Hase yeeshee habab kale oo haweenku ku dhici karto laab xanuun ayaa leh "halis" halbowlayaasha
Inkasta oo cudurka Cudurka Wadnaha (CAD) uu yahay mid muhiim u ah dumarka maadaama ay tahay ragga, dhowr arrimood ayaa ka dhigi kara CAD inay dhib ka dhigto baaritaanka haweenka. Mid ka mid ah arrimahan waa "CAD-dheddig". Gudniinka haweenka ah, CAD, baarista kansarka - "dahabka dahabka" ee lagu ogaanayo CAD - badanaa waa la khaldan yahay sida caadiga ah.
- Qaab dumarka CAD ah waa mid ka mid ah xaalado dhowr ah oo soo saari kara CAD oo leh "halis" halbowlayaasha wadnaha. Halkan ka akhri kuwa kale.
Inta lagu jiro nidaamka cudurada loo yaqaan ' atherosclerosis' , waa dheecaan kaadiheysta, dheecaan uumeysi ah, qallafsan, oo bararna leh nooc kasta oo "gaajo" - oo ay ku jiraan kaydka kalsiyumka, keydka dufanka, iyo unugyada infakshanka aan caadiga ahayn. Atherosclerosis ayaa caadi ahaan ah nidaam qadarin ah oo soo saara jimicsiyada iyo meelaha gudaha ah . Dabaqooyinkan, kuwaas oo loo maleyn karo inay yihiin "fowdo" ballaaran oo ka soo baxa kanaalka halbowlaha, inta badan waxay keenaan xannibaadyo gudaha ah oo ka yimaada halbowlaha. (Dabeecadooda xaafadooda ah waxay ka dhigan tahay inay ku haboon tahay daaweynta cudurrada anjioplasty , stents ama qalliin .) Bukaannada qaba CAD waxay yeelan karaan hal ama laba dabar, ama laga yaabo inay leeyihiin daraasado oo loo qaybiyo halbowlayaasha wadnaha.
Haweenka qaba hab-hawleedka CAD-da , atherosclerosis ma sameeyaan dabaqyo kala duwan, sidaas awgeed xannibaadyada maxalliga ah ayaa maqan. Taa bedelkeeda, dabaqyada ku jira haweenkaas ayaa badanaa kala firdhisan, oo ku lug leh qiyaasta wareegga oo dhan ee halbowlaha, si markaas xuubka arthritis uu noqdo mid adag.
Inkastoo aysan jirin goobo kala duwan oo xakameyn ah, wareegga gudaha ee xuubka ayaa noqda mid daciif ah. Cudurka wadnaha (heart attacking) wadnaha xididdada wadnaha ayaa u muuqda mid caadi ah oo caadi ahaan caadi ah (inkastoo ay badanaa u muuqdaan "yar" dhexroor).
Saadaasha dumarka leh habka haweenka ee CAD-du waxay u muuqataa inay ka fiican tahay CAD, laakiin tani maahan xaalad aan wanaagsanayn.
Weerarada wadnaha iyo dhimashada ayaa dhacaya.
Gaar ahaan, hab-hawleedka haweenka ah waxay keeni kartaa cudurka dabaysha (ACS) . ACS waxay dhacdaa sababtoo ah daboollada kala-baxsan waxay dillaaci karaan oo ay dillaaci karaan (sida dabaqooyinka kala duwan ee CAD-ga caadiga ah), taas oo keenaysa in dhiiggu kuusho gudaha halbowlaha oo uu keeno xannibaad degdeg ah. Haddii xinjirku markaa ka dib lakabiyo daawooyinka xinjirooba, kalkaalisada wadnaha kaddib waxaa badanaa muujiyaa xididada 'caadiga' ee xididdada wadnaha ee caadiga ah kuwaas oo ku xiran habka haweenka ee CAD, sidaas daraadeed kalsooni darrada wadnaha.
Sidee baa Qaab-Hawleedka CAD-ga loo Qaadaa?
