Kodi mumamva ngati simungathe kugwira ntchito molimbika monga kale? Kodi mumamva chizungulire mukayenda mtunda waufupi kapena kukwera masitepe? Mwina chifukwa cha izi ndichakuti kugwira ntchito bwino kwa mtima wanu, ndiko kuti, liwiro lomwe umapopera magazi, kwachepa. Mu zamankhwala, lero tikambirana za muyeso wofunikira kwambiri womwe umayesa kugwira ntchito bwino kwa mtima. Umenewo ndi Cardiac Output . Musachite mantha mukamva dzinali, tiyeni tilimvetse mosavuta.
Mwachidule, kodi Cardiac Output ndi chiyani?
Zosavuta kwambiri. Kutulutsa kwa mtima ndi kuchuluka kwa magazi komwe mtima wanu umapopa m'thupi lanu mumphindi imodzi. Izi zimayesedwa mu malita. Ganizirani mtima wanu ngati injini yamadzi. Kutulutsa kwa mtima ndi kuchuluka kwa malita amadzi omwe injini iyi imapopa pamphindi imodzi.
Madokotala amawerengera izi ndi equation yosavuta:
"Kutulutsa kwa Mtima = Kuchuluka kwa Sitiroko x Kuthamanga kwa Mtima"
Tsopano mwina mukudabwa kuti mawu awiri atsopanowa akutanthauza chiyani. Tiyeni tifotokozenso zimenezo.
- Kuchuluka kwa magazi m'thupi: Uwu ndi kuchuluka kwa magazi omwe mtima wanu umapopa m'thupi lanu ukagunda kamodzi . Mu chitsanzo chathu cha injini yamadzi, kuli ngati kuchuluka kwa madzi komwe injiniyo imatulutsira ikagwira ntchito kamodzi.
- Kugunda kwa Mtima: Mwina mukudziwa izi. Iyi ndi nthawi yomwe mtima wanu umagunda pa mphindi imodzi. Nthawi zambiri, mwa munthu wathanzi, izi zimakhala pakati pa 60 ndi 100 pa mphindi imodzi.
Mukachita masewera olimbitsa thupi, thupi lanu limafunikira mpweya wochuluka. Mpweya umenewu umayendetsedwa ndi magazi m'thupi lonse. Choncho panthawiyo, thupi limagwira ntchito yowonjezera mphamvu ya mtima powonjezera kugunda kwa mtima komanso kuchuluka kwa magazi omwe amapopedwa nthawi imodzi. Ndi njira yodabwitsa kwambiri, sichoncho?
Kodi zizindikiro za kuchepa kwa mphamvu ya mtima ndi ziti?
Ngati thupi sililandira magazi okwanira, ndiko kuti, ngati mphamvu ya mtima yachepa, zizindikiro zosiyanasiyana zingawonekere. Musanyalanyaze izi ngati kutopa kwachibadwa.
Ndikofunikira kwambiri kudzisamalira ngati mukumva kutopa kwambiri moti simungathe kumaliza ntchito yomwe munkagwira kale.
Pansipa pali zina mwa zizindikiro zazikulu za kuchepa kwa mphamvu ya mtima.
| Chizindikiro | Kodi izi zikutanthauza chiyani? |
|---|---|
| Kumva kutopa kwambiri mwachangu | Kutopa kwambiri kumachitika pamene minofu ya thupi silandira mpweya ndi zakudya zomwe zimafunika kuchokera m'magazi. |
| Kuvuta kuchita masewera olimbitsa thupi | Kulephera kuthamanga kapena kuyenda mtunda wautali monga kale. Kuvutika kupuma mukamachita khama. |
| Kutupa kwa manja ndi mapazi | Mtima ukalephera kupompa magazi bwino, madzi m'thupi samayenda bwino ndipo amatha kusonkhana m'miyendo. |
| Kupuma movutikira | Vutoli limatha kuchitika makamaka poyenda kapena kuwerama. Lingakhudzenso mapapo. |
| Kusanza, kusanza, ndi kupweteka m'mimba | Zizindikiro zimenezi zingachitikenso chifukwa cha kuchepa kwa magazi kupita ku dongosolo logaya chakudya. |
Ngati muli ndi zizindikiro izi, chinthu chabwino kwambiri choti muchite ndikuonana ndi dokotala nthawi yomweyo kuti akupatseni upangiri.
