Kodi mtima wanu watopa pang'ono? Tiyeni tiphunzire za Congestive Heart Failure m'njira yosavuta!

Kodi nthawi zina mumamva ngati mukuvutika kupuma ngakhale mutayenda mtunda waufupi kapena kukwera masitepe? Kapena mumamva ngati miyendo kapena akakolo anu akutupa? Izi zitha kukhala mtima wanu ukukuuzani zinazake. Lero tikambirana za Congestive Heart Failure , kapena monga ena amanenera, congestive heart failure . Musadandaule, ngati mumvetsetsa bwino izi ndikuzisamalira bwino, mutha kukhala bwino.

Kodi vuto la mtima lotchedwa Congestive Heart Failure ndi chiyani kwenikweni?

Mwachidule, Congestive Heart Failure ndi pamene mtima wanu sungapope magazi bwino momwe umafunira. Ganizirani mtima wanu ngati malo akuluakulu operekera magazi. Phukusi lililonse lomwe limabwera (monga magazi) liyenera kuperekedwa pamalo oyenera (monga ziwalo) panthawi yake. Koma chimachitika ndi chiyani pamene malo amenewa afooka pang'ono ndipo sangathe kupereka magazi onse panthawi yake? Maphukusiwo amaunjikana, sichoncho? Ndicho chimene chimachitikanso pano. Pamene mtima sungapope magazi bwino, magazi amabwerera m'mbuyo ndikusonkhana m'malo osiyanasiyana a thupi, makamaka m'mapapo, miyendo, akakolo, ndi m'mimba . Izi ndi zomwe timatcha (Congestive), zomwe zikutanthauza kuti pali "kusonkhanitsa."

Kodi pali mitundu ikuluikulu ya Congestive Heart Failure?

Inde, pali mitundu ingapo ikuluikulu:

• Kulephera kwa mtima kumbali yakumanzere: Uwu ndi mtundu wofala kwambiri. Izi zimachitika pamene mbali yakumanzere ya mtima (ventricle yakumanzere) singathe kupopa magazi m'thupi lonse. Izi zingayambitse magazi kusonkhana m'mapapo, zomwe zimapangitsa kuti kupuma kukhale kovuta.
• Kulephera kwa mtima kumbali yakumanja: Izi nthawi zambiri zimachitika chifukwa cha kulephera kwa mtima kumbali yakumanzere. Ngati mbali yakumanja ya mtima singathe kupopa magazi kuchokera m'mapapo moyenera, magazi amasonkhana m'mitsempha yamagazi ndipo amachititsa kutupa m'malo monga miyendo, akakolo, ndi mimba.
• Kulephera kwa mtima kugwira ntchito bwino: Izi sizichitika kawirikawiri. Pa vuto ili, mtima umapopa magazi bwino, koma chifukwa cha kufunikira kwa thupi (monga kuchepa kwa magazi m'thupi, hyperthyroidism), mtima sungathe kukwaniritsa kufunikirako.

Kodi vutoli ndi lofala bwanji?

Anthu mamiliyoni ambiri padziko lonse lapansi ali ndi vutoli. Limafala kwambiri pakati pa anthu azaka zopitirira 65 , ndipo ndilo chifukwa chachikulu chogonera m'chipatala m'gulu la anthu azaka zimenezo. Chifukwa chake, ndikofunikira kwambiri kudziwa za vutoli.

Kodi zizindikiro za Congestive Heart Failure ndi ziti?

Zizindikirozi zimatha kusiyana malinga ndi munthu, komanso zimasiyana malinga ndi kuopsa kwa vutoli. Komabe, pali zizindikiro zina zodziwika bwino zomwe zingawonekere:

