Kodi mukudziwa dokotala wa matenda a mtima amene amathandiza kukhala ndi thanzi labwino la mtima komanso kulandira chithandizo cha khansa?

Ngati ndinu munthu amene akulandira chithandizo cha khansa, kapena ngati muli ndi wachibale kapena mnzanu amene akulandira chithandizo, mwina munadzifunsapo za izi. Chithandizo cha khansa ndi chithandizo chopulumutsa moyo. Komabe, nthawi zina chithandizochi chingakhale ndi zotsatira pa mitima yathu. Lero, tikambirana za gulu la akatswiri omwe amabwera kudzatithandiza nthawi ngati zimenezi.

Kodi katswiri wa matenda a mtima ndi ndani?

Mwachidule, awa ndi madokotala omwe amasamala kwambiri thanzi la mtima la odwala khansa akamawachiritsa. Tsopano onani, pali akatswiri a mtima, ndipo palinso akatswiri a khansa. Dokotala wa ``cardio-oncologist'' ndi katswiri wa mtima kapena katswiri wa khansa. Komabe, kuwonjezera pa luso lawo lalikulu, aphunzitsidwa mwapadera kuti azitha kuyang'anira matenda a mtima mwa odwala khansa.

Mukudziwa, mankhwala a khansa, monga chemotherapy ndi radiation therapy , amathandiza anthu kukhala ndi moyo wautali. Ndizabwino kwambiri. Koma mwatsoka, mankhwala awa akhoza kukhala ndi zotsatirapo zake . Zina mwa izi ndi matenda atsopano a mtima kapena kuipiraipira kwa matenda a mtima omwe alipo. Mtundu wa kuwonongeka kwa mtima wanu ndi chiopsezo cha mavuto zimatha kusiyana kwambiri kuchokera ku chithandizo kupita ku chithandizo. Mtundu uwu wa kuwonongeka kwa mtima umatchedwa cardiotoxicity , kapena radiation heart disease.

Ichi ndichifukwa chake kachipatala kakang'ono kamene kamatchedwa Cardio-Oncology kaonekera. Cardio-Oncology imayang'ana kwambiri pakupeza, kuyang'anira, ndi kuchiza matenda a mtima omwe amayamba chifukwa cha chithandizo cha khansa. Cholinga chake ndikuchepetsa zotsatira zoyipa za chithandizo cha khansa pa dongosolo lanu la mtima.

Akatswiri a matenda a mtima ndi khansa awa amakuthandizani kupeza chithandizo chabwino kwambiri cha khansa , popanda kuwonongeka kwakukulu kwa mtima wanu. Amagwira ntchito ndi othandizira ena azaumoyo kuti akonze chithandizo chanu kuti chigwirizane ndi zosowa zanu.

Kodi akatswiriwa amalandira maphunziro otani?

"Madokotala a Zamtima" awa ndi madokotala omwe ali kale ndi luso pa ntchito yawo, kaya "Zamtima" kapena "Zam'mimba." Kuwonjezera pa maphunziro awo apadera, amalandira maphunziro ena kuti aphunzire izi:

• Kodi zotsatirapo za chithandizo cha khansa zimakhudza bwanji dongosolo lanu la mtima ndi mitsempha yamagazi?
• Mmene khansa imakhudzira thupi lonse, makamaka dongosolo la mtima ndi mitsempha yamagazi.
• Momwe mungayezere matenda a mtima ndi mitsempha yamagazi musanayambe, panthawi, komanso mutalandira chithandizo cha khansa.
• Momwe mungadziwire ndikusamalira matenda a mtima mwa anthu omwe ali ndi khansa.
• Momwe mungasankhire mankhwala a chemotherapy omwe ndi otetezeka ku mtima wanu komanso omwe ali pachiwopsezo chachikulu.
• Momwe mungayang'anire minofu ya mtima ndi ma valve a mtima wanu kuti mudziwe zotsatirapo zoyipa za chithandizo cha khansa, panthawi ya chithandizo komanso pambuyo pake.

Maphunziro amenewa nthawi zambiri amaperekedwa kudzera mu pulogalamu yophunzitsira akatswiri apadera (Fellowship) yomwe imatenga pafupifupi chaka chimodzi. Amaphatikizapo:

• Kuphunzitsa mwachindunji kudzera m'makalasi.
• Kupita ku misonkhano.
• Pezani chidziwitso chothandiza ndi odwala m'zipatala za Cardio-Oncology.
• Kafukufuku.

Akatswiri ena a matenda a mtima ndi khansa ali ndi satifiketi yochokera ku bungwe la International Cardio-Oncology Society, zomwe zikutanthauza kuti chidziwitso ndi luso lawo ndi lodziwika padziko lonse lapansi.

N’chifukwa chiyani akatswiri a matenda a mtima ndi khansa awa ndi ofunikira kwambiri?

