Funsani Katswiri: Mafunso Omwe Amakhudzana Ndi Mowa Ndi Magazi Operewera

Zamkati

• 1. Kodi kumwa mowa ndikowopsa bwanji ndikakhala wochepetsetsa magazi?
• 2. Kodi kuopsa kumwa mowa ndikumwa mankhwala anga kuli kotani?
• 3. Kodi ndizizindikiro ziti zomwe ndiyenera kuyimbira dokotala?
• 4. Kodi kumwa mowa kumakhudza bwanji kuchuluka kwa mafuta m'thupi mwanga kapena kuopsa kwa matenda ena amtima?
• 5. Kodi ochepetsa magazi ena ndiosiyana ndi ena pankhaniyi, kapena ndi chiopsezo chofanana?
• 6. Kodi pali zida zina zomwe zingandithandizire kuchepetsa kumwa mowa?

1. Kodi kumwa mowa ndikowopsa bwanji ndikakhala wochepetsetsa magazi?

Malinga ndi a, kumwa pang'ono ndikumwa kamodzi patsiku kwa amayi komanso zakumwa ziwiri patsiku kwa amuna.

Pali zifukwa zingapo zomwe zimatsimikizira kuti kumwa mowa mopitirira muyeso kuli koopsa mukamamwa oonda magazi. Tsoka ilo, izi ndizosiyana ndi aliyense.

Nthawi zambiri, kumwa moyenera ndikwabwino kwa anthu ndikumwa oonda magazi bola ngati mulibe mavuto azachipatala komanso thanzi lanu. Ndikofunika kutsimikizira izi ndi omwe amakuthandizani pa zaumoyo.

2. Kodi kuopsa kumwa mowa ndikumwa mankhwala anga kuli kotani?

Ngati muli ndi mavuto azachipatala okhudzana ndi chiwindi kapena impso, zimakhudza kagayidwe kake (kapena kuwonongeka) kwa magazi ochepera. Izi zitha kupangitsa magazi anu kukhala owonda kwambiri ndikukuyikani pachiwopsezo chachikulu chotayika magazi.

Ngakhale mutakhala ndi chiwindi ndi impso zomwe nthawi zambiri zimagwira ntchito, mowa umatha kuchepetsa chiwindi kuthekera kopanga mankhwala ena. Ikhozanso kuchepetsa impso zanu pochotsa poizoni kapena mankhwala osokoneza bongo, monga magazi anu ochepetsa magazi. Izi zitha kubweretsa zotsatira zoyipa zomwezo za antiticoagulation.

3. Kodi ndizizindikiro ziti zomwe ndiyenera kuyimbira dokotala?

Kukhala pamtundu uliwonse wamagazi kumawonjezera ngozi yanu yotuluka magazi. Kuvulala koopsa ndi chimodzi mwazomwe zimayambitsa kutaya magazi, koma nthawi zina mumatha kutuluka magazi mwadzidzidzi.

Zizindikiro za mbendera yofiira zimaphatikizapo kuwonongeka kwakukulu kwamagazi mumkodzo, chopondapo, masanzi, kapena kuvulala kwakuthupi. Funani chithandizo chamankhwala mwachangu kuti muchepetse magazi ndipo mupatseni mphamvu pakufunikira.

Pali zochitika zosowa zambiri zotuluka magazi zomwe mwina sizingagwirizane ndi kuvulala koopsa. Amatha kukhala ovuta kuzindikira ndikuchitapo kanthu chifukwa mwina sizowoneka poyamba, koma kuvulala pamutu kuli pachiwopsezo chachikulu ndipo kuyenera kuyesedwa ndi wothandizira zaumoyo.

Zizindikiro zina zofala za kutuluka magazi mkati ndi monga:

• chizungulire
• kufooka
• kutopa
• kukomoka
• kutupa m'mimba
• kusintha kwa malingaliro
• kuthamanga kwambiri kwa magazi (izi ndi zachipatala, ndipo muyenera kupeza chithandizo chamankhwala mwachangu)

Muthanso kuwona mikwingwirima yaying'ono pakhungu lanu ikuwoneka mitsempha yaying'ono yamavuto itavulala pazochitika za tsiku ndi tsiku. Izi sizimakhala zodetsa nkhawa nthawi zambiri pokhapokha zitakhala zazikulu kapena pali kusintha kosintha.

4. Kodi kumwa mowa kumakhudza bwanji kuchuluka kwa mafuta m'thupi mwanga kapena kuopsa kwa matenda ena amtima?

Kumwa mowa pang'ono kumakhala ndi phindu labwino, koma si onse omwe amavomereza. Pali zoopsa zingapo zomwe zimakhudzana ndi kuchuluka kwa zakumwa zoledzeretsa.