• Kupuma movutikira: Kumva ngati ukukomoka ukagwira ntchito yopepuka, ukuyenda pang'ono, kapena kukwera masitepe angapo. Pa milandu yoopsa, zimakhala zovuta kupuma ngakhale utaima chilili.
• Kudzuka usiku ndi vuto lopuma:Ngati mwadzidzidzi mwadzuka muli mtulo ndipo mukumva kupuma movutikira, chimenechonso ndi chizindikiro cha izi.
• Kupweteka pachifuwa kapena kusapeza bwino: Anthu ena angamve kupsinjika kapena kulemera pachifuwa chawo.
• Kugunda kwa mtima: Mtima ungamve ngati ukugunda mokweza, mofulumira, kapena mosakhazikika.
• Kumva kutopa kwambiri ukakhala ndi zochita: Kumva kutopa kwambiri moti sungathe kuchita zinthu zomwe kale zinali zosavuta.
• Kutupa kwa miyendo, akakolo, ndi mimba: Akakolo ndi zala zimatha kutupa mpaka kufika poti zimakhala zovuta kuvala nsapato kapena kuchotsa mphete.
• Kulemera mwadzidzidzi: Ngati muwonjezera makilogalamu ochepa m'masiku ochepa, mwina chifukwa cha kusunga madzi m'thupi.
• Kufuna kukodza pafupipafupi usiku.
• Chifuwa chouma komanso chopweteka chomwe chimabwera popanda chifukwa: Chifuwachi chikhoza kukulirakulira, makamaka mukatsokomola.
• Kumva kukhuta kapena kufinya m'mimba.
• Kusowa chilakolako kapena kumva kudwala (nseru).

Kumbukirani, nthawi zina zizindikirozi zimakhala zosaonekera bwino, kapena sizikupezeka. Koma sizikutanthauza kuti mulibe vuto la mtima. Zizindikiro zimatha kubwera ndi kutha. Nthawi zambiri vutoli limakula pakapita nthawi. Choncho ngati muli ndi chimodzi kapena ziwiri mwa zizindikirozi, ndi bwino kupita kwa dokotala.

Kodi zifukwa za Congestive Heart Failure ndi ziti?

Pali zifukwa zambiri zomwe zimapangitsa kuti mtima ukhale wofooka. Zina mwa zifukwa zazikulu ndi izi:

• Matenda a mitsempha ya mtima ndi/kapena matenda a mtima: Kuwonongeka kwa minofu ya mtima chifukwa cha kutsekeka kwa mitsempha yomwe imapereka magazi kumtima.
• Matenda a mtima: Izi zitha kuchitika chifukwa cha majini, matenda opatsirana ndi mavairasi, kapena zifukwa zina, zomwe zimapangitsa kuti minofu ya mtima ifooke kapena kukhuthala.
• Matenda a mtima obadwa nawo: Kubadwa ndi vuto la mtima.
• Matenda a shuga: Matenda a shuga a nthawi yayitali angakhudze mtima.
• Kuthamanga kwa magazi: Kuthamanga kwa magazi kosalamulirika kumapangitsa mtima kugwira ntchito molimbika.
• Kusagwira bwino ntchito kwa mtima (Arrhythmia): Kusagwira bwino ntchito kwa mtima kumachepetsa kugwira ntchito bwino kwa mtima.
• Matenda a impso: Impso zikalephera kugwira ntchito bwino, kuchuluka kwa madzi ndi mchere m'thupi kumawonjezeka, zomwe zimapangitsa kuti mtima ukhale wopanikizika.
• Kunenepa kwambiri (BMI) kuposa 30 (kunenepa kwambiri).
• Kusuta fodya ndi kugwiritsa ntchito mankhwala osokoneza bongo mosaloledwa.
• Kugwiritsa ntchito mowa mopitirira muyeso.
• Mankhwala ena: Mwachitsanzo, mankhwala ena a chemotherapy omwe amagwiritsidwa ntchito pochiza khansa akhoza kuvulaza mtima.

Chinthu china choyenera kudziwa ndi chakuti kulephera kwa mtima kumbali yakumanzere ndiye chifukwa chachikulu cha kulephera kwa mtima kumbali yakumanja. Pamene mbali yakumanzere sikugwira ntchito bwino, magazi amabwerera m'mbuyo kudzera m'mapapo ndipo amakhudza mbali yakumanja.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Anthu ena ali ndi mwayi waukulu wopeza vutoli. Zinthu zoopsa izi ndi monga:

• Zaka zoposa 65.
• Kugwiritsa ntchito fodya, mankhwala osokoneza bongo monga cocaine, kapena mowa.
• Moyo wongokhala wopanda zochita zambiri.
• Kudya zakudya zokhala ndi mchere wambiri ndi mafuta pafupipafupi.
• Kukhala ndi kuthamanga kwa magazi.
• Kukhala ndi matenda a mtima.
• Popeza adadwalapo matenda a mtima kale.
• Kukhala ndi mbiri ya banja lanu ya Congestive Heart Failure.

Kodi ndi mavuto ati omwe angayambitse kulephera kwa mtima (Congestive Heart Failure)?