Pamene chithandizo cha khansa chikukwera tsiku ndi tsiku, kufunika kwa madokotala awa a `(Cardio-Oncologist)` kwawonjezeka kwambiri. Chifukwa cha izi ndikuti chiwerengero cha anthu omwe akuchira ku khansa chikukwera pang'onopang'ono. Tangoganizani, mu 2016, panali anthu oposa 15 miliyoni omwe adapulumuka khansa ku United States kokha. Ofufuza akulosera kuti chiwerengerochi chidzakwera kufika pa 26 miliyoni pofika chaka cha 2040! Chifukwa chake, pamene chiwerengero cha anthu omwe akuchira ku khansa chikukwera, chiwerengero cha anthu omwe akukumana ndi zotsatirapo zoyipa kuchokera ku chithandizo chikuwonjezekanso, eti?

Pafupifupi anthu asanu ndi awiri mwa khumi aliwonse omwe adapulumuka khansa ali ndi zaka zoposa 65. Pamene opulumuka khansawa akukalamba, angakumane ndi chiopsezo chowonjezeka cha matenda a mtima chifukwa cha mankhwala awo a khansa. Kuphatikiza apo, chiopsezocho chimawonjezeka ndi ukalamba, moyo wawo, ndi matenda ena okhudzana nawo. Chifukwa chake, ndikofunikira kuwachiza poganizira zonsezi .

Akatswiri a matenda a mtima ndi khansa awa ali ndi maphunziro ndi chidziwitso chofunikira kuti athandize anthu omwe akuchulukirachulukira.

Kodi katswiri wa matenda a mtima ndi khansa uyu amachita chiyani kwenikweni?

Anthuwa amazindikira ndikuchiza matenda a mtima mwa odwala khansa. Choyamba chomwe ayenera kuchita ndikupeza chomwe chimayambitsa vutoli. Mwachitsanzo, nthawi zina sizimadziwika bwino ngati vuto monga kulephera kwa mtima limayamba chifukwa cha chithandizo cha khansa. Nthawi zambiri, anthu omwe ali ndi khansa amakhala ndi matenda ena.Pakhoza kukhala zinthu zomwe zimayambitsa matenda a mtima . Chifukwa chake, madokotala a "Cardio-Oncologist" awa ayenera kupeza chomwe chimayambitsa matenda a mtima pakati pa zinthu zosiyanasiyana zomwe zimayambitsa matendawa.

Komanso, ayenera kulinganiza zolinga ziwiri zomwe nthawi zina zimasemphana:

• Kufunika kwa chithandizo cha khansa yanu.
• Kufunika koteteza mtima wanu.

Apa ndi pamene mgwirizano wa akatswiri osiyanasiyana umakhala wofunika kwambiri. Madokotala a matenda a mtima amagwira ntchito ndi akatswiri ena kuti adziwe njira yabwino kwambiri yothandizira munthu aliyense.

Nazi zina mwa ntchito zomwe dokotala wa mtima amachita monga gawo la ntchito zawo:

• Musanayambe chithandizo cha khansa, muyenera kuwunika mwatsatanetsatane za chiopsezo chanu cha mtima ndi mitsempha yamagazi.
• Mayeso amakono ojambulira zithunzi ndi mayeso ozindikira matenda amachitidwa kuti aone ngati pali vuto lililonse la mtima kapena mitsempha yamagazi.
• Ndondomeko ya chithandizo imapangidwa kuti ithandize khansa yanu m'njira yomwe ingawononge mtima wanu pang'ono momwe mungathere.
• Mudzayang'aniridwa nthawi yonse ya chithandizo chanu cha khansa ndipo mavuto aliwonse a mtima adzadziwika mwachangu.
• Chisamaliro chotsatira chimaperekedwa ngakhale mutamaliza kulandira chithandizo cha khansa.
• Opaleshoni ndi njira zina zothandizira matenda a mtima omwe amayamba chifukwa cha chithandizo cha khansa zimalimbikitsidwa.

"Madokotala a Cardio-Oncologist" awa amathandiza kuthana ndi matenda osiyanasiyana a mtima. Nazi zitsanzo zingapo:

• Kusakhazikika kwa kugunda kwa mtima (Arrhythmias), monga Atrial Fibrillation ndi Torsade de Pointes.
• Matenda a Mitsempha ya Mtima.
• Kulephera kwa Mtima.
• Matenda a Mtima.
• Kuthamanga kwa magazi (BP).
• Matenda a Cardiomyopathy Oletsa.

Ndani amalandira chithandizo kuchokera kwa akatswiri a matenda a mtima ndi khansa?

Madokotala awa amasamalira anthu omwe ali ndi khansa omwe ali ndi matenda a mtima kapena zinthu zomwe zimayambitsa matenda a mtima. Amathandizanso anthu omwe amadwala matenda a mtima atalandira chithandizo cha khansa. Zina mwa zinthu zoopsa za mtima zimawonekera nthawi yomweyo. Koma zina zimawonekera patapita zaka zambiri atalandira chithandizo cha khansa (mwina zaka 10 kapena kuposerapo). Zimenezo zikumveka zoopsa, sichoncho? Koma musadandaule, palinso njira zothetsera vutoli.

