Kodi muli ndi vuto la mtima lotere? Tiyeni tiphunzire za vuto la Diastolic Dysfunction!

Kodi nthawi zina mumamva kusowa mpweya ngakhale mutagwira ntchito pang'ono? Kapena miyendo yanu imatupa ndipo mumamva kutopa? Mwina kumbuyo kwa zinthu izi ndi vuto lomwe tikukamba lero lotchedwa `Diastolic Dysfunction`. Musadandaule, tikambirana izi mosavuta, mwanjira yomwe mungamvetse.

Kodi vuto la diastolic dysfunction ndi chiyani? Tiyeni timvetse mosavuta.

Chabwino, choyamba tiyeni tiwone momwe mtima wathu umagwirira ntchito. Kodi mukudziwa kuti mtima wathu uli ngati pampu? Pampu iyi ili ndi magawo awiri akuluakulu. Chimodzi ndi zipinda ziwiri pamwamba pa mtima, zomwe timazitcha `Atria` . China ndi zipinda ziwiri pansi pa mtima, zomwe timazitcha `Ventricles` .

Tsopano, pamene mtima ukugunda, ndiko kuti, pamene pali 'kugunda kwa mtima' , zinthu ziwiri zazikulu zimachitika:

1. Diastole: Iyi ndi gawo loyamba la kugunda kwa mtima. Chomwe chimachitika apa ndi chakuti zipinda zapansi za mtima (ventricles) zimapumula pang'ono, ngati baluni ikukonzekera kufufuma. Kenako magazi ochokera m'zipinda zapamwamba (atria) amadzaza zipindazi. Mwachidule, iyi ndi nthawi yomwe mtima umadzaza ndi magazi.

2. Systole: Mitsempha ya m'mimba ikadzaza ndi magazi, imakokana kwambiri, kapena imakokana. Kenako magazi amapopedwa kuchokera mumtima, kupita ku mapapo, ndi kulowa mu aorta, mtsempha waukulu wamagazi womwe umanyamula magazi kupita ku thupi lonse.

Kodi tsopano mukumvetsa tanthauzo la ``Diastole``? Kulephera kugwira ntchito kwa diastolic ndi pamene ``Diastole``, nthawi yomwe zipinda zapansi (maselo) a mtima ziyenera kupumula kuti zidzaze ndi magazi, sizichitika bwino. Kunena zoona, zipinda zapansi za mtima wanu zimakhala zolimba pang'ono ndipo sizimapumula bwino. Ndiye chimachitika ndi chiyani? Zipinda zimenezo sizingadzaze ndi magazi bwino. Zimenezi zikachitika, kuthamanga kwa magazi kumayamba kukwera mumtima.

Taganizirani izi, kuti siponji itenge madzi, siingafinyidwe, iyenera kukhala yomasuka pang'ono. Mofananamo, kuti zipinda za mtima zidzaze ndi magazi, ziyenera kukhala zomasuka bwino.

Ngati vutoli likuipiraipira, lingayambitse vuto lotchedwa ``Diastolic Heart Failure`` , zomwe zikutanthauza kuti mtima umasiya kugwira ntchito. Kenako, madzi monga madzi amatha kuwunjikana m'malo monga mapapo, mimba, ndi miyendo.

Kodi pali kusiyana kotani pakati pa kulephera kwa mtima kwa diastolic ndi kulephera kwa mtima kwa diastolic?

Ziwirizi sizili zofanana, koma zimagwirizana. ``Kulephera kwa Diastolic`` ndi pamene vuto la zipinda zapansi za mtima limayamba kumasuka. Izi zikakula pang'ono, zomwe zikutanthauza kuti zipinda zapansi za mbali yakumanzere ya mtima zimakhala zolimba, ndipo zimabwera ndi zizindikiro zina za kulephera kwa mtima, timatcha ``Kulephera kwa Mtima kwa Diastolic``.Uwu ndi mtundu wa kulephera kwa mtima komwe kumakhudza mbali yakumanzere.

Munthu amene ali ndi vuto la "Diastolic Heart Failure" akhoza kukhala ndi zizindikiro monga:

• Kutopa: Kumva kutopa ngakhale kungokhala komweko.
• Kutupa kwa miyendo: Makamaka akakolo.
• Kusanza ndi kusowa chilakolako cha chakudya: Simukufuna kudya, ndipo mungamve nseru.
• Kuvuta kupuma (Dyspnea): Kuvuta kupuma ngakhale pochita ntchito zosavuta, nthawi zina ngakhale pogona.
• Kulemera: Kusunga madzi m'thupi kungayambitse kulemera mwadzidzidzi.

