Ọrịa akwara obi

Ọrịa akwara obi bụ okwu maka otu ọnọdụ nke na-akwụsị na mberede ma ọ bụ belata oke ọbara site na ịgbanye na akwara obi. Mgbe ọbara na-enweghị ike ịgbanye akwara obi, akwara obi nwere ike mebie. Ọrịa obi na angina na-ejighị n'aka bụcha nnukwu nsogbu nkwonkwo akwara (ACS).

Otu ihe nwere abụba a na-akpọ ihe e dere ede nwere ike ipulite n’ime akwara akwara nke na-ewebata ọbara oxygen n’ọbara n’obi gị. Ihe e dere n’ahụ́ ihe dị na cholesterol, abụba, mkpụrụ ndụ, na ihe ndị ọzọ.

Ihe e dere ede nwere ike igbochi mmụba ọbara n'ụzọ abụọ:

• O nwere ike ime ka akwara na-adị oke warara ka oge na-aga nke na ọ ga-egbochi imebi ihe mgbaàmà.
• Ihe ncheta a na-ebe ákwá na mberede, eriri ọbara na-etolite gburugburu ya, na-ebelata ma ọ bụ na-egbochi akwara.

Ọtụtụ ihe egwu maka ọrịa obi nwere ike ibute ACS.

Ihe mgbaàmà kachasị nke ACS bụ mgbu obi. Ihe mgbu obi nwere ike ịbịa ngwa ngwa, bịa na-aga, ma ọ bụ ka njọ na ezumike. Mgbaàmà ndị ọzọ nwere ike ịgụnye:

• Mgbu na ubu, ogwe aka, olu, agba, azụ, ma ọ bụ afọ
• 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
• Nchegbu
• Ọgbụgbọ
• Sụsọ
• Inwe isi-awọ ma ọ bụ n’isi isi
• Ọkụ obi ngwa ngwa ma ọ bụ oge ufodu

Womenmụ nwanyị na ndị okenye na-enwetakarị mgbaàmà ndị a, ọ bụ ezie na ihe mgbu obi na-abụkarịkwa ha.

Onye nlekọta ahụike gị ga-eme nyocha, gee ntị n'obi gị na stethoscope, ma jụọ maka akụkọ ahụike gị.

Ule maka ACS gụnyere:

• Electrocardiogram (ECG) - ECG na-abụkarị nyocha mbụ dọkịta gị ga-agba ọsọ. Ọ na-enyocha ọrụ eletriki obi gị. N'oge ule ahụ, ị ​​ga-enwe obere mpempe akwụkwọ etinyere n'obi gị na akụkụ ndị ọzọ nke ahụ gị.
• Nnwale ọbara - testsfọdụ nyocha ọbara na-enyere aka igosi ihe kpatara obi mgbu ma hụ ma ị nọ n'ihe ize ndụ dị ukwuu maka nkụchi obi. Nnyocha ọbara nke troponin nwere ike igosi ma mkpụrụ ndụ ndị dị n’obi gị emebila. Ule a nwere ike ikwenye na ị na-enwe nkụchi obi.
• Echocardiogram - Nnwale a na-eji ebili mmiri na-ele obi gị. Ọ na-egosi ma ọ bụrụ na obi gị emebiwo ma nwee ike ịchọta ụfọdụ ụdị nsogbu obi.

A na-eme coronary angiography ozugbo ma ọ bụ mgbe ị kwụsiri ike. Ule a:

• Na-eji dye pụrụ iche na ụzarị ọkụ iji hụ ka ọbara si abanye n'obi gị
• Nwere ike inyere onye na-eweta gị aka ikpebi ụdị ọgwụgwọ ịchọrọ ọzọ

Nyocha ndị ọzọ iji lelee obi gị nke enwere ike ịme mgbe ị nọ n'ụlọ ọgwụ gụnyere:

• Mee mgbatị nrụgide
• Nnwale nrụgide nuklia
• Nchegbu echocardiography

Onye na-eweta gị nwere ike iji ọgwụ, ịwa ahụ, ma ọ bụ usoro ndị ọzọ gwọọ ihe mgbaàmà gị wee mee ka ọbara gbanye n’obi gị. Usoro ọgwụgwọ gị dabere na ọnọdụ gị yana ọnụọgụ nke mgbochi gị. Ọgwụgwọ gị nwere ike ịgụnye:

• Ọgwụ - Onye na - enye gị ọrụ nwere ike inye gị otu ụdị ọgwụ, ma ọ bụ karịa, gụnyere aspirin, beta blockers, statins, ndị na - edozi ọbara, ọgwụ na - agbaze ọgwụ, ndị na - emezigharị enzyme (ACE) Angiotensin, ma ọ bụ nitroglycerin. Ọgwụ ndị a nwere ike inye aka gbochie ma ọ bụ mebie mkpụkọ ọbara, gwọọ ọbara mgbali elu ma ọ bụ angina, belata ihe mgbu obi, ma mee ka obi gị kwụsie ike.
• Angioplasty - Usoro a meghere akwara clogged site na iji ogologo ogologo, mkpa tube akpọrọ catheter. A na-etinye ọkpọkọ ahụ n'ime akwara ahụ na onye na-eweta ya na-etinye obere balloon a na-akọwaghị. A na-agbanye balloon n'ime akwara iji mepee ya. Dọkịta gị nwere ike itinye eriri waya, nke a na-akpọ stent, iji mee ka akwara na-emeghe.
• Usoro ịwa ahụ - Nke a bụ ịwa ahụ iji na-ebugharị ọbara gburugburu akwara akpọchiri.

