Matenda amtima komanso kukhumudwa

Matenda a mtima ndi kukhumudwa nthawi zambiri zimayendera limodzi.

• Mutha kukhala achisoni kapena kukhumudwa mutadwala matenda a mtima kapena kuchitidwa opaleshoni yamtima, kapena pamene matenda amtima asintha moyo wanu.
• Anthu omwe ali ndi nkhawa amakhala ndi matenda amtima.

Chosangalatsa ndichakuti kuthana ndi kukhumudwa kumatha kuthandizira kukulitsa thanzi lanu lamaganizidwe ndi thupi.

Matenda a mtima ndi kukhumudwa zimalumikizidwa m'njira zingapo. Zizindikiro zina za kukhumudwa, monga kusowa mphamvu, zimatha kukupangitsani kukhala kovuta kusamalira thanzi lanu. Anthu omwe ali ndi nkhawa atha kuchita izi:

• Imwani mowa, kudya kwambiri, kapena kusuta kuti muchepetse nkhawa
• Osati zolimbitsa thupi
• Muzimva kupsinjika, komwe kumawonjezera chiopsezo chazovuta za mtima komanso kuthamanga kwa magazi.
• Osamamwa mankhwala awo molondola

Zonsezi:

• Lonjezerani chiopsezo chanu chodwala matenda amtima
• Lonjezerani chiopsezo chanu chofa mutadwala mtima
• Kuchulukitsa chiopsezo chobwereranso kuchipatala
• Pewani kuchira kwanu mukadwala matenda amtima kapena opaleshoni yamtima

Ndizofala kwambiri kukhumudwa kapena kukhumudwa ukadwala matenda amtima kapena kuchitidwa opaleshoni yamtima. Komabe, muyenera kuyamba kukhala ndi chiyembekezo mukamachira.

Ngati kukhumudwako sikukutha kapena zizindikiro zambiri zikayamba, musachite manyazi. M'malo mwake, muyenera kuyitanitsa wothandizira zaumoyo wanu. Mutha kukhala ndi nkhawa yomwe imafunika kuthandizidwa.

Zizindikiro zina za kukhumudwa ndi monga:

• Kumva kukwiya
• Kukhala ndi vuto loyang'ana kapena kupanga zisankho
• Kumva kutopa kapena kusakhala ndi mphamvu
• Kukhala wopanda chiyembekezo kapena wopanda thandizo
• Kuvuta kugona, kapena kugona kwambiri
• Kusintha kwakukulu pakudya, nthawi zambiri ndi kunenepa kapena kutaya
• Kutaya chisangalalo muzinthu zomwe mumakonda, kuphatikiza kugonana
• Kudzimva wopanda pake, kudzida, komanso kudziimba mlandu
• Maganizo obwereza kapena akudzipha

Chithandizo cha kukhumudwa chimatengera kukula kwake.

Pali mitundu iwiri yayikulu yamankhwala othandizira kukhumudwa:

• Kulankhula chithandizo. Chidziwitso chamakhalidwe (CBT) ndi mtundu wamankhwala olankhula omwe amagwiritsidwa ntchito kwambiri pochiza kukhumudwa. Zimakuthandizani kusintha malingaliro ndi machitidwe omwe angawonjezere kukhumudwa kwanu. Mitundu ina yamankhwala itha kuthandizanso.
• Mankhwala opatsirana pogonana. Pali mitundu yambiri ya antidepressants. Kusankha serotonin reuptake inhibitors (SSRIs) ndi serotonin ndi norepinephrine reuptake inhibitors (SNRIs) ndi mitundu iwiri ya mankhwala omwe amagwiritsidwa ntchito kuthana ndi kukhumudwa. Wopereka wanu kapena wothandizira atha kukuthandizani kuti mupeze imodzi yomwe ingakuthandizeni.

Ngati kuvutika kwanu ndikofatsa, kambiranani ndi ena kuti akuthandizeni. Ngati muli ndi vuto lokhumudwitsa pang'ono, omwe amakupatsani mwayi atha kupereka upangiri wothandizira kulankhula komanso zamankhwala.

