Kodi mukudziwa za matenda othamanga magazi m'mapapo? Tiyeni tikambirane za izi!

Kodi mudamvapo za matenda omwe kuthamanga kwa magazi m'mapapo kumawonjezeka? Izi ndizosiyana pang'ono ndi kuthamanga kwa magazi komwe timalankhula nthawi zambiri. Madokotala amatcha izi 'Pulmonary Hypertension' (PH) , kapena kuthamanga kwa magazi m'mapapo. Mwachidule, izi ndi pamene kuthamanga kwa magazi, kapena kuthamanga kwa magazi, mkati mwa mitsempha yomwe imanyamula magazi opanda mpweya kuchokera mumtima mwanu kupita ku mapapo anu (zomwe timazitcha 'mitsempha ya m'mapapo'), kumawonjezeka mosafunikira. Imeneyi ndi vuto lalikulu, chifukwa limakhudza kwambiri mtima ndi mapapo athu.

N’chifukwa chiyani matenda a m’mapapo (Phytotension) (PH) ndi oopsa kwambiri? N’chiyani chimachitika m’thupi lathu?

Ganizirani zomwe zimachitika pamene kuthamanga kwa magazi mkati mwa mitsempha yomwe imanyamula magazi kupita ku mapapo kukukwera. Monga momwe chitoliro cha madzi chimatsekekera, zimapangitsa kuti madzi aziyenda movutikira, mitsempha imeneyi imakhala yopapatiza, nthawi zina imakhuthala. Kenako, mtima umayenera kugwira ntchito molimbika kuti upompe magazi kupita ku mapapo. Mbali yakumanja ya mtima ('ventricle yakumanja') makamaka imamva kupsinjika kumeneku. Pakapita nthawi, mtima umayamba kufooka pamene ukupitilira kugwira ntchito molimbika. Vutoli lingayambitsenso mavuto osiyanasiyana m'thupi. Mwachitsanzo:

• Kuchepa kwa hemoglobin m'magazi (` Anemia` ).
• Kugunda kwa mtima kosakhazikika (`Arrhythmias`).
• Magazi amaundana m'mitsempha ya mapapo .
• Kusonkhanitsa madzi ozungulira mtima (` Pericardial effusion` ).

Ngati mayi wapakati akupeza vutoli, likhoza kukhala loopsa kwa mayi ndi mwana. Ngati silinalandire chithandizo, vutoli lingayambitse kulephera kwa mtima pang'onopang'ono ('kulephera kwa mtima kumbali yakumanja') ndipo likhoza kupha munthu. Chifukwa chake, ndikofunikira kwambiri kuzindikira matendawa pachiyambi ndikuyamba kulandira chithandizo .

Kodi mitundu ikuluikulu ya matenda othamanga magazi m'mapapo (PH) ndi iti?

Bungwe la World Health Organization (WHO) lagawa vutoli la `Pulmonary Hypertension` (PH) m'magulu asanu akuluakulu malinga ndi zomwe zimayambitsa. Tiyeni tiwone zomwe zili. 1. Gulu 1: PH yoyambitsidwa ndi `Pulmonary Arterial Hypertension (PAH). Pankhaniyi, mitsempha yamagazi yomwe imanyamula magazi kupita ku mapapo (`pulmonary arteries`) imachepa, imakhuthala, kapena imauma. Izi zitha kukhala ndi zifukwa zosiyanasiyana. Matenda ena, ngakhale mankhwala ena, amatha kukhudza izi. 2. Gulu 2: PH yoyambitsidwa ndi mavuto ndi mbali yakumanzere ya mtima. Mbali yakumanzere ya mtima wathu ndi yomwe imapopera magazi kupita ku thupi lonse. Chifukwa chake, ngati pali vuto ndi mbali yakumanzere ya mtima, limakhudza mbali yakumanja ndi dongosolo lomwe limanyamula magazi kupita ku mapapo. Magazi samayenda bwino ndipo amatsekeka, ndipo kuthamanga kwa magazi m'mitsempha ya m'mapapo kumawonjezeka. 3. Gulu 3: PH yoyambitsidwa ndi matenda a m'mapapo kapena kusowa kwa mpweya (`hypoxia`).Matenda ena a m'mapapo amachititsa kuti mitsempha ya magazi m'mapapo ikhale yopapatiza. Izi zimapangitsa kuti magazi aziyenda movutikira, komanso kuti kuthamanga kwa magazi kukwere. 4. Gulu 4: PH yoyambitsidwa ndi kutsekeka kwa mapapo. Magazi m'mapapo kapena zipsera zimatsekereza kuyenda kwa magazi. Izi zimapangitsa kuti mtima ukhale wopanikizika kwambiri, zomwe zimapangitsa kuti magazi aziyenda movutikira m'mapapo. 5. Gulu 5: PH yoyambitsidwa ndi matenda ena. Matenda a PH amenewa amatha kuchitika ndi matenda ena, monga matenda ena a m'magazi ndi matenda a kagayidwe kachakudya m'thupi. Komabe, sizikudziwika bwino momwe matendawa amayambitsa PH.

