Kurapwa kwezvinetso zvemwoyo, hosha yemoyo (angina uye chirwere chemwoyo)

Kurapwa kwezvinetso zvemwoyo, hosha yemoyo (angina uye chirwere chemwoyo)

Kurapa kwe myocardial infarction inoda kupindira kwechiremba kubvakukasira kuitira kudzikisira mhedzisiro. Bata rubatsiro rwechiremba nekukurumidza sezvazvinogona.

Emergency kurapwa kunopihwa kuchipatara hakuzokurukurwa pano. Kamwe kana emergency iri pasi pekutonga, iyo kurapa kupindira Chinangwa chikuru chichava chekudzivirira dambudziko kubva pakuwedzera uye kudzivirira kudzokororwa.

Kana iwe ukaona zviratidzo zve angina kurwisa, kurukurai nachiremba pasina kunonoka.

Pharmaceuticals

Iyi inotevera mishonga inoshandiswa kurapa kana kudzivirira angina kurwisa uye kudzivirira kudzokorora infarction.

  • Hypolipémiants, kudzikisa cholesterol zvikamu: statins, bile acid binders, nezvimwe.
  • Antiangineux, kurapa coronary chirwere chemoyo: beta blockers, calcium chiteshi blockers, nitrate.
  • Antiplatelet drugs : acetylsalicylic acid (aspirin) uye clopidogrel.

Vatsvagiri vari kushanda kugadzira mamorekuru anokwanisa kukwidza mwero wecholesterol yakanaka (HDL).

kupindira

Zvichienderana nenyaya, imwe kana imwe yeanopindira anotevera anogona kuratidzwa kuitira kudzivirira kudzokorora infarction.

  • Percutaneous coronary kupindira. Kupindira uku, kunoitwa neanopindira cardiologist, inotanga kuisa catheter yakaiswa nebharuti inokwenenzverwa kuvharira tsinga yakavharika, inonziangioplasty. Iyo catheter inoiswa mune tsinga mune ruoko kana kugomera.

     

    Panguva yekuvhiya, diki danda resimbi, kana kuti stent, inowanzoiswa mutsinga, iyo inoderedza njodzi yetsinga kuti ivharwe zvakare. Kuti kuwedzere kushanda kwavo, mamwe matanda akafukidzwa nemushonga (semuenzaniso, sirolimus kana paclitaxel).

  • Bypass kuvhiyiwa. Chiremba anovhiya mudziyo weropa, wakatorwa pagumbo kana muchipfuva, kuti agadzire nzira nyowani yeropa yekudarika kuvhara mukati mutsinga yetsinga. Vanachiremba vanosarudza kupfuura nekuvhiya kana akati wandei coronary arteri akavharika kana kuderedzwa, kana kana iyo huru coronary arteri ikabatwa. Kupindira uku kunoitika kunyanya muchiitiko che chirwere cheshuga orHeart Failure, kana kana mitsipa yakawanda yeropa yakavharwa.

kosha. Percutaneous coronary kupindira uye coronary bypass kuvhiya haisi yekukurumidza kugadzirisa kunogadzirisa matambudziko ese. Vanhu vazhinji vanotenda, zvisizvo, kuti kupindira kwakadaro kwakakwanira kuvaburitsa munjodzi uye kuvabvumidza kutangazve tsika dzekare dzehupenyu.

Lifestyle modification

Vanachiremba vari kuwedzera kusimbisa kukosha kwekuchinja mararamiro kuti vadzikise kana kumisa kufambira mberi kwechirwere, sezvakatsanangurwa muchikamu Chekudzivirira:

  • kusasvuta;
  • kurovedza muviri;
  • idya zvakanaka;
  • chengetedza huremu hune hutano;
  • rara zvakanaka;
  • dzidza kuzorora;
  • kuratidza manzwiro, nezvimwe.

Kurwadziwa kwemoyo kunokanganisa moyo here, asi zvakare huropi nehope?

Matambudziko ekutadza kurara zvakajairika kwemavhiki maviri mushure mekurwadziwa kwemoyo. Nyanzvi dzakagara dzichitenda kuti kushushikana ndiko kunokonzera. Zvisinei, zvinogona kunge kuti infarction inokanganisa kwete chete moyo, asiwo mauroni muuropi anoita basa muhope. Zvichida iyi fungidziro inotsigirwa nevanoongorora veQuebec.48.

The nzvimbo dzokurapa mune cardiology ikozvino inopa mazano ekupa mazano munyaya dzehutano, mapurogiramu ekurovedza muviri, mapurogiramu ekutsigira kurega kusvuta, masangano ekuzorora, kushungurudzika, kufungisisa, nezvimwe.

Aya matanho ane ese ekudzivirira uye ekurapa kukosha.

Dzidza kubva pakudya kweMediterranean

Vanoverengeka vema cardiologist vanokurudzira ichi chikafu, icho chinoshanda kune kudzivirira kudzokorora.

Zvidzidzo zvakaratidza kuti chikafu cheMediterranean chinokwanisa kudzikisa 70% njodzi yekudzokazve kwecoronary chirwere chemoyouchienzaniswa nechikafu chakaringana34-36 .

Kudya kweMediterranean kunoratidzwa kunyanya nekuwanda kwemiriwo mitsva nemichero, kushandiswa kwemafuta emuorivhi sosi yemafuta, kudyiwa kwehove uye newaini, muhuwandu hwakaenzana.

Psychotherapy

Kuita kurapwa kwepfungwa sechikamu chekurapwa kwehutano hwemwoyo - kana kunyangwe zvirinani, mukudzivirira - kunogona kuunza mabhenefiti mazhinji39, 55. Kusingaperi kushushikana, kushushikana, kusarudzika munharaunda uye hukasha zvese zvinhu izvo, pasina kucherechedzwa, zvinoshanda pane yedu system yenjodzi uye kukanganisa hutano hwedu hwemwoyo. Uye zvakare, kudzikisira matambudziko aya, zvakajairika kuti tinoshandisa maitiro ayo, panzvimbo yekutibatsira, anowedzera dambudziko: kusvuta, kudhakwa, kumanikidza kudya, nezvimwe.

Uye zvakare, vanhu avo, mushure mekurwisa angina, semuenzaniso, vanokurudzirwa kuti vafungisise zvavo nzira yehupenyu (kurovedza muviri, kurega kusvuta, nezvimwewo), uve nechido chekutora nzira dzese dzinokwanisika kuti uzviite. Chero zvazvingaitika, kurapwa kwepfungwa kunogona kutora chinzvimbo chinotungamira.

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