Wv. †gvt †ZŠwdKzi ingvb (dvi“K)
© BwmwR wi‡cvU© ¯^vfvweK _vK‡jI wK nƒ`‡ivM _vK‡Z cv‡i?
nu¨v wi‡cvU© ¯^vfvweK _vK‡jI wewfbœ cÖKvi nƒ`‡ivM _vK‡Z cv‡i|
© K‡ivbvwi AvU©vwi wWwR‡R (CAD) KLb BwmwR ¯^vfvweK _vK‡Z cv‡i?
mvaviYZ nvU© A¨vUvK ev gv‡qvKvwW©qvj Bbd«vKkb bv nIqv ch©š— BwmwRi †Kvb ¸i“Z¡c~Y© cwieZ©b Av‡m bv| ZvB, †Kvb †ivMxi nv‡U©i i³bvjx‡Z GK ev GKvwaK eK _vK‡jI BwmwR ¯^vfvweK n‡Z cv‡i|
© †m †¶‡Î Kxfv‡e K‡ivbvwi AvU©vwi‡Z eK Av‡Q Zv Abygvb Kiv hvq?
hw` BwmwR ¯^vfvweK _v‡K, wKš‘ †ivMxi eqm 40 eQ‡ii †ewk nq, ey‡K e¨_v nq A_ev †ivMx a~gcvqx nq A_ev †ivMxi Wvqv‡ewUm _v‡K ev †ivMxi D”Pi³Pvc ev i‡³i †Kvj‡÷i‡ji gvÎv †ewk _v‡K Z‡e Aek¨B †ivMx‡K mwVK g~j¨vq‡bi Rb¨ ETT (Exercise Tolerance Test) Kiv DwPZ| nv‡U©i i³bvjx‡Z hw` kZKiv 70 fv‡Mi †ewk eK (Stenosis) _v‡K Zv G †U‡÷ aiv covi m¤¢vebv †ewk|
© BwmwR ¯^vfvweK _vK‡j ETT Kivi Av‡M wK Echo Kivi cÖ‡qvRb Av‡Q?
wKQy wKQy nƒ`‡ivM Av‡Q †hgb Aortic Stenosis A_ev HOCM(Hypertrophic Obstructive Cardiomyopathy) †hLv‡b BwmwR ¯^vfvweK _v‡K wKš‘ ETT Kiv‡j ETT Kivi mgq gvivÍK `-N©Ubv NU‡Z cv‡i| G †ivMx‡K Avgiv ETT Kiv‡bv †_‡K weiZ ivwL| ZvB wKQy wKQy †ivM †hLv‡b BwUwU Kiv‡j SzuwK †ewk †m me †ivM wbY©q Kivi Rb¨I A‡bK mgq ETT Kivi Av‡M Echo cix¶v Kiv‡Z nq|
© †ivMxi eyKe¨_v _vK‡j Ges EC‡ ¯^vfvweK n‡j wK Kiv DwPZ?
G †¶‡Î ey‡K e¨_vi KviY wbY©‡qi Rb¨ B‡KvKvwW©IMÖvwd, BwUwU, †c‡Ui AvjUªvm‡bvMÖvg, ey‡Ki G·‡i Ges cÖ‡qvR‡b GbwRIMÖvg Kiv DwPZ|
© †ivMxi eyK e¨_v n‡j †c‡Ui A¨vëvm‡bvMÖvg †Kb Kiv‡Z n‡e?
A‡bK mgq wcË_wj‡Z Bb‡dKkb ev cv_i n‡j we‡klZ gwnjv †ivMx‡`i †¶‡Î (Kwjwjw_qvwmm) ey‡K e¨_v n‡Z cv‡i ev †c‡Ui Dcwifv‡M A¯^w¯— ev eyK e¨_v e‡j g‡b n‡Z cv‡i| ZvB G cix¶v Kiv‡bv DwPZ|
© ey‡K e¨_v †ivMxi wK G‡ÛvmKwc cix¶vi †Kvb f‚wgKv Av‡Q?
nu¨v, ey‡K e¨_v †ivMxi cix¶v Kiv‡bv jvM‡Z cv‡i| KLbI KLbI †ccwUK Avjmvi wWwRR ev Avjmvi bq wKš‘ gy‡L UK †XuKzi DV‡j A_ev Ab¨vb¨ cvK¯’wj‡Z †ivM ev Lv`¨bvjx‡Z mgm¨vi Kvi‡Y we‡kl K‡i ‡ERD (Reflux esophagitis) n‡j cÖPÊ eyK e¨_v n‡Z cv‡i| ZvB G me †ivM wbY©q Kivi Rb¨ G‡ÛvmKwc Kiv jvM‡Z cv‡i|
© †Kvb †ivMxi BwmwR ¯^vfvweK n‡j ey‡Ki G·-†i cix¶vi f‚wgKv wK?