Kodi ndani amene ali ndi mwayi waukulu wopeza vutoli? Kodi zinthu zomwe zimayambitsa vutoli ndi ziti?

Kwenikweni, aliyense akhoza kukhala ndi "Diastolic Dysfunction". Komabe, anthu ena ali pachiwopsezo chachikulu pang'ono. Tiyeni tiwone kuti ndi ndani?

• Anthu azaka zopitirira 70: Chiwopsezo cha matendawa chimawonjezeka pamene mukukula.
• Anthu omwe sachita masewera olimbitsa thupi: Kusachita masewera olimbitsa thupi komanso kukhala chete kungakhudze izi.
• Anthu omwe amasuta kapena kugwiritsa ntchito zinthu zopangidwa ndi fodya.

Komanso, chiopsezocho chimakhala chachikulu kwambiri ngati muli ndi mavuto azaumoyo monga:

• Ngati index yanu ya kulemera kwa thupi (BMI) ili 30 kapena kupitirira apo (zomwe zikutanthauza kuti ndinu wonenepa kwambiri).
• Ngati muli ndi matenda a minofu ya mtima (`Cardiomyopathy`) .
• Ngati muli ndi matenda a shuga .
• Ngati muli ndi kuthamanga kwa magazi (Kuthamanga kwa magazi / Kuthamanga kwa magazi) .
• Ngati muli ndi matenda a mtima .
• Ngati muli ndi vuto la kupuma movutikira .

Kodi Kulephera kwa Diastolic Kumakhudza Bwanji Thupi?

Tangoganizirani, chifukwa zipinda zapansi pa mtima sizikudzaza ndi magazi bwino, zipinda zapamwamba ziyenera kugwira ntchito molimbika kuti zipope magazi. Izi zimawonjezera kuthamanga kwa magazi mkati mwa mtima. N’chiyani chimachitika chifukwa cha kuthamanga kumeneku?

• Kupanikizika m'mitsempha yamagazi m'mapapo kumawonjezeka ndipo madzi amatha kuwunjikana. Apa ndi pamene kupuma kumakhala kovuta.
• Kupanikizika m'mitsempha yamagazi m'mimba ndi m'miyendo kumawonjezeka, ndipo madzi amathanso kusonkhana pamenepo. Izi zingayambitse zinthu monga kusowa chilakolako cha chakudya komanso kutupa m'miyendo.

Pakapita nthawi, vutoli, lotchedwa ``Diastolic Dysfunction``, limatha kukhala ``Diastolic Heart Failure``. Ndi chifukwa chachikulu cha kuthamanga kwa magazi m'mapapo . Nthawi zina limatha kugwirizanitsidwa ndi kugunda kwa mtima kosakhazikika kotchedwa ``Atrial Fibrillation`` .

Vuto lomwe anthu ambiri omwe ali ndi ``Diastolic Heart Failure`` ali nalo ndi HFpEF (``Heart Failure with Preserved Ejection Fraction``).Mwachidule, ndi kuchuluka kwa magazi komwe mtima umapopa (timatcha kuti `Ejection Fraction`) komwe ndi kwabwinobwino, koma kumawonetsabe zizindikiro za kulephera kwa mtima.

Kodi vutoli ndi lofala bwanji?

Matenda a diastolic ndi vuto lofala kwambiri pakati pa okalamba. Malinga ndi akatswiri ena azachipatala, pafupifupi theka la anthu azaka zopitilira 70 akhoza kukhala ndi vuto linalake la diastolic. Komabe, silofala kwambiri pakati pa ana ndi anthu osapitirira zaka 70.

Kodi zizindikiro za vuto la diastolic dysfunction ndi ziti?

Anthu ambiri ali ndi vuto lochepa la "Diastolic Dysfunction" . Mungamve kupuma movutikira pang'ono mukamachita zinthu zochepa, monga kukwera masitepe. Komabe, pamene vutoli likupitirira, kupuma kumakhala kovuta kwambiri ndipo zizindikiro za "Diastolic Heart Failure" zingayambe.

Kodi ndi zifukwa ziti zomwe zimayambitsa vuto la diastolic?