Ndani amene amakhudzidwa kwambiri ndi vutoli la `Pulmonary Hypertension` (PH)?

Matenda a Mtima Othamanga Kwambiri (PH) angakhudze akuluakulu a msinkhu uliwonse. Anthu omwe ali ndi matenda a mtima kapena mapapo ali pachiwopsezo chachikulu chotenga matendawa. Akhozanso kupezeka kwambiri kwa anthu omwe ali ndi matenda ena. Mwachitsanzo:

• Pafupifupi 100% ya anthu omwe ali ndi matenda oopsa a mitral valve.
• Pafupifupi 65% ya anthu omwe ali ndi matenda a aortic valve (matenda ena a mtima valve).
• Pafupifupi 30% ya anthu omwe ali ndi `Scleroderma` (matenda oyambitsa kuuma kwa khungu ndi minofu yolumikizana ).
• Pafupifupi 20% - 40% ya anthu omwe ali ndi matenda a sickle cell .
• Pafupifupi munthu m'modzi mwa anthu 200 aliwonse ali ndi kachilombo ka HIV .

Kawirikawiri zimakhudza akuluakulu. Komabe, nthawi zambiri makanda obadwa kumene amathanso kukhala ndi vutoli (`Persistent Pulmonary Hypertension of the Newborn - PPHN`). Ngati izi zitachitika, mwana adzafunika kuthandizidwa m'chipinda chosamalira odwala kwambiri. Padziko lonse lapansi, akuti pafupifupi munthu m'modzi mwa akuluakulu 10 opitirira zaka 65 ali ndi vutoli la PH. Izi zikutanthauza kuti likhoza kukhala lofala kwambiri kuposa momwe timaganizira.

Kodi zizindikiro zoyambirira za matenda a kuthamanga kwa magazi m'mapapo (PH) ndi ziti?

Kawirikawiri chizindikiro choyamba chimakhala kupuma movutikira, kapena kupuma movutikira . Mutha kukhala ndi kupuma movutikira panthawi ya zochita za tsiku ndi tsiku, monga kukwera masitepe, kunyamula zakudya, kapena kuchita masewera olimbitsa thupi. Mwina simungakhale ndi zizindikiro poyamba. Zizindikiro zikayamba kuonekera, zimatha kukhala zochepa kwambiri. Komabe, pakapita nthawi, zizindikirozi zimatha kukhala zowopsa kwambiri ndikupangitsa kuti zikhale zovuta kuchita ntchito zanu za tsiku ndi tsiku.

Kodi zizindikiro zomwe zimawonekera pamene matendawa akupitirira ndi ziti?

Pamene pH ikukwera, mutha kukhala ndi vuto lopuma movutikira ngakhale mutangoyima. Izi zitha kutsagana ndi zizindikiro monga:

• Milomo yabuluu kapena khungu.
• Kupweteka pachifuwa kapena kulimba.
• Kumva chizungulire kapena kukomoka.
• Kumva kutopa nthawi zonse (`Kutopa `).
• Chakudyacho sichikoma.
• Ululu m'mimba pamwamba kumanja.
• Kumva ngati mtima wako ukugunda mofulumira.
• Kutupa kwa akakolo, miyendo, kapena mimba (`Edema`).

