Mtima kulephera - madzi ndi okodzetsa

Kulephera kwa mtima ndimkhalidwe womwe mtima sungathenso kupopera magazi olemera ndi oxygen ku thupi lonse moyenera. Izi zimayambitsa madzi amthupi mthupi lanu. Kuchepetsa kuchuluka kwa momwe mumamwa komanso kuchuluka kwa mchere (sodium) womwe mumamwa kungathandize kupewa izi.

Mukalephera mtima, mtima wanu sukupopa magazi okwanira. Izi zimayambitsa madzi amthupi mthupi lanu. Mukamamwa madzi ambiri, mutha kukhala ndi zizindikilo monga kutupa, kunenepa, komanso kupuma movutikira. Kuchepetsa kuchuluka kwa momwe mumamwa komanso kuchuluka kwa mchere (sodium) womwe mumamwa kungathandize kupewa izi.

Achibale anu akhoza kukuthandizani kuti muzisamalira nokha. Amatha kuyang'anira momwe mumamwa. Atha kuwonetsetsa kuti mukumwa mankhwala anu moyenera. Ndipo amatha kuphunzira kuzindikira zizindikilo zanu koyambirira.

Wothandizira zaumoyo wanu akhoza kukupemphani kuti muchepetse kuchuluka kwa madzi omwe mumamwa:

• Ngati kulephera kwa mtima wanu sikukuipa kwambiri, simuyenera kuchepetsa madzi anu kwambiri.
• Pamene mtima wanu ukulephera, mungafunike kuchepetsa madzi amadzimadzi mpaka makapu 6 mpaka 9 (1.5 mpaka 2 malita) patsiku.

Kumbukirani, zakudya zina, monga msuzi, mapira, gelatin, ayisikilimu, popsicles ndi zina zimakhala ndi madzi. Mukamadya msuzi wosagawanika, gwiritsani ntchito mphanda ngati mungathe, ndikusiya msuzi.

Gwiritsani ntchito kapu yaying'ono kunyumba zakumwa zanu pakudya, ndikumwa 1 chikho chimodzi (240 mL). Mutamwa chikho chimodzi (240 mL) chamadzimadzi ku lesitilanti, tembenuzani chikho chanu kuti seva yanu idziwe kuti simukufuna zina. Pezani njira zodzithandizira kuti musakhale ndi ludzu kwambiri:

• Mukakhala ndi ludzu, tsitsani chingamu, tsukani pakamwa panu ndi madzi ozizira ndikulavulira, kapena kuyamwa china chake monga maswiti olimba, kagawo ka mandimu, kapena zidutswa zazing'ono za ayezi.
• Khalani ozizira. Kutenthedwa kwambiri kumakupatsani ludzu.

Ngati zikukuvutani kuzisunga, lembani kuchuluka kwa zomwe mumamwa masana.

Kudya mchere wambiri kumatha kukupangitsani kumva ludzu, zomwe zingapangitse kuti muzimwa kwambiri. Mchere wowonjezera umapangitsanso madzi ambiri kukhala mthupi lanu. Zakudya zambiri zimakhala ndi "mchere wobisika," kuphatikiza zakudya zokonzedwa kale, zamzitini komanso zachisanu. Phunzirani kudya zakudya zopanda mchere.

Odzetsa amathandiza thupi lanu kuchotsa madzi owonjezera. Nthawi zambiri amatchedwa "mapiritsi amadzi." Pali mitundu yambiri ya okodzetsa. Ena amatengedwa kamodzi patsiku. Ena amatengedwa kawiri patsiku. Mitundu itatu yodziwika ndi iyi:

• Thiazides: Chlorothiazide (Diuril), chlorthalidone (Hygroton), indapamide (Lozol), hydrochlorothiazide (Esidrix, HydroDiuril), ndi metolazone (Mykrox, Zaroxolyn)
• Zojambula za Loop: Bumetanide (Bumex), furosemide (Lasix), ndi torsemide (Demadex)
• Othandiza potaziyamu: Amiloride (Midamor), spironolactone (Aldactone), ndi triamterene (Dyrenium)

Palinso okodzetsa omwe ali ndi kuphatikiza kwa mankhwala awiriwa pamwambapa.

Mukamamwa ma diuretics, muyenera kuyezetsa pafupipafupi kuti omwe akukuthandizani athe kuwona kuchuluka kwa potaziyamu ndikuwunika momwe impso zanu zikugwirira ntchito.

Odzetsa amakupangitsani kukodza pafupipafupi. Yesetsani kuti musawatenge usiku musanagone. Atengere nthawi imodzi tsiku lililonse.