BwmwR ¯^vfvweK n‡jI ey‡K e¨_vi Ab¨vb¨ KviY †hgb dzmdz‡mi mgm¨v wbiƒc‡Yi Rb¨ G cix¶v Kiv‡bv nq|
© BwmwR ¯^vfvweK _vK‡jI ey‡K e¨_v n‡j wK †Kvb †ivMxi K‡ivbvwi GbwRIMÖvg Kiv jvM‡Z cv‡i?
ey‡K e¨_v n‡j I BwmwR ¯^vfvweK _vK‡j hw` †ivMxi eqm 40-Gi †ewk nq ev Wvqv‡ewUm ev D”Pi³Pvc _v‡K ev a~gcvqx nq ev BwUwU cwRwUf nq ev BwUwU †Kvb Kvi‡Y Kiv bv hvq Z‡e K‡ivbvwi GbwRIMÖvg mivmwi Kiv †h‡Z cv‡i, i³bvjx‡Z †Kvb eK (Stenosis) Av‡Q wKbv Zv †`Lvi Rb¨| BwmwR ¯^vfvweK _vK‡j †Kvb †ivMxi i³bvjx‡Z GK ev GKvwaK Zvrch©c~Y© ev Zvrch©c~Y© bq eK (Stenosis) _vK‡Z cv‡i|
© BwmwR ¯^vfvweK _vK‡jI wK †Kvb †ivMxi nv‡U© gvivÍK mgm¨v _vK‡Z cv‡i?
nu¨v, BwmwR ¯^vfvweK _vK‡jI †Kvb †Kvb †ivMxi nv‡U© gvivÍK mgm¨v _vK‡Z cv‡i| †hgb : †ivMxi Bm‡KwgK nƒ`‡ivM A_ev fvjeyjvi nvU© wWwRR, KvwW©Igv‡qvc¨vw_ †cwiKvwW©qvj nvU© wWwRR _vK‡Z cv‡i †hLv‡b BwmwR cy‡ivcywi ¯^vfvweK n‡Z cv‡i|
†jLK : †gwWwmb, nƒ`‡ivM I evZR¡i we‡klÁ
RvZxq nƒ`‡ivM BÝwUwUDU I nvmcvZvj
© BwmwR wi‡cvU© ¯^vfvweK _vK‡jI wK nƒ`‡ivM _vK‡Z cv‡i?
nu¨v wi‡cvU© ¯^vfvweK _vK‡jI wewfbœ cÖKvi nƒ`‡ivM _vK‡Z cv‡i|
© K‡ivbvwi AvU©vwi wWwR‡R (CAD) KLb BwmwR ¯^vfvweK _vK‡Z cv‡i?
mvaviYZ nvU© A¨vUvK ev gv‡qvKvwW©qvj Bbd«vKkb bv nIqv ch©š— BwmwRi †Kvb ¸i“Z¡c~Y© cwieZ©b Av‡m bv| ZvB, †Kvb †ivMxi nv‡U©i i³bvjx‡Z GK ev GKvwaK eK _vK‡jI BwmwR ¯^vfvweK n‡Z cv‡i|
© †m †¶‡Î Kxfv‡e K‡ivbvwi AvU©vwi‡Z eK Av‡Q Zv Abygvb Kiv hvq?
hw` BwmwR ¯^vfvweK _v‡K, wKš‘ †ivMxi eqm 40 eQ‡ii †ewk nq, ey‡K e¨_v nq A_ev †ivMx a~gcvqx nq A_ev †ivMxi Wvqv‡ewUm _v‡K ev †ivMxi D”Pi³Pvc ev i‡³i †Kvj‡÷i‡ji gvÎv †ewk _v‡K Z‡e Aek¨B †ivMx‡K mwVK g~j¨vq‡bi Rb¨ ETT (Exercise Tolerance Test) Kiv DwPZ| nv‡U©i i³bvjx‡Z hw` kZKiv 70 fv‡Mi †ewk eK (Stenosis) _v‡K Zv G †U‡÷ aiv covi m¤¢vebv †ewk|
© BwmwR ¯^vfvweK _vK‡j ETT Kivi Av‡M wK Echo Kivi cÖ‡qvRb Av‡Q?
wKQy wKQy nƒ`‡ivM Av‡Q †hgb Aortic Stenosis A_ev HOCM(Hypertrophic Obstructive Cardiomyopathy) †hLv‡b BwmwR ¯^vfvweK _v‡K wKš‘ ETT Kiv‡j ETT Kivi mgq gvivÍK `-N©Ubv NU‡Z cv‡i| G †ivMx‡K Avgiv ETT Kiv‡bv †_‡K weiZ ivwL| ZvB wKQy wKQy †ivM †hLv‡b BwUwU Kiv‡j SzuwK †ewk †m me †ivM wbY©q Kivi Rb¨I A‡bK mgq ETT Kivi Av‡M Echo cix¶v Kiv‡Z nq|
© †ivMxi eyKe¨_v _vK‡j Ges EC‡ ¯^vfvweK n‡j wK Kiv DwPZ?
