Kodi minofu ya mtima wanu "ikugona" kapena "yakhazikika"? (Myocardium Yozizira ndi Myocardium Yodabwitsa) Tiyeni tiphunzire za izi!

Kodi mudamvapo za ziwalo za mtima zomwe "zimagona"? Kapena mwadzidzidzi "zimamatira"? Ngakhale izi zingamveke ngati mawu achilendo, kwenikweni izi ndi matenda awiri omwe amakhudza mitima yathu. Musadandaule, tidzakambirana za izo m'njira yosavuta kumva. Tidzawona zomwe zili, chifukwa chake zimachitika, momwe tingazizindikire, komanso ngati zingathe kuchiritsidwa.

Kodi minofu ya mtima "yozizira" ndi chiyani? (Myocardium Yozizira)

Mwachidule, pamene gawo la minofu ya mtima wanu (timalitcha kuti `(Myocardium)`) silikuyenda bwino, limachepetsa pang'onopang'ono ntchito yake ndipo pamapeto pake limasiya. Zili ngati kugona chifukwa cha kutopa. Izi ndi zomwe timazitcha `(Myocardium Yogona)` kapena "minofu ya mtima yogona." Izi zitha kuchitika kwa miyezi ingapo, mwina zaka zambiri.

Tangoganizirani, pamene zomera zina m'munda mwanu zikusowa madzi, zimapindika n’kuoneka ngati zikufota, sichoncho? Umu ndi momwe zilili ndi izi. Minofu ya mtima imafunika mafuta ambiri kuti igwire ntchito (monga kuti ichepetse). Koma pamene magazi sali okwanira, minofuyi imayamba kugwiritsa ntchito shuga (monga mtundu wa shuga) kuti maselo ake akhale ndi moyo. Komabe, ilibe mphamvu zokwanira zopopera magazi kupita kumtima panthawiyi. Chifukwa chake, minofu "yogona" iyi siithandiza ntchito ya mtima yopopera.

Kodi minofu ya mtima "ikugwa" kapena "ikugwa chikomokere" imatanthauza chiyani? (Stunned Myocardium)

Vutoli ndi losiyana pang'ono ndi vuto lomwe latchulidwa kale. Lingachitike mwachangu kwambiri, mkati mwa mphindi zochepa kapena maola ochepa. Ngati magazi opita ku minofu ya mtima achepa mwadzidzidzi kapena ayima, minofuyo imasiya kugwira ntchito, ngati kuti "yakhazikika" kapena "yafooka." Izi zimatchedwa `(Stunned Myocardium)`.

Chinthu chachilendo n’chakuti, nthawi zina ngakhale madokotala akamachiza kutsekeka kwa magazi (mwachitsanzo, poika stent, kukulitsa mtsempha wotsekeka ndi baluni, kapena kusungunula magazi oundana) kuti magazi ayambe kuyendanso, minofu "yomangika" imeneyi sibwerera m'malo ake nthawi yomweyo. Zingatenge masiku, kapena milungu ingapo, kuti minofuyo iyambenso kukokana bwino.

Kodi matenda amenewa amasiyana bwanji ndi matenda a mtima?

Funso ili ndi lofunika kwambiri. Matenda a mtima ndi mtundu woopsa kwambiri wa matenda a mitsempha ya mtima. Izi zimachitika pamene mitsempha imodzi kapena yambiri yomwe imapereka magazi kumtima yatsekedwa kwathunthu ndi chinthu chamafuta chotchedwa plaque, zomwe zimapangitsa kuti maselo a minofu ya mtima afe. ​​Maselo a minofu ya mtima akufa amalowedwa m'malo ndi minofu ya zipsera. Minofu ya zipsera iyi singathandize mtima kupopa bwino. Izi zingayambitse kulephera kwa mtima.

Komabe, matenda onse awiri akuti ``Hibernating Myocardium'' ndi ``Stunned Myocardium'' ndi akanthawi kochepa. Chomwe chimachitika apa ndi chakuti minofu ya mtima sikugwira ntchito bwino, koma maselo ake akadali ndi moyo.Ngati magazi ndi mpweya zibwezeretsedwa, minofu "yogona" kapena "yomangika" iyi ikhoza kuyambanso kugwira ntchito. Ndicho chinthu chofunika kwambiri!

