Anwụghị angina

Angina na-adịghị agbanwe agbanwe bụ ọnọdụ nke obi gị anaghị enweta ọbara na oxygen zuru oke. O nwere ike ibute ọrịa obi.

Angina bụ ụdị obi erughị ala kpatara site n'ọbara na-adịghị mma site na arịa ọbara (akwara obi) nke akwara obi (myocardium).

Ọrịa akwara ọbara na-arịa n'ihi atherosclerosis bụ ihe na - akpatakarị angina na - ejighị n'aka. Atherosclerosis bụ ihe na-eme ka abụba, nke a na-akpọ ihe ncheta, na mgbidi nke akwara akwara. Nke a na - eme ka akwara akwara ghara ịdị na - ebelata ma ghara ịdị na - agbanwe agbanwe. Ibelata ahụ nwere ike belata nrughari ọbara na obi, na-akpata obi mgbu.

Ndị mmadụ na angina na-ejighị n'aka nọ n'ihe egwu karịa nke inwe nkụchi obi.

Obere ihe kpatara angina bụ:

• Ọrụ na-adịghị mma nke obere akwara alaka ụlọ ọrụ na-enweghị warara nke akwara buru ibu (nke a na-akpọ nkwụsịtụ microvascular ma ọ bụ Syndrome X)
• Ọkpụkpụ akwara obi

Ihe egwu maka ọrịa akwara akwara gụnyere:

• Ọrịa shuga
• Akụkọ banyere ezinaụlọ gbasara ọrịa obi na mbụ (onye ikwu dị ka nwanne ma ọ bụ nne na nna nwere ọrịa obi tupu afọ 55 eruo nwoke ma ọ bụ tupu afọ 65 n'ime nwanyị)
• Ọbara mgbali elu
• Nnukwu cholesterol LDL
• Obere cholesterol HDL
• Nwoke
• Ibi ndu nkịtị (anaghị enwe mmega ahụ zuru ezu)
• Ibu
• Erka nká
• Okingụ sịga

Mgbaàmà nke angina nwere ike ịgụnye:

• Obi mgbu nke ị nwekwara ike ịnwe na ubu, ogwe aka, agba, olu, azụ, ma ọ bụ mpaghara ọzọ
• Ahụ erughị ala nke na-adị ka mgbatị, ịpịpịa, ndọkụpịa, ire ọkụ, ịkpagbu, ma ọ bụ mgbu
• Ahụ erughị ala nke na-eme na ezumike ma ọ naghị adị mfe ịla mgbe ị na-a medicineụ ọgwụ
• Iku ume ọkụ ọkụ
• Sụsọ

Na angina kwụsiri ike, ihe mgbu obi ma ọ bụ mgbaàmà ndị ọzọ na-eme site na oke ọrụ ma ọ bụ nrụgide. Mgbu ahụ anaghị eme ọtụtụ oge ma ọ bụ na-aka njọ karịa oge.

Angina na-ejighi n'aka bụ ihe mgbu obi nke na mberede ma na-akawanye njọ n'oge obere oge. May nwere ike na-emepe emepe na-ejighị n'aka angina ma ọ bụrụ na obi mgbu:

• Na-amalite inwe mmetụta dị iche, na-akawanye njọ, na-abịa ọtụtụ mgbe, ma ọ bụ na-eme na obere ọrụ ma ọ bụ mgbe ị zuru ike
• Na-adịte aka karịa 15 ruo 20 nkeji
• Emee na-enweghị ihe kpatara ya (dịka ọmụmaatụ, mgbe ị na-ehi ụra ma ọ bụ nọrọ jụụ)
• Ọ naghị aza nke ọma na ọgwụ a na-akpọ nitroglycerin (ọkachasị ma ọ bụrụ na ọgwụ a arụ ọrụ iji belata ihe mgbu obi n'oge gara aga)
• Emee na a dobe na ọbara mgbali ma ọ bụ mkpụmkpụ nke ume

Angina na-ekweghị ekwe bụ ihe ịdọ aka na ntị na nkụchi obi nwere ike ime n'oge adịghị anya ma chọọ ịgwọ ya ozugbo. Hụ onye na-ahụ maka ahụike gị ma ọ bụrụ na ị nwere ụdị mgbu obi.

