Matenda a Mtima Oopsa

Zamkati

• Mitundu yamatenda amtima
• Kupondereza mitsempha
• Kukula ndi kukulitsa kwa mtima
• Zovuta
• Ndani ali pachiwopsezo chodwala matenda a mtima?
• Kuzindikira zizindikiro zamatenda amtima
• Kuyesedwa ndi kuzindikira: Nthawi yokaonana ndi dokotala
• Kuchiza matenda oopsa a mtima
• Mankhwala
• Opaleshoni ndi zida
• Kuwona kwakanthawi
• Kupewa matenda amtima oopsa

Kodi matenda oopsa a mtima ndi otani?

Matenda a mtima othamanga kwambiri amatanthauza zomwe zimachitika chifukwa cha kuthamanga kwa magazi.

Mtima wogwira ntchito mopanikizika kwambiri umayambitsa zovuta zina zamtima. Matenda a mtima othamanga kwambiri amaphatikizapo kulephera kwa mtima, kukhuthala kwa minofu ya mtima, matenda amitsempha, ndi zina.

Matenda a mtima amathanso kuyambitsa matenda. Ndicho chifukwa chachikulu cha imfa chifukwa cha kuthamanga kwa magazi.

Mitundu yamatenda amtima

Mwambiri, mavuto amtima okhudzana ndi kuthamanga kwa magazi amakhudzana ndi mitsempha yam'mimba ndi minofu. Mitundu yamatenda amtima amakhala:

Kupondereza mitsempha

Mitsempha ya Coronary imatumiza magazi kumtima wanu wam'mimba. Kuthamanga kwa magazi kumapangitsa mitsempha ya magazi kukhala yopapatiza, magazi amayenda pamtima amatha kuchepa kapena kuima. Vutoli limadziwika kuti matenda amtima (CHD), omwe amatchedwanso matenda amitsempha yamagazi.

CHD zimapangitsa kuti zikhale zovuta kuti mtima wanu ugwire ntchito ndikupatsanso ziwalo zanu zonse magazi. Zitha kukuyikani pachiwopsezo cha matenda amtima kuchokera pachimake chamagazi chomwe chimakakamira mumitsempha yocheperako ndikuchepetsa magazi kutuluka mumtima mwanu.

Kukula ndi kukulitsa kwa mtima

Kuthamanga kwa magazi kumapangitsa kuti zikhale zovuta kuti mtima wanu upope magazi. Monga minofu ina mthupi lanu, kugwira ntchito molimbika nthawi zonse kumapangitsa kuti mtima wanu ukhale wolimba komanso wokula. Izi zimasintha momwe mtima umagwirira ntchito. Zosinthazi nthawi zambiri zimachitika mchipinda chachikulu chopopera chamtima, ventricle wakumanzere. Vutoli limadziwika kuti lamanzere lamitsempha yamagetsi (LVH).

CHD imatha kuyambitsa LVH komanso mosemphanitsa. Mukakhala ndi CHD, mtima wanu uyenera kugwira ntchito molimbika. LVH ikakulitsa mtima wanu, imatha kupondereza mitsempha yamtendere.

Zovuta

Onse CHD ndi LVH atha kubweretsa ku:

• kulephera kwa mtima: mtima wako sungathe kupopa magazi okwanira mthupi lako lonse
• arrhythmia: mtima wako umagunda mosazolowereka
• ischemic heart disease: mtima wanu sulandira mpweya wokwanira
• kugunda kwa mtima: magazi amayenda mpaka pamtima amasokonekera ndipo minofu ya mtima imamwalira posowa mpweya
• kumangidwa kwadzidzidzi kwamtima: mtima wako umasiya kugwira ntchito mwadzidzidzi, umasiya kupuma, ndipo umakomoka
• sitiroko ndi imfa mwadzidzidzi

Ndani ali pachiwopsezo chodwala matenda a mtima?

Matenda a mtima ndi omwe amafa kwambiri amuna ndi akazi ku United States. Anthu aku America amafa ndi matenda amtima chaka chilichonse.

Choopsa chachikulu cha matenda a mtima ndi kuthamanga kwa magazi. Chiwopsezo chanu chimawonjezeka ngati:

• wonenepa kwambiri
• simumachita masewera olimbitsa thupi mokwanira
• mumasuta
• mumadya chakudya chokhala ndi mafuta ambiri komanso cholesterol

Mumakonda kudwala matenda amtima ngati akuyenda m'banja lanu. Amuna amatha kutenga matenda amtima kuposa azimayi omwe sanadutse msambo. Amuna ndi amayi omwe atha msambo amakhala pachiwopsezo chimodzimodzi. Chiwopsezo chanu chodwala matenda amtima chidzawonjezeka mukamakalamba, ngakhale mutagonana.

Kuzindikira zizindikiro zamatenda amtima

Zizindikiro zimasiyanasiyana kutengera kukula kwa matendawa komanso kukula kwa matendawa. Simungakhale ndi zizindikilo, kapena zizindikilo zanu zingakhale izi:

• kupweteka pachifuwa (angina)
• zolimba kapena kupanikizika pachifuwa
• kupuma movutikira
• kutopa
• kupweteka m'khosi, kumbuyo, mikono, kapena mapewa
• chifuwa chosatha
• kusowa chilakolako
• kutupa kapena mwendo

Mukufuna chisamaliro chadzidzidzi ngati mtima wanu ukugunda modzidzimutsa kapena mosasinthasintha. Funani chisamaliro mwadzidzidzi kapena itanani 911 ngati mwakomoka kapena mukumva kuwawa pachifuwa.