Pali zifukwa zingapo zazikulu zomwe zimayambitsa izi. Zinthu zomwe takambirana kale zikugwirizananso ndi izi.

• Matenda a Mitsempha ya Mtima: Kutsekeka kwa mitsempha yamagazi yomwe imapereka magazi kumtima.
• Matenda a shuga.
• Kuthamanga kwa magazi (`Kuthamanga kwa magazi / Kuthamanga kwa magazi`).
• Ngati mudadwalapo matenda a mtima kale.
• Kulephera kupuma mokwanira.

Kodi mungazindikire bwanji vutoli? (Kuzindikira)

Ngati dokotala wanu akukayikira kuti muli ndi vutoli, mwina adzakutumizani kuti mukapime echocardiogram ( yomwe imadziwikanso kuti "echo test") .

Kuyesa kwa echo kuli ngati ultrasound scan. Kumawona momwe mtima wanu ukupopera magazi, momwe ma valve a mtima wanu akugwirira ntchito, kuchuluka kwa makoma a zipinda za mtima wanu, komanso momwe amapumulira bwino. Izi ndizofunikira kwambiri kuti mudziwe ngati muli ndi vuto la diastolic.

Kodi Diastolic Dysfunction imayesedwa malinga ndi kuopsa kwake? (Magiredi)

Inde, madokotala amagawa vutoli molingana ndi kuopsa kwake. Limatchedwa "Magiredi".

• Giredi I: Ichi ndi kufooka pang'ono kwa mtima komwe kumalepheretsa kupumula. Izi nthawi zambiri zimawonedwa mwa anthu azaka zopitilira 60.
• Giredi II: Kupanikizika kumbali yakumanzere ya mtima kumawonjezeka pang'ono.
• Giredi III: Kupanikizika kumbali yakumanzere ya mtima kumawonjezeka kwambiri.
• Giredi IV: Uku ndi kulephera kwa mtima kwakukulu. Kupanikizika kumbali yakumanzere ya mtima kumakhala kwakukulu kwambiri.

Kodi ndi mankhwala otani a diastolic dysfunction?

Chabwino kwambiri ndichakuti, pali njira zochizira vutoli. Pali njira zingapo zochizira:

1. Kusintha kwa moyo: Izi ndizofunikira kwambiri.

• Ngati mukusuta, siyani.
• Kuchepetsa mchere (sodium) mu zakudya.
• Kuchita masewera olimbitsa thupi nthawi zonse (makamaka masewera olimbitsa thupi monga kuyenda ndi kukwera njinga).
• Dokotala wanu angakutumizireninso ku pulogalamu yothandiza anthu odwala matenda a mtima , yomwe ingakuthandizeni kukonza thanzi la mtima wanu.

2. Mitundu ya mankhwala:

• Mankhwala ochepetsa mphamvu ya madzi m'thupi (kapena "mapiritsi a madzi"): Mankhwalawa amathandiza kuchepetsa kuchuluka kwa madzi osafunikira omwe amasonkhana m'thupi.
• Ngati muli ndi matenda ena, monga kuthamanga kwa magazi kapena matenda a shuga, mungapatsidwe mankhwala osiyana kuti muwachepetse .

3. Zipangizo Zothandizira Kumanzere kwa Mitsempha (LVAD): Izi ndi zipangizo zazing'ono zomwe zimayikidwa mumtima mwa opaleshoni kuti zithandize mtima kupopa magazi. Nthawi zambiri zimagwiritsidwa ntchito pakakhala vuto lalikulu la Diastolic Heart Failure, makamaka pamene mphamvu ya mtima yopopa magazi (Systolic Function) nayonso yachepa kwambiri .

4. Kuika Mtima: Izi zimaganiziridwa pokhapokha ngati pali vuto lalikulu, pamene palibe chithandizo china chomwe chagwira ntchito. Anthu ambiri amatha kuthana ndi vutoli mwa kusintha moyo wawo ndi mankhwala.

Kodi kulephera kwa diastolic kungapewedwe?

Inde, n'zotheka kwambiri! Kutsatira zizolowezi zabwino za mtima kungathandize kuchepetsa chiopsezochi. Kodi zizolowezi zimenezo ndi ziti?

