Momwemonso, ziwalo zonse za thupi zimagwirizana-ntchito yeniyeni yovomerezeka yeniyeni yeniyeni yomwe imagwira ntchito moyenera kwa ena onse. Kusagwirizana kumeneku kumakhudza kwambiri pakati pa mtima ndi impso.
Ndizofala kwambiri kuti anthu omwe ali ndi matenda aakulu a mtima amalize matenda aakulu a impso.
Zimakhalanso zachilendo kwa anthu omwe ali ndi matenda a impso kukhazikitsa matenda a mtima. Izi zikutanthauza kuti anthu omwe ali ndi vuto ndi imodzi mwa ziwalozi zimayenera kukhala osamala (pamodzi ndi madokotala awo) kuti athe kukhala ndi vuto ndi wina, komanso kutenga njira zothetsera vutoli.
Ubale pakati pa Matenda a Mtima ndi Matenda a Impso
Matenda a mtima ndi matenda a impso nthawi zambiri amapita pamodzi. Akatswiri amasonyeza njira zisanu zomwe matenda a mtima ndi matenda a chiwindi amagwirizanirana:
- Mipingo yovuta ya mtima ingayambitse kuwonongeka kwa impso.
- Kutaya mtima kwa mtima nthawi zambiri kumabweretsa matenda a impso .
- Ntchito yokhudzana ndi impso mofulumira ingayambitse vuto lalikulu la mtima.
- Matenda a matenda a impso amayamba ndi kuchuluka kwa matenda amtundu wa matenda amtundu wa matenda (CAD) , kulephera kwa mtima, ndi maginito a mtima .
- Matenda angapo azachipatala omwe angakhudze ziwalo zosiyanasiyana, monga shuga kapena lupus , nthawi zambiri amabweretsa matenda a mtima ndi impso.
Choncho, ngati mtima kapena impso zimakhudzidwa ndi mtundu wina wa matendawa, pali chiopsezo chachikulu kuti chiwalo china chidzakhala ndi matenda. Ubalewu pakati pawo nthawi zina umatchedwa matenda a cardiorenal .
Siziyenera kudabwitsa kuti kukhala ndi matenda m'zigawo ziwirizi ndi koyipa kuposa kukhala ndi matenda amodzi.
Anthu omwe ali ndi vuto la mtima losatha omwe ali ndi matenda a impso ali pachiopsezo chachikulu cha imfa yoyambirira. Ndipo pakati pa anthu omwe ali ndi matenda aakulu a impso, mavuto a mtima amatha kupha imfa pafupifupi theka.
Ngakhale njira zambiri zomwe matenda a mtima angayambitsire matenda a impso, komanso mosiyana, sizimvetsetsa bwino, m'zaka zaposachedwa kumvetsetsa kwathu kwa ubalewu kwakula kwambiri, kutithandiza kukhazikitsa njira zothetsera vutoli.
Matenda a Mtima Angayambitse Matenda a Impso
Kulephera kwa mtima ndi matenda omwe amatha chifukwa cha mtundu uliwonse wa matenda a mtima. Kawirikawiri, pamene matenda a mtima amachititsa matenda a impso, mtima ulipo kale. Pali njira zingapo zomwe mtima ungalepheretsere matenda a impso. Zazikulu ndi izi:
Ikani mu zotsatira za mtima. Mu kulephera kwa mtima, kuchuluka kwa magazi kukupulidwa ndi mtima kungachepetse. Izi zingachititse kuchepetsedwa kwa magazi omwe akutsukidwa ndi impso, zomwe zimachititsa kuti nsomba ziwonongeke.
Kusintha kwa Neurohumoral . Kulipira kuchepa kwa mtima wamtundu umene umapezeka mobwerezabwereza m'mtima, kusintha kotere kumachitika mu dongosolo la mitsempha ndi mahomoni omwe amachititsa kuti mchere wa madzi ndi madzi ziwoneke-kutanthauza kuti, mu renin-angiotensin- aldosterone dongosolo .
