Matenda owopsa a mtima: ndi chiyani, zizindikiro zazikulu komanso momwe amathandizira

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira

Matenda owopsa amtima amapezeka mtima utayamba kutaya mphamvu chifukwa cha matenda kapena kobadwa nako. Matenda akulu amtima amatha kugawidwa mu:

• Matenda owopsa amtima, yomwe imadziwika ndikutaya pang'ono pang'onopang'ono kwa magwiridwe antchito amtima;
• Matenda owopsa amtima, yomwe imakhala ndi kusinthika kwachangu, komwe kumabweretsa kuchepa kwadzidzidzi kwa ntchito zamtima;
• Matenda owopsa amtima, momwe mtima umalephera kugwira ntchito zake moyenera, zomwe zimachepetsa zaka zomwe munthu amakhala ndi moyo. Nthawi zambiri, omwe ali ndi matenda amtima osachiritsika samvera mankhwala ndi mankhwala ndipo safuna kuchitidwa opaleshoni kuti akonze kusintha kwamtima, ndipo nthawi zambiri, kumayika mtima kumachitika.

Matenda akulu amtima atha kubweretsa kulemala kwakukulu pamoyo wa wodwalayo komanso waluso, kuwonjezera pakufooka kwakuthupi ndi kwamaganizidwe. Matenda amtima obadwa nawo ndi amodzi mwamitundu yayikulu yamatenda akulu amtima ndipo amadziwika ndi chilema pakapangidwe kamtima kamene kali mkati mwa mimba ya mayi komwe kumatha kubweretsa kusokonezeka kwa mtima. Dziwani zambiri za matenda obadwa nawo amtima.

Kuphatikiza apo, kulephera kwa mtima, kuthamanga kwa magazi, kuwonongeka kwa mtima ndi zovuta zamatenda ndi matenda omwe amatha kuphatikizidwa ndi matenda amtima kapena kuwonjezeranso vuto, lomwe lingayambitse matenda amtima osachiritsika, mwachitsanzo.

Zizindikiro zazikulu

Zizindikiro zokhudzana ndi matenda amtima woopsa zimadalira kukula kwa mtima, mwina:

• Kupuma kovuta;
• Zowawa pachifuwa;
• Kukomoka, kusokonezeka kapena kuwodzera pafupipafupi;
• Kutopa pambuyo poyesetsa pang'ono;
• Mtima palpitations;
• Kuvuta kugona pansi;
• Kutsokomola usiku;
• Kutupa kwa miyendo yakumunsi.

Matenda owopsa amtima amathanso kubweretsa zoperewera zazikulu, pakukula kwa ntchito zanu za tsiku ndi tsiku komanso kuntchito, kutengera mtundu ndi kuopsa kwa matendawa. Chifukwa chake, boma limapereka maubwino kwa anthu omwe amapezeka kuti ali ndi matenda amtima, chifukwa amatha kukhala matenda ochepa. Pazifukwa zopuma pantchito, matenda amtima woopsa amawerengedwa kuti ndiamene magwiridwe antchito amtima omwe amapezeka ndi transthoracic echocardiography amakhala pansi pa 40%.

Kuzindikira kwamatenda akulu amtima kumapangidwa ndi katswiri wa zamankhwala kudzera pakuwunika mbiri yazachipatala ya wodwalayo, kuphatikiza mayeso, monga electrocardiogram ndi echocardiogram popuma komanso poyenda, kuyesa zolimbitsa thupi, X-ray pachifuwa ndi angiography, mwachitsanzo.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda amtima wambiri chimadalira chifukwa chake ndipo chimatsimikiziridwa ndi katswiri wamtima, ndipo chitha kuchitika kudzera:

• Kugwiritsa ntchito mankhwala, nthawi zambiri amakhala owopsa;
• Kukhazikitsidwa kwa bulloon ya intra-aortic;
• Opaleshoni kuti athetse zovuta zamtima.

M'mavuto ovuta kwambiri, kuwalimbikitsa mtima kungalimbikitsidwe, komwe kumawonetsedwa kwambiri kwa anthu omwe ali ndi matenda amtima osachiritsika, omwe, chifukwa chakuchepa kwa mtima, chiyembekezo cha moyo wa munthu chimasokonekera. Dziwani momwe kusintha kwa mtima kumachitikira komanso momwe akuchira.