Zizindikiro zimenezi zimapangitsa kuti zikhale zovuta kwambiri kuchita masewera olimbitsa thupi komanso kuchita ntchito za tsiku ndi tsiku.

Kodi pali magawo a kuthamanga kwa magazi m'mapapo (PH)?

Inde, bungwe la World Health Organization (WHO) lapeza magawo anayi akuluakulu a PH. Awa amatchedwa "makalasi ogwirira ntchito." Izi zimatsimikiziridwa ndi zizindikiro zomwe mumakumana nazo komanso kuchuluka kwa zomwe mungachite tsiku ndi tsiku. Pamene matendawa akupita patsogolo, zizindikirozo zimaonekera kwambiri ndipo zimasokoneza moyo wanu watsiku ndi tsiku.

• Kalasi 1: Palibe zizindikiro.
• Kalasi yachiwiri: Palibe zizindikiro pamene mukupuma, koma kusapeza bwino kapena kupweteka pang'ono panthawi ya ntchito zachizolowezi, monga kugwira ntchito zapakhomo kapena kukwera masitepe.
• Kalasi 3: Mungakhalebe bwino mukakhala pansi. Koma n'zovuta kwambiri kuchita ntchito zachizolowezi tsopano. Mwatopa kwambiri komanso muli ndi nkhawa.
• Kalasi 4: Zizindikiro zimapezeka ngakhale mutangokhala chete. Zizindikiro zimakula kwambiri mukayesa kuchita zinthu zinazake zachizolowezi.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a pulmonary pressure (PH)?

Pali zifukwa zambiri zosiyanasiyana za PH. Zimatengera mtundu wa PH womwe muli nawo. Matenda osiyanasiyana, mavuto azaumoyo, komanso zinthu zachilengedwe (poizoni, mankhwala ena) zimatha kuyambitsa vutoli.

Gulu 1: Zomwe Zimayambitsa `Kuthamanga kwa Magazi M'mitsempha ya M'mapapo (PAH)`

• Matenda a mtima obadwa nawo .
• Mankhwala ena ochepetsa thupi (monga mankhwala "fen-phen," omwe angayambitse PAH ngakhale atatha zaka zambiri akugwiritsidwa ntchito).
• Kusintha kwa majini .
• `Matenda osungira glycogen`.
• Matenda a HIV.
• Matenda a chiwindi .
• Matenda a Lupus.
• Kuthamanga kwa magazi m'mitsempha (kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha yopita ku chiwindi).
• Matenda osowa kwambiri a mitsempha ya m'mapapo monga `Pulmonary capillary hemangiomatosis` ndi `Pulmonary veno-occlusive disease`.
• Schistosomiasis (matenda oyambitsidwa ndi tizilombo toyambitsa matenda).
• Matenda a scleroderma.
• Kugwiritsa ntchito mankhwala osokoneza bongo monga `Methamphetamine`.

Anthu ena amatha kukhala ndi PAH popanda chifukwa chodziwika bwino. Izi zimatchedwa `idiopathic`.

Gulu 2: Zomwe zimayambitsa PH chifukwa cha matenda a mbali yakumanzere ya mtima

Matenda a mtima ndi omwe amayambitsa PH. Popeza mbali zakumanzere ndi zakumanja za mtima zimagwira ntchito limodzi, vuto la mbali yakumanzere lidzakhudzanso mbali yakumanja.

• Matenda a valve ya aorta: Ili ndi vuto la valavu pakati pa chipinda chachikulu chopopera magazi cha mtima ('ventricle yakumanzere') ndi aorta (mtsempha waukulu kwambiri wamagazi m'thupi).
• Kulephera kwa mtima kumbali yakumanzere : Mbali yakumanzere ya mtima singathe kupompa magazi bwino.
• Kuchuluka kwa makoma a ventricle yakumanzere (kukhuthala kwa makoma a ventricle yakumanzere) : Izi zimapangitsa kuti mtima ukhale wovuta kupompa magazi bwino.
• Matenda a valvu ya Mitral : Vuto la valvu yomwe imalola magazi kuyenda kuchokera ku atrium yakumanzere kupita ku ventricle yakumanzere ya mtima.