Kusintha kumeneku kumabweretsa kuwonjezereka kwa mchere ndi kusungirako madzi, komwe kanthawi kochepa kangachepetse kuchuluka kwa magazi komwe kumafika ziwalo zofunika. Komabe, m'kupita kwa nthawi, kusintha kwa ubongowu kumayambitsa edema (kutupa) komanso ngakhale kuchepa kwa mtima. Choncho, nthawi zambiri, kusintha kumeneku kumachepetsa magazi kuthamanga ku impso, ndipo ntchito ya impso imavutika.
Kuwonjezeka kwakukulu mu mitsempha yamphongo. Kufooka kwa mtima, kuchepa kwa mtima kumachepetsa kupanikizika mkati mwa mitsempha. Kupsyinjika kwakukulu mu mitsempha yamphongo (mitsempha yomwe imatulutsa impso) zimapangitsa kuti zikhale zovuta kuti impso zisasuke magazi.
Apanso, nthendayi imakula kwambiri.
Chifukwa cha njirazi ndi njira zina, kuperewera kwa mtima kumabweretsa mavuto ambiri pa impso zomwe zimateteza kuti azigwira bwino ntchito, ndipo, pakapita nthawi, zingayambitse impso nthawi zonse.
Mmene Matenda a Impso Amayambitsa Mavuto a Mtima
Koma, matenda a impso nthawi zambiri amachititsa mavuto a mtima. Imachita izi m'njira ziwiri zazikulu.
Choyamba, matenda a impso ambiri amachititsa mchere ndi kusungirako madzi, zomwe zingapangitse vuto lalikulu pamtima. Ngati matenda aliwonse a mtima amayamba, kaya ndi CAD, matenda a mtima wa valve kapena matenda a mtima (minofu ya mtima), kuwonjezeka kwa thupi mumadzimadzi kungachititse kuti mtima wa thupi uwonongeke ndipo ukhoza kuwonetsa mtima wosalimba.
Chachiwiri, matenda a impso aakulu ndi omwe amachititsa kuti chiwerengero cha CAD chikhale choopsa, komanso kuwonjezereka kwa CAD iliyonse yomwe ingakhalepo. Anthu omwe ali ndi matenda a imfine omwe ali ndi CAD amakonda kukhala ndi zizindikiro zoyipa kwambiri, ndi zotsatira zoipitsitsa kuposa anthu omwe ali ndi CAD popanda matenda a impso.
Matenda Ovuta a Impso Ambiri Amatsogolera ku CAD
Pali zifukwa ziwiri zomwe anthu omwe ali ndi matenda a impso ali ndi chiopsezo chachikulu chokhala ndi CAD.
Chifukwa chimodzi, kafukufuku wa anthu awonetsa kuti anthu omwe ali ndi matenda a impso osagwira ntchito amakhala ndi chiwerengero chachikulu cha zifukwa zoopsa za CAD. Izi zikuphatikizapo kusuta, shuga, cholesterol yapamwamba , kuthamanga kwa magazi , moyo wokhala pansi, ndi ukalamba.
Kuonjezera apo, matenda a impso omwe amachititsa kuti matendawa awonjezeke kwambiri. Matenda a impso amachititsa ngozi imeneyi ndi njira zingapo. Mwachitsanzo, poizoni omwe amasonkhanitsa m'magazi chifukwa cha ntchito yamphongo yosazolowereka (zotchedwa poizoni) zimachulukitsa chiopsezo cha CAD. Magazi ena ndi zovuta zamadzimadzi zomwe zimayambitsidwa ndi matenda a impso zimawonjezera chiopsezo. Izi zikuphatikizapo kuchepa kwa calcium metabolism, kuchepa kwa magazi m'thupi , kutentha kwapachirepa kwa boma (ndi ma CRP omwe ali pamwamba ), zakudya zoperewera, komanso mapuloteni a magazi.
