Kodi muli ndi matenda a shuga? Ngati ndi choncho, muyenera kuti munapita kwa dokotala wanu nthawi zonse kukayezetsa kuthamanga kwa magazi. 'N'chifukwa chiyani amayesanso kuthamanga kwa magazi anu mukamamwa mankhwala a shuga?' Mwina mukudzifunsa. Ndipotu, matenda a shuga ndi kuthamanga kwa magazi (`(Hypertension)`) ndi mbali ziwiri zofanana. Ngati mukumvetsa ubale pakati pa ziwirizi, mutha kupewa mavuto ambiri azaumoyo monga matenda a mtima ndi sitiroko.
N’chifukwa chiyani pali kugwirizana kwakukulu pakati pa matenda a shuga ndi kuthamanga kwa magazi?
Mwachidule, matenda a shuga ndi matenda omwe amawononga pang'onopang'ono mitsempha yamagazi (mitsempha yamagazi) m'thupi lathu. Shuga ikachuluka m'magazi pakapita nthawi, makoma a mitsempha yathu yamagazi amayamba kuwonongeka. Amataya kulimba kwawo ndipo amakhala okhuthala pang'ono.
Tangoganizirani kuti dothi likamasonkhana mkati mwa chitoliro cha madzi, madzi amachepa, ndipo kuthamanga kwa magazi mkati mwa chitoliro kumawonjezeka, sichoncho? Ndicho chimene chimachitikira mitsempha yathu ya magazi. Makoma a mitsempha yamagazi owonongekawa amakhala ndi mafuta ndi cholesterol yambiri. Mu zamankhwala, timatcha izi kuti "Atherosclerosis." Mitsempha yamagazi ikachepa, mtima umayenera kugwira ntchito molimbika kuti upompe magazi. Izi zimawonjezera kuthamanga kwa magazi mkati mwa mitsempha yamagazi. Ndicho chimene timatcha kuthamanga kwa magazi kapena "kuthamanga kwa magazi."
Mwanjira imeneyi, monga momwe matenda a shuga amawonjezerera kuthamanga kwa magazi, mavuto a matenda a shuga amakula kwambiri chifukwa cha kuthamanga kwa magazi. Makamaka, kuwonongeka kwa maso (Diabetic Retinopathy) ndi kuwonongeka kwa impso (Diabetic Nephropathy) komwe kumachitika chifukwa cha matenda a shuga kumatha kukulirakulira chifukwa cha kuthamanga kwa magazi.
Kodi zoopsa zake ndi ziti ngati awiriwa ali pamodzi?
Munthu amene ali ndi matenda a shuga komanso kuthamanga kwa magazi ali ndi mwayi wopeza matenda enaake kasanu kuposa munthu wamba. Tiyeni tiwone zomwe zili m'matendawa.
| Chiwopsezo/Zovuta | Kufotokozera kosavuta |
|---|---|
| Matenda a Mitsempha ya Mtima | Kutsekeka kapena kuchepetsedwa kwa mitsempha yamagazi yomwe imapereka magazi kumtima. Izi zingayambitse matenda a mtima . |
| Stroke | Mtsempha wamagazi womwe umanyamula magazi kupita nawo ku ubongo umatsekeka kapena kuphulika, zomwe zimapangitsa kuti mbali zina za ubongo ziwonongeke. |
| Matenda a Mitsempha ya M'mphepete mwa Mtsempha | Kuchepa kwa mitsempha yamagazi, makamaka m'miyendo ndi m'mapazi, kungayambitse kupweteka kwa miyendo poyenda komanso kuchira pang'onopang'ono kwa mabala. |
| Kulephera kwa Mtima | Chifukwa chakuti mtima umagwira ntchito molimbika pakapita nthawi, minofu ya mtima imakhala yofooka ndipo singathe kupopera magazi okwanira kupita ku thupi. |
| Kulephera kwa Impso | Matenda a shuga ndi kuthamanga kwa magazi ndi zinthu ziwiri zomwe zimayambitsa kuwonongeka kwa impso. Pakapita nthawi, ntchito ya impso imatha kutha kwathunthu. |
Anthu ena amaganiza kuti ngati kuthamanga kwa magazi kuli kokwera pang'ono, palibe vuto. Koma ngakhale kutakhala pakati pa 120/80 ndi 129/80, kumakhala koopsa. Izi zikutanthauza kuti thupi lanu likukupatsani chenjezo.
Ndiye kodi kuthamanga kwa magazi anga kuyenera kukhala kotani?
Ngakhale izi zingasiyane pang'ono malinga ndi munthu, cholinga chachikulu cha munthu amene ali ndi matenda a shuga ndi kusunga kuthamanga kwa magazi ake pansi pa 130/80 mmHg . Dokotala wanu angasinthe cholinga ichi kutengera vuto lanu.
Tsopano onani, mukamayesa kupanikizika, pali mfundo ziwiri, sichoncho?
- Nambala yapamwamba (Systolic pressure): Iyi ndi mphamvu yayikulu kwambiri mkati mwa mitsempha yamagazi pamene mtima ukugunda ndikupompa magazi kulowa m'mitsempha yamagazi.
- Kupanikizika kwa diastolic: Uku ndi kupsinjika kochepa kwambiri m'mitsempha yamagazi pamene mtima umapumula pakati pa kugunda.
Kumbukirani, kuti mupewe mavuto a matenda a shuga, ndikofunikira kwambiri kuwongolera shuga m'magazi komanso kuthamanga kwa magazi.
Kodi mumadziwa bwanji ngati kuthamanga kwa magazi kwanu kuli kokwera? Kodi pali zizindikiro zilizonse?
