Kukhala ndi matenda amtima komanso angina

Matenda amtima wa Coronary (CHD) ndikuchepetsa kwa mitsempha yaying'ono yamagazi yomwe imapereka magazi ndi mpweya pamtima. Angina ndi kupweteka pachifuwa kapena kusapeza bwino komwe kumachitika nthawi zambiri mukamachita zinthu zina kapena mukapanikizika. Nkhaniyi ikufotokoza zomwe mungachite kuti muchepetse kupweteka pachifuwa ndikuchepetsa chiopsezo cha matenda amtima.

CHD ndikuchepa kwa mitsempha yaying'ono yamagazi yomwe imapereka magazi ndi mpweya pamtima.

Angina ndi kupweteka pachifuwa kapena kusapeza bwino komwe kumachitika nthawi zambiri mukamachita zinthu zina kapena mukapanikizika. Zimayambitsidwa chifukwa chamagazi osayenda bwino kudzera mumitsempha yamagulu amtima.

Ngati muli ndi kuthamanga kwa magazi, matenda ashuga, kapena cholesterol, wothandizira zaumoyo wanu akhoza kukulangizani kuti:

• Sungani magazi anu pafupipafupi mpaka 130/80. Kutsika kumatha kukhala kwabwino ngati muli ndi matenda ashuga, matenda a impso, sitiroko, kapena mavuto amtima, koma omwe amakupatsani amakupatsani zomwe mukufuna.
• Tengani mankhwala ochepetsa cholesterol yanu.
• Sungani HbA1c yanu ndi shuga wamagazi pamilingo yolimbikitsidwa.

Zina mwazomwe zitha kuwonongeka ndimatenda amtima ndi izi:

• Kumwa mowa. Mukamamwa, musamamwe mowa wokha kamodzi patsiku kwa akazi, kapena 2 patsiku kwa amuna.
• Thanzi labwino. Yang'anirani ndikuchiritsidwa kukhumudwa, ngati kuli kofunikira.
• Chitani masewera olimbitsa thupi. Chitani masewera olimbitsa thupi ambiri, monga kuyenda, kusambira, kapena kupalasa njinga, osachepera mphindi 40 patsiku, osachepera masiku 3 kapena 4 pasabata.
• Kusuta. Osasuta kapena kusuta fodya.
• Kupsinjika. Pewani kapena kuchepetsa nkhawa momwe mungathere.
• Kulemera. Pitirizani kulemera bwino. Yesetsani kuwerengera thupi (BMI) pakati pa 18.5 ndi 24.9 ndi chiuno chocheperapo ndi mainchesi 35 (90 sentimita).

Zakudya zabwino ndizofunikira pa thanzi la mtima wanu. Kudya moyenera kumakuthandizani kuti muchepetse zina mwaziwopsezo zanu zamatenda amtima.

• Idyani zipatso, ndiwo zamasamba, ndi tirigu wambiri.
• Sankhani mapuloteni owonda, monga nkhuku yopanda khungu, nsomba, ndi nyemba.
• Idyani mkaka wopanda mafuta kapena mafuta ochepa, monga mkaka wopanda mafuta komanso yogurt wopanda mafuta.
• Pewani zakudya zomwe zili ndi mchere wambiri (mchere).
• Werengani zolemba za chakudya. Pewani zakudya zomwe zimakhala ndi mafuta okhathamira komanso mafuta a hydrogenated kapena hydrogenated pang'ono. Awa ndi mafuta opanda thanzi omwe nthawi zambiri amapezeka muzakudya zokazinga, zakudya zopangidwa ndimakina, ndi zinthu zophika.
• Idyani zakudya zochepa zomwe zili ndi tchizi, kirimu, kapena mazira.

Wothandizira anu amatha kukupatsani mankhwala ochizira CHD, kuthamanga kwa magazi, matenda ashuga, kapena kuchuluka kwama cholesterol. Izi zingaphatikizepo:

• Zoletsa za ACE
• Beta-blockers
• Oletsa ma calcium
• Odzetsa (mapiritsi amadzi)
• Statins zochepetsa cholesterol
• Mapiritsi a Nitroglycerin kapena utsi wopewa kapena kuletsa angina

Pochepetsa chiopsezo cha matenda amtima, muthanso kuuzidwa kumwa aspirin, clopidogrel (Plavix), ticagrelor (Brilinta) kapena prasugrel (Effient) tsiku lililonse. Tsatirani malangizo a omwe akukuthandizani mosamala kuti matenda a mtima ndi angina asawonongeke.

Nthawi zonse lankhulani ndi omwe akukuthandizani musanamwe mankhwala anu. Kuyimitsa mankhwalawa modzidzimutsa kapena kusintha mlingo wanu kumatha kukulitsa angina anu kapena kuyambitsa matenda amtima.

Pangani pulani ndi omwe akukuthandizani pakuwongolera angina. Dongosolo lanu liyenera kuphatikizapo:

• Ndi zinthu ziti zomwe zili zoyenera kuti muchite, ndi zomwe sizili bwino
• Ndi mankhwala ati omwe muyenera kumwa mukakhala ndi angina
• Zizindikiro ziti zomwe angina anu akukula
• Mukamayimbira wothandizira wanu kapena 911 kapena nambala yadzidzidzi yakomweko

Dziwani zomwe zingayambitse angina anu, ndipo yesetsani kupewa izi. Mwachitsanzo, anthu ena amawona kuti nyengo yozizira, kuchita masewera olimbitsa thupi, kudya chakudya chachikulu, kapena kukwiya kapena kupsinjika kumawonjezera angina.

Mitsempha ya Coronary matenda - kukhala ndi; CAD - kukhala ndi; Kupweteka pachifuwa - kukhala ndi

• Zakudya zabwino

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: 24239922 pubed.ncbi.nlm.nih.gov/24239922/.

Fihn SD, Blankenship JC, Alexander KP, ndi al. Chidziwitso cha 2014 ACC / AHA / AATS / PCNA / SCAI / STS chitsogozo chazidziwitso zakuwunika ndi kuwunika kwa odwala omwe ali ndi matenda osakhazikika amtima: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines, ndi American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Intervention, ndi Society of Thoracic Surgeons. J Ndine Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 adatulutsidwa.ncbi.nlm.nih.gov/25077860/.

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.

Mozaffarian D. Chakudya chopatsa thanzi komanso matenda amtima komanso amadzimadzi. 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; 2018: mutu 49.

Mwala NJ, Robinson JG, Lichtenstein AH, et al. Chitsogozo cha 2013 ACC / AHA chothandizira cholesterol yamagazi kuti ichepetse vuto la mtima ndi mitsempha mwa akulu: lipoti la American College of Cardiology / American Heart Association Task Force pamayendedwe othandizira.J Ndine Coll Cardiol. 2014; 63 (25 Pt B): 2889-2934. PMID: 24239923 adatulutsidwa.ncbi.nlm.nih.gov/24239923/.

Thompson PD, Ades PA. Kuchita masewera olimbitsa thupi, kukonzanso mtima kwathunthu. 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 54.

• Angina
• Matenda a Coronary Artery