Kodi munayamba mwamvapo ngati chifuwa chanu chayamba kugunda mwadzidzidzi popanda chifukwa? Kapena kumva kwachilendo ngati mtima wanu waima kenako n’kuyambanso? Kwa anthu ena, izi zimamveka ngati kayimbidwe ka mtima wanu kakusokonezeka. M’mawu azachipatala, timatcha izi kuti kugunda kwa mtima kosakhazikika, kapena 'arrhythmias'. Ngakhale izi ndizofala kwa anthu ambiri, nthawi zina zimakhala zovuta. Chifukwa chake, pali mtundu wapadera wa mankhwala omwe madokotala amapereka kuti abwezeretse kayimbidwe ka mtima kameneka. Ndicho chimene tikambirana m’nkhaniyi lero, mosavuta komanso m’njira yomwe mungamvetse.
Choyamba, tiyeni tiwone kuti kugunda kwa mtima kosakhazikika kumeneku (arrhythmia) ndi chiyani.
Kuti timvetse izi, choyamba tiyenera kudziwa pang'ono za momwe mtima umagwirira ntchito. Tangoganizani kuti mtima wanu ndi pampu yoyendetsedwa ndi makina ang'onoang'ono amagetsi. Makina amagetsi awa ndi omwe amapatsa minofu ya mtima zizindikiro zoti igwire, kutanthauza kuti igwire. Mtima ukagwira ndikukulirakulira motere, magazi amapopedwa m'thupi lonse. Timatcha izi kuti kugunda kwa mtima. Ndiye, chimachitika ndi chiyani ngati pali vuto kapena vuto mu makina amagetsi omwe ndatchulawa? Kenako kamvekedwe ka kugunda kwa mtima kamasokonekera. Izi zikutanthauza:
- Kugunda kwa mtima kungakwere kwambiri. (Timatcha izi Tachycardia)
- Kugunda kwa mtima kumatha kuchepa kwambiri (izi zimatchedwa bradycardia).
- Mtima ukhoza kugunda mosagwirizana, popanda kayimbidwe kalikonse.
Nthawi zambiri timatcha vuto lililonse lotere
kuti arrhythmia .
Atrial Fibrillation ,
Atrial Flutter , ndi
Ventricular Tachycardia ndi zina mwa mitundu yofala kwambiri ya zolakwika zotere.
Ndiye kodi izi ndi zotani zotsutsana ndi arrhythmics?
Mwachidule, mankhwala oletsa kupweteka kwa mtima ndi mankhwala omwe amaperekedwa kuti athetse, ateteze, ndikuchiza matenda a mtima omwe atchulidwa pamwambapa. Mankhwalawa makamaka amakonza vuto la magetsi a mtima ndikubwezeretsa mtima ku kayendedwe kabwinobwino komanso kathanzi. Mankhwalawa amagwira ntchito m'njira ziwiri: 1. Amaletsa zizindikiro zamagetsi zosazolowereka zomwe zimapangidwa mumtima. 2. Amaletsa kapena kuwongolera zizindikiro zamagetsi zothamanga kwambiri kuti zisadutse mu minofu ya mtima. Nthawi zambiri, mankhwala awa amaperekedwa kwa inu ndi dokotala ngati mapiritsi oti mumwe tsiku lililonse. Komabe, nthawi zina zadzidzidzi, ngati wodwalayo sangathe kumwa mapiritsi kapena ngati vuto lake ndi lalikulu, amaperekedwanso ngati mankhwala a m'mitsempha (IV).
Kodi mankhwala awa amagwira ntchito bwanji? Tiyeni tiwone.
