La noolaanshaha cudurka wadnaha iyo angina

Cudurka wadnaha iyo xididdada dhiigga (CHD) waa yareynta xididdada dhiigga ee yar yar ee dhiigga iyo oksijiinta siiya wadnaha. Angina waa xanuun laabta ah ama raaxo la'aan inta badan dhacda marka aad waxqabadyo gaar ah qabato ama aad dareento culeys. Maqaalkani wuxuu ka hadlayaa waxa aad sameyn karto si aad u maareyso xanuunka feedhaha iyo yareynta halista cudurka wadnaha.

CHD waa ciriiriga marinnada dhiigga ee yar yar ee dhiigga iyo oksijiinta siiya wadnaha.

Angina waa xanuun laabta ah ama raaxo la'aan inta badan dhacda marka aad qabato waxqabadyo gaar ah ama aad dareento culeys. Waxaa sababa socodka dhiiga oo xumaada marinada dhiiga muruqa wadnaha.

Haddii aad qabtid dhiig kar, sonkorow, ama kolestarool sare, bixiyaha daryeelka caafimaadkaaga ayaa kugula talin kara inaad:

• Cadaadiska dhiiggaaga ha xakameeyo inta badan illaa 130/80. Hoose ayaa ka sii fiicnaan kara haddii aad qabto sonkorow, cudur kelyaha, istaroog, ama dhibaatooyin wadnaha ah, laakiin bixiyahaaga ayaa ku siin doona bartilmaameedyadaada gaarka ah.
• Qaado daawooyin si aad u yareyso kolestaroolka.
• HBA1c-gaaga iyo sonkorta dhiiggaaga ku hay heerar lagu taliyay.

Qaar ka mid ah arrimaha halista la xakameyn karo ee cudurka wadnaha waa:

• Cabitaanka khamriga. Haddii aad cabto, iska yaree wax aan ka badnayn 1 cabbitaan maalintii dumarka, ama 2 maalin ragga.
• Caafimaadka shucuurta. Iska hubi oo daawee niyad-jabka, haddii loo baahdo.
• Jimicsi. Qaado jimicsi jimicsi oo badan, sida socodka, dabaasha, ama baaskiil wadista, ugu yaraan 40 daqiiqo maalintii, ugu yaraan 3 ilaa 4 maalmood usbuucii.
• Sigaar cabid. Sigaar ha cabin ama tubaako ha isticmaalin.
• Cadaadis. Iska ilaali ama iska yaree walwalka inta aad kari karto.
• Miisaanka. Joogto miisaan caafimaad leh. Ku dadaal isku darka miisaanka jirka (BMI) inta u dhexeysa 18.5 iyo 24.9 iyo dhexda ka yar 35 inji (90 sentimitir).

Nafaqada wanaagsan waxay muhiim u tahay caafimaadka wadnahaaga. Caadooyinka cunitaanka caafimaadka leh ayaa kaa caawin doona inaad xakameyso qaar ka mid ah sababaha halista u ah cudurka wadnaha.

• Cun miro fara badan, khudaar, iyo miraha isku dhan.
• Xulo borotiinnada caatada ah, sida digaagga aan lahayn maqaarka, kalluunka, iyo digirta.
• Cun waxyaabaha caanaha laga sameeyo ee aan dufan lahayn ama dufanku ku yar yahay, sida caanaha aan dufanka lahayn iyo caano fadhi yar oo dufanku ku yar yahay.
• Ka fogow cuntooyinka ay ku jiraan heerarka sare ee sodium (cusbo).
• Akhri calaamadaha cuntada. Ka fogow cuntooyinka ay ku jiraan dufanka buuxa iyo dufanka qayb ahaan hydrogenated ama hydrogenated. Kuwani waa dufan aan caafimaad lahayn oo inta badan laga helo cuntooyinka shiilan, cuntooyinka warshadaysan, iyo waxyaabaha dubay.
• Cun cuntooyin ka kooban jiis, kareem, ama ukumo.