Onye na-eweta ọrụ ahụ ga-eme nyocha ahụ wee lelee ogo ọbara gị. Onye na-eweta ọrụ gị nwere ike ịnụ ụda na-adịghị mma, dị ka ntamu obi ma ọ bụ ụda obi na-adịghị agbanwe agbanwe, mgbe ị na-eji stethoscope na-ege ntị n'obi gị.

Ule maka angina gụnyere:

• Nyocha ọbara na-egosi ma ọ bụrụ na ị nwere mmebi anụ ahụ ma ọ bụ na ị nwere nnukwu ihe egwu maka nkụchi obi, gụnyere troponin I na T-00745, creatine phosphokinase (CPK), na myoglobin.
• ECG.
• Ihe omumu.
• Nnwale nrụgide, dị ka nnwale nnwale mmega (ule nrụgide ma ọ bụ ule nzọ ụkwụ), ule nrụgide nuklia, ma ọ bụ nrụgide echocardiogram.
• Ọkpụkpụ akwara. Nnwale a gụnyere ịse foto akwara obi site na iji ụzarị ọkụ na agba. Ọ bụ ule kachasị dị mkpa iji chọpụta akwara obi na-ebelata ma chọpụta mkpụkọ.

Ọ nwere ike ịdị mkpa ka ị gaa n'ụlọ ọgwụ iji zurutụ ike, nwekwuo ule, ma gbochie nsogbu.

A na-eji ihe ndị na-eme ka ọbara (antiplatelet ọgwụ) agwọ ma gbochie angina na-ejighị n'aka. Ga-enweta ọgwụ ndị a ozugbo enwere ike ma ọ bụrụ na ịnwere ike ị themụ ha n'enweghị nsogbu. Ọgwụ gụnyere aspirin na ọgwụ ọgwụ clopidogrel ma ọ bụ ihe yiri ya (ticagrelor, prasugrel). Ọgwụ ndị a nwere ike belata ohere nke nkụchi obi ma ọ bụ oke oke nkụchi obi na-eme.

N'oge otu ejighị n'aka angina omume:

• Nwere ike nweta heparin (ma ọ bụ ihe ọzọ dị mkpa ọbara) na nitroglycerin (n'okpuru ire ma ọ bụ site na IV).
• Usoro ọgwụgwọ ndị ọzọ nwere ike ịgụnye ọgwụ iji chịkwaa ọbara mgbali elu, nchekasị, ụda obi na-adịghị mma, na cholesterol (dị ka ọgwụ ọgwụ).

A na-eme usoro a na - akpọ angioplasty na stenting iji mepee akwara egbochi ma ọ bụ warara.

• Angioplasty bụ usoro imepe oghere dị warara ma ọ bụ nke egbochiri na-enye ọbara n’obi.
• Ngwongwo akwara akwara bụ obere, ntupu igwe nke mepere (gbasaa) n'ime akwara obi. A na-etinyekarị stent mgbe angioplasty gasịrị. Ọ na - enyere aka igbochi akwara akwara ọzọ. Ngwurugwu na-eri ọgwụ nwere ọgwụ na ya nke na-enyere aka igbochi akwara na-emechi oge.

Enwere ike ịwa ahụ obi maka ụfọdụ ndị mmadụ. Mkpebi ịwa ahụ a dabere na:

• Kedu akwara ndị a na-egbochi
• Ego ole ka akwara
• Kedu akụkụ nke akwara akwara na-emechi
• Kedu ka ihe dị warara dịruru njọ

Angina na-ejighị n'aka bụ ihe ịrịba ama nke ọrịa obi siri ike karị.

Otú ị na-eme nke ọma dabere n'ọtụtụ ihe dị iche iche, gụnyere:

• Ugboro ole na akwara akwara n’obi gi ka egbochiri, kedu ka mgbochi a si di ike
• Ọ bụrụ na ọ dịtụla mgbe ị nwere nkụchi obi
• Kedu otu uru ahụ obi gị si nwee ike iwepụta ọbara n'ahụ gị

Mmetụta obi na-adịghị mma na nkụchi obi nwere ike ibute ọnwụ mberede.