Ngati vutoli silikuchiritsidwa bwino kapena kuthetsedwa, mavuto ena angabwere.

• Kugunda kwa mtima kosakhazikika.
• Kulephera kwa mtima mwadzidzidzi kungayambitse imfa.
• Mavuto a valavu ya mtima.
• Kuchulukana kwa madzi m'mapapo (pulmonary edema).
• Kuthamanga kwa magazi m'mapapo.
• Kuwonongeka kwa impso kapena kulephera kwa impso.
• Kuwonongeka kwa chiwindi.
• Kusowa zakudya m'thupi.

Kodi mungadziwe bwanji ngati muli ndi vuto la mtima lotchedwa Congestive Heart Failure?

Ngati muli ndi zizindikiro izi, mukapita kwa dokotala, iye adzakufunsani mafunso kaye.

• Zinthu monga zizindikiro zomwe muli nazo komanso nthawi yomwe mwakhala nazo.
• Matenda ena omwe muli nawo (monga matenda a shuga, kuthamanga kwa magazi).
• Kodi pali aliyense m'banja mwanu amene adadwalapo matenda a mtima kapena imfa yadzidzidzi?
• Kodi mumagwiritsa ntchito fodya, mowa, kapena mankhwala osokoneza bongo?
• Kaya mudalandirapo kale chemotherapy kapena radiation chifukwa cha khansa.
• Kodi mumagwiritsa ntchito mankhwala otani?

Kenako dokotala adzakuyesani mwakuthupi. Adzamvetsera mtima wanu, adzayesa mapapo anu, ndikuyang'ana miyendo yanu ngati yatupa.

Kodi magawo anayi a Congestive Heart Failure ndi ati?

Popeza matenda amenewa amakula pang'onopang'ono pakapita nthawi, pali magawo anayi. Magawo amenewa amatchedwa A, B, C, ndi D. Kutanthauza kuti, ulendo wochokera pamlingo wochepa kupita pamlingo woopsa kwambiri.

Gawo A (Gawo A - Kulephera kwa mtima kusanachitike)

Izi zikutanthauza kuti muli pachiwopsezo chachikulu chodwala matenda a mtima. Izi zitha kukhala chifukwa chakuti wina m'banja mwanu adadwala matendawa. Kapena mwina chifukwa chakuti muli ndi chimodzi mwa izi:

• Kuthamanga kwa magazi (BP).
• Matenda a shuga.
• Matenda a mitsempha ya mtima.
• Matenda a kagayidwe kachakudya.
• Mbiri ya vuto la kumwa mowa.
• Kukhala ndi matenda a rheumatic.
• Kukhala ndi mbiri ya banja la matenda a mtima.
• Kugwiritsa ntchito mankhwala omwe angawononge mtima (monga mankhwala ena oletsa khansa).

Gawo B (Gawo B - Kulephera kwa mtima kusanachitike)

Pa siteji iyi, ventricle yanu yakumanzere (chipinda chachikulu chomwe chimapopera magazi m'thupi lonse) sichikugwira ntchito bwino, kapena pali kusintha kwina mu kapangidwe kake (monga kukhuthala). Koma simunakhale ndi zizindikiro za kulephera kwa mtima.

Gawo C

Anthu omwe ali mu gawo ili adapezeka kuti ali ndi vuto la Congestive Heart Failure. Akhozanso kukhala ndi zizindikiro panopa, kapena mwina anali ndi zizindikiro kale koma tsopano alibe.

Gawo D ndi Gawo Lochepetsedwa la Kutuluka kwa Madzi (EF)

Anthuwa ali ndi vuto la (Advanced) (Heart Failure) . Ngakhale atalandira chithandizo, zizindikiro zake zimakhala zovuta kuzilamulira. Kuchuluka kwa magazi omwe amatuluka mumtima nthawi imodzi, ndiko kuti, `(Ejection fraction - EF)`, ndi kochepa kwambiri ndipo mwina `(HFrEF - heart failure with reduction ejection fraction)`. Iyi ndi gawo lomaliza la (Heart Failure).

Kodi mayeso oyezetsa matenda ndi ati?

