Kulephera kwa mtima - chisamaliro chothandiza

Ndikofunika kuti mulankhule ndi omwe amakuthandizani azaumoyo komanso banja lanu za mtundu wamasamaliro omwe mukufuna mutalandira chithandizo cha mtima.

Kulephera kwamtima kosalekeza kumawonjezereka pakapita nthawi. Anthu ambiri omwe ali ndi vuto la mtima amafa chifukwa cha vutoli. Kungakhale kovuta kuganiza ndi kulankhula za mtundu wa chisamaliro chomwe mukufuna kumapeto kwa moyo wanu. Komabe, kukambirana nkhaniyi ndi madotolo ndi okondedwa anu kungakuthandizeni kukhala ndi mtendere wamumtima.

Mwinamwake mwakhala mukukambirana kale za kuikidwa mtima ndi kugwiritsa ntchito chipangizo chothandizira ventricular ndi dokotala wanu.

Panthawi ina, mudzayang'anizana ndi chisankho chofuna kupitirizabe kuchiritsa kapena mwamphamvu chithandizo cha mtima. Kenako, mungafune kukambirana za chithandizo chochepetsera kapena chitonthozo ndi omwe amakupatsani komanso okondedwa anu.

Anthu ambiri amafuna kukhala m'nyumba zawo kumapeto kwa nthawi yamoyo. Izi zimatheka nthawi zambiri mothandizidwa ndi okondedwa, osamalira odwala, komanso pulogalamu yothandizira odwala. Mungafunike kusintha zina ndi zina m'nyumba mwanu kuti moyo ukhale wosavuta komanso kuti mukhale otetezeka. Malo ogwiritsira ntchito zipatala ndi zipatala zina ndi njira ina.

Malangizo othandizira pasadakhale ndi zikalata zomwe zimafotokoza mtundu wa chisamaliro chomwe mungafune ngati simungathe kudzilankhulira nokha.

Kutopa ndi kupuma ndimavuto omwe amapezeka kumapeto kwa moyo. Zizindikirozi zitha kukhala zopweteka.

Mutha kumva kuti mulibe mpweya komanso mumavutika kupuma. Zizindikiro zina zimatha kuphatikizira kukhwima pachifuwa, kumverera ngati kuti simukupeza mpweya wokwanira, kapenanso kumva kuti mukuphulitsidwa.

Banja kapena osamalira atha kuthandiza ndi:

• Kumulimbikitsa munthuyo kuti akhale tsonga
• Kuchulukitsa mpweya mu chipinda pogwiritsa ntchito fanasi kapena kutsegula zenera
• Kuthandiza munthu kumasuka komanso osachita mantha

Kugwiritsa ntchito mpweya kumakuthandizani kuthana ndi mpweya wochepa komanso kuti munthu akhale ndi vuto lakumapeto kwa mtima womasuka. Njira zachitetezo (monga kusasuta) ndizofunikira kwambiri mukamagwiritsa ntchito mpweya kunyumba.

Morphine amathanso kuthandizira kupuma movutikira. Amapezeka ngati piritsi, madzi, kapena piritsi yomwe imasungunuka pansi pa lilime. Wopereka wanu angakuuzeni momwe mungatengere morphine.

Zizindikiro za kutopa, kupuma movutikira, kusowa kwa njala, ndi mseru zimatha kupangitsa kuti zikhale zovuta kwa anthu omwe ali ndi kulephera kwa mtima kudya ma calories ndi michere yokwanira. Kuwonongeka kwa minofu ndi kuchepa thupi ndi gawo la njira yachilengedwe ya matenda.

Itha kuthandiza kudya zakudya zingapo zingapo. Kusankha zakudya zokopa komanso zosavuta kuzipukusa kumatha kupanga zosavuta kudya.

Osamalira sayenera kukakamiza munthu amene walephera kudya. Izi sizimathandiza kuti munthu akhale ndi moyo wautali komanso atha kukhala wosavomerezeka.

Lankhulani ndi omwe amakupatsani zomwe mungachite kuti muthane ndi kusuta kapena kusanza ndi kudzimbidwa.

Nkhawa, mantha, ndi chisoni ndizofala pakati pa anthu omwe ali ndi vuto lakumapeto kwa mtima.

• Banja ndi omwe akuwasamalira ayenera kuyang'ana zizindikilo za mavutowa. Kufunsa munthuyo za momwe akumvera komanso zomwe akuwopa kumatha kukambirana mosavuta.
• Morphine amathanso kuthandizira mwamantha komanso nkhawa. Mankhwala ena opatsirana pogonana angakhale othandiza.

Ululu ndimavuto ambiri kumapeto kwa matenda ambiri, kuphatikiza kulephera kwa mtima. Morphine ndi mankhwala ena opweteka amatha kuthandizira. Mankhwala wamba opweteka, monga ibuprofen, nthawi zambiri amakhala osatetezeka kwa anthu omwe ali ndi vuto la mtima.

Anthu ena amatha kukhala ndi vuto la chikhodzodzo kapena ntchito yamatumbo. Lankhulani ndi omwe amakupatsani musanagwiritse ntchito mankhwala aliwonse, mankhwala ofewetsa tuvi tolimba, kapenanso mankhwala opatsirana pogwiritsira ntchito zizindikirozi.

CHF - wodekha; Kupweteka kwa mtima - kutonthoza; Cardiomyopathy - ochepetsera; HF - yosangalatsa; Cachexia yamtima; Kutha-kwa-moyo-mtima kulephera

Allen LA, Matlock DD. Kupanga zisankho komanso chisamaliro chodekha pakulephera kwa mtima. Mu: Felker GM, Mann DL, ma eds. Kulephera kwa Mtima: Wothandizana naye ku Matenda a Mtima a Braunwald. Wolemba 4. Philadelphia, PA: Elsevier, 2020: chap 50.

Allen LA, Stevenson LW. Kuwongolera odwala omwe ali ndi matenda amtima akuyandikira kumapeto kwa moyo .. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: mutu 31.

Yancy CW, Jessup M, Bozkurt B, ndi al. Chitsogozo cha ACCF / AHA cha 2013 chothandizira kuwonongeka kwa mtima: lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. Kuzungulira. 2013; 128 (16): e240-e327. PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Kulephera Kwa Mtima