Matenda ozungulira a mtsempha wamagazi - kudzisamalira

Matenda a mtsempha wamagazi (PAD) ndikuchepetsa kwa mitsempha yamagazi yomwe imabweretsa magazi kumapazi ndi kumapazi. Zitha kuchitika cholesterol ndi mafuta ena (atherosclerotic plaque) atakhazikika pamakoma amitsempha yanu.

PAD imawonekera kwambiri mwa anthu azaka zopitilira 65. Matenda a shuga, kusuta, ndi kuthamanga kwa magazi kumawonjezera chiopsezo cha PAD.

Zizindikiro za PAD zimaphatikizapo kukokana m'miyendo makamaka panthawi yazolimbitsa thupi (kuphatikizira kwapakati). Pazovuta zazikulu, pakhoza kukhalanso ndi ululu mwendo ukapuma.

Kusamalira zoopsa kungachepetse chiopsezo chowonjezeranso mtima. Chithandizochi chimaphatikizapo mankhwala ndi kukonzanso. Zikakhala zovuta, opareshoni itha kuchitidwanso.

Pulogalamu yoyenda pafupipafupi imathandizira kuti magazi aziyenda bwino ngati mitsempha yaying'ono, yaying'ono. Pulogalamu yoyenda ili motere:

• Tenthetsani poyenda liwiro lomwe silimayambitsa matenda anu amiyendo.
• Kenako yendani mpaka kufika pakumva kupweteka pang'ono kapena kusapeza bwino.
• Pumulani mpaka ululu utatha, ndiye yesetsani kuyendanso.

Cholinga chanu pakapita nthawi ndikutha kuyenda mphindi 30 mpaka 60. Nthawi zonse lankhulani ndi omwe amakuthandizani musanayambe kuchita masewera olimbitsa thupi. Itanani yemwe akukuthandizani nthawi yomweyo ngati muli ndi zina mwazizindikiro mukamachita masewera olimbitsa thupi kapena mukamaliza:

• Kupweteka pachifuwa
• Mavuto opumira
• Chizungulire
• Kugunda kwa mtima kosagwirizana

Pangani kusintha kosavuta kuti muwonjezere kuyenda tsiku lanu.

• Kuntchito, yesetsani kukwera masitepe m'malo mokweza chikepe, kuyenda mphindi 5 mphindi iliyonse, kapena kuwonjezera mphindi 10 mpaka 20 panthawi yopuma.
• Yesani kuyimitsa magalimoto kumapeto kwenikweni kwa malo oimikapo magalimoto, kapena ngakhale mumsewu. Ngakhale zili bwino, yesani kuyenda m'sitolo.
• Ngati mukukwera basi, tsikani basi 1 osayima pomwe muyende njira yonse.

Lekani kusuta. Kusuta kumachepetsa mitsempha yanu ndikuwonjezera chiopsezo cha zolembera za atherosclerotic kapena magazi omwe amapanga. Zinthu zina zomwe mungachite kuti mukhale athanzi momwe mungathere ndi:

• Onetsetsani kuti kuthamanga kwa magazi kumayendetsedwa bwino.
• Chepetsani kulemera kwanu, ngati mukulemera kwambiri.
• Idyani chakudya chochepa cha cholesterol ndi mafuta ochepa.
• Yesani magazi anu ngati muli ndi matenda ashuga, ndipo pitirizani kuwayang'anira.

Yang'anani mapazi anu tsiku lililonse. Onetsetsani nsonga, mbali, zidendene, zidendene, ndi pakati pa zala zanu. Ngati muli ndi vuto la masomphenya, pemphani wina kuti akuyang'anireni mapazi anu. Gwiritsani ntchito chopangira mafuta kuti khungu lanu likhale labwino. Yang'anani:

• Khungu louma kapena losweka
• Matuza kapena zilonda
• Ziphuphu kapena mabala
• Kufiira, kutentha, kapena kukoma
• Malo olimba kapena olimba

Itanani yemwe akukuthandizirani moyenera zavuto lililonse la phazi. Musayese kuwachitira nokha.

Ngati mukumwa mankhwala a kuthamanga kwa magazi, cholesterol, kapena matenda ashuga, tengani monga mwalamulidwa. Ngati simukumwa mankhwala a cholesterol wambiri, funsani omwe akukuthandizani za iwo chifukwa atha kukuthandizani ngakhale cholesterol yanu isakwere.

Wothandizira anu akhoza kukupatsani mankhwala otsatirawa kuti athetse matenda anu a mitsempha:

• Aspirin kapena mankhwala otchedwa clopidogrel (Plavix), omwe amateteza magazi anu kuti asapangike
• Cilostazol, mankhwala omwe amakulitsa (kutambasula) mitsempha

Osasiya kumwa mankhwalawa musanakambirane ndi omwe akukuthandizani.

Itanani omwe akukuthandizani ngati muli ndi:

• Mwendo kapena phazi lomwe ndilabwino kukhudza, lotumbululuka, buluu, kapena dzanzi
• Kupweteka pachifuwa kapena kupuma pang'ono mukamamva kuwawa mwendo
• Kupweteka kwa mwendo komwe sikutha, ngakhale simukuyenda kapena kusuntha (komwe kumatchedwa kupweteka kopuma)
• Miyendo yofiira, yotentha, kapena yotupa
• Zilonda zatsopano pamiyendo kapena kumapazi anu
• Zizindikiro za matenda (malungo, thukuta, khungu lofiira komanso lopweteka, kusamva bwino)
• Zilonda zomwe sizichira

Zotumphukira mtima matenda - kudzikonda chisamaliro; Kulimbana kwapakati - kudzisamalira

MP wa Bonaca, Creager MA. Matenda a mtsempha wamagazi. 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 64.

Kullo IJ. Matenda a mtsempha wamagazi. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 141-145.

Simons JP, Robinson WP, Schanzer A. Matenda otsika kwambiri: chithandizo chamankhwala ndikupanga zisankho. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 105.

• Matenda Owonongeka