Dokotala mwina anakuuzani inu kapena wina m'banja mwanu kuti muli ndi "Heart Failure". Mwina anakupatsani mitundu yosiyanasiyana ya mankhwala, sichoncho? Mwina mukudabwa kuti, "N'chifukwa chiyani ndapatsidwa mitundu yosiyanasiyana ya mankhwala? Kodi zonsezi sizimachita chimodzimodzi?" Ili ndi funso lomwe anthu ambiri ali nalo. Lero, tiyeni tikambirane za mankhwala ochizira matenda a mtima m'njira yosavuta .
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Choyamba, tiyeni tiwone chomwe kulephera kwa mtima kuli.
Mukamva dzina ili, anthu ena amaopa kuti, "O, mtima wanga wasiya kugwira ntchito?" Sizili choncho. Kulephera kwa mtima ndi vuto lomwe minofu ya mtima wanu imafooka ndipo silingathe kupopa magazi mokwanira kuti likwaniritse zosowa za thupi. Taganizirani ngati pampu yamadzi yomwe imakalamba ndipo singathe kupopa madzi bwino monga kale.
Pamene mphamvu ya mtima yopopa madzi ikuchepa motere, madzi amayamba kusonkhana m'malo osiyanasiyana a thupi, makamaka m'mapapo, miyendo, ndi akakolo. Izi ndi zomwe timatcha (Congestive Heart Failure). Izi zingayambitse zizindikiro monga kupuma movutikira, kutopa, ndi kutupa m'miyendo .
Chofunika kwambiri ndichakuti vutoli limakhala lopitirira muyeso. Chifukwa chake, ndikofunikira kulandira chithandizo choyenera pa moyo wanu wonse. Ngakhale kuti mankhwala awa sangachiritse vutoli kwathunthu, angathandize kuchepetsa kuipiraipira kwa matendawa ndikusunga moyo wanu wabwino.
Kodi mankhwala akuluakulu a mtima ndi ati?
Pa vuto la mtima, mitundu ingapo ya mankhwala imagwiritsidwa ntchito pamodzi m'malo mwa mankhwala amodzi. Chifukwa cha izi ndikuti mtundu uliwonse wa mankhwala umagwira ntchito yosiyana m'thupi. Monga momwe wosewera aliyense mu timu ya cricket ali ndi ntchito yosiyana. Dokotala wanu adzasankha mankhwala oyenera kwambiri kwa inu kutengera zizindikiro zanu, matenda ena monga matenda a shuga kapena kuthamanga kwa magazi, komanso mtundu wa matenda anu.
Tiyeni tiwone mosavuta mitundu ikuluikulu ya mankhwala ndi momwe amagwirira ntchito kuchokera pa tebulo ili m'munsimu.
| Gulu la mankhwala | Kugwira ntchito (mwachidule) | Mankhwala omwe amagwiritsidwa ntchito kwambiri (zitsanzo) |
|---|---|---|
| Zoletsa za ACE | Imakulitsa mitsempha yamagazi, imachepetsa ntchito ya mtima, komanso imawongolera kuthamanga kwa magazi. | Enalapril, Lisinopril, Ramipril, Captopril |
| Ma ARB a Angiotensin-2 Receptor Blockers (ARBs) | Amagwira ntchito mofanana ndi mankhwala oletsa ACE. Izi zimaperekedwa kwa anthu omwe amakumana ndi zotsatirapo zoyipa monga kutsokomola chifukwa cha mankhwala oletsa ACE. | Losartan, Valsartan, Candesartan |
| Oletsa Beta | Zimachedwetsa kugunda kwa mtima pang'ono, zomwe zimapangitsa mtima kukhala wopumula. Zimawonjezera mphamvu ya mtima pakapita nthawi. | Carvedilol, Bisoprolol, Metoprolol Succinate |
| Mankhwala ochepetsa mphamvu ya madzi (mapiritsi a madzi) | Amachotsa madzi ochulukirapo (madzi) omwe amasonkhana m'thupi kudzera mu mkodzo. Amachepetsa kutupa m'miyendo ndi kupuma movutikira. | Furosemide (Lasix), Spironolactone, Hydrochlorothiazide |
| Ma ARNI ) | Mankhwala awa ndi atsopano komanso amphamvu. Amawonjezera mahomoni omwe amateteza mtima ndikuchepetsa mahomoni owopsa. | Sacubitril/Valsartan (Entresto®) |
| Zoletsa za SGLT2 | Ngakhale poyamba zinaperekedwa kwa matenda a shuga, izi zapezeka kuti zimachepetsa chiopsezo chogonekedwa m'chipatala chifukwa cha kulephera kwa mtima. | Dapagliflozin, Empagliflozin |
| Digoxin | Imawonjezera mphamvu ya mtima. Imaperekedwanso kwa anthu omwe ali ndi kugunda kwa mtima kosakhazikika. | Digoxin (Lanoxin®) |
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Check Availability →Kodi tikudziwanso za zotsatirapo zake?
