Koj lub plawv puas nkees me ntsis? Cia peb kawm txog Congestive Heart Failure hauv txoj kev yooj yim!

Koj puas muaj tej lub sij hawm koj xav tias koj ua tsis taus pa txawm tias koj taug kev luv luv lossis nce ntaiv? Los yog koj puas xav tias koj ob txhais ceg lossis pob luj taws o? Tej zaum qhov no yog koj lub siab qhia koj ib yam dab tsi. Hnub no peb yuav tham txog Congestive Heart Failure , lossis raws li qee tus hu nws, congestive heart failure . Tsis txhob txhawj, yog tias koj nkag siab qhov no kom zoo thiab tswj nws kom zoo, koj tuaj yeem zoo.

Kab mob plawv tsis ua haujlwm zoo yog dab tsi tiag?

Hais yooj yim xwb, Congestive Heart Failure yog thaum koj lub plawv tsis tuaj yeem tso ntshav tau zoo li nws xav tau. Xav txog koj lub plawv zoo li lub chaw faib khoom loj. Txhua pob khoom uas tuaj (piv txwv li ntshav) yuav tsum tau xa mus rau qhov chaw zoo (piv txwv li cov kabmob) raws sijhawm. Tab sis yuav ua li cas thaum lub chaw no qaug zog me ntsis thiab tsis tuaj yeem xa tag nrho cov pob khoom raws sijhawm? Cov pob khoom sib sau ua ke, puas yog? Qhov ntawd yog qhov tshwm sim ntawm no thiab. Thaum lub plawv tsis tuaj yeem tso ntshav tau zoo, cov ntshav rov qab los thiab sib sau ua ke hauv ntau qhov ntawm lub cev, tshwj xeeb tshaj yog hauv lub ntsws, ceg, pob luj taws, thiab lub plab . Qhov no yog qhov peb hu ua (Congestive), uas txhais tau tias muaj "kev sib sau ua ke."

Puas muaj cov hom mob plawv tsis ua haujlwm loj?

Yog, muaj ntau hom tseem ceeb:

• Mob plawv sab laug: Qhov no yog hom mob uas feem ntau tshwm sim. Qhov no yog thaum sab laug ntawm lub plawv (lub plawv sab laug) tsis tuaj yeem tso ntshav mus thoob plaws lub cev. Qhov no tuaj yeem ua rau cov ntshav sib sau ua ke hauv lub ntsws, ua rau ua pa nyuaj.
• Lub plawv tsis ua haujlwm sab xis: Qhov no feem ntau yog tshwm sim los ntawm lub plawv tsis ua haujlwm sab laug. Thaum sab xis ntawm lub plawv tsis tuaj yeem tso ntshav los ntawm lub ntsws kom zoo, cov ntshav yuav sib sau ua ke hauv cov hlab ntsha thiab ua rau o ntawm thaj chaw xws li ceg, pob luj taws, thiab plab.
• Mob plawv tsis ua haujlwm zoo: Qhov no yog ib hom mob tsis tshua muaj. Hauv qhov mob no, lub plawv nqus ntshav tau zoo, tab sis vim lub cev xav tau ntshav ntau (piv txwv li, ntshav tsis txaus, hyperthyroidism), lub plawv tsis muaj peev xwm ua tau raws li qhov xav tau ntawd.

Tus mob no feem ntau tshwm sim li cas?

Muaj ntau lab tus tib neeg thoob plaws ntiaj teb raug kev txom nyem los ntawm tus mob no. Nws yog ib qho mob uas tshwm sim ntau tshaj plaws ntawm cov neeg hnub nyoog tshaj 65 xyoos , thiab nws yog qhov ua rau mob hnyav tshaj plaws hauv pawg hnub nyoog ntawd. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog tus mob no.

Cov tsos mob ntawm Congestive Heart Failure yog dab tsi?