Inakwụ na-ejighị n'aka angina nwere ike iduga:

• Ọrịa obi na - adịghị mma (arrhythmias)
• Ọrịa obi
• Obi mgbawa

Chọọ nlekọta ahụike ma ọ bụrụ na ị nwere ihe mgbu ma ọ bụ nrụgide obi, nke a na-akọwaghị. Ọ bụrụ na ịnweela angina tupu oge ahụ, kpọọ onye na-eweta ọrụ gị.

Kpọọ 911 ma ọ bụ nọmba nsogbu mpaghara ọ bụrụ na ụfụ angina gị:

• Ọ bụghị mma 5 nkeji mgbe ị were nitroglycerin (onye na-eweta gị nwere ike ịgwa gị ka ị were 3 ngụkọta doses)
• Adịghị apụ mgbe 3 doses nke nitroglycerin
• Na-akawanye njọ
• Alaghachi azụ mgbe nitroglycerin nyeere aka na mbụ

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Na-arịa ọrịa angina ọtụtụ mgbe
• Are na-enwe angina mgbe ị na-anọdụ (izu ike angina)
• Ike na-agwụkarị gị
• Are na-ada mba ma ọ bụ na-acha ọkụ ọkụ, ma ọ bụ na ị gafere
• Obi gị na-akụ nwayọ nwayọ (ihe na-erughị 60 na-akụ kwa nkeji) ma ọ bụ na ọsịsọ (karịa 120 na-akụ otu nkeji), ma ọ bụ na ọ naghị agbanwe agbanwe
• Na-enwe nsogbu ị takingụ ọgwụ obi gị
• Have nwere ihe mgbaàmà ọ bụla ọzọ

Ọ bụrụ n’echiche na ị na-enwe nkụchi obi, nweta ọgwụgwọ ozugbo.

Studiesfọdụ ọmụmụ egosila na ịme mgbanwe ole na ole na ndụ nwere ike igbochi ihe mgbochi na-akawanye njọ ma nwee ike imeziwanye ha n'ezie. Mgbanwe ndụ nwere ike inye aka gbochie ụfọdụ mwakpo angina. Onye na-eweta ọrụ gị nwere ike ịgwa gị ka ị:

• Kwụsị ibu ma ọ bụrụ na i buru ibu
• Kwụsị ise siga
• Na-emega ahụ oge niile
• Na-a alcoholụ mmanya na-aba n'anya ruo n'ókè kwesịrị ekwesị
• Rie nri na-edozi ahụ nke akwụkwọ nri, mkpụrụ osisi, ọka niile, azụ, na anụ mara abụba

Onye na-enye gị ọrụ ga-atụ aro ka ịdebe ọnọdụ ahụike ndị ọzọ dịka ọbara mgbali elu, ọrịa shuga, na ọkwa cholesterol dị elu.

Ọ bụrụ na ị nwere otu ihe ma ọ bụ karịa ihe nwere ike ịkpata ọrịa obi, gwa onye na-eweta ọrụ gị gbasara ọgwụ aspirin ma ọ bụ ọgwụ ndị ọzọ ga-enyere aka igbochi nkụchi obi. Ọgwụ aspirin (75 ka 325 mg kwa ụbọchị) ma ọ bụ ọgwụ ndị dị ka clopidogrel, ticagrelor ma ọ bụ prasugrel nwere ike inye aka igbochi nkụchi obi na ụfọdụ ndị mmadụ. A na-atụ aro ọgwụ aspirin na usoro ọgwụgwọ ndị ọzọ na-eme ka ọbara belata ma ọ bụrụ na uru ọ ga-aba karịrị ihe ọghọm nke mmetụta.

Na-eme ngwangwa angina; New-mmalite angina; Angina - ejighị n'aka; Ọganihu angina; CAD - ejighị n'aka angina; Ọrịa akwara ọbara - angina ejighị n'aka; Ọrịa obi - angina ejighị n'aka; Obi mgbu - ejighị n'aka angina

• Angina - ihapu
• Angina - ihe ị ga-ajụ dọkịta gị
• Angina - mgbe ị nwere ihe mgbu obi
• Angioplasty na stent - obi - nhapu
• Mwakpo obi - nhapu
• Ọrịa obi - ihe ị ga-ajụ dọkịta gị

• Angina
• Ọkpụkpụ akwara balloon angioplasty - usoro

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