Koj lub plawv puas tsis tau txais ntshav txaus? Cia peb tham txog Myocardial Ischemia!

Puas muaj tej lub sij hawm koj xav tias koj lub hauv siab txawv txawv, xeev siab ? Zoo li ua pa nyuaj, zoo li koj lub hauv siab nruj? Tej zaum koj tsis tau ua tib zoo xav txog qhov no, xav tias, "Qhov no yog ib yam me me xwb." Tab sis tej lub sij hawm cov tsos mob no tuaj yeem tshwm sim los ntawm teeb meem nrog peb lub plawv, vim tias lub plawv tsis tau txais ntshav txaus. Yog li ntawd peb yuav tham txog ib qho mob hnub no thaum lub plawv tsis tau txais ntshav txaus, thiab yog li ntawd cov pa oxygen thiab cov khoom noj khoom haus uas nws xav tau raug txo qis. Qhov no hu ua 'Myocardial Ischemia' hauv cov lus kho mob.

Qhov no yog dab tsi ua rau cov ntshav tsis txaus rau cov leeg nqaij plawv ('Myocardial Ischemia')?

Hais yooj yim xwb, myocardial ischemia txhais tau hais tias cov leeg nqaij plawv (cov leeg nqaij plawv) tsis tau txais ntshav txaus los ua haujlwm kom zoo. Peb lub plawv zoo li lub twj tso kua mis, tas li tso ntshav thoob plaws lub cev. Yog li ntawd, lub plawv xav tau ntau cov pa oxygen thiab cov as-ham kom ua nws txoj haujlwm. Lub plawv tau txais cov no los ntawm cov hlab ntsha tshwj xeeb uas muab ntshav rau lub plawv. Peb hu cov no ua cov hlab ntsha coronary .

Xav txog seb, yog tias cov ntshav ntws los ntawm cov hlab ntsha hauv lub plawv no txo ​​qis vim li cas, qhov oxygen uas lub plawv xav tau tsis txaus. Ib yam li cov kav dej mus rau paj raug txhaws, paj yuav qhuav. Yog tias qhov tsis muaj ntshav no hnyav heev, lossis yog tias nws kav ntev tshaj ob peb feeb, cov leeg plawv pib puas tsuaj. Thaum ntawd peb hu nws ua mob plawv nres ('Myocardial Infarction' lossis 'Heart Attack') .

Qhov tseem ceeb tshaj plaws: Kev mob plawv nres yog ib qho xwm txheej ceev hauv kev kho mob . Yog tias koj xav tias koj muaj ib qho, qhov zoo tshaj plaws uas yuav tsum ua yog hu rau 1990 thiab nrhiav lub tsheb thauj neeg mob tam sim ntawd , es tsis txhob nkim sijhawm thiab kom ib tus neeg tsav koj mus rau tsev kho mob. Cov neeg ua haujlwm kho mob ntawm lub tsheb thauj neeg mob tuaj yeem pib muab kev pab thawj zaug thaum tuaj txog.

Leej twg raug kev txom nyem tshaj plaws los ntawm tus mob 'Myocardial Ischemia' no?

Tam sim no cia peb saib leej twg muaj feem yuav txo cov ntshav mus rau cov leeg plawv no tshaj plaws. Muaj ib txhia neeg, puas yog? Txawm tias thaum lawv nkees me ntsis los, lawv tuav lawv lub hauv siab thiab hais tias, "Auj, kuv lub hauv siab mob." Cov neeg zoo li ntawd yuav tsum tau ceev faj txog qhov mob no. Feem ntau pom muaj nyob rau hauv:

