Ambiri a anthu opitirira 65 ali ndi vuto la kuthamanga kwa magazi (kuthamanga kwa magazi), chomwe chimayambitsa matenda , kudwala matenda a mtima , matenda a mtima , ndi matenda a impso.
N'kofunikanso kuti anthu okalamba ndi achinyamata ali ndi matenda oopsa. Koma anthu ambiri okalamba amakumana ndi mavuto awiri omwe amapezeka kuti athe kukwanitsa kuthamanga kwa magazi: choyamba, ambiri mwa iwo ali ndi matenda a hypertension.
Chachiwiri, anthu achikulire nthawi zambiri amalephera kupirira mankhwala opatsirana kwambiri.
Sitikukuta Mwachikulire Mwa Okalamba
Anthu ambiri okalamba omwe ali ndi matenda oopsa kwambiri amakhala ndi mphamvu yambiri yothamanga magazi, pamene mphamvu yawo ya diastolic imakhala yachibadwa kapena yachibadwa. Izi zili choncho chifukwa pamene tili ndi zaka zambiri, mitsempha yathu imakhala "yowuma," choncho mphamvu ya magazi (sysilic blood pressure). Kuthamanga kwa magazi okwanira 140 mm Hg kumaonedwa kuti ndikumalizira kwachibadwa.
Komanso, kwa anthu opitirira zaka 65, kuthamanga kwa magazi kumapangitsa kuti thupi likhale ndi ngozi zambiri kusiyana ndi kupsyinjika kwa diastolic. (Zosiyana ndi zomwe zimachitikira achinyamata). Ndipotu, sysilic hypertension imapitirira kuchulukitsa chiopsezo cha mtima wako komanso kupwetekedwa. Choncho, kuchiza matenda a hypertension n'kofunika.
Koma kuchiza matenda a hypertension kungapangitse vuto lapadera: kuteteza kusakaniza kwa magazi, ndikofunika kuti musamachepetse pang'onopang'ono kuthamanga kwa magazi kwambiri.
Izi zili choncho chifukwa anthu okalamba omwe ali ndi CAD, kuchepetsa kupweteka kwa diastolic pansi pa 60 kapena 65 mm Hg, akukhudzidwa ndi kuwonjezeka kwa mtima ndi zilonda.
Choncho chinyengo chochizira matenda a hypertension ndi kuchepetsa kupweteka kwa systolic kupitirira 140mm Hg - kapena pafupi 140mm Hg ngati n'kotheka - pamene kusunga kwa diastolic pamwamba pa 60 kapena 65 mm Hg.
Thandizo la Kuthamanga Kwambiri kwa Anthu Okalamba
Mofanana ndi wina aliyense amene ali ndi matenda oopsa, njira yoyamba yothandizira kuthamanga kwa magazi kwa anthu achikulire ndiyo kuyambitsa kusintha kwa moyo komwe kungachepetse kuthamanga kwa magazi, kuphatikizapo kulemera kwake, kuchepetsa mchere, kuchita masewera olimbitsa thupi, ndi kusuta fodya.
Ngati kuthamanga kwa magazi kukupitirira patatha mwezi umodzi kapena ziwiri za kusintha kwa moyo wanu, dokotala wanu akhoza kupereka mankhwala othandiza.
Kwa anthu achikulire, kugwiritsa ntchito mankhwala osokoneza bongo mosamala kungakhale kovuta. Sikuti muyenera kungosamala kuti musamachepetsedwe kwambiri, koma ena achikulire, makamaka omwe ali ndi matenda oopsa kwambiri, akhoza kuyamba kugwiritsidwa ntchito moyenera (kugwidwa ndi kuthamanga kwa magazi poyimirira) ndi mankhwala ena. Hypotensional Postprandial (kugwa kwa magazi nthawi yomwe idadya) imatha kuonanso kwa anthu achikulire omwe ali ndi mankhwala oopsa. Kusiyanitsa - chilichonse chomwe chikhoza kuchititsa - chingayambitse kumira ndi kugwa, ndipo ayenera kupeŵa.
Choncho dzina la masewerawa ndi kupita pang'onopang'ono kuti tipeŵe zotsatirapo. Poyambitsa mankhwala a magazi kwa anthu achikulire, mankhwala amodzi ayenera kugwiritsidwa ntchito, ndipo ayenera kuyambika pa mlingo wochepa - nthawi zambiri, pa mlingo womwe uli pafupi theka la mlingo umene ungagwiritsidwe ntchito kwa wodwala wamng'ono.
Chithandizochi chimayambira ndi thiazide diuretic , kaccium blocker blocker, kapena ACE inhibitor. Ngati mankhwalawa amalekerera popanda zotsatirapo, mlingowo ukhoza kuwonjezeka pambuyo pa masabata angapo ngati kuli kofunikira. Ngati mlingo wapamwambabe sungathe kulamulira bwino kwa magazi, madokotala ambiri amatsatira mankhwala osiyana , osati kuwonjezera mankhwala ena achiwiri. Mankhwala osokoneza bongo amagwiritsidwa ntchito pokhapokha ngati mayesero angapo pa mankhwala osakaniza amodzi amasonyeza kuti sakukwanira.
Pambuyo pa kusintha kulikonse kwa mankhwala - kuonjezera mlingo wa mankhwala, kusintha kwa mankhwala osiyana, kapena kuwonjezera mankhwala achiwiri - dokotala wanu ayenera kuyang'anitsitsa mosamalitsa hypotension.
Izi zimachitidwa poyesa kupanikizika kwa magazi pamene mukugona, ndiyeno pamene mukuimirira, mukuyang'ana kuponya kwakukulu mukuthamanga. Ndikofunika nthawi zonse kuuza dokotala wanu za chizungulire chomwe mungakumane nacho mukaimirira, kapena mutadya.
Cholinga chake ndi kubweretsa pang'onopang'ono kuthamanga kwanu kwa magazi, kumapeto kwa masabata kapena miyezi (osati masiku) pamene mukusamala panthawiyi kuti musachepetse kuthamanga kwa magazi. Kukwaniritsa cholingachi nthawi zambiri kumatenga mayesero ambiri ndi mankhwala amodzi kapena ambiri ndi kusintha kochepa.
Chidule
Ngati ndinu munthu wamkulu, mwayi ndi wabwino kuti mukhale ndi matenda oopsa. Ngakhale kuti matenda oopsa kwambiri ndi vuto lalikulu, ndipo pamene kulimbana nalo kungakhale kovuta, ndidakalipobe kuti mosamala ndi kuleza mtima (mbali yanu komanso dokotala), pali mwayi waukulu kuti matenda anu oopsa adzasamalidwe popanda zotsatira zovulaza, ndipo vuto lanu la mavuto aakulu a mtima lidzachepetsedwa kwambiri.
Zotsatira:
Aronow WS, Fleg JL, Pepine CJ, et al. ACCF / AHA 2011 chidziwitso cha chidziwitso chokhudzana ndi matenda oopsa kwambiri kwa okalamba: Lipoti la American College of Cardiology Foundation Task Force ku Clinical Expert Consensus Documents. Kuyendayenda kwa 2011; 123: 2434.
Chobanian AV. Kuchita zachipatala. Matenda otsekemera otetezedwa m'madera okalamba. N Engl J Med 2007; 357: 789.