Kodi mumamva kupweteka pachifuwa kapena kupsinjika mukamachita khama, kukwera masitepe, kapena kuyenda mtunda waufupi? Mwina mwamwa mankhwala omwe dokotala wanu wakupatsani, koma vutoli silitha konse. Ngati mukuopa kuchitidwa opaleshoni ya mtima, kapena ngati madokotala anu akunena kuti n'kovuta kuchita opaleshoni chifukwa cha thanzi lanu, nkhaniyi idzakhala yofunika kwambiri kwa inu. Lero tikulankhula za njira yapadera yothandizira yomwe si opaleshoni, koma imabweretsa mpumulo waukulu pamtima.
Ndiye, kodi EECP ndi chiyani?
Mwachidule, EECP (Enhanced External Counterpulsation) ndi mankhwala a angina yokhazikika , matenda omwe akhalapo kwa nthawi yayitali. Ndi mankhwala otetezeka omwe avomerezedwa ndi mabungwe monga US Food and Drug Administration (FDA).
Kawirikawiri, mitsempha yamagazi ikatsekeka, mtima sulandira magazi okwanira okosijeni omwe umafunikira. Tikutcha matenda a mtima a mtima . Izi ndi zomwe zimayambitsa angina, komwe ndi kupweteka pachifuwa. Ngati ululuwu umachitika mukatopa kapena mukupsinjika maganizo, ndipo ukatha mutapuma pang'ono, umatchedwa angina yosatha.
Chithandizo cha EECP n'chofunika kwambiri kwa iwo omwe salabadira mankhwala ochiritsira komanso omwe sangathe kuchitidwa opaleshoni monga opaleshoni ya bypass kapena angioplasty .
Kodi chithandizo cha EECP chimagwira ntchito bwanji?
Iyi ndi njira yabwino kwambiri. Tangoganizirani, mtima wanu ukugwira ntchito molimbika pang'ono ndipo watopa. Chithandizo cha EECP chimathandiza mtima kuchokera kunja.
Pa nthawi ya chithandizo, ma cuff apadera amaikidwa pa miyendo ndi matako anu. Izi zimafanana ndi ma cuff a kuthamanga kwa magazi. Malinga ndi kamvekedwe ka mtima wanu (koyang'aniridwa ndi EKG), ma cuff amadzazidwa ndi mpweya ndipo amamangika mtima wanu ukapuma. Izi zimakankhira magazi m'miyendo yanu kubwerera kumtima wanu. Izi zimawonjezera kuchuluka kwa magazi omwe ali ndi mpweya womwe umafika pamtima wanu.
Kenako, mtima ukangoyamba kugwira ntchito (pompa) kachiwiri, mpweya womwe uli mu cuff umatulutsidwa nthawi yomweyo. Mtima umatha kupompa magazi mosavuta.
Pamene njirayi ikupitirira, njira zatsopano zachilengedwe zodutsa magazi zimayamba kupangidwa, zomwe zimathandiza kuti magazi adutse mitsempha yamagazi yotsekedwa mumtima. Uwu ndiye ubwino waukulu wa chithandizochi.
Kodi chithandizochi n'choyenera kwa ndani?
Chithandizo cha EECP sichili choyenera aliyense. Dokotala wanu adzasankha ngati chili choyenera kwa inu. Chingakhale chisankho chabwino kwa munthu amene ali ndi matenda awa:
| Kuyenerera | Kufotokozera |
|---|---|
| Kupweteka pachifuwa kwa nthawi yayitali | Angina ndi vuto lomwe limachitika ndikutha panthawi yochita masewera olimbitsa thupi kapena kupsinjika maganizo. |
| Kusowa mpumulo ku mankhwala | Ngati zizindikiro sizingathe kuthetsedwa ngakhale mutamwa mankhwala olembedwa. |
| Kusayenerera opaleshoni | Kwa iwo omwe sakuyenera kuchitidwa opaleshoni monga bypass kapena angioplasty chifukwa cha mavuto ena azaumoyo. |
| Zizindikiro zimabwereranso pambuyo pa opaleshoni | Ngati zizindikiro zikubwereranso pambuyo pa opaleshoni ya bypass, angioplasty, kapena stent. |
Kodi EECP siikulimbikitsidwa kwa ndani?
