Atherosclerosis yog lo lus kho mob uas txhais tau tias txhaws lossis khov ntawm cov hlab ntsha. Qhov teeb meem no yog ib qho ua rau muaj kab mob hauv lub plawv, uas yog txhaws lossis nqaim ntawm cov hlab ntshav vim yog cov rog sib xyaw uas tiv thaiv cov ntshav ntws los ntawm kev ua haujlwm tau yooj yim thiab nqa oxygen. Arterial blockages tuaj yeem tshwm sim hauv plawv, paj hlwb, ob lub raum, txoj hnyuv, caj npab, lossis txhais ceg. Paub txog cov tsos mob ntawm cov hlab ntsha txhaws yog qhov tseem ceeb, tshwj xeeb tshaj yog tias koj muaj yam txaus ntshai. Txoj kev ntawd, koj tuaj yeem tau txais kev pab kho mob sai li sai tau.
Kauj ruam
Txoj Kev 1 ntawm 3: Paub txog Cov tsos mob tshwm sim ntawm Arterial Blockage
Kauj Ruam 1. Saib cov tsos mob ntawm lub plawv nres
Cov tsos mob tshwj xeeb tuaj yeem qhia qhov pib mob plawv. Hauv qhov kev tawm tsam no, cov ntshav muaj cov pa oxygen tsis tuaj yeem ncav cuag lub plawv nqaij. Yog tias lub plawv tsis tau txais cov pa oxygen txaus, qee qhov nws tuaj yeem tuag taus. Txawm li cas los xij, qib kev puas tsuaj rau cov leeg hauv plawv tuaj yeem txo qis yog tias koj tau txais kev kho mob hauv tsev kho mob tsis pub dhau ib teev ntawm kev pib pom cov tsos mob. Cov tsos mob ntawm lub plawv nres muaj xws li:
- Mob lossis siab hauv siab
- Ceev los yog hnyav hauv siab
- Tawm hws los yog hws txias
- Sensation ntawm sebah los yog tag nrho
- Xeev siab thiab/lossis ntuav
- Taub hau taub hau
- Kiv taub hau
- Tsis muaj zog
- Ntshai
- Cov mem tes nrawm lossis lub plawv dhia tsis xwm yeem
- Ua pa nyuaj
- Qhov mob uas tawg mus rau sab caj npab
- Qhov mob feem ntau piav raws li siab lossis nruj hauv siab, tsis mob heev.
- Nco ntsoov tias hauv cov poj niam, cov neeg laus, thiab cov neeg muaj ntshav qab zib, lub plawv nres feem ntau tsis suav nrog cov tsos mob ib txwm muaj, thiab tseem tuaj yeem tshwm sim nrog cov tsos mob sib txawv. Txawm li cas los xij, qaug zog yog ib qho.
Kauj Ruam 2. Paub txog cov tsos mob ntawm cov hlab ntshav thaiv hauv ob lub raum
Cov tsos mob ntawm cov hlab ntsha thaiv hauv ob lub raum txawv ntawm cov tsos mob ntawm cov hlab ntsha thaiv nyob rau lwm qhov hauv lub cev. Koj tuaj yeem muaj lub raum thaiv cov hlab ntshav yog tias koj muaj: ntshav siab tswj tsis tau, qaug zog, xeev siab, tsis qab los, tawv nqaij tawv, lossis nyuaj rau mloog.
- Yog tias cov hlab ntsha hauv lub raum raug kaw tag nrho, koj yuav ua npaws tsis tu ncua, xeev siab, ntuav, thiab mob hauv koj lub nraub qaum lossis hauv plab.
- Yog tias qhov txhaws nyob hauv cov hlab ntsha me thiab nyob hauv cov leeg ntshav, tseem yuav muaj qhov txhaws hauv cov hlab ntshav hauv lwm qhov ntawm koj lub cev, xws li koj cov ntiv tes, ntiv taw, lub hlwb, lossis txoj hnyuv.
