Kugunda - kumanga

Kutulutsa kolimba ndikumenyedwa kwamphamvu pamitsempha imodzi mthupi. Ndi chifukwa cha kugunda kwamphamvu kwamphamvu.

Kuthamanga kofulumira komanso kugunda kwamtima mwachangu zonsezi zimachitika munthawi zotsatirazi:

• Nyimbo zosadziwika bwino kapena zachangu
• Kuchepa kwa magazi m'thupi
• Nkhawa
• Matenda a impso a nthawi yayitali (osatha)
• Malungo
• Mtima kulephera
• Vuto la valavu yamtima lotchedwa aortic regurgitation
• Kuchita masewera olimbitsa thupi
• Chithokomiro chopitilira muyeso (hyperthyroidism)
• Mimba, chifukwa cha kuchuluka kwa madzimadzi ndi magazi mthupi

Itanani yemwe akukuthandizani ngati thanzi lanu lingakwere mwadzidzidzi ndipo silichoka. Izi ndizofunikira kwambiri ngati:

• Muli ndi zisonyezo zina pamodzi ndi kuchuluka kwa kugunda, monga kupweteka pachifuwa, kupuma movutikira, kukomoka, kapena kutaya chidziwitso.
• Kusintha kwa kugunda kwanu sikumatha mukapuma kwa mphindi zochepa.
• Mwapezeka kale kuti muli ndi vuto la mtima.

Wothandizira anu adzayesa thupi komwe kumaphatikizapo kuyang'ana kutentha kwanu, kuthamanga, kupuma kwanu, ndi kuthamanga kwa magazi. Mtima wanu ndi mayendedwe anu nawonso ayang'aniridwa.

Wothandizira anu adzafunsa mafunso monga:

• Kodi iyi ndi nthawi yanu yoyamba kumva kuti mukumangika?
• Kodi zidayamba mwadzidzidzi kapena pang'onopang'ono? Kodi imakhalapo nthawi zonse, kapena imabwera ndikumapita?
• Kodi zimangochitika pamodzi ndi zizindikilo zina, monga kupindika? Ndi zisonyezo zina ziti zomwe muli nazo?
• Kodi zimakhala bwino mukapuma?
• Kodi muli ndi pakati?
• Kodi mudadwala malungo?
• Kodi mwakhala mukuda nkhawa kwambiri kapena kupsinjika?
• Kodi muli ndi mavuto ena amtima, monga matenda a valavu yamtima, kuthamanga kwa magazi, kapena kupindika kwa mtima?
• Kodi mukulephera impso?

Mayesero otsatirawa akhoza kuchitidwa:

• Maphunziro a Magazi (CBC kapena magazi)
• X-ray pachifuwa
• ECG (electrocardiogram)
• Zojambulajambula

Kugunda kwamkati

• Kutenga mtima wanu wa carotid

Fang JC, O'Gara PT. Mbiri ndi kuwunika kwakuthupi: njira yozikira umboni. 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 10.

McGrath JL, DJ wa Bachmann. Kuyeza kwa zizindikilo zofunikira. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chap 1.

Mills NL, Japp AG, Robson J. Makina a mtima. Mu: Innes JA, Dover AR, Fairhurst K, olemba. Kuyesa Kwachipatala kwa Macleod. Wolemba 14th. Philadelphia, PA: Elsevier; 2018: mutu 4.