Ichi ndi chinthu choopsa kwambiri. Kuthamanga kwa magazi nthawi zambiri sikusonyeza zizindikiro zilizonse.Ndicho chifukwa chake timachitcha 'Silent Killer'. Mutha kukhala ndi kuthamanga kwa magazi koopsa popanda zizindikiro zilizonse. Njira yokhayo yodziwira bwino ndikuyesedwa kuthamanga kwa magazi nthawi zonse . Ndicho chifukwa chake kuthamanga kwa magazi kumayesedwa nthawi iliyonse mukapita kwa dokotala. Dokotala wanu angakulangizeninso kuti muyese kuthamanga kwa magazi kunyumba.
Chabwino, kodi ndingatani kuti ndilamulire izi?
Nkhani yabwino ndi yakuti zinthu zambiri zomwe mumachita kuti muchepetse matenda anu a shuga zimathandizanso kuchepetsa kuthamanga kwa magazi. Izi zikutanthauza kuti mutha kupha mbalame ziwiri ndi mwala umodzi.
| Zoyenera kuchita | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Idyani zakudya zabwino . | Idyani ndiwo zamasamba, zipatso, nyemba, ndi tirigu wambiri. Chepetsani zakudya zokhala ndi mafuta ambiri, shuga, ufa, ndi mchere. |
| Chepetsani kumwa mchere. | Mchere umapangitsa kuti madzi asungike m'thupi ndipo umawonjezera kuthamanga kwa magazi. Chepetsani kuchuluka kwa mchere womwe umawonjezeredwa muzakudya ndi zakudya zokonzedwa zomwe zili ndi mchere wambiri. |
| Kuchita masewera olimbitsa thupi . | Chitani masewera olimbitsa thupi osavuta, monga kuyenda mwachangu kwa mphindi 30 patsiku, osachepera masiku 5 pa sabata. Izi zidzalimbitsa mtima wanu. |
| Khalani ndi kulemera koyenera . | Kunenepa kwambiri kumawonjezera kupsinjika kwa mtima. Kuchepetsa thupi kungathandize kwambiri kuchepetsa kuthamanga kwa magazi. |
| Siyani kusuta . | Kusuta fodya ndiye vuto lalikulu lomwe limawononga mitsempha yamagazi. Ngati musiya, mtima wanu udzakuthokozani. |
| Chepetsani kumwa mowa . | Kumwa mowa mopitirira muyeso kungapangitse kuti kuthamanga kwa magazi kukwere. |
| Tsatirani malangizo a dokotala . | Pitani kuzipatala pa masiku omwe mwakonza. Imwani mankhwala omwe dokotala wakupatsani pa nthawi yake. |
Tiyeni tiphunzire pang'ono za mankhwala? (Chithandizo)
Ngati kusintha kwa moyo kokha sikukulamulira kuthamanga kwa magazi anu, dokotala wanu angakulembereni mankhwala. Madokotala amasamala kwambiri akamapereka mankhwala ochepetsa kuthamanga kwa magazi kwa anthu odwala matenda ashuga.
Mankhwala oyamba omwe amasankhidwa nthawi zambiri amakhala `(ACE inhibitors)` (`(Angiotensin-Converting Enzyme inhibitors)`) ndi `(ARBs)` (`(Angiotensin II Receptor Blockers)`). Izi zili choncho chifukwa, kuwonjezera pa kuwongolera kuthamanga kwa magazi, mankhwalawa amathandizanso kupewa kapena kuwongolera kuwonongeka kwa impso komwe kumachitika chifukwa cha matenda a shuga.
Kuphatikiza apo, mankhwala ena amagwiritsidwanso ntchito, monga "diuretics", omwe nthawi zambiri timawatcha "mapiritsi amadzi" omwe amachotsa madzi osafunikira m'thupi ndikuchepetsa kuthamanga kwa magazi.
Chinachake choyenera kukumbukira!
Mankhwala ena ochepetsa kuthamanga kwa magazi amatha kusokoneza kuchuluka kwa shuga m'magazi ndi cholesterol m'magazi. Amuna ena amathanso kukhala ndi matenda monga kusagwira bwino ntchito kwa erectile. Choncho musaope kukambirana momasuka ndi dokotala wanu za mankhwala omwe mukumwa ndi zotsatira zake. Ngati muli ndi vuto, dokotala wanu angakupatseni mankhwala ena omwe ali oyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- Matenda a shuga ndi kuthamanga kwa magazi ndi matenda awiri omwe amagwirizana ndipo angayambitse mavuto oopsa kwambiri.
- Kuthamanga kwa magazi nthawi zambiri sikumasonyeza zizindikiro zilizonse, choncho ndikofunikira kuti muyeze kuthamanga kwa magazi nthawi zonse.
- Kuthamanga kwa magazi kwa munthu wodwala matenda ashuga nthawi zambiri kumakhala kochepera 130/80 mmHg.
- Kusintha kwa moyo monga kudya zakudya zabwino, kuchita masewera olimbitsa thupi, kusiya kusuta fodya, komanso kuchepetsa kumwa mchere ndiye maziko a kuwongolera.
- Imwani mankhwala omwe dokotala wanu wakupatsani monga mwalembedwera, pa nthawi zomwe mwalembedwera. Lankhulani ndi dokotala wanu za mavuto kapena zotsatirapo zake zilizonse.
- Monga momwe kulamulira shuga m'magazi kulili kofunikira poteteza matenda aakulu monga matenda a mtima, sitiroko, ndi matenda a impso, kulamulira kuthamanga kwa magazi nakonso n'kofunikira.
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