Kauj Ruam 3. Mus ntsib kws kho mob yog tias koj muaj ib yam ntawm cov tsos mob hauv qab no
Txawm hais tias koj tsis paub tseeb tias muaj qhov txhaws hauv koj cov hlab ntsha, nws ib txwm zoo dua los ntawm kev ceeb toom dua li khuv xim nws tom qab. Hu rau koj tus kws kho mob thiab piav qhia koj cov tsos mob. Koj tus kws kho mob yuav hais kom koj mus kuaj mob ntawm lawv lub tsev kho mob lossis mus ntsib chav kho mob xwm txheej ze tshaj plaws.
Kauj Ruam 4. Tsis txhob txav thiab txav mus yog tias kev pab kho mob tsis tuaj txog tam sim
So kom txog thaum kev pab kho mob tuaj txog. Los ntawm kev tsis txav mus, koj thiab txo qhov xav tau oxygen thiab ua haujlwm ntawm cov leeg nqaij hauv plawv.
Yog koj xav tias koj muaj lub plawv nres, zom 325 mg tshuaj aspirin tom qab hu rau chav kho mob ceev. Yog tias koj tsuas muaj cov tshuaj aspirin tsawg, noj 4 81 mg tshuaj aspirin. Kev zom cov ntsiav tshuaj ua ntej nqos yuav ua rau cov tshuaj aspirin nrawm dua
Txoj Kev 2 ntawm 3: Soj Ntsuam Kev Tiv Thaiv Kab Mob Arterial
Kauj Ruam 1. Tau kuaj lub plawv thiab kuaj ntshav kom pom cov hlab ntsha thaiv
Koj tus kws kho mob yuav nug koj kom kuaj ntshav txhawm rau txiav txim siab cov ntsiab lus ntawm qee yam suab thaj, roj cholesterol, calcium, rog, thiab protein ntau hauv lawv uas tuaj yeem ua rau muaj kev pheej hmoo ntawm atherosclerosis thiab cov hlab ntshav txhaws.
- Koj tus kws kho mob kuj tseem tuaj yeem xaj tshuaj electrocardiogram txhawm rau sau cov cim hluav taws xob uas yog qhov taw qhia ntawm seb koj puas tau muaj lub plawv nres ua ntej lossis tam sim no muaj.
- Koj tus kws kho mob kuj tseem yuav nug koj kom kuaj xyuas suav nrog echocardiogram, suav tomography (CT), thiab duab sib nqus sib nqus (MRI) txhawm rau ntsuas kev ua haujlwm ntawm lub plawv, pom cov kab hauv lub plawv, thiab saib cov duab ntawm calcium tso nyiaj uas ua rau nqaim lossis txhaws ntawm cov hlab plawv.
- Kev sim ntsuas kuj tseem ua tau. Qhov kev ntsuas no tso cai rau cov kws kho mob ntsuas ntshav ntws mus rau cov leeg nqaij hauv lub cev thaum muaj kev nyuaj siab.
Kauj Ruam 2. Tau kuaj lub raum ua haujlwm kom pom tias koj cov hlab ntsha hauv lub raum raug thaiv
Koj tus kws kho mob tuaj yeem xaj ntsuas kom ntsuas koj cov qib creatinine hauv cov ntshav, tus nqi glomerular pom, thiab ntshav urea nitrogen qib los ntsuas lub raum ua haujlwm. Tag nrho peb qho no yog kev sim sib txawv ntawm cov qauv zis. Kev kuaj ultrasound thiab CT kuj tseem tuaj yeem siv txhawm rau txhawm rau thaiv cov hlab ntsha thiab cov calcium tso.
Kauj Ruam 3. Tau kuaj mob rau cov hlab ntsha ib leeg
Kab mob ntawm cov hlab ntsha peripheral yog teeb meem hauv cov hlab ntshav, piv txwv li nqaim ntawm cov hlab ntsha. Qhov nqaim ntawm cov hlab ntsha no yuav txo cov ntshav ncig mus rau qhov nqua. Ib qho ntawm qhov kev sim yooj yim tshaj plaws yog kom koj tus kws kho mob sib piv cov pa hauv ob txhais ceg thaum kuaj mob tas li. Koj muaj kev pheej hmoo loj ntawm kev tsim tus kab mob no yog:
- Muaj hnub nyoog qis dua 50 xyoos, muaj ntshav qab zib, thiab muaj tsawg kawg ib ntawm cov hauv qab no: haus luam yeeb, ntshav siab, thiab qib roj cholesterol siab.
