Kodi munayamba mwamvapo chifuwa chanu chikugunda mwadzidzidzi popanda chifukwa chenicheni? Ngati kuti mwangothamanga mtunda wautali. Kapena mukumva ngati chinachake chikugunda m'chifuwa mwanu, kulumpha kugunda kenako n’kugundanso? Izi ndi zomwe zimachitikira anthu ambiri. Izi zitha kuchitika makamaka mukakhala ndi mantha ambiri, kupanikizika, kapena nkhawa, zomwe timazitcha "Nkhawa". Chifukwa chake, musachite mantha. Tiyeni tikambirane momveka bwino izi lero.
Mwachidule, kodi kugunda kwa mtima kumeneku ndi chiyani?
Mawu oti 'Heart Palpitations' angawopsyeze anthu ena. Koma tanthauzo losavuta la izi ndilakuti mumayamba kumva mtima wanu ukugunda bwino kwambiri. Kawirikawiri, sitimva mtima wathu ukugunda. Koma panthawiyi,
- Mtima ungamve ngati ukugunda mokweza komanso mwachangu .
- Mungamve ngati gulugufe akuuluka pachifuwa panu .
- Kugunda kwa mtima kungamveke ngati kwadumpha kamodzi, kenako n’kugunda mofulumira kwambiri nthawi ina .
- Zingamveke ngati mtima wanu ukugunda mosagwirizana , ukugunda mofulumira, kenako pang'onopang'ono, kenako mofulumira kachiwiri.
Kumva kumeneku kungachitike pachifuwa, pakhosi, kapena pakhosi. Nthawi zina kumatha pakatha masekondi angapo. Nthawi zina kumatha kwa mphindi zochepa.
N’chifukwa chiyani nkhawa imayambitsa kupweteka pachifuwa? Kodi kugwirizana kwake n’kotani?
Tangoganizani mukuyenda mumsewu ndipo galu wamkulu akukulumphirani mwadzidzidzi. N’chiyani chikukuchitikirani? Mukumva kuzizira, thukuta, ndipo chifuwa chanu chikuyamba kugunda, sichoncho? Imeneyo ndi njira yachilengedwe yodzitetezera ya thupi lathu. Timaitcha kuti "nkhondo kapena kuthawa."
Mukakhala ndi mantha, nkhawa, kapena kupsinjika maganizo, ubongo wanu umaganiza kuti muli pachiwopsezo. Panthawiyo, ubongo umatumiza zizindikiro ku thupi kuti ukonzekere kukumana ndi "chiwopsezocho." Nthawi yomweyo, thupi lathu limatulutsa mahomoni monga adrenaline . Chimodzi mwa ntchito zazikulu za mahomoni awa ndikufulumizitsa kugunda kwa mtima. Izi zili choncho chifukwa amapopera magazi ndi mpweya kupita ku minofu ya thupi mwachangu, kukupatsani mphamvu yomenyera kapena kuthawa.
Kotero, izi ndi zomwe zimachitika mukakhala ndi `(Nkhawa)`. Kaya ndi vuto kuntchito, mayeso, kapena mantha olankhula pamaso pa anthu, ubongo wanu ukhoza kukuwonetsani ngati "ngozi." Kenako yankho la `(Nkhondo kapena Kuthawa)` limayatsidwa, adrenaline imawonjezeka, ndipo chifuwa chanu chimayamba kugunda mofulumira.
Chofunika kwambiri ndichakuti kulimba kwa chifuwa kumeneku komwe kumachitika chifukwa cha nkhawa nthawi zambiri sikoopsa. Ndi momwe thupi lanu limayankhira mwachibadwa ku malingaliro anu.
Kodi ndi liti pamene tiyenera kuda nkhawa ndi kupweteka pachifuwa?
Ngakhale kupweteka pachifuwa komwe kumachitika chifukwa cha nkhawa nthawi zambiri sikoopsa, sikuti kupweteka pachifuwa konse kumachitika chifukwa cha nkhawa. Nthawi zina kungakhale chizindikiro cha vuto la thanzi. Chifukwa chake, ngati muli ndi zizindikiro zomwe zili pansipa pamodzi ndi kupweteka pachifuwa, ndikofunikira kufunafuna upangiri wachipatala nthawi yomweyo. Izi zikutanthauza kupita ku chipatala chapafupi cha Emergency Department (ETU) mwachangu momwe mungathere.