Madokotala amachita mayeso angapo kuti adziwe ngati muli ndi vuto la mtima lotsekeka, muli pamlingo wotani, komanso chomwe chikuyambitsa vutolo:

• Mayeso a magazi: Izi zimatha kuzindikira matenda ena omwe amakhudza mtima (monga kuchepa kwa magazi m'thupi, matenda a impso, mavuto a chithokomiro) komanso ngati mtima wawonongeka (poyang'ana kuchuluka kwa ma enzyme enaake).
• Kutsegula mitsempha ya mtima: Izi zimachitika pofuna kuona ngati pali kutsekeka kwa mitsempha ya mtima.
• X-ray ya pachifuwa: Izi zingagwiritsidwe ntchito poyesa kukula kwa mtima ndi madzi m'mapapo.
• Echocardiogram (Echo): Izi zili ngati ultrasound scan ya mtima. Imatha kuwona bwino zinthu zambiri monga zipinda za mtima, ma valve, ntchito ya minofu ya mtima, komanso momwe imapopera magazi bwino ("Ejection fraction - EF").
• MRI (Magnetic Resonance Imaging) ya mtima.
• Kujambula mtima (CT) (Computed Tomography).
• Electrocardiogram (EKG kapena ECG): Izi zimathandiza kuona zinthu monga momwe mtima umagwirira ntchito komanso momwe kugunda kwa mtima kumayendera.
• MUGA scan (Multigated Acquisition Scan): Imeneyi ingagwiritsidwenso ntchito kuona momwe zipinda za mtima zikupopera magazi.
• Kuyesa kupsinjika maganizo: ECG imatengedwa mukamayenda pa treadmill kapena mukukwera njinga kuti muwone momwe mtima wanu umayankhira mukamachita masewera olimbitsa thupi.
• Kuyezetsa majini: Nthawi zina, makamaka ngati pali mbiri ya banja, kuyezetsa kumeneku kumachitika pofuna kufufuza zomwe zimayambitsa majini.

Kodi Congestive Heart Failure imachiritsidwa bwanji?

Chithandizo chimadalira mtundu wa vuto la mtima lomwe muli nalo, chomwe chimayambitsa, komanso gawo lomwe muli. Mankhwala ndi kusintha kwa moyo ndi gawo lofunika kwambiri pa dongosolo lililonse la chithandizo. Dokotala wanu adzakambirana nanu za dongosolo labwino kwambiri la chithandizo kwa inu.

Chofunika ndichakuti, (Kulephera kwa Mtima) si matenda ochiritsika kotheratu. Pamene zikuipiraipira, kuchuluka kwa magazi omwe mtima umapopa kupita ku ziwalo kumachepa, ndipo mumapita ku gawo lotsatira. Simungabwererenso kuchokera ku magawo awa. Chifukwa chake, cholinga chachikulu cha chithandizo ndikukulepheretsani kupita ku gawo lotsatira, kuchedwetsa, kuwongolera zizindikiro ndikukweza moyo wanu.

Tiyeni tiwone momwe chithandizochi chimasinthira kuchokera pagawo kupita pagawo:

Chithandizo cha gawo A:

Anthu awa alibe vuto la mtima, koma chiopsezo chawo chili chachikulu. Ndicho chifukwa chake amachita zinthu kuti achepetse chiopsezocho.

• Kuchita masewera olimbitsa thupi nthawi zonse, monga kuyenda tsiku lililonse.
• Kupewa kwathunthu kusuta fodya.
• Chithandizo cha kuthamanga kwa magazi (mankhwala, zakudya zopanda mchere wambiri, moyo wokangalika).
• Chithandizo cha cholesterol yambiri.
• Kupewa mowa ndi mankhwala osokoneza bongo.
• Ngati muli ndi matenda ena monga matenda a mitsempha ya mtima, matenda a shuga, kapena kuthamanga kwa magazi, mungapatsidwe mankhwala oletsa angiotensin-converting enzyme inhibitor (ACE-I) kapena angiotensin II receptor blocker (ARB).

Chithandizo cha gawo B:

Anthu awa ali ndi vuto la mtima, koma alibe zizindikiro.

• Mankhwala onse omwe atchulidwa mu Gawo A.
• Ngati `(Ejection fraction - EF)` yanu ili 40% kapena kuchepera, `(ACE-I)` kapena `(ARB)` ndiye mankhwala oyenera.
• Ngati munayamba mwadwala matenda a mtima ndipo EF yanu ndi 40% kapena kuchepera (ngati simunayambe kale kumwa), muyenera kumwa mankhwala otchedwa beta-blocker.
• Ngati mudadwalapo matenda a mtima kale kapena ngati EF yanu ili ndi 35% kapena kuchepera, mungafunike mankhwala otchedwa Aldosterone antagonist.
• Nthawi zina, opaleshoni kapena njira zina zingafunike pa matenda monga matenda a mitsempha ya mtima, kulephera kwa mtima, matenda a valavu (kukonza kapena kusintha mavalavu), kapena matenda a mtima obadwa nawo.

