Koj puas mob hauv siab thaum hmo ntuj thaum koj so? Tej zaum yuav yog Prinzmetal Angina!

Xav txog tias koj tau ua haujlwm hnyav tag nrho hnub, ua tiav tag nrho koj txoj haujlwm, thiab tsuas yog mus pw thaum hmo ntuj ... Los yog, thaum hnub so, thaum koj tab tom saib TV, koj mam li hnov ​​​​​​mob heev hauv nruab nrab ntawm koj lub hauv siab, zoo li muaj ib tug neeg tab tom zawm koj. Qhov txawv yog, koj tsis tau nkees kiag li, koj tsis tau khiav ib ncig, koj tsis nyob hauv qab kev nyuaj siab. Qhov mob no tshwm sim thaum koj so thiab xis nyob. Muaj ntau tus neeg xav tias qhov no yog gastritis lossis acid reflux thaum lub sijhawm zoo li no. Tab sis qhov no yog ib yam dab tsi txawv kiag li, koj yuav tsum ceev faj me ntsis, nws yuav yog ib qho mob tsis tshua muaj feem cuam tshuam nrog kab mob plawv. Qhov ntawd yog qhov peb yuav tham txog hnub no.

Prinzmetal Angina yog dab tsi tiag?

Hais yooj yim xwb, Prinzmetal Angina yog ib hom mob hauv siab uas tsis tshua muaj (angina mob) . Qhov tshwj xeeb ntawm qhov no yog tias qhov mob no tshwm sim thaum koj so, tshwj xeeb tshaj yog ntawm ib tag hmo thiab sawv ntxov. Nws tseem hu ua variant angina, angina inversa, thiab vasospastic angina.

Tam sim no tej zaum koj yuav xav paub tias, "Angina yog dab tsi?" Angina yog mob hauv siab uas tshwm sim thaum peb cov leeg plawv tsis tau txais cov ntshav oxygen txaus. Ib yam li lub twj tso dej ua suab thaum nws tsis muaj dej, lub plawv qhia thaum nws tsis tau txais cov ntshav txaus. Qhov no feem ntau yog tshwm sim los ntawm cov roj cholesterol hauv cov hlab ntsha coronary uas muab ntshav rau lub plawv, ua rau lawv nqaim.

Tiam sis hauv Prinzmetal Angina, qee yam txawv me ntsis tshwm sim. Ntawm no, cov hlab ntsha yuav nqaim lossis txawm tias raug thaiv. Qhov ua rau qhov no yog tias cov hlab ntsha hauv lub plawv tam sim ntawd thiab tsis muaj laj thawj cog lus (spasm) lossis spasm. Xav txog nws zoo li ib tug neeg tam sim ntawd nias lub yeeb nkab dej. Tom qab ntawd cov ntshav raug txiav tawm ib ntus. Thaum ntawd mob hauv siab hnyav tuaj. Tom qab ib pliag, thaum qhov spasm no ploj mus ntawm nws tus kheej, qhov mob kuj txo qis.

Qhov txawv ntawm angina ib txwm thiab Prinzmetal angina yog dab tsi?

Txawm hais tias ob qho mob no yog mob hauv siab los xij, muaj qhov sib txawv meej ntawm ob qho no. Cia peb saib daim ntawv teev lus no kom yooj yim to taub.

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?

Prinzmetal Angina yog ib yam mob tsis tshua muaj. Raws li American Heart Association, tsuas yog ob ntawm 100 tus neeg mob angina muaj tus mob no.

Nws tuaj yeem cuam tshuam rau txiv neej thiab poj niam. Nws yog qhov tshwj xeeb tshaj yog rau cov neeg uas muaj lwm yam mob uas ua rau cov hlab ntsha txhaws. Piv txwv li:

• Mob taub hau migraine: Mob taub hau los ntawm kev nqaim ntawm cov hlab ntsha hauv lub taub hau.
• Raynaud's phenomenon: Ib qho mob uas cov hlab ntsha hauv cov ntiv tes thiab cov ntiv taw nqaim, ua rau lawv daj ntseg thiab xiav thaum raug cua txias.

Muaj ob qho mob no txhais tau tias cov hlab ntsha hauv koj lub cev muaj kev rhiab heev thiab yooj yim nqaim dua li qub. Yog li cov hlab ntsha hauv koj lub plawv yuav ua tib yam li ntawd.

Nws kuj tseem tuaj yeem tshwm sim rau cov neeg uas muaj roj cholesterol ntau lossis ntshav siab. Tab sis qhov xav tsis thoob yog tias txawm tias ib tug neeg hluas noj qab nyob zoo thiab tsis muaj yam ua rau muaj kev pheej hmoo kuj tuaj yeem tshwm sim Prinzmetal Angina .

Tsis paub tseeb tias qhov no puas yog kab mob los ntawm noob caj noob ces. Txawm li cas los xij, qee qhov kev tshawb fawb qhia tias tej zaum yuav muaj kev sib txuas ntawm noob caj noob ces. Piv txwv li, tus kab mob no feem ntau tshwm sim ntawm cov neeg Nyiv Pooj dua li cov neeg dawb.

