Kodi nthawi zina mumadabwa kuti n’chifukwa chiyani matenda a shuga, kuthamanga kwa magazi, ndi cholesterol zimapitirira kuchitika, ndipo chimodzi chikachira, china chimabuka? Ndipotu, matenda enawa amagwirizana kwambiri. Lero, tikambirana za vuto lomwe limakhudza ziwalo zingapo zazikulu m’thupi lathu, ndipo madokotala apeza posachedwapa. Izi zimatchedwa CKM Syndrome. Musadandaule, tiyeni timvetse bwino izi.
Kodi CKM Syndrome ndi chiyani?
Mwachidule, matenda a CKM ndi matenda omwe angodziwika kumene omwe angakhudze ziwalo zazikulu zingapo m'thupi lathu, zomwe ndi mtima, impso, ubongo, ndi chiwindi. Izi zingawoneke zovuta pang'ono, koma mudzamvetsa pamene tikukambirana chilichonse. Matendawa amayamba chifukwa cha kuphatikiza matenda anayi akuluakulu komanso ubale womwe ulipo pakati pawo.
Zilembo zitatu za CKM zikuyimira:
- C - Matenda a mtima: Izi zikutanthauza zinthu zokhudzana ndi mtima ndi mitsempha yamagazi .
- K - Impso: Iyi ndi impso .
- M - Kagayidwe kachakudya: Izi zikuyimira njira ya kagayidwe kachakudya . Mwachidule, kagayidwe kachakudya ndi njira yomwe timapangira mphamvu kuchokera ku chakudya chomwe timadya.
Choncho, matenda anayi akuluakulu omwe amayambitsa matenda a CKM ndi awa:
1. Matenda a mtima: Izi zikutanthauza matenda a mtima ndi mitsempha yamagazi.
2. Matenda a impso: Kulephera kugwira ntchito kwa impso.
3. Matenda a shuga amtundu wachiwiri: Tonse tikudziwa kuti shuga ndi matenda.
4. Kunenepa kwambiri: Kuchulukana kwa mafuta m'thupi kosafunikira, mwachidule, kukhala kwakukulu kwambiri.
Chofunika ndichakuti matenda anayi awa azigwirizana. Ngati muli ndi limodzi, muli ndi mwayi waukulu wopeza lina, apo ayi matenda omwe alipo akhoza kukhala oopsa kwambiri. Taganizirani ngati anzanu omwe akugwirana manja, koma nthawi zina ubwenzi umenewu si wabwino kwa matupi athu.
Kawirikawiri, munthu amatha kukhala ndi matenda angapo nthawi imodzi. Izi sizodabwitsa. Chifukwa zonsezi zimagwirizana ndi magazi athu. Tikamadya chakudya ndi zakumwa, michere ndi mphamvu zomwe zimapezeka m'magazi zimapita ku maselo m'thupi lathu lonse kudzera m'magazi. Mtima ndi mitsempha yamagazi zimanyamula magazi awa m'thupi lonse. Impso zimasefa zinyalala m'magazi. Chifukwa chake, ndikofunikira kuti thanzi lathu lizigwira ntchito bwino.
Kukhala ndi matenda angapo mwa awa kumawonjezera chiopsezo cha matenda ena mwa munthu amene ali ndi matenda a CKM.
Kodi matenda a CKM amenewa ndi ofala bwanji?
Popeza kuti vutoli ndi vuto latsopanoli, palibe deta yochuluka yofanana ndi matenda akale. Komabe, pafupifupi munthu mmodzi pa akuluakulu atatu (1 mwa atatu) ku United States ali ndi zinthu zitatu zomwe zimayambitsa matenda a CKM.Zapezeka kuti izi zitha kukhala zofala kwambiri kuposa momwe timaganizira. Popeza zinthu zotere zikuchulukirachulukira ku Sri Lanka, ndikofunikira kwambiri kuti tidziwe izi.
Kodi zizindikiro za izi ndi ziti?
Zizindikiro za matenda a CKM ndi zofanana ndi zomwe zimayambitsa matenda anayi omwe atchulidwa kale (matenda a mtima, matenda a impso, matenda a shuga, ndi kunenepa kwambiri). Zina mwa izo ndi izi:
- Kupweteka pachifuwa kapena kulimba.
