Matenda a mitsempha yamagazi yaying'ono kwambiri mumtima? Tiyeni tikambirane za (Matenda a Mitsempha Yaikulu)

Kodi nthawi zina mumamva kupweteka kwachilendo kapena kumva kupsinjika pachifuwa panu? Zimenezi zikachitika, timachita mantha ndipo timapita kwa dokotala. Ngakhale titachita mayeso monga ECG ndi scan, dokotalayo amati, "Palibe kutsekeka kwa mitsempha yayikulu yamagazi yamtima." Kenako tingaganize kuti, "Nanga n'chifukwa chiyani kupweteka pachifuwa kumeneku kuli kotere?" Ndipotu, nthawi zina chifukwa cha izi si mitsempha yayikulu yamagazi yamtima, koma mitsempha yaying'ono kwambiri, yamagazi yomwe imachoka pa iyo. Umenewo ndi mkhalidwe womwe tikukamba lero, `Microvascular Coronary Disease` kapena `Small Vessel Disease`.

Kodi Matenda a Mitsempha Yam'mimba Yam'mimba ndi Chiyani?

Mwachidule, uwu ndi matenda omwe amakhudza mitsempha yamagazi yaying'ono kwambiri mumtima mwathu. Tangoganizirani mtima wathu ngati mzinda waukulu. Mzindawu uli ndi misewu ikuluikulu (iyi ndi mitsempha yayikulu ya mtima) yomwe imapereka magazi ndi mpweya. Koma kuti muchoke m'misewu ikuluikulu imeneyo ndikufika kunyumba iliyonse ndikugula zinthu mumzindawu, mukufunika misewu yaying'ono yam'mbali, misewu ya miyala yamtengo wapatali, sichoncho? Mofananamo, selo lililonse laling'ono m'minofu ya mtima wathu limabweretsedwa magazi, mpweya ndi zakudya kudzera mu netiweki ya mitsempha yamagazi yabwino kwambiri, yosakhuthala kuposa tsitsi limodzi. Izi ndi zomwe timatcha `(coronary microvasculature)`.

Mu matenda otchedwa `Microvascular Coronary Disease`, ngakhale kuti misewu ikuluikuluyo ili bwino, misewu ing'onoing'ono iyi imawonongeka ndipo sigwira ntchito bwino. Kenako minofu ya mtima silandira mpweya ndi zakudya zomwe imafuna.

Pali mayina ena angapo omwe amagwiritsidwa ntchito pa vutoli. Dokotala wanu angagwiritse ntchito limodzi mwa mayina awa:

• Matenda a mitsempha yaying'ono
• Matenda a mitsempha yaing'ono
• Matenda a mtima X
• Matenda a Microvessel
• Matenda a mtima osaletsa mtima

Kodi izi zikusiyana bwanji ndi matenda a mtima wamba (Coronary Artery Disease)?

Anthu ambiri amasokoneza awiriwa chifukwa matenda onsewa amawonjezera chiopsezo cha matenda a mtima. Komabe, magwiridwe antchito a awiriwa ndi osiyana kwambiri. Tiyeni timvetse kusiyana kumeneku momveka bwino.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Matendawa amapezeka kwambiri mwa akazi kuposa amuna, makamaka panthawi ya kusamba komanso pambuyo pa kusamba, pamene kuchuluka kwa estrogen m'thupi kumachepa.

Kuphatikiza apo, anthu omwe ali ndi zotsatirazi ali pachiwopsezo chachikulu chotenga matendawa:

• Kukhala ndi matenda a shuga .
• Kuthamanga kwa magazi kwambiri .
• Kukhala ndi cholesterol yambiri m'magazi .
• Kunenepa kwambiri komanso kunenepa kwambiri.
• Kusuta fodya .
• Kukhala moyo wongokhala popanda kuchita masewera olimbitsa thupi .
• Kudya mchere wochuluka, mafuta okhuta, ndi zakudya zopangidwa ndi zinthu zina .
• Kukhala ndi matenda odziteteza ku matenda monga lupus kapena rheumatoid arthritis.

N’chifukwa chiyani matendawa amapezeka?

Mu mtima wathanzi, minofu yofewa yomwe ili m'makoma a mitsempha yaying'ono iyi yamagazi imalamulira kuyenda kwa magazi mwa kufinya ndi kupumula ngati pakufunika. Mwachitsanzo, tikamachita masewera olimbitsa thupi, mtima umafuna magazi ambiri, kotero mitsempha iyi imakula ndikupopa magazi ambiri. Tikapuma, imabwerera pamalo ake abwinobwino.

Koma pankhani ya `Microvascular Coronary Disease`, makoma amkati mwa mitsempha yamagazi iyi amawonongeka. Kuwonongeka kumeneku kumasokoneza ntchito yawo. Nthawi zina njirazi zimatha kugwedezeka mwadzidzidzi (kugwedezeka). Kenako magazi opita ku minofu ya mtima amasokonezeka mwadzidzidzi, zomwe zimayambitsa zizindikiro monga kupweteka pachifuwa.

