Kodi mumamvanso kupweteka pachifuwa usiku mukupumula? Kungakhale Prinzmetal Angina!

Tangoganizani kuti mwagwira ntchito mwakhama tsiku lonse, mwamaliza ntchito yanu yonse, ndipo mwangogona usiku... Kapena, pa tchuthi, mukuonera TV, mwadzidzidzi mumamva kupweteka kwakukulu pakati pa chifuwa chanu, ngati kuti winawake akukukanikizani. Chinthu chachilendo n'chakuti, simunatope konse, simunathamange, simuli pansi pa kupsinjika kulikonse. Ululu uwu umabwera mukakhala omasuka komanso omasuka. Anthu ambiri amaganiza kuti izi ndi gastritis kapena acid reflux nthawi zina ngati izi. Koma izi ndi zosiyana kwambiri, muyenera kusamala pang'ono, zitha kukhala matenda osowa okhudzana ndi matenda a mtima. Ndicho chimene tikambirana lero.

Kodi Prinzmetal Angina ndi chiyani kwenikweni?

Mwachidule, Prinzmetal Angina ndi mtundu wosowa wa ululu pachifuwa (matenda a angina) . Ubwino wa izi ndikuti ululuwu umachitika mukapuma, makamaka pakati pausiku ndi m'mawa. Umatchedwanso variant angina, angina inversa, ndi vasospastic angina.

Tsopano mwina mukudabwa kuti, "Angina ndi chiyani?" Angina ndi kupweteka pachifuwa komwe kumachitika pamene minofu ya mtima wathu silandira magazi okwanira okosijeni. Monga momwe pampu yamadzi imachitira phokoso ikatha madzi, mtima umalengeza pamene sulandira magazi okwanira. Izi nthawi zambiri zimachitika chifukwa cha kusungidwa kwa cholesterol m'mitsempha ya mtima yomwe imapereka magazi kumtima, zomwe zimapangitsa kuti magaziwo achepe.

Koma mu Prinzmetal Angina, chinthu china chosiyana pang'ono chimachitika. Apa, mitsempha yamagazi imatha kuchepetsedwa kapena kutsekeka. Chifukwa chachikulu cha izi ndichakuti mitsempha yamtima yomwe ili mumtima imagwedezeka mwadzidzidzi komanso popanda chifukwa (spasm) kapena spasm. Tangoganizirani ngati wina mwadzidzidzi wafinya chitoliro chamadzi. Kenako magazi amatsekedwa kwathunthu kwakanthawi. Pamenepo ndi pomwe ululu waukulu pachifuwa umabwera. Patapita kanthawi, spasm iyi ikatha yokha, ululuwo umachepanso.

Kodi pali kusiyana kotani pakati pa angina wamba ndi angina ya Prinzmetal?

Ngakhale kuti matenda onsewa ndi opweteka pachifuwa, pali kusiyana koonekeratu pakati pa awiriwa. Tiyeni tiwone tebulo ili kuti likhale losavuta kumvetsa.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Prinzmetal Angina ndi vuto losowa kwambiri. Malinga ndi bungwe la American Heart Association, odwala awiri okha mwa 100 omwe ali ndi angina ndi omwe ali ndi vutoli.

Zingakhudze amuna ndi akazi. Zimapezeka makamaka kwa anthu omwe ali ndi matenda ena omwe amachititsa kuti mitsempha yamagazi itseke. Mwachitsanzo:

• Mutu wa mutu wa migraine: Mutu womwe umayamba chifukwa cha kutsekeka kwa mitsempha yamagazi m'mutu.
• Matenda a Raynaud: Matenda omwe mitsempha yamagazi m'zala ndi zala zimachepa, zomwe zimapangitsa kuti zisinthe mtundu wake kukhala wabuluu komanso wofiirira zikamazizira.

Kukhala ndi matenda onsewa kumatanthauza kuti mitsempha yamagazi m'thupi lanu imakhala yofewa komanso yopapatiza mosavuta kuposa masiku onse. Choncho mitsempha yamagazi yomwe ili mumtima mwanu ingachite chimodzimodzi.

Zingathenso kufalikira mwa anthu omwe ali ndi cholesterol yambiri kapena kuthamanga kwa magazi. Koma chodabwitsa n'chakuti ngakhale wachinyamata wathanzi komanso wopanda zinthu zoopsa akhoza kudwala Prinzmetal Angina .

Sizikudziwika bwino ngati matendawa ndi matenda obadwa nawo. Komabe, kafukufuku wina akusonyeza kuti pakhoza kukhala kulumikizana kwa majini. Mwachitsanzo, matendawa ndi ofala kwambiri pakati pa anthu aku Japan kuposa pakati pa azungu.