- Kuvuta kupuma , ngakhale mutachita khama pang'ono, kumamveka ngati kupuma movutikira.
- Kutaya mwadzidzidzi chidziwitso (`Syncope`).
- Kutupa kwa miyendo, akakolo, manja, kapena mapazi.
- Kupweteka kwa miyendo poyenda.
- Kumva kutopa kwambiri nthawi zonse, kusatha kuchita chilichonse.
- Kutaya chilakolako cha chakudya kapena nthawi zina kuwonjezeka kwa chilakolako cha chakudya.
- Kufunika kukodza pafupipafupi kuposa masiku onse.
- Khungu louma.
- Kugona pang'ono ndi kupuma movutikira.
- Matenda monga gout .
Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndi bwino kufunafuna upangiri wa dokotala.
Kodi n’chifukwa chiyani matenda a CKM amenewa amapezeka? Kodi zimayambitsa chiyani?
Chifukwa chachikulu cha matenda a CKM ndi kuchulukana kwa minofu yamafuta m'thupi, kapena kugwira ntchito molakwika kwa minofu yamafuta iyi. Tangoganizirani, pamene thupi lathu limasonkhanitsa mafuta ambiri, zinthu zina zimatulutsidwa kuchokera ku zigawo zamafutazo. Zinthuzi zimayambitsa kutupa , kutanthauza kuti, vuto lofanana ndi bala, m'minofu ya mtima wathu, impso, ndi mitsempha yamagazi.
Kutupa kumeneku kumayambitsa:
- Homoni ya insulin, yomwe imalamulira shuga m'thupi lathu, imasiya kugwira ntchito bwino.
- Zinthu monga plaque zimatha kusonkhana mkati mwa mitsempha yamagazi, zomwe zimalepheretsa kuyenda kwa magazi.
- Chiwopsezo cha kuwonongeka kwa impso chimawonjezeka.
Mwachidule, kukula kwakukulu kumeneku ndi kutupa komwe kumachitika m'thupi ndizomwe zimayambitsa matenda a CKM.
Kodi ndi zinthu ziti zomwe zimayambitsa matenda a CKM?
Pali anthu ena omwe ali ndi mwayi waukulu wokumana ndi vutoli. Nazi zinthu zina zomwe zingakhudze vutoli:
- Kunenepa kwambiri: Kumatanthauza kukhala wamkulu kwambiri.
- Makamaka mafuta ochulukirapo ozungulira chiuno (timatcha kuti mimba).
- Kuchuluka kwa cholesterol .
- Kuthamanga kwa magazi (kuthamanga kwa magazi kokwera ).
- Ndili kale ndi matenda a impso .
- Kukhala ndi matenda a shuga .
- Kukhala ndi matenda a metabolic syndrome (izi ndi zizindikiro zina zofanana, monga CKM).
Ngati muli ndi zinthu izi, ndikofunikira kudziwa za matenda a CKM.
Kodi mavuto omwe angakhalepo chifukwa cha vutoli ndi ati?
Ngati matenda a CKM sakuthandizidwa bwino, mavuto aakulu angachitike. Izi zikuphatikizapo:
- Kulephera kwa mtima: Mtima sungathe kupompa magazi bwino.
- Kusakhazikika kwa kugunda kwa mtima (Arrhythmias): Kusakhazikika kwa kugunda kwa mtima.
- Matenda amtima .
- Matenda a ubongo monga sitiroko .
Izi zingamveke zoopsa, koma kumbukirani kuti ngati vutoli litapezeka msanga ndikuchiritsidwa bwino, matenda aakuluwa akhoza kupewedwa.
Kodi matenda a CKM amapezedwa bwanji? (Kuzindikira)
Madokotala amagwiritsa ntchito mayeso angapo kuti adziwe matenda a CKM. Izi zikuphatikizapo:
- Yesani kuthamanga kwa magazi anu.
- Kuyesa kwa lipid panel (izi ndi zomwe zimafufuza zinthu monga cholesterol ndi triglycerides).
