mob ntawm tus mob plawv nres yog dab tsi? Nrhiav ib lossis ntau yam ntawm cov tsos mob no nrog rau mob hauv siab:

• Kiv taub hau los yog lub taub hau me me .
• Tsis nco qab ('Syncope').
• Zoo li koj lub plawv dhia ceev, koj lub hauv siab dhia ceev ('Palpitations').
• Xeev siab los yog ntuav, zoo li zom zaub mov tsis zoo ('Xausea' los yog 'Dyspepsia').
• Ua pa nyuaj, zoo li koj tab tom ua tsis taus pa (Dyspnea).
• Cov hws txias.
• Qaug zog tam sim ntawd, xav tias qaug zog heev.

Yog koj muaj ib lossis ntau yam tsos mob no nrog rau mob hauv siab, tsis txhob nyob hauv tsev xwb xav tias yog mob gastritis. Nrhiav kev kho mob tam sim ntawd. Lub sijhawm yog qhov tseem ceeb tshaj plaws hauv kev cawm ib tug neeg txoj sia.

Zaj dab neeg no muaj lub ntsiab lus dab tsi uas peb xav coj mus tsev?

Kev Mob Plawv Hauv Lub Plawv (Coronary Artery Spasm) yog ib qho kev mob uas cov hlab ntsha uas muab ntshav mus rau lub plawv nqaim lossis ntswj sai sai. Tej zaum yuav mob thiab ploj mus yam tsis muaj mob. Txawm li cas los xij, lawv tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob plawv nres. Lawv tuaj yeem tshwm sim tshwj xeeb tshaj yog thaum ib tag hmo lossis thaum sawv ntxov thiab tuaj yeem tsa koj sawv.

Qhov zoo tshaj plaws yog, muaj kev kho rau qhov no. Koj tuaj yeem txo qhov mob hauv siab thiab tiv thaiv cov kev thaiv no. Yog tias koj muaj cov tsos mob zoo li cov uas tau hais hauv tsab xov xwm no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob thiab tau txais kev qhia. Koj tuaj yeem txo qhov kev pheej hmoo no los ntawm kev tsis haus luam yeeb kiag li thiab ua neej noj qab haus huv. Saib xyuas koj lub plawv! Nws yog koj cov khoom muaj nqis tshaj plaws.

Kab mob plawv , cov hlab ntsha hauv lub plawv, mob hauv siab, angina, mob plawv nres, Coronary Artery Spasm, kev noj qab haus huv ntawm lub plawv