Cov tsos mob no yuav txawv ntawm ib tus neeg mus rau ib tus neeg, thiab kuj txawv nyob ntawm seb qhov mob hnyav npaum li cas. Txawm li cas los xij, muaj qee cov tsos mob uas pom tau:

• Ua tsis taus pa: Zoo li koj yuav tsaus muag thaum ua haujlwm me me, taug kev me ntsis, lossis nce ntaiv ob peb zaug. Hauv cov xwm txheej hnyav, nws tuaj yeem nyuaj rau ua pa txawm tias thaum sawv ntsug.
• Sawv ntxov hmo ntuj ua pa nyuaj:Yog tias koj sawv thaum koj tsaug zog thiab ua tsis taus pa, qhov ntawd kuj yog ib qho tsos mob ntawm qhov no.
• Mob hauv siab los yog tsis xis nyob: Ib txhia neeg yuav hnov ​​​​​​qhov nruj los yog hnyav hauv lawv lub hauv siab.
• Lub plawv dhia ceev: Lub plawv yuav zoo li nws dhia nrov nrov, sai sai, lossis tsis xwm yeem.
• Xav tias nkees heev thaum ua ub ua no: Xav tias nkees dhau ua tej yam uas yooj yim ua ntej.
• Ob txhais ceg, pob luj taws, thiab lub plab o: Pob luj taws thiab cov ntiv taw yuav o mus txog rau qhov uas nws nyuaj rau hnav khau lossis tshem cov nplhaib.
• Qhov hnyav nce sai sai: Yog tias koj nce ob peb kilos hauv ob peb hnub, nws yuav yog vim muaj dej khaws cia.
• Yuav tsum tau tso zis ntau zaus thaum hmo ntuj.
• Hnoos qhuav, mob hnyav uas los tsis muaj laj thawj: Qhov hnoos no tuaj yeem hnyav dua, tshwj xeeb tshaj yog thaum koj hnoos.
• Xav tias lub plab puv los yog nruj.
• Tsis xav noj mov los yog mob (xeev siab).

Nco ntsoov tias, qee zaum cov tsos mob no yuav tsis pom tseeb heev, lossis tsis muaj. Tab sis qhov ntawd tsis tau txhais hais tias koj tsis muaj mob plawv tsis ua haujlwm. Cov tsos mob tuaj yeem tshwm sim thiab ploj mus. Nws yog ib qho uas tus mob yuav hnyav zuj zus tuaj raws sijhawm. Yog li ntawd, yog tias koj muaj ib lossis ob qho ntawm cov tsos mob no, nws yog qhov zoo uas yuav tsum mus ntsib kws kho mob.

Cov ua rau muaj mob plawv tsis ua haujlwm yog dab tsi?

Muaj ntau yam ua rau lub plawv tsis muaj zog. Qee qhov laj thawj tseem ceeb yog:

• Kab mob plawv thiab/lossis mob plawv nres: Kev puas tsuaj rau cov leeg nqaij plawv vim yog kev thaiv cov hlab ntsha uas muab ntshav mus rau lub plawv.
• Cardiomyopathy: Qhov no tuaj yeem yog vim muaj cov kab mob caj ces, cov kab mob viral, lossis lwm yam ua rau, ua rau cov leeg nqaij plawv tsis muaj zog lossis tuab.
• Kab mob plawv yug los: Yug los muaj qhov tsis zoo ntawm lub plawv.
• Kab mob ntshav qab zib: Kab mob ntshav qab zib mus sij hawm ntev tuaj yeem cuam tshuam rau lub plawv.
• Ntshav Siab: Ntshav siab uas tsis tswj tau ua rau lub plawv ua haujlwm hnyav dua.
• Lub plawv dhia tsis sib xws (Arrhythmia): Lub plawv dhia tsis sib xws ua rau lub plawv ua haujlwm tsis zoo.
• Kab mob raum: Thaum lub raum tsis ua haujlwm zoo, cov kua dej thiab ntsev hauv lub cev yuav nce ntxiv, ua rau lub plawv muaj kev nyuaj siab.
• Qhov hnyav ntawm lub cev (BMI) ntau dua 30 (rog dhau).
• Luam yeeb thiab siv tshuaj yeeb tsis raws cai.
• Haus dej cawv ntau dhau.
• Qee cov tshuaj: Piv txwv li, qee cov tshuaj chemotherapy siv rau mob qog noj ntshav tuaj yeem ua rau lub plawv puas tsuaj.

Ib qho ntxiv uas yuav tsum paub yog tias lub plawv tsis ua haujlwm sab laug yog qhov ua rau lub plawv tsis ua haujlwm sab xis. Thaum sab laug tsis ua haujlwm zoo, cov ntshav ntws rov qab los ntawm lub ntsws thiab cuam tshuam rau sab xis thiab.

