Ọrịa obi

Ọrịa akwara ọbara dị warara nke obere arịa ọbara na-ebute ọbara na ikuku oxygen na obi. A na-akpọkwa ọrịa obi na-arịa ọrịa obi (CHD).

CHD bụ ihe kacha akpata ọnwụ na United States maka ụmụ nwoke na ụmụ nwanyị.

Ọ bụ CHD na - ebute ihe ncheta dị n’ime akwara obi gị. A pụkwara ịkpọ nke a harden nke akwara.

• Abụba ihe na ihe ndị ọzọ na-etolite ihe edetu na mgbidi nke akwara obi gị. Akụ akwara ọbara na-ebute ọbara na oxygen n’ime obi gị.
• Ihe a na-eme ka akwara ndị ahụ dị warara.
• N’ihi ya, ọbara na-eru n’obi nwere ike belata ma ọ bụ kwụsị.

Ihe dị egwu maka ọrịa obi bụ ihe na - eme ka ohere ịnweta ya. Nweghị ike ịgbanwe ụfọdụ ihe egwu dị na ọrịa obi, mana ị nwere ike ịgbanwe ndị ọzọ.

N'ọnọdụ ụfọdụ, a na-ahụkarị ihe mgbaàmà. Ma, ị nwere ike ịrịa ọrịa ma ghara inwe mgbaàmà ọ bụla. Nke a na-abụkarị eziokwu na mmalite nke ọrịa obi.

Obi mgbu ma ọ bụ ahụ erughị ala (angina) bụ ihe mgbaàmà kachasị. Pain na-enwe ihe mgbu a mgbe obi anaghị enweta ọbara zuru ezu ma ọ bụ ikuku oxygen. Mgbu ahụ nwere ike ịdị iche na mmadụ.

• O nwere ike ịdị gị arọ ma ọ bụ dị ka onye na-akụchi obi gị. I nwere ike na-eche ya n'okpuru gị ara ọkpụkpụ (sternum). May nwekwara ike na-eche ya na olu, ogwe aka, afo, ma ọ bụ elu azụ.
• Mgbu na-apụtakarị site na ọrụ ma ọ bụ mmetụta uche. Ọ na-apụ na ezumike ma ọ bụ ọgwụ a na-akpọ nitroglycerin.
• Ihe mgbaàmà ndi ozo gunyere iku ume iku ume na ike ogwugwo ya.

Fọdụ ndị mmadụ nwere ihe mgbaàmà na-abụghị ihe mgbu obi, dịka:

• Ike ọgwụgwụ
• Iku ume ọkụ ọkụ
• General adịghị ike

Onye na-ahụ maka ahụike gị ga-enyocha gị. Often ga-achọkarị ihe karịrị otu ule tupu ị chọpụta nchoputa.

Ule iji nyochaa maka CHD nwere ike ịgụnye:

• Coronary angiography - Nnwale na-emerụ ahụ nke na-enyocha akwara obi n'okpuru x-ray.
• Nnwale nrụgide ule Echocardiogram.
• Nchịkwa Electrocardiogram (ECG).
• Igwe onyonyo a na-akpọ Electron-beam (EBCT) iji chọọ calcium na ngwakọta akwara. Ka calcium na-ebuwanye ibu, ohere gị dị elu maka CHD.
• Mee mgbatị nrụgide.
• Obi CT i scanomi.
• Nnwale nrụgide nuklia.

Enwere ike ịgwa gị ka ị were otu ọgwụ ma ọ bụ karịa gwọọ ọbara mgbali elu, ọrịa shuga, ma ọ bụ ọkwa dị elu nke cholesterol. Soro ntuziaka nke ndị na-enye gị iji nyere aka gbochie CHD ka ọ ka njọ.

Ebumnuche maka ịgwọ ọnọdụ ndị a na ndị nwere CHD:

• A na-ejikarị ọbara mgbali elu maka ndị nwere ọrịa obi erughị 130/80, mana onye na-eweta gị nwere ike ịkwado mgbatị ọbara dị iche.
• Ọ bụrụ na ị nwere ọrịa shuga, a ga-enyocha ọkwa HbA1c gị wee gbadata larịị onye na-enye gị ndụmọdụ.
• A ga-eweda ọkwa LDL cholesterol gị na ọgwụ statin.

Ọgwụgwọ dabere na mgbaàmà gị yana otu ọrịa siri sie ike. I kwesịrị ịma banyere:

• Ọgwụ ndị ọzọ ejiri agwọ angina.
• Ihe ị ga - eme mgbe ị nwere ihe mgbu obi.
• Na-arụsi ọrụ ike mgbe ị nwere ọrịa obi.
• Iri nri mara mma.

Akwụsịla ị takingụ ọgwụ gị n'ebughị ụzọ gwa onye na-enye gị ọrụ. Kwụsị ọgwụ obi na mberede nwere ike ime ka angina gị ka njọ ma ọ bụ bute nkụchi obi.

Enwere ike ịtugharị gị na usoro mmezigharị obi iji nyere aka mee ka ahụike nke obi gị dịkwuo mma.

Usoro na ịwa ahụ eji agwọ CHD gụnyere:

• Angioplasty na ebe a na-etinye aka, a na-akpọ mmechi mmebi ahụ (PCIs)
• Surgerywa ahụ ịwa ahụ na-aga ịwa ahụ
• Obere mkpamkpa obi ịwa ahụ

Onye ọ bụla na-agbake n'ụzọ dị iche. Peoplefọdụ ndị nwere ike ịrịa ahụike site na ịgbanwe nri ha, ịkwụsị ị smokingụ sịga, na ị theirụ ọgwụ ha ka edepụtara ha. Ndị ọzọ nwere ike ịchọ usoro ọgwụgwọ dịka angioplasty ma ọ bụ ịwa ahụ.

