Kab mob plawv thiab kab mob plawv
kab mob plawv thiab kab mob plawv tau los rau hauv kev tsom mus rau vim qhov tsis ntev los no ntawm cov kab mob sib kis, hauv ntiaj teb. Lub koom haum saib xyuas kev noj qab haus huv hauv ntiaj teb (WHO) tau ua qhov tseem ceeb tiv thaiv thiab tswj cov kab mob tsis sib kis no hauv lawv cov tswv yim saib xyuas kev noj qab haus huv. Cov kab mob plawv ischemic, ntshav qab zib, ntshav siab, thiab cov kab mob ntsws ntev yog plaub yam kab mob uas tsis sib kis loj tshaj plaws hauv ntiaj teb niaj hnub no. Cov kab mob ischemic plawv thiab kab mob plawv yog tib yam. Lo lus "kab mob plawv" suav nrog ntau yam kab mob plawv thiab hlab ntsha. Yog li, kab mob plawv yog ib hom kab mob plawv.
Kab Mob plawv (CVD)
Cov kab mob plawv tuaj yeem faib dav rau cov kab mob plawv thiab cov kab mob ntawm cov hlab ntsha. Cov kab mob hauv lub plawv tuaj yeem yog vim muaj cov ntshav tsis txaus (Ex: kab mob plawv ischemic), kev ua haujlwm tsis zoo ntawm hluav taws xob (Ex: arrhythmias), lub plawv tsis ua haujlwm ntawm lub plawv (Ex: cardiomyopathies) thiab kev ua haujlwm tsis zoo (Ex: Valve kab mob thiab septal defects). Cov kab mob hauv lub plawv tuaj yeem tshwm sim txij thaum yug los (Congenital) lossis tshwm sim tom qab (tau txais). Kab mob plawv tej zaum yuav yog tam sim ntawd (mob) los yog ntev (ntev). Cov hlab ntsha tuaj yeem ua kom tuab nrog lub hnub nyoog, thaiv vim kev tsim cov atheromatous plaque (Ex: peripheral vascular kab mob) thiab o (Ex: vasculitis). Muaj ntau yam kab mob uas ua rau lub plawv puas los yog ua haujlwm.
Kab mob plawv Coronary (CHD)
Kab mob plawv Coronary yog ib hom kab mob plawv vim cov ntshav tsis txaus rau cov leeg nqaij los ntawm cov hlab ntsha. Muaj ob txoj hlab ntsha tseem ceeb uas tawm ntawm lub ascending aorta tom qab nws tawm hauv lub plawv. Lawv yog sab laug thiab sab xis coronary hlab ntsha. Sab laug coronary artery tam sim ntawd faib ua ob ceg; lub circumflex thiab anterior nqis. Clinically, ob ceg no suav hais tias yog cov hlab ntsha cais; Yog li, lub npe triple hlab ntsha kab mob (thaum tag nrho peb cov hlab ntsha muaj blocks nyob rau hauv lawv). Zoo li tag nrho cov hlab ntsha, cov hlab ntsha coronary tau nqaim nrog lub hnub nyoog. Lub nkoj phab ntsa thickens thiab poob lub elasticity uas lawv ib zaug muaj. Kev haus luam yeeb, cawv, thiab lwm yam co toxins (tab sis feem ntau yog haus luam yeeb) ua rau cov hlab ntsha hauv cov hlab ntsha (endothelium) thiab ua rau cov txheej txheem ntawm cov quav hniav. Cov roj (cholesterol) siab thiab ntshav qab zib mellitus ua rau muaj kev pheej hmoo ntawm kev tsim cov quav hniav. Thaum ib daim ntawv plaque, cov ntshav mus rau qhov chaw muab los ntawm cov hlab ntsha txo. Qhov no ua rau mob hnyav, nruj hom mob hauv siab tom qab sternum nrog nyuaj ua pa thiab tawm hws. Qhov no hu ua angina thiab, nyob rau hauv lub plawv nres loj, nws tuaj yeem kav ntev dua 20 feeb.
hom mob hauv siab no yuav tsum tau mus pw hauv tsev kho mob, ceev ECG, thiab yog tias muaj lub plawv nres, kho sai. Aspirin, clopidogrel, thiab statins yog thawj cov tshuaj siv. Raws li ECG nrhiav cov kws kho mob tuaj yeem faib lub plawv nres li NSTEMI lossis STEMI. STEMI yog qhov hnyav dua li NSTEMI, thiab nws xav tau thrombolysis. Thrombolysis yog txheej txheem txaus ntshai uas qee cov tshuaj tau muab los ua kom cov ntshav txhaws txhaws cov hlab ntsha. NSTEMI xav tau heparinization nkaus xwb. Thaum cov kev tswj tam sim ntawd dhau mus, beta blockers (yog tias tsis muaj lub plawv tsis ua haujlwm), ACE inhibitors, aspirin, clopidogrel, statins pib. Cov tshuaj tiv thaiv hypertensive yog qhia yog tias ntshav siab siab.
Kab mob plawv yog ib yam mob uas muaj teeb meem tuag taus. Lub plawv nres, cardiogenic poob siab, arrhythmias, lub plawv tsis ua hauj lwm, cardiomyopathies, myocarditis, endocarditis, pericarditis, valve disorders, septal defects, myocardial rupture, plawv tamponade, post infarction malignant arrhythmias, thiab ventricular aneurysms.
Cov kab mob plawv yog ib pawg kab mob dav dav uas suav nrog cov kab mob plawv.
Nyeem ntxiv:
1. Qhov txawv ntawm Systolic thiab Diastolic Heart Failure
2. Qhov txawv ntawm Aortic Sclerosis thiab Aortic Stenosis
3. Qhov txawv ntawm Atrial Fibrillation thiab Atrial Flutter
4. Qhov txawv ntawm Cov Pauv Ntawm Cov Mob Nrauj thiab Cov tsos mob ntawm Lub Siab Attack
5. Qhov txawv ntawm Bypass thiab Open Heart Surgery
6. Qhov txawv ntawm Angiogram thiab Angioplasty
7. Qhov txawv ntawm Ventricular Tachycardia thiab Ventricular Fibrillation
8. Qhov txawv ntawm Pacemaker thiab Defibrillator
9. Qhov txawv ntawm Cardioversion thiab Defibrillation
10. Qhov txawv ntawm Stroke thiab Aneurysm