Leej twg muaj feem yuav raug qhov no tshaj?

Muaj ib txhia neeg yuav muaj tus mob no ntau dua. Cov yam uas ua rau muaj kev pheej hmoo no suav nrog:

• Muaj hnub nyoog tshaj 65 xyoo.
• Siv cov khoom luam yeeb, cov tshuaj xws li cocaine, lossis cawv.
• Ib txoj kev ua neej nyob sedentary uas tsis ua haujlwm lub cev.
• Noj cov khoom noj uas muaj ntsev thiab rog ntau.
• Muaj ntshav siab.
• Muaj kab mob ntawm cov hlab ntsha hauv lub plawv.
• Tau muaj mob plawv nres ua ntej lawm.
• Muaj keeb kwm tsev neeg muaj mob plawv tsis ua haujlwm.

Cov teeb meem ntawm Congestive Heart Failure yog dab tsi?

Yog tias tus mob no tsis raug kho kom zoo lossis tswj tsis tau, ces yuav muaj teeb meem ntxiv.

• Lub plawv dhia tsis xwm yeem.
• Lub plawv nres tam sim ntawd tuaj yeem ua rau tuag taus.
• Teeb meem ntawm lub plawv.
• Cov kua dej sib sau ua ke hauv lub ntsws (Pulmonary edema).
• Mob ntshav siab hauv lub ntsws.
• Kev puas tsuaj rau lub raum lossis lub raum tsis ua haujlwm.
• Kev puas tsuaj rau daim siab.
• Kev tsis noj zaub mov zoo.

Koj paub li cas yog tias koj muaj mob plawv tsis ua haujlwm (Congestive Heart Failure)?

Yog koj muaj cov tsos mob no, thaum koj mus ntsib kws kho mob, nws yuav xub nug koj cov lus nug.

• Tej yam xws li koj muaj cov tsos mob dab tsi thiab koj tau muaj lawv ntev npaum li cas.
• Lwm yam mob uas koj muaj (xws li ntshav qab zib, ntshav siab).
• Puas muaj leej twg hauv koj tsev neeg tau muaj kab mob plawv lossis tuag tam sim ntawd?
• Koj puas siv cov khoom haus luam yeeb, cawv, lossis tshuaj yeeb?
• Txawm koj tau txais kev kho mob qog nqaij hlav lossis kev siv tshuaj tua kab mob los yog kev siv tshuaj tua kab mob rau mob qog nqaij hlav yav dhau los.
• Koj siv cov tshuaj dab tsi?

Ces tus kws kho mob yuav kuaj koj lub cev. Lawv yuav mloog koj lub plawv, kuaj koj lub ntsws, thiab kuaj koj ob txhais ceg seb puas o.

Plaub theem ntawm Congestive Heart Failure yog dab tsi?

Vim tias qhov no yog ib yam kab mob uas maj mam zuj zus tuaj raws sijhawm, muaj plaub theem. Cov theem no hu ua A, B, C, thiab D. Ntawd yog, kev taug kev los ntawm qib kev pheej hmoo tsawg mus rau qib kev pheej hmoo siab.

Theem A (Theem A - Ua ntej lub plawv tsis ua haujlwm)

Qhov no txhais tau tias koj muaj feem yuav mob plawv tsis ua haujlwm. Qhov no tej zaum yog vim muaj ib tug neeg hauv koj tsev neeg tau muaj tus kab mob no. Los yog tej zaum yog vim koj muaj ib lossis ntau yam mob no:

• Ntshav siab (Hypertension).
• Mob ntshav qab zib.
• Kab mob plawv.
• Kab mob metabolic syndrome.
• Keeb kwm ntawm kev haus dej cawv tsis zoo.
• Muaj mob rheumatic fever.
• Muaj keeb kwm tsev neeg ntawm tus kab mob cardiomyopathy.
• Tau siv cov tshuaj uas ua rau lub plawv puas tsuaj (piv txwv li, qee cov tshuaj tiv thaiv kab mob qog noj ntshav).