- Kuyang'ana kuchuluka kwa shuga m'magazi.
- Kuyang'ana momwe impso zimagwirira ntchito (mayeso monga urea m'magazi ndi serum creatinine).
- Kalisiyumu ya mtsempha wa coronary (iyi ndi mayeso apadera).
- Kuyeza BMI (body mass index) (izi zimatsimikizira ngati muli ndi kulemera koyenera malinga ndi kutalika kwanu).
Kuwunika ana matenda amenewa ali aang'ono kumathandiza kuti ayambe kuchitapo kanthu mwamsanga kuti apewe matenda a CKM.
Zotsatira za mayesowa ndi zomwe zidzatsimikizire ngati muli ndi matenda a CKM. Kenako matendawa amagawidwa m'magawo kutengera kuopsa kwake. Gawo 0 mpaka 4. Gawo 4 ndi gawo lomwe lili ndi chiopsezo chachikulu chotenga matenda a mtima.
Magawo a matenda a CKM
Mkhalidwewu wagawidwa m'magawo angapo. Ndi awa:
- Gawo 0: Mulibe zinthu zomwe zingakubweretsereni mavuto. Muli ndi thanzi labwino!
- Gawo 1: Muli ndi mafuta ochulukirapo m'thupi lanu, makamaka m'mimba. Izi zikutanthauza kuti ndinu wonenepa pang'ono.
- Gawo 2: Muli ndi matenda a shuga amtundu wachiwiri, triglycerides yambiri, kuthamanga kwa magazi, kapena matenda a impso.
- Gawo 3: Muli ndi matenda a mtima omwe ali mu gawo loyambirira (koma simukuwonetsa zizindikiro) kapena muli pachiwopsezo chachikulu chotenga matenda a mtima.
- Gawo 4: Muli ndi matenda a mtima omwe ali ndi zizindikiro, mafuta ochulukirapo m'thupi, komanso zinthu zomwe zimayambitsa matenda a kagayidwe kachakudya m'thupi. Mwina impso zanu zalephera kapena ayi.
Chinthu chabwino kwambiri ndi chakuti,Ngati mutasintha moyo wanu ndikukhala ndi makhalidwe abwino, mutha kupitirira gawo lomwe muli, zomwe zikutanthauza kuti mutha kukhala bwino.
Kodi matenda a CKM amachiritsidwa bwanji? (Chithandizo)
Chithandizo cha matenda a CKM chimasiyana malinga ndi matenda omwe muli nawo. Madokotala adzakonza dongosolo la chithandizo lomwe lingakukondereni. Popeza matenda a CKM amakhudza ziwalo zingapo, dongosolo la chithandizo lomwe limaphatikizapo malingaliro a akatswiri angapo ndi lothandiza kwambiri.
- Poyambirira: Mungafunike kusintha zinthu zingapo pa moyo wanu, monga kuchita masewera olimbitsa thupi tsiku ndi tsiku komanso kudya zakudya zopatsa thanzi.
- Gawo lapakati: Mungafunike kumwa mankhwala oletsa kuthamanga kwa magazi, cholesterol, ndi shuga m'magazi. Anthu onenepa kwambiri angapatsidwenso mankhwala oletsa chilakolako cha chakudya. Pakapita nthawi, dokotala wanu angasinthe mlingo wa mankhwala awa.
- Mu magawo ovuta kwambiri (magawo apamwamba): Mungafunike chithandizo monga:
- Ma stenti amaikidwa kuti mitsempha yamagazi yotsekeka isatseguke.
- Mankhwala apadera okhudzana ndi mtima, monga kutsekeka kwa mtima kapena kutsekeka kwa mtima .
- Opaleshoni ya mtima yotseguka kapena opaleshoni ya mtima yochitidwa kudzera m'mabala ang'onoang'ono.
- Kuchotsa impso mu dialysis .
- Opaleshoni yochepetsa thupi (opaleshoni ya Bariatric)
Kodi pali zovuta zilizonse kapena zotsatirapo zina za chithandizochi?
- Kusintha kwa moyo: Izi sizimayambitsa zotsatirapo zoyipa, choncho izi ndi zabwino komanso zotetezeka.