Monga mankhwala ena aliwonse, mankhwala awa akhoza kukhala ndi zotsatirapo zake. Komabe, si aliyense amene amakumana ndi zotsatirapo zake zonse . Zina zimakhala zochepa kwambiri. Koma ndikofunikira kuzidziwa.
- Chizungulire ndi mutu: Mankhwala ena angayambitse chizungulire, makamaka mukayimirira mwadzidzidzi mutakhala pansi, chifukwa amachepetsa kuthamanga kwa magazi.
- Chifuwa chouma: Anthu ena omwe amamwa mankhwala, makamaka omwe ali mgulu la ACE Inhibitors, amatha kukhala ndi chifuwa chouma chosatha.
- Kutopa: Mungamve kutopa pang'ono mukayamba kumwa mankhwala oletsa beta, koma izi zimatha thupi lanu likazolowera.
- Kusintha kwa potaziyamu m'magazi: Mankhwala ena amatha kuwonjezera potaziyamu m'magazi, pomwe mapiritsi ena amadzi amatha kuchepetsa. Ichi ndichifukwa chake madokotala nthawi zambiri amalimbikitsa kuyezetsa magazi.
- Zotsatira pa impso: Mankhwala ena amatha kusokoneza pang'ono ntchito ya impso. Izi zimawunikidwanso kudzera mu mayeso a magazi.
- Zina: Anthu ena amatha kumva kupweteka kwa minofu, nseru, komanso matenda a pakhungu.
Chofunika kwambiri ndikulankhula ndi dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro zatsopano, zachilendo, kapena zotsatirapo zina zilizonse ngati izi, m'malo moyesa kudzichiritsa nokha. Iye akhoza kusintha mlingo kapena kukusinthani ku mankhwala ena.
Kodi ndiyenera kusintha moyo wanga pamodzi ndi mankhwala?
Inde, ndithudi. Mankhwala ndi theka lokha la nkhondo. Gawo lina limadalira moyo wanu.
- Kuchepetsa mchere: Chepetsani kuchuluka kwa mchere womwe mumawonjezera pazakudya zanu. Zinthu monga zakudya zam'chitini, nyama zokonzedwa, sosi, ndi ma pickles zimakhala ndi mchere wambiri.
- Maseŵero Olimbitsa Thupi: Mogwirizana ndi uphungu wa dokotala wanu, chitani maseŵero osavuta omwe akuyenererani. Ngakhale kuyenda n'kokwanira.
- Kusuta ndi mowa: Zonsezi sizothandiza mtima konse. Ndi bwino kusiya kwathunthu.
- Kuchepetsa kulemera: Yesani kulemera kwanu nthawi yomweyo tsiku lililonse ndipo lembani kulemera kwanu. Ngati mwadzidzidzi mwawonjezera makilogalamu awiri pa masiku awiri kapena atatu, mwina kungakhale kusunga madzi. Ngati zimenezo zitachitika, lankhulani ndi dokotala wanu.
- Umoyo wamaganizo:Ndi zachilendo kumva kutopa komanso chisoni mukakhala ndi matenda ngati amenewa kwa nthawi yayitali. Kambiranani momasuka ndi banja lanu komanso dokotala.
Malangizo osavuta othandizira kugwiritsa ntchito mankhwala
- Pezani mankhwala anu asanafike nthawi yoti agwiritsidwe ntchito: Pezani mlingo wanu wotsatira wa mankhwala ku pharmacy masiku angapo asanafike nthawi yoti agwiritsidwe ntchito.
- Sungani mndandanda: Sungani buku lokhala ndi dzina, mlingo (wochuluka), ndi nthawi yoti mumwe mankhwala aliwonse omwe mwamwa. Mutenge nalo nthawi iliyonse mukapita kwa dokotala.
- Musasiye kumwa mankhwala anu: Musasiye kumwa mankhwala anu popanda upangiri wa dokotala, chifukwa choti mukuganiza kuti mukumva bwino. Mungamve bwino chifukwa mankhwalawo akugwira ntchito bwino. Kusiya kumwa kungapangitse kuti vuto lanu likhale loipa kwambiri.
- Ngati muli ndi pakati kapena mukuyembekezera mwana: Mankhwala ena si oyenera kugwiritsidwa ntchito panthawi ya mimba. Chifukwa chake, ngati muli ndi nkhawa iliyonse, dziwitsani dokotala wanu nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Kulephera kwa mtima si matenda a mtima, koma ndi kufooka kwa mphamvu ya mtima yopopera madzi.
- Mankhwala omwe mwapatsidwa pa izi adzafunika kumwedwa moyo wanu wonse. Adzakuthandizani kutalikitsa moyo wanu ndikusunga moyo wabwino.
- Mitundu ingapo ya mankhwala imaperekedwa chifukwa mankhwala aliwonse amagwira ntchito zosiyanasiyana.
- Ngakhale mutamva bwino, musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Ngati mukupeza zizindikiro zatsopano kapena zotsatirapo zake, musachite mantha ndipo lankhulani ndi dokotala nthawi yomweyo.
- Kuphatikiza pa mankhwala, kudya zakudya zopanda mchere wambiri komanso kukhala ndi moyo wathanzi ndikofunikira kwambiri polimbana ndi matendawa.
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