Matenda ashuga - kupewa matenda amtima komanso kupwetekedwa mtima

Anthu omwe ali ndi matenda ashuga ali ndi mwayi waukulu wokhala ndi matenda a mtima ndi zilonda kuposa omwe alibe matenda ashuga. Kusuta ndikukhala ndi kuthamanga kwa magazi komanso cholesterol m'mafuta kumawonjezera ngozizi. Kulamulira shuga m'magazi, kuthamanga kwa magazi, ndi cholesterol ndizofunikira kwambiri popewa kugunda kwa mtima ndi zilonda.

Onani dokotala wanu yemwe amachiza matenda anu ashuga pafupipafupi monga momwe alangizira. Pamaulendo awa, othandizira azaumoyo adzawona cholesterol yanu, shuga wamagazi, komanso kuthamanga kwa magazi. Muthanso kulangizidwa kuti muzimwa mankhwala.

Mutha kuchepetsa mwayi wokhala ndi vuto la mtima kapena sitiroko pokhala otakataka kapena olimbitsa thupi tsiku lililonse. Mwachitsanzo, kuyenda kwa mphindi 30 tsiku lililonse kungakuthandizeni kuchepetsa ngozi.

Zinthu zina zomwe mungachite kuti muchepetse ziwopsezo zanu ndi izi:

• Tsatirani dongosolo lanu la chakudya ndikuwona momwe mumadyera. Izi zitha kukuthandizani kuti muchepetse thupi ngati muli onenepa kwambiri kapena onenepa kwambiri.
• Osasuta ndudu. Lankhulani ndi dokotala wanu ngati mukufuna thandizo kuti musiye. Komanso pewani kukhudzana ndi utsi wa ndudu.
• Tengani mankhwala anu momwe operekera anu amalangizira.
• Musaphonye kukumana ndi madokotala.

Kulamulira bwino shuga m'magazi kumachepetsa chiopsezo chanu chodwala matenda amtima komanso kupwetekedwa mtima. Mankhwala ena a shuga amatha kukhala ndi zotsatira zabwino kuposa ena pochepetsa chiopsezo cha matenda amtima ndi sitiroko.

Unikani mankhwala anu ashuga ndi omwe amakupatsani. Mankhwala ena a shuga amakhala ndi zotsatira zabwino kuposa ena pochepetsa chiopsezo cha mtima komanso zilonda. Phindu ili ndilolimba ngati mwapezeka kale kuti muli ndi vuto la mtima.

Ngati mwadwalapo mtima kapena kupwetekedwa mtima, muli pachiwopsezo chachikulu chodwala matenda amtima kapena stroko. Lankhulani ndi omwe akukuthandizani kuti muwone ngati muli ndi mankhwala ashuga omwe amateteza kwambiri ku matenda a mtima ndi sitiroko.

Mukakhala ndi cholesterol yowonjezera m'magazi anu, imatha kumangirira mkati mwa makoma amitsempha yam'mtima mwanu (mitsempha yamagazi). Ntchito yomangayi imatchedwa chipika. Imatha kuchepa mitsempha yanu ndikuchepetsa kapena kuyimitsa magazi. Chipepalacho chimakhalanso chosakhazikika ndipo chimatha kuphulika mwadzidzidzi ndikupangitsa magazi kuundana. Izi ndi zomwe zimayambitsa matenda amtima, stroko, kapena matenda ena amtima.

Anthu ambiri omwe ali ndi matenda ashuga amapatsidwa mankhwala kuti achepetse kuchuluka kwawo kwama cholesterol a LDL. Mankhwala otchedwa statins amagwiritsidwa ntchito nthawi zambiri. Muyenera kuphunzira momwe mungamwe mankhwala anu a statin komanso momwe mungayang'anire zotsatirapo zake. Dokotala wanu angakuuzeni ngati pali chandamale cha LDL chomwe mukufuna kukhala nacho.

Ngati muli ndi zifukwa zina zoopsa za matenda a mtima kapena kupwetekedwa mtima, dokotala wanu akhoza kukupatsani mankhwala okwera kwambiri a statin.

Dokotala wanu ayenera kuyang'ana mafuta anu osachepera kamodzi pachaka.

Idyani zakudya zopanda mafuta ambiri ndipo phunzirani kugula ndi kuphika zakudya zabwino pamtima panu.

Chitani masewera olimbitsa thupi, komanso. Lankhulani ndi dokotala wanu za mtundu wa masewera olimbitsa thupi omwe ndi oyenera kwa inu.

