Fungidzira uri kukwira masitepisi, kana kufamba zvishoma nekukurumidza. Kamwe kamwe, unonzwa kusungwa pakati pechipfuva chako, sekunge mumwe munhu ari kukwira pachipfuva chako, kumanikidzwa, uye kurwadziwa. Asi chinoshamisa ndechekuti, paunomira zvauri kuita wogara pasi kwechinguva, kurwadziwa kunonyangarika zvachose mukati memaminitsi mashoma. Wakambosangana nechiitiko ichi here? Saka izvi zvinogona kunge zviri Stable Angina . Usatya paunonzwa izvi. Ichi chiratidzo chidiki chiri kupihwa nemoyo wako. Ngatitaurei nezvazvo zvakajeka uye zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Stable Angina?
Angina yakagadzikana haisi chirwere chaicho, asi chiratidzo. Kutaura chokwadi, ndicho chiratidzo chikuru chechirwere chemwoyo chinonzi Coronary Artery Disease (CAD), icho chinokonzerwa nekuvharika kwetsinga dzeropa dzinoendesa ropa kumwoyo.
Funga nezvemwoyo wedu semota inoshanda isingamiri. Mota iyi inoda ropa rakachena, rine oxygen kuti ishande nguva dzose. Ropa iri rinotakurwa kuenda kumoyo kuburikidza nemachubhu madiki anonzi coronary arteries. Nekufamba kwenguva, zvinhu zvakaita secholesterol kubva muchikafu chatinodya zvinotanga kuungana mukati memachubhu aya. Zvakafanana nehonye inokura mukati mepombi yemvura. Tinoidaidza kuti 'plaque' . Rutivi urwu rweplaque runoderedza kufamba kweropa zvishoma nezvishoma.
Zvino, kana wava munhuwo zvake, wakazorora, mwoyo wako une ropa rakakwana kuti upfuure nemunzira iyi yakamanikana. Asi kana uchiita maekisesaizi, uchifamba nekukurumidza, uchikwira masitepisi, kana kuti uri pasi pekushushikana, mwoyo wako unofanirwa kushanda nesimba kupfuura zvawagara uchiita. Ipapo mwoyo unokumbira okisijeni yakawanda. Asi tsinga dzeropa idzodzo dzakamanikana hadzigone kupa mwoyo ropa rakawanda raunoda. Panguva iyoyo, tsandanyama yemoyo inodanidzira ichiti, "Hatina okisijeni yakakwana." Kuchema ikoko ndiko kwatinonzwa sekurwadziwa kwechipfuva.
Izvi zvinonzi "Stable" nekuti marwadzo aya anoitika nenzira chaiyo.
- Zvinowanzoitika kana uchiita chimwe chinhu chinonetesa.
- Marwadzo acho anonzwa akafanana nguva dzese.
- Zvinopera mushure mekuzorora kwenguva pfupi, kwemaminitsi mashanu.
Angina inogadzikana inonzwa sei?
Kunyangwe izvi zvichisiyana kubva pamunhu nemunhu, pane zvimwe zviratidzo zvakajairika. Ngationei kuti chii.
| Chiratidzo | Zvinonzwa sei |
|---|---|
| Kurwadziwa pachipfuva kana kusagadzikana | Izvi zvakafanana nekurwadziwa kwakanyanya, kuomarara muchipfuva, sekurema pachipfuva, uye kune vamwe, zvinogona kutonzwa sekunge kuzvimba kwemudumbu (senge gastritis). |
| Kuparadzira marwadzo | Kazhinji, kurwadziwa kunotanga pakati pechipfuva uye kunogona kupararira kusvika pafudzi rekuruboshwe, pasi peruoko rweruboshwe, kusvika pamutsipa, shaya, kana kumusana. |
| Kuoma kufema | Pamwe chete nekurwadziwa pachipfuva, unogona kunzwa kuoma kufema uye kunzwa sekunge uri kudzipwa. |
| Zvimwe zvinhu | Vamwe vanhu vanogonawo kunzwa dzungu, kuda kurutsa, uye kuneta. |
Sei izvi zvichiitika? (Zvikonzero nezvinokonzera)
Sezvatakambokurukura, chikonzero chikuru chekusagadzikana kweangina iCoronary Artery Disease (CAD) , iyo iri kuita kuti tsinga dzeropa dziite shoma mumoyo. Zvisinei, chirwere ichi chinogonawo kukonzerwa nezvimwe zvinhu zvakawanda.
