Kodi nthawi zambiri mumamva kupweteka pachifuwa panu? Kodi ululuwu umawonjezeka makamaka mukatopa pang'ono, mukakwera masitepe, kapena mukakhala ndi nkhawa? Koma kenako munachitidwa ECG, mwina angiogram, koma dokotala anati palibe zotsekeka m'mitsempha yayikulu yamagazi ya mtima (mitsempha ya coronary), ndipo zili bwino. Mwina mukuganiza kuti, "Ndiye nchifukwa chiyani ndili ndi ululu pachifuwa?" Ili ndi vuto lomwe anthu ambiri ali nalo. Simuli nokha. Lero tikulankhula za mtundu wa ululu pachifuwa womwe sudziwika mosavuta ndi mayeso akuluakulu, koma ulipodi. Timautcha kuti microvascular angina.
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Kodi Microvascular Angina ndi chiyani?
Mwachidule, iyi ndi angina, yomwe ndi kupweteka pachifuwa komwe kumachitika chifukwa cha magazi ochepa okosijeni omwe amafika pamtima. Koma kusiyana kwake ndi uku. Mu angina wamba, vuto limakhala m'mitsempha yayikulu yamagazi yomwe imapereka magazi kumtima. Ikhoza kutsekedwa ndi mafuta ambiri.
Koma mu angina ya microvascular, vuto silili m'mitsempha ikuluikulu yamagazi. Lili m'mitsempha yaying'ono kwambiri, yaying'ono yamagazi yomwe imafalikira kuchokera kumitsempha ikuluikulu (coronary microvasculature). Taganizirani izi, tili ndi chitoliro chachikulu chomwe chimabweretsa madzi m'nyumba mwathu. Palibe vuto. Koma ngati mapaipi ang'onoang'ono omwe amapita ku mipopi yaying'ono ndi shawa mkati mwa nyumba atsekeka ndipo ali ndi dzimbiri, madziwo satuluka. Ndicho chimene chimachitikanso pano. Pamene dongosolo laling'ono ili la mitsempha yomwe imanyamula mpweya kupita ku minofu ya mtima silikugwira ntchito bwino, mumamva kupweteka pachifuwa.
Ichi ndichifukwa chake mukayang'ana mitsempha yanu yayikulu pa mayeso monga angiogram, imawoneka bwino. Koma ululu ulipodi. Kale, madokotala ankatcha vutoli 'Cardiac Syndrome X.'
Kodi zizindikiro za vutoli ndi ziti?
Zizindikiro zimenezi zimafanana kwambiri ndi za angina wamba. Ululu ukhoza kukhalapo kwa mphindi 15 kapena kuposerapo.
| Chizindikiro | Kufotokozera |
|---|---|
| Kupweteka pachifuwa kapena kusasangalala | Kumva kupsinjika, kupanikizika, kapena kulemera pachifuwa. Izi nthawi zambiri zimawonjezeka ndi kuchita khama kapena kupsinjika maganizo. |
| Kuvuta kupuma | Kuvutika kupuma ngakhale mutachita khama pang'ono, kumva ngati muli ndi sitiroko. |
| Kutopa kosazolowereka | Kumva kutopa kwambiri komanso kusowa mphamvu popanda chifukwa. |
| Zina mwazinthu | Anthu ena amathanso kumva zinthu monga thukuta, nseru ndi chizungulire, komanso kupweteka m'mimba. |
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Check Availability →N’chifukwa chiyani izi zimachitika? Kodi zifukwa zake ndi zinthu ziti zomwe zimayambitsa vutoli?
Pali zifukwa zingapo zomwe zimapangitsa izi. Madokotala amagawa izi m'magulu awiri: yoyamba ndi yachiwiri.
- Zifukwa zazikulu: Vutoli lili m'mitsempha yaying'ono yamagazi yokha. Imauma mwadzidzidzi (kupindika), kapena siikutseguka bwino pamene thupi likufunika magazi ambiri. Izi zimatchedwa "Coronary microvascular disease".
- Zifukwa zina: Apa ndi pamene vuto la mitsempha yaing'ono yamagazi limachitika chifukwa cha matenda ena. Mwachitsanzo, lingayambitsidwe ndi matenda monga cardiomyopathy, omwe amafooketsa minofu ya mtima, kapena matenda odziteteza ku matenda ena, omwe amaukira maselo a thupi.
Komanso, anthu ena ali pachiwopsezo chachikulu chotenga matendawa.
| Zoopsa | Ndani ali pachiwopsezo chachikulu? |
|---|---|
| Kukhala mkazi | Azimayi omwe adapita kusamba ali pachiwopsezo chachikulu. |
| Matenda a shuga | Chifukwa matenda a shuga amatha kuwononga mitsempha yamagazi. |
| Kuthamanga kwa magazi (BP) | Kuthamanga kwa magazi kwambiri kungawononge mitsempha yamagazi yofooka. |
| Cholesterol yapamwamba (Hyperlipidemia) | Zingakhudze ntchito ya mitsempha yamagazi. |
| Kugwiritsa ntchito zinthu zopangidwa ndi fodya | Kusuta fodya ndi chifukwa chachikulu chomwe chimapangitsa kuti mitsempha yamagazi ichepe komanso kuwonongeka. |
Kodi izi zimachiritsidwa bwanji?
