Matenda a mtima ndi vuto lalikulu kwa ambiri a ife. Nthawi zina, ngakhale popanda zizindikiro zazikulu, matenda aakulu amatha kuchitika m'thupi. Ndiye, kodi mungadabwe ngati titakuuzani kuti pali njira yodziwira pasadakhale za thanzi la mtima wanu, kutanthauza kuti, muli ndi chiopsezo chotani chotenga matenda a mtima, makamaka matenda a mitsempha ya mtima (CAD)? Inde, pamenepo ndi pomwe kuyezetsa magazi kumathandiza. Kutengera zotsatira za mayesowa ndi mbiri yanu yaumoyo, dokotala wanu adzapanga njira yoyenera kwambiri yothandizira.
Ndani ayenera kuyezetsa magazi awa?
Tsopano mwina mukuganiza kuti, "Kodi ndikufunika mayeso awa?" Pali zifukwa zingapo zomwe dokotala wanu angalamule kuti muyesedwe magazi amtunduwu. Ngati muli ndi chimodzi mwa zinthu zoopsa izi, ndikofunikira kuganizira mayesowa.
- Zakudya zosapatsa thanzi: Ngati mumadya zakudya zambiri zokhala ndi mafuta, shuga, komanso ufa.
- Mbiri ya banja: Ngati amayi anu, abambo anu, kapena abale anu adakhalapo ndi matenda a mtima asanakwanitse zaka 50.
- Kunenepa kwambiri kapena kunenepa kwambiri: Ngati muli ndi kunenepa kwambiri poyerekeza ndi kutalika kwanu.
- Kusachita masewera olimbitsa thupi: Ngati ndinu munthu amene mumakhala pamalo amodzi tsiku lonse osachita masewera olimbitsa thupi.
- Kusuta fodya kapena kugwiritsa ntchito fodya: Ngati mukusuta fodya kapena kugwiritsa ntchito mitundu ina ya fodya.
- Matenda ena: Ngati muli kale ndi matenda monga matenda a shuga, kuthamanga kwa magazi, kapena munadwalapo matenda a mtima kapena sitiroko m'mbuyomu.
Ngati muli ndi zoopsa izi, musachite mantha. Sizikutanthauza kuti mudzakhala ndi matenda a mtima. Komabe, ndi bwino kuzindikira zoopsazo msanga ndikuchitapo kanthu kofunikira.
Kodi kuyezetsa magazi kumafuna chiyani?
Poona chiopsezo chanu cha matenda a mtima, madokotala amasamala kwambiri zinthu zingapo m'magazi mwanu. Mwachidule, izi ndi zinthu zofunika kwambiri zomwe zimatipatsa chidziwitso cha thanzi la mtima wathu. Tiyeni tiwone chilichonse mwa izi mwachidule.
| Mayeso | Kufotokozera kosavuta |
|---|---|
| Cholesterol Yonse (TC) | Kuchuluka kwa cholesterol yonse m'magazi. Kuchuluka kwa izi, chiopsezo cha matenda a mtima chimakulanso. |
| Triglycerides (TG) | Uwu ndi mtundu wa mafuta m'magazi. Angawonjezeke ndi zakudya zokhala ndi shuga wambiri, ufa, mafuta, ndi mowa. Angachepe ndi kuchita masewera olimbitsa thupi. |
| Lipoprotein Yochuluka Kwambiri (HDL) | Izi zimatchedwa "cholesterol yabwino." Zimachotsa cholesterol yoyipa m'mitsempha yamagazi. Mtengo wake ukakwera, zimakhala bwino. |
| Mapuloteni Ochepa (LDL) | Ichi ndi "cholesterol choipa" . Chikawonjezeka, chimatha kusungidwa m'mitsempha yamagazi ndikutseka. Ndi chifukwa chachikulu cha matenda a mtima. |
| Kuchuluka kwa Magazi Onse (CBC) | Imafotokoza bwino maselo ofiira a magazi, maselo oyera a magazi, ndi ma platelet m'magazi. Imatha kuzindikira matenda monga kuchepa kwa magazi m'thupi. |
| Hemoglobin A1c (HbA1c) | Zimawonetsa kuchuluka kwa shuga m'magazi mwanu m'miyezi iwiri kapena itatu yapitayi. Izi ndizofunikira kwambiri pozindikira matenda a shuga. |
| Kusala Shuga (Shuga wa M'magazi Osala) | Kuchuluka kwa shuga m'magazi kumayesedwa pambuyo posala kudya kwa maola 8-10. Kumatha kuzindikira matenda a shuga ndi zinthu zomwe zimayambitsa matenda a shuga asanafike. |
| Puloteni yogwira ntchito ya C-reactive yomwe imakhudzidwa kwambiri (us-CRP) | Zimasonyeza kuchuluka kwa kutupa pang'ono m'mitsempha yamagazi. Kuchuluka kwa izi, chiopsezo cha matenda a mtima chimawonjezeka. |
| Seramu Creatinine (CR) | Kuyeza komwe kumayesa momwe impso zimagwirira ntchito. Ngati impso sizikugwira ntchito bwino, kungakhudzenso mtima. |
Kuwonjezera pa izi, dokotala wanu angakupatseni mayeso enaake kutengera chiopsezo chanu. Mwachitsanzo, mayeso monga `Lipoprotein (a)`, `Apolipoprotein B (ApoB)`, `Homocysteine (Hcy)`. Mayeso aliwonsewa amathandiza kupeza chithunzi chomveka bwino cha chiopsezo chanu cha matenda a mtima.
