Mukapulumuka matenda a mtima ( myocardial infarction ), muli ndi zambiri zoti muphunzire ndi zambiri zoti muziganizira . Mu masiku abwino akale mukhoza kukhala ndi sabata kapena awiri a chipatala kuti mugwirizane ndi zinthu, kuti muyese kuyesedwa, kuyesedwa kwa chiopsezo, maphunziro, ndi kuyambitsa mankhwala oyenera kuti mukhale ndi nthawi yowonjezera.
Masiku ano, chilichonse chimene chidzachitike chiyenera kuchitika m'zaka zitatu zoyambirira (kapena zinai, ngati muli ndi dongosolo labwino laumoyo) masiku.
Madokotala ndi zipatala zakhala zikulimbikitsana kuti azisamalire mokwanira munthu amene ali ndi matenda oopsa a myocardial infarction . Koma nthawi zina amaponya mpira pokhapokha atapereka chisamaliro choyenera pambuyo pa maola oyambirira ovuta. Ambiri osamalira amayesetsa kwambiri kuti akwaniritse zonse zomwe ziyenera kuchitika masiku angapo atatha kudwala matenda a mtima. Nthawi zina, "zonse zomwe zimafunikira kukwaniritsidwa" zimangokhala zovuta, kwa iwo komanso kwa odwala awo. Zotsatira zake, nthawi zambiri anthu omwe ali ndi matenda a mtima samalandira zonse zofufuza, maphunziro, ndi chithandizo chomwe akusowa pofuna kutsimikizira zotsatira zabwino za nthawi yaitali.
Chinsinsi chothandizira kuyenda njira yanu kupita ku moyo wathanzi, wathanzi pambuyo pa matenda a mtima. Mukuyenera kudziwa mtundu wa kuyesayesa womwe uyenera kuchitidwa, ndi mtundu wanji wa kutumizira, ndipo ndi mitundu yanji ya mankhwala (ndi mankhwala ena) omwe ayenera kuyambitsidwa, kapena kuganiziridwa mozama.
Ngati chinachake chikugwa ming'alu, muyenera kuchibweretsa kwa dokotala.
Madokotala amafunadi kuchita zabwino. Zili choncho, kupatsidwa mavuto onse omwe akugwira ntchito pansi, kuchokera ku makampani onse a inshuwalansi ndi boma, nthawi zina mumawakumbutsa omwe akuyeneradi, ndi zomwe mukuyembekezerapo pankhaniyi.
Ndipo kotero, muyenera kukhala ndi ziyembekezo zabwino.
Kuti izi zitheke, pano pali mndandanda wabwino wa zinthu zomwe ziyenera kuchitidwa-mutatsala pang'ono kuchoka kuchipatala-mutatha kupweteka mtima. Gwiritsani ntchito mndandandawu kuti mutsimikizire kuti maziko onse ofunikira ndi oyenera komanso kuti inu ndi dokotala wanu mukuchita zinthu zonse zabwino kuti mukhale ndi moyo wathanzi komanso nthawi yayitali.