Kodi ndi zifukwa ziti zomwe zimayambitsa 'Hibernating Myocardium'?

Matendawa amapezeka makamaka mwa anthu omwe ali ndi matenda oopsa a mitsempha ya mtima. Mu matendawa, mafuta ochulukirapo (omwe timawatcha kuti "plaque") amasonkhana mkati mwa mitsempha yomwe imanyamula magazi kupita kumtima, zomwe zimapangitsa kuti itseke. Pamene mitsempha ya mtima yachepa kwambiri, minofu ya mtima silandira mpweya ndi michere yokwanira kuti ikhale ndi moyo ndikuthandiza mtima kupompa magazi. Chifukwa chake, minofu "imagona" kuti isunge mphamvu kuti ipitirize kugwira ntchito zake zazikulu zamaselo.

Kodi ndi zinthu ziti zomwe zimayambitsa 'Stunned Myocardium'?

Kudabwitsa kwa myocardial, komwe kumadziwikanso kuti "kumamatira" kwa minofu ya mtima, kungachitikenso panthawi yochiza matenda a mitsempha ya mtima. Ngakhale kuti chithandizo chimabwezeretsa kuyenda kwa magazi, ziwalo zina za minofu ya mtima sizichira nthawi yomweyo. Kuphatikiza apo, vutoli likhoza kuchitika pazifukwa zina zingapo:

• Kugwidwa ndi khunyu (ntchito yamagetsi yosazolowereka muubongo).
• Matenda a mtima (Stress Cardiomyopathy) ndi matenda omwe amakhudza mtima chifukwa cha kupsinjika maganizo.
• Matenda ofanana ndi sitiroko.
• Kutuluka magazi mu ubongo (Subarachnoid Hemorrhage).

Kodi zizindikiro za matenda onsewa ndi ziti?

Chifukwa m'matenda onse awiri, gawo limodzi kapena minofu yambiri ya mtima imakhudzidwa, zizindikiro nthawi zambiri zimakhala zofanana ndi zomwe zimawonedwa mu kulephera kwa mtima.

• Kuvuta kupuma
• Kupweteka pachifuwa
• Kutupa kwa miyendo

Ngati muli ndi zizindikiro izi, ndi bwino kupita kwa dokotala kukayezetsa.

Kodi mungazindikire bwanji `Hibernating Myocardium`?

Kuti mudziwe bwino vutoli, pamafunika mayeso angapo ovuta. Mayesowa angathandize kusiyanitsa pakati pa ziwalo za minofu ya mtima zomwe "zikugona" kapena "zikukhazikika" koma zitha kutsitsimutsidwa , ndi ziwalo zomwe zafa komanso zovulala ndipo sizingatsitsimutsidwe .

Mayeso ena akuluakulu omwe madokotala amagwiritsa ntchito pachifukwa ichi ndi awa:

• `Dobutamine Stress Echocardiogram`: Izi zikuphatikizapo kukupatsani mankhwala (otchedwa `(Dobutamine)`) kuti akulimbikitseni mtima wanu ngati kuti akuchita masewera olimbitsa thupi. Dokotala wa mtima adzayang'anira momwe mtima wanu umagwirira ntchito pamene uli pampando komanso momwe umagwirira ntchito pamene mlingo wa mankhwala ukuwonjezeka. Ngati mphamvu ya minofu ya mtima yogwira ntchito ikuwonjezeka pamene mankhwala akuperekedwa, zikutanthauza kuti muli ndi vuto lotchedwa `(Stunned Myocardium)` kapena `(Hibernating Myocardium)`. Ngati minofu siikugwedezeka ngakhale mlingo wa mankhwala utawonjezeka, zikutanthauza kuti minofu yafa ndipo yavulala.
• MRI ya mtima:Izi zimagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti ziwonetse bwino komanso mwatsatanetsatane minofu ya mtima wanu. Poyang'ana mawonekedwe ndi makulidwe a minofu ya mtima m'zithunzi izi, madokotala amatha kudziwa bwino minofu yomwe ili ndi zipsera (yakufa), zomwe zili bwino, komanso zomwe "zili zogona" kapena "zokhazikika."
• Kujambula kwa Cardiac Positron Emission Tomography (PET): Izi zimagwiritsa ntchito zinthu zotetezeka zokhala ndi ma radioactive komanso kamera yapadera. Zimawonetsa ziwalo za minofu ya mtima wanu zomwe zikugwira ntchito bwino komanso ziwalo zomwe zili ndi zipsera kapena minofu yakufa.

