Tangoganizani mukukwera masitepe, kapena kuyenda pang'ono mwachangu. Mwadzidzidzi, mukumva kupsinjika pakati pa chifuwa chanu, ngati kuti wina akukwera pachifuwa chanu, kupanikizika, ndi kupweteka. Koma chodabwitsa ndichakuti, mukasiya zomwe mukuchita ndikukhala pansi kwakanthawi, ululuwo umatha kwathunthu mkati mwa mphindi zochepa. Kodi mwakumanapo ndi izi? Ndiye izi zitha kukhala Stable Angina . Musachite mantha mukamva izi. Ichi ndi chizindikiro chaching'ono chomwe mtima wanu ukukupatsani. Tiyeni tikambirane izi momveka bwino komanso mosavuta.
Mwachidule, kodi Stable Angina ndi chiyani?
Angina yokhazikika si matenda enieni, ndi chizindikiro. Kunena zoona, ndi chizindikiro chachikulu cha matenda a mtima otchedwa Coronary Artery Disease (CAD), omwe amayamba chifukwa cha kutsekeka kwa mitsempha yamagazi yomwe imapereka magazi kumtima.
Taganizirani mtima wathu ngati injini yomwe imagwira ntchito mosalekeza. Injini iyi imafunika magazi oyera komanso okosijeni nthawi zonse kuti igwire ntchito. Magazi awa amatengedwa kupita kumtima kudzera m'machubu ang'onoang'ono otchedwa mitsempha ya mtima. Pakapita nthawi, zinthu monga cholesterol kuchokera muzakudya zomwe timadya zimayamba kusonkhana mkati mwa machubu awa. Zili ngati moss yomwe imamera mkati mwa chitoliro chamadzi. Timatcha izi 'plaque' . Chingwe ichi cha plaque chimachepetsa kuyenda kwa magazi pang'onopang'ono.
Tsopano, mukakhala bwino, mukupumula, mtima wanu umakhala ndi magazi okwanira kuti mudutse munjira yopapatizayi. Koma mukamachita masewera olimbitsa thupi, kuyenda mofulumira, kukwera masitepe, kapena kupsinjika, mtima wanu uyenera kugwira ntchito molimbika kuposa masiku onse. Kenako mtima umapempha mpweya wochulukirapo. Koma mitsempha yamagazi yopapatizayo singathe kupatsa mtima magazi owonjezera omwe umafuna. Panthawiyo, minofu ya mtima imafuula kuti, "Tilibe mpweya wokwanira." Kufuula kumeneko ndi komwe timamva ngati kupweteka pachifuwa.
Izi zimatchedwa "Stable" chifukwa momwe ululuwu umachitikira zimachitika mwanjira inayake.
- Kawirikawiri zimachitika mukamachita chinthu chotopetsa.
- Ululu umamveka chimodzimodzi nthawi zonse.
- Zimatha pambuyo popuma pang'ono, ngati mphindi 5.
Kodi angina yokhazikika imamva bwanji?
Ngakhale izi zimasiyana malinga ndi munthu, pali zizindikiro zina zomwe zimafala. Tiyeni tiwone zomwe zili.
| Chizindikiro | Momwe zimamvekera |
|---|---|
| Kupweteka pachifuwa kapena kusasangalala | Izi zili ngati ululu waukulu, kupsinjika pachifuwa, ngati kulemera pachifuwa, ndipo kwa ena, zimatha kumveka ngati kutupa m'mimba (monga gastritis). |
| Kufalitsa ululu | Kawirikawiri, ululu umayamba pakati pa chifuwa ndipo ukhoza kufalikira mpaka ku phewa lamanzere, kutsika mkono wakumanzere, mpaka pakhosi, nsagwada, kapena kumbuyo. |
| Kuvuta kupuma | Pamodzi ndi kupweteka pachifuwa, mungamve kuvutika kupuma ndikumva ngati mukutsamwa. |
| Zina mwazinthu | Anthu ena amathanso kukhala ndi chizungulire, nseru, komanso kutopa. |
Chifukwa chiyani izi zimachitika? (Zoyambitsa ndi zoyambitsa)
Monga tafotokozera kale, chifukwa chachikulu cha angina yokhazikika ndi matenda a mitsempha ya mtima (CAD) , omwe ndi kuchepa kwa mitsempha yamagazi mumtima. Komabe, vutoli likhozanso kuchitika chifukwa cha zinthu zina zingapo.