Theem B (Theem B - Ua ntej lub plawv tsis ua haujlwm)

Nyob rau theem no, koj lub plawv sab laug (lub chamber loj uas tso ntshav thoob plaws lub cev) tsis ua haujlwm zoo, lossis muaj qee qhov kev hloov pauv hauv nws cov qauv (piv txwv li, tuab). Tab sis koj tseem tsis tau muaj cov tsos mob ntawm kev ua tsis tau haujlwm ntawm lub plawv.

Theem C

Cov neeg nyob rau theem no tau raug kuaj pom tias muaj mob plawv tsis ua haujlwm zoo. Lawv kuj tseem muaj cov tsos mob tam sim no, lossis lawv tej zaum yuav muaj cov tsos mob yav dhau los tab sis tam sim no tsis muaj dab tsi li.

Theem D thiab Txo Qhov Ejection Fraction (EF)

Cov neeg no muaj mob plawv tsis ua haujlwm zoo heev (Tshwj xeeb heev) . Txawm tias kho tau zoo los, cov tsos mob tseem nyuaj rau tswj. Cov ntshav uas tawm hauv lub plawv ib zaug, uas yog, '(Ejection fraction - EF)', tsawg heev thiab tej zaum yuav muaj '(HFrEF - mob plawv tsis ua haujlwm nrog ejection fraction txo qis)'. Qhov no yog theem kawg ntawm (Plawv Tsis Ua Haujlwm).

Cov kev kuaj mob yog dab tsi?

Cov kws kho mob ua ntau yam kev kuaj mob kom paub seb koj puas muaj mob plawv tsis ua haujlwm, nws nyob rau theem twg, thiab yog dab tsi ua rau nws:

• Kev kuaj ntshav: Cov no tuaj yeem nrhiav tau lwm yam mob uas cuam tshuam rau lub plawv (piv txwv li ntshav tsis txaus, kab mob raum, teeb meem thyroid) thiab seb lub plawv puas tau puas lawm (los ntawm kev kuaj xyuas qee cov enzyme).
• Kev siv catheterization rau lub plawv: Qhov no yog ua los xyuas seb puas muaj kev thaiv hauv cov hlab ntsha ntawm lub plawv.
• X-ray hauv siab: Qhov no siv tau los xyuas seb lub plawv loj thiab cov kua dej hauv lub ntsws puas loj.
• Echocardiogram (Echo): Qhov no zoo li kev ntsuas ultrasound ntawm lub plawv. Nws tuaj yeem pom tseeb ntau yam xws li cov chav plawv, cov qhov dej, cov leeg plawv ua haujlwm, thiab nws nqus ntshav zoo npaum li cas ("Ejection fraction - EF").
• MRI (Magnetic Resonance Imaging) ntawm lub plawv.
• Kev thaij duab CT (Computed Tomography) ntawm lub plawv.
• Electrocardiogram (EKG lossis ECG): Qhov no pab pom tej yam xws li kev ua haujlwm hluav taws xob ntawm lub plawv thiab lub suab ntawm lub plawv dhia.
• MUGA scan (Multigated Acquisition Scan): Qhov no kuj siv tau los saib seb cov chav plawv nqus ntshav zoo npaum li cas.
• Kev ntsuam xyuas kev ntxhov siab: Yuav tsum tau kuaj ECG thaum koj taug kev saum lub treadmill lossis caij tsheb kauj vab kom pom tias koj lub plawv teb li cas rau kev tawm dag zog.
• Kev kuaj mob caj ces: Qee zaum, tshwj xeeb tshaj yog tias muaj keeb kwm tsev neeg, cov kev kuaj no yog ua los nrhiav cov laj thawj caj ces.

Yuav kho tus mob plawv tsis ua haujlwm li cas?

Kev kho mob nyob ntawm seb koj muaj hom mob plawv tsis ua haujlwm zoo li cas, nws ua rau mob li cas, thiab koj nyob rau theem twg. Cov tshuaj thiab kev hloov pauv hauv lub neej yog ib feem tseem ceeb ntawm txhua txoj kev npaj kho mob. Koj tus kws kho mob yuav nrog koj tham txog txoj kev npaj kho mob zoo tshaj plaws rau koj.

