Matenda a mtima ali ovuta kwambiri kwa anthu omwe ali ndi stroke. Ngati muli ndi stroke, inu ndi madokotala muyenera kukhala osamala kwambiri pamtima wanu panthawi yomwe mukudwala matendawa, komanso pakapita nthawi.
Mitundu ya Matenda a Mtima wa Mtima Ukuwoneka Ndi Mphepete
Mitundu yambiri ya mtima imawoneka mwa anthu omwe akudwala matenda a stroke.
Izi zimaphatikizapo matenda a mtima, matenda a mtima , ndi maginito a mtima - makamaka mankhwala opatsirana pogonana , tricycardia ndi ventricular fibrillation .
Matenda a mtima omwe amagwiridwa ndi sitiroko angayambitsidwe ndi sitiroko yokhayo, kapena ingayambidwe ndi njira yomweyi yomwe inachititsa kuti izi zitheke (makamaka, kupweteka kwa mitsempha). Kapena, vuto la mtima likhoza kuchitika poyamba, ndipo kupwetekedwa mtima kungabwere chifukwa chake. (Izi zimawonedwa nthawi zambiri pamene mafinya oopsa amachititsa ubongo ku ubongo.).
Choncho nthawi zonse pamene matenda akuvutika ndi vuto la mtima, ndi kofunika kuti dokotala achite khama kuthetsa vuto-ndi-zotsatira. Kumvetsetsa kumeneku ndikofunikira kotero kuti mankhwala othandiza kwambiri athe kusankhidwa kuti ayambe kuchira ndikuletsa mavuto ambiri m'tsogolomu.
Sitiroko ndi Myocardial Infarction
Pafupifupi 13 peresenti ya odwala matenda a stroke a zaka 60 kapena kuposeranso adzakhala ndi matenda a mtima m'masiku atatu a stroke.
Mosiyana ndizo, si zachilendo kuti matenda a mtima azitsatidwa mwamsanga ndi stroke.
Chifukwa chakuti odwala ambiri omwe ali ndi vuto lopweteka kwambiri akhoza kukhala ndi vuto lozindikira kapena kulemba zizindikiro za matenda a mtima , vuto la mtima likhoza kuzindikiridwa. Choncho, ndizofunikira kuti madokotala akuyang'anira odwala matenda osokoneza bongo kuti awone bwinobwino kuti adziwe zizindikiro za mtima wa ischemia .
Izi zikuphatikizapo kufufuza ma ECG tsiku ndi tsiku kwa masiku ochepa oyambirira ndi kuyang'anira mavitamini a mtima chifukwa cha ziwonongeko za mtima.
Sizidziwikiratu chifukwa chake kugwidwa mtima kwakukulu ndi kugunda kwakukulu kumachitika pamodzi nthawi zambiri. Zikuoneka kuti anthu ena omwe ali ndi matenda a atherosclerosis akhoza kupitilira nthawi yomwe chiopsezo cha thrombosis pamalo a chida chilichonse cha atherosclerotic ndipamwamba kwambiri (mwachitsanzo, tsiku limodzi kapena awiri mutasuta fodya ).
Popeza zizindikiro zimapezeka m'mitsempha yomwe imapereka mtima ndi ubongo, nthawi zina zimakhala zowawa kwambiri komanso zimayambitsa matenda.
Ndikofunika kwambiri kuti madokotala azisokoneza kwambiri mtima kuti atsimikizire kuti wodwalayo sakugwidwa ndi stroke asanagwiritse ntchito mankhwala osokoneza bongo (kutanthauza "clot busters"). Pamene kutaya thrombosis mu mitsempha yamakono nthawi zambiri imachiritsira, kutulutsa thrombosis mu ubongo wa ubongo kungachititse kuti ubongo uduke ndi kupwetekedwa kwa stroke.
Pomalizira pake, kuti munthu ali ndi matenda a stroke amawaika pangozi yaikulu kuti adzidwe ndi matenda a mtima. Izi ndichifukwa chakuti, nthawi zambiri, kupweteka kwapachimake kumayambitsa matenda a atherosclerosis, matenda omwewo omwe amachititsanso matenda a mtima.