Kuphatikizidwa pamodzi, izi zimawoneka kuti zimapangitsa kuti thupi lisagwire bwino ntchito , chikhalidwe chokhudzana ndi CAD ndi matenda ena a mtima kuphatikizapo kuthamanga kwa magazi, matenda osokoneza bongo , ndi matenda a mtima . X.
Mmene Mungapewere Matenda M'ziwalo Zonse
Chifukwa chakuti matenda a mtima ndi impso amasonkhana pamodzi kawirikawiri, aliyense amene ali ndi vuto ndi imodzi mwa ziwalozi zimagwirira ntchito ndi madokotala kuti asatenge matenda kuti asapangidwe.
Matenda a mtima. Ngati muli ndi matenda a mtima, njira yabwino yopeŵera matenda a impso ndiyo kutsimikiza kuti mukulandira mankhwala oyenera pa mtima wanu. Izi sizikutanthauza kungopeza chithandizo chonse chomwe mukuchifuna kuti mukhale ndi mtima wokhazikika (kaya ndi CAD, matenda a mtima wa valve, mtima wa mtima, kapena chikhalidwe china), komanso kuchita zonse zomwe mungathe kuti mukwaniritse ndikusunga thanzi lanu labwino la mtima wanu. mwambiri. Izi zikutanthauza kupweteka kwambiri matenda oopsa, matenda a shuga, komanso lipids, kukhala ndi thanzi labwino, osasuta, komanso kuchita masewera olimbitsa thupi.
Matenda a impso. Monga momwe taonera, matenda a impso pakalipano tsopano akuonedwa ngati chiopsezo chachikulu cha kukula kwa CAD. Izi zikutanthauza kuti ngati muli ndi matenda a impso, zimakhala zofunikira kwambiri kuti muzitha kulamulira zoopsa zanu zonse (zomwe tazitchula kale). Kukonzekera koopsa kwa chiopsezo kuyenera kukhala chinthu chofunikira kwambiri kwa inu, ndipo muyenera kutengapo mbali iliyonse yofunikira kuti mukwaniritse chiopsezo chanu.
Kuwonjezera apo, akatswiri ambiri amalimbikitsa kuti aliyense amene ali ndi matenda a impso akuyenera kuikidwa pa mankhwala osokoneza bongo , ndipo ayenera kuganizira za aspirin . Izi zingathandize kupewa zotsatira zoopsa za CAD.
Mfundo Yofunika Kwambiri
Kukhala ndi matenda a impso kungathe kuonjezera chiwopsezo chokhala ndi matenda aakulu a mtima, komanso mosiyana. Aliyense amene ali ndi vuto lachipatala lokhudzana ndi ziwalozi zimagwiritsanso ntchito kulikonse kuti athe kupititsa patsogolo mankhwala omwe alipo, koma kuti athetse vuto latsopano lachipatala m'thupi lina lofunikira.
> Zotsatira:
> Bock JS, Gottlieb SS. Cardiorenal Syndrome: Njira Zatsopano. Kuthamanga kwa 2010; 121: 2592.
> Leoncini G, Viazzi F, Pontremoli R. Kufufuza kwaumoyo wathanzi. Lancet 2010; 375: 2053.
> McCullough PA, Jurkovitz CT, Pergola PE, et al. Matenda Odziimira Odwala Matenda Osayembekezereka Ngati Matenda a Mitsempha ya M'mtima: Zotsatira Zotsatira Kuchokera kwa Impso Pulogalamu Yoyamba Yoyesa (PITIRIZANI). Arch Intern Med 2007; 167: 1122.
> Ronco C, Haapio M, Nyumba AA, et al. Cardiorenal Syndrome. J Am Coll Cardiol 2008; 52: 1527.
> Shishehbor MH, Oliveira LP, Lauer MS, et al. Matenda Oopsa Okhudza Maganizo Awo Amene Ali Ndi Gawo Lalikulu Kwambiri Kufa Kwadzidzidzi Kuopsa kwa Matenda Osokoneza Matenda. Am J Cardiol 2008; 101: 1741.