• Rau cov neeg uas muaj ntshav siab . Yog li ntawd, yog tias qhov siab ntawm cov ntshav ntws hauv cov hlab ntsha siab tas li, nws ua rau lub plawv ntxhov siab heev. Raws li lub sijhawm dhau mus, qhov no tuaj yeem ua rau cov hlab ntsha puas tsuaj.
• Rau cov neeg uas muaj roj cholesterol ntau hauv cov ntshav. Cov roj cholesterol no yog cov uas tso rau ntawm phab ntsa ntawm cov hlab ntsha, thiab maj mam ua rau lawv nqaim zuj zus.
• Rau cov neeg uas muaj mob ntshav qab zib ('Mellitus') . Mob ntshav qab zib zoo li tus yeeb ncuab ntsiag to, nws tuaj yeem ua puas rau cov hlab ntsha ntawm lub plawv thiab cov hlab ntsha thoob plaws lub cev.
• Txhua tus neeg hauv tsev neeg, piv txwv li niam, txiv, cov kwv tij neej tsa , muaj kab mob plawv ('Cardiovascular Disease')Yog koj muaj. Qee zaum cov no tuaj yeem kis tau los ntawm ntau tiam neeg, yog li nws tseem ceeb heev uas yuav tsum paub txog koj tsev neeg keeb kwm kev kho mob.
• Rau cov neeg uas muaj keeb kwm siv cov khoom luam yeeb (luam yeeb, luam yeeb me me, luam yeeb cigars, thiab lwm yam) Kev haus luam yeeb yog ib qho ntawm cov yeeb ncuab loj tshaj plaws rau lub plawv. Nws ua rau cov hlab ntsha puas tsuaj ncaj qha.

Mob "Myocardial Ischemia" feem ntau tshwm sim li cas?

Hais yooj yim xwb, tsuas yog nyob rau hauv ib lub teb chaws zoo li Asmeskas xwb, muaj ntau tshaj ib lab tus tib neeg tuag los ntawm kab mob plawv txhua xyoo. Qhov laj thawj tseem ceeb rau qhov no yog qhov tsis muaj ntshav thiab oxygen txaus mus rau cov leeg nqaij plawv, uas yog ib qho mob hu ua 'Myocardial Ischemia'. Kab mob plawv kuj tau dhau los ua ib qho teeb meem hauv Sri Lanka thiab.

Kab mob Myocardial Ischemia cuam tshuam li cas rau koj lub cev?

Qhov mob no cuam tshuam li cas rau koj lub cev? Thaum koj muaj 'Myocardial Ischemia', kev tawm dag zog lossis ua tej yam kev ua ub ua no hnyav, tshwj xeeb tshaj yog thaum huab cua txias, tuaj yeem nyuaj heev. Qhov no yog vim tias lub plawv yuav tsum ua haujlwm hnyav dua thiab xav tau oxygen ntau dua. Tab sis vim tias cov ntshav tsis txaus, nws tsis tau txais txaus.

Thaum koj tus mob zuj zus tuaj, cov tsos mob ntawm 'Myocardial Ischemia' yuav tshwm sim txawm tias koj ua haujlwm me ntsis xwb los xij, tej zaum tsuas yog taug kev ncig lub tsev xwb. Dhau sij hawm mus, txawm tias nce ntaiv los kuj yuav dhau los ua teeb meem loj. Thaum kawg, cov tsos mob no yuav tshwm sim txawm tias koj tsuas sawv lossis so xwb los xij.

Cov tsos mob ntawm 'Myocardial Ischemia' yog dab tsi?

Cov tsos mob tseem ceeb thiab feem ntau ntawm qhov no yog mob hauv siab hu ua angina (lossis angina pectoris) . Tab sis qhov no tsis zoo ib yam rau txhua tus. Rau qee tus, nws yuav zoo li plab puv, lossis zoo li mob siab. Qhov no txhais tau tias:

• Mob hauv siab, xeev siab .
• Xav tias koj lub hauv siab hnyav.
• Zoo li koj lub hauv siab raug zawm, zoo li muaj ib tug neeg zawm nws.
• Hnov muaj kev nyuaj siab hauv lub hauv siab.
• Mob, mob.
• Kev kub hnyiab hauv siab.
• Kuv lub hauv siab xav tias loog.
• Muaj kev xav tias puv nkaus hauv siab, zoo li muaj ib yam dab tsi daig.

