Koj puas muaj tej lub sij hawm koj hnov mob hnyav, nruj, lossis mob hauv koj lub hauv siab thaum koj nkees me ntsis, thaum koj nce ntaiv, lossis thaum koj ntxhov siab me ntsis? Peb coob tus tsis nco qab qhov no, xav tias nws yog ib qho ib txwm muaj, tej zaum yog mob plab hnyuv. Tab sis tsis yog txhua yam mob hauv siab yuav tsum kho yooj yim li ntawd. Tej zaum qhov no yog ib qho cim tseem ceeb heev uas koj lub siab muab rau koj. Qhov ntawd yog qhov peb tab tom tham txog hnub no, tias lub plawv tsis tau txais ntshav txaus.
Hauv lwm lo lus, Myocardial Ischemia yog dab tsi?
Lub npe suab nyuaj me ntsis, tab sis qhov tseeb yooj yim heev. Myocardial Ischemia yog thaum koj cov leeg plawv tsis tau txais cov ntshav ntau npaum li nws xav tau los ua haujlwm kom zoo. Peb paub tias cov ntshav yog qhov uas nqa cov pa oxygen thiab lwm yam khoom noj khoom haus thoob plaws lub cev. Yog li thaum cov ntshav ntws mus rau lub plawv txo qis, nws tsis tau txais cov pa oxygen txaus.
Ib yam li lub tshuab dej xav tau dej los khiav, peb lub plawv kuj xav tau cov ntshav tas li. Yog tias cov ntshav no nres ib pliag lossis txo qis ntau, cov hlwb hauv cov leeg plawv yuav pib puas tsuaj. Yog tias qhov mob no hnyav zuj zus, nws tuaj yeem ua rau mob plawv nres (Myocardial Infarction lossis Heart Attack) .
Mob plawv nres yog ib qho xwm txheej ceev uas yuav tsum tau kho mob tam sim ntawd, yog li nws tseem ceeb heev uas yuav tsum paub txog cov tsos mob no.
Leej twg muaj feem yuav mob no ntau dua?
Txawm hais tias tus mob no tuaj yeem tshwm sim rau txhua tus neeg, qee tus neeg muaj feem yuav mob ntau dua. Saib seb koj puas muaj ib qho ntawm cov yam no.
| Qhov ua rau muaj kev pheej hmoo | Piav qhia yooj yim |
|---|---|
| Ntshav Siab | Thaum lub siab nce siab, cov hlab ntsha tuaj yeem raug puas tsuaj, ua rau lawv nyias thiab thaiv cov ntshav ntws. |
| Cov roj cholesterol ntau | Cov roj cholesterol phem hauv cov ntshav tau tso rau ntawm phab ntsa ntawm cov hlab ntsha (zoo li cov ntshav txhaws), ua rau lawv nqaim dua. |
| Kab mob ntshav qab zib | Kab mob ntshav qab zib kuj tseem tuaj yeem ua rau cov hlab ntsha puas tsuaj, txo lawv qhov kev ywj pheej, thiab cuam tshuam kev ntws ntshav. |
| Keeb kwm tsev neeg | Yog tias ib tug neeg hauv koj tsev neeg (niam, txiv, cov kwv tij neej tsa) muaj kab mob plawv, koj kuj muaj feem yuav muaj kab mob ntau dua. |
| Kev siv luam yeeb | Kev haus luam yeeb ncaj qha ua rau cov hlab ntsha puas tsuaj thiab ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws. |
Cov tsos mob ntawm qhov no yog dab tsi?
Cov tsos mob tseem ceeb thiab feem ntau ntawm tus mob no yog mob hauv siab hu ua angina . Qhov no tuaj yeem zoo li mob plab lossis mob plab zom mov tsis zoo, tab sis nws txawv me ntsis.
Mob angina zoo li cas?
- Xav tias muaj ib qho hnyav ntawm lub hauv siab
- Kev xav tias nruj hauv siab
- Lub hauv siab nruj
- Zoo li muaj kev kub hnyiab hauv lub hauv siab.
- Qee zaum nws zoo li tsis muaj zog
Muaj ob hom mob angina.
Kab mob Angina muaj ob hom loj. Nws yog ib qho tseem ceeb heev uas yuav tsum paub qhov txawv ntawm ob hom no.