Kodi madokotala amayesa bwanji kuchuluka kwa shuga m'magazi?
Pali njira zingapo zoyezera izi. Zina n'zosavuta kwambiri, pomwe zina zimafuna mayeso apadera ochitidwa kuchipatala.
- Kuyeza kwa Echocardiography ya Transthoracic (Echo test): Izi zili ngati kusanthula mwana. Sizipweteka. Zingathe kuwona momwe mtima umagwirira ntchito, kukula kwake, komanso momwe ma valve alili. Izi zingapatse dokotala lingaliro labwino la kuchuluka kwa sitiroko.
- MRI ya Mtima: Iyi ndi njira ina yojambulira yomwe imatenga zithunzi zatsatanetsatane za mtima.
- Kuyeza Catheterization ya Mtima Wabwino: Iyi ndiyo njira yolondola kwambiri yoyezera kutulutsa kwa mtima. Mu chipatala, katswiri amaika chubu chopyapyala (catheter) mumtima kudzera mu mtsempha womwe uli m'dzanja kapena mwendo ndipo amayesa kuthamanga kwa magazi mkati mwa mtima ndi kuchuluka kwa mpweya m'magazi. Izi zimathandiza kuwerengera molondola kutulutsa kwa mtima.
- Njira Zina: Kuphatikiza apo, lingaliro losavuta lingapezeke mwa kumangirira ma electrode ku thupi ndikuyesa kupuma pogwiritsa ntchito zida zapadera.
Dokotala wanu adzakulangizani mayeso oyenera kwambiri pa vuto lanu.
Kodi ndi zifukwa ziti zomwe zimapangitsa kuti mtima utuluke pang'onopang'ono?
Pali zifukwa zingapo zomwe zingakhudze izi. Zina mwa izo tingathe kuzilamulira, pomwe zina zimafunika kuthandizidwa ndi chithandizo chamankhwala.
| Factor | Mwachidule, chimachitika n’chiyani? |
|---|---|
| Kuthamanga kwa Magazi Kwambiri | Tangoganizirani kuti mukuyenda moyang'anizana ndi mphepo yamphamvu. Mofananamo, pamene kuthamanga kwa magazi m'mitsempha yanu kukukwera, mtima wanu uyenera kugwira ntchito molimbika kuti upompe magazi motsutsana nawo. Pakapita nthawi, mtima wanu ukhoza kufooka. |
| Ukalamba | Pamene tikukalamba, makoma a mtima amakhala okhuthala komanso osasinthasintha. Chifukwa cha zimenezi, sungadzaze magazi mwachangu monga kale. Izi zimachepetsanso kuchuluka kwa magazi omwe amapopa. |
| Kuwonongeka komwe kumachitika chifukwa cha matenda a mtima | Minofu ya mtima ikawonongeka chifukwa cha matenda a mtima, mphamvu yake yopopera imatha kuchepetsedwa kwamuyaya. |
| Miyimbo Yachilendo ya Mtima | Mwachitsanzo, mu matenda monga Atrial Fibrillation, zipinda zapamwamba za mtima sizimakoka bwino. Zotsatira zake, zipinda zapansi sizimadzaza bwino ndi magazi ndipo kuchuluka kwa magazi omwe amapopedwa kumachepa. |
| Kuchepa kwa valavu ya mtima (Aortic Stenosis) | Pamene valavu yolumikiza mtsempha waukulu wamagazi (aorta) womwe umanyamula magazi kuchokera pamtima kupita ku thupi ikhala yopapatiza, singathe kutulutsa magazi ambiri momwe ingafunikire. |
| Matenda a mtima kapena matenda ena | Matenda monga matenda a minofu ya mtima (myocarditis) kapena kukhuthala kwa nembanemba yozungulira mtima (constrictive pericarditis) angayambitsenso kulephera kwa mtima kugwira ntchito bwino. |
Kodi mungawonjezere bwanji mphamvu ya mtima?