Muaj ob hom mob angina:

• Mob Angina ruaj khov: Qhov no feem ntau tshwm sim thaum koj ntxhov siab lossis ua si nawv. Feem ntau nws ploj mus sai sai thaum koj so lossis noj tshuaj uas koj tus kws kho mob tau sau tseg (piv txwv li, nitroglycerin).
• Mob Angina Tsis Ruaj Khov: Qhov no txaus ntshai me ntsis. Nws tuaj yeem tshwm sim txhua lub sijhawm, txawm tias koj tsuas yog sawv lossis pw tsaug zog xwb. Nws yuav tsis ploj mus txawm tias noj tshuaj los xij. Nws tuaj yeem yog ib qho cim qhia tias koj lub plawv nres.

Tsis tas li ntawd xwb, lwm cov tsos mob ntawm 'Myocardial Ischemia' kuj tseem yuav muaj xws li:

• Mob lossis tsis xis nyob rau hauv koj lub cev sab saud, txhais tau tias koj txhais caj npab (tshwj xeeb tshaj yog koj sab caj npab sab laug), xub pwg sab laug, nraub qaum, caj dab, lub puab tsaig, lossis lub plab sab saud.
• Ua pa nyuaj, zoo li koj ua tsis taus pa.
• Tawm hws, tshwj xeeb tshaj yog "tawm hws txias."
• Xav tias puv nkaus, zoo li zaub mov tsis zom, lossis zoo li muaj ib yam dab tsi daig hauv caj pas (tej zaum yuav zoo li kub hnyiab hauv siab).
• Xeev siab los yog ntuav.
• Kiv taub hau , kev xav tias qaug zog, tsis muaj zog, thiab ntxhov siab.
• Zoo li koj lub plawv dhia ceev lossis tsis xwm yeem.

Tseem ceeb heev: Yog tias koj muaj mob angina lossis ib qho ntawm cov tsos mob no ntev dua tsib feeb , tsis txhob hnov ​​​​​​qab hu rau 1990 tam sim ntawd thiab nrhiav kev pab kho mob .

Qee zaum, qhov mob "ischemia" no, lossis mob plawv nres, tuaj yeem tshwm sim yam tsis muaj tsos mob. Qhov no hu ua "Silent Myocardial Ischemia" . Txawm hais tias nws feem ntau tshwm sim rau cov neeg uas muaj ntshav qab zib, nws tuaj yeem tshwm sim rau txhua tus neeg uas muaj kab mob plawv.

Cov ua rau muaj "Myocardial Ischemia" yog dab tsi?

Feem ntau, ib tug neeg muaj ntau tshaj ib qho ua rau muaj tus mob 'Myocardial Ischemia' no. Cov ua rau tseem ceeb yog:

• Kab mob plawv (CAD). Qhov no yog qhov ua rau mob plawv loj tshaj plaws. Cov rog (Plaque) thiab cov roj cholesterol sib sau ua ke hauv cov hlab ntsha plawv uas muab ntshav rau peb lub plawv, thiab cov hlab ntsha maj mam nqaim. Nws zoo li xeb sib sau ua ke hauv cov kav dej qub. Tom qab ntawd cov ntshav uas muaj oxygen ntau uas lub plawv xav tau tsis tuaj yeem ntws tau zoo, thiab cov leeg plawv tsis tau txais oxygen txaus. Qhov no yog qhov ua rau Ischemia thiab angina. Cov rog no hu ua Atherosclerotic Plaque yog lub luag haujlwm rau 70% ntawm kev mob plawv tuag taus.
• Ib qho ntshav txhaws ('Blood Clot'). Yog tias ib daim rog ('Plaque') uas tau sib sau ua ke hauv cov hlab ntsha hauv lub plawv uas nqaim lawm ces tawg tam sim ntawd, cov ntshav txhaws yuav tsim tau nyob ntawd. Yog tias cov ntshav txhaws no daig hauv cov hlab ntsha hauv lub plawv uas nqaim lawm, cov ntshav ntws yuav raug thaiv tag nrho. Qhov no kuj hu ua 'Thrombosis' . Qhov no yog qhov ua rau mob plawv nres.
• Kab mob plawv (Coronary Artery Spasm). Qhov no yog thaum cov hlab ntsha plawv nres sai sai thiab hnyav heev. Qhov no ib ntus txo lossis nres cov ntshav ntws mus rau lub plawv. Qhov no tuaj yeem tshwm sim rau cov neeg uas haus luam yeeb lossis siv tshuaj yeeb xws li cocaine.
• Kev siv tshuaj yeeb (cocaine): Tshuaj yeeb (cocaine) ua rau lub plawv puas tsuaj heev.
• Kev Phais Cov Ntshav Hauv Lub Plawv. Qhov no yog ib qho mob tsis tshua muaj. Hauv qhov no, phab ntsa ntawm cov ntshav hauv lub plawv yuav tawg, ua rau cov ntshav ntws los ntawm nws thiab thaiv cov ntshav.