Onetsetsani kuti magazi anu akuyendera magazi pafupipafupi. Wopereka chithandizo wanu amayenera kuyang'ana kuthamanga kwa magazi nthawi iliyonse mukamacheza. Kwa anthu ambiri omwe ali ndi matenda ashuga, cholinga chabwino chamagazi ndi systolic (nambala yochuluka) kuthamanga kwa magazi pakati pa 130 mpaka 140 mm Hg, ndi diastolic magazi (nambala yotsika) yochepera 90 mm Hg. Funsani dokotala wanu zomwe zili zabwino kwa inu. Malangizowo atha kukhala osiyana ngati mwadwala kale matenda amtima kapena sitiroko.

Kuchita masewera olimbitsa thupi, kudya zakudya zamchere, komanso kuonda (ngati mukulemera kwambiri kapena onenepa kwambiri) kumatha kuchepetsa kuthamanga kwa magazi. Ngati magazi anu akuthamanga kwambiri, dokotala wanu adzakupatsani mankhwala oti muchepetse. Kulamulira kuthamanga kwa magazi ndikofunikira monga kuchepetsa shuga m'magazi popewa kupwetekedwa mtima ndi sitiroko.

Kuchita masewera olimbitsa thupi kudzakuthandizani kuchepetsa matenda anu ashuga ndikulimbitsa mtima wanu. Nthawi zonse lankhulani ndi dokotala musanayambe pulogalamu yatsopano yochitira masewera olimbitsa thupi kapena musanawonjezere kuchuluka kwa masewera olimbitsa thupi omwe mukuchita. Anthu ena omwe ali ndi matenda ashuga amatha kukhala ndi vuto la mtima ndipo samadziwa chifukwa alibe zizindikilo. Kuchita masewera olimbitsa thupi mwamphamvu kwa maola osachepera 2.5 sabata iliyonse kungathandize kuteteza matenda amtima ndi sitiroko.

Kutenga aspirin tsiku lililonse kungachepetse mwayi wanu wokhala ndi vuto la mtima. Mlingo woyenera ndi mamiligalamu 81 (mg) patsiku. Musamwe aspirin mwanjira imeneyi osalankhula ndi dokotala poyamba. Funsani dokotala wanu za kumwa aspirin tsiku lililonse ngati:

• Ndinu bambo wazaka zopitilira 50 kapena mkazi wazaka zopitilira 60
• Mwakhala ndi mavuto amtima
• Anthu am'banja mwanu adakumana ndi mavuto amtima
• Muli ndi kuthamanga kwa magazi kapena kuchuluka kwama cholesterol
• Ndiwe wosuta

Matenda a shuga - mtima; Mitima matenda - matenda a shuga; CAD - shuga; Matenda am'mimba - matenda ashuga

• Matenda a shuga ndi kuthamanga kwa magazi

Bungwe la American Diabetes Association. 10. Matenda amtima ndi kuwongolera zoopsa: miyezo ya chithandizo chamankhwala ashuga-2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S111-S134. PMID: 31862753 pubed.ncbi.nlm.nih.gov/31862753/.

Eckel RH, Jakicic JM, Ard JD, ndi al. Chitsogozo cha AHA / ACC cha 2013 pa kasamalidwe ka moyo kuti achepetse chiopsezo cha mtima: lipoti la American College of Cardiology / American Heart Association Task Force pamayendedwe othandizira. Kuzungulira. 2014; 129 (25 Suppl 2): ​​S76-S99. PMID: 24222015 pubed.ncbi.nlm.nih.gov/24222015/.

Marx N, Reith S. Kusamalira matenda amitsempha yamatenda osatha mwa odwala matenda ashuga. Mu: De Lemos JA, Omland T, olemba., Eds. Matenda Aakulu a Mitsempha Yam'mimba: Mgwirizano ndi Matenda a Mtima a Braunwald. Philadelphia, PA: Elsevier; 2018: chap 24.

• Kuchuluka kwa cholesterol m'magazi
• Kuthamanga kwa magazi - akuluakulu
• Malangizo a momwe mungasiyire kusuta
• Type 1 shuga
• Type 2 matenda ashuga

• Zoletsa za ACE
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Cholesterol - zomwe mungafunse dokotala wanu
• Kulamulira kuthamanga kwa magazi
• Mitsempha yakuya - kutulutsa
• Matenda a shuga ndi masewera olimbitsa thupi
• Kusamalira maso a shuga
• Matenda a shuga - zilonda za kumapazi
• Matenda a shuga - kugwira ntchito
• Matenda a shuga - kusamalira mapazi anu
• Kuyesedwa kwa matenda ashuga ndikuwunika
• Matenda a shuga - mukamadwala
• Shuga wamagazi ochepa - kudzisamalira
• Kusamalira shuga wanu wamagazi
• Lembani 2 matenda ashuga - zomwe mungafunse dokotala wanu

• Zovuta Za shuga
• Matenda a Mtima Ashuga