Ngati muli ndi kansa ya chithokomiro mumakumana ndi chiopsezo chowonjezereka cha matenda opatsirana zaka, poyerekeza ndi anthu omwe sanayambe khansa ya chithokomiro. Kafukufuku wopanga zotsatirazi anafalitsidwa m'magazini yotchedwa Cancer Epidemiology, Biomarkers & Prevention.
Kuopsa kwa matenda opatsirana zakale kunali kwakukulu ngati munali wamng'ono kuposa 40 pamene munapezeka kuti muli ndi khansa ya chithokomiro.
Ngakhale kuti mitundu yambiri ya kansa ya chithokomiro imatengedwa kuti imatha kupulumuka ndipo imakhala ndi maonekedwe abwino, achinyamata ambiri akupezeka ndi khansara ya chithokomiro. Ndikofunika kumvetsetsa zoopsa za m'tsogolomu, kotero kuti odwala khansa ya chithokomiro amatha kupeĊµa mavuto a umoyo m'tsogolo.
Pa Phunziro
Mu phunziroli, opulumuka khansara oposa 3700 anayesedwa. Onsewa anapezeka pa nthawi ya pakati pa 1997 ndi 2012. Gulu lolamulira linafananitsidwa ndi gulu lopanda khansa lomwe liri ndi zaka zofanana, zazimayi, ndi malo obadwira. Pa anthu 3700 omwe anadwala khansa ya kanseri anaphunzira, pafupifupi 37 peresenti anapeza kuti asanakwanitse zaka 40.
Kafukufukuyu anapeza kuti kagulu ka achinyamata omwe anapulumuka anapeza mavuto aakulu omwe amakhala nawo chifukwa chokhala ndi zochitika zosiyanasiyana zomwe zimakhudzana ndi ukalamba. Izi zikuphatikizapo:
- Kuopsa kwa kuthamanga kwa magazi, komwe kumatchedwanso kuti kuthamanga kwa magazi, kunali kwakukulu kwambiri mu gulu la opulumuka.
- Chiopsezo cha matenda a mtima chimakhala chachikulu kwambiri mu gulu la opulumutsidwa ndi khansa ya chithokomiro. Kusowa kwa thupi ndi mkhalidwe umene minofu ya mtima ili yachilendo. Izi zimapangitsa kukhala kovuta kwa mtima wanu kupopera magazi m'thupi lonse, ndipo kumawonjezera chiopsezo cha mtima wanu.
Olembawo anati, "Phunziro la m'tsogolo ndilofunika kuti tipeze zomwe tingachite kuti tipewe kuopsa kwa zotsatira za thanzi lathu."
Ponena za Kuthamanga Kwambiri kwa Magazi
Kuthamanga kwa magazi kumawonjezera chiopsezo chanu cha matenda kapena imfa ya matenda a mtima, kupweteka kwa mtima, kulephera kwa mtima, ndi matenda a impso.
Ngati muli ndi matenda a khansa ya chithokomiro, muyenera kuyang'anitsitsa magazi anu nthawi zonse. Ngakhale kuthamanga kwa magazi nthawi zambiri kusakhala ndi zizindikiro konse, dziwani kuti zizindikiro zina zomwe mungapeze ndizo:
- Mutu kapena kupweteka kwa mutu
- Masomphenya obisika
- Chizungulire kapena shakiness
- Kupuma pang'ono
- Kusunga madzi ndi kutupa kwa miyendo
- Kupweteka pachifuwa
- Ululu mu miyendo ndi mapazi pamene mukuyenda
- Mafunde ozizira
Pali kusintha kwa moyo wanu komwe mungachite kuti muteteze kapena kudwala matenda oopsa, kuphatikizapo:
- Kulemera kwa kulemera kwa thupi: Kutayika ngakhale mapaundi 10 kungachepetse kwambiri zoopsa zanu.