Qhov mob "ischemia" no feem ntau tshwm sim thaum koj lub plawv xav tau oxygen thiab cov as-ham ntau dua li nws tau txais. Qhov ntawd yog, thaum koj lub cev xav tau ntshav ntau ntxiv thiab koj lub plawv tsis tuaj yeem ua raws li. Nov yog qee lub sijhawm uas koj lub cev xav tau ntshav ntau ntxiv:

• Thaum ua si / ua exercise.
• Thaum noj mov (tshwj xeeb yog pluas mov hnyav).
• Thaum koj zoo siab thiab ntxhov siab.
• Thaum koj muaj kev ntxhov siab.
• Thaum nyob hauv ib puag ncig txias.

Yuav kuaj mob "Myocardial Ischemia" li cas?

Ntxiv rau kev nug txog koj cov tsos mob, keeb kwm kev kho mob hauv tsev neeg, thiab kev kuaj lub cev, koj tus kws kho mob kuj tseem yuav xaj cov kev kuaj mob xws li cov no los lees paub qhov mob thiab nkag siab txog nws qhov hnyav:

• Electrocardiogram (EKG lossis ECG): Raws li peb txhua tus paub, ECG. Qhov no ntsuas qhov hluav taws xob ntawm lub plawv thiab tuaj yeem muab lub tswv yim seb puas muaj mob hu ua 'ischemia' lossis mob plawv nres.
• Echocardiogram: Qhov no zoo li kev ntsuas ultrasound ntawm lub plawv. Nws tuaj yeem saib cov chav ntawm lub plawv, cov qhov valve, kev ua haujlwm ntawm cov leeg plawv, thiab nws cov ntshav li cas.
• Holter Monitor: Qhov no yog ib lub cuab yeej me me uas hnav rau ntawm koj lub cev rau ib lossis ob hnub thiab sau koj lub plawv ua haujlwm (ECG) tas li. Qhov no muaj txiaj ntsig vim tias qee zaum cov tsos mob tuaj thiab ploj mus.
• Kev Ntsuas Kev Nyuaj Siab Thaum Ua Si: Qhov no suav nrog kev khiav ntawm lub treadmill lossis taug kev sai sai, thaum koj lub ECG thiab ntshav siab raug saib xyuas. Qhov no yog ua los saib seb koj lub plawv puas tau txais ntshav tsawg dua thaum koj ntxhov siab.
• Kev Ntsuas Lub Plawv Hauv Lub Plawv: Qhov no yog txoj hauv kev zoo tshaj plaws los saib seb puas muaj kev thaiv hauv koj cov hlab ntsha hauv lub plawv. Qhov no suav nrog kev ntxig ib lub raj me me los ntawm koj ceg lossis caj npab, xov nws rau hauv cov hlab ntsha hauv lub plawv, txhaj tshuaj xim (ib hom xim) rau hauv lawv, thiab thaij duab X-ray kom pom tias cov hlab ntsha nqaim npaum li cas thiab qhov twg lawv raug thaiv.
• X-ray hauv siab: Qhov no tuaj yeem kuaj xyuas tej yam xws li qhov loj ntawm lub plawv thiab qhov mob ntawm lub ntsws.
• Kev thaij duab lub plawv uas siv magnetic resonance imaging ('Heart MRI' los yog 'Cardiac MRI'): Qhov no yuav muab tau cov ntaub ntawv qhia txog lub plawv thiab nws txoj haujlwm.