- Mankhwala: Mankhwala ambiri amatha kukhala ndi zotsatirapo zoyipa. Ngati mukukumana ndi zotsatirapo zoyipa izi, lankhulani ndi dokotala wanu.
- Opaleshoni ndi dialysis: Njirazi zimakhala ndi chiopsezo cha matenda opatsirana komanso magazi kuundana. Funsani dokotala wanu za chithandizo chomwe mulandire komanso mavuto omwe angakhalepo.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire kuchokera ku mankhwala awa?
Ngati mwachitidwa opaleshoni kapena chithandizo china chapadera, zingatenge sabata imodzi kapena milungu ingapo kuti muchire. Zimatengera mtundu wa opaleshoniyo, matenda ena aliwonse omwe muli nawo, ndi zinthu zina zingapo.
Ngati ndili ndi matenda a CKM, ndiyenera kuyembekezera chiyani?
Ngati muli ndi matenda a CKM, mungakumane ndi zizindikiro za matenda enaake okhudzana ndi matendawa. Komabe, kukhala ndi matenda angapo kungapangitse kuti chisamaliro chanu chaumoyo chikhale chovuta. Izi zikutanthauza kuti muyenera kupita kwa madokotala ambiri ndikumwa mankhwala osiyanasiyana.
Ofufuza zachipatala akuyembekeza kuti mtsogolomu, aliyense amene ali ndi matenda a CKM angalandire chithandizo pamalo amodzi, malinga ndi dongosolo lomwelo. M'malo mochiza ziwalo zonse padera,Mukhoza kuchiza thupi lanu lonse mwa kuganizira za izi. Ngati mwaonana ndi madokotala ambiri, nthawi zina mungalandire malangizo otsutsana. Ngati zimenezo zitachitika, musaope kukambirana za izo ndikupempha malangizo omveka bwino.
Kodi chiyembekezo cha munthu amene ali ndi matenda a CKM ndi chotani?
Tsogolo lanu ndi matenda a CKM lidzadalira momwe inu ndi gulu lanu lachipatala mukuthanirana ndi mavutowa pamodzi. Mukatsatira chithandizo chomwe dokotala wanu akukulimbikitsani, muli ndi mphamvu yosintha momwe matenda anu a CKM akupitira. Choncho musataye mtima.
Kodi matenda a CKM angapewedwe? (Kupewa)
Inde, anthu ena amatha kupewa matenda a CKM kwathunthu mwa kutsatira moyo wathanzi. Kwa ena, moyo wathanzi ungachedwetse kukula kwa matendawa. Ngati wina m'banja mwanu ali ndi vutoli (mbiri ya banja), dokotala angakuthandizeni kuzindikira zinthu zomwe zingakupangitseni kukhala ndi matenda a CKM. Kenako, mutha kupanga dongosolo lochepetsera zoopsazo ndikukhala ndi thanzi labwino.
Kodi ndingachepetse bwanji chiopsezo changa?
Pali zinthu zambiri zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi matenda a CKM. Mwachitsanzo:
- Idyani zakudya zopatsa thanzi: Idyani zipatso zambiri, ndiwo zamasamba, masamba obiriwira, zakudya zokhala ndi ulusi wambiri (monga tirigu wonse, mpunga wofiirira), ndi nsomba zopanda mafuta ambiri. Chepetsani zakudya zokhala ndi shuga, mafuta, ndi zakudya zofulumira momwe mungathere.
- Gonani mokwanira: Gonani maola osachepera 7-8 patsiku.
- Kupewa fodya: Siyani kugwiritsa ntchito zinthu monga ndudu ndi bidis.
- Yesetsani kuthamanga kwa magazi anu, shuga m'magazi, ndi kuchuluka kwa cholesterol m'magazi: Dokotala wanu nthawi zonse azikupimitsani izi ndipo amwe mankhwala ngati pakufunika kutero.
- Chitani masewera olimbitsa thupi nthawi zonse: Chitani masewera olimbitsa thupi osachepera mphindi 30 patsiku, monga kuyenda, kuthamanga, kapena kukwera njinga.