Mankhwala oletsa kupweteka kwa mtima awa si ofanana. Amagawidwa m'magulu akuluakulu angapo kutengera momwe amagwirira ntchito. Dokotala wanu adzasankha mankhwala oyenera kwambiri kutengera mtundu wa vuto lomwe muli nalo komanso chifukwa chake. Tiyeni tiwone mitundu yayikuluyi ndi momwe imagwirira ntchito.
| Gulu la Mankhwala Osokoneza Bongo | Momwe imagwirira ntchito ndi yosavuta. | Zitsanzo zina |
|---|
| Kalasi Yoyamba - Zoletsa za Sodium Channel | Zimaletsa sodium kulowa m'maselo a mtima. Izi zimachepetsa liwiro lomwe zizindikiro zamagetsi zimayendera mumtima. | Disopyramide, Flecainide, Propafenone, Quinidine |
| Gulu Lachiwiri - Oletsa Beta | Zimaletsa mphamvu ya mahomoni monga adrenaline, kuchepetsa kugunda kwa mtima ndikuchepetsa kuthamanga kwa magazi pamtima. | Mankhwala ena ndi Atenolol, Bisoprolol, Metoprolol, Propranolol. |
| Gulu Lachitatu - Zoletsa Potassium Channel | Imalamulira kutuluka kwa potaziyamu m'maselo a mtima. Izi zimathandiza kuti dongosolo lamagetsi la mtima likhale lolimba. | Amiodarone, Sotalol, Dofetilide |
| Gulu IV - Zoletsa za Calcium Channel | Zimaletsa calcium kulowa m'maselo a minofu ya mtima. Izi zimachepetsa liwiro ndi mphamvu ya kukomoka kwa mtima. | Diltiazem, Verapamil |
| Mankhwala ena oletsa kupweteka kwa mtima | Pali mankhwala ena omwe sagwera m'gululi koma amachita ntchito yomweyo. Adenosine imayimitsa zizindikiro zamagetsi za mtima kwakanthawi kenako n’kuziyambitsanso. Digoxin imachepetsa kugunda kwa mtima. | Adenosine, Digoxin |
Kodi ubwino wogwiritsa ntchito mankhwalawa ndi wotani?
Ngati muli ndi vuto la kusakhazikika kwa mtima (arrhythmia), mankhwala awa angathandize kwambiri kuchepetsa kusasangalala komwe mukumva. Angathandizenso kupewa mavuto akuluakulu omwe angabwere chifukwa cha vutoli. Zizindikiro zazikulu zomwe mankhwalawa amaletsa ndi izi:
Zizindikiro zimenezi zikathetsedwa, moyo wanu watsiku ndi tsiku umakhala wosavuta. Mankhwalawa amathandizanso kuchepetsa chiopsezo cha matenda aakulu monga
kulephera kwa mtima ,
kulephera kwa mtima, komanso
sitiroko .
Tiyeni tidziwenso zoopsa ndi zotsatira zake, eti?
Monga mankhwala ena aliwonse, mankhwala oletsa kupweteka kwa mtima awa akhoza kukhala ndi zoopsa zina komanso zotsatirapo zake. Ndikofunikira kwambiri kudziwa izi.
Chofunika kwambiri ndichakuti mankhwala awa nthawi zina angayambitse mitundu yatsopano ya kusakhazikika kwa kugunda kwa mtima . Izi zikutanthauza kuti, kumwa mankhwala a arrhythmia imodzi kungayambitse ina. Chifukwa chake, ndikofunikira kugwiritsa ntchito mankhwalawa moyang'aniridwa ndi dokotala, mu mlingo wovomerezeka, komanso panthawi yovomerezeka.
Dokotala wanu ndi katswiri wa matenda a mtima adzakuyang'anirani nthawi zonse. Ngati mutakhala ndi zizindikiro zatsopano, angasankhe kusintha mlingo wa mankhwala anu kapena kukusinthani ndi mankhwala ena.
