Kodi mukumva ngati mtima wanu ukuchepa? Tiyeni tikambirane za Coronary Artery Spasm!

Nthawi zina mungamvenso chinthu chachilendo, monga kupsinjika pachifuwa panu, komwe kumabwera ndikuchoka, eti? Simungachisamale kwambiri. Koma izi zitha kukhala chifukwa cha kuchepa kwa mitsempha yamagazi mumtima, vuto lomwe timalitcha kuti `Coronary Artery Spasm` . Tiyeni tikambirane za izi mwatsatanetsatane lero, chifukwa ichi si chinthu choti munyalanyaze.

Kodi kupweteka kwa mitsempha ya mtima ndi chiyani? (`Coronary Artery Spasm`)

Chabwino, choyamba tiyeni tiwone zomwe mitsempha ya mtima iyi ili. Mtima wanu ndi chiwalo chodabwitsa chomwe chimagwira ntchito mosalekeza tsiku lonse, ngakhale mutakhala mukugona. Chifukwa chake mitsempha yamagazi yomwe imapereka mpweya ndi michere ku minofu ya mtima yomwe imafunika kuti igwire bwino ntchito ndi yomwe timayitcha mitsempha ya mtima . Izi zili ngati makina opachikira madzi m'nyumba.

Tsopano, `(Coronary Artery Spasm)` ndi kuuma mwadzidzidzi kwa mitsempha ya mtima yomwe imanyamula magazi kupita kumtima, ngati chidutswa cha nyama yomwe ili m'miyendo mwathu ikupindika. Timatcha izi kuti kuuma ' Contraction' . Izi nthawi zambiri sizimatenga nthawi yayitali, ndipo simungamve ngakhale mumphindi zochepa. Komabe, vutoli likhoza kuwonjezera chiopsezo cha matenda a mtima ndi mavuto ena a mtima. Ndicho chifukwa chake ndikofunikira kudziwa izi.

Kodi pali kusiyana kotani pakati pa matenda a mtima ndi angina?

Mwina mwamvapo mawu oti 'Angina', sichoncho? Mwachidule, amatanthauza kupweteka pachifuwa. Kupweteka pachifuwa kumatha kuchitika pamene pali kupindika kwa mitsempha ya mtima. Timatcha izi vasospastic angina .

Kawirikawiri, chifukwa chachikulu cha angina ndi kutsekeka kwa mitsempha yamagazi ndi zinthu monga cholesterol (`Plaque`). Koma chapadera cha `(Vasospastic Angina)` ichi ndichakuti ululuwu ukhoza kuchitika ngakhale mutapuma . Mitundu ina ya angina nthawi zambiri imabwera tikatopa, monga tikamachita masewera olimbitsa thupi. Ichi ndiye kusiyana kwakukulu.

Ndani amene ali ndi mwayi waukulu wopeza ``Coronary Artery Spasm''?

Tsopano tiyeni tiwone amene ali ndi mwayi waukulu wopeza matendawa. Ngati muli ndi zinthu zomwe zimayambitsa matenda a mtima, mulinso pachiwopsezo cha `(Coronary Artery Spasm)`. Zinthu zazikulu zomwe zimakhudza izi ndi izi:

• Kuthamanga kwa magazi (BP).
• Kuchuluka kwa cholesterol m'magazi (`Hyperlipidemia`).
• Kugwiritsa ntchito fodya, kutanthauza kugwiritsa ntchito ndudu ndi beedis , ndi vuto lomwe limakhudza anthu ambiri.
• Kugwiritsa ntchito mankhwala osokoneza bongo mosaloledwa .

Koma chodabwitsa n'chakuti "Coronary Artery Spasm" iyi imapezekanso mwa anthu omwe alibe kuthamanga kwa magazi kapena cholesterol yambiri. N'zoonekeratu kuti ambiri mwa anthuwa amasuta fodya nthawi zonse. Chifukwa chake, tinganene kuti kusuta fodya kumakhudza kwambiri izi.

Kodi n’chiyani chikuchititsa kutsekeka kumeneku?