- Kulephera kwa mtima pambuyo pa matenda a mtima
- Mavuto a valavu ya mtima
- Mavuto a mtima
- Hyperthyroidism
- Kuchepa kwa hemoglobin m'magazi (Anemia)
Matenda Oyambitsa Angina
Ngakhale kuti chifukwa cha vutoli ndi chamkati, pali zinthu zina zomwe zingayambitse ululu. Timazitcha 'zoyambitsa'.
- Kuchita masewera olimbitsa thupi: Zinthu monga kuyenda mofulumira, kukwera masitepe, ndi kunyamula zolemera.
- Kupsinjika maganizo: Maganizo amphamvu monga mkwiyo wopitirira muyeso, chisoni, ndi nkhawa.
- Kusintha kwadzidzidzi kwa kutentha: Kuchoka pamalo otentha kwambiri kupita ku chipinda chozizira kwambiri (AC).
- Kudya chakudya cholemera: Anthu ena angavutike ndi izi ngakhale atadya chakudya chokwanira.
Kodi mungachite chiyani ngati mutadwala angina? Kodi mankhwala ake ndi otani?
Ngati muyamba kumva kupweteka kwa angina, musachite mantha ndipo choyamba chitani izi.
1. Siyani zomwe mukuchita: Ngati mukuyenda kapena mukuchita china chake, siyani nthawi yomweyo.
2. Khalani pansi kapena mugone pansi: Pumulani mwa kukhala pampando kapena kugona pabedi.
3. Gwiritsani ntchito mankhwala omwe dokotala wanu wakupatsani: Ngati dokotala wanu wakupatsani piritsi la nitroglycerin kapena spray, ikani pansi pa lilime lanu. Izi zimakulitsa mitsempha yamagazi mumtima mwanu kwakanthawi, zomwe zimapangitsa kuti magazi aziyenda mosavuta kupita kumtima mwanu.
Kawirikawiri, ululu uyenera kutha kwathunthu mkati mwa mphindi 5 mutapuma ndikumwa Nitroglycerin. Ngati zimenezo sizikugwira ntchito, dokotala wanu adzakhala atakupatsani malangizo a zomwe mungachite. Ndikofunikira kutsatira malangizo amenewo molondola.
Iyi ndi njira yothetsera vuto la angina kwa nthawi yayitali. Kuti muchepetse angina kwa nthawi yayitali, dokotala wanu adzakupatsani mankhwala ena oti mumwe tsiku lililonse. Mwachitsanzo, beta-blockers , nitroglycerin yotulutsidwa nthawi yayitali , kapena ranolazine .
Komanso, chithandizo chikufunika kuti muchiritse chomwe chimayambitsa angina (CAD). Izi zingaphatikizepo kuyika chipangizo chaching'ono chonga mesh (stent) mu mtsempha wamagazi kuti muwonjezere kutsekeka, kapena opaleshoni yodutsa magazi . Dokotala wanu adzasankha chithandizo chomwe chili chabwino kwa inu ndikukufotokozerani.
Kodi tiyenera kuchita chiyani kuti tidziteteze ku vutoli?
Njira yabwino yopewera angina yokhazikika ndi kuchepetsa chiopsezo chotenga matenda a mitsempha ya mtima (CAD), chomwe chimayambitsa matendawa. Izi zikutanthauza kusintha moyo wanu.
Moyo wathanzi wa mtima ndi mankhwala amphamvu kwambiri kuposa mankhwala.
- Zakudya zabwino pamtima: Chepetsani zakudya zokhala ndi mafuta ambiri, mchere, ndi shuga momwe mungathere. M'malo mwake, onjezerani ndiwo zamasamba, zipatso, nyemba, nsomba zazing'ono, ndi zakudya zokhala ndi ulusi wambiri (mpunga wofiirira, oats) muzakudya zanu.
- Kuchita masewera olimbitsa thupi nthawi zonse: Chitani masewera olimbitsa thupi osavuta, monga kuyenda kwa mphindi zosachepera 30 patsiku. Komabe, ngati muli ndi angina, ndikofunikira kufunsa dokotala wanu masewera olimbitsa thupi omwe akuyenererani.
- Kuthana ndi matenda ena: Ngati muli ndi kuthamanga kwa magazi, matenda a shuga, kapena cholesterol yokwera, imwani mankhwala omwe dokotala wanu wakupatsani ndipo thanani ndi matendawo bwino.
- Siyani kusuta konse: Ngati mukusuta, siyani lero. Ndi ntchito yaikulu kwambiri yomwe mungachitire mtima wanu.
