Zizindikiro ndi zizindikiro za matenda amtima

Matenda amtima nthawi zambiri amakula pakapita nthawi. Mutha kukhala ndi zizindikilo zoyambirira musanakhale ndi mavuto akulu amtima. Kapena, mwina simukuzindikira kuti mukukula matenda amtima. Zizindikiro zodwala mtima sizingakhale zowonekera. Komanso, sianthu onse omwe ali ndi zizindikilo zofananira.

Zizindikiro zina, monga kupweteka pachifuwa, kutupa kwa akakolo, ndi kupuma movutikira zitha kuwonetsa kuti china chake sichili bwino. Kuphunzira zizindikiro zochenjeza kumatha kukuthandizani kupeza chithandizo ndikuthandizira kupewa matenda a mtima kapena sitiroko.

Kupweteka pachifuwa sikumva bwino kapena kupweteka komwe mumamva kutsogolo kwa thupi lanu, pakati pa khosi lanu ndi pamimba pamimba. Pali zifukwa zambiri zowawa pachifuwa zomwe sizikugwirizana ndi mtima wanu.

Koma kupweteka pachifuwa ndichizindikiro chofala kwambiri chothana magazi kufikira pamtima kapena matenda amtima. Mtundu uwu wa kupweteka pachifuwa umatchedwa angina.

Kupweteka pachifuwa kumatha kuchitika ngati mtima sukupeza magazi kapena mpweya wokwanira. Kuchuluka ndi mtundu wa zowawa zimatha kusiyanasiyana munthu ndi munthu. Kukula kwa ululu sikugwirizana nthawi zonse ndi momwe vuto limakhalira.

• Anthu ena amamva kupweteka kopweteka, pomwe ena amangomva kupwetekedwa pang'ono.
• Chifuwa chanu chimatha kumva ngati cholemera kapena ngati wina akufinya mtima wanu. Muthanso kumva kupweteka kwakuthwa m'chifuwa mwanu.
• Mutha kumva kupweteka pansi pa chifuwa chanu (sternum), kapena m'khosi, mikono, mimba, nsagwada, kapena kumbuyo.
• Kupweteka pachifuwa kochokera ku angina nthawi zambiri kumachitika ndi zochitika kapena kutengeka, ndipo kumatha ndi kupumula kapena mankhwala otchedwa nitroglycerin.
• Kudzimbidwa koyipa kumathandizanso kupweteka pachifuwa.

Amayi, achikulire, komanso anthu omwe ali ndi matenda ashuga mwina samamva kupweteka pachifuwa kapena samamva kupweteka konse. Amakhala ndi zizindikiro zina kupatula kupweteka pachifuwa, monga:

• Kutopa
• Kupuma pang'ono
• Kufooka kwakukulu
• Sinthani mtundu wa khungu kapena imvi (zigawo zosintha khungu lomwe limakhudzana ndi kufooka)

Zizindikiro zina za matenda a mtima ndi monga:

• Kuda nkhawa kwambiri
• Kukomoka kapena kutaya chidziwitso
• Kupepuka kapena chizungulire
• Nseru kapena kusanza
• Kupindika (kumverera ngati mtima wako ukugunda mofulumira kwambiri kapena mosasintha)
• Kupuma pang'ono
• Kukhetsa thukuta, komwe kumatha kukhala kolemetsa kwambiri

Pamene mtima sungapope magazi momwe uyenera kukhalira, magazi amabwerera m'mitsempha yomwe imachokera m'mapapu kupita kumtima. Madzi amatuluka m'mapapu ndikupangitsa kupuma pang'ono. Ichi ndi chizindikiro cha kulephera kwa mtima.

Mutha kuwona kupuma pang'ono:

• Nthawi yochita
• Pamene mukupuma
• Mukamagona chafufumimba kumbuyo kwanu - mwina imatha kukudzutsani ku tulo

Kukhosomola kapena kupuma komwe sikungathe kungakhale chizindikiro china chakuti madzi akukhala m'mapapu anu. Muthanso kutsokomola ntchofu zapinki kapena zamagazi.

Kutupa (edema) m'miyendo yanu yakumunsi ndichizindikiro china cha vuto la mtima. Pamene mtima wanu sugwiranso ntchito, magazi amayenda pang'onopang'ono ndikubwerera m'mitsempha m'miyendo mwanu. Izi zimayambitsa madzi m'matumba anu.