- Ntau tshaj 50 xyoo thiab muaj mob ntshav qab zib.
- Muaj hnub nyoog 50 xyoos lossis tshaj saud thiab tau haus luam yeeb yav dhau los.
- Hnub nyoog 70 xyoo lossis tshaj saud.
- Kev paub ib lossis ntau qhov ntawm cov tsos mob hauv qab no: mob hauv caug ntawm taw lossis ntiv taw uas cuam tshuam nrog kev pw tsaug zog, muaj qhov txhab ntawm daim tawv nqaij ntawm tus taw lossis ko taw uas siv sijhawm ntev los kho (ntau dua 8 lub lis piam), thiab nkees, hnov mob hnyav, lossis qaug zog hauv cov leeg ntawm txhais taw, hauv caug, thiab pob tw ntawm kev ua haujlwm, tab sis txhim kho tom qab so.
Txoj Kev 3 ntawm 3: Tiv Thaiv Arterial Blockage
Kauj Ruam 1. Nkag siab qhov ua rau
Txawm hais tias muaj coob tus neeg ntseeg tias cov rog sib xyaw uas txhaws cov hlab ntshav tau tshwm sim los ntawm cov roj (cholesterol) ntau dhau, qhov kev xav no yog qhov yooj yim dua li qhov loj ntawm cov roj (cholesterol) sib txawv. Cov roj (cholesterol) yog lub cev xav tau los tsim cov vitamins, cov tshuaj hormones, thiab lwm yam tshuaj hloov pauv tshuaj. Cov kws tshawb fawb tau pom tias txawm hais tias qee cov roj (cholesterol) molecules ua teeb meem rau lub plawv thiab ua rau cov hlab ntshav txhaws, suab thaj thiab carbohydrates uas ua rau cov lus teb ua mob hauv lub cev yog qhov tseem ceeb ua ntej ntawm atherosclerosis.
- Txawm hais tias koj tau sim nyob deb ntawm cov rog kom txo koj cov qib roj cholesterol thiab koj txoj kev pheej hmoo ntawm atherosclerosis thiab cov hlab ntsha txhaws, koj yuav ua tsis raug. Noj cov zaub mov muaj roj kom zoo tsis yog kev tshawb fawb txuas nrog kab mob hauv lub plawv thiab cov hlab ntshav txhaws.
- Hauv kev sib piv, kev noj zaub mov nplua nuj nyob hauv fructose, muaj suab thaj-tsis muaj rog, thiab cov nplej tag nrho tau txuas rau dyslipidemia, uas ua rau cov hlab ntshav txhaws. Fructose muaj nyob hauv cov dej qab zib, txiv hmab txiv ntoo, jelly, jam, thiab lwm yam khoom qab zib.
Kauj Ruam 2. Ua raws cov zaub mov noj qab haus huv nplua nuj nyob hauv cov zaub mov muaj roj zoo, tsis muaj piam thaj, fructose, thiab carbohydrates
Cov carbohydrates yuav hloov pauv mus rau hauv qab zib hauv lub cev thiab tseem yuav ua rau cov lus teb ua rau mob. Cov piam thaj siab, fructose thiab cov ntsiab lus carbohydrate yuav ua rau koj muaj feem yuav tsim muaj ntshav qab zib. Ntshav qab zib yuav ua rau muaj kev pheej hmoo ntawm cov hlab ntshav txhaws.
Qhov no kuj suav nrog tsis haus cawv ntau
Kauj Ruam 3. Txiav luam yeeb
Tus naj npawb ntawm cov khoom siv hauv cov luam yeeb uas ua rau mob atherosclerosis thiab cov hlab ntshav txhaws tsis tau paub meej. Txawm li cas los xij, cov kws tshawb fawb paub tias kev haus luam yeeb yog qhov ua rau muaj kev pheej hmoo loj rau mob o, mob ntshav khov, thiab qhov qis lipoprotein oxidation, txhua qhov uas ua lub luag haujlwm hauv cov hlab ntshav txhaws.
