Docs nthawi zambiri amanyalanyaza sitepe yofunikayi - mwatsoka, mukhoza kuchita nokha
Ndikofunika kuti mudziwe momwe mungayesere nokha kuopsa kwa matenda a mtima.
Nkhani zoipa zokhudzana ndi matenda a mtima ndikuti zimakhalabe zofala kwambiri pakati pathu. Nkhani yabwino ndi yakuti zinthu zomwe zimayambitsa chiopsezo cha matenda a mtima ndizochepa kwambiri. Ife tiri ndi zambiri zoti tizinena za ngati tidzakhala ndi matenda oyambirira a mtima.
Dokotala wanu akuyenera kuti aone ngati ali ndi chiopsezo chanu, ndikuphunzitseni zomwe mukuyenera kuchita kuti muchepetse chiopsezo. Koma, ngakhale kuti akatswiri a zachipatala ndi omwe akuwauza kuti azitha kuchita zimenezi, madokotala ambiri adakali ovuta poyesa kuika chiopsezo, ndipo amakhala oopsa kwambiri pogwiritsa ntchito nthawi yoyenera kuphunzitsa odwala pa njira zoyenera kuti athe kuchepetsa ngozi.
(Zindikirani bwino: Kuchita kafukufuku wodziwika bwino ndi imodzi mwa ntchito zofunika kwambiri dokotala wamkulu yemwe akudwala . Kulephera kuchita chiwopsezo choterechi kungakhale ngati umboni woti dokotala wanu akuchita ntchito yochepa. zinthu zomwe madokotala akuyenera kuziganizira ndi zovuta - izi siziri.)
Mwamwayi, zida ziripo lero kuti muzindikire molondola chiwopsezo chanu chopeza matenda a mtima, popanda kuyembekezera dokotala kuti ayambe kuchitapo kanthu. Ndipo zambiri zowonjezereka zilipo zokhudzana ndi zomwe mungachite ngati chiopsezo chanu chikukwera.
Kuti mudziwe nokha pangozi, ichi ndi chimene muyenera kudziwa
Muyenera kusonkhanitsa mfundo zotsatirazi:
- kaya mumasuta kapena ayi
- mawindo anu onse a HDL ndi a HDL
- magazi anu
- kaya muli ndi matenda a shuga kapena matenda opatsirana
- kaya ndinu olemera kwambiri chifukwa cha msinkhu wanu ndi msinkhu wanu
- kaya achibale apamtima akhala ndi matenda a mtima msanga
Ndi mfundo izi, mukhoza kudziyika nokha ku umodzi mwa magulu atatu: otsika, pakati, kapena apamwamba .
Kuti mukhale pangozi yochepa, zonsezi ziyenera kukhalapo:
- osasamala
- cholesterol wathunthu kuposa 200 mg / dL, cholesterol cha HDL chachikulu kuposa 40 mg / dL
- systolic BP zosakwana 120, diastolic BP zosakwana 80
- palibe umboni wa shuga
- osati kunenepa kwambiri
- Palibe mbiri ya banja ya matenda asanatengeke mtima
Muli m'gulu loopsa ngati muli ndi zotsatirazi:
- matenda odziwika bwino a mitsempha kapena matenda ena
- mtundu 2 wa shuga
- a zaka zoposa 65 ali ndi zifukwa zingapo (zoopsa)
Ndipo inu muli mu gulu lachiswe ngati simukugwirizana nawo m'magulu otsika kapena oopsa.
Ngati muli pa chiopsezo chachikulu, simukusowa thandizo linalake lapadera la zamankhwala kuti muchepetse chiopsezo chanu, kupatula mwinamwake kuti muphunzitse nthawi zonse kuti mukhale ndi moyo wathanzi . Pafupifupi 35 peresenti ya akuluakulu a ku America amalowa m'gululi.
Ngati muli m'magulu akuluakulu, dokotala wanu ayenera kulingalira mwakuya pa njira zoyenera zomwe zatsimikiziridwa kuti kuchepetsa chiopsezo cha mtima ndi imfa, monga mankhwala a statin , beta blockers , ndi / kapena aspirin . Kuonjezera apo, dokotala wanu angafunike kusokonezeka maganizo / kufufuza kuti aone ngati mungakhale ndi matenda amtundu wambiri wamthupi.
Pafupifupi 25 peresenti ya akuluakulu a ku America ali m'gulu loopsa kwambiri. Pano pali zambiri zomwe mungachite ngati muli pachigawo choopsa .
Ngati muli m'gulu la anthu omwe ali ndi chiopsezo, muyenera kutenga njira zowononga kuti musinthe zinthu zomwe zingakupangitseni kuti musatulukidwe. Komanso, muyenera kukambirana ndi dokotala ngati mukuyenera kuyesedwa kuti muwonetsere chiopsezo chanu molondola. Kuyezetsa kotereku kungaphatikizepo kukhala ndi mlingo wa CR-reactive protein (CRP) , ndipo mwinamwake kupeza calcium scan . Pafupifupi 40% a akuluakulu a ku America ali m'gulu lamasewera.
Kachiwiri, ngati dokotala wanu sanachite kafukufuku wowopsa wa mtima, muyenera kulingalira za chiopsezo chanu.
Ndipo, ngati chiwopsezo chanu chikuwonekera kukhala chapakati kapena chapamwamba, muyenera kuyankhula ndi dokotala wanu za kutenga nkhanza zoteteza matenda a mtima.
> Zotsatira:
> Lloyd-Jones DM, Larson MG, Beiser A, Levy D. Nthawi yowopsa ya moyo wa matenda a mtima. Lancet 1999 Jan 9; 353 (9147): 89-92.