Kodi zizindikiro za Prinzmetal Angina ndi ziti?

Ngati muli ndi Prinzmetal Angina, zizindikiro zotsatirazi zingawonekere:

• Kupweteka kwambiri pachifuwa: Kupweteka kofanana ndi kufinya, kufinya, kapena kupsinjika pakati pa chifuwa. Kupweteka kumeneku kumatha kufika ku dzanja lamanzere, phewa, khosi, kapena mutu.
• Kapangidwe ka ululu: Ululu uwu si wokhazikika. Umakhala wamphamvu kwa mphindi pafupifupi 5-15 kenako umatha wokha. Komabe, ukhoza kubwereranso nthawi yomweyo, mwanjira yomweyo, kwa masiku angapo kapena milungu ingapo. Izi zikutanthauza kuti ululu uwu umachitika motsatira kachitidwe kena.
• Zizindikiro zina: Kupweteka pachifuwa kungaphatikizepo thukuta, nseru, ndi/kapena kukomoka .
• Kuchepetsa ululu ndi mankhwala: Ululu nthawi zambiri umachepa msanga mwa kumwa mankhwala amtundu wa nitrate (mapiritsi omwe amaikidwa pansi pa lilime) omwe nthawi zambiri amalembedwa chifukwa cha ululuwu.

Kodi nchifukwa chiyani Prinzmetal Angina imachitika? Kodi zifukwa zazikulu ndi ziti?

Monga tanenera kale, chifukwa chachikulu cha Prinzmetal Angina ndi kuchepa mwadzidzidzi kwa mitsempha ya mtima. Koma funso ndi lakuti, "N'chifukwa chiyani mitsempha iyi imachepa mosadzifunira?" Pali zinthu zingapo zomwe zimayambitsa vutoli zomwe zimakhudza izi.

• Kugwiritsa ntchito fodya: Kusuta fodya ndiye chinthu chachikulu komanso choopsa kwambiri chomwe chimayambitsa vutoli. Nikotini ndi mankhwala ena omwe amapezeka mu fodya amachititsa kuti mitsempha yamagazi itseke kwambiri.
• Kugwiritsa ntchito mankhwala osokoneza bongo: Kugwiritsa ntchito mankhwala osokoneza bongo, monga cocaine ndi chamba, kungachepetse kwambiri mitsempha yamagazi.
• Mankhwala ena: Mankhwala ena ali ndi mphamvu yochepetsa mitsempha yamagazi. Mwachitsanzo, mankhwala ena a mutu waching'alang'ala (monga sumatriptan) kapena ephedrine, omwe amapezeka m'mankhwala ena ozizira komanso oletsa kutsekeka kwa mphuno.
• Kupsinjika maganizo kwambiri: Kupsinjika maganizo kungasinthe ntchito ya mahomoni m'thupi ndikupangitsa kuti mitsempha yamagazi ichepetse.
• Kukumana ndi chimfine: Kukumana ndi malo ozizira kwambiri kungayambitsenso vutoli mwa anthu ena.
• Kuchita Maseŵera Olimbitsa Thupi: Chodabwitsa n'chakuti anthu ena amatha kukumana ndi vutoli osati akamapuma kokha, komanso akamachita maseŵera olimbitsa thupi. Komabe, izi sizichitika kawirikawiri.

Kodi izi zimazindikirika bwanji?

Prinzmetal Angina ndi yovuta pang'ono kuizindikira chifukwa, ngati muli ndi ECG kapena angiogram pamene simukumva ululu, nthawi zambiri zonse zimaoneka bwino chifukwa mitsempha yamagazi simatsekeka panthawiyo.

Choncho dokotala wanu adzamvetsera mosamala zizindikiro zanu. Zinthu monga nthawi imene ululu umachitika, momwe ululuwo umachitikira, zomwe mumachita, ndi zina zotero. Kenako, angachite mayeso ena kuti atsimikizire kuti matendawa ndi otani.

• Ambulatory Electrocardiogram: Ichi chili ngati makina ang'onoang'ono a EKG omwe amalumikizidwa ndi thupi lanu kwa maola 24 kapena 48. Amalemba nthawi zonse zomwe mtima wanu ukuchita pamene mukuchita ntchito zanu za tsiku ndi tsiku. Izi zingakuthandizeni kuona ngati EKG ya mtima wanu imasintha mukamakhala ndi ululu pachifuwa usiku.
• Coronary Angiography: Izi zimaphatikizapo kubaya utoto wapadera mu mitsempha yanu ya mtima ndikuwunika momwe mitsemphayo ilili pogwiritsa ntchito X-ray. Izi zitha kudziwa molondola ngati mitsemphayo yachepa chifukwa cha kuchuluka kwa cholesterol m'magazi.
• Mayeso Oyesera Kukwiya: Nthawi zina, akatsimikizira kuti matendawa apezeka, madokotala amafunika kuyambitsa kupsinjika kwa mitsempha yamagazi m'chipatala, moyang'aniridwa bwino. Pachifukwa ichi, mankhwala monga acetylcholine kapena ergonovine amaperekedwa pang'ono. Ngati mitsempha yamagazi yachepa, kusintha kwa EKG ndi zizindikiro zanu zingagwiritsidwe ntchito kuzindikira matendawa molondola.