Kauj Ruam 4. Khaws koj qhov hnyav nyob hauv qhov ib txwm muaj
Kev hnyav ntxiv yuav ua rau koj muaj feem yuav tsim muaj ntshav qab zib. Ntshav qab zib, dhau los, yuav ua rau muaj kev pheej hmoo ntawm cov hlab ntshav txhaws.
Kauj Ruam 5. Ua haujlwm tsis tu ncua 30 feeb txhua hnub
Kev tsis tawm dag zog yog ib yam uas ua lub luag haujlwm hauv 90% ntawm kev pheej hmoo mob plawv hauv txiv neej thiab 94% hauv poj niam. Kab mob hauv lub plawv thiab plawv nres tsuas yog ob qho teeb meem tshwm sim los ntawm cov hlab ntsha txhaws.
Kauj Ruam 6. Sim txo kev ntxhov siab
Lwm qhov tseem ceeb uas ua lub luag haujlwm hauv cov hlab ntshav txhaws yog qib kev ntxhov siab. Nco ntsoov so thiab so kom txo tau kev ntxhov siab. Txawm hais tias ntsuas ntshav siab tsis tuaj yeem ntsuas qib roj cholesterol hauv lub cev, koj tuaj yeem siv qhov ntsuas no los kwv yees kev noj qab haus huv ntawm lub cev.
Kauj Ruam 7. Tham nrog tshuaj nrog kws kho mob
Koj tus kws kho mob yuav sau ntawv tshuaj statin kom txo qis cov quav hniav hauv cov hlab ntshav. Cov tshuaj hauv chav kawm no yuav ua rau lub cev nres ua cov roj cholesterol hauv qhov kev cia siab tias cov roj (cholesterol) uas tau sau hauv cov hlab ntshav yuav raug nqus.
- Statins tsis tuaj yeem siv los ntawm txhua tus. Txawm li cas los xij, yog tias koj muaj ntshav qab zib, mob plawv, muaj qib roj (cholesterol HDL qib 190 mg/dL lossis ntau dua), lossis muaj kev pheej hmoo loj ntawm kev mob plawv hauv 10 xyoo tom ntej, koj tus kws kho mob yuav pom zoo noj cov tshuaj no.
- Statins suav nrog atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Altoprev), pitavastatin (Livalo), pravastatin (Pravachol), rosuvastatin (Crestor), thiab simvastatin (Zocor).
Lub tswv yim
- Kev tiv thaiv lossis ncua sijhawm pib ntawm cov hlab ntshav txhaws yuav tsum tau noj zaub mov thiab hloov pauv kev ua neej. Txawm li cas los xij, cov kev hloov pauv no yuav muaj kev cuam tshuam zoo rau lub sijhawm ntev, uas yog kev noj qab haus huv zoo dua thiab muaj peev xwm ntau dua rau koj kom txaus siab rau lub neej.
- Saib xyuas cov tsos mob ntawm cov hlab ntsha txhaws thiab nug koj tus kws kho mob los tshuaj xyuas koj yog tias koj xav tias kev noj zaub mov tsis zoo yuav ua rau koj muaj kev pheej hmoo loj hlob ntawm atherosclerosis. Kev kuaj mob ntxov thiab kho yuav pab tiv thaiv koj los ntawm cov tsos mob hnyav dua.
Ceeb toom
- Txawm hais tias cov hlab ntsha txhaws feem ntau ua rau muaj teeb meem feem ntau ntawm qhov txuam nrog, cov nyiaj tso rau ntawm phab ntsa ntawm cov hlab ntshav tuaj yeem tawg thiab nres ntshav ntws mus rau lub hlwb lossis lub plawv, ua rau lub plawv nres lossis mob hlab ntsha tawg.
- Kev thaiv cov hlab ntsha hauv plawv tuaj yeem ua rau mob angina. Angina yog mob ntev hauv lub hauv siab uas zoo dua tom qab so. Txawm li cas los xij, qhov teeb meem no yuav tsum tau hais thiab daws vim nws tuaj yeem ua rau mob plawv.