Zotsatira zoyipa zomwe zimawonedwa kawirikawiri:
Anthu ena angakumane ndi zotsatirapo zoyipa ngati izi akamamwa mankhwalawa:
- Kudzimbidwa
- Chizungulire
- Ludzu lopitirira muyeso
- Kusintha kwa khungu ( kufiira , kuuma)
- Mutu
- Kusanza
- Kumva kulira m'makutu (tinnitus)
- Kumva kutentha kwa dzuwa (khungu limasanduka lofiira mosavuta)
- Kutupa
- Kuvuta kukodza
- Kusintha kwa masomphenya
- Ngati muli ndi mphumu, ikhoza kukulirakulira.
Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo.
Kuchuluka kwa mankhwala osokoneza bongo
Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera . Kumwa mankhwala ochulukirapo kungakhale koopsa kwambiri. Kumwa mankhwala ochulukirapo kungayambitse matenda aakulu monga:
- Chisokonezo
- Kuwonongeka kwa minofu ya mtima
- Kuima kwa Kupuma
- Kupumula
- Kugwidwa ndi khunyu
- Kugwa mu chikomokere
Ngati inu kapena munthu amene mumamudziwa wamwa mankhwala ochulukirapo,
pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kuti mudziwe zambiri, mutha kuyimbiranso
National Poisons Information Centre ku Colombo National Hospital.
Kodi pangakhale mavuto ndi mankhwala ena? (Kuyanjana kwa mankhwala)
Inde, ndithudi. Mankhwala oletsa kupweteka kwa mtima awa amatha kuyanjana ndi mankhwala ena omwe mukumwa ndikuyambitsa mavuto. Chifukwa chake, dokotala wanu asanakupatseni mankhwala awa, ndikofunikira kuti mumuuze
zonse zomwe mukumwa. Izi zikuphatikizapo:
- Mankhwala a matenda ena
- Mafuta odzola khungu
- Zopumira
- Mankhwala ogulitsidwa kunja kwa sitolo
- Mavitamini, mchere, zakudya zowonjezera
- Ayurveda kapena mankhwala azitsamba etc.
Ngati dokotala wanu akudziwa mankhwala onse omwe mukumwa, akhoza kukupatsani mankhwala otetezeka kwambiri. Komanso, ngati muli ndi pakati kapena mukukonzekera kutenga pakati, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawa.
Ndiyenera kumwa mankhwalawa kwa nthawi yayitali bwanji?
Kawirikawiri mankhwala amenewa amafunika kumwedwa kwa nthawi yayitali. Nthawi zina, angafunike kumwedwa moyo wanu wonse. Muyenera kupitiriza kuwamwa monga momwe dokotala wanu wanenera, bola ngati mankhwalawo akugwira ntchito ndipo mulibe zotsatirapo zoyipa.
Musasiye kumwa mankhwalawa kapena kusintha mlingo pazifukwa zilizonse popanda kufunsa dokotala wanu. Kuchita zimenezi kungapangitse kuti kugunda kwa mtima kwanu kosasinthasintha kukhale koopsa kwambiri.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa kupweteka kwa mtima (antiarrhythmics) ndi mtundu wapadera wa mankhwala omwe amaletsa kugunda kwa mtima kosakhazikika.
- Pali mitundu yambiri ya mankhwala awa, ndipo dokotala wanu adzasankha yomwe ikugwirizana bwino ndi vuto lanu.
- Imwani mankhwalawo pa mlingo ndi nthawi yomwe mwapatsidwa monga mwalangizidwira ndi dokotala wanu. Musawonjezere kapena kuchepetsa mlingo kapena kusiya kumwa nthawi iliyonse.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala a Ayurvedic omwe mukumwa.
- Ngati mukukumana ndi zizindikiro zatsopano kapena zotsatirapo zina pamene mukumwa mankhwalawa, dziwitsani dokotala wanu nthawi yomweyo.
- Ndikofunikira kwambiri kupita kukayezetsa kuchipatala nthawi yake.
Mankhwala oletsa kupweteka kwa mtima, kugunda kwa mtima, kupweteka kwa mtima, kugunda kwa chifuwa, kugunda kwa mtima, ma beta blockers, matenda a mtima, atrial fibrillation, nkhani yachipatala ya Sinhala
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