1. Mob Angina ruaj khov: Qhov no feem ntau tshwm sim thaum koj ntxhov siab (piv txwv li, ua si nawv, taug kev ceev). Qhov mob yuav ploj mus thaum koj so lossis noj tshuaj uas koj tus kws kho mob sau (piv txwv li, muab ib lub tshuaj rau hauv qab koj tus nplaig) .
2. Mob Angina Tsis Ruaj Khoov: Qhov no yog qhov mob txaus ntshai tshaj plaws . Qhov mob no tuaj yeem tshwm sim txawm tias koj so lossis pw tsaug zog hmo ntuj. Nws kuj tsis ploj mus txawm tias tom qab noj tshuaj. Qhov no tuaj yeem yog ib qho cim ntawm kev mob plawv nres, yog li koj yuav tsum nrhiav kev pab kho mob tam sim ntawd .
Cov tsos mob uas tsis yog angina
Ntxiv rau qhov mob hauv siab, cov tsos mob hauv qab no kuj tseem yuav tshwm sim:
- Qhov mob los yog tsis xis nyob kis mus rau sab caj npab laug, xub pwg nyom, caj dab, lub puab tsaig, nraub qaum, lossis thaj tsam plab .
- Ua tsis taus pa .
- Hnov txias thiab tawm hws .
- Zoo li puv nkaus, zom zaub mov tsis tau zoo, lossis muaj ib lub qog hauv caj pas.
- Xeev siab los yog ntuav .
- Kiv taub hau , mob taub hau me ntsis, tsis muaj zog heev, lossis ntxhov siab.
- Lub plawv dhia ceev lossis tsis xwm yeem.
Cov neeg uas muaj tus kab mob ntshav qab zib, tshwj xeeb tshaj yog, qee zaum lawv yuav muaj cov tsos mob ntawm cov hlab ntsha tsis ua haujlwm lossis mob plawv nres yam tsis muaj mob hauv siab. Yog li ntawd, lawv yuav tsum ceev faj txog cov tsos mob no thiab.
Yog koj muaj ib lossis ntau yam tsos mob no ntev tshaj 5 feeb, ces yog xwm txheej ceev. Hu rau 1990 Ambulance Service tam sim ntawd.
Vim li cas cov ntshav ntws mus rau lub plawv thiaj txo qis? Dab tsi yog cov ua rau?
Qhov ua rau mob plawv no yog kab mob plawv (Coronary Artery Disease ). Yog hais yooj yim xwb ces, cov roj cholesterol thiab cov rog (peb hu qhov no ua "Plaque") nyob rau hauv cov hlab ntsha uas muab ntshav mus rau lub plawv (coronary arteries), ua rau cov hlab ntsha nqaim. Ib yam li cov yeeb nkab dej uas xeb dhau sijhawm thiab txhaws. Thaum cov hlab ntsha nqaim, cov ntshav uas lub plawv xav tau yuav tsis ntws tau.
Lwm yam laj thawj:
- Ntshav Qhuav: Yog tias ib txheej rog (plaque) uas tau tsim ua ke hauv cov hlab ntsha nqaim tawg, cov ntshav qhuav tuaj yeem tsim nyob rau ntawm qhov chaw ntawd thiab thaiv cov hlab ntsha tag nrho.
- Kab Mob Coronary Artery Spasm: Qee zaum cov hlab ntsha hauv lub plawv cia li nqaim, ua rau cov ntshav ntws tsis tu ncua.
- Kev siv cov tshuaj yeeb xws li cocaine.
- Kev Phais Mob Hlwb Hauv Lub Plawv: Qhov no yog ib qho mob tsis tshua muaj uas phab ntsa ntawm cov hlab ntsha tawg.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob, nws yuav nug koj txog koj cov tsos mob, kuaj lub cev, thiab kuj tseem yuav pom zoo kom koj kuaj ob peb yam.
- ECG (Electrocardiogram): Kuaj xyuas qhov ua haujlwm hluav taws xob ntawm lub plawv.
- Echocardiogram: Kev ntsuas lub plawv. Nws tuaj yeem saib xyuas kev ua haujlwm thiab cov qauv ntawm lub plawv.
