Musamman a Matasan Mata, Zatuttukan Zuciya na iya zama saboda halayen
Domin shekaru da yawa, masu ilimin zuciya sun san cewa cututtuka na jijiyoyin jini (CAD) a cikin mata na iya bambanta da maza. Matakan bayyanar mata na iya zama daban , gwajin gwajin da aka yi amfani da shi don CAD na iya ba da amsa "kuskure" a cikin mata , kuma cutar da ke cikin kanta ta iya bambanta .
ya bayyana cewa akwai wani bambanci yadda CAD "ke nunawa" a wasu mata.
A cikin ƙananan mata waɗanda ke da ƙananan ƙwayar cuta (ciwon zuciya) , maganin na jijiyoyin jini (jini ƙuƙwalwa cikin ƙarfin jini) wanda zai haifar da lalacewa ta zuciya ta wani rushewa na plaque atherosclerotic , maimakon ta hanyar raguwa da wani plaque . Lokacin da ciwon zuciya ya lalacewa ta hanyar yashwa, alamun bayyanar zai iya zama da ta fi dacewa da kasa da hankula fiye da ciwon zuciya na "saba". kuma likita zai iya rasa (ko kuma ya goge). A sakamakon haka, ana iya jinkirta kulawa kuma sakamakon zai iya zama mummunar muni.
Yadda Zuciyar Zuciya ta Koma
Yawancin lokaci, ciwo mai ciwo na ciwon zuciya (ACS) yana haifar da rushewar wani allo. Kaddamar da takaddama a kullum shi ne babban abu mai ban mamaki da ke faruwa wanda ke haifar da sakamakon da zai faru. Rupture yana nuna "gunkin" a cikin takarda (cholesterol, calcium, ƙwayoyin ƙwayoyin ƙwayoyin cuta, da wasu kayan) zuwa jinin jini - kuma wannan yakan haifar da yaduwar jini.
Sau da yawa, gudan jini yana haifar da cikar maganin katakon jini, kuma jini yana gudanawa zuwa sashin zuciyar tsohuwar da aka ba da wannan maganin a rufe. Wannan rikitarwa yakan haifar da bayyanar cututtukan da ke da alaƙa da ACS - alamun cututtuka na zuciya ko na marasa lafiya , ko har zuwa mutuwar zuciya na kwatsam .
Menene Yayi Bambance-bambancen Rashin Harsashin Tsarin Harsashin Tsarin Harsashin Kwayoyin cuta
Ya bayyana cewa, musamman a cikin matan da ke da ciwon zuciya kafin shekaru 50 (musamman, a cikin mata masu auren mazausuwa), raunin takarda ba sau da yawa ne dalilin yaduwar jini. Maimakon haka, ƙwayar jini zai iya haifar da rushewar bango na jini.
Mene ne bambanci tsakanin rupture da rushewa? Da kyau, rupture na plaque yana kama da kambin da yake budewa. (A gaskiya ma, abubuwan da ke ciki a zane ba daidai ba ne kamar kaya a cikin wani nau'i na atherosclerotic.) Amma yashwa ya fi kamar miki mai rauni. Alamar da ke hade da yashwa na iya zama ƙananan ƙwayar, ko kuma ƙila ba za a sami allo a ƙarƙashin yashwa ba.
Rushewa, kamar lalata takarda, zai iya haifar da kafa jini. Duk da haka, saboda rushewa (wanda ya bambanta da raguwa), ba wani abu ba ne, yatsun halitta yakan kasance da hankali sosai. Saboda haka, cututtukan cututtuka, ƙila, za su iya ci gaba sosai da hankali, da ƙwarewa, kuma suna da "ƙyama."
Me yasa wannan mahimmanci yake?
An san shekaru da dama cewa, yayin da zuciya ta kai ga matasan mata ba abin mamaki ba ne, lokacin da suka faru wadannan matan suna da mummunan sakamako fiye da maza irin wannan zamani. Wadannan sakamako mafi muni, a yanzu ya bayyana, na iya zama akalla a sashi saboda gaskiyar cewa yawancin wadannan hare-haren zuciya suna haifar da yaduwar cutar jinin jini.