| Zizindikiro zochenjeza zomwe zimafunika chisamaliro chachangu | |
|---|---|
| Kupweteka pachifuwa kapena kusasangalala | Kumva kupsinjika kapena kutsekeka pachifuwa. |
| Kuvuta kupuma | Kuvuta kupuma, kupuma movutikira, kupuma movutikira. |
| Kuzungulira (kuzungulira) | Kumva chizungulire, maso akusanduka abuluu, kuvutika kuyima. |
| Kukomoka | Syncope ndi kumva ngati munthu wakomoka kapena wataya chidziwitso. |
Zina zomwe zimayambitsa kupweteka pachifuwa popanda nkhawa
- Mavuto a mtima (Arrhythmias): Mwachitsanzo, matenda monga `(Atrial Fibrillation - Afib)`.
- Myocarditis: Kutupa kwa minofu ya mtima chifukwa cha matenda opatsirana ndi kachilombo.
- Mavuto a chithokomiro: Makamaka hyperthyroidism.
- Mavuto a mtima: Zinthu monga matenda a mtima.
- Zina zomwe zimayambitsa: kumwa caffeine wambiri (khofi, tiyi) kapena mowa, mankhwala ena, kuchepa kwa magazi m'thupi (kusowa magazi).
Kodi dokotala amazindikira bwanji vutoli?
Mukapita kukawona dokotala kuti akakambirane za izi, iyeyo adzayamba walankhula nanu mokwanira. Palibe chifukwa choopa. Fotokozani momveka bwino momwe mukumvera. Dokotala angakufunseni zinthu monga:
- Kodi mwakhala mukumva kupweteka pachifuwa kwa nthawi yayitali bwanji? Kwakhala nthawi yayitali bwanji? Kodi mumamva kupweteka kumeneku kangati patsiku?
- Kodi mumamva bwanji izi zisanachitike? Kodi mumaopa kapena mumakhala ndi nkhawa?
- Ndi mankhwala ati (kuphatikizapo mavitamini ndi mankhwala azitsamba) omwe mumamwa?
- Kodi mumadya zakudya zotani? Kodi mumamwa khofi, tiyi, ndi zakumwa zopatsa mphamvu zochuluka bwanji? Kodi mumamwa mowa?
- Kodi pali aliyense m'banja mwanu amene ali ndi matenda a mtima?
Kenako, dokotala adzaika stethoscope pachifuwa panu ndikuchiyang'ana. Ngati pakufunika, angafune mayeso ena kuti adziwe chomwe chimayambitsa matendawa.
- Kuyezetsa magazi: Yang'anani ngati muli ndi magazi m'thupi, kuchuluka kwa mahomoni a chithokomiro, komanso kuchuluka kwa mchere monga potaziyamu (hypokalemia).
- ECG (Electrocardiogram): Kuyeza komwe kumalemba momwe magetsi a mtima amagwirira ntchito. Izi zitha kuwona ngati pali vuto lililonse pa kayendedwe ka mtima.
- Echocardiogram (Echo): Iyi ndi scan ya mtima. Imatha kuwona kapangidwe ka mtima, ntchito ya ma valve, komanso momwe mtima ukupopera magazi.
- Chowunikira cha Holter: Ichi ndi chipangizo chaching'ono chomwe mumavala kwa tsiku limodzi kapena awiri. Chimalemba nthawi zonse zomwe mtima wanu umachita mukamachita ntchito zanu za tsiku ndi tsiku.
- Chojambulira Zochitika: Mutha kugwiritsa ntchito izi kwa milungu ingapo. Mukamva kugunda kwa mtima, dinani batani pamenepo ndipo ECG idzajambulidwa panthawiyo.
Kodi mungachiritse bwanji ululu pachifuwa chifukwa cha nkhawa?
Pambuyo poyesedwa, ngati dokotala wanu atsimikiza kuti kulimba kwa chifuwa chanu kumachitika chifukwa cha "Nkhawa", chithandizocho chimayang'ana kwambiri pakuwongolera vuto lanu la "Nkhawa". Chifukwa chomwe chimayambitsa matendawa chikachiritsidwa, chizindikiro (kulimba kwa chifuwa) chidzachepa chokha.
Chithandizo cha maganizo
Iyi ndi njira yothandiza kwambiri. Timaitchanso kuti 'Talk Therapy'. Pano, mumakambirana za mavuto anu ndi mlangizi wophunzitsidwa bwino kapena katswiri wa zamaganizo, amene amakuthandizani kuzindikira ndikusintha malingaliro omwe akukuyambitsani "Nkhawa". Cognitive Behavioral Therapy (CBT) ndi njira yothandiza kwambiri yomwe imagwiritsidwa ntchito kwambiri pa izi.