Gulu 3: Zomwe zimayambitsa PH chifukwa cha matenda a m'mapapo kapena kusowa kwa mpweya (`hypoxia`)

• Matenda a m'mapapo osatha (COPD) : Izi zikuphatikizapo matenda monga matenda a bronchitis osatha ndi emphysema. Izi zimapangitsa kuti zikhale zovuta kupuma.
• Matenda a m'mapapo a m'kati mwa mapapo : Zilonda (fibrosis) zimachitika m'minofu ya mapapo.
• Kulephera kupuma mokwanira : Izi zimapangitsa kuti njira yopumira mpweya izitseke nthawi ndi nthawi munthu akagona, zomwe zimachepetsa mpweya womwe thupi limalandira.

Gulu 4: Zomwe zimayambitsa PH chifukwa cha kutsekeka kwa mapapo

Izi zimachitika makamaka chifukwa cha matenda otchedwa `Chronic Thromboembolic Pulmonary Hypertension (CTEPH) .` Izi zimachitika pamene magazi amaundana ndipo minofu imavulala m'mitsempha ya mapapo. Nthawi zina, vutoli limatha kuchitika chifukwa cha zipsera zomwe zimachitika chifukwa cha `pulmonary embolism` (magazi amaundana omwe amamatira m'mapapo).

Gulu 5: Zomwe zimayambitsa PH chifukwa cha matenda ena

PH ikhoza kuyambitsidwa ndi matenda ena ambiri, ndipo asayansi sakumvetsabe bwino momwe zimachitikira.

• Matenda a Gaucher (matenda a kagayidwe kachakudya).
• Matenda a impso.
• Matenda a Langerhans cell histiocytosis (matenda omwe amayambitsa zipsera ndi zotupa m'mapapo mwa akuluakulu).
• Sarcoidosis (vuto lotupa, lomwe nthawi zambiri limakhudza mapapo ndi ma lymph nodes).
• Matenda a chithokomiro.
• Zotupa : Zotupa, kaya za khansa kapena zopanda vuto, zimatha kuyambitsa kupanikizika kwa mitsempha m'mapapo.

Kodi matenda a pulmonary hypertension (PH) amawapeza bwanji ?

Dokotala wanu adzakuyesani ndipo, ngati kuli kofunikira, adzakuyesani kangapo kuti adziwe ngati muli ndi PH. Choyamba, dokotala wanu adzakuyesani thupi . Kumeneko,

• Amakufunsani za mbiri yanu ya thanzi komanso zizindikiro zake.
• Yang'anani ngati mitsempha ya m'mitsempha ya jugular yatupa (ichi chingakhale chizindikiro cha kulephera kwa mtima kumbali yakumanja).
• Kuti muwone kukula kwa chiwindi, gwirani mbali yakumanja ya mimba.
• Mtima ndi mapapo zimamvetsera ndi stethoscope.
• Yang'anani mimba, akakolo, ndi miyendo ngati pali kutupa (edema).
• Kuthamanga kwa magazi kumayesedwa.
• Choyezera mpweya (pulse oximeter) chimayeza kuchuluka kwa mpweya m'magazi.

Zizindikiro za PH zingakhale zovuta kuzizindikira chifukwa zimafanana ndi za matenda ena. Chifukwa chake, mutatha kuyezetsa thupi, dokotala wanu angachite mayeso ena. Muthanso kutumizidwa kwa katswiri wa mapapo (katswiri wa mapapo) kapena katswiri wa mtima (katswiri wa mtima).

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira PH?

