Matenda a mtima - zomwe mungafunse dokotala wanu

Matenda a mtima amachitika magazi akamatulukira gawo lina la mtima wanu atatsekedwa kwakanthawi ndipo gawo lina la minofu yamtima lawonongeka. Amatchedwanso myocardial infarction (MI).

Angina ndi kupweteka kapena kupanikizika pachifuwa. Zimachitika pamene minofu ya mtima wanu sakupeza magazi okwanira kapena mpweya wokwanira. Mutha kumva angina m'khosi kapena nsagwada. Nthawi zina mungaone kuti mukulephera kupuma.

Pansipa pali mafunso omwe mungafune kufunsa wothandizira zaumoyo wanu kuti akuthandizeni kudzisamalira mutadwala matenda a mtima.

Zizindikiro ndi zizindikiro ziti zomwe ndili ndi angina? Kodi ndizikhala ndi zizindikilo zofananira nthawi zonse?

• Kodi ndi zinthu ziti zomwe zitha kundipangitsa kukhala ndi angina?
• Kodi ndiyenera kuchiza bwanji kupweteka pachifuwa kapena angina zikachitika?
• Ndiyenera kuyimbira liti dokotala?
• Ndiyenera kuyimba liti 911 kapena nambala yadzidzidzi yakomweko?

Kodi zili bwino bwanji kwa ine?

• Kodi ndingayendeyende m'nyumba? Kodi ndibwino kukwera masitepe? Kodi ndingayambire pati ntchito zapakhomo kapena kuphika? Kodi ndingakweze kapena kunyamula zochuluka motani? Kodi ndimafunikira kugona kwambiri?
• Ndi zinthu ziti zomwe zili bwino kuyamba nazo? Kodi pali zochitika zina zomwe sizabwino kwa ine?
• Kodi ndizotetezeka kuti ndizichita masewera olimbitsa thupi ndekha? Kodi ndiyenera kuchita masewera olimbitsa thupi mkati kapena kunja?
• Kodi nditha kuchita masewera olimbitsa thupi nthawi yayitali bwanji?

Kodi ndiyenera kuyesa mayeso? Kodi ndiyenera kupita pulogalamu yokonzanso mtima?

Kodi ndingabwerere liti kuntchito? Kodi pali malire pazomwe ndingachite pantchito?

Kodi ndiyenera kuchita chiyani ndikakhala wachisoni kapena wodandaula chifukwa cha matenda anga amtima?

Kodi ndingatani kuti ndisinthe momwe ndimakhalira kuti mtima wanga ukhale wathanzi?

• Kodi chakudya chopatsa thanzi ndi chiyani? Kodi ndizabwino kudya chakudya chomwe sichili bwino? Kodi ndingasankhe bwanji moyenera ndikapita kulesitilanti?
• Kodi ndizabwino kumwa mowa? Zingati?
• Kodi ndizabwino kukhala ndi anthu ena omwe akusuta?
• Kodi kuthamanga kwa magazi kuli bwino?
• Kodi cholesterol yanga ndi chiyani? Kodi ndiyenera kumwa mankhwala?

Kodi ndizotheka kugonana? Kodi ndizotetezeka kugwiritsa ntchito sildenafil (Viagra), vardenafil (Levitra), kapena tadalafil (Cialis) pamavuto okhalitsa?

Kodi ndimamwa mankhwala ati ochizira angina?

• Kodi ali ndi zovuta zina?
• Kodi ndiyenera kuchita chiyani ndikaphonya mlingo?
• Kodi ndizotetezeka kusiya kumwa mankhwalawa ndekha?

Ngati ndikumwa magazi owonda monga aspirin, clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), coumadin (Warfarin), apixaban (Eliquis), rivaroxaban powder (Xeralto), edoxaban (Savaysa), dabigatran (Pradaxa) , nditha kugwiritsa ntchito mankhwala monga ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn) yamatenda am'mimba, kupweteka kwa mutu, kapena mavuto ena akumva?

Zomwe mungafunse dokotala wanu za vuto lanu la mtima

• MI yovuta

Anderson JL. Gawo la ST kukwera kwadzidzidzi kwaminyewa yam'mapapo mwanga komanso zovuta zamatenda am'mnyewa wamtima. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 73.

Morrow DA, de Lemos JA. Khola matenda amtima ischemic. 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: mutu 61.

Smith Jr SC, Benjamin EJ, Bonow RO, ndi al. AHA / ACCF yachiwiri yoletsa komanso kuchepetsa chiopsezo kwa odwala omwe ali ndi matenda a mitsempha ndi atherosclerotic: kusintha kwa 2011: chitsogozo chochokera ku American Heart Association ndi American College of Cardiology Foundation chovomerezedwa ndi World Heart Federation ndi Preventive Cardiovascular Nurses Association. J Ndine Coll Cardiol. 2011; 58 (23): 2432-2446. PMID: 22055990 www.ncbi.nlm.nih.gov/pubmed/22055990.

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