Qhov tseem ceeb yog, (Kev mob plawv tsis ua haujlwm) tsis yog ib yam kab mob uas kho tau tag nrho. Thaum nws hnyav zuj zus, cov ntshav uas lub plawv nqus mus rau cov kabmob yuav txo qis, thiab koj yuav mus rau theem tom ntej. Koj yuav tsis rov qab los ntawm cov theem no. Yog li ntawd, lub hom phiaj tseem ceeb ntawm kev kho mob yog kom tiv thaiv koj kom tsis txhob mus rau theem tom ntej, ncua nws, tswj cov tsos mob thiab txhim kho koj lub neej zoo.

Cia peb saib seb kev kho mob hloov pauv li cas ntawm theem mus rau theem:

Kev kho mob rau theem A:

Cov neeg no tseem tsis tau muaj mob plawv tsis ua haujlwm, tab sis qhov kev pheej hmoo siab heev. Yog vim li ntawd lawv thiaj ua tej yam los txo qhov kev pheej hmoo.

• Kev tawm dag zog tsis tu ncua, xws li kev taug kev txhua hnub.
• Tsis txhob haus luam yeeb kiag li.
• Kev kho mob ntshav siab (tshuaj, noj zaub mov ntsev tsawg, ua neej nquag).
• Kev kho mob ntawm cov roj cholesterol siab.
• Tsis txhob haus dej cawv thiab tshuaj yeeb tsis raws cai.
• Yog koj muaj lwm yam mob xws li kab mob plawv, ntshav qab zib, lossis ntshav siab, koj yuav tau txais tshuaj Angiotensin-converting enzyme inhibitor (ACE-I) lossis Angiotensin II receptor blocker (ARB).

Kev kho mob rau theem B:

Cov neeg no muaj teeb meem plawv, tab sis tsis muaj tsos mob.

• Txhua txoj kev kho mob uas tau hais hauv Theem A.
• Yog tias koj cov tshuaj `(Ejection fraction - EF)` yog 40% lossis tsawg dua, `(ACE-I)` lossis `(ARB)` yog cov tshuaj zoo.
• Yog tias koj tau muaj mob plawv nres ua ntej lawm thiab koj lub EF yog 40% lossis tsawg dua (yog tias koj tseem tsis tau noj nws), koj yuav tsum noj tshuaj hu ua beta-blocker.
• Yog tias koj tau muaj mob plawv nres yav dhau los lossis yog tias koj lub EF yog 35% lossis tsawg dua, koj yuav xav tau tshuaj hu ua Aldosterone antagonist.
• Qee zaum, yuav tsum tau phais lossis lwm yam kev cuam tshuam rau cov mob xws li kab mob ntawm cov hlab ntsha hauv lub plawv, lub plawv tsis ua haujlwm, kab mob ntawm lub qhov ntswg (kho lossis hloov lub qhov ntswg), lossis kab mob plawv txij thaum yug los.

Kev kho mob rau theem C (HFrEF - rau cov neeg uas tsis muaj peev xwm nqus ntshav tau zoo):

Cov neeg no muaj (Lub Plawv Tsis Ua Haujlwm) thiab muaj/tau muaj cov tsos mob.

• Cov kev kho mob uas tau hais nyob rau hauv theem A thiab B.
• Cov tshuaj '(Beta-blocker)' thiab '(Aldosterone antagonist)'.
• Ib pawg tshuaj hu ua '(Sodium-glucose transport 2 inhibitors - SGLT2i)'.
• Ib hom tshuaj sib xyaw ua ke hu ua "(Hydralazine/nitrate)" yog siv yog tias lwm yam kev kho mob tsis tswj tau cov tsos mob, tshwj xeeb tshaj yog rau cov neeg Asmeskas Dub.
• Yog tias lub plawv dhia ntau dua 70 zaus hauv ib feeb thiab cov tsos mob tseem muaj, yuav tsum noj tshuaj uas txo lub plawv dhia.
• Yog tias cov tsos mob tseem muaj (tshwj xeeb tshaj yog o thiab ua pa nyuaj) tseem muaj, yuav muab tshuaj diuretic (uas peb hu ua cov tshuaj ntsiav dej).
• Txwv tsis pub muaj ntsev (sodium) ntau dhau hauv cov khoom noj.
• Ntsuas koj tus kheej txhua hnub. Yog tias koj nce lossis poob ntau tshaj 2 kilograms (4 phaus) hauv ib lossis ob hnub, qhia rau koj tus kws kho mob tam sim ntawd.
• Tej zaum koj yuav tsum txwv tsis pub haus dej ntau dhau ib hnub.
• Muaj ib txhia neeg xav tau ib lub tshuab pacemaker tshwj xeeb uas hu ua "Cardiac resynchronization therapy - CRT", lossis "biventricular pacemaker".
• Ib lub cuab yeej hu ua implantable cardiac defibrillator (ICD) raug muab tso rau hauv cov neeg uas muaj feem yuav mob plawv dhia tsis xwm yeem.
• Txawm tias cov tsos mob zoo dua nrog kev kho mob los xij, nws yog ib qho tseem ceeb heev uas yuav tsum txuas ntxiv kev kho mob kom ncua qhov mob kom tsis txhob nce mus rau theem D.

