Kulephera kwa mtima - kutulutsa

Kulephera kwa mtima ndimkhalidwe womwe mtima sungathenso kupopera magazi olemera ndi oxygen ku thupi lonse moyenera. Zizindikiro zikayamba kukhala zazikulu, kugona kuchipatala kungakhale kofunikira. Nkhanizi zikufotokoza zomwe muyenera kuchita kuti mudzisamalire mukamachoka kuchipatala.

Munali mchipatala kuti muchiritsidwe mtima wanu. Kulephera kwa mtima kumachitika minofu ya mtima wanu ikakhala yofooka kapena kuvuta kupumula, kapena zonsezi.

Mtima wanu ndi mpope womwe umasunthira madzi mthupi lanu. Monga pampu iliyonse, ngati kutuluka pampopu sikokwanira, madzi samayenda bwino ndipo amakakamira m'malo omwe sayenera kukhala. Thupi lanu, izi zikutanthauza kuti madzi amatuluka m'mapapu anu, pamimba, ndi miyendo.

Mukadali mchipatala:

• Gulu lanu lazachipatala lidasinthiratu madzi omwe mudamwa kapena omwe mudalandira kudzera mu mzere wamitsempha (IV). Adawunikiranso ndikuyesa kuchuluka kwa mkodzo womwe mudatulutsa.
• Muyenera kuti mwalandira mankhwala othandizira thupi lanu kuchotsa madzi ena owonjezera.
• Mwina mudayesedwa kuti muwone momwe mtima wanu ukugwirira ntchito.

Mphamvu zanu zidzabwerera pang'onopang'ono. Mungafune thandizo lodzisamalira mukangofika kumene kunyumba. Mutha kukhala achisoni kapena kukhumudwa. Zinthu zonsezi ndi zachilendo.

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

Tsiku lonse, dzifunseni kuti:

• Kodi mphamvu zanga zimakhala zabwinobwino?
• Kodi ndimapuma movutikira kwambiri ndikamachita zinthu zanga za tsiku ndi tsiku?
• Kodi zovala zanga kapena nsapato zikundimva?
• Kodi akakolo kapena miyendo yanga ikutupa?
• Kodi ndimatsokomola pafupipafupi? Kodi chifuwa changa chimamveka chonyowa?
• Kodi ndimapuma movutikira usiku kapena ndikagona?

Ngati muli ndi zizindikiro zatsopano (kapena zosiyana), dzifunseni kuti:

• Kodi ndadya china chosiyana ndi masiku onse kapena ndimayesanso chakudya chatsopano?
• Kodi ndimamwa mankhwala anga onse munjira yoyenera?

Wothandizira zaumoyo wanu akhoza kukupemphani kuti muchepetse kuchuluka kwa momwe mumamwa.

• Ngati mtima wanu walephera kwambiri, simukuyenera kuchepetsa madzi anu kwambiri.
• Pamene mtima wanu ukulephera, mungapemphedwe kuchepetsa madzi mpaka makapu 6 mpaka 9 (1.5 mpaka 2 malita) patsiku.

Muyenera kudya mchere wochepa. Mchere umatha kukupangitsani kumva ludzu, ndipo kukhala ndi ludzu kumatha kukupangitsani kumwa madzi ambiri. Mchere wowonjezera umapangitsanso madzi kukhala mthupi lanu. Zakudya zambiri zomwe sizilawa mchere, kapena zomwe simuthira mchere, zimakhala ndi mchere wambiri.

Mungafunike kumwa mapiritsi a diuretic, kapena madzi.

Osamwa mowa. Mowa umapangitsa kuti zikhale zovuta kuti minofu yanu yamtima igwire ntchito. Funsani omwe akukuthandizani kuti achite nthawi yapadera pomwe mowa ndi zakudya zomwe mukuyesera kupewa zidzaperekedwa.

Ngati mumasuta, siyani. Funsani thandizo kusiya ngati mukufuna. Musalole aliyense kusuta m'nyumba mwanu.

Dziwani zambiri pazomwe muyenera kudya kuti mtima wanu ndi mitsempha yanu izikhala yathanzi.

• Pewani zakudya zamafuta.
• Khalani kutali ndi malo odyera mwachangu.
• Pewani zakudya zomwe zakonzedwa kale.
• Phunzirani malangizo othandiza.

Yesetsani kupewa zinthu zomwe zimakuvutani. Ngati mumakhala opanikizika nthawi zonse, kapena ngati muli achisoni kwambiri, lankhulani ndi omwe amakupatsani omwe angakutumizireni kwa aphungu.

Lembani mankhwala anu onse musanapite kunyumba. Ndikofunika kwambiri kuti muzimwa mankhwala anu monga momwe wothandizirayo anakuwuzani. Musamamwe mankhwala aliwonse kapena zitsamba popanda kufunsa omwe akukuthandizani za izo poyamba.

Tengani mankhwala anu ndi madzi. Osamamwa ndi madzi amphesa, chifukwa zimatha kusintha momwe thupi lanu limayamwa mankhwala ena. Funsani omwe amakupatsani kapena wamankhwala ngati izi zingakhale zovuta kwa inu.