Werengani zambiri:
Mndandanda wa Zotsatira za Mtima
1) Kusintha kwa moyo ndi maphunziro ena:
- Ndaphunzitsidwa bwino pa zizindikiro zowononga za matenda a mtima komanso zomwe ndikuyenera kuchita ngati ndikumva zizindikiro izi. (y / n)
- Ngati ndimasuta, ndapatsidwa uphungu kuti ndiime, ndipo ndatchula mapulogalamu amodzi kapena ambiri osuta fodya. (y / n)
- Ndaphunzitsidwa mokwanira pa chakudya chamoyo chabwino . (y / n)
- Dokotala wanga wandiuza ine ngati ndikufunika kulemera, ndipo ndiyenera kulemera kwambiri. (y / n)
- Ndalandira malangizo omveka bwino kwa masabata anayi kapena asanu otsatira ndipo ndatchulidwa ku pulogalamu ya kukonzanso mtima . (y / n)
- Kufunika kochita masewera olimbitsa thupi kwafotokozedwa kwa ine. (y / n)
- Dokotala wanga wandiuza za nthawi yomwe ndingayambe kugonana . (y / n)
- Dokotala wanga wandiuza ine za nthawi yomwe ndikhoza kuyendetsa galimoto. (y / n)
2) Kuwonetsa kuopsa koopsa kwa mtima wina posachedwa:
- Maonekedwe a mitsempha yanga yowonongeka yayang'aniridwa ndi nkhawa / thallium yophunzira (y / n) kapena catheterization ya mtima . (y / n)
- Mkhalidwe wa mitsempha yanga yamakono yandifotokozera motere:
- Ndondomeko yakutsatira ndondomeko ya mitsempha yanga yowonjezera nthawi ndi iyi:
3) Kuwonongeka kwa mtima wanga kunayesedwa ndi:
- Kupanikizika / kuphunzira thallium (y / n)
- Catheterization ya mtima (y / n)
- Kufufuza kwa MUGA (y / n)
- Echocardiogram (y / n)
(Zindikirani: osachepera imodzi mwa mayesero awa anayenera kuchitidwa kuti ayese gawo la ejection .)
- Ine (ndikuchita / osati) ndikukhala ndi vuto lina la mtima .
4) Nambala zofunika kwambiri ndikufunika kudziwa:
- Mbiri yanga yamakiti yadziwika, ndipo zotsatira zake ndi izi:
- Cholesterol Wonse:
- Cholesterol LDL:
- Cholesterol cha HDL:
- Triglycerides:
- Magazi anga ndi awa:
- Kusala kwanga magazi ndi shuga :
- Fungulo langa lopweteka ndi:
(Zindikirani: Ngati kachigawo ka ejection ndi 35 peresenti kapena pansi, onani # 6 pansipa.)
5) Maina ndi mlingo wa mankhwala omwe anandiuza:
- Aspirin :
- Mankhwala oteteza mapiritsi (monga Plavix, Brilinta, kapena Effir):
- Beta lokhazikitsa :
- ACE inhibitor :
- Spironolactone (ngati kachigawo kanga kakang'ono ndi 40 peresenti kapena osachepera):
- Statin :
Zindikirani: Mankhwala onsewa asonyezedwa kuti athandize kupewa matenda ena a mtima ndi kuchepetsa chiopsezo cha imfa. Ngati sindinalandire mankhwala kwa mankhwala amodzi kapena angapo, chifukwa chake ndi:
- Ndakambirana ndi adokotala ngati ndikufunika kuti ndipitirire kuchipatala. (y / n)
- Ndakambirana ndi adokotala ngati ndikufunika kuti ndichiritsidwe matenda a shuga kapena matenda a shuga . (y / n)
6) Kuteteza imfa mwadzidzidzi
- Ngati kachigawo kanga ka ejection ndi 30% kapena osachepera (kapena ngati ndakhala ndi vuto la mtima ndipo kachigawo kakang'ono ka ejection ndi 35 peresenti kapena osachepera), ndatumizidwira ku electrophysiologist kuti ndikambirane za kuthekera kwa chokhachokha . (y / n)
- Anthu a m'banja langa adaphunzitsidwa ku CPR. (y / n)
Zotsatira:
Smith, SC Jr, Allen, J, Blair, SN, et al. AHA / ACC malangizo othandizira kuchepetsa kachilombo kwa odwala omwe ali ndi matenda odwala matenda a atherosclerotic episodes: 2006 ndondomeko yovomerezedwa ndi National Heart, Lung, ndi Blood Institute. J Am Coll Cardiol 2006; 47: 2130.
O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA kutsogoleredwa kwa kayendetsedwe ka matenda a ST-elevation infyoctional: executive summary: lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. Circulation 2013; 127: 529.