Chabwino, kodi n’chiyani kwenikweni chimayambitsa ``Coronary Artery Spasm''? Matenda ena a mtima angayambitse izi:

• Mafuta amaikidwa m'mitsempha yamagazi, zomwe zimapangitsa kuti mitsempha ichepetse (`Atherosclerosis`). Izi zili ngati dzimbiri lomwe limasonkhana mkati mwa chitoliro chakale chamadzi, ndikutseka dzenje lomwe lili mu chitolirocho.
• Kuthamanga kwa magazi kwambiri .
• Cholesterol yambiri .

Pamodzi ndi zifukwa izi, zinthu zina zingayambitse kutsekeka kumeneku. Izi zikutanthauza kuti, zimayambitsa mwadzidzidzi. Taganizirani ngati munthu akudzutsa mkango wogona. Zoyambitsa izi zikuphatikizapo:

• Kusuta fodya (ndudu, beedis). Uyu ndiye mdani woyamba.
• Kukumana ndi kuzizira kwambiri. Taganizirani zinthu monga kusamba m'madzi ozizira kwambiri nthawi imodzi, kapena kupita kumalo ozizira kwambiri.
• Kupsinjika maganizo kwambiri . Izi zimakhudza anthu ambiri, pamodzi ndi mavuto omwe timakumana nawo tsiku ndi tsiku. Mavuto kuntchito, mavuto a m'banja, zonsezi zingatikhudze.
• Kugwiritsa ntchito mitundu ina ya zinthu zolimbikitsa , mwachitsanzo, mankhwala osokoneza bongo monga `(Amphetamines)` kapena `(Cocaine)`.

Kodi zizindikiro za `(Coronary Artery Spasm)` ndi ziti?

Nthawi zambiri, `(Coronary Artery Spasm)` iyi ingakhalepo popanda zizindikiro zilizonse . Ndicho chomwe chimawopsa pang'ono. Komabe, ngati zizindikiro zikuwonekera, nazi zina zomwe mungakumane nazo:

• Kukakamira pachifuwa kapena kupanikizika. Zingamveke ngati wina akukufinya pachifuwa, kapena ngati pali cholemera pachifuwa chanu.
• Kupweteka pachifuwa. Kupweteka kumeneku ndi makamaka:
• Zitha kuchitika mukapuma . Nthawi zambiri zimawoneka pakati pausiku kapena m'mawa kwambiri .
• Ululu uwu nthawi zambiri umamveka kumanzere kwa chifuwa.
• Nthawi zina `(Coronary Artery Spasm)` iyi ingakudzutseni usiku .
• Kutsekeka kumeneku kungachitike kawirikawiri monga kangapo pachaka, mpaka kangapo patsiku. Zimasiyana malinga ndi munthu aliyense.

Kodi kutsekeka kumeneku kungatenge nthawi yayitali bwanji? Kodi kumamveka bwanji?

Kutalika kwa ``Coronary Artery Spasm'' kumatha kusiyana malinga ndi munthu. Kumatha kuyambira mphindi zisanu mpaka mphindi 30. Kwa anthu ena, kumatha kukhala kochepa, ndipo kwa ena, kumatha kukhala kotalikirapo pang'ono.

Ponena za momwe zimamvekera, monga ndanenera kale, nthawi zina simungamve chilichonse. Kapena mungamve zinthu motere:

• Kulimba pachifuwa.
• Ululuwo ungamveke ngati ukutuluka pachifuwa chanu kupita kukhosi, mkono (makamaka mkono wanu wakumanzere), kapena nsagwada, mofanana ndi matenda a mtima.

Kodi mungadziwe bwanji molondola za ``Coronary Artery Spasm''?

Kuti adziwe bwino vutoli, dokotala wanu adzakuyesani kangapo kuti aone ngati mtima wanu uli bwino. Izi sizingadziwike mwa kungoganizira chabe. Zofunika kwambiri ndi izi:

• Echocardiogram (`Echocardiogram` - `Echo test`): Izi zimagwiritsa ntchito mafunde a phokoso kujambula zithunzi za mtima wanu. Zili ngati scan yomwe imachitikira amayi oyembekezera. Imatha kuwona momwe zipinda ndi ma valve a mtima akugwirira ntchito.
• Electrocardiogram (EKG kapena ECG): Iyi imayesa momwe magetsi a mtima wanu amagwirira ntchito. Ingakupatseni lingaliro la momwe mtima wanu ukugunda komanso ngati magazi akuchepa kupita kumtima.
• Coronary Angiography : Iyi nthawi zambiri ndiyo njira yodziwira matenda yeniyeni. Mu mayesowa, utoto wapadera umalowetsedwa m'mitsempha ya mtima kudzera m'mitsempha yomwe ili m'dzanja kapena mwendo, ndipo zithunzi za X-ray zimatengedwa. Izi zitha kuwonetsa bwino ngati pali kuchepa kapena kupindika kulikonse m'mitsempha.