Cov tsos mob ntawm Prinzmetal Angina yog dab tsi?

Yog tias koj muaj Prinzmetal Angina, koj yuav muaj cov tsos mob hauv qab no:

• Mob hauv siab hnyav heev: Mob nias, mob nias, lossis mob zoo li raug nias hauv nruab nrab ntawm lub hauv siab. Qhov mob no yuav kis mus rau sab caj npab sab laug, xub pwg nyom, caj dab, lossis taub hau.
• Tus qauv mob: Qhov mob no tsis yog mob tas li. Nws mob heev li ntawm 5-15 feeb thiab tom qab ntawd nws ploj mus. Txawm li cas los xij, nws tuaj yeem rov tshwm sim tib lub sijhawm, tib txoj kev, rau ob peb hnub lossis ob peb lub lis piam. Qhov no txhais tau tias cov mob no tshwm sim raws li tus qauv tshwj xeeb.
• Lwm cov tsos mob: Mob hauv siab yuav nrog los ntawm kev tawm hws, xeev siab, thiab/lossis tsaus muag .
• Kev Pab Cuam Los Ntawm Tshuaj: Feem ntau qhov mob yuav ploj mus sai sai los ntawm kev noj cov tshuaj nitrate (cov ntsiav tshuaj uas muab tso rau hauv qab tus nplaig) uas feem ntau yog sau rau qhov mob no.

Vim li cas Prinzmetal Angina thiaj tshwm sim? Cov laj thawj tseem ceeb yog dab tsi?

Raws li peb tau hais lawm, qhov ua rau muaj Prinzmetal Angina yog qhov nqaim ntawm cov hlab ntsha ntawm lub plawv. Tab sis lo lus nug yog, "Vim li cas cov hlab ntsha no thiaj nqaim yam tsis xav tau?" Muaj ntau yam ua rau mob no.

• Kev haus luam yeeb: Kev haus luam yeeb yog qhov tseem ceeb thiab ua rau muaj tus mob no loj tshaj plaws. Cov nicotine thiab lwm yam tshuaj lom neeg hauv luam yeeb ua rau cov hlab ntsha nqaim heev.
• Kev siv tshuaj yeeb: Kev siv tshuaj yeeb, xws li cocaine thiab marijuana, tuaj yeem ua rau cov hlab ntsha nqaim heev.
• Qee cov tshuaj: Qee cov tshuaj muaj cov yam ntxwv ntawm kev ua kom cov hlab ntsha nqaim. Piv txwv li, qee cov tshuaj migraine (piv txwv li sumatriptan) lossis ephedrine, uas pom muaj nyob rau hauv qee cov tshuaj mob khaub thuas thiab tshuaj qhib qhov ntswg.
• Kev ntxhov siab hnyav: Kev ntxhov siab ntawm lub siab tuaj yeem hloov pauv lub cev cov tshuaj hormones thiab ua rau cov hlab ntsha nqaim.
• Kev raug cua txias: Kev raug cua txias heev kuj tuaj yeem ua rau muaj tus mob no rau qee tus neeg.
• Kev Ua Si: Qhov xav tsis thoob yog tias muaj ib txhia neeg uas muaj tus mob no tsis yog thaum lawv so xwb, tab sis thaum lawv ua si thiab. Txawm li cas los xij, qhov no tsis tshua muaj.

Yuav kuaj mob li cas?

Prinzmetal Angina nyuaj me ntsis rau kev kuaj mob vim tias, yog tias koj muaj ECG lossis angiogram thaum koj tsis mob, txhua yam yuav zoo li qub vim tias cov hlab ntsha tsis raug thaiv thaum ntawd.

Yog li ntawd, koj tus kws kho mob yuav mloog koj cov tsos mob kom zoo zoo. Tej yam xws li thaum twg mob, tus qauv ntawm qhov mob, koj ua dab tsi, thiab lwm yam. Tom qab ntawd, lawv yuav ua qee qhov kev kuaj mob kom paub meej tias kuaj tau.

• Kev Ntsuas Hluav Taws Xob Ntawm Lub Plawv: Qhov no zoo li lub tshuab EKG me me uas txuas rau koj lub cev rau 24 lossis 48 teev. Nws sau koj lub plawv ua haujlwm tas li thaum koj ua koj cov haujlwm txhua hnub. Qhov no tuaj yeem pab koj pom tias koj lub plawv EKG puas hloov pauv thaum koj mob hauv siab thaum hmo ntuj.
• Kev kuaj mob plawv (Coronary Angiography): Qhov no suav nrog kev txhaj tshuaj tshwj xeeb rau hauv koj cov hlab ntsha plawv thiab tshuaj xyuas cov hlab ntsha ntawd siv cov duab X-ray. Qhov no tuaj yeem txiav txim siab tau meej tias cov hlab ntsha puas nqaim vim muaj cov roj cholesterol ntau dhau.
• Kev Kuaj Mob Ua Rau Mob Hlwb: Qee zaum, thaum kuaj pom tseeb lawm, cov kws kho mob yuav tsum ua kom cov hlab ntsha nqaim hauv tsev kho mob, nyob rau hauv kev saib xyuas ze. Rau qhov no, cov tshuaj xws li acetylcholine lossis ergonovine raug muab me me. Yog tias cov hlab ntsha nqaim, cov kev hloov pauv hauv EKG thiab koj cov tsos mob tuaj yeem siv los kuaj mob kom raug.