Chithandizo cha siteji C (HFrEF - kwa iwo omwe ali ndi mphamvu yotsika yopompa magazi):

Anthu awa ali ndi (Heart Failure) ndipo ali ndi/anali ndi zizindikiro.

• Mankhwala omwe atchulidwa mu magawo A ndi B.
• Mankhwala a `(Beta-blocker)` ndi `(Aldosterone antagonist)`.
• Gulu la mankhwala otchedwa `(Sodium-glucose transport 2 inhibitors - SGLT2i)`.
• Mankhwala osakaniza otchedwa ``(Hydralazine/nitrate)`` amagwiritsidwa ntchito ngati mankhwala ena saletsa zizindikiro, makamaka kwa anthu akuda aku America.
• Ngati kugunda kwa mtima kukupitirira kugunda 70 pamphindi ndipo zizindikiro zikupitirira, mupatseni mankhwala ochepetsa kugunda kwa mtima.
• Ngati zizindikiro (makamaka kutupa ndi kuvutika kupuma) zikupitirira, amapatsidwa mankhwala ochepetsa mphamvu ya madzi (omwe timawatcha mapiritsi amadzi).
• Kuchepetsa kuchuluka kwa mchere (sodium) m'chakudya.
• Yesani kulemera kwanu tsiku lililonse. Ngati muwonjezera kapena kutaya makilogalamu oposa awiri (mapaundi anayi) pa tsiku limodzi kapena awiri, dziwitsani dokotala wanu nthawi yomweyo.
• Mungafunikenso kuchepetsa kuchuluka kwa madzi omwe mumamwa patsiku.
• Anthu ena amafunika kukhala ndi chipangizo chapadera chothandizira pacemaker chotchedwa ``Cardiac resynchronization therapy - CRT``, kapena ``biventricular pacemaker``.
• Chipangizo chotchedwa implantable cardiac defibrillator (ICD) chimayikidwa mwa anthu omwe ali pachiwopsezo chotenga matenda a mtima omwe angawononge moyo wawo.
• Ngakhale zizindikiro zitachepa ndi chithandizo, ndikofunikira kwambiri kupitiriza chithandizo kuti vutoli lichedwetse kupita patsogolo kufika pa gawo la D.

Chithandizo cha gawo D:

Anthu awa ali ndi vuto lalikulu (Heart Failure).

• Mankhwala onse omwe atchulidwa mu magawo A, B, ndi C. Kuphatikiza apo, mankhwala apamwamba kwambiri akuganiziridwa:
• Kusamutsa mtima.
• Zipangizo zamakina zomwe zimathandiza mtima (Zipangizo zothandizira ventricle - VADs)
• Opaleshoni yapadera ya mtima `(Opaleshoni ya mtima)`.
• Mankhwala osalekeza oletsa kupweteka kwa mtima (mankhwala omwe amawonjezera mphamvu ya kupweteka kwa mtima).
• Chisamaliro cha anthu ovutika maganizo kapena chisamaliro cha anthu okalamba.

Gawo C ndi D (HFpEF - kwa iwo omwe alibe vuto lotulutsa magazi kuchokera mumtima):

Pankhaniyi, ngakhale kuti mphamvu ya mtima yogwira ntchito (ejection fraction) ndi yachibadwa, pali vuto la mtima kudzaza magazi (diastolic function) zomwe zimapangitsa kuti mtima usagwire bwino ntchito.

• Mankhwala omwe atchulidwa mu magawo A ndi B.
• Kuchiza matenda ena omwe angayambitse kapena kukulitsa kulephera kwa mtima (monga atrial fibrillation, kuthamanga kwa magazi, matenda a shuga, kunenepa kwambiri, matenda a mitsempha ya mtima, matenda osatha a m'mapapo, cholesterol yambiri, matenda a impso).
• Mankhwala ochepetsa kapena kuchepetsa zizindikiro za matendawa (mapiritsi a madzi).