Kuyezetsa magazi pafupipafupi kukuwonetsa ngati mukudwala matenda a kuthamanga kwa magazi. Ngati muli ndi kuthamanga kwa magazi, samalani kwambiri kuti muwone zizindikiro za matenda amtima.

Kuyesedwa ndi kuzindikira: Nthawi yokaonana ndi dokotala

Dokotala wanu adzawunikanso mbiri yanu yazachipatala, kuyesa mayeso athupi lanu, ndikuyesa labu kuti muwone impso zanu, sodium, potaziyamu, ndi kuchuluka kwa magazi.

Chiyeso chimodzi kapena zingapo zotsatirazi zitha kugwiritsidwa ntchito kuthandizira kudziwa chomwe chimayambitsa matenda anu:

• Electrocardiogram imayang'anira ndikulemba zamagetsi zamagetsi mumtima mwanu. Dokotala wanu adzalumikiza zigamba pachifuwa, miyendo, ndi mikono. Zotsatira ziziwoneka pazenera, ndipo adotolo azitanthauzira.
• Echocardiogram imatenga chithunzi chatsatanetsatane cha mtima wanu pogwiritsa ntchito ultrasound.
• Coronary angiography imawunika kuyenda kwa magazi kudzera mumitsempha yanu yamitsempha. Thubhu yocheperako yotchedwa catheter imalowetsedwa kudzera mu kubuula kwanu kapena mtsempha wamkono mdzanja lanu mpaka mmtima.
• Kuyesa kupanikizika kumayang'ana momwe masewera olimbitsa thupi amakhudzira mtima wanu. Mutha kupemphedwa kuti mupange njinga yoyeserera kapena kuyenda pa chopondera.
• Kuyesa kwa kupsinjika kwa nyukiliya kumawunika momwe magazi amalowera mumtima. Mayesowa nthawi zambiri amachitika mukamapuma komanso kuchita masewera olimbitsa thupi.

Kuchiza matenda oopsa a mtima

Chithandizo cha matenda oopsa amtima chimadalira kukula kwa matenda anu, msinkhu wanu, komanso mbiri yanu yazachipatala.

Mankhwala

Mankhwala amathandiza mtima wanu m'njira zosiyanasiyana. Zolinga zake zazikulu ndikuteteza magazi anu kuti asamaundane, kusintha magazi anu, ndikutsitsa cholesterol yanu.

Zitsanzo za mankhwala omwe amapezeka ndi matenda a mtima ndi awa:

• mapiritsi amadzi othandizira kuchepetsa kuthamanga kwa magazi
• nitrate kuchitira kupweteka pachifuwa
• statins yothandizira cholesterol yambiri
• calcium channel blockers ndi ACE inhibitors kuthandiza kuchepetsa kuthamanga kwa magazi
• aspirin kuteteza magazi kuundana

Ndikofunika kuti nthawi zonse muzimwa mankhwala onse monga momwe adanenera.

Opaleshoni ndi zida

Nthawi zovuta kwambiri, mungafunike kuchitidwa opaleshoni kuti muwonjezere magazi mumtima mwanu. Ngati mukufuna thandizo kuti muwongolere kugunda kwa mtima wanu kapena kamvekedwe kanu, dokotala wanu atha kuchititsa opareshoni kuti ayikitse chida chamagetsi chotchedwa pacemaker pachifuwa chanu. Wopanga pacemaker amapanga zokopa zamagetsi zomwe zimayambitsa minofu yamtima kugunda. Kukhazikika kwa pacemaker ndikofunikira komanso kopindulitsa ngati magetsi amtundu wamagetsi akuchedwa kuchepa kapena kulibe.

Cardioverter-defibrillators (ICDs) ndi zida zokhazokha zomwe zitha kugwiritsidwa ntchito pochiza matenda owopsa a mtima.

Mitsempha ya Coronary imadutsa kuchitidwa opaleshoni (CABG) imathandizira mitsempha yotsekemera. Izi zimangochitika mu CHD yoopsa. Kuika mtima kapena zida zina zothandizira mtima kungakhale kofunikira ngati matenda anu ali ovuta kwambiri.

Kuwona kwakanthawi

Kuchira matenda a mtima wodwala kumadalira momwe zilili komanso kukula kwake. Kusintha kwa moyo kumatha kuthandiza kuti vutoli lisawonjezeke nthawi zina. Pazovuta kwambiri, mankhwala ndi opaleshoni sizingakhale zothandiza kuchepetsa matendawa.

Kupewa matenda amtima oopsa

Kuwunika ndi kuteteza kuthamanga kwa magazi kuti isakwere kwambiri ndi njira imodzi yofunika kwambiri yopewera matenda a mtima. Kuchepetsa kuthamanga kwa magazi ndi kolesterolini mwa kudya zakudya zopatsa thanzi komanso kuwunika kupsinjika mwina ndi njira zabwino zopewera mavuto amtima.

Kukhala ndi thupi lolemera, kugona mokwanira, komanso kuchita masewera olimbitsa thupi pafupipafupi ndi zomwe anthu amakonda kuchita. Lankhulani ndi dokotala wanu za njira zowonjezera thanzi lanu lonse.