Etu ị si eme nke ọma mgbe ACS dabere na:

• Kedu otu esi enweta ọgwụgwọ gị ọsọ ọsọ
• Ọnụọgụ akwara ndị akpọchiri na etu njọ si egbochi ya
• Ma obi ma ọ bụ na-emebi emebi, yana oke na ebe mmebi ahụ, na ebe mmebi ahụ dị

N’ozuzu, ngwa ngwa akwara gị ga - akpọchi, otú ahụ ka nsogbu ị ga - emebi n’obi gị ga-ebelata. Ndị mmadụ na-emekarị nke ọma mgbe akwara akpọchiri emeghe n’ime awa ole na ole site na mgbe mgbaàmà bidoro.

N'ọnọdụ ụfọdụ, ACS nwere ike ibute nsogbu ahụike ndị ọzọ gụnyere:

• Uche ndi ozo
• Ọnwụ
• Obi nkolopu
• Mgbu obi, nke na-eme mgbe obi enweghị ike ịmịnye ọbara zuru oke
• Mgbapu nke akụkụ nke obi obi na-eme ka tamponade ma ọ bụ akwa mmiri na-ehi mmiri
• Ọkụ

ACS bụ mberede ahụike. Ọ bụrụ na ị nwere mgbaàmà, kpọọ 911 ma ọ bụ nọmba mberede mpaghara gị ngwa ngwa.

EMELA:

• Gbalịa ịkwọ ụgbọala gị gaa ụlọ ọgwụ.
• Chere - Ọ bụrụ na ị nwere nkụchi obi, ị nọ n'ihe egwu kachasị maka ọnwụ mberede na oge awa mbụ.

Enwere ọtụtụ ihe ị ga - eme iji nyere aka gbochie ACS.

• Rie nri nke nwere ezigbo obi. Nwee ọtụtụ mkpụrụ osisi, vegri, ọka niile, na anụ na-edozi ahụ. Gbalịa ka ị belata oke nri cholesterol na abụba jupụta, ebe ọ bụ na ọtụtụ n’ime ihe ndị a nwere ike igbochi akwara gị.
• Na-emega ahụ́. Gbalịa ime ihe dị ka minit 30 ma ọ bụrụ na ị ga-emega ahụ ọtụtụ ụbọchị n’izu.
• Kwụsị ibu, ọ bụrụ na i buru ibu.
• Kwụsị ise siga. Okingụ sịga nwere ike imebi obi gị. Jụọ dọkịta gị ma ọ bụrụ na ịchọrọ enyemaka ịkwụsị.
• Nweta nyocha ahụike mgbochi. Kwesiri ịhụ dọkịta gị maka ule cholesterol na ọbara mgbali elu oge niile wee mụta otu esi edebe nọmba gị.
• Jikwaa ọnọdụ ahụike, dịka ọbara mgbali elu, cholesterol dị elu, ma ọ bụ ọrịa shuga.

Mwakpo obi - ACS; Myocardial infarction - ACS; MI - ACS; Nnukwu MI - ACS; ST elu myocardial infarction - ACS; Non ST-elu myocardial infarction - ACS; Anwụghị angina - ACS; Osooso angina - ACS; Angina - ejighị n'aka-ACS; Ọganihu angina

Amsterdam EA, Wenger NK, Brindis RG, et al. Ntuziaka 2014 AHA / ACC maka njikwa nke ndị ọrịa nwere ọrịa nkwonkwo akwara na-abụghị nke ST: akụkọ nke American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. Ọrịa. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Bohula EA, Morrow DA. ST-elu myocardial infarction: njikwa. 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 59.

Eckel RH, Jakicic JM, Ard JD, et al. Ntughari Ntuziaka 2013 AHA / ACC banyere njikwa ndụ iji belata ihe gbasara obi: mkpesa nke American College of Cardiology / American Heart Association Task Force on Practice Guidelines. Mgbaghari. 2014; 129 (25 Suppl 2): ​​S76-S99. PMID: 24222015 pubmed.ncbi.nlm.nih.gov/24222015/.

Giugliano RP, Braunwald E. Ọnọdụ ndị na-abụghị ST na-arịwanye elu. 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 60.

O'Gara PT, Kushner FG, Ascheim DD, et al. Ntuziaka 2013 ACCF / AHA maka njikwa nke infarction myocardial ST: elu: nchịkọta akụkọ: akụkọ nke American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. Mgbaghari. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

Scirica BM, Libby P, Morrow DA. ST-elu myocardial infarction: pathophysiology na nlekọta ahụike. 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 58.

Smith SC Jr, Benjamin EJ, Bonow RO, et al. AHA / ACCF mgbochi nke abụọ na ọgwụgwọ mbelata ihe egwu maka ndị ọrịa nwere ọrịa akwara na ọrịa akwara atherosclerotic ndị ọzọ: mmelite 2011: ntuziaka sitere na American Heart Association na American College of Cardiology Foundation. Mgbaghari. 2011; 124 (22): 2458-2473. PMID: 22052934 pubmed.ncbi.nlm.nih.gov/22052934/.