Cilmi-baarista haweenka qaab-hawleedka CAD-ga waxaa lagu dhejin karaa hab farsamo oo cusub oo loo yaqaan 'ultrasound ultrasound (IVUS)'. IVUS (oo aan si joogto ah loo samaynin inta lagu jiro kateetarka, oo aan xitaa laga helin cosbitaalo badan) waxay u baahan tahay in la geliyo tuubo khaas ah oo ku xiran halbowlaha wadnaha ee isticmaala ultrasound (ie, echocardiography ) si loo arko derbiga xididka halbowlaha. Qaababka kala duwan ee habka haweenka ah ee CAD-ga ayaa loo aqoonsan karaa sidan. Daraasad dhowaan, in ka badan kala badh haweenka qaba calaamadaha angina oo leh "xididada caadiga ah" halbowleeyaasha ayaa yeeshay dabaqyo kala duwan oo loo yaqaan "IVUS".
Jiritaanka habka haweenka ee CAD-ka ayaa lagu qiyaasi karaa iyadoo la qiyaasayo awooda isbitaallada halbowlaha si ay ugu jawaabaan daroogada loo yaqaanno acetylcholine. Halbowlayaasha halbawlaha ah ee lagu arko haweenka qaab-hawleedka CAD-da ayaa ku fashilmay inay caadi ahaan u kiciyaan.
Qaab dumarka CAD ah waa in looga shakiyo in haween kasta oo qaba angina ama ACS, laakiin uu leeyahay xididada 'caadiga' ee xididdada wadnaha ee ku dhaca qalalka wadnaha.
Sidee Ayuu Daaweyn Doonaa Qalabka Dumarka?
Sababtoo ah cirbidda xididdada halbowlaha ee habka haweenka ee CAD-da waa kala duwan yihiin, daaweynaha loola jeedo in lagu yareeyo khatarta maxalliga ah - sida cudurrada angioplasty, stents, iyo qalliinka boogaha - guud ahaan ma khuseeyo.
Halkii, daaweyntu waa inay noqotaa daaweyn. Daaweynta ugu wanaagsan ee xaaladdan weli wali lama qeexi karo, laakiin habab badan oo isdabajoog ah ayaa u muuqda kuwa ugu fiican waqtigan, waana in lagu daraa isbeddel ku salaysan khatarta , daaweynta si loo yareeyo khatarta xinjirta (aspirin), iyo daroogooyinka si loo ilaaliyo muruqa wadnaha laftiisa (beta blockers iyo suurtogal ah inay joojiyaan ACE). Cilmi-baadhayaashu hadda waxay diiradda saaraan fiirsashada dareenka haweenka ee CAD, iyo faham fiican oo ku saabsan xaaladdan iyo daaweynteedu waxay u badan tahay mustaqbalka la filayo.
Dhanka kale, haddii aad tahay qof dumar ah oo qaba xanuunka angina-sida xanuunka foosha, laakiin baaritaanka wadnahaagu wuxuu muujiyay xididada wadnaha "caadiga ah", adiga iyo dhakhtarkaagu waa inaad ogaataan in shaqadaada aan weli la dhameystirin. Xaaladdan, daraasad aan caadi ahayn "angiography" ma aha mid wax ka qaban karta dhibaatada wadnaha. Taas bedelkeeda, macnaheedu waa baaritaan dheeraad ah ayaa loo baahan yahay si loo helo sababta calaamadahaaga.
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Von Mering GO, Arant CB, Wessel TR, et al. Dhiig-bax aan caadi aheyn oo loo arko inuu yahay mid muujinaya dhacdooyinka cudurka wadnaha ee haweenka: Natiijooyinka ka soo baxa Qalabka Wadnaha ee Wadnaha, Sambabka, iyo Dhiig-bixinta Machadka Haweenka Ischemia Syndrome (WISE). Wareegga 2004; 109: 722-5.
Pepine CJ, Cudurka wadnaha Ischemic ee haweenka: xaqiiqda iyo fikirka dareenka ah. J Am Coll Cardiol Pepine 43 (10): 1727.