Phekolo ea meriana bakeng sa mathata a pelo, mafu a pelo (angina le lefu la pelo)

Phekolo ea meriana bakeng sa mathata a pelo, mafu a pelo (angina le lefu la pelo)

Phekolo ea a infarction ea myocardial e hloka ho kena lipakeng tsa bongaka ho tlohapotlako e le ho fokotsa liphello. Ikopanye le thuso ea bongaka kapele kamoo ho ka khonehang.

Liphekolo tsa tšohanyetso tse fanoang sepetlele li ke ke tsa buisanoa mona. Hang ha boemo ba tšohanyetso bo le tlas'a taolo, the mehato ea kalafo Sepheo se seholo e tla ba ho thibela bothata hore bo se ke ba mpefala le ho thibela ho hlaha hape.

Haeba u ba le matšoao a tlhaselo ea angina, buisana le ngaka ntle le tieho.

Meriana

Lithethefatsi tse latelang li sebelisetsoa ho phekola kapa ho thibela tlhaselo ea angina le ho thibela infarction e etsahalang khafetsa.

  • Li-Hypolypemiants, ho theola maemo a k'holeseterole: li-statins, li-binder acid tsa bile, joalo-joalo.
  • Antiangineux, ho phekola lefu la pelo: beta blockers, calcium channel blockers, nitrate.
  • Lithethefatsi tsa Antiplatelet : acetylsalicylic acid (aspirin) le clopidogrel.

Bafuputsi ba ntse ba sebetsa ho etsa limolek'hule tse khonang ho phahamisa boemo ba k'holeseterole e ntle (HDL).

tsereletsi

Ho itšetlehile ka nyeoe, e 'ngoe kapa e' ngoe ea mehato e latelang e ka bontšoa e le ho thibela infarction e etsahalang khafetsa.

  • Percutaneous coronary intercutaneous. Ts'ebetso ena, e etsoang ke ngaka ea mafu a pelo, e kenyelletsa pele ho kenya catheter e kentsoeng balune e fofang ho koala mothapo o thibaneng, o bitsoangangioplasty. Catheter e kenngoa ka har'a mothapo oa letsoho o ka letsoho kapa mokokotlong.

     

    Nakong ea ho buuoa, e nyenyane thupa ea tšepe, kapa stent, hangata e kenngoa ka har'a mothapo oa mali, e leng ho fokotsang kotsi ea hore mothapo o thibane hape. Ho eketsa ts'ebetso ea bona, lithupa tse ling li koahetsoe ka moriana (mohlala, sirolimus kapa paclitaxel).

  • Ho buuoa ka bypass. Ngaka e hlomathisa mothapo oa mali, o nkiloeng leotong kapa sefubeng, ho etsa tsela e ncha ea hore mali a tsoe ho thibane ha methapo ea mali. Lingaka li khetha ho buuoa ka bypass ha methapo e mengata ea pelo e thibane kapa e tšesaane, kapa ha methapo e meholo ea pelo e ameha. Boitshunyako bona bo etsahala haholo-holo ha ho ka etsahala lefu la tsoekere orHo Hlōleha ha Pelo, kapa haeba methapo e mengata ea mali e thibane.

ea bohlokoa. Percutaneous coronary intercutaneous le opereishene ea coronary bypass hase litokiso tse potlakileng tse rarollang mathata ohle. Batho ba bangata baa lumela, ka phoso, hore mehato e joalo e lekane ho ba ntša kotsing le ho ba lumella ho tsosolosa mekhoa ea bona ea khale ea bophelo.

Phetoho ea mokhoa oa bophelo

Lingaka li ntse li tsoela pele ho hatisa tlhokahalo ea ho fetola mekhoa ea bophelo e le ho fokotsa kapa ho emisa tsoelo-pele ea lefu lena, joalokaha ho hlalositsoe karolong ea Thibelo:

  • H a Ho Tsubeloe;
  • ho ikoetlisa;
  • ja hantle;
  • boloka boima bo botle;
  • robala hantle;
  • ithute ho phomola;
  • ho hlahisa maikutlo, jj.

Na lefu la pelo le ama pelo, empa le boko le boroko?

Mathata alefu la ho hlobaela li tloaelehile libeke tse 2 ka mor'a lefu la pelo. Ke khale litsebi li lumela hore khatello ea kelello ke eona sesosa. Leha ho le joalo, ho ka etsahala hore ebe infarction ha e ame pelo feela, empa hape le li-neurone bokong tse bapalang karolo ea boroko. Bonyane ena ke khopolo-taba e tšehetsoeng ke bafuputsi ba Quebec.48.

The litsi tsa kalafo ho cardiology hona joale fana ka litšebeletso tsa tlhabollo litabeng tsa phepo e nepahetseng, mananeo a boikoetliso ba 'mele, mananeo a tšehetso ea ho khaotsa ho tsuba, lithupelo tsa ho phomola, ho laola khatello ea kelello, ho thuisa, joalo-joalo.

Mehato ena e na le molemo oa thibelo le oa ho folisa.

Ithute ho tsoa ho lijo tsa Mediterranean

Lingaka tse 'maloa tsa cardiologists li khothalletsa lijo tsena, tse sebetsang hantle bakeng sa thibela ho ipheta.

Liphuputso li bontšitse hore lijo tsa Mediterranean li khona ho fokotsa 70% kotsi ea ho khutla hape ha lefu la peloha e bapisoa le phepo e nepahetseng34-36 .

Lijo tsa Mediterranean li khetholloa ka ho khetheha ka bongata ba meroho le litholoana tse ncha, tšebeliso ea oli ea mohloaare e le mohloli oa mafura, tšebeliso ea litlhapi le veine, ka bongata bo itekanetseng.

Psychotherapy

Ho ba le psychotherapy e le karolo ea kalafo ea mafu a pelo - kapa ho feta, ho thibela - ho ka tlisa melemo e mengata.39, 55. Khatello ea maikutlo e sa feleng, matšoenyeho, ho itšehla thajana le ho ba mabifi ke lintlha tseo, ntle le ho hlokomeloa, li sebetsang tsamaisong ea methapo ea rona le ho thefula bophelo ba rona ba pelo. Ho phaella moo, ho fokotsa mathata ana, ho tloaelehile hore re fetohele boitšoarong boo, ho e-na le ho re thusa, bo mpefatsang bothata: ho tsuba, ho lemalla joala, ho ja ho qobella, joalo-joalo.

Ho phaella moo, batho bao, ka mor'a tlhaselo ea angina, ka mohlala, ba khothalletsoang ho nahana hape tsela ea bophelo (ho ikoetlisa, ho tlohela ho tsuba, joalo-joalo), ho ba le thahasello ea ho nka mekhoa eohle e ka khonehang ho e finyella. Leha ho le joalo, psychotherapy e ka bapala karolo e ka sehloohong.

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