Kodi ndi Sitiroko kapena Matenda a Mtima?

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa ndi chiyani?
• Sitiroko imayambitsa
• Matenda a mtima amachititsa
• Kodi chiopsezo ndi chiyani?
• Kodi matenda a mtima ndi sitiroko amapezeka bwanji?
• Kodi matenda a mtima ndi sitiroko amachiritsidwa bwanji?
• Matenda amtima
• Sitiroko
• Kodi malingaliro ake ndi otani?
• Kupewa kupwetekedwa mtima ndi sitiroko

Chidule

Stroke ndi matenda a mtima zimachitika mwadzidzidzi. Ngakhale zochitika ziwirizi zimakhala ndi zizindikilo zochepa zofanana, zizindikilo zawo zimasiyana.

Chizindikiro chofala cha sitiroko ndikumutu kwadzidzidzi komanso kwamphamvu. Sitiroko nthawi zina imadziwika kuti "matenda aubongo." Matenda a mtima, komano, nthawi zambiri amapezeka ndi kupweteka pachifuwa.

Kuzindikira zizindikiro zosiyanasiyana za sitiroko ndi vuto la mtima kumatha kupanga kusiyana kwakukulu pakupeza chithandizo choyenera.

Zizindikiro zake ndi ziti?

Zizindikiro za sitiroko ndi vuto la mtima zimadalira:

• kuopsa kwa zochitikazo
• zaka zanu
• jenda yako
• thanzi lanu lonse

Zizindikiro zimatha kubwera mwachangu komanso mosazindikira.

Zimayambitsa ndi chiyani?

Zikwapu zonse ndi matenda amtima zimatha kuchitika chifukwa cha mitsempha yotsekedwa.

Sitiroko imayambitsa

Mtundu wofala kwambiri wama stroke ndi sitiroko ischemic:

• Mitsempha yamagazi mumitsempha mkati mwaubongo imatha kudula kufalikira kuubongo. Izi zimatha kuyambitsa sitiroko.
• Mitsempha ya carotid imatenga magazi kupita nawo kuubongo. Kukhazikika kwa miyala mumtsempha wa carotid kumatha kukhala ndi zotsatira zofananira.

Mtundu wina waukulu wa sitiroko ndi sitiroko yotulutsa magazi. Izi zimachitika pomwe chotengera chamagazi muubongo chimaphulika ndipo magazi amalowerera mu minofu yoyandikana nayo. Kuthamanga kwa magazi komwe kumakoka makoma amitsempha yanu kumatha kuyambitsa matenda opha magazi.

Matenda a mtima amachititsa

Matenda a mtima amapezeka pamene mtsempha wamagazi umatsekedwa kapena kuchepa kwambiri mwakuti magazi amayimilira kapena amaletsa kwambiri. Mtsempha wamagazi ndi mtsempha wamagazi womwe umapereka magazi paminyewa yamtima.

Kutsekedwa kwa mtsempha wamagazi kumatha kuchitika ngati magazi atseka magazi. Zikhozanso kuchitika ngati cholembera chochuluka kwambiri cha cholesterol chikukula mumtsempha mpaka momwe kufalikira kumafikira pang'onopang'ono mpaka kusiya kapena kusiyiratu.

Kodi chiopsezo ndi chiyani?

Zambiri mwaziwopsezo za sitiroko ndi vuto la mtima ndizofanana. Izi zikuphatikiza:

• kusuta
• cholesterol yambiri
• kuthamanga kwa magazi
• zaka
• mbiri ya banja

Kuthamanga kwa magazi kumakoka makoma amitsempha yanu. Izi zimawapangitsa kukhala olimba komanso osakulitsa ngati akufunikira kuti azitha kuyenda bwino. Kuyenda kosavomerezeka kumatha kukulitsa chiopsezo cha sitiroko komanso matenda amtima.

Ngati muli ndi vuto la mtima lotchedwa atrial fibrillation (AK), mumakhalanso ndi chiopsezo chowopsa cha sitiroko. Chifukwa chakuti mtima wako sukugunda mokhazikika mu nthawi ya AF, magazi amatha kulowa mumtima mwako ndikupanga chimbale. Ngati chovalacho chimasuluka mumtima mwanu, chimatha kuyenda ngati cholumikizira kupita kuubongo wanu ndikupangitsa sitiroko.

Kodi matenda a mtima ndi sitiroko amapezeka bwanji?

Ngati muli ndi zizindikilo za stroke, dokotala wanu apeza mwachidule zizindikilo ndi mbiri yazachipatala. Muyenera kuti mupeze scan ya CT yaubongo. Izi zitha kuwonetsa kutuluka magazi muubongo komanso madera aubongo omwe mwina adakhudzidwa ndikutuluka kwamagazi koyipa. Dokotala wanu amathanso kuyitanitsa MRI.

Mayeso osiyanasiyana amachitika kuti apeze vuto la mtima. Dokotala wanu adzafunabe kudziwa zidziwitso zanu komanso mbiri yazachipatala. Pambuyo pake, adzagwiritsa ntchito electrocardiogram kuti ayang'ane thanzi la minofu yanu yamtima.