- Kukundikana kwemoyo mushure mekurwara nemoyo
- Matambudziko evharuvhu yemoyo
- Matambudziko emoyo
- Hyperthyroidism
- Kuderera kwe hemoglobin muropa (Anemia)
Zvikonzero zveAngina
Kunyangwe chikonzero chechirwere ichi chiri chemukati, pane zvimwe zvinhu zvinogona kukonzera marwadzo. Tinozviti 'zvinokonzeresa'.
- Kushanda nesimba: Zvinhu zvakaita sekufamba nekukurumidza, kukwira masitepisi, uye kusimudza zvinorema.
- Kushushikana: Manzwiro akasimba akadai sekutsamwa zvakanyanya, kusuruvara, uye kuzvidya mwoyo.
- Kuchinja kamwe kamwe kwekupisa: Kubva panzvimbo inopisa zvikuru kuenda muimba inotonhora zvikuru (AC).
- Kudya chikafu chinorema: Vamwe vanhu vanogona kunzwa kusagadzikana uku kunyangwe mushure mekudya chikafu chakazara.
Chii chaunofanira kuita kana ukabatwa neangina? Ndezvipi zvinorapwa?
Kana ukatanga kunzwa kurwadziwa kwe angina, usavhunduke wotanga waita zvinhu izvi.
1. Rega zvauri kuita: Kana uchifamba kana kuti uchiita chimwe chinhu, chirege ipapo ipapo.
2. Gara kana kurara pasi: Zorora nekugara pachigaro kana kurara pamubhedha.
3. Shandisa mushonga wawakanyorerwa nachiremba wako: Kana chiremba wako akakupa piritsi re nitroglycerin kana spray, isa pasi perurimi rwako. Izvi zvinokurisa tsinga dzeropa dziri mumoyo mako kwenguva pfupi, zvichiita kuti zvive nyore kuti ropa riyerere mumoyo mako.
Kazhinji, marwadzo anofanira kupera zvachose mukati memaminitsi mashanu mushure mekuzorora uye kutora Nitroglycerin. Kana izvozvo zvikasashanda, chiremba wako anenge akupa mirairo yezvekuita. Zvakakosha kutevedzera mirairo iyoyo nemazvo.
Iyi ingori mhinduro yenguva pfupi. Kuti udzore angina kwenguva refu, chiremba wako achakupa mimwe mishonga yekutora zuva nezuva. Semuenzaniso, beta-blockers , extended-release nitroglycerin , kana ranolazine .
Uyewo, kurapwa kunodiwa kurapa chinokonzera angina (CAD). Izvi zvinogona kusanganisira kuisa mudziyo mudiki wakaita semesh (stent) mutsinga yeropa kuti kuvharika kwetsinga kuwedzere, kana kuvhiyiwa kwe bypass . Chiremba wako achasarudza kuti ndeipi mishonga yakakunakira uye achakutsanangurira.
Chii chatinofanira kuita kuti tizvidzivirire kubva mumamiriro ezvinhu aya?
Nzira yakanakisisa yekudzivirira angina yakagadzikana ndeyekuderedza njodzi yekubatwa nechirwere chemwoyo (CAD), icho chiri chikonzero chacho. Izvi zvinoreva kuchinja mararamiro.
Mararamiro ane hutano hwemoyo mushonga une simba kupfuura mishonga.
- Kudya kwakanaka pamoyo: Deredza zvekudya zvine mafuta akawanda, munyu, uye shuga zvakanyanya sezvinobvira. Pane kudaro, isa miriwo, michero, nyemba, hove diki, uye chikafu chine fiber yakawanda (brown rice, oats) mukudya kwako.
- Kurovedza muviri nguva dzose: Ita maekisesaizi ari nyore, akadai sekufamba kwemaminitsi makumi matatu pazuva. Zvisinei, kana uine angina, zvakakosha kubvunza chiremba wako kuti maekisesaizi api akakodzera iwe.
- Kurapa zvimwe zvirwere: Kana uine BP yakakwira, chirwere cheshuga, kana cholesterol yakakwira, tora mishonga yaunonyorerwa nachiremba wako uye gadzirisa zvirwere izvozvo zvakanaka.
- Rega kusvuta zvachose: Kana uchisvuta, rega nhasi. Ndiyo basa guru raunogona kuitira moyo wako.