Kodi mumakonzekera bwanji mayeso asanayambe?
Chabwino, tsopano tiyeni tiwone zomwe tiyenera kuchita tisanapite ku mayeso.
1. Kusala Kudya: Mayeso ena, makamaka omwe amayesa cholesterol (Lipid Profile) ndi shuga m'magazi (Fasting Blood Sugar), amafuna kuti musadye chakudya ndi kumwa kwa maola pafupifupi 8-12 musanayesedwe. Kumwa madzi nthawi zambiri kumakhala bwino. Koma onetsetsani kuti mwafunsa dokotala wanu za izi.
2. Chidziwitso cha Mankhwala: Uzani dokotala wanu za mankhwala aliwonse, mavitamini, kapena zowonjezera zina zomwe mumamwa nthawi zonse. Mankhwala ena amatha kukhudza zotsatira za mayeso.
Chofunika kwambiri: Musasiye kumwa mankhwala anu musanafunse dokotala wanu kaye. Iye adzakupatsani malangizo a zomwe mungachite ngati pakufunika kutero.
Kodi mungamvetse bwanji zotsatira za mayeso?
Mukalandira lipoti lanu la magazi, mungamve mantha pang'ono ndi manambala ndi mawu omwe ali pamenepo. Koma musadandaule. Tiyeni tiwone mwachidule kuchuluka kwa zinthu zazikulu zomwe zili mmenemo.
Chenjezo: Izi ndi ziwerengero zapakati chabe. Zizindikirozi zimatha kusiyana malinga ndi msinkhu wanu, jenda, ndi matenda ena. Chifukwa chake, nthawi zonse lankhulani ndi dokotala wanu kuti akuthandizeni kutanthauzira molondola lipoti lanu.
| Mayeso | Mulingo Wabwino Kwambiri |
|---|---|
| Cholesterol Yonse (TC) | Zosakwana 200 mg/dL |
| Triglycerides (TG) | Zosakwana 150 mg/dL |
| HDL (cholesterol yabwino) | Amuna: oposa 45 mg/dL Azimayi: oposa 55 mg/dL |
| LDL (cholesterol yoipa) | - Kwa iwo omwe ali pachiwopsezo chapakati: osakwana 130 mg/dL - Kwa iwo omwe ali ndi matenda a shuga/mtima: 100 mg/dL kapena kuchepera 70 mg/dL (monga momwe dokotala wanu adalangizira) |
| Hemoglobin A1c (HbA1c) | Osakwana 5.7% (athanzi) 5.7% - 6.4% (chiwopsezo cha matenda a shuga asanafike) Oposa 6.5% (shuga) |
| Kusala Shuga M'magazi | Zochepera 100 mg/dL (zathanzi) 100 - 125 mg/dL (chiopsezo cha matenda a shuga asanakwane) Kuposa 126 mg/dL (shuga) |
Kodi mumatani mukalandira zotsatira?
Ngati zotsatira za mayeso anu a magazi zili pachiwopsezo, musachite mantha. Sizikutanthauza kuti muli ndi matenda nthawi yomweyo. Ndi chenjezo lokhudza chiopsezo .
Dokotala adzakambirana nanu zotsatirazi ndikufotokozerani zomwe mungachite kenako. Mutha:
- Kusintha kwa moyo: Kumapereka malangizo a momwe mungayang'anire zakudya zanu komanso masewera olimbitsa thupi.
- Kulemba mankhwala: Kupempha kuti muyambe kumwa mankhwala ochepetsa cholesterol, kuwongolera kuthamanga kwa magazi, kapena kuwongolera kuchuluka kwa shuga m'magazi.
- Mayeso ena: Mungatumizidwe ku mayeso ena monga ECG, Echo, ndi Exercise ECG kuti muwone bwino momwe mtima umagwirira ntchito.
Kumbukirani kuti kuyezetsa magazi kumeneku ndi mwayi wabwino kwambiri kuti mutenge udindo pa thanzi lanu. Chofunika ndikugwiritsa ntchito zotsatirazi kuti musinthe moyo wanu kukhala wathanzi.
Uthenga Wopita Nawo Kunyumba
- Kuyezetsa magazi ndi chida chofunikira kwambiri pozindikira msanga chiopsezo cha matenda a mtima.
- Kuwonjezeka kwa cholesterol yoyipa (LDL) ndi kuchepa kwa cholesterol yabwino (HDL) ndi zizindikiro zazikulu zochenjeza.
- Kuyezetsa kwa HbA1c ndi Kusala Kudya kwa Shuga m'Magazi ndikofunikira kuti mudziwe matenda a shuga ndi zinthu zomwe zimayambitsa matenda a shuga asanafike.
- Kaya zotsatira za mayeso anu a magazi ndi ziti, musapange zisankho nokha. Nthawi zonse funsani dokotala wanu kuti akupatseni upangiri.
- Ngakhale zotsatira za mayeso zili pachiwopsezo chachikulu, chiopsezocho chikhoza kuchepetsedwa kwambiri ndi moyo wabwino komanso, ngati pakufunika, mankhwala.
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