- Kuchepetsa zakudya za sodium ndi mchere: Ngati mukulemera kwambiri, ngakhale kuwonjezeka kochepa mu sodium kungapangitse chiopsezo chanu cha kuthamanga kwa magazi ndi matenda a mtima. Akatswiri amalangiza kuti mulepheretse kudya kwa sodium osapitirira 100 mmol patsiku (pafupifupi 2.4 g wa sodium)
- Kudya mokwanira zakudya za potaziyamu zoposa 3,500 mg pa tsiku
- Kuchita masewera olimbitsa thupi: Mphindi 30 yochita masewera olimbitsa thupi masiku ambiri a sabata akhoza kuchepetsa chiopsezo cha mthupi mwakuya ndi mavuto ofanana
- Kuledzeretsa mowa: Kuletsa kumwa mowa 10 oz. vinyo, kapena 2 oz. za mowa wina (zochepa mwa akazi ndi anthu olemera kwambiri) zingachepetse chiopsezo cha matenda oopsa kwambiri komanso zovuta zina
- Potaziyamu supplementation: imachepetsanso kuthamanga kwa magazi, makamaka ngati mumagwiritsa ntchito masitepe a sodium
- Kusintha kwa zakudya: Dash Diet - Njira Zamankhwala Zokuletsa Kuthamanga Kwambiri Amachepetsa kwambiri Kuthamanga kwa magazi ndipo amachepetsa mavuto a mavuto
Palinso mankhwala angapo omwe angagwiritsidwe ntchito kuchepetsa kuthamanga kwambiri kwa magazi ndi kuyendetsa matenda oopsa, kuphatikizapo:
- Mankhwala oponderezedwa ndi magazi
- Beta blockers ndi calcium channel blockers, kuti ayambe kuchepetsa mtima
- ACE inhibitors, omwe amatchedwanso angiotensin yotembenuza mazira (ACE) inhibitors
- Angiotensin II Receptor Blockers (ARBs)
- Diuretics (mapiritsi a madzi), kuchepetsa kuchuluka kwa sodium ndi kusungirako madzi
About Cardiomyopathy
Ngati muli ndi kansa ya chithokomiro, muyenera kudziwa zizindikiro za matenda a mtima , zomwe zingaphatikizepo:
- Kupuma pang'ono
- Kutupa kwa miyendo yanu, kumapazi ndi mapazi
- Mimba yamimba (ascites), chifukwa cha madzi owonjezera
- Kukhumudwa, makamaka pamene mukugona
- Kutopa
- Kuphatikizika kwa mtima, kupweteka kwa mtima, kugunda kwa mtima mwamsanga
- Kupweteka pachifuwa
- Chizungulire ndi kutaya
Zinthu zina zomwe mungachite kuti muteteze kapena kuchiza mtima zimaphatikizapo:
- Zakudya zabwino ndi kulemera kwa thupi (kapena kulepheretsa kulemera)
- Kuchita masewera olimbitsa thupi
- Kugona mokwanira
- Kusokonezeka maganizo
- Kupewa mowa ndi / kapena cocaine
- Kulamulira kuthamanga kwa magazi
- Kulamulira mkulu wa cholesterol
- Kulamulira matenda a shuga
Palinso mankhwala omwe angathandize ndi matenda a mtima, kuphatikizapo:
- Aldosterone blockers, kuti athetse electrolyte ndikuthandizani mtima wa minofu kugwira bwino ntchito
- Matenda a antiarrhythmia kusunga mtima wamtundu wabwino
- Mankhwala amachepetsa kuthamanga kwa magazi
- Anticoagulants kapena magazi thinners, kuteteza magazi
- Corticosteroids ndi mankhwala ena odana ndi kutupa
- Diuretics (mapiritsi a madzi), kuchepetsa kuchuluka kwa sodium ndi kusungirako madzi
- Olemba mabeta, calcium channel blockers, ndi digoxin, kuti ayende mofulumira mtima ndi kuthamanga kwa magazi
Nthawi zina, mtima wosagwirizana ndi moyo umasintha komanso mankhwala amafunikira opaleshoni kapena opibrillators, kapena mankhwala osapereka opaleshoni.
Mawu Ochokera
Ngakhale kuti kafukufuku akufunikanso kuti aone njira zomwe zimayambitsa chiopsezo chachikulu cha matenda oopsa kwambiri a khansa ya chithokomiro, zimakhala zomveka kuzindikira zizindikiro za zizindikirozi, kufufuza mobwerezabwereza, ndikupanga kusintha kwabwino kwa moyo kuchepetsa chiopsezo chanu.
> Zotsatira:
> Blackburn BE, Ganz PA, Roe K, ndi al. Matenda okhudzana ndi ukalamba angathe kuchitika pakati pa opulumuka a khansa yachangu [yofalitsidwa pa Intaneti pa November 22, 2017]. Kansa Epidemiol Biomarkers Poyamba . yani: 10.1158 / 1055-9965.EPI-17-0623 Online: h ttp: //cebp.aacrjournals.org/content/early/2017/11/20/1055-9965.EPI-17-0623
> Ma Institutes of Health. "Kodi Cardiomyopathy Yachitidwa Motani?" Zolemba zenizeni. https://www.nhlbi.nih.gov/health/health-topics/topics/cm/kuzunzidwa
> Ma Institutes of Health. "Buku Lanu lothandizira kuchepetsa kuthamanga kwa magazi ndi DASH." Pulogalamu ya PDF: https://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf
> US Department of Health and Human Services. "Kupewa Kwambiri Kuthamanga Kwambiri Kwambiri." Pulogalamu ya PDF: https://www.nhlbi.nih.gov/files/docs/resources/heart/pphbp.pdf