Sengoli: Gregory Harris
Letsatsi La Creation: 13 April 2021
Ntlafatsa Letsatsi: 1 November 2024
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Fire Drill  - The Office US
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Lefu la pelo la Coronary ke ho fokotsa methapo e menyenyane ea mali e fanang ka mali le oksijene pelong. Lefu la pelo la Coronary (CHD) le boetse le bitsoa lefu la methapo ea mali.

CHD ke sesosa se ka sehloohong sa lefu United States bakeng sa banna le basali.

CHD e bakoa ke letlapa le hahang ka har'a methapo ea pelo. Sena se ka boela sa bitsoa ho thatafala ha methapo.

  • Lintho tse mafura le lintho tse ling li etsa letlapa le holimo maboteng a methapo ea hau ea pelo. Mothapo oa mali o tlisa mali le oksijene pelong ea hao.
  • Ho aha hona ho etsa hore methapo ea methapo e be mosesane.
  • Ka lebaka leo, phallo ea mali e kenang pelong e ka fokotseha kapa ea emisa.

Lebaka la kotsi la lefu la pelo ke ntho e eketsang menyetla ea ho e fumana. U ke ke ua fetola mabaka a mang a kotsi a lefu la pelo, empa u ka fetola a mang.

Maemong a mang, matšoao a ka bonahala haholo. Empa, o ka ba le lefu lena mme o se na matšoao. Sena ke 'nete khafetsa maemong a pele a lefu la pelo.


Ho opeloa sefubeng kapa ho se utloise bohloko (angina) ke letšoao le tloaelehileng ho fetisisa. U utloa bohloko bona ha pelo e sa fumane mali kapa oksijene e lekaneng. Bohloko bo ka ikutloa bo fapane le motho le motho.

  • E kanna ea utloa e le boima kapa ekare motho e mong o penya pelo ea hau. U ka e utloa tlasa lesapo la letsoele (sternum). U ka e utloa molaleng, matsohong, mpeng kapa ka mokokotlong.
  • Bohloko hangata bo hlaha ka ts'ebetso kapa maikutlo. E tloha le phomolo kapa moriana o bitsoang nitroglycerin.
  • Matšoao a mang a kenyelletsa phefumoloho e khuts'oane le mokhathala ka ts'ebetso (boiteko).

Batho ba bang ba na le matšoao a mang ntle le bohloko ba sefuba, joalo ka:

  • Mokhathala
  • Phefumoloho e khutšoanyane
  • Bofokoli bo akaretsang

Mofani oa hao oa tlhokomelo ea bophelo o tla u hlahloba. Hangata o tla hloka liteko tse fetang e le 'ngoe pele u ka fumanoa.

Liteko tsa ho lekola CHD li ka kenyelletsa:

  • Coronary angiography - Teko e hlaselang e hlahlobang methapo ea pelo tlasa x-ray.
  • Teko ea khatello ea kelello ea Echocardiogram.
  • Electrocardiogram (ECG).
  • Electron-beam computed tomography (EBCT) ho batla khalsiamo ka lera la methapo. Ha calcium e le ngata, monyetla oa hao oa CHD o phahame.
  • Koetlisa khatello ea maikutlo.
  • Ho hlahloba pelo ea CT.
  • Teko ea khatello ea nyutlelie.

U ka kopuoa ho nka moriana o le mong kapa a 'maloa ho alafa khatello ea mali, lefu la tsoekere kapa maemo a phahameng a k'holeseterole. Latela litaelo tsa mofani oa hau haufi-ufi ho thusa ho thibela CHD ho mpefala.


Lipheo tsa ho phekola maemo ana ho batho ba nang le CHD:

  • Khatello ea mali e sebelisoang haholo ho batho ba nang le lefu la pelo e ka tlase ho 130/80, empa mofani oa hau a ka khothaletsa sepheo se fapaneng sa khatello ea mali.
  • Haeba u na le lefu la tsoekere, maemo a hau a HbA1c a tla behoa leihlo 'me a theoleloe boemong boo mofani oa hau a bo khothalletsang.
  • Boemo ba hau ba LDL cholesterol bo tla theoha ka lithethefatsi tsa statin.

Kalafo e ipapisitse le matšoao a hau le hore na lefu le matla hakae. U lokela ho tseba ka:

  • Meriana e meng e sebelisetsoang ho alafa angina.
  • Seo u lokelang ho se etsa ha u e-na le bohloko ba sefuba.
  • Ho ba mafolofolo ha o na le lefu la pelo.
  • Ho ja lijo tse matlafatsang pelo.

Le ka mohla u se khaotse ho noa meriana ea hau u sa bua le mofani oa hau oa litšebeletso pele. Ho emisa meriana ea pelo ka tšohanyetso ho ka mpefatsa angina kapa ho baka lefu la pelo.

U kanna oa fetisetsoa lenaneong la ntlafatso ea pelo ho thusa ho ntlafatsa pelo ea hau.

Mekhoa le lits'ebetso tse sebelisoang ho phekola CHD li kenyelletsa:


  • Sebaka sa Angioplasty le stent, se bitsoang percutaneous coronary interventions (PCIs)
  • Mothapo oa mali o feta tšebetso ea ho buuoa
  • Ho buuoa ka pelo ka nakoana

Motho e mong le e mong o fola ka tsela e fapaneng. Batho ba bang ba ka lula ba phetse hantle ka ho fetola tsela eo ba jang ka eona, ba khaotsa ho tsuba, le ho noa meriana ea bona joalokaha ho laetsoe. Ba bang ba ka hloka lits'ebetso tsa bongaka tse kang angioplasty kapa ho buuoa.