- Deredza kushushikana: Ramba uine hutano hwepfungwa nekuita zvinhu zvakaita sekufungisisa, yoga, kuteerera mimhanzi, uye kuita chimwe chinhu chaunofarira.
Tinofanira kuona chiremba rini?
Kana uchinzwa kurwadziwa kwechipfuva kana kusagadzikana seizvi kekutanga muhupenyu hwako, usazviregeredza. Enda kuna chiremba nekukasika. Chiremba achakuongorora uye, kana zvichidikanwa, acharaira mimwe miedzo yakaita seyi.
| Bvunzo | Zvichitaurwa zviri nyore... |
|---|---|
| Kuongororwa kweropa | Tarisa kana paine kukuvara kwemoyo, uye kuti cholesterol yako neshuga zvakadii. |
| ECG (Electrocardiogram) | Kushanda kwemagetsi kwemoyo kunorekodhwa kuti zvionekwe kana paine dambudziko. |
| Kuongororwa Kwepfungwa (Ecg ECG) | ECG inotorwa munhu achifamba ari patreadmill, achitarisa kuti moyo wake unopindura sei kana munhu achishanda nesimba. |
| Angiography yeCoronary | X-ray yakakosha inoshandiswa kunyatsoongorora kana paine kuvharika kwetsinga dzeropa dzemwoyo. |
| Kuskena kweCT | X-ray inotorwa nekombiyuta inotora mifananidzo yakadzama yemwoyo netsinga dzeropa. |
Njodzi! Munofanira kuenda kuETU (Emergency Treatment Unit) pamwe chete riini?
Kunyangwe kune munhu ane angina isingakanganise, chirwere ichi chinogona dzimwe nguva kuva chakakomba. Izvi zvinogona kuva chiratidzo che angina isingakanganise kana chirwere chemwoyo . Muzviitiko zvinotevera, enda kuchipatara nekukurumidza kana kufonera amburenzi nhamba 1990.
| Hunhu hwenjodzi | Zvekuita |
|---|---|
| Kana kurwadziwa kusingaderere kunyangwe mushure mekutora nitroglycerin (kana kana huwandu hwemadosi akanyorerwa nachiremba husina kukwana). | Enda kuETU nekukasika. |
| Kana kurwadziwa kwacho kwakanyanya kupfuura zvakajairika, kana kuti kukadzikira kwozodzoka zvakare . | Enda kuETU nekukasika. |
| Kana kurwadziwa kukaitika kunyangwe pakuzorora (pasina kushanda nesimba). | Enda kuETU nekukasika. |
| Kana kurwadziwa kwacho kuchiratidzika zvakasiyana nekwakajairika (semuenzaniso, kana kuchiperekedzwa nekudikitira, kudikitira zvakanyanya, kana kurutsa). | Enda kuETU nekukasika. |
Angina yakagadzikana haisi chirwere chemwoyo. Asi chiratidzo chakasimba chekuti chirwere chemwoyo chave kuda kuitika. Saka usambofa wakafuratira chiratidzo ichi.
Zvakajairika kuti dzimwe nguva unzwe kutya uye kuzvidya mwoyo kana uine chirwere ichi. Taura pachena nachiremba wako nezvazvo. Iye achakupa rutsigiro nemazano aunoda. Pane zvinhu zvakawanda zvaunogona kuita kuti udzivirire moyo wako.
Mharidzo Yekuenda Nayo Kumba
- Angina yakagadzikana ikurwadziwa kwechipfuva kunoitika nekushanda nesimba uye kunopera nekuzorora, uye kune maitiro chaiwo.
- Ichi chiratidzo chechirwere chemwoyo (CAD), kwete chirwere chemwoyo. Asi chiratidzo chakasimba chekurwara nemoyo.
- Zorora uye mushonga we nitroglycerin wakanyorwa nachiremba zvinowanzo deredza marwadzo.
- Kana uchinzwa kurwadziwa pachipfuva kekutanga, kana kana kurwadziwa kwakasiyana nekwakajairika, kwakanyanya, kana kuti kukaitika kunyangwe wakazorora, enda kuEmergency Department (ETU) nekukasika.
- Unogona kurarama hupenyu hune hutano nekushandisa mararamiro ane hutano hwemoyo uye kutevedzera marapirwo awakarairwa nachiremba wako.
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