Mankhwalawa pansipa amaperekedwa kwa anthu ambiri omwe ali ndi vuto la mtima. Nthawi zina pamakhala chifukwa chomwe sangakhale otetezeka kutenga, ngakhale. Mankhwalawa atha kuteteza mtima wanu. Lankhulani ndi omwe amakupatsani ngati simunayambe kumwa mankhwalawa:

• Mankhwala oletsa antiplatelet (owonda magazi) monga aspirin, clopidogrel (Plavix), kapena warfarin (Coumadin) kuthandiza magazi anu kuti asamatete
• Beta blocker ndi ACE inhibitor mankhwala ochepetsa kuthamanga kwa magazi
• Statins kapena mankhwala ena kuti muchepetse cholesterol yanu

Lankhulani ndi omwe akukuthandizani musanasinthe momwe mumamwe mankhwala. Osangosiya kumwa mankhwalawa pamtima panu, kapena mankhwala aliwonse omwe mungamwe nawo matenda ashuga, kuthamanga kwa magazi, kapena matenda ena omwe muli nawo.

Ngati mukumwa magazi ochepera magazi, monga warfarin (Coumadin), muyenera kuyesedwa magazi kuti mutsimikizire kuti mulingo wanu ndi wolondola.

Wothandizira anu akhoza kukutumizirani ku pulogalamu yokonzanso mtima. Kumeneko, muphunzira momwe mungakulitsire pang'ono masewera olimbitsa thupi komanso momwe mungasamalire matenda anu amtima. Onetsetsani kuti mumapewa kukweza katundu wolemera.

Onetsetsani kuti mukudziwa zizindikiro zochenjeza za mtima kulephera komanso matenda amtima. Dziwani zoyenera kuchita mukakhala ndi ululu pachifuwa, kapena angina.

Nthawi zonse funsani omwe akukuthandizani musanayambenso kugonana. Musatenge sildenafil (Viagra), kapena vardenafil (Levitra), tadalafil (Cialis), kapena mankhwala azitsamba amtundu uliwonse wamankhwala osafufuza kaye.

Onetsetsani kuti nyumba yanu yakonzedwa kuti ikhale yotetezeka komanso yosavuta kwa inu kuti muzitha kuyandikira ndikupewa kugwa.

Ngati simungathe kuyenda mozungulira kwambiri, funsani omwe akukuthandizani kuti achite masewera olimbitsa thupi omwe mungachite mutakhala pansi.

Onetsetsani kuti mumalandira chimfine chaka chilichonse. Mwinanso mungafune kuwombera chibayo. Funsani omwe akukuthandizani za izi.

Wothandizira anu akhoza kukuyimbirani kuti muwone momwe mukuchitira ndikuonetsetsa kuti mukuyang'ana kulemera kwanu ndikumwa mankhwala anu.

Mudzafunika maimidwe otsatila ku ofesi ya omwe amakupatsani.

Muyenera kukhala ndi mayeso ena a labu kuti muwone kuchuluka kwa sodium ndi potaziyamu ndikuwunika momwe impso zanu zikugwirira ntchito.

Itanani omwe akukuthandizani ngati:

• Mumalandira mapaundi oposa 2 (kilogalamu imodzi, kg) patsiku, kapena 5 lb (2 kg) mu sabata.
• Mwatopa kwambiri komanso mwafooka.
• Ndiwe wamisala komanso wamutu.
• Mumasowa mpweya mukamachita zochitika zanu zanthawi zonse.
• Mumakhala ndi mpweya watsopano mukakhala.
• Muyenera kukhala tsonga kapena kugwiritsa ntchito mapilo ambiri usiku chifukwa simupuma mokwanira mukamagona.
• Mumadzuka 1 mpaka 2 maola mutagona chifukwa mulibe mpweya.
• Mukupuma komanso mukuvutika kupuma.
• Mumamva kupweteka kapena kupanikizika pachifuwa.
• 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.
• Muli ndi ululu m'mimba komanso mwachikondi.
• Muli ndi zizindikilo zomwe mukuganiza kuti mwina zachokera kumankhwala anu.
• Kugunda kwanu, kapena kugunda kwa mtima, kumachedwetsa kapena kuthamanga kwambiri, kapena sikukhazikika.

Kupweteka kwa mtima - kutulutsa; CHF - kutulutsa; HF - kumaliseche

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 kwa odwala olephera mtima omwe ali 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.

• Angina
• Matenda a m'mimba
• Njira zochotsera mtima
• Matenda a mtima
• Mtima kulephera
• Mtima pacemaker
• Kuthamanga kwa magazi - akuluakulu
• Chokhazika mtima chosintha mtima
• Malangizo a momwe mungasiyire kusuta
• Ventricular assist chida

• Zoletsa za ACE
• Angina - mukakhala ndi ululu pachifuwa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Kukhala achangu mukakhala ndi matenda amtima
• Batala, majarini, ndi mafuta ophikira
• Cholesterol ndi moyo
• Kulamulira kuthamanga kwa magazi
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Matenda a mtima - zoopsa
• Mtima kulephera - madzi ndi okodzetsa
• Kulephera kwa mtima - kuwunika nyumba
• Kulephera kwa mtima - zomwe mungafunse dokotala wanu
• Kuthamanga kwa magazi - zomwe mungafunse dokotala wanu
• Momwe mungawerenge zolemba za chakudya
• Chodetsa cha mtima wamafuta - kutulutsa
• Zakudya zamcherecherere
• Zakudya zaku Mediterranean
• Kutenga warfarin (Coumadin, Jantoven) - zomwe mungafunse dokotala wanu
• Kutenga warfarin (Coumadin)

• Kulephera Kwa Mtima