Kuphatikiza apo, dokotala wanu angakupatseni chipangizo chaching'ono (`Ambulatory Monitor` kapena `Holter Monitor`) choti mugwiritse ntchito kunyumba. Ichi chimalemba momwe mtima wanu umagwirira ntchito kwa maola 24, 48, kapena kuposerapo pamene mukuchita ntchito zanu za tsiku ndi tsiku. Izi ndizofunikira kwambiri chifukwa `(Coronary Artery Spasm)` nthawi zambiri imachitika usiku kapena mukapuma, kotero ndikofunikira kwambiri kulemba momwe mtima wanu umagwirira ntchito panthawiyo.

Kodi `(Coronary Artery Spasm)` imeneyi imachiritsidwa bwanji?

Pali zolinga ziwiri zazikulu za chithandizo: Choyamba ndikuletsa kupweteka kumeneku , ndipo china ndikuchepetsa kupweteka pachifuwa .

Ngati mwadzidzidzi mwayamba kugwedezeka, mankhwala otchedwa nitroglycerin (monga Nitrostat®) amaperekedwa panthawiyo. Amagwira ntchito pokulitsa mitsempha yamagazi, kukonza kuyenda kwa magazi, komanso kuchepetsa kupweteka pachifuwa mwachangu. Nthawi zambiri amaperekedwa ngati piritsi laling'ono lomwe limayikidwa pansi pa lilime, kotero limalowa mwachangu m'thupi.

Pofuna kupewa kutsekeka kumeneku kwa nthawi yayitali, dokotala wanu angakulembereni mankhwala ena oti mugwiritse ntchito nthawi zonse:

• Mankhwala oletsa njira ya calcium : Mwachitsanzo, mankhwala monga Amlodipine (Norvasc®), Diltiazem (Cardizem®), kapena Nifedipine (Procardia®). Mankhwalawa amagwira ntchito pochepetsa makoma a mitsempha yanu, kuchepetsa kuchepa kwake.
• Ma Statins : Mwachitsanzo, mankhwala monga Atorvastatin (Lipitor®) kapena Simvastatin (Zocor®). Ngakhale kuti awa ndi mankhwala ochepetsa cholesterol, apezekanso kuti amathandiza kupewa kugwedezeka kumeneku mwa kukonza magwiridwe antchito a mkati mwa mitsempha.

Nthawi zina, `(Coronary Artery Spasm)` iyi ingayambitse kugunda kwa mtima kosakhazikika komanso koopsa (`Ventricular Arrhythmia`) m'zipinda zapansi pa mtima. Iyi ndi vuto lalikulu, chifukwa likhoza kukhala pachiwopsezo cha moyo. Ngati muli ndi `(Ventricular Arrhythmia)` yotereyi, dokotala wanu angakulangizeni mankhwala oletsa kugunda kwa mtima (`ICD`) omwe amaikidwa kuti apewe mavuto aakulu. `(ICD)` imazindikira kugunda kwa mtima kosakhazikika ndipo imagwiritsa ntchito zizindikiro zamagetsi kuti ikuthandizeni kuti mtima wanu ugwire bwino ntchito.

Kodi ndingachepetse bwanji chiopsezo cha kupindika kwa mitsempha ya mtima?

Ngati muli ndi zinthu zomwe zingakuike pachiwopsezo monga kuchuluka kwa cholesterol ndi kuthamanga kwa magazi, kuchiza matenda amenewo moyenera kungachepetse chiopsezo chanu chokhala ndi `(Spasm)`. Ndikofunikanso kupewa zinthu (`Zoyambitsa`) zomwe zingayambitse `(Coronary Artery Spasm)`.

