Dokotala mwina anakuuzani kuti muli ndi matenda a shuga, kapena 'matenda a shuga' monga momwe tonse timadziwira. Nthawi zambiri timaganiza kuti matenda a shuga ndi vuto la kuchuluka kwa shuga m'magazi. Koma kwenikweni, amakhudza ziwalo zambiri m'thupi lathu, makamaka mtima wathu, kuposa momwe timaganizira. Ichi ndichifukwa chake munthu wodwala matenda a shuga ayenera kusamalira mtima wake nthawi zonse. Pali mayeso angapo apadera omwe amathandiza dokotala kudziwa ngati mtima wanu uli wathanzi komanso ngati pali chiopsezo chilichonse. Tiyeni tikambirane za zomwe zili lero.
N’chifukwa chiyani matenda a shuga amakhudza mtima?
Mwachidule, shuga m'magazi akachuluka kwambiri komanso osalamulirika pakapita nthawi, amawononga mitsempha yathu yamagazi. Monga momwe dzimbiri limakhalira mkati mwa chitoliro chamadzi, makoma a mitsempha yathu yamagazi amakhuthala pang'onopang'ono, amalimba, ndipo amayamba kutsekeka ndi mafuta (cholesterol). Izi timazitcha Atherosclerosis . Mitsempha yamagazi yomwe imapereka mtima (mitsempha ya coronary) ikatsekeka mwanjira imeneyi, minofu yamtima silandira mpweya ndi michere yomwe imafunika. Izi ndi zomwe zimapangitsa kuti matenda aakulu monga matenda a mtima ndi sitiroko ayambe .
Choncho, ngati muli ndi matenda a shuga, ndikofunikira kulamulira shuga m'magazi mwanu komanso kuyang'anira thanzi la mtima wanu nthawi zonse.
Mayeso akuluakulu a mtima omwe mungafunike
Dokotala wanu angakulangizeni chimodzi kapena zingapo mwa mayesowa kutengera matenda anu. Palibe chifukwa choopera izi. Mayesowa amagwiritsidwa ntchito kuzindikira mavuto aliwonse msanga ndikuyamba chithandizo chofunikira.
| Dzina la Mayeso | Mumachita chiyani ndi izi? | Zinthu zoti mudziwe |
|---|---|---|
| Kuyezetsa Kuthamanga kwa Magazi | Kuyeza kuthamanga kwa magazi komwe kumachitika m'makoma a mitsempha yamagazi yanu ikamayenda. Chinthu chomwe chimachitika nthawi zambiri mukapita ku chipatala. | Mukhoza kudziwa ngati muli ndi kuthamanga kwa magazi. |
| ECG (Electrocardiogram) | Kuyesa kosavuta komanso kosapweteka komwe kumalemba momwe magetsi amagwirira ntchito (kugunda kwa mtima). | Zinthu monga kusayenda bwino kwa kayendedwe ka mtima, zizindikiro za matenda a mtima, komanso kuchepa kwa magazi kupita ku minofu ya mtima. |
| Echocardiogram (Echo) | Kujambula mtima pogwiritsa ntchito ultrasound. Kumapanga chithunzi cha mtima ndikuwona momwe umagwirira ntchito. | Ntchito ya zipinda za mtima, ma valve, ndi momwe mtima umapopera magazi. |
| Mayeso Olimbitsa Thupi (Mayeso a Treadmill) | Kuyang'anira ntchito ya mtima wanu (ECG) pamene mukuyenda kapena kuthamanga pa treadmill. | Kaya minofu ya mtima ikupeza magazi okwanira panthawi yochita masewera olimbitsa thupi, kapena ngati pali kutsekeka kulikonse kwa mitsempha yamagazi. |
| Angiogram ya Mitsempha ya Mtima | Chubu chaching'ono (catheter) chimayikidwa mu mtsempha m'dzanja kapena mwendo ndipo chimagwiritsidwa ntchito pofufuza mitsempha yamagazi pogwiritsa ntchito X-ray, ndikulowetsa utoto mkati mwake. | Kuti mudziwe bwino kuchuluka kwa mitsempha yamagazi mumtima komanso komwe yatsekeka. |
Zambiri pang'ono zokhudza mayeso awa
- Kulamulira kuthamanga kwa magazi: Kuthamanga kwa magazi ndi mdani woopsa kwambiri kwa munthu wodwala matenda a shuga. Zinthu ziwirizi zikaphatikizidwa, chiopsezo cha matenda a mtima, sitiroko, ndi matenda a impso chimawonjezeka kawiri kapena katatu. Chifukwa chake, ndikofunikira kuwongolera kuthamanga kwa magazi mwa kumwa mankhwala omwe dokotala wanu wakupatsani ndikuchepetsa kumwa mchere.