• Kutsegula mtima kumanja: Kumatchedwanso kuti catheterization ya mitsempha ya m'mapapo, izi zimayesa kuthamanga kwa magazi m'mitsempha ya m'mapapo ndi kuchuluka kwa magazi omwe mtima ungathe kupopa pamphindi. Iyi ndiye njira yayikulu yotsimikizira PH.
• Doppler echocardiogram: Ichi ndi scan pogwiritsa ntchito mafunde a phokoso. Ikhoza kusonyeza momwe ventricle yakumanja ya mtima ikugwirira ntchito komanso momwe magazi amayendera kudzera m'ma valve. Izi zimathandiza dokotala kuwerengera kuthamanga kwa magazi m'mitsempha ya m'mapapo.
• Kuyezetsa magazi: Izi zimayesa zinthu monga kugwira ntchito kwa ziwalo, kuchuluka kwa mahomoni, ndi matenda. Izi zimaphatikizapo mayeso monga "Complete metabolic panel" ndi "complete blood count."
• Kujambula pachifuwa kwa CT: Kufufuza ngati magazi amaundana ndi mavuto ena a m'mapapo.
• X-ray ya pachifuwa: Izi zingagwiritsidwe ntchito kuona ngati mbali yakumanja ya mtima kapena mitsempha ya m'mapapo ndi yayikulu kuposa yachibadwa.
• Mayeso a tulo (`Polysomnogram - PSG`): Mayeso a usiku wonse kuti muwone ngati muli ndi `sleep apnea`.
• Kujambula mpweya wotuluka m'mapapo (VQ): Kufufuza ngati magazi aundana m'mapapo.

Dokotala wanu angachitenso mayeso oyenda kwa mphindi zisanu ndi chimodzi . Izi zidzakuthandizani kudziwa kuchuluka kwa masewera olimbitsa thupi omwe mungathe kupirira komanso kuchuluka kwa mpweya womwe uli m'magazi mwanu panthawi yochita masewera olimbitsa thupi. Izi zingakuthandizeni kudziwa ngati PH yanu ndi yofatsa kapena yoopsa.

Kodi mankhwala a matenda a kuthamanga kwa magazi m'mapapo (PH) ndi ati?

Chithandizo cha PH chimadalira mtundu wa PH womwe muli nawo komanso matenda ena omwe muli nawo. Gulu lanu lachipatala lidzapanga dongosolo la chithandizo lomwe lingakhale labwino kwa inu. Pakadali pano, pali mitundu iwiri yokha ya PH yomwe ingachiritsidwe mwachindunji:

• "Kuthamanga kwa magazi kwa mitsempha ya m'mapapo (PAH)"
• "Kuthamanga kwa magazi kwa thromboembolic pulmonary BP kosatha (CTEPH)"

Mitundu ina ya PH imachiritsidwa poyang'anira matenda omwe amayambitsa matendawa. Chithandizo cha `Pulmonary Arterial Hypertension (PAH):

• Mankhwala oletsa calcium channel: Mankhwalawa amathandiza kuchepetsa kuthamanga kwa magazi m'mitsempha ya m'mapapo komanso m'thupi lonse.
• Mankhwala ochepetsa mphamvu ya madzi m'thupi ("mapiritsi a madzi"): Amathandiza kuchotsa madzi ochulukirapo m'thupi.
• Chithandizo cha okosijeni: Izi zingakhale zofunikira ngati mpweya m'magazi mulibe wokwanira.
• Mankhwala ochepetsa kuthamanga kwa magazi m'mapapo:Mankhwalawa amamasula mitsempha ya m'mapapo ndikuitsegula bwino. Izi zimathandiza kuti magazi aziyenda bwino komanso zimachepetsa ntchito ya mtima.

Chithandizo cha `CTEPH`:

• Mankhwala oletsa magazi kuundana (mankhwala omwe amaletsa magazi kuundana).
• Balloon atrial septostomy (BAS): Ngakhale kuti nthawi zambiri izi zimachitika kwa makanda omwe ali ndi vuto lalikulu la mtima, zimagwiritsidwanso ntchito polimbitsa akuluakulu omwe ali ndi PH mpaka atapatsidwa njira yoika mapapo.
• Balloon pulmonary angioplasty (BPA): Iyi ndi njira yomwe imagwiritsa ntchito catheter kuti ikule mitsempha ya m'mapapo. Imachitika kwa anthu omwe sangathe kuchitidwa opaleshoni yayikulu.
• Mankhwala: Mankhwala otchedwa `Soluble guanylate cyclase stimulator (SGCS)` angathandize kuwongolera kupitirira kwa matendawa.
• Kuchotsa magazi m'mapapo (PEA): Iyi ndi opaleshoni. Imachotsa magazi oundana m'mapapo. Iyi ndiyo njira yokhayo yochiritsira PH kwathunthu. Komabe, ikhoza kuchitika kwa anthu omwe ali ndi CTEPH okha.

