Nanga bwanji ngati mtima waima mwadzidzidzi? (Kugwidwa ndi Mtima) - Tiyeni tikambirane za izi

Tangoganizirani kuti pamene mukulankhula ndi anzanu kapena mukuyenda mumsewu, wina mwadzidzidzi wagwa chikomokere. Mukapita ndikuyang'ana, sakupuma, kugunda kwa mtima kwawo sikukugunda... akuoneka ngati akuzizira. Kodi mungaganize chiyani mutawona chinthu chonga ichi? Ichi ndi chomwe timachitcha kugwidwa kwa mtima mwadzidzidzi . Ichi ndi vuto lalikulu kwambiri, lomwe lingayambitse imfa. Koma ngati tadziwitsidwa bwino, tingathandize kupulumutsa moyo wa wina. Chifukwa chake lero, tiyeni tikambirane za chilichonse mwachidule.

Mwachidule, kodi kulephera kwa mtima n’chiyani?

Kumangidwa kwa Mtima ndi pamene mtima wathu umasiya kugunda mwadzidzidzi. Kapena, mtima umagunda mofulumira komanso mosakhazikika kotero kuti sungathe kupompa magazi bwino. Izi zitha kuchitika mwadzidzidzi, popanda chenjezo lililonse, ndichifukwa chake zimatchedwanso 'Kumangidwa kwa Mtima Mwadzidzidzi'. Taganizirani izi, injini ya thupi lathu ndi mtima. Injini iyi imapompa magazi okhala ndi mpweya m'thupi lonse. Mpweya uwu ndi wofunikira kuti ziwalo zonse, monga ubongo, mapapo, ndi impso, zigwire ntchito. Pakumangidwa kwa mtima, injini iyi imazimitsa mwadzidzidzi. Ndiye chimachitika ndi chiyani? Palibe magazi omwe amatuluka kulikonse m'thupi. Ngati ubongo ukusowa mpweya mkati mwa mphindi zochepa, ubongo umayamba kuwonongeka, ndipo pamapeto pake imfa imatha kuchitika. Komabe, kuwonongeka kwa mtima komwe kumachitika chifukwa cha matenda a mtima nthawi zina kungayambitse kulephera kwa mtima. Izi zikutanthauza kuti matenda a mtima akhoza kukhala chifukwa chachikulu cha kulephera kwa mtima.

Kodi zizindikiro zake ndi ziti musanayambe komanso munthawi imeneyi?

Nthawi zambiri, mtima umasiya kugwira ntchito popanda zizindikiro zilizonse zochenjeza. Komabe, anthu ena angasonyeze zizindikiro zina mtima wawo usanasiye kugwira ntchito. Komanso, pali zizindikiro zina zomwe munthu angasonyeze akakhala ndi mtima umasiya kugwira ntchito.

N’chifukwa chiyani izi zimachitika? Kodi zifukwa za kulephera kwa mtima ndi ziti?

Monga tafotokozera kale, ili ndi vuto lalikulu lomwe limachitika mu dongosolo lamagetsi la mtima. Mtima wathu mwachibadwa uli ndi dongosolo lomwe limapanga zizindikiro zamagetsi. Zizindikiro izi ndi zomwe zimapangitsa mtima kugunda bwino kwambiri. Dongosolo lodziwitsa likasokonekera, kamvekedwe ka mtima kamakhala kosasinthasintha. Timatcha izi arrhythmias . Chifukwa chachikulu cha kuima kwa mtima ndi arrhythmia yoopsa yotchedwa Ventricular Fibrillation (V-fib) . Chomwe chimachitika apa ndikuti zipinda zapansi pa mtima (ventricles) zimatulutsa zizindikiro zamagetsi mwachangu kwambiri. Zotsatira zake, mtima umayamba kugwedezeka ngati chidutswa cha jelly m'malo mogunda. Mtima wogwedezekawu sungapope magazi. Zotsatira zake ndi kuima kwa mtima. Pali zifukwa zingapo zomwe zimapangitsa kuti arrhythmias yoopsa ichitike:

• Matenda a mtima: Kuwonongeka kwa mtima pambuyo pa matenda a mtima kungasokoneze dongosolo lamagetsi.
• Matenda a Mitsempha ya Mtima ( CAD ): Kuchepa kapena kutsekeka kwa mitsempha yomwe imapereka magazi kumtima.
• Matenda a mtima: Kukhuthala kapena kufooka kwa minofu ya mtima chifukwa cha zifukwa zosiyanasiyana.
• Kulephera kwa mtima: Mtima sungathe kupompa magazi okwanira kupita m'thupi.
• Matenda a Mtima Obadwa Nawo: Mavuto ndi kapangidwe ka mtima komwe kamakhalapo kuyambira kubadwa.
• Matenda a majini monga Long QT Syndrome (LQTS) ndi Brugada Syndrome: Awa ndi matenda obadwa nawo omwe amakhudza ntchito yamagetsi ya mtima.
• Kuchita masewera olimbitsa thupi kwambiri kapena ngozi yaikulu: Izi zingayambitse kutaya magazi ambiri kapena kuchepa kwa mpweya m'thupi.
• Kugwiritsa ntchito mankhwala osokoneza bongo: Kugwiritsa ntchito mankhwala osokoneza bongo monga cocaine.
• Mankhwala ena: Mankhwala ena omwe amatengedwa pa matenda ena amathanso kukhudza vutoli.
• Matenda a impso: Kusintha kwakukulu kwa kuchuluka kwa mchere monga potaziyamu ndi magnesium m'thupi.

Kodi timatani ngati munthu wina wagwidwa ndi vuto la mtima? Kodi tingapulumutse bwanji moyo wake?

Iyi ndi gawo lofunika kwambiri. Kulephera kwa mtima ndi vuto ladzidzidzi. Sekondi iliyonse imawerengedwa. Pa mphindi iliyonse yomwe chithandizo chimachedwa, mwayi wa munthu wopulumuka umachepa ndi pafupifupi 10%. Zimatenga mphindi 5 zokha kuti kuwonongeka kwa ubongo kuyambe. 1.Imbani 1990 (Suvaseriya) nthawi yomweyo: Choyamba choti muchite ndi kuyimbira ambulansi. Auzeni komwe muli ndi kunena momveka bwino kuti wodwalayo sakudziwa ndipo sakupuma. 2. Yambani CPR: Musayembekezere kuti ambulansi ifike. Ngati mungathe, yambani CPR (Cardiopulmonary Resuscitation) . Mwachidule, CPR ndi pamene tikanikiza chifuwa ndi manja athu m'malo mwa mtima, tikupopera magazi kupita ku ubongo ndi ziwalo zina. Ngati simukudziwa momwe mungachitire CPR, osachepera perekani kukanikiza mwachangu komanso mozama pakati pa chifuwa (CPR ya manja okha). Muyenera kuchita izi pa liwiro la pafupifupi nthawi 100-120 pamphindi. 3. Pezani AED: AED (Automated External Defibrillator) ndi makina ogwiritsidwa ntchito m'manja omwe amatha kugwedeza mtima ndi kubwezeretsa magwiridwe antchito amagetsi. Izi zimapezeka m'malo opezeka anthu ambiri monga ma eyapoti ndi malo akuluakulu ogulitsira. Ngati mwapeza AED, tsatirani malangizo omwe ali pamenepo. Zimangofunika kuti muyike papepala pachifuwa. Kenako makinawo adzayang'ana kugunda kwa mtima ndikusankha ngati apereke kapena ayi. CPR ndi AED ndiyo njira yabwino kwambiri yopulumutsira munthu. Gulu la ambulansi likafika, lidzatenga wodwalayo kupita ku Chipatala cha Emergency Treatment Unit (ETU) kuti akalandire chithandizo china.

Kodi ndi zinthu zotani zomwe mudzakumane nazo mutapulumuka kugwidwa ndi mtima?

Kupulumutsa moyo ku kulephera kwa mtima ndi chinthu chachikulu chokha chomwe chingachitike. Koma ndi chiyambi chabe cha ulendo wautali wochira. Vuto lalikulu ndi kuwonongeka komwe kungachitike kutengera nthawi yomwe ubongo umasowa mpweya.

• Kuwonongeka kwa ubongo: Kusakhala ndi mpweya kwa mphindi zochepa kungayambitse kuwonongeka kosatha kwa maselo a ubongo. Izi zingakhudze zinthu monga kukumbukira, kuganiza, ndi mayendedwe olamulira. Anthu ena angavutike kulankhula (dysarthria) ndi kuvutika kumeza (dysphagia).
• Zofooka Zakuthupi: Kufooka kwa minofu, kuvutika kuyenda, ndi kutopa ndi zofala.
• Mavuto azaumoyo wamaganizo: Pambuyo pokumana ndi vuto loopsa chonchi, mavuto amisala monga nkhawa, kuvutika maganizo, ndi matenda ovutika maganizo pambuyo pa zoopsa (PTSD) amatha kuchitika.