Cov txheej txheem kho mob thiab kev tswj hwm

Thaum paub qhov mob no lawm, tsis tas yuav ntshai. Nws tuaj yeem tswj tau zoo heev los ntawm kev siv tshuaj thiab kev hloov pauv hauv lub neej.

Kev kho mob nrog tshuaj

• Cov Tshuaj Calcium Channel Blockers: Qhov no yog hom tshuaj tseem ceeb uas siv rau Prinzmetal Angina. Cov tshuaj no ua haujlwm los ntawm kev so cov phab ntsa ntawm cov hlab ntsha thiab tiv thaiv lawv kom tsis txhob nqaim. Diltiazem, Amlodipine, Verapamil yog cov piv txwv ntawm hom tshuaj no.
• Cov tshuaj nitrates: Cov no yog cov tshuaj uas ua haujlwm ntev uas muab txhua hnub. Lawv kuj tuaj yeem noj ua cov tshuaj ntsiav uas ua haujlwm luv luv hauv qab tus nplaig, uas muab tso rau hauv qab tus nplaig kom pab sai sai yog tias mob hauv siab tam sim ntawd. Cov no ua haujlwm los ntawm kev nthuav cov hlab ntsha sai sai thiab rov qab cov ntshav ntws.

Kev hloov pauv hauv txoj kev ua neej

Ib yam li tshuaj, nws tseem ceeb heev rau kev hloov koj txoj kev ua neej, tshwj xeeb tshaj yog zam cov teeb meem uas peb tau tham txog kiag li.

• Tsum haus luam yeeb tam sim ntawd: Yog tias koj haus luam yeeb, koj yuav tsum tsum haus luam yeeb tag nrho tam sim no. Qhov no yog qhov zoo tshaj plaws uas koj ua tau.
• Tsis txhob siv tshuaj yeeb: Tsis txhob siv tshuaj yeeb xws li cocaine thiab marijuana kiag li.
• Tsis txhob noj cov tshuaj uas ua rau mob ntsws: Tham nrog koj tus kws kho mob txog lwm cov tshuaj uas koj noj. Qee cov tshuaj decongestant, cov tshuaj poob phaus, thiab txawm tias cov dej haus muaj zog kuj muaj cov khoom xyaw uas ua rau cov hlab ntsha nqaim.

Peb muaj kev cia siab li cas thaum peb tseem nyob nrog qhov xwm txheej no?

Yog tias kho kom zoo, tus neeg uas muaj Prinzmetal Angina yuav muaj kev kwv yees zoo heev. Koj tuaj yeem ua neej nyob li qub. Txawm li cas los xij, koj yuav tsum tau txais kev kho mob mus sij hawm ntev thiab kev saib xyuas mob raws li kws kho mob plawv.

Txawm li cas los xij, yog tias Prinzmetal Angina nrog lub plawv dhia tsis xwm yeem (arrhythmia), lossis yog tias muaj kev nqaim ntawm cov hlab ntsha hauv lub plawv vim muaj cov roj cholesterol (coronary artery disease), qhov xwm txheej yuav nyuaj me ntsis.

Prinzmetal Angina tsis yog ib qho mob uas yuav ua rau tuag taus. Nws yog ib qho tsos mob. Tab sis nws qhia tau tias muaj teeb meem nrog cov ntshav mus rau koj lub plawv. Yog tias tsis kho, qhov kev nqaim ntawm cov hlab ntsha no tuaj yeem ua rau mob plawv nres (myocardial infarction) lossis mob plawv dhia tsis xwm yeem. Yog li ntawd, tsis txhob xav tias qhov mob no yooj yim.

Thaum twg koj yuav tsum nrhiav kev pab kho mob?

Qhov no yog qhov tseem ceeb tshaj plaws.

Tus kws kho mob yuav ua cov kev kuaj mob tsim nyog thiab nrhiav qhov ua rau mob.

Yog koj mob hauv siab hnyav heev, ua pa nyuaj, tawm hws ntau dhau, lossis tsaus muag, tej zaum yuav yog xwm txheej ceev. Yog tias muaj li no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.

Yog tias koj raug kuaj pom tias muaj Prinzmetal Angina, ua raws li koj tus kws kho mob cov lus qhia thiab cov tshuaj raws li tau sau tseg. Hloov pauv txoj kev ua neej. Nco ntsoov tias qhov no yog ib qho mob uas tswj tau. Tsuas yog koj txoj kev cog lus thiab kev sib cuag nrog koj tus kws kho mob tsis tu ncua xwb.