PH yoyambitsidwa ndi matenda a mtima kapena mapapo imachiritsidwa poyang'anira matenda omwe amayambitsa matendawa, kotero mapulani a chithandizo amatha kusiyana kwambiri kuchokera kwa munthu ndi munthu.

Kumbukirani, muyenera kulankhula ndi dokotala wanu kuti musankhe chithandizo chomwe chili chabwino kwa inu.

Anthu ena omwe ali ndi vuto lalikulu la PH angafunike kuchitidwa opaleshoni yoika mapapo ngati njira yomaliza.

Kodi mungatani kuti muchepetse kuthamanga kwa magazi m'mapapo (PH)?

Mwina mukumwa mankhwala ambiri a PH ndi matenda ena. Zingakhale zovuta kukumbukira zonsezi ndikuchita bwino. Nazi malangizo angapo:

• Dziwani mayina a mankhwala onse omwe mumamwa ndi momwe amagwirira ntchito. Lembani mndandanda ndipo nthawi zonse muzisunga.
• Imwani mankhwala anu nthawi yomweyo tsiku lililonse. Ngati mwaphonya mlingo, musamwe milingo iwiri kuti mubwezeretse mlingowo. Imbani dokotala wanu ndipo mufunseni choti muchite.
• Musamwe mankhwala aliwonse ogulitsidwa kunja kwa chipatala popanda kufunsa dokotala wanu. Mankhwala ena a chimfine, chifuwa, ndi malungo, komanso ochepetsa ululu, angayambitse mavuto kwa anthu omwe ali ndi matenda a mtima.
• Musamwe mankhwala aliwonse omwe alembedwa kuti si oyenera anthu omwe ali ndi kuthamanga kwa magazi.
• Musasiye kumwa mankhwala aliwonse kapena kusintha mlingo popanda kulankhula ndi dokotala wanu.
• Pewani kugwiritsa ntchito mankhwala owonjezera a zitsamba ndi tiyi wa zitsamba. Zingasokoneze mankhwala ena omwe mukumwa.

Kodi chiyembekezo cha munthu amene ali ndi matenda a kuthamanga kwa magazi m'mapapo (PH) ndi chotani?

Izi zimasiyana malinga ndi munthu ndi munthu. Zimadalira:

• Chifukwa cha PH.
• Kodi matendawa anapezeka mofulumira bwanji?
• Kuopsa kwa zizindikiro.
• Matenda ena omwe amayenderana nawo.

Mitundu yambiri ya PH singathe kuchiritsidwa kwathunthu. Madokotala amapereka mankhwala ochepetsa zizindikiro, kukonza moyo wabwino, komanso kuwongolera kupita patsogolo kwa matendawa. Komabe, anthu ena omwe ali ndi CTEPH amatha kuchiritsidwa ndi opaleshoni. Ngati sanalandire chithandizo, kuthamanga kwa magazi m'mapapo (PH) kumatha kubweretsa kulephera kwa mtima kumbali yakumanja ndipo pamapeto pake kufa. Chifukwa chake, kupeza chithandizo choyenera kungakuthandizeni kukhala ndi moyo wautali ndikukhala ndi moyo wabwino.

Kodi ndi zinthu ziti zomwe zimawonjezera chiopsezo cha matenda a kuthamanga kwa magazi m'mapapo (PH)?

