Zowoneka kwambiri, koma nthawi zambiri zitha kupezeka
Ngati mwakhala mukudwala matenda a mtima, muli pachiopsezo chachikulu chakumangidwa mwangozi. Kufa chifukwa cha kumangidwa kwadzidzidzi kwa mtima pambuyo pa matenda a mtima ndi, mwatsoka, kofala kwambiri. Munthu akamangokhalira kumangidwa mwangozi, amafunikanso kugwedezeka ndi magetsi pamtima pang'onopang'ono chifukwa cha mwayi wopulumuka umachepa ndi mphindi iliyonse, ndipo pamapeto pake pamakhala imfa yapachidzidzidzi.
Nkhani Yodziwika
Nayi nthano yamoyo aliyense wamvapo nthawi zambiri:
John, ali ndi zaka zisanu ndi ziwiri, akukhala m'chipindamo akuyang'ana sitcom ndi mkazi wake. John sanawatsogolere moyo wamaganizo, koma vuto la mtima lomwe adakhala nalo mwezi umodzi lapita limamuyitana. "Iwe unali ndi mwayi nthawi ino, John," adokotala anamuuza iye. "Muli ndi vuto lalikulu la mtima, koma kapu yakale ikugwirabe ntchito mokwanira. Mukakonza zochita zanu, mumakhala ndi mwayi wokonzeratu kuti banja latsopanolo lidzakwatirana tsiku lina."
Choncho John wayamba kudya kwambiri, ayamba kuchita masewera olimbitsa thupi pansi pa diso loyang'anira pulogalamu ya kukonzanso mtima , amamwa mankhwala onse omwe dokotala wake wamupatsa kuti athandize mtima wake kuchiritsa komanso kuteteza mtima wina, ndipo kusiya kusuta. Pambuyo pa mwezi wokha, wataya kale mapaundi asanu ndipo akuyenda pafupifupi mailosi pa tsiku. Amamverera bwino-bwino komanso mwamphamvu-kuposa momwe amachitira zaka zambiri. Amatsamira pamutu wake wosavuta ndi kumwetulira. Iye amauza mkazi wake kuti, "Ukudziwa kuti vutoli limakhala chinthu chabwino kwambiri chimene chinandichitikirapo."
Iye akuyankha, "Inu simukukayikira kunena kuti simunayambe mwanyumba yanyumba mkati mwa mwezi umodzi."
Amayembekeza kubwerera kwa John koma alibe. Amayang'ana mwamuna wake ndipo amadabwa kuona kuti wagona pampando wake, osadziwa kanthu. Kuyesera kwake kumudzutsa iye sikulephera. Akufulumira kuitana 911, komabe ngakhale athandizidwa ndi odwala opaleshoni omwe amafika patadutsa mphindi 10, John amwalira.
John wakhala akugwidwa mtima, ndipo chifukwa choyesera kumuukitsa iye analibe ntchito, chigawocho chinatha ndi imfa yake. Imfa ya mwadzidzidzi imanena miyoyo ya anthu pafupifupi 325,000 ku United States chaka chilichonse.
Imfa Yachimwendo Mwadzidzidzi
Ambiri omwe amazunzidwa ndi imfa ya modzidzimutsa amakhala ndi masabata, miyezi, kapena zaka zisanachitike. Kuwopsa kwa mtima, mtundu woopsa kwambiri wa matenda opatsirana , kumapangidwa pamene mitsempha yamatenda imayamba mwadzidzidzi, kawirikawiri chifukwa cha kuphulika kwa chida cha mitsempha, motero kumayambitsa imfa ya minofu ya mtima.
Minofu ya mtima yowonongeka pamapeto pake imachiza matenda a mtima, koma nthawi zonse imakhala ndi chilonda chokhalitsa. Gawo lopweteka la mtima lingathe kukhala lamphamvu komanso lokhazikika mothandizidwa ndi magetsi kuti liwononge moyo wamtima wotchedwa ventricular tachycardia. Mwamwayi, awa arrhythmias akhoza kuchitika mwadzidzidzi, popanda chenjezo chilichonse, ndipo anthu akhoza kuwapeza ngakhale chirichonse chikuwoneka chikuyenda bwino kuchokera kuchipatala-monga mu nkhani ya Yohane. Chigamulochi chimatha kutsogolera mtima mwamsangamsanga, umene umabweretsa imfa.
Kuopsa kwa Katemera Wodzidzimutsa Kumathamangitsidwa Pambuyo pa Kugonjetsa Mtima
Kuopsa kwa kumangidwa kwadzidzidzi kwa mtima mutakhala ndi matenda a mtima kwambiri m'miyezi isanu ndi umodzi mutatha kudwala matenda a mtima. Anthu makumi asanu ndi awiri mphambu zisanu ndi atatu mwa anthu omwe ali ndi mtima wamodzi mwadzidzidzi anamangidwa ndi mtima.