- Kusunga kulemera kwabwino kwa inu: Yesetsani kusunga kulemera koyenera kutalika kwanu.
Kodi ndimadzisamalira bwanji? (Kudzisamalira)
Ngati muli ndi matenda a CKM, chofunika kwambiri ndi kudzisamalira nokha. Zinthu izi zingathandize:
- Idyani zakudya zopatsa thanzi: Monga tanenera kale, khalani ndi zizolowezi zabwino zodyera.
- Kuchita masewera olimbitsa thupi: Kuchita masewera olimbitsa thupi monga momwe dokotala wanu walangizira.
- Ngati muli ndi matenda a shuga, yang'anani shuga m'magazi mwanu nthawi zonse.
- Ngati muli ndi chowunikira chapakhomo, yang'anani kuthamanga kwa magazi anu nthawi zonse.
- Imwani mankhwala omwe dokotala wanu wakupatsani malinga ndi matenda anu molondola komanso panthawi yake.
Ndiyenera kupita kwa dokotala liti?
Kusamalira matenda a CKM,Ndikofunikira kuonana ndi dokotala wanu nthawi yake. Izi zithandiza dokotala wanu kuyang'anira zinthu zomwe zingakubweretsereni chiopsezo komanso zizindikiro. Adzathanso kuwona ngati mukulimbana ndi matenda anu komanso kumwa mankhwala anu moyenera. Ngati pali mavuto atsopano, akhoza kugwidwa ndi kuchiritsidwa asanafike poipa kwambiri.
Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) nthawi yanji?
Ngati mukukumana ndi mavuto omwe angakupheni chifukwa cha matenda a CKM, imbani 911 kapena nambala yanu yadzidzidzi yapafupi nthawi yomweyo. Izi zikuphatikizapo:
- Zizindikiro za matenda a mtima: (kupweteka kwambiri pachifuwa, kuvutika kupuma, kusanza, thukuta).
- Zizindikiro za ziwalo zopuwala: (kutayika mwadzidzidzi kwa ntchito pankhope, mkono kapena mwendo, kuvutika kulankhula, kusawona bwino).
- Hyperosmolar Hyperglycemic State (HHS): (Ili ndi vuto lalikulu lomwe limapezeka mwa anthu omwe ali ndi matenda a shuga, komwe shuga m'magazi amakhala okwera kwambiri, zomwe zimapangitsa kuti munthu asathenso kutaya madzi m'thupi komanso kulephera kuzindikira).
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Mukakumana ndi dokotala, mukhoza kufunsa mafunso monga awa:
- "Ndi chinthu chofunika kwambiri chiti chomwe ndingachite kuti ndipewe matenda a CKM kapena kusintha gawo lomwe ndili nalo?"
- "Kodi ndiyenera kumwa mankhwala kuti ndichepetse chiopsezo cha matenda a CKM?"
- "Ndiyenera kuyezetsa kangati kuti ndione ngati ndafika pati pa zolinga zanga zaumoyo?"
- "Kodi banja langa liyenera kuyezedwa matenda omwe ndili nawowa?"
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Matenda a CKM ndi matenda ovuta omwe amakhudza ziwalo zingapo. Komabe, pali njira zambiri zochizira matenda osiyanasiyana okhudzana ndi matendawa. Chinthu chabwino kwambiri chomwe mungachite ndikugwiritsa ntchito bwino njira zomwe zilipo ndikuyesetsa kukhala ndi thanzi labwino.
Madokotala amadziwa kuti anthu ena amavutika kupeza zakudya zopatsa thanzi, kugwiritsa ntchito ndalama pa mankhwala, kapena kuchita masewera olimbitsa thupi. Ngati mukufuna thandizo pa izi, musaope kufunsa dokotala wanu. Iye angakutumizireni ku mapulogalamu omwe angakuthandizeni. Chifukwa inunso muli ndi ufulu wokhala ndi moyo wathanzi.
Matenda a CKM, matenda a mtima, matenda a impso, matenda a shuga, kunenepa kwambiri, matenda a kagayidwe kachakudya m'thupi, thanzi











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