Na mkpokọta, nchọpụta mbụ nke CHD n'ozuzu na-eduga na nsonaazụ ka mma.

Ọ bụrụ n’inwere ihe ọghọm ọ bụla maka CHD, gwa onye na-eweta gị banyere mgbochi na usoro ọgwụgwọ enwere ike.

Kpọọ onye na-eweta ọrụ gị, kpọọ nọmba mberede mpaghara (dịka 911), ma ọ bụ gaa na ụlọ mberede ozugbo ma ọ bụrụ na ịnwee:

• Angina ma ọ bụ obi mgbu
• Iku ume ọkụ ọkụ
• Mgbaàmà nke nkụchi obi

Mee ihe ndị a iji nyere aka gbochie ọrịa obi.

• Youụ sịga, kwụsị. E nwere ọtụtụ ihe ga-enyere gị aka ịkwụsị ị smokingụ sịga.
• Muta otu esi eri nri di nma site na ime ndi dochie anya. Dịka ọmụmaatụ, họta abụba ndị nwere obi dị mma na bọta na abụba ndị ọzọ jupụtara.
• Na-emega ahụ oge niile, ọ dịkarịa ala ma ọ dịkarịa ala minit 30 ọtụtụ ụbọchị. Ọ bụrụ na ị nwere ọrịa obi, soro onye na-enye gị ọrụ gbasara ịmalite usoro mgbatị ahụ.
• Nọgide na-enwe ahụ ike dị mma.
• Belata cholesterol dị elu na mgbanwe ndụ, ma ọ bụrụ na ọ dị mkpa, ọgwụ statin.
• Belata ọbara mgbali elu site na iji nri na ọgwụ.
• Soro ndị na-eweta gị ọgwụ banyere ọgwụ mgbu aspirin.
• Ọ bụrụ na ị nwere ọrịa shuga, debe ya nke ọma iji nyere aka igbochi nkụchi obi na ọrịa strok.

Ọ bụrụgodi na ị nweworị ọrịa obi, ịme ihe ndị a ga - enyere aka ichebe obi gị ma gbochie mmebi ọzọ.

Ọrịa obi, Ọrịa obi, Ọrịa akwara obi; Ọrịa obi Arteriosclerotic; CHD; CAD

• Mgbe ịwa ahụ-ibu-ihe ịjụ dọkịta gị
• Antiplatelet ọgwụ - P2Y12 inhibitors
• Pụ Ọgwụ Aspirin na ọrịa obi
• Tupu ịwa ahụ ọnwụ-ihe ị ga-ajụ dọkịta gị
• Cholesterol - ọgwụgwọ ọgwụ
• Rollingchịkwa ọbara mgbali elu gị
• A kọwara abụba ndị na-eri nri
• Ndụmọdụ nri ngwa ngwa
• Gastric uzo ịwa ahụ - ihapu
• Obi uzo ịwa ahụ - ihapu
• Surgerywa obi na - aga ije - obere mbibi - nhapu
• Ọrịa obi - ihe egwu
• Obi odida - ihapu
• Mgbu obi - mmiri na diuretics
• Obi mgbawa - nlekota ulo
• Obi pacemaker - ihapu
• Otu esi agu aha nri
• Akụrụngwa cardioverter defibrillator - ihapu
• Laparoscopic gastric banding - ihapu
• Nri obere nnu
• Nri Mediterranean

• Obi - ngalaba site n'etiti
• Obi - echiche dị n'ihu
• Teriorlọ akwara obi dị n’azụ
• Posterior obi akwara
• Nnukwu MI
• Ndị na-emepụta kọlesterol

Arnett DK, Blumenthal RS, Albert MA, et al. Ntughari Ntuziaka 2019 ACC / AHA banyere mgbochi mgbochi ọrịa obi. Mgbaghari. 2019 [Epub n'ihu mbipụta] PMID: 30879355 pubmed.ncbi.nlm.nih.gov/30879355/.

Boden ANY.. Angina pectoris na ọrịa obi ischemic kwụsie ike. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 62.

Fihn SD, Blankenship JC, Alexander KP, et al. Ọgwụgwọ2014 ACC / AHA / AATS / PCNA / SCAI / STS lekwasịrị anya melite nke ntuziaka maka nyocha na njikwa nke ndị ọrịa nwere ọrịa obi obi ala: akụkọ nke kọleji American Cardiology / American Heart Association Task Force on Practice Guidelines, na Associationtù Na-ahụ Maka Ọrịa Na-ahụ Maka Ahụhụ nke America, Association nke Nọọsụ Na-egbochi Ọrịa, Society for Cardiovascular Angiography and Intercepts, na Society of Thoracic Surgeons. Mgbaghari. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Akara AR. Ọrụ obi na ikuku ọbara. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 47.

Morrow DA, de Lemos JA. Ọrịa obi obi. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 61.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Guideline for Prevention, Detection, Evaluation, and Management of High Blood Pressure in Ndị okenye: Nkwupụta nke American College of Cardiology / American Associationtù Na-ahụ Maka Hearttù Na-ahụ Maka Ọgwụ na Ahụhụ. [Mgbazi e bipụtara pụtara na J Am Coll Cardiol. 2018; 71 (19): 2275-2279]. J Am Coll Cardiol. Na-enweghị nsogbu. 2018; 71 (19): e127-e248. PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.