Musaiwale kuti kusamalira matenda ena (shuga, matenda a impso, kuchepa kwa magazi m'thupi, kuthamanga kwa magazi, matenda a chithokomiro, mphumu, matenda osatha a m'mapapo) ndikofunikira kwambiri polimbana ndi vutoli (Kulephera kwa Mtima) .

Kodi pali zotsatirapo kapena zovuta zilizonse za chithandizocho?

Mankhwala ena angakhale ndi zotsatirapo zazing'ono.

• Kuthamanga kwa magazi pang'ono (Hypotension).
• Zotsatira pa ntchito ya impso (kulephera kwa impso).
• Kugonekedwa m'chipatala pafupipafupi, makamaka ndi mankhwala operekedwa kudzera m'mitsempha (central IVs), kumawonjezera chiopsezo cha matenda opatsirana.

Lankhulani ndi dokotala wanu za izi ndipo mudziwe zambiri.

Kodi mungachepetse bwanji chiopsezo cha (Congestive Heart Failure)?

Ngakhale sitingasinthe zinthu monga zaka ndi mbiri ya banja, tingachepetse chiopsezo chathu chotenga matendawa (Heart Failure) mwa kusintha moyo wathu.

• Kusunga kulemera koyenera komwe kungakuyenerereni.
• Kudya zakudya zopatsa thanzi la mtima (mchere wochepa, shuga, mafuta ochepa, ndiwo zamasamba ndi zipatso zambiri).
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Kuthetsa kupsinjika maganizo bwino.
• Kusiya kwathunthu kugwiritsa ntchito zinthu zopangidwa ndi fodya.
• Osamwa mowa kapena kumwa mowa pang'ono.
• Kusagwiritsa ntchito mankhwala osokoneza bongo.
• Ngati muli ndi matenda ena omwe amakuika pachiwopsezo (monga kuthamanga kwa magazi, matenda a shuga, cholesterol yambiri), landirani chithandizo choyenera ndikuchiwongolera.

Kodi munthu amene ali ndi vuto la mtima losakhazikika angayembekezere tsogolo lotani?

Ndi chithandizo choyenera, kusintha moyo, komanso kutsatira malangizo a dokotala, anthu ambiri akhoza kukhala ndi moyo wosangalala ngakhale ali ndi vuto la mtima losakhazikika. Tsogolo lanu limadalira zinthu izi:

• Zimadalira momwe minofu ya mtima wanu imagwirira ntchito.
• Kutengera mtundu ndi kuopsa kwa zizindikiro zanu.
• Zimatengera momwe mumayankhira bwino pa dongosolo la chithandizo.
• Zimatengera momwe mumatsatira bwino dongosolo lanu la chithandizo (mankhwala, zakudya, masewera olimbitsa thupi).

Kafukufuku wina akusonyeza kuti anthu omwe ali ndi vuto la mtima akhoza kukhala ndi moyo wocheperapo ndi zaka 10 kuposa omwe alibe vuto la mtima. Koma izi zimasiyana kwambiri malinga ndi munthu aliyense. Chifukwa chake ndi bwino kukhala omasuka komanso oona mtima za vuto lanu kwa dokotala wanu. Kulephera kwa mtima ndi vuto losatha, la moyo wonse. Limafuna chithandizo ndi chisamaliro cha moyo wonse.

Kodi ndimadzisamalira bwanji? (Kudzisamalira)

Mukakhala ndi vuto la mtima, ndikofunikira kwambiri kuti mudzisamalire.

• Imwani mankhwala anu monga momwe dokotala wanu wanenera, panthawi yoyenera. Musaphonye tsiku limodzi.
• Khalani otanganidwa momwe mungathere. Funsani dokotala wanu masewera olimbitsa thupi omwe ali oyenera kwa inu.
• Tsatirani zakudya zopanda mchere wambiri. Zakudya zophikidwa m'mabokosi, zophikidwa m'zitini, komanso zophikidwa mwachangu zimakhala ndi mchere wambiri.
• Yesani kulemera kwanu tsiku lililonse. Ngati muwona kuwonjezeka kwadzidzidzi kwa kulemera (monga makilogalamu 1-2 pa tsiku limodzi kapena awiri), uzani dokotala wanu .
• Ngati zizindikiro zatsopano zikuwonekera, kapena ngati zizindikiro zomwe zilipo zikuipiraipira, dziwitsani dokotala wanu nthawi yomweyo.
• Onetsetsani kuti mwapita kwa dokotala nthawi yokumana ndi dokotala nthawi yotsatila.
• Popeza uwu ndi matenda omwe angaphe, ndi bwino kuuza dokotala wanu ndi abale anu zomwe mukufuna zokhudzana ndi chithandizo chanu chamankhwala (monga ngati mukufuna chithandizo chotalikitsa moyo/kugonekedwa m'chipatala). Izi zitha kuchitika polemba "lamulo loti mupitirize kukhala ndi moyo" kapena "chifuniro cha moyo". Ndi bwino kukonzekera izi mukadali ndi maganizo abwino ngati simungathe kupanga zisankho izi mtsogolo.