Bixiyahaaga ayaa kuu qori kara daawo lagu daaweeyo cudurka CHD, dhiig karka, sonkorowga, ama heerarka kalastarolka ee sareeya. Kuwaas waxaa ka mid noqon kara:

• Ka hortagayaasha ACE
• Beta-xannibaadayaasha
• Xannibaadayaasha kanaalka Calcium
• Diuretics (kaniiniyada biyaha)
• Statins si loo yareeyo kolestaroolka
• Kiniiniga nitroglycerin ama buufin si looga hortago ama loo joojiyo weerarka angina

Si loo yareeyo halista wadno-qabad, waxaa sidoo kale laguu sheegi karaa inaad maalin kasta qaadatid asbiriin, clopidogrel (Plavix), ticagrelor (Brilinta) ama prasugrel (Effient). Raac tilmaamaha bixiyahaaga si taxaddar leh si looga ilaaliyo cudurka wadnaha iyo angina inay ka sii daraan.

Had iyo jeer la hadal adeeg bixiyahaaga kahor intaadan joojin daawooyinkaaga midkood. Joojinta daawooyinkan si lama filaan ah ama wax ka beddelka qaddarkaaga ayaa angina kaaga sii dari kara ama sababi kara wadne qabad.

U samee qorshe daryeel bixiyahaaga maaraynta angina. Qorshahaagu waa inuu ku jiraa:

• Hawlaha noocee ah ayey kugu habboon yihiin inaad qabato, iyo kuwaan aan ahayn
• Waa maxay daawooyinka ay tahay inaad qaadato marka aad qabto angina
• Maxay yihiin calaamadaha lagu garto in angina ay kasii darayso
• Goorma ayaad wacaysaa daryeel bixiyahaaga ama 911 ama lambarka gurmadka degdegga ah ee deegaanka

Ogow waxa angina kaaga sii dari kara, iskuna day inaad iska ilaaliso waxyaabahaas. Tusaale ahaan, dadka qaarkiis waxay u arkaan in cimilada qabow, jimicsiga, cunida cunnooyinka waaweyn, ama xanaaqa ama walwalka ay sii xumeyso angina.

Cudurka halbowlayaasha wadnaha - la noolaanshaha; CAD - la noolaanshaha; Laab xanuun - la noolaansho

• Cunto caafimaad leh

Eckel RH, Jakicic JM, Ard JD, iyo al. Tilmaamaha 2013 AHA / ACC ee maaraynta qaab nololeedka si loo yareeyo halista wadnaha iyo xididdada: Warbixin ku saabsan Kulliyadda Caafimaadka Wadnaha ee Mareykanka / Ururka Wadnaha ee Mareykanka ee ku saabsan tilmaamaha tababarka. J Am Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. PMID: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.

Fihn SD, Blankenship JC, Alexander KP, iyo al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS cusbooneysiin diiradda lagu saaray ee tilmaamaha loogu talagalay ogaanshaha iyo maaraynta bukaannada qaba cudur wadnaha oo xasilloon: Warbixinta Kulliyadda Caafimaadka Wadnaha ee Mareykanka / Ururka Wadnaha ee Mareykanka ee Tilmaamaha Tababarka, iyo Ururka Mareykanka ee Qalliinka 'Thoracic Surgery', Kahortagga Kalkaaliyeyaasha Wadnaha ee Wadnaha, Bulshada Wadnaha iyo Waxqabadyada Wadnaha, iyo Bulshada Dhakhaatiirta Qalliinka 'Thoracic Surgeons'. J Am Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860/.

Morrow DA, de Lemos JA. Cudurka wadnaha ee istaaga. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 61.

Mozaffarian D. Nafaqada iyo cudurada wadnaha iyo cudurada dheef-shiid kiimikaadka. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2018: cutubka 49.

Stone NJ, Robinson JG, Lichtenstein AH, iyo al. Tilmaamaha 2013 ACC / AHA ee daaweynta daaweynta kolestaroolka dhiigga si loo yareeyo halista wadnaha iyo xididdada dhiigga ee dadka waaweyn: waa warbixin ku saabsan Kulliyadda Caafimaadka Wadnaha ee Mareykanka / Ururka Wadnaha ee Mareykanka ee ku saabsan tilmaamaha tababarka.J Am Coll Cardiol. 2014; 63 (25 Pt B): 2889-2934. PMID: 24239923 pubmed.ncbi.nlm.nih.gov/24239923/.

Thompson PD, Ades PA. Jimicsi ku saleysan, dhaqan celin dhameystiran oo wadnaha ah. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 54.

• Angina
• Cudurka Wadnaha