Tus kws kho mob kuj tseem yuav kuaj ntshav kom paub seb puas muaj:

• Yuav saib seb puas muaj cov protein thiab cov enzymes (piv txwv li, Troponin) uas tsuas yog tso tawm rau hauv cov ntshav thaum cov leeg nqaij plawv puas lawm xwb. Yog tias cov theem no siab dua, nws yog ib qho cim qhia tias koj lub plawv nres.
• Lwm yam ua rau ischemia, piv txwv li, cov ntshav qab zib thiab kev ua haujlwm ntawm lub raum.
• Cov roj cholesterol hauv cov ntshav (cov roj cholesterol zoo "HDL", cov roj cholesterol phem "LDL", thiab cov roj cholesterol Triglycerides).

Cov kev kho mob rau 'Myocardial Ischemia' yog dab tsi?

Mob plawv tsis ua haujlwm (Myocardial Ischemia) kho tau los ntawm cov tshuaj lossis cov txheej txheem kho mob uas ua rau cov ntshav ntws mus rau koj cov leeg plawv zoo dua. Kev kho mob uas koj tau txais yuav nyob ntawm qhov ua rau muaj teeb meem, koj tus mob hnyav npaum li cas, thiab koj txoj kev noj qab haus huv tag nrho. Koj tus kws kho mob yuav tham txog kev kho mob zoo tshaj plaws rau koj nrog koj.

Lub hom phiaj tseem ceeb ntawm kev kho mob yog:

• Txo cov tsos mob (tshwj xeeb tshaj yog mob angina).
• Txo qhov kev pheej hmoo ntawm kev muaj mob plawv nres.
• Rov qab ua haujlwm ntawm lub plawv.

Cov tshuaj thiab kev kho mob siv

• Yuav kom txo qhov mob angina sai sai, muab cov tshuaj nitroglycerin tso rau hauv qab koj tus nplaig los yog tshuaj tsuag.
• Beta-blockers: Cov no ua rau lub plawv dhia qeeb, txo cov ntshav siab, thiab txo qhov ua haujlwm ntawm lub plawv.
• Cov Tshuaj Calcium Channel Blockers: Cov no ua rau cov hlab ntsha hauv lub plawv loj me ntsis, ua rau cov ntshav ntws yooj yim dua.
• Tshuaj Aspirin thiab lwm yam tshuaj antiplatelet: Piv txwv li, Clopidogrel . Cov no txo ​​qhov kev tsim cov ntshav txhaws.
• Cov tshuaj txo cov roj cholesterol (Statins): Cov no txo ​​cov roj cholesterol phem hauv cov ntshav thiab tiv thaiv kev tso cov rog hauv cov hlab ntsha.
• ACE inhibitors lossis ARBs: Cov no pab tswj cov ntshav siab thiab tiv thaiv lub plawv.
• Cov tshuaj Thrombolytics (lossis cov tshuaj uas ua rau cov ntshav txhaws): Cov no yog cov tshuaj uas muab rau hauv ob peb teev thawj zaug ntawm kev mob plawv nres. Lawv ua haujlwm los ntawm kev yaj cov ntshav txhaws thiab rov qab ua kom cov ntshav ntws zoo li qub.
• Kev phais plawv thiab kev tso stent: Qhov no ua tau tib lub sijhawm nrog kev kuaj mob plawv. Ib lub npas me me raug ntxig rau hauv cov hlab ntsha plawv uas raug thaiv thiab ua kom lub plawv loj tuaj, ua kom thaj chaw nqaim dua. Tom qab ntawd, ib lub cuab yeej me me zoo li daim ntaub mesh (stent) raug muab tso rau hauv thaj chaw ntawd kom tiv thaiv thaj chaw nqaim kom tsis txhob nqaim dua.
• Kev Hloov Pauv Cov Hlwb Ntawm Lub Hlwb (CABG): Qhov no yog ib qho kev phais loj. Nws suav nrog kev tsim ib txoj hlab ntsha tshiab nyob ib puag ncig cov hlab ntsha uas raug thaiv, siv ib daim hlab ntsha uas tau los ntawm lwm qhov ntawm lub cev (piv txwv li, ceg, hauv siab) lossis ib txoj hlab ntsha cuav. Qhov kev phais no yog ua yog tias muaj ntau tshaj ib txoj hlab ntsha raug thaiv, lossis yog tias qhov kev thaiv loj dhau los kho nrog angioplasty.