Kev kho mob rau theem D:

Cov neeg no muaj mob hnyav heev (Plawv Tsis Ua Haujlwm).

• Tag nrho cov kev kho mob uas tau hais nyob rau theem A, B, thiab C. Tsis tas li ntawd, kev kho mob siab dua tab tom raug txiav txim siab:
• Kev hloov plawv.
• Cov khoom siv kho tshuab uas txhawb nqa lub plawv (Cov khoom siv pab lub plawv - VADs)
• Kev phais plawv tshwj xeeb `(Kev phais plawv)`.
• Cov tshuaj inotropic uas muab tso rau hauv cov hlab ntsha tas mus li (cov tshuaj uas ua rau lub plawv dhia ceev dua).
• Kev saib xyuas palliative lossis kev saib xyuas hospice.

Theem C thiab D (HFpEF - rau cov neeg uas tsis muaj teeb meem tso ntshav tawm ntawm lub plawv):

Hauv qhov no, txawm hais tias lub plawv lub peev xwm los cog lus (ejection fraction) yog qhov ib txwm muaj, tab sis muaj teeb meem nrog lub plawv puv nrog cov ntshav (diastolic function) ua rau lub plawv tsis ua haujlwm.

• Cov kev kho mob uas tau hais nyob rau hauv theem A thiab B.
• Kev kho lwm yam mob uas ua rau lossis ua rau lub plawv tsis ua haujlwm hnyav dua (piv txwv li, atrial fibrillation, ntshav siab, ntshav qab zib, rog dhau, kab mob plawv coronary, kab mob ntsws ntev, roj cholesterol ntau, kab mob raum).
• Cov tshuaj diuretics (tshuaj dej) kom txo lossis txo cov tsos mob.

Tsis txhob hnov ​​qab tias kev tswj koj lwm yam mob (ntshav qab zib, kab mob raum, ntshav tsis txaus, ntshav siab, kab mob thyroid, hawb pob, kab mob ntsws ntev) yog qhov tseem ceeb heev rau kev tswj tus mob no (Plawv Tsis Ua Haujlwm) .

Puas muaj tej yam tshwm sim los yog teeb meem ntawm kev kho mob?

Qee qhov kev kho mob yuav muaj cov kev mob tshwm sim me me.

• Ntshav siab qis (Hypotension).
• Cov teebmeem rau kev ua haujlwm ntawm lub raum (Kev ua haujlwm tsis zoo ntawm lub raum).
• Kev mus pw hauv tsev kho mob ntau zaus, tshwj xeeb tshaj yog nrog cov tshuaj txhaj rau hauv cov hlab ntsha (central IVs), ua rau muaj kev pheej hmoo ntawm kev kis kab mob.

Nrog koj tus kws kho mob tham txog qhov no thiab paub kom meej.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm (Congestive Heart Failure)?

Txawm hais tias peb hloov tsis tau tej yam xws li hnub nyoog thiab keeb kwm tsev neeg los xij, peb tuaj yeem txo peb qhov kev pheej hmoo ntawm kev mob no (Plawv Tsis Ua Haujlwm) los ntawm kev hloov peb txoj kev ua neej.

