Kodi ndi zoona kuti kuchepetsa kuthamanga kwa magazi kungakuthandizeni kusintha mtima wanu, ndipo ngati ndi choncho, muyenera kumwa mankhwala otani a magazi?
Kusokonezeka kwa Diastolic ndi Hypertension
Kulephera kwa diastolic ndi mtundu wa matenda a mtima omwe minofu ya mtima imakhala "yowuma," zomwe zimachepetsa mphamvu ya mtima yodzazidwa ndi magazi pakati pa zipsinjo za mtima.
Kusokonezeka kwa diastolic kumakhudzana ndi mikhalidwe ingapo kuphatikizapo matenda a hypertension , hypertrophic cardiomyopathy , aortic stenosis , matenda a mitsempha ya matenda , shuga , kunenepa kwambiri, ndi moyo wokhalapo. Ngati kupweteka kwa diastolic kumakhala kokwanira, mtima ungathe kukula pamapeto pake.
Anthu omwe ali ndi matenda oopsa kwambiri amakhala okhudzidwa kwambiri ndi mitsempha ya mtima - matenda omwe amatchedwa "hypertrophy" - omwe amachititsa kuti matenda a diastolic asamayende bwino. Komanso, monga adokotala akuuzani, kuchiza matenda oopsa kwambiri kwawonetseredwa kuti kuchepetsa kufooketsa mtima kuchokera kuzinyalala za diastolic.
Ndipotu, mankhwala ena omwe amagwiritsidwa ntchito pochizira matenda aumphawi awonetsedwa kuti amatsitsimutsa kwambiri matenda a mtima, ndipo amachititsa kuti matenda a diastolic asasokonezeke.
Kodi Ndi Mankhwala Osokoneza Matenda Angomwe Amakhala "Oposa" Chifukwa cha Kuwonongeka kwa Diastolic?
Pali mankhwala ambiri omwe angasankhe pochiza matenda oopsa , ndipo si onse omwe amagwira bwino ntchito yowonjezera kutaya kwa diastolic.
Mayesero ambiri a chipatala akhala akuchitidwa kwa zaka zambiri kuti apeze mankhwala omwe amachititsa kuti magazi asatengedwe kwambiri, motero, kuchepetsa kutaya kwa diastolic:
Kufufuza kwa meta komwe kunaphatikizapo mayesero makumi asanu ndi atatu (80) akuyesa kulandira zotsatira za zotsatirazi. Ngakhale magulu akuluakulu a mankhwala omwe amagwiritsidwa ntchito pochiza matendawa anali othandiza kuchepetsa matenda a mtima, magulu omwe anali othandiza kwambiri pankhaniyi anali awa:
- ACE inhibitors
- Angiotensin II receptor blockers (ARBs)
- Makanema a calcium
Mankhwalawa m'kalasiyi adachepetsanso mtima wa pakati pa 10 ndi 13%. Choncho, pogwiritsa ntchito kafukufuku wochulukirapo, magulu atatuwa a mankhwalawa anali othandiza kwambiri pakusintha chikhalidwe chomwe chimayambitsa matenda osokoneza bongo. Diuretics ndi beta blockers - magulu awiri akuluakulu a mankhwala omwe amagwiritsidwa ntchito pochiza matenda - amachititsanso kuti asinthe matenda oopsa kwambiri, komabe pazifukwa zochepa.
Ngakhale kuti zotsatirazi ndi zosangalatsa, tiyenera kuzindikira kuti maphunzirowa sanapangidwe kuti azindikire kusiyana kulikonse pakati pa mankhwalawa - zosiyana ndi zomwe zimakhudza zokhudzana ndi hypertrophy. Zimaganiziridwa, koma sizinatsimikizidwe, kuti kuchepetsa kupatsirana kwa mtima kwa anthu okhala ndi matenda osokoneza bongo kumabweretsa zotsatira zabwino.
Mfundo Yofunika Kwambiri
Kulephera kwa diastolic ndilofunika kwambiri zomwe zingayambitse mtima. Chifukwa chakuti kuthamanga kwa magazi (kuphatikizapo kunenepa kwambiri, kukhala pogona, ndi zinthu zina) nthawi zambiri kumapangitsa kuti matenda a diastolic asamayende bwino, komanso kuchiza matenda oopsa kwambiri amathandizanso kuchepetsa vuto la diastolic. Chifukwa chakuti mankhwala ena olimbitsa thupi angakhale abwino kubwezeretsa hypertrophy kusiyana ndi zina zomwe madokotala ayenera kuziganizira pamene akupereka mankhwala opatsirana kwambiri.
Kotero dokotala wanu akuwoneka akukupatsani uphungu wabwino kwambiri wa zachipatala, ndipo muyenera kumagwira nawo ntchito kuti muzitha kuyendetsa magazi. Komabe, kumbukirani kuti kuchiza matenda oopsa kwambiri ndi chinthu chofunika kwambiri. Ngati izi zingatheke ndi mankhwala omwe ali bwino kuchepetsa hypertrophy, zabwino. Koma ngati sichoncho, chomwe chiri chofunikira kwambiri ndiko kupeza mphamvu ya kuthamanga kwa magazi, ndi mankhwala alionse kapena mankhwala omwe ndi othandiza kwambiri komanso omwe amavomerezedwa bwino payekha.
> Zotsatira:
> Davis BR, Kostis JB, Simpson LM, et al. Mtima Woperewera ndi Kutetezedwa ndi Kuperewera Kwambiri Kutsekedwa kwa Ejection Fraction mu Antihypertensive ndi Lipid-lowering Chithandizo Choletsa Kugonjetsedwa kwa Mtima. Kuyendayenda kwa 2008; 118: 2259.
> Klingbeil AU, Schneider M, Martus P, ndi al. Kusanthula Meta Zotsatira za Chithandizo cha Misa Kumanzere Wozungulira M'madzi Oopsa. Am J Med 2003; 115: 41.
> Schwartzenberg S, Redfield MM, Kuchokera AM, et al. Zotsatira za Vasodilation mu Mtima Kulephera ndi Kutsekedwa Kosungidwa Kapena Kuchepetsedwa Mphungu Zophatikizapo Zophatikiza Patiphysiologies pa Kuyankha kwa Thandizo. J Am Coll Cardiol 2012; 59: 442.