Cov teeb meem ntawm kev kho mob

Tej zaum yuav muaj cov teeb meem hauv qab no, tshwj xeeb tshaj yog tom qab phais mob Coronary Artery Bypass Graft:

• Kev kis kab mob ntawm qhov chaw phais.
• Los ntshav.
• Kev ua haujlwm ntawm lub raum tsis zoo ib ntus (Kev ua haujlwm ntawm lub raum tsis zoo).
• Mob stroke.
• Mob plawv nres.
• Lub plawv dhia tsis sib xws ('Arrhythmia').

Tsis tshua muaj qee yam teeb meem no tshwm sim tom qab angioplasty lossis stent placement. Txawm li cas los xij, cov txiaj ntsig ntawm cov kev kho mob no ntau dua li cov kev pheej hmoo.

Yuav siv sijhawm ntev npaum li cas los kho kom rov zoo los ntawm kev kho mob?

Tom qab phais plawv los ntawm kev phais plawv, koj yuav tsum tau nyob hauv tsev kho mob li ib mus rau kaum lub lis piam. Tom qab ntawd, nws yuav siv sijhawm li 6 txog 12 lub lis piam kom rov zoo tom qab rov qab los tsev.

Tom qab ua angioplasty lossis stent placement, koj yuav muaj peev xwm mus tsev tom qab ib lossis ob hnub nyob hauv tsev kho mob. Koj yuav tsum rov qab mus ua ub ua no li qub tau hauv ib lossis ob lub lis piam.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm 'Myocardial Ischemia'?

Koj tus kws kho mob yuav pom zoo kom koj noj tshuaj lossis hloov koj txoj kev ua neej kom txo tau koj txoj kev pheej hmoo ntawm kev mob plawv tsis ua haujlwm. Nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov lus qhia no kom zoo.

Txo kev pheej hmoo nrog tshuaj

• Noj ib tug me nyuam aspirin txhua hnub (los yog cov tshuaj uas koj tus kws kho mob sau ntawv) kom tiv thaiv kev mob plawv.
• Cov tshuaj beta-blockers.
• Cov tshuaj txo cov roj cholesterol ('Cov tshuaj txo cov roj cholesterol' - Statins).
• Cov tshuaj ACE inhibitors.

Kev hloov pauv hauv txoj kev ua neej

Nws yog ib qho tseem ceeb heev uas yuav tsum hloov pauv koj txoj kev ua neej. Tej zaum lawv yuav muaj zog dua li tshuaj:

• Yog koj muaj mob ntshav qab zib , nrhiav kev kho mob kom zoo thiab tswj koj cov ntshav qab zib.
• Yog koj muaj ntshav siab , mus kho thiab tswj koj cov ntshav siab.
• Yog tias koj muaj roj cholesterol ntau , nrhiav kev kho mob thiab tswj koj cov roj cholesterol.
• Kev Ua Si. Ua kom tsawg kawg yog 30 feeb ntawm kev tawm dag zog nruab nrab hauv ib hnub, feem ntau hnub. Tej yam xws li kev taug kev, caij tsheb kauj vab, thiab ua luam dej yog qhov zoo.
• Noj zaub mov kom zoo. Txo cov khoom noj uas muaj roj, ntsev, thiab qab zib ntau, thiab noj ntau txiv hmab txiv ntoo, zaub, taum pauv, cov nplej tag nrho, thiab cov khoom noj uas muaj fiber ntau. Rau peb hauv Sri Lanka, nws yog qhov zoo tshaj plaws los noj mov nrog cov zaub zoo, taum pauv, thiab ntses, uas ua los ntawm roj tsawg dua.
• Yog koj siv cov khoom luam yeeb (xws li luam yeeb, beedis), tsum tsis txhob siv tam sim ntawd. Nug koj tus kws kho mob kom pab koj nrog qhov no.
• Tswj koj qhov hnyav kom noj qab nyob zoo. Nws yog ib qho tseem ceeb uas yuav tsum tswj koj qhov hnyav kom haum rau koj qhov siab.
• Txo kev ntxhov siab. Koj tuaj yeem tswj kev ntxhov siab los ntawm kev xav, yoga, thiab kev ua si lom zem.

Ib tug neeg uas muaj tus kab mob 'Myocardial Ischemia' yuav xav tau dab tsi?

Cov neeg uas muaj mob angina tsis ruaj khov feem ntau muaj feem yuav mob plawv nres ntau dua hauv peb lub hlis tom ntej. Muaj coob tus neeg uas mob plawv nres tuag hauv ob peb teev thawj zaug. Yog vim li ntawd nrhiav kev pab kho mob thiab kev kho mob thaum muaj mob ceev ceev sai li sai tau thaum cov tsos mob tshwm sim yog qhov cawm tau txoj sia.

Txawm li cas los xij, feem ntau cov neeg uas tau txais kev kho mob sai thiab dhau ob peb hnub tom qab muaj mob plawv nres yuav zoo tag nrho. Txawm li cas los xij, qee tus neeg tuaj yeem muaj teeb meem tom qab mob plawv nres. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia kho mob thiab hloov pauv lawv txoj kev ua neej.

Mob Myocardial Ischemia kav ntev npaum li cas?

Mob Angina uas tshwm sim los ntawm 'Myocardial Ischemia' feem ntau yuav mob li 10 feeb lossis tsawg dua, tshwj xeeb tshaj yog tias nws yog 'Stable Angina'. 'Unstable Angina' tuaj yeem mob ntev dua, thiab yog qhov xwm txheej ceev.

Kuv yuav saib xyuas kuv tus kheej li cas?

Kev tawm dag zog yog ib qho tseem ceeb rau kev txhim kho koj txoj kev noj qab haus huv ntawm lub plawv thiab cov hlab ntsha. Nws ua rau koj tau txais cov pa oxygen ntau dua rau koj cov leeg nqaij ntawm lub plawv, uas tuaj yeem pab txo cov tsos mob. Cov kws kho mob pom zoo kom tawm dag zog li 30 txog 60 feeb hauv ib hnub, tsib lossis ntau dua hnub hauv ib lub lim tiam.

Lwm txoj hauv kev kom noj qab haus huv yog:

• Noj tag nrho cov tshuaj uas koj tus kws kho mob tau sau tseg raws sijhawm, raws nraim li tau sau tseg. Tsis txhob ncua ib hnub twg li.
• Noj zaub mov kom noj qab nyob zoo.
• Tswj koj qhov hnyav kom noj qab nyob zoo.
• Tsis txhob haus luam yeeb kiag li.
• Nco ntsoov mus ntsib kws kho mob raws li hnub teem tseg.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj cov tshuaj kho mob tsis zoo dua, lossis yog tias cov kev mob tshwm sim hnyav heev, mus ntsib koj tus kws kho mob. Yog tias koj tau ua angioplasty thiab stent, lossis coronary artery bypass graft, koj yuav tsum tau mus ntsib koj tus kws kho mob txhua rau lub hlis rau thawj xyoo. Koj yuav tsum mus ntsib kws kho mob tsis tu ncua tom qab ntawd.

