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yDohdndO we;sjk yeá
Jul 08, 2019
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yDohdndO we;sjk yeá



mqkHd pdkaokS o is,ajd

yojf;a fi!LHh wdrlaId lr .ekSu iy yoj;a frda. ms<sn|j jQ fmrksñ;s wm oek y÷kd .kafka flfiao'''@

yDohdndO úÈyg wms y÷kajkafka fndfydu ixlS¾K iy úYd, jmißhl ;sfnk frda. iuQyhla' tys§ wms jeäfhka oekqj;a úh hq;= jkafka jkafka yDohg f,a iemhSfï tfia;a ke;akï lsÍgl OukSkaf.a f,a iemhqu wjysr ùu ksid we;s fjk frda. ;;a;ajhka .ekhs' fndfyda úg idudkH ck;dj w;r m‍%p,s;j ;sfnkafka fï ;;a;ajhka jqK;a' thska Tíng fidhd ne¨fjd;a my; oelafjk frda. ;;a;ajhka o yDofrda. .Khg we;=<;a fjkjd'

lsÍgl Ouka wjysr ùu ksid we;s fjk yDo frda. - ^Coranary Artery disease&

yoj;a lmdg ^valve& isyska ùu fyda $ reêrh ldkaÿ ùu'

yDo udxY fmaYsj, ixl=,;djhka - ;=kS ùu$ Èhùu$ udxY fmaYs ì;a;s .Klï ùu'

yDo .eiafï we;s fjk ixl=,;djhka fyj;a yDo .eiafï wvq fyda jeä ùï

yDo frda. ksid oefkk fmdÿ ,laIK

yDoh jia;=fõ we;s fjk ÿ¾j,;djhla ksid

frda.shdg oefkk fmdÿ ,laIKj, iudklï lSmhla ;sfnkjd' frda.shdg yDofhka tk fõokdj fndfyda úg iudkhs' frda.shdg weúÈk úg" hï ld¾hla lrk úg tfyu ke;akï jHdhdu lrk úg we;s fjk mmqfõ ;o .;sh" y;sh" fõokdj lrleú,a," la,dka; .;sh ta ld¾hh kj;ajd ál fõ,djla isák tfyu ke;akï ta lghq;a; nd, lrk úg bfíu u. yeÍ hkjd kï tu frda.S ;;a;ajh .ek i,ld ne,Su jeo.;a'

f,dal ck.ykfhka 25]la muK urKhg m;a fjkafka fnda fkdfjk frda. ldKavhg wh;a yDohdndO ksid neõ lsj hq;=hs' iEu urK y;rlgu tlla yDohdndO ksid isÿfjkakla'

yDoh jia;=jg reêrh iemhSu wvq fjkafka flfiao'''@

yDoh jia;=fõ .eiau;a iu. Tlaiscka jeä reêrh OukSka Tiafia yoj;g .uka lrkjd' fï OukS wms lsÍgl OukSka úÈyg y÷kajkjd' jhi;a iu. fï OukSkaf.a fldf,iagfrda,a ^fïo& ;ekam;a ùu ksid tajd isyska ùug mq¿jka'

yDoh uykais ù ls‍%hd;aul fjk wjia:dfõ§ mmq udxY fmaYSj,g reêrh iemhqu wvq fjk ksid frda.shdg mmqfõ fõokdjla we;sùug mq¿jka' w¨;au fidhd .ekSï wkqj jhi wjqreÿ oyhl orefjl=f.a

jqK;a lsÍgl OukSka wdYs‍%; fldf,iagfrda,a ;ekam;a fjkak mq¿jks' ta ksid l=vd orejkag jqK;a jHdhdu uÈlu" ;rndrej iy wys;lr wdydr ksid we;s fjk fuu lsÍgl OukSkaf.a

wjysrùu wkd.;fha§ yoj;a wdYs‍%; frda. ;;a;ajhg f.dÿre ùug úYd, wjodkula úh yelshs'

OukSkaj, wjysr ùula ;snqK úg reêrh ksis mßÈ yoj;g reêrh iemhSu wvq ùu fyj;a wekachskd ^Angina pectories& frda. ;;a;ajh wmg oefkkafka fldfyduo''@

ksis mßÈ yoj;g reêrh .uka fkdlsÍu ksid frda.shdg oefkk ,laIKj, fmdÿ iudklï lSmhla ;sfnkjd'

biair ug ´k ÿrla fõ.fhka weúÈkak mq¿jka' ta;a oeka ug fjkod ke;s uykais .;shla oefkkjd''' iuyr frda.Ska fï úÈyg ;ukaf.a wmyiq;djh bÈßm;a lrkak mq¿jks'''

fï ;;a;ajfha§ yDoh jia;=fõ lsÍgl Ouks ishhg ishhla wjysr fkdjqK;a ie,lsh hqq;= m‍%udKhlska wjysr ù ;sfnkak mq¿jka' mmq ì;a;sfha we;s fjk fuu oeä fõokdj'''' f.," yKq" o;a" w; Tiafia ta iudk fõokdjla úÈyg me;sÍ hkakg;a mq¿jka' fï iu. oyäh oeóu" jukh jeks wmyiq;djhka wvq jeä jYfhka we;s úh yelshs'