Matenda okhumudwa amatha kupangitsa kuti zikhale zovuta kumva ngati akuchita chilichonse. Koma pali njira zomwe mungadzithandizire kuti mumve bwino. Nawa maupangiri angapo:

• Sunthani zambiri. Kuchita masewera olimbitsa thupi nthawi zonse kumathandiza kuchepetsa kukhumudwa. Komabe, ngati mukuchira mavuto amtima, muyenera kupeza bwino kwa dokotala musanayambe kuchita masewera olimbitsa thupi. Dokotala wanu angakulimbikitseni kulowa nawo pulogalamu yokonzanso mtima. Ngati kukonzanso mtima sikuyenera, funsani dokotala kuti akuuzeni mapulogalamu ena.
• Chitani mbali yofunika kwambiri pa thanzi lanu. Kafukufuku akuwonetsa kuti kutenga nawo mbali pakuchira kwanu komanso thanzi lanu lonse kungakuthandizeni kukhala ndi chiyembekezo. Izi zimaphatikizapo kumwa mankhwala anu monga momwe akulamulidwira ndikutsatira dongosolo lanu lazakudya.
• Kuchepetsa nkhawa. Gwiritsani ntchito nthawi tsiku lililonse kuchita zinthu zomwe mumapeza zosangalatsa, monga kumvera nyimbo. Kapena ganizirani kusinkhasinkha, tai chi, kapena njira zina zopumira.
• Funani chithandizo kwa anzanu. Kugawana zakukhosi kwanu ndi mantha anu ndi anthu omwe mumawakhulupirira kungakuthandizeni kuti mukhale bwino. Ikhoza kukuthandizani kuthana ndi kupsinjika ndi kukhumudwa. Kafukufuku wina akuwonetsa kuti atha kukuthandizani kuti mukhale ndi moyo wautali.
• Tsatirani zizolowezi zabwino. Gonani mokwanira ndikudya chakudya chopatsa thanzi. Pewani mowa, chamba, ndi mankhwala ena osokoneza bongo.

Imbani 911 kapena nambala yadzidzidzi yakomweko, hotline yodzipha (mwachitsanzo National Suicide Prevention Lifeline: 1-800-273-8255), kapena pitani kuchipatala chapafupi ngati mukuganiza zodzipweteka nokha kapena ena.

Imbani wothandizira zaumoyo wanu ngati:

• Mumamva mawu omwe kulibe.
• Umalira nthawi zambiri popanda chifukwa.
• Kukhumudwa kwanu kwakhudza kuthekera kwanu kutenga nawo mbali pakuchira, kapena pantchito yanu, kapena moyo wabanja kwa nthawi yayitali kuposa milungu iwiri.
• Muli ndi zizindikiro zitatu kapena zingapo zakusokonezeka.
• Mukuganiza kuti mankhwala anu akhoza kukupangitsani kuti mukhale osasangalala. Osasintha kapena kusiya kumwa mankhwala osalankhula ndi omwe amakupatsani.

Mgombe SR, Celano CM, Huffman JC, Lanuzi JL, Stern TA. Kuwongolera kwamisala kwa odwala omwe ali ndi matenda amtima. Mu: Stern TA, Freudenreich O, Smith FA, Fricchione GL, Rosenbaum JF, olemba. Buku la Massachusetts General Hospital la General Hospital Psychiatry. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 26.

Lichtman JH, Froelicher ES, Blumenthal JA, ndi al. Matenda okhumudwa ndi omwe amachititsa kuti anthu azidwala matenda opatsirana mwa odwala omwe ali ndi matenda oopsa: kuwunika mwatsatanetsatane ndi malingaliro: chidziwitso cha sayansi kuchokera ku American Heart Association. Kuzungulira. 2014; 129 (12): 1350-1369. (Adasankhidwa) PMID: 24566200 pubed.ncbi.nlm.nih.gov/24566200/.

Vaccarino V, Bremner JD. Maganizo amisala ndi machitidwe am'magazi amtima. 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 96.

Pezani nkhaniyi pa intaneti Wei J, Rooks C, Ramadan R, et al. Kusanthula kwa meta-myocardial ischemia komanso zochitika zamtima mwa odwala omwe ali ndi mtsempha wamagazi. Ndine J Cardiol. 2014; 114 (2): 187-192. PMID: 24856319 pubmed.ncbi.nlm.nih.gov/24856319/.

• Matenda okhumudwa
• Matenda a Mtima