Nthawi zambiri manja athu amazizira tsiku lozizira, kapena tikakhala mu ofesi yokhala ndi AC yabwino. Zimangotanthauza kuti mwakhala mumalo ozizira, ndipo palibe chodetsa nkhawa nacho. Komabe, ngati mupeza kuti manja anu nthawi zonse amamva kuzizira ngakhale mutakhala pamalo otentha, ndipo popanda chifukwa china, zingakhale zotiuza zinazake.
N’chifukwa chiyani manja athu amazizira?
Mwachidule, iyi ndi njira yodzitetezera ku thupi lathu. Tikakumana ndi kuzizira, thupi lathu limayesetsa kusunga kutentha m'ziwalo zathu zazikulu, zofunika kwambiri, monga mtima ndi mapapo. Njira imodzi yomwe thupi lathu limachitira izi ndi kuchepetsa magazi kupita ku ziwalo zakutali, monga manja ndi mapazi. Mitsempha yamagazi m'manja imachepa, zomwe zimachepetsa kuyenda kwa magazi. Popeza magazi ndi onyamula kutentha, magazi akachepa, manja amazizira.
Komabe, nthawi zina mitsempha yamagazi iyi imatha kupangika mwadzidzidzi popanda chimfine. Madokotala amatcha vutoli kuti "vasospasm". Nthawi zina ngati izi, mungamve kuzizira m'manja mwanu ngakhale mutakhala pamalo otentha. Ngati izi zimachitika kawirikawiri, zitha kuwononga minofu m'manja mwanu komanso kuyambitsa zilonda pakhungu. Imeneyi ndi vuto losowa.
Choncho, ngati manja anu nthawi zonse amakhala ozizira, kapena ngati akumva ngati akutenga nthawi yayitali kuti atenthenso akazizira, ndi bwino kupita kwa dokotala.
Kodi zizindikiro izi zimayenderana ndi manja ozizira?
Manja ozizira okha nthawi zambiri sali odetsa nkhawa. Komabe, ngati muli ndi zizindikiro zotsatirazi, ndikofunikira kufunafuna upangiri wa dokotala.
| Chizindikiro | Momwe mumamvera/mawonekedwe anu |
|---|---|
| Mabala kapena zilonda (Zilonda) | Zilonda zopweteka, zosachiritsa m'manja kapena m'manja. |
| Ululu | Ululu waukulu womwe umachitika ndi manja ozizira. |
| Kulira | Kumva dzanzi kapena kumva kuwawa m'manja kapena zala. |
| Kusintha kwa khungu | Khungu lolimba, lokhuthala, kapena losintha mtundu (monga kuyera, buluu, wofiirira). |
| Mapazi ozizira | Kupatula manja, mapazi ndi zala nthawi zambiri zimakhala zozizira. |
Kodi ndi zifukwa ziti zomwe manja nthawi zonse amakhala ozizira?
Chifukwa chachikulu ndi momwe thupi limayankhira kutentha kwa chilengedwe. Komabe, matenda ena angayambitsenso kuzizira m'manja ngati chizindikiro.
| Mkhalidwe | Mwachidule... |
|---|---|
| Matenda a Raynaud | Apa ndi pamene mitsempha ya magazi m'zala ndi zala za mapazi imachepa mwadzidzidzi. Izi zitha kuchitika mukakhala pachimfine kapena kupsinjika. Zala zimasanduka zoyera kapena zabuluu, kenako zimakhala zofiira komanso zopweteka pamene magazi ayambiranso kuyenda. |
| Hypothyroidism | Pamene chithokomiro sichipanga mahomoni okwanira, kagayidwe ka thupi ka thupi kamachepa. Izi zingakhudze thupi lonse ndikukupangitsani kumva kuzizira ngakhale mutakhala pamalo otentha. |
| Matenda a mitsempha ya m'mitsempha ya m'magazi (PAD) | Izi zimachitika pamene mafuta amasonkhana m'mitsempha yamagazi, zomwe zimaletsa kuyenda kwa magazi m'manja ndi m'mapazi. Izi zingayambitse kuzizira m'manja ndi m'mapazi. Imeneyi ikhoza kukhala vuto lalikulu ngati silinachiritsidwe. |
| Lupus | Imeneyi ndi matenda a autoimmune. Izi zikutanthauza kuti chitetezo cha mthupi chimaukira maselo ake. Izi zingayambitse kutupa ndi kutupa m'thupi lonse. Odwalawa ali pachiwopsezo chotenga matenda a Raynaud. |
| Scleroderma | Imeneyinso ndi matenda odziteteza ku matenda a autoimmune. Pachifukwa ichi, khungu la m'manja ndi zala limakhala lolimba komanso lolimba. Odwalawa nthawi zambiri amakumana ndi matenda a Raynaud. |
Kodi izi zimachiritsidwa bwanji?
Dokotala nthawi zambiri amachiritsa vuto lomwe limayambitsa kuzizira m'manja mwanu, osati chifukwa chokha . Njira zochiritsira zimasiyana malinga ndi chomwe chayambitsa.
Ndi zinthu ziti zomwe mungachite kunyumba?
Mukamalankhula ndi dokotala wanu, pali zinthu zingapo zomwe mungachite nokha kuti magazi anu ayende bwino:
- Dzitetezeni ku chimfine: Chepetsani nthawi yomwe mumakhala m'malo ozizira (zipinda zoziziritsa kukhosi, pafupi ndi firiji). Valani magolovesi/magalasi oteteza ku chimfine mukatuluka panja.