Madokotala a matenda a mtima ndi khansa amathandiza anthu monga:

• Anthu omwe akuyamba kulandira chithandizo cha khansa ndipo ali ndi chiopsezo chimodzi kapena zingapo za matenda a mtima. Zitsanzo za izi ndi kunenepa kwambiri , matenda a shuga, ndi kuthamanga kwa magazi .
• Omwe akuyamba kulandira chithandizo cha khansa, komanso omwe ali kale ndi matenda a mtima.
• Anthu omwe amadwala matenda a mtima akamalandira chithandizo cha chemotherapy kapena radiation. Zitsanzo za izi ndi kutupa (edema) , kutopa , kupweteka pachifuwa, komanso kugunda kwa mtima kosakhazikika (arrhythmia).
• Anthu omwe adalandirapo chithandizo cha khansa ndipo tsopano akukumana ndi mavuto atsopano a mtima.
• Anthu omwe ali ndi vuto la mtima chifukwa cha chithandizo cha khansa ndipo amafunika opaleshoni ya mtima kapena mankhwala ena.
• Anthu omwe ali ndi chotupa cha mtima.

Kodi ndiyeneranso kuonana ndi dokotala wa mtima?

Munthu wabwino kwambiri woti mufunse za zosowa zanu ndi dokotala wanu wamkulu kapena dokotala amene akuchiza khansa yanu (katswiri wa khansa). Kuti mukaone katswiri wa matenda a mtima, muyenera kutumiza dokotala wanu kuti akuthandizeni.

Ngati muli m'gulu limodzi mwa magulu awa, mungafunikenso kuonana ndi katswiri:

• Ngati muli ndi matenda a mtima ndipo mwapezeka ndi khansa posachedwapa.
• Ngati mudalandirapo chithandizo cha khansa kale, ngakhale muli mwana.
• Ngati panopa mukulandira chithandizo cha khansa.

Kodi ndiyenera kupita liti kwa dokotala wa mtima?

Nthawi yomwe muyenera kukaonana ndi dokotala wa matenda a mtima imasiyana kwambiri malinga ndi munthu aliyense. Mungayambe kulandira chithandizo musanayambe kulandira chithandizo cha khansa kenako n’kukhala ndi nthawi yokumana ndi dokotala kwa zaka zambiri. Muyenera kutsatira malangizo ochokera kwa gulu lanu lachipatala okhudza kangati komwe muyenera kupita.

Mayeso owunikira matenda a mtima, monga echocardiograms , ndi gawo lofunika kwambiri pa chisamaliro chanu cha khansa ya mtima. Izi ndi zoona ngakhale chithandizo chanu cha khansa chitatha. Mayesowa amatha kusonyeza zizindikiro zoyambirira za matenda a mtima. Chifukwa chake, ndikofunikira kwambiri kusunga nthawi zonse zomwe mwakumana nazo ndi dokotala .

Kutuluka mu chithandizo cha khansa ndi sitepe yaikulu. Kenako, kupeza kuti muli ndi mavuto a mtima ndipo mukufuna chithandizo cha matendawa kungakhale kovuta kwambiri. Zingamveke ngati mwamaliza marathon ndipo mwadzidzidzi muyenera kuthamanganso. Koma kumbukirani, simuli nokha paulendowu . Madokotala a matenda a mtima ndi akatswiri omwe angakuthandizeni kuthana ndi matenda a mtima, kaya muli pachiwopsezo kapena mwapezeka ndi matendawa. Lankhulani ndi dokotala wa banja lanu kapena katswiri wa matenda a khansa kuti mudziwe zambiri za momwe dokotala wa matenda a mtima angakuthandizireni.

Zinthu zofunika kwambiri zomwe tiyenera kukumbukira kuchokera pa zomwe takambirana (Uthenga Wopita Nawo Kunyumba)

Chabwino, kodi tikukumbutseni zinthu zina zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambiranazi?

• (Katswiri wa matenda a mtima ndi khansa)Izi zikutanthauza dokotala amene amasamala kwambiri za thanzi la mtima la odwala khansa akamawachiritsa.
• Mankhwala a khansa (monga, `(Chemotherapy)`, `(Radiation Therapy)`) angayambitse zotsatirapo zoyipa pamtima. Izi zimatchedwa `(Cardiotoxicity)` .
• Akatswiriwa amathandiza kuchepetsa kuwonongeka kwa mtima pamene akupereka chithandizo chabwino kwambiri cha khansa.
• Ngati muli ndi matenda a mtima omwe ali ndi khansa, muli ndi zinthu zomwe zimayambitsa matenda a mtima, kapena mumakhala ndi zizindikiro za mtima mutalandira chithandizo cha khansa, lankhulani ndi dokotala wanu kuti akuthandizeni kuonana ndi katswiri wa matenda a mtima.
• Ndikofunikira kwambiri kusamala mtima wanu nthawi zonse musanayambe, mukamalandira chithandizo cha khansa, komanso mutatha kulandira chithandizo.

Kumbukirani, zingakhale zovuta kuganizira za thanzi la mtima wanu pamene mukulimbana ndi khansa. Koma, pali akatswiri omwe angakuthandizeni ndikusamalirani. Choncho musachite mantha!

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