• Tswj koj qhov hnyav kom noj qab nyob zoo uas haum rau koj.
• Noj zaub mov zoo rau lub plawv (tsis txhob ntsev, qab zib, roj, zaub thiab txiv hmab txiv ntoo ntau dua).
• Ua si nawv tsis tu ncua.
• Tswj kev ntxhov siab zoo.
• Tsum tsis txhob siv cov khoom haus luam yeeb kiag li.
• Tsis txhob haus cawv los yog haus tsawg heev.
• Tsis siv tshuaj yeeb tsis raws cai.
• Yog tias koj muaj lwm yam mob uas ua rau koj muaj feem yuav mob ntxiv (xws li ntshav siab, ntshav qab zib, roj cholesterol ntau), nrhiav kev kho thiab tswj kom zoo.

Ib tug neeg uas muaj mob plawv tsis ua haujlwm yuav xav tau lub neej yav tom ntej zoo li cas?

Yog tias muaj kev kho mob zoo, kev hloov pauv hauv lub neej, thiab kev ua raws li koj tus kws kho mob cov lus qhia, ntau tus neeg tuaj yeem ua neej zoo siab txawm tias muaj Congestive Heart Failure. Koj lub neej yav tom ntej nyob ntawm cov no:

• Nws nyob ntawm seb koj cov leeg nqaij plawv ua haujlwm zoo li cas.
• Nyob ntawm seb koj cov tsos mob zoo li cas thiab hnyav npaum li cas.
• Nws nyob ntawm seb koj teb rau txoj kev npaj kho mob zoo npaum li cas.
• Nws nyob ntawm seb koj ua raws li koj txoj kev npaj kho mob zoo npaum li cas (tshuaj, kev noj zaub mov, kev tawm dag zog).

Muaj ib txhia kev tshawb fawb qhia tias cov neeg uas muaj mob plawv tsis ua haujlwm yuav muaj sia nyob tsawg dua 10 xyoo dua li cov neeg uas tsis muaj mob plawv. Tab sis qhov no txawv ntawm ib tus neeg mus rau ib tus neeg. Yog li ntawd, nws yog qhov zoo tshaj plaws los qhib siab thiab ncaj ncees txog koj tus mob nrog koj tus kws kho mob. Mob plawv tsis ua haujlwm yog ib qho mob ntev mus tas li. Nws xav tau kev kho mob thiab kev tswj hwm mus tas li.

Kuv yuav saib xyuas kuv tus kheej li cas? (Kev saib xyuas tus kheej)

Thaum koj muaj teeb meem plawv tsis ua haujlwm, nws yog ib qho tseem ceeb heev uas koj yuav tsum saib xyuas koj tus kheej.

• Noj koj cov tshuaj raws li koj tus kws kho mob tau hais, rau lub sijhawm zoo. Tsis txhob ncua ib hnub twg li.
• Ua kom koj lub cev nquag li sai tau. Nug koj tus kws kho mob seb cov kev tawm dag zog twg yog qhov zoo rau koj.
• Ua raws li kev noj zaub mov uas tsis muaj ntsev ntau. Cov khoom noj uas ntim rau hauv lub thawv, cov khoom noj uas ntim hauv lub thawv, thiab cov khoom noj uas ntim sai sai muaj ntsev ntau.
• Xyuas koj qhov hnyav txhua hnub. Yog tias koj pom tias koj qhov hnyav nce sai sai (piv txwv li, 1-2 kilos hauv ib lossis ob hnub), qhia rau koj tus kws kho mob .
• Yog tias muaj cov tsos mob tshiab tshwm sim, lossis yog tias cov tsos mob uas twb muaj lawm zuj zus tuaj, qhia rau koj tus kws kho mob tam sim ntawd.
• Nco ntsoov mus ntsib kws kho mob raws li lub sijhawm teem tseg.
• Vim tias qhov no yog ib yam kab mob uas tuaj yeem ua rau tuag taus, nws yog ib lub tswv yim zoo kom qhia rau koj tus kws kho mob thiab tsev neeg paub txog koj qhov kev xav tau txog koj txoj kev kho mob (piv txwv li, seb koj puas xav tau kev kho mob ntev mus tas li / pw hauv tsev kho mob). Qhov no tuaj yeem ua tiav los ntawm kev sau daim ntawv "kev qhia ua ntej" lossis "kev yuav khoom." Nws yog ib qho kev txawj ntse los npaj qhov no thaum koj tseem muaj lub siab zoo yog tias koj tsis tuaj yeem txiav txim siab cov no tom qab hnub.