G †¶‡Î ey‡K e¨_vi KviY wbY©‡qi Rb¨ B‡KvKvwW©IMÖvwd, BwUwU, †c‡Ui AvjUªvm‡bvMÖvg, ey‡Ki G·‡i Ges cÖ‡qvR‡b GbwRIMÖvg Kiv DwPZ|
© †ivMxi eyK e¨_v n‡j †c‡Ui A¨vëvm‡bvMÖvg †Kb Kiv‡Z n‡e?
A‡bK mgq wcË_wj‡Z Bb‡dKkb ev cv_i n‡j we‡klZ gwnjv †ivMx‡`i †¶‡Î (Kwjwjw_qvwmm) ey‡K e¨_v n‡Z cv‡i ev †c‡Ui Dcwifv‡M A¯^w¯— ev eyK e¨_v e‡j g‡b n‡Z cv‡i| ZvB G cix¶v Kiv‡bv DwPZ|
© ey‡K e¨_v †ivMxi wK G‡ÛvmKwc cix¶vi †Kvb f‚wgKv Av‡Q?
nu¨v, ey‡K e¨_v †ivMxi cix¶v Kiv‡bv jvM‡Z cv‡i| KLbI KLbI †ccwUK Avjmvi wWwRR ev Avjmvi bq wKš‘ gy‡L UK †XuKzi DV‡j A_ev Ab¨vb¨ cvK¯’wj‡Z †ivM ev Lv`¨bvjx‡Z mgm¨vi Kvi‡Y we‡kl K‡i ‡ERD (Reflux esophagitis) n‡j cÖPÊ eyK e¨_v n‡Z cv‡i| ZvB G me †ivM wbY©q Kivi Rb¨ G‡ÛvmKwc Kiv jvM‡Z cv‡i|
© †Kvb †ivMxi BwmwR ¯^vfvweK n‡j ey‡Ki G·-†i cix¶vi f‚wgKv wK?
BwmwR ¯^vfvweK n‡jI ey‡K e¨_vi Ab¨vb¨ KviY †hgb dzmdz‡mi mgm¨v wbiƒc‡Yi Rb¨ G cix¶v Kiv‡bv nq|
© BwmwR ¯^vfvweK _vK‡jI ey‡K e¨_v n‡j wK †Kvb †ivMxi K‡ivbvwi GbwRIMÖvg Kiv jvM‡Z cv‡i?
ey‡K e¨_v n‡j I BwmwR ¯^vfvweK _vK‡j hw` †ivMxi eqm 40-Gi †ewk nq ev Wvqv‡ewUm ev D”Pi³Pvc _v‡K ev a~gcvqx nq ev BwUwU cwRwUf nq ev BwUwU †Kvb Kvi‡Y Kiv bv hvq Z‡e K‡ivbvwi GbwRIMÖvg mivmwi Kiv †h‡Z cv‡i, i³bvjx‡Z †Kvb eK (Stenosis) Av‡Q wKbv Zv †`Lvi Rb¨| BwmwR ¯^vfvweK _vK‡j †Kvb †ivMxi i³bvjx‡Z GK ev GKvwaK Zvrch©c~Y© ev Zvrch©c~Y© bq eK (Stenosis) _vK‡Z cv‡i|
© BwmwR ¯^vfvweK _vK‡jI wK †Kvb †ivMxi nv‡U© gvivÍK mgm¨v _vK‡Z cv‡i?
nu¨v, BwmwR ¯^vfvweK _vK‡jI †Kvb †Kvb †ivMxi nv‡U© gvivÍK mgm¨v _vK‡Z cv‡i| †hgb : †ivMxi Bm‡KwgK nƒ`‡ivM A_ev fvjeyjvi nvU© wWwRR, KvwW©Igv‡qvc¨vw_ †cwiKvwW©qvj nvU© wWwRR _vK‡Z cv‡i †hLv‡b BwmwR cy‡ivcywi ¯^vfvweK n‡Z cv‡i|
†jLK : †gwWwmb, nƒ`‡ivM I evZR¡i we‡klÁ
RvZxq nƒ`‡ivM BÝwUwUDU I nvmcvZvj