• Sungani kulemera koyenera malinga ndi kutalika kwanu, zaka zanu, komanso jenda lanu.
• Pewani fodya ndi mowa. Chepetsani kumwa caffeine (tiyi, khofi).
• Idyani zakudya zopatsa thanzi zokhala ndi zipatso, ndiwo zamasamba, nyemba, tirigu wonse, mafuta abwino (monga mafuta a azitona, avocado), ndi mapuloteni opanda mafuta ambiri (nsomba, nkhuku).
• Chitani masewera olimbitsa thupi a aerobic kwa mphindi zosachepera 150 (monga kuyenda mwachangu, kuthamanga, kusambira) pa sabata.
• Ngati muli ndi matenda ena (monga matenda a shuga, kuthamanga kwa magazi), tsatirani malangizo a dokotala wanu ndipo imwani mankhwala omwe mwapatsidwa monga momwe mwalangizidwira.
• Chepetsani kudya mafuta okhuta, mchere, ndi shuga woyengedwa.
• Sinthani kupsinjika maganizo (kudzera mu kusinkhasinkha, yoga, kulankhula ndi munthu wodalirika, ndi zina zotero).
• Gonani bwino kwa maola osachepera 7-8 usiku.

Kodi chimachitika ndi chiyani ngati muli ndi vuto la diastolic? Kodi mungayembekezere chiyani?

Ngati sichinachiritsidwe, vuto la "Diastolic Dysfunction" likhoza kuipiraipira pang'onopang'ono ndikupangitsa kuti mtima usiye kulephera. Komabe,Anthu ambiri amatha kuthana ndi vutoli bwino ndikukhala moyo wabwinobwino mwa kusintha moyo wawo komanso kugwiritsa ntchito mankhwala.

Chofunika kwambiri ndichakuti ngati muli ndi vutoli, mupite kukayezetsa dokotala nthawi zonse ndikutsatira malangizo a dokotala wanu ndendende. Kenako, dokotala wanu akhoza kuyang'anira vuto lanu ndikuwonjezera mankhwala ena ngati pakufunika kutero.

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Ngati muli ndi vuto la diastolic kapena mukuganiza kuti muli ndi vuto la kuthamanga kwa magazi, mutha kufunsa dokotala mafunso awa:

• Kodi ndi chifukwa chiyani chomwe chingayambitse zizindikiro izi chomwe ndili nacho?
• Kodi zizindikiro zoyambirira za "Diastolic Dysfunction" ndi ziti?
• Ndi mayeso ati omwe ndiyenera kuchita kuti ndizindikire matendawa molondola?
• Kodi njira zochiritsira "Diastolic Dysfunction" ndi ziti?
• Ndi kusintha kotani komwe ndiyenera kusintha pa moyo wanga kuti ndichepetse chiopsezo cha matendawa?

Kodi chifukwa chachikulu cha diastolic dysfunction ndi chiyani?

Kuthamanga kwa magazi kosalamulirika ndiye chifukwa chachikulu komanso chofala kwambiri cha kusagwira bwino ntchito kwa diastolic komanso kulephera kwa mtima kwa diastolic.

Kodi mungakhale ndi nthawi yayitali bwanji ndi vuto la diastolic dysfunction?

Pali nkhani yabwino! Anthu omwe ali ndi vuto la "Diastolic Dysfunction" omwe alibe matenda a mitsempha ya mtima akhoza kukhala ndi moyo wautali ngati munthu wathanzi wazaka zomwezo. Komabe, ngati muli ndi vuto la "Diastolic Dysfunction" limodzi ndi matenda ena a mtima (monga matenda a mitsempha ya mtima , kulephera kwa mtima kwa systolic), vutoli likhoza kukhala losiyana pang'ono. Ichi ndichifukwa chake ndikofunikira kupeza chithandizo choyenera ndikutsatira malangizo a dokotala wanu.

Uthenga Wopita Nawo Kunyumba

Kulephera kugwira ntchito bwino kwa diastolic kumachitika pamene zipinda zapansi pa mtima sizipuma bwino ndikudzaza ndi magazi. Izi zimawonjezera kuthamanga kwa magazi mkati mwa mtima, zomwe pamapeto pake zingayambitse kulephera kwa mtima.

Koma musadandaule! Uwu ndi vuto lomwe lingathetsedwe bwino ndi kusintha moyo wanu bwino, mankhwala ngati pakufunika kutero, komanso kuyang'aniridwa ndi dokotala nthawi zonse. Samalirani mtima wanu ndikukhala ndi moyo wathanzi. Ngati muli ndi nkhawa iliyonse, musazengereze kulankhula ndi dokotala wanu.

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