• Kukhudzidwa ndi asbestos.
• Kukhala ndi mbiri ya m'banja mwanu ya magazi oundana.
• Kukhala ndi wachibale amene ali ndi matenda a kuthamanga kwa magazi m'mapapo (PH).
• Kukhala pamalo okwera kwambiri pamwamba pa nyanja.
• Kusuta fodya ndi kugwiritsa ntchito zinthu zopangidwa ndi fodya.
• Mankhwala ena omwe amagwiritsidwa ntchito pochepetsa thupi (monga "fen-phen" - `dexfenfluramine` ndi `phentermine`).
• Mankhwala ena a khansa ndi kuvutika maganizo.
• Kugwiritsa ntchito mankhwala osokoneza bongo.

Komanso, anthu omwe ali ndi matenda awa ali pachiwopsezo chachikulu:

• Magazi amaundana m'mitsempha ya mapapo.
• Matenda a minofu yolumikizana.
• 'Down syndrome'.
• Matenda a Gaucher.
• Matenda a mtima.
• 'HIV'.
• Matenda a chiwindi.
• Matenda a m'mapapo.

Kodi kuthamanga kwa magazi m'mapapo (PH) kungapewedwe?

PH singathe kupewedwa nthawi zonse. Zinthu zina zomwe zingakubweretsereni mavuto sizingathe kuthetsedwa. Ngati muli ndi zinthu zomwe zingakubweretsereni mavuto, dokotala wanu angakulangizeni mayeso ena kuti aone momwe mtima wanu ndi mapapo anu zimagwirira ntchito. Mutha kuchepetsa chiopsezo chanu cha PH mwa kuchita zonse zomwe mungathe kuti mupewe kapena kuwongolera matenda ena.

• Konzani dongosolo lochita masewera olimbitsa thupi. Funsani dokotala wanu kuti ndi masewera olimbitsa thupi ati omwe ndi otetezeka kwa inu.
• Tsatirani zakudya zopatsa thanzi la mtima. Pewani zakudya zokhala ndi mchere wambiri, mafuta, shuga, ndi zakudya zopangidwa ndi anthu ambiri.
• Siyani kusuta fodya ndi kugwiritsa ntchito fodya. Izi ndi zinthu zazikulu zomwe zimayambitsa matenda a mtima ndi mapapo.
• Imwani mankhwala a kuthamanga kwa magazi ndi matenda ena monga momwe dokotala wanu wanenera.

Ndi chithandizo chotani chomwe ndiyenera kulandira pambuyo pake?

Lankhulani ndi dokotala wanu za momwe mungasamalire ndi kuyang'anira matenda anu. Dokotala wanu adzakuuzani nthawi yomwe muyenera kubwera kudzayesedwa ndi kufufuzidwa. Uzani dokotala wanu nthawi yomweyo ngati mukupeza zizindikiro zatsopano kapena ngati zizindikiro zanu zasintha. Komanso, lankhulani ndi dokotala wanu za:

• Njira zolerera komanso ngati kutenga mimba kuli kotetezeka. Kutenga mimba ndi koopsa kwa anthu omwe ali ndi PH.
• Pangani zida zochizira anthu omwe ali ndi vuto ladzidzidzi. Anthu omwe ali ndi PH ayenera kusunga zinthu zina ndi chidziwitso pafupi nthawi zonse.
• Kuchita masewera olimbitsa thupi.Funsani zomwe zili zotetezeka kwa inu, momwe mungaphatikizire masewera olimbitsa thupi m'moyo wanu watsiku ndi tsiku, komanso masewera olimbitsa thupi omwe muyenera kupewa.
• Katemera wa nyengo (monga chimfine, chibayo).
• Magulu othandizira kapena uphungu. Mungakumane ndi malingaliro osiyanasiyana pamene mukuzolowera kukhala ndi PH.
• Mapulani oyendera. Mungafunike kusamala kwambiri ngati mukuyenda pandege. Muyeneranso kusamala mukamayenda m'malo okwera kwambiri.

Ndi kusintha kotani kwa zakudya komwe ndiyenera kuchita?

Dokotala wanu adzakupatsani malangizo enieni. Chinthu chimodzi chofunikira ndi kuchepetsa kudya mchere (sodium). Izi zikutanthauza:

• Siyani kuwonjezera mchere patebulo ndikugwiritsa ntchito "mchere wokometsera."
• Pewani nyama ndi nsomba zosuta, zamchere, komanso zam'chitini.
• Sankhani zakudya zomwe zalembedwa kuti "sodium yochepa" (mchere wotsika).
• Chepetsani kudya zakudya zofulumira komanso zakudya zoti mutenge.