Chithandizo cha EECP sichili choyenera anthu omwe ali ndi matenda enaake. Mwachitsanzo, sichivomerezeka kwa amayi apakati. Komanso, ngati muli ndi vuto lililonse mwa zotsatirazi, dokotala wanu angaganizire njira ina yothandizira:
- Matenda aakulu a mtima
- Kuthamanga kwa magazi kosalamulirika (kuthamanga kwa magazi kosalamulirika)
- Kuopsa kwa magazi kuundana
- Kugunda kwa mtima mwachangu komanso kosasinthasintha, mwachitsanzo Atrial Fibrillation (Afib)
- Matenda oopsa a mitsempha yamagazi
- Kuthamanga kwa magazi m'mapapo
Chofunika kwambiri ndikulankhula ndi dokotala wa matenda a mtima, osati kupanga zisankho nokha pankhaniyi.
Kodi chimachitika ndi chiyani musanalandire chithandizo komanso mukalandira chithandizo?
Popeza iyi si njira yochitira opaleshoni, palibe choopa. Chithandizo nthawi zambiri chimatenga pafupifupi ola limodzi patsiku.
Musanalandire chithandizo
Musanayambe kulandira chithandizo, dokotala adzakuyesani ndipo mwinaKuyesa kupsinjika maganizo kungachitike. Chithandizo chisanayambe, namwino kapena katswiri wa zamaganizo:
1. Mudzapatsidwa mathalauza apadera oti muvale.
2. Zingwe zitatu za EKG zidzalumikizidwa pachifuwa panu.
3. Amamangirira ma cuff apaderawo kuzungulira miyendo ndi matako.
4. Kachipangizo kakang'ono (kachipangizo ka chala) kamayikidwa pa chala kuti kaone kuchuluka kwa mpweya m'thupi.
Pa nthawi ya chithandizo
Chomwe muyenera kuchita ndikugona pabedi labwino. Mutha kuwerenga buku, kumvetsera nyimbo, kapena kugona pang'ono. Chigobacho chidzalimba ndikumasuka malinga ndi EKG. Izi zingamveke zachilendo poyamba, koma mudzazolowera pakapita mphindi zochepa. Simudzamva kupweteka kulikonse.
Kawirikawiri, chithandizochi chimachitika kwa milungu 7, masiku 5 pa sabata, ola limodzi patsiku, kwa maola 35 onse.
Kodi ubwino ndi zoopsa za chithandizo cha EECP ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse, ichi chingakhale ndi ubwino ndi zotsatirapo zazing'ono.
| Ubwino | Zoopsa/Zotsatirapo Zake |
|---|---|
| Kuchepetsa ululu pachifuwa ndi zizindikiro zake. | Kupweteka pang'ono kwa minofu kapena kutopa. |
| Kupeza mphamvu ndi mphamvu zambiri m'thupi. | Kufiira pang'ono kapena kuvulala pang'ono pakhungu chifukwa cha cuff. |
| Kukhala wokhoza kuchita masewera olimbitsa thupi komanso kukhala wotanganidwa popanda kupweteka. | Matenda ngati dzanzi la khungu. |
| Kutha kuchepetsa kuchuluka kwa mankhwala omwe amatengedwa pa angina. | Kawirikawiri, kupuma movutikira kumachitika ndipo munthu angafunike kugonekedwa m'chipatala. |
Zadzidzidzi!Mankhwalawa si oyenera matenda osatha, koma kupweteka pachifuwa mwadzidzidzi komanso koopsa (angina yosakhazikika). Ngati mukumva kupweteka mwadzidzidzi komanso koopsa, kungakhale chizindikiro cha matenda a mtima. Imbani munthu nthawi yomweyo ndikupita ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU) .
Anthu ambiri amamva bwino kwa zaka zingapo chithandizo chitatha, koma anthu ena, makamaka omwe sanamalize maola 35 ofunikira, angafunike chithandizo chobwerezabwereza.
Uthenga Wopita Nawo Kunyumba
- EECP ndi mankhwala osagwiritsa ntchito opaleshoni a ululu wosatha pachifuwa (angina).
- Izi zimagwira ntchito poika mphamvu kuchokera kunja kwa mtima, zomwe zimapangitsa kuti magazi aziyenda bwino kupita kumtima. Izi zimathandiza kuti mtima ugwire bwino ntchito.
- Iyi ndi njira yabwino kwambiri kwa iwo omwe sangathe kulamuliridwa ndi mankhwala ndipo sangathe kuchitidwa opaleshoni.
- Mankhwalawa si opweteka. Muyenera kungogona bwino pabedi.
- Dokotala wanu yekha ndi amene angasankhe ngati chithandizochi chili choyenera kwa inu, choncho kambiranani naye za vutoli.
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