Njira zochizira ndi kasamalidwe

Vutoli likadziwika, palibe chifukwa chochita mantha. Lingathe kuthetsedwa bwino ndi mankhwala ndi kusintha moyo.

Chithandizo ndi mankhwala

• Mankhwala Oletsa Kutsekeka kwa Njira ya Calcium: Uwu ndiye mtundu waukulu wa mankhwala omwe amagwiritsidwa ntchito pochiza Prinzmetal Angina. Mankhwalawa amagwira ntchito pomasula makoma a mitsempha yamagazi ndikuletsa kuti isatseke. Diltiazem, Amlodipine, Verapamil ndi zitsanzo za mankhwala amtunduwu.
• Ma nitrate: Awa ndi mankhwala omwe amagwira ntchito kwa nthawi yayitali omwe amaperekedwa tsiku lililonse. Angathenso kumwedwa ngati mapiritsi afupiafupi, omwe amaikidwa pansi pa lilime kuti athetse ululu wadzidzidzi pachifuwa. Izi zimagwira ntchito pokulitsa mitsempha yamagazi mwachangu ndikubwezeretsa magazi kuyenda bwino.

Kusintha kwa moyo

Kuwonjezera pa mankhwala, ndikofunikiranso kusintha moyo wanu, makamaka kupewa zomwe takambiranazi.

• Siyani kusuta nthawi yomweyo: Ngati ndinu wosuta fodya, muyenera kusiya kusuta kotheratu tsopano. Ichi ndi chinthu chabwino kwambiri chomwe mungachite.
• Pewani kugwiritsa ntchito mankhwala osokoneza bongo: Pewani kugwiritsa ntchito mankhwala osokoneza bongo monga cocaine ndi chamba kotheratu.
• Pewani mankhwala oyambitsa matenda: Lankhulani ndi dokotala wanu za mankhwala ena omwe mukumwa. Mankhwala ena ochepetsa magazi, mankhwala ochepetsa thupi, komanso zakumwa zopatsa mphamvu zingakhale ndi zosakaniza zomwe zingatseke mitsempha yamagazi.

Kodi tingakhale ndi chiyembekezo chotani pamene tikukhala ndi vutoli?

Ngati munthu amene ali ndi matenda a Prinzmetal Angina atalandira chithandizo choyenera, ndiye kuti matendawa ndi abwino kwambiri. Mukhoza kukhala ndi moyo wabwinobwino. Komabe, muyenera kulandira chithandizo cha nthawi yayitali komanso kutsatiridwa ndi dokotala wa mtima.

Komabe, ngati Prinzmetal Angina ikugwirizana ndi kugunda kwa mtima kosasinthasintha (arrhythmia), kapena ngati pali kuchepa kosatha kwa mitsempha ya mtima chifukwa cha cholesterol deposits (matenda a mitsempha ya mtima), vutoli likhoza kukhala lovuta kwambiri.

Prinzmetal Angina si matenda oopsa. Ndi chizindikiro. Koma zimasonyeza kuti pali vuto ndi magazi omwe amalowa mumtima mwanu. Ngati sathandizidwa, kuchepa kwa mitsempha yamagazi kumeneku kungayambitse matenda a mtima (myocardial infarction) kapena arrhythmias yayikulu. Choncho musatenge vutoli mopepuka.

Kodi muyenera kufunsa upangiri wa dokotala liti?

Iyi ndi gawo lofunika kwambiri.

Dokotala adzachita mayeso ofunikira ndikupeza chifukwa chenicheni cha ululu.

Ngati mukumva kupweteka kwambiri pachifuwa, kuvutika kupuma, kutuluka thukuta kwambiri, kapena kukomoka, kungakhale kwadzidzidzi. Zikatero, pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.

Ngati mwapezeka ndi Prinzmetal Angina, tsatirani malangizo a dokotala wanu komanso mankhwala monga momwe mwalangizidwira. Sinthani moyo wanu. Kumbukirani kuti vutoli ndi losavuta kulithetsa. Chomwe chimafunika ndi kudzipereka kwanu komanso kulankhulana ndi dokotala nthawi zonse.