Mankhwala
Nthawi zina, dokotala angapereke mankhwala oletsa vutoli.
- Mankhwala monga mankhwala oletsa nkhawa (anxiolytics) ndi mankhwala oletsa kuvutika maganizo angathandize kuchepetsa nkhawa kwa nthawi yayitali.
- Mankhwala monga beta-blockers amachepetsa mphamvu ya adrenaline, kulamulira zizindikiro zakuthupi monga kugunda kwa mtima mofulumira komanso kunjenjemera.
- BenzodiazepinesNgakhale kuti mitundu iyi ya mankhwala imapereka mpumulo mwachangu pakagwa ngozi, iyenera kugwiritsidwa ntchito kawirikawiri komanso kwa kanthawi kochepa, chifukwa imakhala ndi chiopsezo choledzera.
Kusintha kwa moyo ndi njira zochepetsera ululu
Kuwonjezera pa mankhwala, palinso zinthu zambiri zomwe mungachite nokha. Mukapanga izi kukhala gawo la moyo wanu, mutha kuwongolera bwino nkhawa komanso kugunda kwa mtima.
Njira zowongolera kupweteka pachifuwa nthawi yomweyo
Tangoganizani kuti mwadzidzidzi mwayamba kudwala nkhawa ndipo chifuwa chanu chayamba kugunda. Musachite mantha nthawi imeneyo, yesani kuchita zinthu izi.
- Kupuma Mozama: Iyi ndi njira yabwino komanso yachangu kwambiri. Khalani pansi momasuka. Tsekani maso anu. Ikani dzanja limodzi pachifuwa chanu ndi lina pamimba panu. Pumirani pang'onopang'ono komanso mozama kudzera mu mphuno mwanu (kuwerenga 4). Mukapuma, muyenera kumva dzanja lanu pamimba panu likusuntha patsogolo. Kenako gwirani mpweya wanu kwa masekondi 1-2 ndikutulutsa mpweya pang'onopang'ono kudzera pakamwa panu (kuwerenga 6). Chitani izi kangapo ndipo mudzamva kugunda kwa mtima wanu kukubwerera pang'onopang'ono kukhala kwabwinobwino.
- Kusamala: Samalani komwe muli. Yesani kuzindikira zinthu 5 zomwe mukuona, mawu 4 omwe mumamva, zinthu zitatu zomwe mumakhudza, zinthu ziwiri zomwe mumanunkhiza, ndi zinthu ziwiri zomwe mumamva (ngakhale madzi pang'ono). Izi zidzakuthandizani kuchotsa mantha m'maganizo mwanu ndikukubwezeretsani ku zomwe zikuchitika panopa.
- Madzi ozizira: Pakani madzi ozizira pankhope panu. Kapena imwani kapu ya madzi ozizira nthawi zonse. Izi zimathandiza kukhazika mtima pansi mitsempha.
- Yendani: Ngati n'kotheka, pitani pang'ono. Yang'anani zomwe zikukuzungulirani. Izi zidzasokoneza maganizo anu.
Kumbukirani, chinthu chofunika kwambiri ndikudziuza nokha panthawiyo kuti, "Izi ndi nkhawa chabe, sizili zoopsa, izi zidzatha pakapita kanthawi."
Uthenga Wopita Nawo Kunyumba
- Kugunda kwa mtima chifukwa cha nkhawa n’kofala kwambiri. Nthawi zambiri, izi si vuto loopsa.
- Izi zimachitika chifukwa cha momwe thupi lanu limayankhira mwachibadwa “nkhondo kapena kuthawa”.
- Komabe, ngati muli ndi zizindikiro monga kupweteka pachifuwa, kuvutika kupuma, chizungulire chachikulu (kufooka mutu), kapena kutaya chidziwitso pamodzi ndi kupweteka pachifuwa chanu, pitani ku Dipatimenti Yodzidzimutsa ya Chipatala (ETU) nthawi yomweyo.
- Ngati muli ndi kukayikira kapena nkhawa zilizonse zokhudza kupweteka pachifuwa panu, musaope kulankhula momasuka ndi dokotala wanu za vutoli.
- Njira zopumulira monga psychotherapy, mankhwala, ndi kupuma mozama zimathandiza kwambiri polimbana ndi nkhawa.
- Kupempha thandizo si chizindikiro cha kufooka. Ndi chizindikiro champhamvu chakuti mumasamala za thanzi lanu.
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