Ngakhale kuti mayesowa angawoneke ovuta pang'ono, ndi ofunikira kwambiri kuti mumvetse bwino vuto lanu ndikusankha chithandizo chomwe chili choyenera kwa inu.

Kodi `Hibernating Myocardium` (minofu ya mtima yogona) ingachiritsidwe? Kodi mankhwala ake ndi otani?

Inde, iyi ndi nkhani yabwino kwambiri! Vutoli lingathe kuchiritsidwa ndi chithandizo. Chofunika kwambiri ndikubwezeretsa kuyenda bwino kwa magazi ku gawo la minofu ya mtima lomwe lachepetsa kuyenda kwa magazi. Pali njira ziwiri zazikulu zothandizira izi:

• Angioplasty: Izi zimaphatikizapo kugwiritsa ntchito chubu chachitali, chopyapyala (catheter) kuti chilowe mumtsempha wamagazi wotsekedwa ndikudzaza baluni yaying'ono kumapeto kwa chubu kuti muchotse plaque ndikukulitsa mtsempha. Nthawi zina, chipangizo chonga mesh (stent) chingayikidwe mkati mwa mtsempha kuti chisatsekenso.
• Opaleshoni ya Coronary Artery Bypass (CABG): Iyi ndi njira yochitira opaleshoni yomwe imaphatikizapo kutenga mtsempha wamagazi wathanzi kuchokera mbali ina ya thupi lanu (monga mwendo wanu kapena chifuwa) ndikupanga njira yatsopano yoti magazi azidutsamo, kudutsa mtsempha wotsekeka mumtima mwanu. Zili ngati kumanga njira yodutsa msewu ukatsekeka.

Pambuyo pa chithandizochi, mungatumizidwenso ku pulogalamu ya "Cardiac Rehabilitation" kuti ikuthandizeni kuchira. Iyi ndi pulogalamu yochita masewera olimbitsa thupi yoyang'aniridwa ndi dokotala yomwe imakuthandizani kuwonjezera mphamvu zanu komanso thanzi lanu, komanso kukhala ndi zizolowezi zabwino pamtima.

Kodi mankhwala a 'Stunned Myocardium' ndi ati?

Chithandizo cha minofu ya mtima yotsekeka chimakhala chofanana ndi chithandizo cha matenda a mtima ndi kulephera kwa mtima. Mankhwala ena omwe amagwiritsidwa ntchito kwambiri ndi awa:

• Aspirin
• Beta-blockers
• Ma Statins (mankhwala ochepetsa cholesterol)
• Mankhwala oletsa kuthamanga kwa magazi (ACE inhibitors) kapena mankhwala oletsa ma receptor a Angiotensin II (mankhwala omwe amaletsa kuthamanga kwa magazi ndi kuteteza mtima)

Dokotala adzafufuza vuto lanu ndikukupatsani mankhwala oyenera kwambiri.

Kodi mungadziteteze bwanji ku mavuto amenewa?