Kodi zizindikiro za matendawa ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha matendawa ndi kupweteka pachifuwa kotchedwa angina . Komabe, ululu uwu ukhoza kukhala wosiyana pang'ono ndi ululu womwe umapezeka mu matenda a mtima wamba.

• Nthawi zambiri zimatenga mphindi 10 kapena kuposerapo .
• Ululu uwu ukhoza kuchitika panthawi yochita masewera olimbitsa thupi komanso panthawi yopuma .
• Ululu ukhoza kuwonjezeka pamene pali kupsinjika maganizo .
• Kwa anthu ena, ululu umenewu umapangitsa kuti zikhale zovuta kuti agwire ntchito za tsiku ndi tsiku moyenera.

Kuwonjezera pa ululu wa pachifuwa, zizindikiro zina zingaonekenso:

• Kupuma movutikira komanso kupuma movutikira .
• Kutopa kwambiri popanda chifukwa .
• Mavuto a tulo, kuphatikizapo kusowa tulo .

Kodi mungadziwe bwanji matendawa molondola?

Kunena zoona, kupeza matenda amenewa kungakhale kovuta chifukwa mitsempha yaing'ono yamagazi imeneyi ndi yaying'ono kwambiri moti singathe kuwonedwa ndi mayeso a mtima wamba. Chifukwa chake, ngati muli ndi zizindikiro izi, ndi bwino kupita kwa dokotala wa mtima yemwe ndi katswiri wa matenda amtunduwu.

Mayeso agolide oyesera matenda awa ndi mayeso apadera otchedwa `Cardiac catheterization with coronary flow reserve (CFR).` Izi zimayesa momwe mitsempha yaying'ono yamagazi iyi ingakulire mwachangu ndikupereka magazi ambiri ku zosowa za thupi.

Kuphatikiza apo, dokotala angakulimbikitseni mayeso ena angapo:

• Kuyesa kwa mtima kwa nyukiliya (PET scan)
• MRI ya mtima yokhala ndi perfusion

Kodi mankhwala ochizira izi ndi otani?

Cholinga chachikulu cha chithandizo ndikuwongolera magwiridwe antchito a mitsempha yamagazi, kuwongolera zizindikiro, komanso kuchepetsa chiopsezo cha zovuta monga matenda a mtima. Dokotala wanu angakupatseni mankhwala angapo kuti akuthandizeni kuchita izi.

• Zoletsa za angiotensin-converting enzyme (ACE): zimathandiza kuwongolera kuthamanga kwa magazi mwa kukulitsa mitsempha yamagazi.
• Mankhwala Oletsa Kuundana kwa Magazi: Mankhwala omwe amaletsa magazi kuundana.
• Aspirin: Imaletsa ma platelet a magazi kuti asamamatire pamodzi ndipo imachepetsa kupanga magazi kuundana.
• Beta-blockers: Amawongolera kugunda kwa mtima ndi kuchepetsa kuthamanga kwa magazi.
• Zoletsa njira za calcium: Zimamasula minofu m'mitsempha yamagazi, ndikuyikulitsa.
• Mankhwala ochepetsa kuthamanga kwa magazi: Kuchotsa madzi ochulukirapo ndi mchere m'thupi, zomwe zimachepetsa kuthamanga kwa magazi.
• Ma Statin: Mankhwala omwe amachepetsa kuchuluka kwa cholesterol m'magazi.

Kodi tiyenera kuchita chiyani kuti tipewe ndi kulamulira matendawa?

Kuphatikiza pa mankhwala, kusintha kwabwino m'moyo wathu ndikofunikira kwambiri polimbana ndi matendawa.

• Tsatirani zakudya zopatsa thanzi la mtima: Chepetsani mchere, mafuta, shuga, ndi zakudya zokonzedwa kale, ndipo idyani ndiwo zamasamba, zipatso, nyemba, ndi zakudya zokhala ndi ulusi wambiri.
• Kuchita masewera olimbitsa thupi nthawi zonse: Chitani masewera olimbitsa thupi osachepera mphindi 30 patsiku, monga kuyenda kapena kuthamanga. Ngati ndinu watsopano kuchita masewera olimbitsa thupi, lankhulani ndi dokotala wanu ndipo ganizirani za pulogalamu yothandizira odwala matenda a mtima ngati pakufunika kutero.
• Khalani ndi thupi labwino.
• Sungani kuchuluka kwa kuthamanga kwa magazi ndi shuga m'magazi mkati mwa mulingo woyenera.
• Ngati mukusuta, siyani kusuta konse.

Za kukhala ndi matenda awa

Kugwiritsa ntchito mankhwala ambiri ndikusintha moyo motere kungakhale kovuta poyamba. Mankhwala ena angayambitse mavuto monga chizungulire.

Zingakhalenso zothandiza kwambiri kulemba zizindikiro zanu ndi kuthamanga kwa magazi, chifukwa izi zithandiza dokotala wanu kudziwa bwino za matenda anu ndikusintha chithandizo chanu moyenerera.