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

• Yog koj xav tias koj muaj mob plawv nres (cov tsos mob xws li mob hauv siab heev, ua tsis taus pa, tawm hws), hu rau 1990 tam sim ntawd thiab, yog tias ua tau, zom ib lub tshuaj aspirin (300mg) . Yog tias koj muaj cov ntshav txhaws hauv ib qho ntawm koj cov hlab ntsha hauv lub plawv, aspirin tuaj yeem pab tswj nws txoj kev loj hlob.
• Tsis tas li ntawd, yog tias koj tseem muaj mob angina tom qab noj peb koob tshuaj nitroglycerin (ib koob txhua tsib feeb) , koj yuav tsum mus rau chav kho mob ceev tam sim ntawd.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, koj tuaj yeem nug cov lus nug zoo li no:

• Tom qab kuv pib ua si nawv lawm, kuv yuav tsum tau ntsib koj ntev npaum li cas? Hom kev ua si nawv twg yog qhov zoo rau kuv?
• Kuv puas yuav tau noj cov tshuaj uas koj tau sau ntawv kom tas kuv lub neej? Cov kev mob tshwm sim ntawm cov tshuaj no yog dab tsi?
• Kuv tus kheej muaj feem yuav mob plawv nres yog dab tsi?
• Kuv yuav tsum hloov dab tsi rau kuv cov zaub mov noj?
• Kuv yuav tsum pib rov qab mus ua haujlwm thaum twg?

Puas yog 'Myocardial Ischemia' zoo ib yam li 'Angina'?

Tsis yog. Kab mob Angina yog ib qho tsos mob uas pom ntau heev ntawm tus mob hu ua Myocardial Ischemia. Myocardial Ischemia yog qhov ua rau (tsis muaj ntshav ntws mus rau lub plawv), thiab Angina yog ib qho tsos mob ntawm tus mob no.

Puas yog 'Myocardial Ischemia' yog 'Stroke'?

Tsis yog. Myocardial Ischemia yog ib qho mob uas cov ntshav mus rau koj cov leeg plawv txo qis. Mob stroke yog tshwm sim los ntawm kev txo cov ntshav mus rau koj lub hlwb lossis cov hlab ntsha hauv lub hlwb tawg. Txawm hais tias ob qho tib si yog teeb meem hlab ntsha, lub cev uas cuam tshuam yog txawv.

Koj yuav muaj sia nyob ntev npaum li cas nrog tus mob 'Myocardial Ischemia'?

Nws nyob ntawm ntau yam, piv txwv li:

• Txawm koj yuav mob plawv los tsis mob.
• Koj kuaj mob thiab kho tau sai npaum li cas.
• Koj ua raws li koj tus kws kho mob cov lus qhia txog kev hloov pauv hauv lub neej zoo npaum li cas.
• Koj tswj tau cov yam ua rau mob plawv tsis ua haujlwm zoo npaum li cas (feem ntau yog atherosclerosis, ntshav qab zib, ntshav siab).

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li mob hauv siab los ntawm 'Myocardial Ischemia' yog ib yam dab tsi uas yuav tsum txhawj xeeb txog. Tab sis, tsis tas yuav ntshai. Thaum koj tau txais kev kuaj mob zoo thiab txoj kev npaj kho mob zoo, koj yuav xav tias zoo siab. Ua raws li koj tus kws kho mob cov lus qhia, noj cov tshuaj uas tau sau tseg, thiab hloov pauv txoj kev ua neej yog txoj hauv kev zoo tshaj plaws los txhim kho koj lub plawv kom noj qab haus huv.

Tsis tas li ntawd xwb, txawm tias koj tsis xav xav txog qhov no los xij, nws yog ib qho tseem ceeb uas yuav tsum paub txog cov cim ceeb toom ntawm kev mob plawv nres. Kev muaj ib txoj kev npaj ua sai sai thiab tsis txhob ntshai yog tias muaj dab tsi tshwm sim tuaj yeem pab tau koj lossis koj tus neeg hlub. Koj lub siab yog koj li, saib xyuas nws!

` Myocardial Ischemia, plawv nres, angina, mob hauv siab, kab mob plawv, kab mob coronary artery, kev noj qab haus huv ntawm lub plawv