Muthanso kukhala ndi kutupa m'mimba kapena kuzindikira kunenepa.

Kupindika kwa mitsempha yamagazi yomwe imabweretsa magazi mbali zina za thupi kungatanthauze kuti muli pachiwopsezo chachikulu chodwala matenda a mtima. Zitha kuchitika cholesterol ndi zinthu zina zamafuta (zolengeza) zikakhazikika pamakoma amitsempha yanu.

Magazi ochepa m'miyendo atha kubweretsa ku:

• Ululu, kupweteka, kutopa, kuwotcha, kapena kusapeza bwino m'minyewa ya phazi lanu, ng'ombe zanu, kapena ntchafu zanu.
• Zizindikiro zomwe nthawi zambiri zimawoneka mukuyenda kapena kuchita masewera olimbitsa thupi, ndikupita patapuma mphindi zingapo.
• Dzanzi m'miyendo kapena m'mapazi anu mukakhala mukupuma. Miyendo yanu imamvanso kuzizira pakukhudza, ndipo khungu limawoneka lotuwa.

Sitiroko imachitika magazi akamayenda m'mbali ina yaubongo. Sitiroko nthawi zina imatchedwa "matenda aubongo." Zizindikiro za kupwetekedwa mtima zimatha kuphatikizaponso zovuta kusuntha miyendo mbali imodzi ya thupi lanu, mbali imodzi ya nkhope ikulendewera, kuvutika ndi kulankhula kapena kumvetsetsa chilankhulo.

Kutopa kungakhale ndi zifukwa zambiri. Nthawi zambiri zimangotanthauza kuti mumafunikira kupuma mokwanira. Koma kumverera kuthamangitsidwa kungakhale chizindikiro cha vuto lalikulu kwambiri. Kutopa kungakhale chizindikiro cha vuto la mtima pamene:

• Mumamva kutopa kwambiri kuposa zachilendo. Sizachilendo kuti azimayi azimva kutopa kwambiri asanafike kapena akamadwala mtima.
• Mumamva kutopa kwambiri kwakuti simungathe kuchita ntchito zanu zatsiku ndi tsiku.
• Muli ndi kufooka kwadzidzidzi, kwakukulu.

Ngati mtima wanu sungathenso kupopa magazi, atha kugunda mwachangu kuyesa kutsatira. Mutha kumva kuti mtima wanu ukugunda kapena kupukusa. Kugunda kwachangu kapena kosagwirizana kungakhalenso chizindikiro cha arrhythmia. Ili ndi vuto ndi kugunda kwa mtima wanu kapena mungoli.

Ngati muli ndi zizindikiro zilizonse zamatenda amtima, itanani azachipatala nthawi yomweyo. Musayembekezere kuti muwone ngati zizindikirozo zitha kapena kuzitaya ngati zopanda pake.

Itanani nambala yanu yadzidzidzi (monga 911) ngati:

• Mukumva kupweteka pachifuwa kapena zizindikiro zina za matenda a mtima
• Ngati mukudziwa kuti muli ndi angina ndipo mukumva kupweteka pachifuwa komwe sikutha pambuyo pakupuma kwamphindi 5 kapena mutamwa nitroglycerine
• Ngati mukuganiza kuti mwina muli ndi vuto la mtima
• Mukakhala ndi mpweya wochepa kwambiri
• Ngati mukuganiza kuti mwina mwataya chidziwitso

Angina - zizindikiro za matenda a mtima; Kupweteka pachifuwa - zizindikiro za matenda a mtima; Dyspnea - zizindikiro za matenda a mtima; Edema - zizindikiro za matenda a mtima; Palpitations - zizindikiro za matenda a mtima

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. Kuzungulira. 2014; 130 (19): 1749-1767. PMID: 25070666 www.ncbi.nlm.nih.gov/pubmed/25070666.

Goff DC Jr, Lloyd-Jones DM, Bennett G, ndi al. Chitsogozo cha 2013 ACC / AHA pakuwunika kwa chiwopsezo cha mtima: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines. Kuzungulira. 2014; 129 (25 Suppl 2): ​​S49-S73. PMID: 24222018 www.ncbi.nlm.nih.gov/pubmed/24222018.

Gulati M, Bairey Merz CN. Matenda amtima mwa akazi. 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 89.

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.

• Matenda a Mtima