Mwachitsanzo, mungathe kuchita zinthu monga kupewa kuzizira kwambiri mwadzidzidzi, kusiya kusuta fodya kotheratu (izi ndi zomwe muyenera kuchita), ndikupeza njira zothetsera nkhawa kwambiri (monga kusinkhasinkha ndi yoga).

Izi zikutanthauza kusintha moyo wathanzi. Izi zikuphatikizapo kudya zakudya zabwino (zopanda mafuta, mchere, ndi shuga wambiri, komanso zipatso ndi ndiwo zamasamba zambiri) komanso kuchita masewera olimbitsa thupi nthawi zonse .

Ngati ndili ndi `(Coronary Artery Spasm)`, kodi ndiyenera kuyembekezera chiyani?

Kutsekeka kwa Mitsempha ya Mtima ndi matenda osatha . Izi zikutanthauza kuti ndi kovuta kuchira kwathunthu, koma akhoza kuchiritsidwa. Mudzafunika chithandizo cha nthawi yayitali komanso kuyang'aniridwa ndi dokotala kuti muthane nawo. Koma musadandaule.

Ndi chithandizo choyenera, anthu ambiri amatha kuwongolera zizindikiro zawo, kuchepetsa kuchuluka kwa matendawa, ndikukhala ndi moyo wabwino komanso wabwinobwino. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola, kumwa mankhwala anu pa nthawi yake, ndikupitiliza kusintha moyo wanu.

Kodi ndiyenera kupita ku chipinda chadzidzidzi liti (ER)?

Nkhaniyi ndi yofunika kwambiri, ikhoza kukhala nkhani ya moyo ndi imfa . Ngati kupweteka kwa mitsempha ya mtima kukupitirira kwa nthawi yayitali, kumatha kukhala matenda a mtima. Chifukwa chake, ngati mukumva zizindikiro za matenda a mtima, musachedwe ngakhale mphindi imodzi ndipo nthawi yomweyo imbani 1990 (Suvaseriya) kapena pitani ku chipinda chadzidzidzi cha chipatala chapafupi.

Kodi zizindikiro za matenda a mtima ndi ziti? Yang'anani chimodzi kapena zingapo mwa zizindikirozi pamodzi ndi kupweteka pachifuwa:

• Chizungulire kapena mutu wopepuka .
• Kutaya chidziwitso (`Syncope`).
• Mukumva ngati mtima wanu ukugunda mofulumira, chifuwa chanu chikugunda (`Palpitations`).
• Kusanza kapena nseru, kumva ngati kusadya bwino (`Nausea` kapena `Dyspepsia`).
• Kuvuta kupuma, kumva ngati ukupuma movutikira (Dyspnea).
• Thukuta lozizira.
• Kutopa mwadzidzidzi, kumva kutopa kwambiri.

Ngati muli ndi chimodzi mwa zizindikirozi limodzi ndi kupweteka pachifuwa, musangokhala panyumba mukuganiza kuti ndi gastritis. Pitani kuchipatala nthawi yomweyo. Nthawi ndiyo chinthu chofunikira kwambiri populumutsa moyo.

Kodi uthenga umene tikufuna kutenga kuchokera mu nkhaniyi ndi wotani?

Kutsekeka kwa Mitsempha ya Mtima ndi kutsekeka kwadzidzidzi kwa mitsempha yomwe imapereka magazi kumtima. Izi zitha kubwera ndikutha popanda kupweteka. Komabe, zimatha kuwonjezera chiopsezo cha matenda a mtima. Zitha kuchitika makamaka pakati pausiku kapena m'mawa kwambiri ndipo zingakudzutseni.

Chabwino kwambiri ndichakuti pali mankhwala ochizira izi. Mutha kuchepetsa kupweteka pachifuwa ndikupewa kutsekeka kumeneku. Ngati muli ndi zizindikiro ngati zomwe zatchulidwa m'nkhaniyi, ndikofunikira kwambiri kuwonana ndi dokotala ndikupeza upangiri. Muthanso kuchepetsa chiopsezochi mwa kupewa kusuta fodya ndikukhala ndi moyo wathanzi. Samalani mtima wanu! Ndi chuma chanu chamtengo wapatali kwambiri.

---

Matenda a mtima , mitsempha ya mtima, kupweteka pachifuwa, angina, matenda a mtima, kupweteka kwa mitsempha ya mtima, thanzi la mtima