Chaka cha 2011 chomwe chidaphatikizapo kafukufuku 84 wakale adazindikira kuti omwa mowa ali ndi kuchepa kwamisala yam'mimba komanso matenda opha ziwalo, komanso kuchepa kwa matenda amitsempha (CAD) ndi sitiroko yosapha poyerekeza ndi omwe samamwa.

Chiwopsezo chochepa kwambiri chakufa kwa CAD chidapezeka mwa omwe amamwa mowa omwe amamwa mowa mwauchidakwa chimodzi kapena ziwiri. Zotsatira zosalowerera ndale zidapezeka ndikufa kwa sitiroko komanso sitiroko yosapha. Kusanthula kwa meta uku ndiko maziko amachitidwe apano akumwa mowa.

Kumwa mowa pang'ono, makamaka mu vinyo wofiira, kwapezeka kuti kumawonjezera pang'ono cholesterol yanu ya HDL (yabwino).

5. Kodi ochepetsa magazi ena ndiosiyana ndi ena pankhaniyi, kapena ndi chiopsezo chofanana?

Pali mitundu yopitilira imodzi yamagazi ochepa ndipo imagwira ntchito m'njira zosiyanasiyana mthupi.

Chimodzi mwazida zoyera kwambiri zamagazi zomwe zikugwiritsidwabe ntchito ndi warfarin (Coumadin). Mwa opopera magazi onse omwe alipo masiku ano, warfarin imakhudzidwa kwambiri ndikumwa mowa kwambiri. Komabe, kumwa pang'ono sikumakhudza kwambiri kagayidwe ka warfarin.

M'zaka zingapo zapitazi, gulu latsopano la opopera magazi lidapangidwa. Amapereka maubwino angapo pa warfarin, koma ali ndi zovuta zina. Lankhulani ndi omwe amakuthandizani pa zaumoyo zaubwino ndi zoopsa zake.

Mwa owonda magazi atsopano, pali thrombin inhibitors, monga dabigatran (Pradaxa), ndi factor Xa inhibitors, monga rivaroxaban (Xarelto), apixaban (Eliquis), ndi edoxaban (Savaysa). Magwiridwe awo samakhudzidwa ndi kumwa mowa. Ndizotetezeka kumwa mowa bola mukadakhala ndi thanzi labwino komanso kutsimikizira ndi omwe amakupatsaniumoyo.

Lankhulani ndi omwe amakuthandizani kuti mupeze magazi omwe muyenera kulandira.

6. Kodi pali zida zina zomwe zingandithandizire kuchepetsa kumwa mowa?

Kulephera kumwa mowa pang'ono kungakhale kovuta kwa anthu ena. Sizikulimbikitsidwa kuti muyambe kumwa mowa ngati simukutero.

Kwa iwo omwe ali ndi vuto la uchidakwa, pali zothandizira ndi zida zothandizira kuchepetsa kumwa mowa. National Institute on Alcohol Abuse and Alcoholism (NIAAA) ndi amodzi mwamabungwe ambiri a National Institute of Health (NIH), ndipo ndi gwero lapadera, kuphatikiza zinthu zonse zokhudzana ndi mowa.

Ngati mukudziwa kuti muli pachiwopsezo chogwiritsa ntchito mowa mopitirira muyeso, musadziike nokha pamalo omwe angafune kumwa mopitirira muyeso.

Zachidziwikire, othandizira zaumoyo ali pano kuti akuthandizireni ndikukuthandizani panjira.

Dr.Harb Harb ndi katswiri wa mtima wosagwira ntchito yemwe amagwira ntchito ku Northwell Health System ku New York, makamaka ku North Shore University Hospital, yolumikizana ndi Hofstra University. Anamaliza sukulu ya zamankhwala ku University of Iowa Carver College of Medicine ku Iowa City, Iowa, mankhwala amkati ku Cleveland Clinic ku Cleveland, Ohio, ndi mankhwala amtima ku Henry Ford Health System ku Detroit, Michigan. Dr.Harb adasamukira ku New York City, ndikusankha njira yaukadaulo wamaphunziro ngati wothandizira pulofesa ku Donald ndi Barbara Zucker School of Medicine ku Hofstra / Northwell. Kumeneko, amaphunzitsa ndikugwira ntchito ndi ophunzira zamtima ndi zamankhwala komanso ophunzira zamankhwala. Ndi Mnzake wa American College of Cardiology (FACC) ndi American board-Certified in general cardiology, echocardiography, and stress-test, and nuclear cardiology. Ndi dokotala wovomerezeka pamatanthauzidwe amitsempha (RPVI). Pomaliza, adapeza maphunziro omaliza azaumoyo waboma ndi kayendetsedwe ka bizinesi kuti athandizire pakukonzanso ndikukonzanso zaumoyo.