Funso limene limapezeka kawirikawiri kwa anthu amene apulumuka ku matenda a mtima ndi "Kodi ndingayambirane liti?"
Funso limeneli ndiloti madokotala ayenera kupereka yankho kwa inu popanda kufunsa, koma pali zambiri zomwe mungakambirane pambuyo pa matenda a mtima ndi nthawi yochepa yochitira izo zomwe nthawi zina zimasowa. Musaope kubweretsera dokotala wanu mafunso ndi nkhawa kuti athe kukwaniritsa zosowa zanu.
Padakali pano, malangizo awa ayenera kuthandiza.
Pamene Zitetezeka Kugonana Kugonana kwa Mtima
Nthawi yokhudzana ndi kugonana pambuyo pa matenda a mtima zimadalira payekha. Umoyo wa mtima umasiyana kwambiri pakati pa anthu omwe ali ndi vuto la mtima, kotero muyenera kuyankhula ndi dokotala wanu kuti mudziwe zoyenera. Koma apa pali zochitika zambiri zomwe muyenera kuzidziwa.
Zotsatira za kugonana pa mitsempha ya mtima zimakhala zofanana ndi zotsatira za kuchita masewera olimbitsa thupi. Makamaka, ndizofanana ndi kuyenda makilomita awiri kapena anai pa ola pamtunda. Choncho siziyenera kukhala zodabwitsa kuti, monga zochitika zolimbitsa thupi, kugonana kungapangitse mowonjezereka chiopsezo mwa anthu ena omwe ali ndi matenda odwala matenda oopsa (CAD) .
Komanso monga zochitika zolimbitsa thupi, ndizoyenera kugwiritsira ntchito njira zoyenera zogonana pambuyo pa vuto la mtima, nthawi zambiri zimakhala zotetezeka, ndipo (chifukwa zimathandiza kuti munthu akhale ndi moyo wabwino, zimalimbikitsa mgwirizano pakati pa inu ndi mnzanuyo, ndipo zimathandiza kupeŵa kuvutika maganizo), khalani olimbikitsidwa.
Mfundo Zowonjezera
Kawirikawiri, madokotala amapempha anthu kuti azipewa kugonana kwa masabata 4 mpaka 6 atatha kudwala matenda a mtima - nthawi yomwe machiritso ambiri amapezeka mu mitsempha ya mtima.
Pa nthawi yamachiritso, muyenera kulandira mankhwala othandizira mtima wanu kuchiza, kuteteza kupitirira kwa matenda a atherosclerosis , komanso kupewa matenda ena a mtima kapena mtundu wina wa matenda oopsa .
Kuphatikizanso apo, muyenera kukhala nawo pulogalamu ya kukonzanso mtima , yomwe imathandizira dongosolo lanu la mtima kuti lilekerere kuchuluka kwa mphamvu zomwe mukuzidziwa tsiku ndi tsiku - komanso panthawi yogonana.
Ngati mutachita zonsezi, mukakonzeka kuyambiranso kugonana, dongosolo lanu la mtima lidzakhala lokonzekera - ndipo mudzakhala mukuchita "kugonana mosamala."
Kuganizira Kwambiri
Anthu ena atatha kupweteka kwa mtima - omwe atha kusintha mtima , omwe ali ndi vuto la magazi, omwe akupitirizabe angina , kapena omwe ali ndi mavuto ena - angafunike kupeŵa kugonana kwa nthawi yaitali, pamene mavuto awo azachipatala akukhala mwakhazikika. Ngati muli mmodzi mwa anthuwa, muyenera kugwira ntchito ndi dokotala wanu kuti mudziwe ngati mwakhazikika mokwanira kuti mupitirize kugonana.
Kulephera Kugonana Pambuyo pa Kugonjetsa Mtima
Zili zachilendo kuti amuna azitha kudwala matenda oopsa a erectile atatha kupweteka kwa mtima, komanso kuti amuna ndi akazi athe kuchepetsa chilakolako cha kugonana. Zina mwa mavutowa zingakhale chifukwa cha mankhwala omwe mungakhale mukuwutenga, koma nthawi zambiri amakhala chifukwa cha nkhawa, kuvutika maganizo, kapena mantha chifukwa chokhala ndi vuto lina la mtima panthawi yogonana.
Mitundu yambiri ya maganizo m'maganizo ambiri amadzipangira okha pambuyo pa mwezi umodzi kapena awiri, pamene mutha kuyiranso mphamvu muzochita zanu mwachizolowezi m'zinthu zina zonse za moyo wanu. (Kachiwiri, pulogalamu ya moyo wokhazikika ikhoza kukhala yofunikira kwambiri pomanganso chidaliro chanu) Koma ngati nkhanizi zikupitirira, zingakhale zothandiza kukambirana nawo ndi dokotala, chifukwa nthawi zonse akhoza kuchitidwa bwino.
Amuna, mankhwala ophera erectile - monga Viagra (sildenafil), Cialis (tadalafil) ndi Levitra (vardenafil) - amakhala othandiza kwambiri. Mankhwalawa angagwiritsidwe ntchito mosamala mwa amuna ambiri omwe ali ndi CAD, omwe ali ndi chidwi chofunika kwambiri: Ngati mutenga mankhwala a angina , ndiye kuti kumwa mankhwala aliwonse a erectile kusayenerera kungapangitse kugwedeza kwa magazi, ndipo sangagwiritsidwe ntchito.
Komabe, ngati CAD yanu ikuwoneka yokhazikika ndipo simutenga nitrates, dokotala wanu akhoza kukhala okondwa kukulolani kutenga chimodzi mwa mankhwalawa chifukwa cholephera kugwira ntchito.
Pano pali chenjezo lina: Ngati mutenga Viagra, Cialis kapena Levitra, simuyenera kutenga nitrates ngakhale muli ndi nthawi ya angina. M'malo mwake, uyenera kuyimitsa ntchito zonse, kupumula, ndi kuyembekezera maminiti khumi. Ngati kupweteka kwa chifuwa sikudutsa maminiti 10, imbani 911.
Mfundo Yofunika Kwambiri
Kawirikawiri, kugonana koyenera kumayambiranso mkati mwa masabata angapo a matenda a mtima. Komabe, chifukwa pali zofunikira za munthu aliyense, muyenera kukambirana nkhani yanu ndi dokotala wanu.
> Zosowa
> DeBusk RF, Pini CJ, Glasser DB, et al. Zogwira Mtima ndi Chitetezo cha Sildenafil Sungunulani Amuna Amuna Omwe Amakhala ndi Erectile Dysfunction ndi Stable Coronary Artery Disease. Am J Cardiol 2004; 93: 147.
> Levine GN, Steinke EE, Bakaeen FG, et al. Ntchito Yogonana ndi Matenda a Mitsempha: Scientific Statement ku American Heart Association. Kuthamanga kwa 2012; 125: 1058.
> Steinke EE, Jaarsma T, Barnason SA, et al. Uphungu Wokhudza Kugonana kwa Anthu Omwe Ali ndi Matenda a Mtima ndi Othandizira: Chigwirizano cha Consensus kuchokera ku American Heart Association ndi ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation 2013; 128: 2075.