- Chepetsani kupsinjika maganizo: Khalani ndi thanzi labwino la maganizo mwa kuchita zinthu monga kusinkhasinkha, yoga, kumvetsera nyimbo, ndi kuchita zinthu zomwe mumakonda.
Kodi tiyenera kupita kwa dokotala liti?
Ngati mukumva kupweteka pachifuwa kapena kusasangalala kotereku koyamba m'moyo wanu, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo. Dokotalayo adzakuyesani ndipo, ngati kuli kofunikira, adzakulamulani mayeso ngati awa.
| Mayeso | Mwachidule... |
|---|---|
| Kuyezetsa magazi | Yang'anani ngati pali kuwonongeka kulikonse kwa mtima, komanso momwe cholesterol ndi shuga wanu zilili. |
| ECG (Electrocardiogram) | Ntchito yamagetsi ya mtima imajambulidwa kuti ione ngati pali vuto. |
| Mayeso a Kupsinjika Maganizo (ECG Yochita Masewera Olimbitsa Thupi) | ECG imatengedwa munthu akuyenda pa treadmill, poona momwe mtima umayankhira munthu akachita khama. |
| Angiography ya Mitsempha ya M'khosi | X-ray yapadera imagwiritsidwa ntchito pofufuza molondola ngati mitsempha yamagazi ya mtima yatsekeka. |
| Kujambula kwa CT | X-ray yogwiritsidwa ntchito pa kompyuta imatenga zithunzi za mtima ndi mitsempha yamagazi mwatsatanetsatane. |
Zadzidzidzi! Kodi muyenera kupita ku ETU (Emergency Treatment Unit) liti limodzi?
Ngakhale kwa munthu amene ali ndi angina yokhazikika, vutoli nthawi zina likhoza kukhala lalikulu. Izi zitha kukhala chizindikiro cha angina yosakhazikika kapena matenda a mtima . Pazochitika zotsatirazi, pitani ku chipinda chadzidzidzi (ETU) cha chipatala mwamsanga kapena imbani ambulansi 1990.
| Khalidwe la chiopsezo | Zoyenera kuchita |
|---|---|
| Ngati ululu sutha ngakhale mutatenga nitroglycerin (kapena ngati kuchuluka kwa milingo yomwe dokotala wakupatsani sikukwanira). | Pitani ku ETU nthawi yomweyo. |
| Ngati ululu uli woipa kwambiri kuposa masiku onse, kapena ngati wachepa kenako n’kubwereranso . | Pitani ku ETU nthawi yomweyo. |
| Ngati ululu umachitika ngakhale mutapumula (popanda kuchita khama). | Pitani ku ETU nthawi yomweyo. |
| Ngati ululuwo ukumveka mosiyana ndi masiku onse (monga ngati ukutsagana ndi thukuta, thukuta kwambiri, kapena kusanza). | Pitani ku ETU nthawi yomweyo. |
Angina yokhazikika si matenda a mtima. Koma ndi chenjezo lamphamvu kuti matenda a mtima atsala pang'ono kuchitika. Choncho musanyalanyaze chizindikiro ichi.
Ndi zachilendo kukhala ndi mantha komanso nkhawa nthawi zina mukakhala ndi vutoli. Kambiranani momasuka ndi dokotala wanu za vutoli. Iye adzakupatsani chithandizo ndi upangiri womwe mukufuna. Pali zinthu zambiri zomwe mungachite kuti muteteze mtima wanu.
Uthenga Wopita Nawo Kunyumba
- Angina yokhazikika ndi kupweteka pachifuwa komwe kumachitika ndi kuchita khama ndipo kumatha ndi kupuma, ndipo kumakhala ndi mawonekedwe akeake.
- Ichi ndi chizindikiro cha matenda a mtima (CAD), osati matenda a mtima. Koma ndi chizindikiro champhamvu cha matenda a mtima.
- Mpumulo ndi mankhwala a nitroglycerin omwe dokotala wakupatsani nthawi zambiri amachepetsa ululu.
- Ngati mukumva kupweteka pachifuwa koyamba, kapena ngati ululuwo ndi wosiyana ndi wachizolowezi, woopsa, kapena umachitika ngakhale mutapuma, pitani ku Dipatimenti Yodzidzimutsa (ETU) nthawi yomweyo.
- Mungathe kukhala ndi moyo wathanzi mwa kutsatira njira yothandiza pa matenda a mtima ndikutsatira chithandizo chomwe dokotala wanu wakupatsani.
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