Ndi zinthu ziti zomwe simungadye ndi kumwa nazo (Congestive Heart Failure)?

Anthu ambiri omwe ali ndi vuto la mtima amafunika kuchepetsa kumwa mchere tsiku lililonse. Anthu ena angafunikenso kuchepetsa kumwa madzi (monga madzi, tiyi, supu). Dokotala wanu kapena katswiri wa zakudya adzakulangizani pa izi.

Ndiyenera kupita kwa dokotala liti?

Ndikofunikira kwambiri kuuza dokotala wanu ngati muli ndi zizindikiro zatsopano kapena ngati zizindikiro zomwe muli nazo kale za kulephera kwa mtima zikukulirakulira. Makamaka ngati muli ndi chimodzi mwa izi:

• Ngati mukuvutika kupuma ngakhale mutapumula.
• Ngati kutupa kukuchulukira m'miyendo, m'mapazi, kapena m'mimba.
• Ngati mwadzidzidzi muwonjezera kulemera (kuposa 1-2 kg pa tsiku limodzi kapena awiri).
• Ngati nthawi zonse mumakhala otopa komanso ogona.

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

Ngati kulephera kwa mtima wanu kukukulirakulira mwadzidzidzi (monga kupuma movutikira, kupweteka pachifuwa kwambiri), mufunika chithandizo chadzidzidzi. Madokotala amatcha kulephera kwa mtima komwe sikuli koyenera . Pankhaniyi, mungapatsidwe mankhwala ndi mpweya kuti muthandize kukonza vuto lanu. Kufika kuchipatala mwachangu popanda kuwononga nthawi kungapulumutse moyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukapita kukaonana ndi dokotala, musaope kufunsa mafunso omwe ali m'maganizo mwanu.

• "Ndili ndi gawo liti la (Congestive Heart Failure)?"
• "Ndi chithandizo chiti chabwino kwambiri chomwe ndingapeze panthawiyi?"
• "Ndi masewera olimbitsa thupi ati otetezeka omwe ndingachite? Ndiyenera kuchita nthawi yayitali bwanji?"
• "Ndi kusintha kotani komwe ndiyenera kuchita pa zakudya zanga?"
• "Kodi pali magulu othandizira anthu omwe ali ndi (Congestive Heart Failure)?"
• "Ndiyenera kuchita chiyani ngati zizindikiro zanga zikuipiraipira?"

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kulephera kwa Mtima Wokhazikika si chinthu choopa, komanso si chinthu chopepuka. Ngati muli ndi vutoli, pali zinthu zambiri zomwe mungachite kuti mukhale ndi thanzi labwino la mtima wanu.

• Imwani mankhwala anu moyenera komanso pa nthawi yake.
• Idyani zakudya zopanda mchere wambiri komanso zopatsa thanzi.
• Khalani otanganidwa momwe mungathere.
• Yesani kulemera kwanu tsiku lililonse ndipo dziwani kusintha kwadzidzidzi.
• Onetsetsani kuti mwapita kwa dokotala pa masiku omwe mwakonza.
• Lembani zizindikiro zanu ndipo uzani dokotala wanu ngati zikuipiraipira.

Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwala anu, kusintha kwa moyo wanu, kapena china chilichonse mu dongosolo lanu la chithandizo, lankhulani momasuka ndi dokotala wanu. Iwo alipo kuti akuthandizeni kuthana ndi vutoli ndikukhala ndi moyo wabwino kwambiri. Kumbukirani, simuli nokha!

'Matenda a mtima, matenda a mtima, matenda a mtima, kupweteka pachifuwa, kupuma movutikira, kulephera kugwira ntchito bwino kwa mtima, kufooka kwa mtima, kutupa kwa miyendo