Pali njira ziwiri zazikulu zothanirana ndi vutoli: Kusintha kwa moyo ndi mankhwala. Zonsezi ndi zofunika mofanana.
Kusintha kwa moyo komwe kuchitike
- Ngati mukusuta, siyani kwathunthu. Iyi ndi sitepe yofunika kwambiri yomwe mungachite.
- Khalani ndi zakudya zabwino pamtima. Chepetsani mafuta ndi nyama yofiira, ndipo idyani ndiwo zamasamba, zipatso, ndi zakudya zokhala ndi ulusi wambiri.
- Kuchita masewera olimbitsa thupi nthawi zonse. Ngakhale kuyenda kwa mphindi 30 patsiku kungakhale kopindulitsa kwambiri. Komabe, funsani dokotala wanu mtundu wa masewera olimbitsa thupi omwe ndi oyenera kwa inu.
- Khalani ndi kulemera koyenera.
- Gonani bwino ndipo chepetsani nkhawa. Zinthu monga kusinkhasinkha ndi yoga zingathandize.
- Ngati muli ndi matenda ena monga matenda a shuga, kuthamanga kwa magazi, kapena cholesterol, athetseni bwino.
Mankhwala operekedwa ndi dokotala
Dokotala wanu angapereke mankhwala osiyanasiyana kuti athandize mitsempha yamagazi iyi kugwira ntchito bwino komanso kuchepetsa ululu.
- Zoletsa njira za calcium
- Beta-blockers
- Nitrates - mwachitsanzo, nitroglycerin
- Ma Statin - kuti muchepetse cholesterol
- Zoletsa za ACE
Chofunika kwambiri: Mankhwalawa amaperekedwa ndi dokotala wanu atatha kufufuza bwino vuto lanu. Musagwiritse ntchito mankhwala awa, pazifukwa zilizonse, kutengera upangiri wa ena kapena momwe mukufunira.
Kodi muyenera kupita kwa dokotala liti? ndi matenda ake
Yankho losavuta ndilakuti, ngati muli ndi ululu uliwonse pachifuwa, muyenera kuonana ndi dokotala. Mwina ndi gastritis yokha, koma ndi udindo wa dokotala kudziwa ngati ndi vuto la mtima kapena ayi.
Popeza vutoli likhoza kukhala lovuta kulizindikira, ndikofunikira kudziwitsa dokotala wanu momveka bwino za zizindikiro zanu. Musaope kunena kuti, "Ndimamvabe kupweteka pachifuwa ndikakhala ndi nkhawa," ngakhale mayeso atakhala kuti sakuwonetsa vuto lililonse ndi mitsempha yanu yayikulu yamagazi.
Ngati dokotala akukayikira vutoli, angachite mayeso ena apadera.
- Kuyesa Kupsinjika Maganizo: Kuti muwone ngati magazi akuchepa mukamachita masewera olimbitsa thupi (Myocardial Ischemia).
- Mayeso a Coronary Flow Reserve (CFR): Kuyesa ngati mtima ungawonjezere magazi ake kuti ukwaniritse kufunikira kwa mpweya.
- Kujambula kwapadera: Kujambula kwa nyukiliya, MRI, kapena kuyesa kwapadera kwa catheterization ya mtima kumatha kuzindikira kusagwira bwino ntchito kwa mitsempha yaying'ono iyi.
Ngati simulandira chithandizo, kusowa kwa magazi nthawi zonse kumtima kungayambitse kuwonongeka kwamuyaya kwa minofu ya mtima. Choncho musanyalanyaze kupweteka pachifuwa kumeneku ngati chizindikiro chabe. Ndi chizindikiro chofunikira chochokera mumtima mwanu.
Uthenga Wopita Nawo Kunyumba
- Angina ya m'mitsempha yamagazi ndi mtundu wa ululu pachifuwa womwe umachitika pamene mitsempha ikuluikulu yamagazi mumtima ikugwira ntchito bwino, koma chifukwa cha mavuto ndi kugwira ntchito kwa mitsempha yaying'ono kwambiri yamagazi.
- Kupweteka pachifuwa, kupuma movutikira, komanso kutopa kwambiri ndi zizindikiro zazikulu .
- Ngati mukupitirizabe kupweteka pachifuwa ngakhale kuti zotsatira za mayeso anu zili bwino, musanyalanyaze. Lankhulani ndi dokotala wanu za izi kachiwiri.
- Izi zimachitika kwambiri mwa akazi, anthu omwe ali ndi matenda a shuga, kuthamanga kwa magazi, komanso cholesterol yambiri.
- Ndi matenda oyenera komanso chithandizo (kusintha kwa moyo ndi mankhwala), vutoli lingathe kuthandizidwa bwino ndipo moyo wabwino ukhoza kusungidwa.
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