Zosintha zina pa zakudya:

• Idyani zakudya zambiri zokhala ndi ulusi wambiri (tirigu wonse, chimanga, zipatso, ndiwo zamasamba).
• Idyani zakudya zokhala ndi potaziyamu wambiri (mphesa zouma, nthochi, malalanje).
• Idyani zakudya zokhala ndi magnesium yambiri (mtedza, tofu, broccoli).
• Chepetsani kudya zakudya zokhala ndi shuga woyengedwa bwino, mafuta okhuta, ndi cholesterol.

Ndiyenera kupita kwa dokotala liti?

Lankhulani ndi dokotala wanu ngati muli ndi mafunso awa:

• Kugunda kwa mtima mwachangu (kugunda kwa mtima kopitilira 120 pa mphindi).
• Ngati muli ndi matenda opumira kapena chifuwa chikukulirakulira.
• Ngati nthawi zambiri mumadzimva chizungulire kapena kukomoka.
• Kupweteka pachifuwa kapena kusasangalala ndi masewera olimbitsa thupi.
• Kutopa kwambiri kapena kulephera kuchita ntchito zachizolowezi.
• Kusanza kapena kusowa chilakolako cha chakudya.
• Kusakhazikika kapena kusokonezeka.
• Ngati muli ndi vuto lopuma movutikira, makamaka mukadzuka m'mawa.
• Ngati pali kutupa kwakukulu m'makolo, miyendo, kapena m'mimba.
• Ngati mukuvutika kupuma panthawi ya zochita zanu zachizolowezi kapena kungoyima chilili.
• Kulemera (pafupifupi kilo imodzi patsiku, kapena pafupifupi makilogalamu 2.5 pa sabata).

Kodi ndiyenera kupita ku chipinda chadzidzidzi liti (ER)?

Ngati chinthu chonga ichi chichitika, pitani ku chipinda chodzidzimutsa nthawi yomweyo, kapena imbani 1990:

• Ngati kugunda kwa mtima kuli kothamanga kwambiri (kugunda 120-150 pamphindi) ndipo sikuchepetsa liwiro.
• Ngati mutataya chidziwitso ndikukomoka.
• Ngati mukumwa mankhwala opangidwa ndi mtsempha monga prostacyclins kudzera mu catheter ya Hickman, pali zoopsa monga matenda, kuyenda kwa catheter, kutuluka kwa mankhwala, kutuluka magazi, kapena kulephera kwa IV pump.
• Ngati kupuma movutikira sikuchepa ngakhale mutangoyima chilili.
• Ngati mwadzidzidzi mukumva kupweteka kwambiri pachifuwa.
• Ngati mwadzidzidzi mutu wanu wayamba kupweteka kwambiri.
• Ngati mwadzidzidzi mukumva kufooka kapena dzanzi m'miyendo yanu.

Pomaliza, uthenga wofunika kwambiri

Kupezeka ndi matenda a Pulmonary Hypertension (PH) kungakhale kovuta kwambiri. Zimatenga nthawi kuti mumvetse chomwe chikukuchitikirani, zomwe zikuchitika m'thupi lanu, komanso momwe mudzakhalire ndi matendawa mtsogolo. Lankhulani ndi dokotala wanu kuti akuthandizeni. Gwirizanitsani banja lanu ndi anzanu kusintha moyo wanu. Auzeni za vuto lanu. Komanso, pamene mukusintha moyo wanu watsopano, musazengereze kupempha thandizo ndikudalira ena. Simuli nokha. Mutha kuthana ndi vutoli bwino ndi upangiri woyenera wachipatala komanso malingaliro abwino. Kuthamanga kwa magazi m'mapapo, PH, Kuthamanga kwa magazi m'mapapo, Matenda a Mtima, Matenda a M'mapapo, Kuvuta Kupuma, Matenda Opumira