Mankhwala ochiritsira monga physiotherapy, occupational therapy, ndi speak therapy ndi ofunikira kwambiri kuti achire ku vutoli. Komanso, chithandizo cha banja n'chofunikira.

Kodi pali njira zodzitetezera ku ngozi imeneyi?

Inde, pali zinthu zomwe tingachite kuti tipewe kulephera kwa mtima. Chofunika kwambiri ndikuwongolera zinthu zomwe zimayambitsa vutoli.

Njira zachipatala

Ngati dokotala wanu atsimikiza kuti muli pachiwopsezo chachikulu cha kulephera kugwira ntchito kwa mtima, angakulangizeni mayeso ndi chithandizo china.

• Mayeso:Mayeso monga `ECG`, `Echocardiogram`, ndi `Cardiac Catheterization` amatha kuzindikira mavuto aliwonse okhudza mtima.
• Chithandizo:
• ICD (Implantable Cardioverter Defibrillator): Ichi ndi chipangizo chaching'ono chomwe chimayikidwa pansi pa khungu pafupi ndi mtima. Ngati pali vuto lalikulu la mtima, chipangizochi chimadzipangitsa kuti mtima ugwirenso ntchito.
• Mankhwala: Mankhwala monga ``Beta-blockers'' omwe amalamulira kagwiridwe ka mtima.
• Opaleshoni: Opaleshoni yotsegula mitsempha yamagazi yotsekedwa, monga ``Angioplasty'' kapena ``Coronary Artery Bypass Surgery - CABG''.

Kusintha kwa moyo

Zinthu izi ndizofunikira kwa tonsefe, osati kwa iwo okha omwe ali pachiwopsezo.

Zoyenera kuchita	Kufotokozera
Zakudya zopatsa thanzi pamtima	Idyani zakudya zokhala ndi mchere wochepa, shuga, ndi mafuta ochepa, komanso zokhala ndi ndiwo zamasamba zambiri, zipatso, nyemba, ndi tirigu wonse.
Kuchita masewera olimbitsa thupi nthawi zonse	Chitani masewera olimbitsa thupi, monga kuyenda, kuthamanga, kapena kukwera njinga, kwa mphindi zosachepera 30 patsiku, masiku ambiri a sabata.
Kupewa kusuta fodya	Kusuta fodya n’koipa kwambiri pamtima. Ngati mukusuta, chitanipo kanthu kuti musiye lero.
Kusamalira matenda osatha	Ngati muli ndi matenda monga kuthamanga kwa magazi, matenda a shuga, kapena cholesterol yokwera, yang'anirani bwino motsatira malangizo a dokotala wanu.

Zinthu zoti mukambirane ndi dokotala wanu

Ngati inu kapena wina m'banja mwanu ali ndi mbiri ya matenda a mtima, kapena ngati muli ndi nkhawa iliyonse pankhaniyi, musaope kulankhula ndi dokotala wanu. Mutha kufunsa mafunso ngati awa:

• Kodi ndili pachiwopsezo chogwidwa ndi matenda a mtima?
• Kodi banja langa lili pachiwopsezo? Kodi tikufunika kuyezetsa majini?
• Ndi kusintha kotani komwe ndiyenera kusintha pa moyo wanga?
• Kodi ndifunika chipangizo ngati ICD?
• Kodi pali malo komwe ndingaphunzire momwe ndingagwiritsire ntchito CPR ndi AED?

Uthenga Wopita Nawo Kunyumba

• Kulephera kwa mtima ndi pamene mtima umasiya kugunda chifukwa cha vuto la magetsi a mtima. Ndi zosiyana ndi matenda a mtima ndipo ndi vuto ladzidzidzi lomwe limayambitsa imfa.
• Ngati munthu wagwidwa ndi vuto la mtima, mwadzidzidzi amakomoka, sapuma, ndipo kugunda kwa mtima sikutha.
• Kuti mupulumutse moyo, muyenera kuchitapo kanthu nthawi yomweyo. Choyamba, imbani 1990. Chachiwiri, yambani CPR mpaka ambulansi itafika. Chachitatu, gwiritsani ntchito makina a AED ngati alipo.
• Kuphunzira momwe mungachitire CPR n'kofunika kwambiri. Kungapulumutse moyo wa wokondedwa wanu kapena wina.
• Chiwopsezo cha kulephera kwa mtima chikhoza kuchepetsedwa mwa kukhala ndi moyo wathanzi komanso kusamalira bwino matenda omwe alipo.

Kulephera kwa mtima mwadzidzidzi, Kulephera kwa mtima, Kudwala mtima, CPR, AED, Matenda a mtima, Thandizo loyamba, Thandizo la mtima