- Kev Ntsuas Kev Nyuaj Siab Thaum Ua Si: Yuav muaj ECG thaum koj taug kev saum lub treadmill, saib xyuas kev hloov pauv hauv koj lub plawv thaum koj ua si.
- Coronary Angiogram: Ib qho kua tshwj xeeb raug txhaj rau hauv cov hlab ntsha ntawm lub plawv thiab thaij duab X-ray kom pom tseeb tias cov hlab ntsha raug thaiv npaum li cas.
- Kev kuaj ntshav: Txhawm rau kuaj seb puas muaj kev puas tsuaj rau cov leeg nqaij plawv thiab kuaj xyuas tej yam xws li cov roj cholesterol.
Koj ua dab tsi li kev kho mob?
Kev kho mob nyob ntawm seb qhov mob hnyav npaum li cas thiab ua rau koj mob li cas. Lub hom phiaj tseem ceeb yog kom rov qab tau cov ntshav mus rau cov leeg plawv thiab tiv thaiv kom tsis txhob muaj mob plawv yav tom ntej.
Cov hom tshuaj:
- Nitroglycerin:Ib qho tshuaj uas muab kev pab sai sai los ntawm angina.
- Cov tshuaj Beta-blockers thiab cov tshuaj calcium channel blockers: Tswj kev ua haujlwm ntawm lub plawv thiab ntshav siab, txo qhov kev ua haujlwm ntawm lub plawv.
- Cov tshuaj Anticoagulants (piv txwv li Aspirin, Clopidogrel): Lawv tiv thaiv cov ntshav txhaws kom tsis txhob loj hlob hauv cov hlab ntsha.
- Cov tshuaj txo cov roj cholesterol.
Cov kev kho mob thiab kev phais:
- Kev Kho Mob Angioplasty thiab Stent Placement: Cov hlab ntsha uas raug thaiv raug tshuab nrog lub cuab yeej zoo li lub npas thiab muab lub cuab yeej zoo li lub mesh (stent) ntxig rau hauv kom tiv thaiv nws kom tsis txhob raug thaiv dua.
- Kev Hloov Pauv Cov Ntshav Hauv Lub Cev (Coronary Artery Bypass Graft): Ib txoj hlab ntsha tshiab yog tsim los ntawm kev hloov pauv cov hlab ntsha uas raug thaiv siv ib daim hlab ntsha uas tau los ntawm lwm qhov ntawm lub cev.
Peb ua tau dab tsi los txo qhov kev pheej hmoo?
Kev hloov me me rau koj txoj kev ua neej yuav pab txo qhov kev pheej hmoo no tau zoo heev.
- Yog koj muaj ntshav qab zib, ntshav siab, lossis roj cholesterol, tswj lawv kom zoo raws li koj tus kws kho mob cov lus qhia.
- Ua si nawv li 30-60 feeb ib hnub, tsawg kawg yog 5 hnub ib lub lim tiam. (Txawm tias taug kev sai sai los kuj txaus lawm.)
- Txo cov khoom noj uas muaj roj, ntsev, thiab qab zib ntau, thiab noj zaub, txiv hmab txiv ntoo, tshuaj ntsuab, thiab cov nplej tag nrho ntau dua.
- Yog koj haus luam yeeb, tsum kiag li.
- Txo kev ntxhov siab.
- Tswj koj lub cev kom muaj qhov hnyav zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis txhob tsis quav ntsej txhua zaus koj mob hauv siab, xav tias yog mob gastritis. Ua tib zoo mloog nws, tshwj xeeb yog tias nws yog qhov mob uas tshwm sim thaum lub sijhawm ua haujlwm tawm dag zog.
- Yog tias mob hauv siab nrog rau cov tsos mob xws li ua pa nyuaj, tawm hws, thiab mob kis mus rau caj npab, nws yuav yog ib qho cim qhia tias koj lub plawv nres.
- Yog koj mob hauv siab ntev tshaj 5 feeb, hu rau 1990 tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ze tshaj plaws. Lub sijhawm yog lub neej.
- Txheeb xyuas koj cov yam uas ua rau muaj kev pheej hmoo (ntshav siab, roj cholesterol, ntshav qab zib) thiab nrog koj tus kws kho mob tham txog kev tswj lawv.
- Kev ua neej noj qab haus huv muab lub zog loj rau koj los tiv thaiv thiab tswj tus kab mob no.
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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