Kuyezetsa magazi kumachitidwanso kuti muwone michere yomwe imawonetsa matenda amtima. Dokotala wanu amathanso kupanga catheterization yamtima. Kuyesaku kumaphatikizapo kuwongolera chubu lalitali, losinthasintha kudzera mumitsempha yamagazi kulowa mumtima kuti muwone ngati kutsekeka.

Kodi matenda a mtima ndi sitiroko amachiritsidwa bwanji?

Matenda amtima

Nthawi zina kuthana ndi kutsekeka komwe kumayambitsa matenda amtima kumafuna zochuluka kuposa kungomwa mankhwala ndi kusintha kwa moyo. Muzochitika izi, mwina mtsempha wamagazi wodutsa pamtengowo (CAGB) kapena angioplasty wokhala ndi stent ungakhale wofunikira.

Pakati pa CABG, yomwe nthawi zambiri imadziwika kuti "opaleshoni yodutsa," dokotala wanu amatenga chotengera chamagazi kuchokera mbali ina ya thupi lanu ndikuchiyika kumtunda womwe watsekedwa. Izi zimabwezeretsanso magazi kuzungulira gawo lotsekeka la mtsempha wamagazi.

Angioplasty imagwiritsidwa ntchito pogwiritsa ntchito catheter yokhala ndi buluni yaying'ono kumapeto kwake. Dokotala wanu amalowetsa catheter mumtsuko wamagazi ndikulowetsa buluni pamalo pomwe panali kutsekeka. Buluni imapanikiza chikwangwani pamakoma a mtsempha wamagazi kuti chikatsegule kuti magazi aziyenda bwino. Nthawi zambiri, amasiya kachipangizo kakang'ono kama waya, kotchedwa stent, m'malo kothandiza kuti mitsempha ikhale yotseguka.

Pambuyo pa matenda a mtima komanso chithandizo chotsatira, muyenera kutenga nawo mbali pakukonzanso mtima. Kukhazikika kwa mtima kumatenga milungu ingapo ndipo kumaphatikizapo magawo oyang'anira masewera olimbitsa thupi komanso maphunziro azakudya, moyo wawo, komanso mankhwala othandizira kukhala ndi thanzi lamtima wabwino.

Pambuyo pake, muyenera kupitiliza kuchita masewera olimbitsa thupi ndikudya zakudya zopatsa thanzi ndikupewa zinthu monga kusuta, mowa kwambiri, komanso kupsinjika.

Sitiroko

Moyo wathanzi womwewo umalimbikitsidwanso kutsatira chithandizo cha sitiroko. Ngati munadwala sitiroko ndipo munapita kuchipatala pasanathe maola ochepa kuyambira pomwe adayamba, dokotala wanu akhoza kukupatsani mankhwala otchedwa activator a plasminogen, omwe amathandizira kuphwanya magazi. Atha kugwiritsanso ntchito tinthu tating'onoting'ono kuti atulutse khungu m'mitsempha yamagazi.

Chifukwa cha sitiroko yotaya magazi, mungafunike kuchitidwa opaleshoni kuti mukonze mtsempha wamagazi womwe wawonongeka. Dokotala wanu amatha kugwiritsa ntchito kopanira mwapadera nthawi zina kuti ateteze gawo lamitsempha yamagazi yomwe idaphulika.

Kodi malingaliro ake ndi otani?

Maganizo anu kutsatira sitiroko kapena vuto la mtima zimadalira kwambiri kuopsa kwa mwambowo komanso momwe mumalandirira chithandizo mwachangu.

Anthu ena omwe ali ndi sitiroko amawonongeka zomwe zimapangitsa kuyenda kapena kuyankhula kovuta kwa nthawi yayitali. Ena amataya ubongo womwe sungabwererenso. Kwa ambiri mwa omwe adalandira chithandizo posakhalitsa zizindikiro, kuchira kwathunthu kungakhale kotheka.

Kutsatira kudwala kwa mtima, mutha kuyembekezeranso kuyambiranso ntchito zomwe mumakonda musanachite izi:

• tsatirani malangizo a dokotala wanu
• nawo kukonzanso mtima
• kukhala ndi moyo wathanzi

Kutalika kwa moyo wanu kudzadalira kwambiri ngati mukutsatira machitidwe athanzi lamtima. Ngati mukudwala sitiroko kapena mtima, ndikofunikira kuti muthe kukonza mwapadera ndikutsatira. Ngakhale zimakhala zovuta nthawi zina, phindu ndi moyo wabwino kwambiri.

Kupewa kupwetekedwa mtima ndi sitiroko

Njira zambiri zomwe zingathandize kupewa sitiroko zingathandizenso kuchepetsa mwayi wokhala ndi vuto la mtima. Izi zikuphatikiza:

• kuyambitsa cholesterol yanu ndi kuthamanga kwa magazi kukhala athanzi
• osasuta
• kukhala wathanzi labwino
• kuchepetsa kumwa mowa
• kuchepetsa shuga m'magazi anu
• kuchita masiku ambiri, ngati si onse, sabata
• kudya zakudya zopanda mafuta ambiri, shuga wowonjezera, ndi sodium

Simungathe kuwongolera zinthu zina zowopsa, monga zaka komanso mbiri yazaumoyo wabanja. Mutha kukhala, komabe, ndikukhala ndi moyo wathanzi womwe ungakuthandizeni kuchepetsa zovuta zakukhala ndi vuto la mtima kapena sitiroko.