Nkhani yabwino ndi yakuti vutoli lingathe kuthetsedwa mwa kusintha moyo wanu pang'ono ndikutsatira chithandizo chomwe dokotala wanu wakupatsani. Mtima wolimba komanso dongosolo labwino la magazi ndizomwe zimapangitsa kuti izi zitheke.
Kumbukirani, mtima wathanzi ndi njira yopezera moyo wathanzi. Ndikoyenera kupereka nsembe pang'ono.
Nazi zina mwa zinthu zomwe mungachite:
- Kuchita masewera olimbitsa thupi nthawi zonse: Ngakhale kuyenda kwa mphindi 30 patsiku kungakhale kothandiza kwambiri pamtima panu. Komabe, musanayambe pulogalamu iliyonse yochita masewera olimbitsa thupi, ndikofunikira kulankhula ndi dokotala wanu ndikufunsani zomwe zili zoyenera kwa inu.
- Lamulirani cholesterol: Idyani zakudya zomwe zimachepetsa cholesterol yoyipa (LDL) ndikuwonjezera cholesterol yabwino (HDL).
- Lamulirani matenda a shuga: Ngati muli ndi matenda a shuga, imwani mankhwala omwe dokotala wanu wakupatsani monga momwe mwalangizira ndipo sungani shuga m'magazi mwanu.
- Zakudya Zopatsa Thanzi: Chepetsani kudya zakudya zamafuta, zokazinga, zakudya zokhala ndi mchere wambiri ndi shuga wambiri momwe mungathere. Phatikizani zipatso, ndiwo zamasamba, ndiwo zamasamba, ndi nsomba zazing'ono muzakudya zanu.
- Sungani kulemera kwabwino: Pamene kulemera kwa thupi kukukwera, katundu pamtima umawonjezekanso.
- Siyani kusuta fodya ndi kugwiritsa ntchito fodya kotheratu: awa ndi adani akuluakulu a mtima ndi mitsempha yamagazi.
- Konzani kuthamanga kwa magazi anu: Ngati dokotala wanu wakupatsani mankhwala, imwani pa nthawi yake.
Kudziwa momwe mtima wanu ukugwira ntchito kungathandize dokotala wanu kupeza matenda oyenera ndikuwona ngati chithandizo chomwe mwamupatsa chikugwira ntchito. Choncho ngati muli ndi mafunso kapena nkhawa, lankhulani momasuka ndi dokotala wanu. Mukadziwa zambiri za thanzi lanu, mwayi wanu wopeza zotsatira zabwino umawonjezeka.
Uthenga Wopita Nawo Kunyumba
- Kutulutsa kwa mtima ndi kuchuluka kwa magazi omwe mtima wanu umapopa pamphindi imodzi. Ichi ndi chiyeso chofunikira cha momwe mtima umagwirira ntchito.
- Zizindikiro monga kutopa, kupuma movutikira, ndi kutupa kwa miyendo zingakhale zizindikiro za kuchepa kwa mphamvu ya mtima.
- Vutoli lingathe kuthetsedwa bwino mwa kusintha moyo wanu (kuchita masewera olimbitsa thupi, kudya zakudya zabwino) komanso kutsatira malangizo a dokotala wanu.
- Ngati mukukumana ndi vuto lililonse la mtima, onetsetsani kuti mwalankhula ndi dokotala wanu za vutoli.











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