Zotsatira zoyipa za diuretics ndi izi:

• Kutopa, kukokana kwa minofu, kapena kufooka kwamankhwala ochepa a potaziyamu
• Chizungulire kapena kupepuka
• Dzanzi kapena kumva kulasalasa
• Kugunda kwa mtima, kapena kugunda kwamtima "fluttery"
• Gout
• Matenda okhumudwa
• Kukwiya
• Kusadziletsa kwamikodzo (osatha kugwira mkodzo wanu)
• Kutayika kwakugonana (kuchokera ku potaziyamu-osungira okodzetsa), kapena kulephera kukhala ndi erection
• Kukula kwa tsitsi, kusintha msambo, ndi liwu lokulitsa mwa azimayi (ochokera potaziyazi-osungira okodzetsa)
• Kutupa kwa m'mawere mwa amuna kapena chikondi cha m'mawere mwa amayi (kuchokera potaziyamu-osalekerera okodzetsa)
• Thupi lawo siligwirizana - ngati matupi awo sagwirizana ndi mankhwala a sulfa, simuyenera kugwiritsa ntchito mankhwala a thiazides.

Onetsetsani kuti mwatenga diuretic yanu momwe mwauzidwira.

Mudzadziwa kuti kulemera kwake ndi kotani kwa inu. Kudziyeza nokha kudzakuthandizani kudziwa ngati pali madzi ambiri mthupi lanu. Muthanso kuwona kuti zovala zanu ndi nsapato zanu zikumverera zolimba kuposa zachilendo pakakhala madzi ambiri mthupi lanu.

Dzichepeni m'mawa uliwonse pamlingo womwewo mukadzuka - musanadye komanso mukatha kusamba. Onetsetsani kuti mumavala zovala zofananira nthawi iliyonse mukadzilemera. Lembani kulemera kwanu tsiku lililonse pachati kuti muzitsatira.

Itanani omwe akukuthandizani ngati kulemera kwanu kukukulira ndi mapaundi oposa 2 mpaka 3 (1 mpaka 1.5 kilogalamu, kg) patsiku kapena mapaundi 5 mu sabata. Komanso itanani ndi omwe amakupatsani ngati mutataya thupi kwambiri.

Itanani omwe akukuthandizani ngati:

• Mwatopa kapena kufooka.
• Mumamva kupuma pang'ono mukamagwira ntchito kapena mukamapuma.
• Mumamva kupuma pang'ono mukamagona pansi, kapena ola limodzi kapena awiri mutagona.
• Mukupuma komanso mukuvutika kupuma.
• Muli ndi chifuwa chomwe sichitha. Itha kukhala yowuma komanso yowakhadzula, kapena itha kumveka yonyowa ndikubweretsa pinki, kulavulira thovu.
• Muli ndi zotupa pamapazi anu, akakolo, kapena miyendo.
• Muyenera kukodza kwambiri, makamaka usiku.
• Mwapeza kapena kuchepa thupi.
• Muli ndi ululu komanso kukoma mtima m'mimba mwanu.
• Muli ndi zizindikilo zomwe mukuganiza kuti mwina ndi zamankhwala anu.
• Kugunda kwanu, kapena kugunda kwa mtima, kumachedwetsa kapena kuthamanga kwambiri, kapena sikukhazikika.

HF - madzi ndi okodzetsa; CHF - kutulutsa kwa ICD; Cardiomyopathy - kutulutsa kwa ICD

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. J Ndine Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. PMID: 2423992 adatulutsidwa.ncbi.nlm.nih.gov/24239922/.

Mann DL. Kuwongolera odwala omwe ali ndi vuto la mtima ndi gawo lochepetsedwa. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 25.

Yancy CW, Jessup M, Bozkurt B, ndi al. 2017 ACC / AHA / HFSA idasinthiratu malangizo a 2013 ACCF / AHA owongolera kuwonongeka kwa mtima: lipoti la American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Kuzungulira. 2017; 136 (6): e137-e161. [Adasankhidwa] PMID: 28455343 pubmed.ncbi.nlm.nih.gov/28455343/.

Zile MR, Litwin SE. Kulephera kwa mtima ndi kachigawo kakang'ono kotulutsidwa. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chaputala 26.

• Matenda a mtima
• Mtima kulephera
• Kuchuluka kwa cholesterol m'magazi
• Kuthamanga kwa magazi - akuluakulu

• Aspirin ndi matenda amtima
• Cholesterol ndi moyo
• Kulamulira kuthamanga kwa magazi
• Malangizo achangu
• Kulephera kwa mtima - kutulutsa
• Kulephera kwa mtima - kuwunika nyumba
• Kulephera kwa mtima - zomwe mungafunse dokotala wanu
• Zakudya zamcherecherere

• Kulephera Kwa Mtima