Choncho anthu ambiri omwe apulumuka kudwala matendawa amatha kukhala ndi matenda akuluakulu odwala matendawa (CAD) , ndipo amafunika kuchita khama kuti athetse vuto lawo la mtima.
Kusokonezeka kwa Mimba ndi Mtima
Mliriwu ukhoza kugwirizanitsa ndi vuto latsopano la mtima kapena loipa.
Kulephera kwa mtima kungayambitse ngati sitiroko ikuphatikizidwa ndi matenda a myocardial infarction.
Komanso, kupweteka kumeneku kungayambitse mtima mwa kuwonjezera kuwonjezeka kwa magulu a adrenaline (kuphatikizapo zina, kusintha kosasintha kwa maganizo). Kusintha kumeneku kungayambitse matenda aakulu a ischemia (kusowa kwa oxygen mu minofu ya mtima) ngakhale anthu opanda CAD.
Kuwonongeka kwa mtima kumayambitsa matendawa a "mtima" omwe amachititsa kuti akhale osatha, amakhala osowa mwachangu kwa achinyamata, omwe ali ndi thanzi labwino omwe ali ndi matenda chifukwa cha kuwonongeka kwa magazi .
Stroke imagwiritsidwanso ntchito ndi "mtima wodabwitsa," womwe umatulutsa minofu ya mtima mwadzidzidzi. Matendawa, omwe ali ofanana ndi omwe amatchedwa " mtima wosweka mtima ," akhoza kupanga zochitika zazikulu, koma zosakhalitsa, kulephera kwa mtima.
Sitiroko ndi Carrac Arrhythmias
Magulu akuluakulu a mtima amapezeka m'masiku ochepa oyamba pa 25% mwa odwala omwe amaloledwa kupita kuchipatala ndi matenda okhwima.
Chigamulo chomwe chimagwiritsidwa ntchito kwambiri ndi matenda a sitiroko chimakhala ndi matenda opatsirana pogonana, omwe amachititsa oposa theka la vuto la mtima wamtima.
Zowopsa zowononga moyo zikhoza kuchitika, kuphatikizapo kutuluka kwa ventricular fibrillation ndi kumangidwa kwa mtima. Nthaŵi zambiri, ziwalo zoterezi zimatha chifukwa cha matenda aakulu a QT , omwe angabwere chifukwa cha stroke.
Bladdycardia yofunika kwambiri (yothamanga mtima) imatha kuchitika pambuyo pa kupwetekedwa. Kawirikawiri, bradycardia imatha nthawi yayitali, koma nthawi zina mtengo wamtima ukhoza kuwonedwa, ukusowetsa kuikidwa kwa pacemaker .
Chidule
Matenda a mtima kwambiri ndi ofala kwambiri pambuyo pa kupweteka. Aliyense amene akudwala sitiroko amafunika kufufuzidwa mosamala ndi masiku angapo kuti athe kudwala matendawa, kutaya mtima, ndi mtima wamaganizo. Ndipo chifukwa chakuti mliri womwe umakhalapo nthawi zambiri umasonyeza kuti uli pachiopsezo chachikulu cha mavuto a mtima wamtsogolo, njira zowononga kuchepetsa chiopsezo cha mtima wanu zimakhala zovuta kwambiri ngati mwakhala ndi stroke.
> Zotsatira:
> Touzé E, Varenne O, Chatellier G, et al. Kuopsa kwa Myocardial Infarction ndi Vascular Death Pambuyo pa Nkhondo Yachidule ya Ischemic ndi Stroke ya Ischemic: Kusanthula Mwadongosolo ndi Kufufuza Meta. Stroke 2005; 36: 2748.
> Kumar S, Selim MH, Caplan LR. Matenda a Zamankhwala Pambuyo pa Sitiroko. Lancet Neurol 2010; 9: 105.
> Samuels MA. Ubongo-Mtima Wogwirizana. Kuzungulira kwa 2007; 116: 77.