Ba wai kawai ne bayyanar cututtuka ba tare da cututtuka na jijiyoyin ƙwayar jini kamar yadda ƙuƙwalwar ƙwayar ƙwayar ƙwayar zuciya, damuwa ko wasu ƙananan cututtuka, amma kuma ɗakunan da kansu zasu iya zama mafi haɗari fiye da tsummoki da suka haifar saboda rupture. Kamar yadda muka gani, aduran da ke samarwa tare da yashwa na ci gaba da bunkasa ba zato ba tsammani. Saboda wannan dalili (kuma saboda cututtuka da suka haifar ba yawanci ba ne) waɗannan clots suna da lokaci zuwa girma. Sabili da haka, a lokacin da ganewar asali na ciwon zuciya ya bayyana, ƙwallon ya fi girma, ya fi ƙarfin, kuma mafi wuya a sake juyawa.
Bincike da cututtukan cututtuka na jini
Abin takaici, ƙwayoyin maganin na jijiyoyin zuciya suna da wuyar ganewa kafin su haifar da thrombosis.
Sun kasance yawanci yiwuwa a gane, alal misali, lokacin kullun zuciya ko ƙwarewa / thallium . Saboda haka cututtuka na jijiyar jini shine wani nau'i na cututtuka na jijiyoyin zuciya da ke hade da "arba" ta hanyar jigilar jini .
Wane ne ke dauke da hawan jini?
Yayinda kowa zai iya ci gaba da yaduwar maganin jini, wannan zai zama yanayin da zai iya gani a cikin mata masu aure, kamar yadda ya kamata a cikin masu shan taba. Saboda haka, yayin da shan taba yana da wani haɗari ga kowa, yana da mahimmancin haɗarin haɗari don yaduwar maganin jini. Dalilin da ya sa ya kamata 'yan mata matasa masu shan taba su bar.
Akwai kuma wasu shaidun cewa jinsin jini bayan yaduwa zasu iya gani akai-akai a cikin matan da suka yi magungunan sassauran kwayoyin jini, irin su angina na Prinzmetal .
Takaitaccen
CAD a kananan yara sau da yawa wani cuta dabam dabam fiye da "CAD classic" wanda aka gani a cikin maza da kuma a cikin tsofaffi mata. Sanarwar wannan gaskiyar yana haifar da ƙoƙari don samun cikakkiyar fahimtar waɗannan bambance-bambance da kuma inganta hanyoyin da za a iya magance magani.
> Sources:
> Genuardi L. Burzotta F, Veralio R, et al. Harsashin Plaque na Sanya Jigilar Harkokin Tsakanin Tsakanin Jirgin HKI: Rahoton Harkokin Kasuwanci na Harkokin Cikin Gida-Takardun Tsarin Lissafi da Labarai. Ƙungiyar jinƙai na coronary 2017; Doi: 10.1097 / MCA.0000000000000463
> Kramer MCA, Rittersma SZH, de Winter RJ, et al. Hadin zumunta na Thrombus Warkar da Kwayoyin Halitta na Fasaha mai zurfi a Cikin Gida na Mutuwa Mutuwa Mutuwa. J Am Coll Cardiol 2009; DOI: 10.1016 / j.jacc.2009.09.007.
> Zoccai G, Peruzzi M, Romagnoli E. Shin Magungunan Bincike na Raunin Firayi a MI Mutuwar Canji? Binciken Fitilar Firayi vs. Rupture. Bugawa a Kwayoyin Halitta. Kwalejin Ƙasar Amirka ta Kwayoyin Halitta na 2016; http://www.acc.org/latest-in-cardiology/articles/2016/02/26/09/34/is-the-pathophysiology-of-plaque-injury-in-acute-mi-changing (shiga Fabrairu 26, 2017)