Njira yabwino yochepetsera chiopsezo cha matenda amenewa ndi kusamalira mtima wanu bwino. Izi zikutanthauza:

• Kutsatira zakudya zabwino:Zakudya zokhala ndi mafuta ochepa, shuga, ndi mchere wochepa, komanso zokhala ndi ndiwo zamasamba ndi zipatso zambiri.
• Kuchita masewera olimbitsa thupi nthawi zonse: Ngakhale chinthu chosavuta monga kuyenda kwa mphindi 30 patsiku ndi chabwino.
• Pewani kusuta: Kusuta fodya n’koipa kwambiri pamtima.
• Kuchepetsa kumwa mowa.
• Kusunga kulemera koyenera.
• Kulamulira kupsinjika maganizo.
• Ngati muli ndi matenda monga matenda a shuga, kuthamanga kwa magazi, kapena cholesterol yokwera, samalani bwino.
• Ngati dokotala wanu wakupatsani mankhwala, imwani mankhwala monga ma statins kuti muchepetse cholesterol kapena aspirin kuti mupewe kuundana kwa magazi tsiku lililonse.

Mungagwiritsenso ntchito zida zowerengera zoopsa kuchokera ku mabungwe monga American College of Cardiology kapena European Society of Cardiology kuti mudziwe zomwe mukufuna pa chiopsezo chanu komanso chithandizo. Komabe, ngati muli kale ndi matenda a mtima, ndi bwino kulankhula ndi dokotala wanu za chiopsezo chanu. Pazochitika izi , chithandizo chamankhwala chotsogozedwa ndi malangizo chawonetsedwa kuti chimachepetsa kwambiri chiopsezo cha matenda a mtima, kulephera kwa mtima, komanso imfa.

Kodi chiyembekezo cha matendawa ndi chiyani?

Thanzi la munthu amene ali ndi vutoli (lomwe timalitcha kuti "kulosera zamtsogolo") limadalira zinthu zingapo. Mwachitsanzo:

• Kodi mphamvu ya mtima yopompa yachepa bwanji?
• Kaya mukugwiritsa ntchito mankhwala enieni omwe dokotala wakupatsani.
• Kaya ndinu woyenera opaleshoni ya `(Angioplasty)`/`(Stent)` kapena `(CABG)`.

Anthu omwe ali ndi matenda a mitsempha ya mtima amakhala pachiwopsezo cha moyo wawo wonse chodzakhala ndi mavuto a mtima mtsogolo. Ngati mitsempha yanu ya mtima yatsekekanso, minofu ya mtima wanu ikhoza "kugona" kachiwiri.

Chofunika: Myocardium yopuma nthawi yayitali imachitika pamene magazi opita ku minofu ya mtima amachepa kwa nthawi yayitali chifukwa cha kutsekeka kwakukulu kwa mitsempha ya mtima mwa anthu omwe ali ndi matenda a mitsempha ya mtima. Myocardium yodabwitsa imachitika pamene magazi amachepa mwadzidzidzi. Ngati magazi abwerera m'mbuyo, minofu ya mtima wanu iyenera kuyambiranso kugwira ntchito mkati mwa nthawi yochepa. Matenda onsewa ndi ochiritsika. Ndikofunikira kusamalira mtima wanu bwino kuti matenda awa asabwererenso.

Zinthu zofunika kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tifotokoze mwachidule zinthu zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Matenda a mtima otchedwa Stunned Myocardium omwe amakhudza mtima chifukwa cha kuchepa kwa magazi kupita ku minofu ya mtima.
• Mu matenda onsewa, minofu ya mtima siifa, koma siigwira ntchito bwino. Izi ndi zosiyana ndi matenda a mtima.
• Matenda onsewa nthawi zambiri amatha kuchiritsidwa! Ndikofunikira kubwezeretsa kuyenda kwa magazi ndipo, ngati kuli kofunikira, funani chithandizo chamankhwala.
• Ngati muli ndi zizindikiro monga kupuma movutikira, kupweteka pachifuwa, kapena kutupa kwa miyendo yanu, funsani upangiri wa dokotala popanda kuwononga nthawi.
• Chiwopsezo cha matenda amenewa chingachepe potsatira moyo wathanzi komanso kuthana ndi matenda omwe alipo kale (monga matenda a shuga ndi kuthamanga kwa magazi).
• Ngati muli ndi matenda a mtima, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola ndikupita kukayezetsa nthawi zonse.

Mtima wanu ndi chuma chanu chamtengo wapatali kwambiri. Choncho chisamalireni. Ndikukhulupirira kuti izi zikuthandizani!

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