Mavuto aakulu kwambiri amapezeka mwa anthu amene apulumuka kale kumangidwa kwa mtima ndipo akhala akutsitsimutsidwa bwino. Anthuwa ali ndi mwayi wazaka 20 peresenti ya kumangidwa kwa mtima wina. Kuopsa kwake kumakhalanso kovuta kwambiri pakati pa anthu omwe amamva kupwetekedwa mtima kwa mtima, ndiko kuti, omwe akuvutika ndi mtima kumabweretsa mavuto ambiri ammimba.
Mphutsi Yopweteka
Njira imodzi yabwino yomwe imasonyeza kulemera kwake ndi gawo la ejection , muyeso kuti mudziwe momwe mtima wanu ukupopera magazi. Pamene mukusowa kwambiri, patsani chigawo cha ejection. Pambuyo pa matenda a mtima, omwe ali ndi kachigawo kakang'ono ka ejenti pamwamba pa 40 peresenti (kachigawo kakang'ono ka ejection ndi 50 peresenti kapena apamwamba) akuwoneka kuti ali ndi chiwopsezo chochepa chakufa mwadzidzidzi. Kuopsa kwa imfa yodzidzimutsa kumawonjezeka ndi tizigawo ting'onoting'ono ta ejection ndipo kumakhala kwakukulu kwambiri ndi 30 peresenti kapena pansi. Pachifukwa ichi, aliyense amene ali ndi matenda a mtima ayenera kukhala ndi tizigawo timene timapangidwira.
Mmene Mungachepetsere Vuto Lanu la Katemera Wokhadzidzimutsa Akamenyedwa Pambuyo pa Kugonjetsa Mtima
Kuopsa kwa imfa mwadzidzidzi mutatha kupweteka kwa mtima kungachepe kwambiri ndi mitundu iwiri yosiyanasiyana:
- Mankhwala ochiritsira omwe akuphatikizapo beta blockers, ACE inhibitors, ndi mankhwala a statin.
- Kuzindikira anthu omwe ali pachiopsezo chachikulu ngakhale kuti akuchipatala, komanso akuganiza za anthu omwe ali ndi ma cardioverter defibrillator (ICD) .
Mankhwala Ochepetsa Kuopsa Kwambiri Kachimake Kumangidwa
Beta-blockers, ACE inhibitors, ndi statins onse asonyezedwa kuti achepetse chiopsezo chofa pambuyo pa matenda a mtima. Ngakhale kuchepetsa kuchepa kwa imfa kumakhudzana ndi kuchepetsa mwayi wokhala ndi mtima wolephera kapena kupwetekedwa kwa mtima, mankhwalawa amachepetsanso chiopsezo cha kumangidwa kwa mtima ndi imfa mwadzidzidzi. Onse opulumuka ku matenda a mtima ayenera kuikidwa pa mankhwalawa pokhapokha pali chifukwa chabwino kwambiri chosayenera.
Kutsegula Magalimoto Opatsirana Magetsi (ICD) Kuchepetsa Kuopsa Kwambiri Kogwira Mtima Kwambiri
Ngakhale kuti mankhwalawa akugwiritsidwa ntchito, anthu ena amatha kufa chifukwa chakumangidwa kwa mtima. Mutha kukhala woyenera kwa ICD ngati zotsatirazi zili zoona:
- Mwayamba kumangidwa mwangozi, mtima, kapena ventricular arrhythmia
- Muli ndi matenda akuluakulu a QT
- Muli ndi matenda a mtima wamba kapena zochitika zina zomwe zingabweretse kumangika mtima mwamsanga
Maphunziro a zachipatala asonyeza kuti mulimonse mwa izi, kukhala ndi ICD kungathandize kutsekera kumbuyo kwa mtima.
> Zotsatira:
> American Heart Association. Kupweteka kwa Ejection Mtima Kusalephera Kuyeza. Idasinthidwa pa October 13, 2017.
> American Heart Association. Chokhazikika Chojambula Chojambula Magetsi (ICD). Idasinthidwa pa December 21, 2016.
> Kliniki ya Cleveland. Imfa Yachimwibwila Mwadzidzidzi (Kumangidwa Kwadzidzidzi kwa Katemera): Zowopsa.
> National Heart, Lung, ndi Blood Institute. Kodi Imfa Imakhala Bwanji Chifukwa Chomangidwa Kachilombo Kogwiritsidwa Ntchito? Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Idasinthidwa pa June 22, 2016.