wekachskd ^Angina pectories& frda. ;;a;ajh ksid wjysr jqK OukSka ;jÿrg;a wjysr ùu'

fï fjk úg;a wekachskd ^stable angina& frda.s ;;a;ajhg m;aj wjysr ù ;sfnk OukSkaf.a"

yÈisfha f,a leáhla ysrùula isÿ jqfKd;a fjkodg ke;s wkaofï mmqfõ fõokdjla frda.shdg oefkkak mq¿jks' fjkodg jvd jeä fõ,djla fõokdj mj;skjd kï" frda.Ska úfõlSj isák úg" rd;‍%s kskafoa§ iy b;du iq¿ jYfhka jevl ksr; fjk úg jf.au mshjr lSmhla weúÈk úg ;on, úÈyg fõokdj oefkkjd kï fuu wjysr ùu fldf,iagfrda,a ;ekam;a ùfuka fyda reêr leáhla ksid fjkak;a mq¿jks' fuu ldKavfha frda.Ska

b;du blaukg m‍%;sldr fjkqfjka fhduq ùu jeo.;a' ta ;;a;ajh fkdi,ld yeßfhd;a Tjqkaf.a lsÍgl OukSka 100] la wjysr fjkak mq¿jka' iïmQ¾Kfhkau tfia;a ke;akï ishhg ishhlau lsÍgl OukSka wjysr frda.Ska ldKav follg fnokak mq¿jka'
ST Elevation myocardial Infaction ^STEMI& -

m‍%n, yDohdndO wjodkula we;s frda.Ska fyj;a Ôú; wjodku jeä frda.Ska ldKavh

Non - ST Elevation myocardial Infaction - ^NSTEMI& u| yDohdndO wjodkula we;s frda.Ska fyj;a Ôú; wjodku wvq frda.Ska ldKavh

Non - ST Elevation myocardial Infaction - ^NSTEMI& u| yDohdndO ;;a;ajhla we;s frda.Skag f,a leáh Èhùug T!IO kslafIamkfhka mq¿jka' túg C%ufhka f,a leáh Èhù yDo iemhqu yDo udxY fmaYSkag ,efnkak mq¿jks' tfia jqK;a ;on, yDohdndOhla je<÷k frda.Skag T!IO u.ska tu reêr leáh Èh lsÍug wmyiq úh yelshs' tjka frda.Skag le;Sg¾ Y,Hl¾uhla u.ska m‍%;sldr isÿ fjkjd'

fuys§ w;" mdoh ysß jeÜàulg ,la lr ta yryd fí;a .,ajk ,o nghla wjysr jqK Ouks m‍%foaYhg hjd tu wjysr;djh bj;a lr .ekSug oeka ngysr ffjoH C%ufhka wjia:dj ,eî ;sfnkjd' fuys§ uq,ska i|yka l< tl È.g meh nd.hlg jvd mj;sk mmqfõ fõokdjla we;akï jydu frday,a.; ùfuka frda.shdg ,nd Èh yels m‍%;sldr id¾:lj lsÍug mq¿jka'

;on, yDo frda.Ska Tyqf.a ffjoHjrhd úiska ST Elevation myocardial Infaction ^STEMI& nj ;SrKh l< fudfydf;a isg meh folla we;=<; uq,ska lS le;Sg¾ myiqlï we;s frday,lg meñKshfyd;a wm l,ska i|yka l< wekaðfhda.‍%Eï mÍlaIKh isÿ lr fí;a .e,ajQ nghla we;=¿ lsÍfï ^Drug Eluting stent - DSE& ie;alu u.ska tu wjysr;djh 100] lau h:d ;;a;ajhg m;a lsÍug mq¿jks'

yDohdndO m‍%;sldr wvq ld,hla jeo.;a

yDohdndO m‍%;sldr fjkqfjka b;du wvq ld,hl§ fhduq ùu b;du jeo.;a' wms m‍%udo fjk yeu úkdähla mdidu udxY ^TIME is Muscle& fmaYsh ñh hkjd' udxY fmaYsh ñhhEug fmrd;=j yels blaukska m‍%;sldr ,nd §ug ffjoHjrekag yelshdj ,efnkafka frda.shd jydu m‍%;sldr fj; fhduq lf<d;a muKhs'

yoj;a frda.j,g n,mdk Ôjk mqreÿ

ÿïmdkh - u;ameka mdkh - ia:q,nj

jHdhdu fkdue;s Ôjk rgdj iy fïo iy ldfndyhsfâ%g wêl wdydr

by; lreKq y;r ksid

frda.dndOj,g f.dÿre ùfï wjodku jeä fjk w;r yoj;a frda.j,g w;jkk frda. ;;a;ajhka .ek;a oekqj;aj isàu jeo.;a'

Èhjeähdj - wêreêr mSvkh

reêr.; wys;lr fldf,iagfrda,a - wê >k;aj ,sfmdafm%daàk fyj;a LDL Cholesterol


b;sß fldgi ,nk i;shg