Kupanikizika ndi Matenda a Mtima

Kwa zaka zambiri zakhala zikudziwika kuti anthu omwe ali ndi nkhawa zambiri amakhala ndi chiopsezo cha matenda a mtima. Koma kodi izi zimadziwika bwino? Ndipo ngati zili choncho, ndi mavuto otani omwe amachititsa kuti mukhale ndi vuto la matenda a mtima, kodi chimaonjezera bwanji chiopsezo chanu, ndipo mungachite chiyani?

Zinthu zitatu zakhala zovuta kuthetsa zotsatira za nkhawa pamtima:

1. Anthu amatanthauza zinthu zosiyana ndi "nkhawa."
2. Mitundu ina ya masautso imaoneka ngati yoipitsitsa kwa mtima kuposa ena.
3. Momwe mungayankhire ndi nkhawa zingakhale zofunikira kuposa zovuta.

Zaka zaposachedwapa taphunzira zambiri za nkhawa ndi matenda a mtima. Kupenda mwachidule kumeneku kukuthandizani kuphunzira zomwe muyenera kudziwa za izo.

Kodi Anthu Amatanthauza Chiyani Akanena Kuti Kupanikizika Kumayambitsa Matenda a Mtima?

Anthu akamatchula "nkhawa," nthawi zambiri amalankhula za zinthu ziwiri zosiyana: kupsinjika maganizo, kapena kupsinjika maganizo. Asayansi azachipatala omwe analemba za nkhawa ndi mtima nthawi zambiri amayankhula za kupsinjika maganizo. Pamene akatswiri a mtima akufuna kuchita " mayesero ovuta ," amakuika pamtunda; Sakukudziwani kuti galu wanu wamwalira.

Koma pamene ambiri a ife timakambirana za nkhawa ndi mtima, nthawi zambiri timayankhula zosiyana siyana.

Kupanikizika Kwambiri ndi Mtima

Kupanikizika kwa thupi - kuchita masewera olimbitsa thupi kapena njira zina zolimbikira - malo oyenerera komanso zofunikiranso pamtima.

Mavuto amenewa amavomereza kuti ndi abwino. Ndipotu, kusowa kwa kupanikizika kwa thupi (mwachitsanzo, moyo wokhala ndi moyo wokhazikika ) kumakhala chiopsezo chachikulu cha matenda a mitsempha . Kotero "mtundu" wa "nkhawa" uwu umawoneka kukhala wopindulitsa mtima.

Ngati muli ndi matenda aakulu a mtima, komabe kupsinjika maganizo kumakhala koopsa.

Kwa munthu yemwe ali ndi matenda a mitsempha yaumphawi, kuchita masewera olimbitsa thupi kumapangitsa kuti thupi likhale lofuna kuti mitsempha yodwalayo ikhale yosamvetsetseka , ndipo mtima umakhala wachisomo (ie, mpweya wochuluka). (kupweteka pachifuwa), kapena matenda a mtima (imfa yeniyeni ya minofu ya mtima).

Kotero kupanikizika kwa thupi - ndiko, kuchita masewera olimbitsa thupi - kawirikawiri kumakhala koyenera kwa inu , ndipo kawirikawiri kumalimbikitsidwa (ndi zoyenera, ngati muli ndi matenda a mtima). Ndipo kupatula ngati zolimbitsa thupizo ndizokwanira mopitirira malire, kupanikizika thupi sikumayambitsa matenda a mtima.

Kusokonezeka Maganizo ndi Mtima

Kupsinjika maganizo ndizovuta zomwe anthu akunena pamene akunena kuti kupanikizika kumayambitsa matenda a mtima. "Ndizosadabwitsa kuti anamwalira," mudzamva anthu akunena kuti, "ali ndi vuto lonse limene amamutsutsa." Koma kodi ndi zoona? Kodi Ed anamupha Elsie ndi njuga yake yonse ndi kumwa kwake ndikukhala usiku wonse?

Aliyense - ngakhale madokotala - ali ndi lingaliro lakuti kupsinjika maganizo, ngati kuli kokwanira kapena kosakwanira, ndi koipa kwa iwe. Ambiri amakhulupirira ngakhale kuti vutoli limayambitsa matenda a mtima. Koma umboni wa sayansi wakuti iwo amachitadi zakhala zovuta kubwera.

Posachedwapa, umboni wochuluka wochulukirapo wanena kuti mitundu yambiri ya kupsinjika maganizo, mwa anthu ena ndi nthawi zina, imawoneka kuti ikuthandiza kudwala matenda a mtima. Pansi pa zochitika zabwino (kapena, zolakwika), kupsinjika maganizo kumathandiza kuti matenda a mtima apitirire, kapena angathandize kuthetsa mavuto aakulu a mtima kwa anthu omwe ali ndi matenda a mtima.

Ndikofunika kuzindikira kuti, sikumangokhalira kupanikizika m'maganizo, ndipo sizomwe zili zoipa kwa ife. Kawirikawiri, timayankha kuthetsa nkhawa, m'malo movutika maganizo, zomwe zimayambitsa mavuto .

Njira zomwe zimapangitsa kuti mtima ukhale ndi matenda a mtima zili chabe.

Chifukwa n'zosatheka kupeŵa nkhawa zonse - osatchula zosayenera - ndikofunika kuti tidziwe momwe tingagwiritsire ntchito vutoli kuti tipewe mphamvu pamaganizo athu.

_Zotsatira:

_{Denollet, J, Brutsaert, DL. Kuchepetsa kupsinjika maganizo kumapangitsa kuti thupi liziyenda bwino: Kufa kwa zaka 9 kumayesero a kachipatala kowonongeka. Kuthamangitsidwa 2001; 104: 2018.}

_{Rozanski, A, Bairey, CN, Krantz, DS, et al. Kupsinjika maganizo ndi kutengeka kwa myocardial ischemia kwa odwala omwe ali ndi matenda oopsa. N Engl J Med 1988; 318: 1005.}

_{Shen BJ, Avivi YE, Todaro JF, et al. Makhalidwe odetsa nkhaŵa mwachindunji komanso mosakayikira akulosera kuti matenda a myocardial infarction mwa amuna ndiwopereka chisamaliro chapadera pakati pa maganizo a maganizo. J Am Coll Cardiol 2008; 51: 113.}