- Kuchepetsa kupsinjika maganizo: Kupsinjika maganizo kungayambitsenso kuti mitsempha yamagazi ichepetse. Zinthu monga kusinkhasinkha ndi kuchita masewera olimbitsa thupi zingathandize.
- Pewani kusuta fodya konse: Kusuta kumawononga mitsempha yamagazi komanso kumasokoneza kuyenda kwa magazi.
- Chepetsani kumwa caffeine ndi mowa: Khofi, tiyi, ndi mowa zingayambitsenso kuti mitsempha yamagazi itseke.
- Samalani khungu lanu: Gwiritsani ntchito mafuta odzola kuti manja anu asaume.
Chithandizo chamankhwala
Ngati muli ndi vuto la matenda, dokotala wanu angakulembereni mankhwala. Mankhwala ena othamanga magazi angathandize kukulitsa mitsempha yamagazi ndikuwonjezera kuyenda kwa magazi m'manja mwanu. Mwachitsanzo:
- Zoletsa njira za calcium
- Alpha-blockers
- Zoletsa za ACE (ACE)
Chofunika: Mankhwala awa ayenera kumwedwa pokhapokha ngati dokotala wakupatsani upangiri. Musawagwiritse ntchito monga momwe mukufunira.
Nthawi zambiri, anthu ena angafunike jakisoni kapena opaleshoni yotsekereza mitsempha. Dokotala wanu adzakufotokozerani izi.
Kodi manja ozizira ndi chizindikiro cha matenda a mtima kapena kuchepa kwa magazi m'thupi?
Manja ozizira nthawi zambiri si chizindikiro cha matenda a mtima kapena kuchepa kwa magazi m'thupi. Komabe, matenda onsewa amakhudza kayendedwe ka magazi m'thupi, ndipo amatha kukhudza mitsempha yamagazi m'manja mwanjira ina.
Ngati mukukayikira matenda a mtima kapena kuchepa kwa magazi m'thupi, muyenera kusamala ndi zizindikiro zina osati manja ozizira okha.
- Kuvuta kupuma
- Kutopa pafupipafupi
- Chizungulire
Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) .
Pomaliza, manja ozizira nthawi zambiri ndi chizindikiro chosavuta chakuti thupi lanu ndi lozizira. Koma ngati zimachitika kawirikawiri, popanda chifukwa chomveka, ndipo mukuda nkhawa nazo, chimenecho ndi chifukwa chabwino cholankhula ndi dokotala.
Uthenga Wopita Nawo Kunyumba
- Ndi zachilendo kukhala ndi manja ozizira m'malo ozizira. Koma ngati manja anu nthawi zonse amakhala ozizira ngakhale m'malo otentha, izi zitha kukhala chizindikiro cha vuto.
- Ngati mukuona zizindikiro monga manja ozizira, kupweteka, dzanzi, kusintha mtundu wa khungu, kapena mabala osachira, funsani dokotala nthawi yomweyo.
- Matenda a Raynaud, mavuto a chithokomiro, ndi matenda ena angayambitse manja ozizira.
- Ngati muli ndi nkhawa ndi kusintha kwa thupi lanu, nthawi zonse ndi bwino kulankhula ndi dokotala wanu, m'malo moganiza kuti, "Izi ndi zazing'ono chabe."
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi a Pitavastatin (Livalo) amalembedwa matenda otani?
Iyi ndi mbadwo watsopano wa mankhwala a 'High Cholesterol/Hyperlipidemia' (Statin)! Amachepetsa 'cholesterol yoyipa (LDL)' ndipo amaletsa matenda a mtima/stroke. Ubwino waukulu wa izi ndikuti saphwanyidwa ndi makina ophwanya mankhwala (CYP450) m'chiwindi, kotero sayanjana/kuwononga ndi mankhwala ena aliwonse omwe mukumwa (Drug Interactions).
💬 Kodi piritsi latsopano la cholesterol (Pitavastatin) limasungunula bwanji cholesterol yoyipa ikalowa m'thupi lathu?
Makina akuluakulu omwe amapanga cholesterol m'chiwindi cha thupi lathu amatchedwa 'HMG-CoA Reductase'. Piritsi ili likangofika pachiwindi chathu, makinawo amatsekedwa/kutsekedwa ndi kutsekedwa 100% (Inhibition). Makinawo akazimitsidwa, palibe mafuta atsopano omwe amapangidwa. Kenako, chiwindi sichikhala ndi njira ina koma kuwonjezera kuchuluka kwa ma LDL receptors a cholesterol/LDL yoipa m'magazi athu ndikuyamwa ndikuiwononga.
💬 Kodi ndi zoopsa ziti komanso zotsatira zake zoyipa zomwe muyenera kuzidziwa mukamamwa piritsi la cholesterol (Pitavastatin)?
Ngakhale ngati sizikugwirizana ndi mankhwala ena, chiopsezo chachikulu ndi 'Myopathy/Rhabdomyolysis'! Ngati mukumva kupweteka kwa miyendo/minofu kosapiririka, kufooka, ndi mkodzo wakuda/Myoglobinuria, uzani dokotala wanu nthawi yomweyo, apo ayi mungafe chifukwa cha kulephera kwa impso. Komanso, izi ndizoletsedwa kwa 'Amayi apakati' ndi omwe ali ndi 'matenda a chiwindi'!
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