Ka kakaretso, ho lemoha CHD pele ho nako ho lebisa liphellong tse ntle.

Haeba u na le mabaka a kotsi a CHD, bua le mofani oa litšebeletso mabapi le thibelo le mehato e ka bang teng ea kalafo.

Letsetsa mofani oa thepa ea hau, letsetsa nomoro ea ts'ohanyetso ea lehae (joalo ka 911), kapa u ee kamoreng ea maemo a tšohanyetso hang hang haeba u na le:

  • Ho opeloa ke sefuba kapa sefuba
  • Phefumoloho e khutšoanyane
  • Matšoao a lefu la pelo

Nka mehato ena ho thusa ho thibela lefu la pelo.

  • Haeba u tsuba, emisa. Ho na le lisebelisoa tse ngata tse u thusang ho tlohela ho tsuba.
  • Ithute ho ja lijo tse matlafatsang pelo ka ho etsa lintho tse ling tse bonolo. Mohlala, khetha mafura a phetseng hantle ho feta botoro le mafura a mang.
  • Ikoetlise khafetsa, bonyane bonyane metsotso e 30 ka matsatsi. Haeba u na le lefu la pelo, buisana le mofani oa hau ka ho qala ho ikoetlisa.
  • Boloka boima ba 'mele bo phetseng hantle.
  • Fokotsa k'holeseterole e phahameng ka liphetoho tsa bophelo, 'me ha ho hlokahala, meriana ea statin.
  • Fokotsa khatello ea mali e phahameng ka ho ja le meriana.
  • Bua le mofani oa hau ka kalafo ea aspirin.
  • Haeba u na le lefu la tsoekere, e boloke e laoloe hantle ho thusa ho thibela lefu la pelo le stroke.

Le ha o se o ntse o na le lefu la pelo, ho nka mehato ena ho tla thusa ho sireletsa pelo ea hau le ho thibela tšenyo e ngoe.

Lefu la pelo, Lefu la pelo, Coronary artery disease; Lefu la pelo la Arteriosclerotic; CHD; CAD

  • Kamora ho buuoa ka boima ba 'mele - seo u lokelang ho se botsa ngaka ea hau
  • Lithethefatsi tsa antiplatelet - P2Y12 inhibitors
  • Aspirin le lefu la pelo
  • Pele o etsoa opereishene ea ho theola boima ba 'mele - o botse ngaka ea hau
  • Cholesterol - kalafo ea lithethefatsi
  • Ho laola khatello ea mali e phahameng
  • Ho hlalositsoe mafura a phepo
  • Malebela a lijo tse potlakileng
  • Ho buuoa ka mpeng - ho tsoa
  • Ho buuoa ka pelo - ho tsoa
  • Ho buuoa ka pelo - ho hlaseloa hanyane ka hanyane - ho tsoa
  • Lefu la pelo - lisosa tse kotsi
  • Ho hloleha ha pelo - ho tsoa
  • Ho hloleha ha pelo - maro le diuretics
  • Ho hloleha ha pelo - ho lekola ntlo
  • Heart pacemaker - lero
  • Mokhoa oa ho bala mangolo a lijo
  • Cardioverter defibrillator e ka kenngoang - ho tsoa
  • Laparoscopic gastric banding - ho tsoa
  • Lijo tse nang le letsoai le tlase
  • Lijo tsa Mediterranean
  • Pelo - karolo ho ea bohareng
  • Pelo - pono e ka pele
  • Metsing ea pelo e ka pele
  • Metsing ea pelo e ka morao
  • MI e matla
  • Bahlahisi ba k'holeseterole

Arnett DK, Blumenthal RS, Albert MA, le al. Tataiso ea 2019 ACC / AHA mabapi le thibelo ea mantlha ea lefu la pelo. Tsamaiso. 2019 [Epub pele ho khatiso] PMID: 30879355 pubmed.ncbi.nlm.nih.gov/30879355/.

Boden WE. Angina pectoris le botsitso bo tsitsitseng ba lefu la pelo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 62.

Fihn SD, Blankenship JC, Alexander KP, le al.2014 ACC / AHA / AATS / PCNA / SCAI / STS e shebile ntlafatso ea tataiso ea tlhahlobo le taolo ea bakuli ba nang le lefu la pelo le tsitsitseng: tlaleho ea American College of Cardiology / American Heart Association Task Force on Practice Guidelines, le Mokhatlo oa Amerika oa Phekolo ea Thoracic, Mokhatlo oa Baoki ba Thibelang Maikutlo, Mokhatlo oa Maikutlo a Madi a Pelo le Litšebetso, le Mokhatlo oa Lingaka tsa Ngaka tsa Thoracic. Tsamaiso. 2014; 130 (19): 1749-1767. PMID: 25070666 e phatlalalitsoeng.ncbi.nlm.nih.gov/25070666/.

Letšoao AR. Mosebetsi oa pelo le oa potoloho. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 47.

Morrow DA, ea Lemos JA. Boloetse ba pelo bo tsitsitseng ba ischemic. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 61.

Whelton PK, Carey RM, Aronow WS, le al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Tataiso ea Thibelo, Tlhahlobo, Tlhatlhobo le Tsamaiso ea khatello ea mali e phahameng ho batho ba baholo: Tlaleho ea American College of Cardiology / American Basebetsi ba Mokhatlo oa Pelo mabapi le Litataiso tsa Tloaelo ea Bongaka. [Tokiso e phatlalalitsoeng e hlaha ho J Am Coll Cardiol 2018; 71 (19): 2275-2279]. J Ke Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 phatlalalitsoe.ncbi.nlm.nih.gov/29146535/.

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