- Carotid Ultrasound: Mitsempha ya carotid ndi mitsempha ikuluikulu iwiri yamagazi yomwe imanyamula magazi kuchokera m'mbali mwa khosi lathu kupita ku ubongo. Matenda a shuga angayambitse mafuta ambiri m'mitsempha iyi, zomwe zimayambitsa sitiroko. Kujambula kosavuta kumeneku, kosapweteka, kungayang'ane momwe mitsempha iyi ilili.
- Kuyeza kwa CT ndi Calcium Score ya Mtima:Izi zimayesa ngati calcium yasonkhana m'makoma a mitsempha yomwe imapereka magazi kumtima. Zili ngati limescale m'mapaipi akale amadzi. Kuwonjezeka kwa calcium kumeneku kumatanthauza kuti mitsempha yamagazi ikulimba pang'onopang'ono ndikuchepa. Kutengera ndi izi, dokotala amatha kudziwa chiopsezo cha matenda a mtima mtsogolo.
- Chowunikira cha Holter: Nthawi zina mungamve kupweteka kwadzidzidzi pachifuwa kapena pachifuwa, koma kumatha mukapita kwa dokotala. Apa ndi pamene izi zimagwiritsidwa ntchito. Iyi ndi makina ang'onoang'ono a ECG omwe mungavalire kwa tsiku limodzi kapena awiri. Amalemba nthawi zonse zomwe mtima wanu ukuchita pamene mukuchita ntchito zanu zatsiku ndi tsiku.
Kodi muyenera kuchita chiyani?
Chofunika kwambiri ndikulankhulana ndi dokotala nthawi zonse.
1. Pitani kuzipatala nthawi yake: Pitani kuzipatala za matenda a shuga, zipatala za mtima (ngati kuli kofunikira) nthawi yake. Sungani malipoti anu onse oyezetsa bwino.
2. Imwani mankhwala anu monga momwe mwalangizidwira: Musamalumphe mlingo umodzi wa mankhwala anu a shuga, kuthamanga kwa magazi, kapena cholesterol. Ali ngati chishango chomwe chimateteza mtima wanu.
3. Musanyalanyaze zizindikiro: Ngati muli ndi zizindikiro monga kupweteka pachifuwa, kuvutika kupuma, kutuluka thukuta kwambiri mwadzidzidzi, kapena chizungulire, funsani upangiri wa dokotala nthawi yomweyo. Ngati kuli kofunikira, musazengereze kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
4. Sinthani moyo wanu: Ngati mukusuta fodya, siyani lero. Idyani zakudya zopatsa thanzi, pewani zakudya zokhala ndi shuga wambiri ndi mafuta ambiri. Muzichita masewera olimbitsa thupi tsiku lililonse. Zinthu zimenezi ndi zabwino kwa mtima wanu kuposa mankhwala.
Kukhala ndi matenda a shuga kungakhale kovuta, koma ndi chidziwitso choyenera, kutsatira upangiri wa dokotala wanu, komanso moyo wathanzi, mutha kuteteza mtima wanu ndikukhala ndi moyo wautali komanso wathanzi.
Uthenga Wopita Nawo Kunyumba
- Matenda a shuga si matenda okhawo omwe amakhudza shuga m'magazi; amakhudza mtima wanu mwachindunji.
- Musaope mayeso monga ECG, Echo, ndi Stress Test omwe dokotala wanu akulangiza; mwa kuchita zimenezi, mutha kuzindikira chiopsezo cha matenda a mtima msanga.
- Kumwa mankhwala oyenera a matenda a shuga, kuthamanga kwa magazi, ndi cholesterol ndikofunikira kwambiri kuti muteteze mtima wanu.
- Ngati mukuona zizindikiro za matenda a mtima, monga kupweteka pachifuwa kapena kupuma movutikira, musamazinyalanyaze ndipo funsani upangiri wa dokotala nthawi yomweyo.
- Kudya zakudya zoyenera komanso kukhala ndi moyo wathanzi ndiyo njira yabwino kwambiri yothanirana ndi matenda a shuga ndi mtima.
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