Tus mob ntawm "mob coronary syndrome" yog qhov ua ntej thiab sawv cev ntawm kev tshwm sim uas tshwm sim nrog myocardial infarction (nrog thiab tsis muaj nce ntawm ST ntu) thiab hauv angina uas tau ua los ntawm instability.
Ua rau qhov mob
Qhov ua rau muaj kev mob ntawm tus mob plab hnyuv txhaws yog ua txhaum ntawm lub plawv mob, los sis tsis kam, muab ntshav nrog. Qhov no tshwm sim hauv qab no:
- kev tsim tawm ntawm atherosclerotic plaques txhuam cov lumen ntawm cov hlab ntsha;
- ua txhaum ntawm elasticity thiab tsim ntawm plhaw thaj ua rau thaj tsam ntawm cov hlab ntsha, muab cov myocardium nrog ntshav;
- muaj ntshav hauv cov hlab ntsha nrog cov hlab ntsha uas tuaj yeem pom nyob rau hauv txhua qhov ntawm lub cev, tab sis thaum raug muab tua lawm, lawv raug xa tawm los ntawm cov ntshav mus rau cov leeg hu ua coronary artery.
Muaj tus kab mob hlab ntsha muaj tus kab mob plab yuav muaj xws li:
- passive txoj kev ntawm lub neej;
- kev noj zaub mov tsis tau;
- Mob ntshav qab zib;
- ntshav siab;
- kev cog qoob loo;
- qhov kev nyuab siab.
Nws kuj tseem yuav tsum tau sau tseg tias kev kuaj mob ntawm mob plab hnyuv txhaws feem ntau tshwm sim rau cov txiv neej, nrog rau cov neeg laus dua 40 xyoo.
Cov tsos mob ntawm tus mob mob ntsws
Zoo li hauv plawv plawv feem ntau, qhov tseem ceeb ntawm kev mob plab hnyuv txhaws yog qhov pib ntawm lub sij hawm ntev (ntau tshaj ib teev) nias ntawm qhov mob ntawm qhov chaw ntawm myocardium thiab sab laug ntawm lub cev. Tej zaum nws yuav nrog nws ua pa luv luv (tsis muaj cua). Tsis tas li ntawd, muaj ib qho kev qaug zog ntse, txawm mus tsaus muag . Cov tawv nqaij hloov pliav thiab muaj khaub zig hws, qhov kev sib tw ntawm kev mob plawv nres.
Thawj cov kev pab rau mob khees-xaws kuaj mob
Yog tias koj xav tias muaj tus mob khees-xaws pob txha, kev pabcuam yog thawj zaug. Ua ntej tuaj txog ntawm cov tsheb tos neeg mob, nws yog raws li nram no:
- Nws yog ib qhov tsim nyog yuav tau pw, tshem me ntsis lub cev ntawm lub cev, leaning hauv ncoo, khaub ncaws, thiab lwm yam.
- Yuav kom chew 1-2 ntsiav tshuaj ntawm aspirin (acetylsalicylic acid).
- Muab cov tshuaj nitroglycerin nyob hauv tus nplaig (thaum tsis muaj kev ruaj ntseg ntawm tus mob, noj tshuaj txhua txhua 5-10 feeb).
- Npaj kom muaj cua txaus los qhib lub qhov rais.
Kev kho mob thiab kev tiv thaiv
Kev kho mob ntawm tus mob plab hnyuv pib tom qab tsim kom muaj qhov yuav tsim muaj lub plawv nres thiab muaj xws li:
- Nroj tsuag txaj so.
- Oxygen therapy.
- Nkag tau txais cov tshuaj mob.
Hauv txhua kis, tus thawj coj ntawm cov tshuaj tau muab kho kom tshem tau qhov atherosclerotic tshwm sim. Raws li txoj cai, cov no yog npaj ntawm cov nram no pawg:
- beta-blockers (cov tshuaj pab txo lub plawv dhia, tshem tawm mob);
- Nitrates (cov tshuaj uas txo qis ntawm qhov xav tau ntawm lub plawv hauv cov pa thiab txhawb kev nthuav dav ntawm cov hlab ntsha);
- tshuaj uas txo cov ntshav viscosity;
- kev npaj nrog antithrombotic siv;
- statins (cov tshuaj uas txo qis theem roj cholesterol);
- yeeb tshuaj uas muaj feem xyuam rau txoj kev sib tawg ntawm kev ua kom muaj ntshav tshiab.
Nrog cov kev mob tshwm sim ntawm cov mob plab hnyuv txhaws thiab nyob rau ntawm cov qee cov yeeb yam, txoj kev phais mob kom rov ua tau cov ntshav ntawm lub plawv tuaj yeem pom zoo. Qhov no yog stenting thiab coronary bypass.
Kev tiv thaiv ntawm myocardial kab mob, nrog rau tom qab ib qho kev mob plawv mob, muaj kev hloov ntawm txoj kev ntawm lub neej mus rau kev txhim kho nws zoo. Ua li no, nws yog qhov yuav tsum tau kho koj cov khoom noj, nws zoo siab nrog cellulose, zaub thiab txiv hmab txiv ntoo. Nws yuav tsum txo cov khoom noj khoom haus.
Nws nyiam kom tso tseg kev coj cwj pwm phem (haus luam yeeb thiab dej cawv), ntau dua rau hauv huab cua. Kev mob plawv, da dej, yoga muab qhov txiaj ntsim zoo rau kev ua kom lub plawv mob thiab txo cov kev ntxhov siab. Raws li kev kho mob prophylaxis, koj yuav tsum saib xyuas ntshav siab, thiab raws li qib ntawm cov cholesterol hauv cov ntshav.