Cov khoom twg koj tsis tuaj yeem noj thiab haus nrog (Congestive Heart Failure)?

Muaj ntau tus neeg uas muaj mob plawv tsis ua haujlwm yuav tsum txwv lawv cov ntsev noj txhua hnub. Ib txhia neeg kuj yuav tsum txwv lawv cov dej haus (xws li dej, tshuaj yej, kua zaub). Koj tus kws kho mob lossis tus kws noj zaub mov yuav qhia koj txog qhov no.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob yog tias koj muaj cov tsos mob tshiab lossis yog tias koj cov tsos mob ntawm lub plawv tsis ua haujlwm uas twb muaj lawm zuj zus tuaj. Tshwj xeeb tshaj yog tias koj muaj ib qho ntawm cov hauv qab no:

• Yog tias koj ua pa nyuaj txawm tias thaum so.
• Yog tias qhov o tuaj ntxiv rau hauv ob txhais ceg, pob luj taws, lossis lub plab.
• Yog tias koj poob phaus sai sai (ntau tshaj 1-2 kg hauv ib lossis ob hnub).
• Yog tias koj pheej xav tias nkees thiab tsaug zog tas li.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Yog tias koj lub plawv tsis ua haujlwm tam sim ntawd hnyav zuj zus (piv txwv li, ua tsis taus pa hnyav, mob hauv siab hnyav), koj yuav tsum tau kho mob ceev. Cov kws kho mob hu qhov no ua lub plawv tsis ua haujlwm sai sai . Hauv qhov no, koj yuav tau txais tshuaj thiab oxygen los pab txhim kho koj tus mob. Mus rau tsev kho mob sai sai yam tsis tas nkim sijhawm tuaj yeem cawm tau txoj sia.

Kuv yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, tsis txhob ntshai nug cov lus nug uas koj xav paub.

• Kuv muaj theem twg ntawm (Congestive Heart Failure)?
• "Kev kho mob zoo tshaj plaws rau kuv yog dab tsi rau theem no?"
• "Kuv ua tau tej yam kev tawm dag zog twg kom muaj kev nyab xeeb? Kuv yuav tsum ua ntev npaum li cas?"
• Kuv yuav tsum hloov dab tsi rau kuv cov zaub mov noj?
• Puas muaj cov pab pawg txhawb nqa rau cov neeg uas muaj (Congestive Heart Failure)?
• Kuv yuav tsum ua li cas yog tias kuv cov tsos mob hnyav zuj zus tuaj?

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kab mob plawv tsis ua haujlwm zoo tsis yog ib yam dab tsi uas yuav tsum ntshai, tab sis nws kuj tsis yog ib yam dab tsi uas yuav tsum tsis txhob saib yooj yim. Yog tias koj muaj tus mob no, muaj ntau yam uas koj tuaj yeem ua tau los txhim kho koj txoj kev noj qab haus huv ntawm lub plawv.

• Noj koj cov tshuaj raws nraim thiab raws sijhawm.
• Noj cov khoom noj uas tsis muaj ntsev ntau, thiab zoo rau lub plawv.
• Ua kom koj lub cev nquag li sai tau.
• Xyuas koj qhov hnyav txhua hnub thiab paub txog kev hloov pauv sai sai.
• Nco ntsoov mus ntsib kws kho mob raws li hnub teem tseg.
• Khaws koj cov tsos mob cia thiab qhia rau koj tus kws kho mob yog tias lawv hnyav zuj zus tuaj.

Yog koj muaj lus nug lossis kev txhawj xeeb txog koj cov tshuaj, kev hloov pauv hauv koj lub neej, lossis lwm yam hauv koj txoj kev npaj kho mob, tham nrog koj tus kws kho mob. Lawv nyob ntawd los pab koj tswj hwm qhov mob no thiab ua lub neej zoo tshaj plaws. Nco ntsoov, koj tsis yog tib leeg xwb!

`Mob plawv nres, mob plawv nres, kab mob plawv, mob hauv siab, ua pa nyuaj, mob plawv tsis ua haujlwm zoo, lub plawv tsis ua haujlwm zoo, ob txhais ceg o