Kupweteka pachifuwa nthawi zonse ndi chizindikiro chochititsa mantha, chifukwa ambiri a ife (moyenera) timayanjanitsa kupweteka pachifuwa ndi matenda a mtima, makamaka ndi angina kapena myocardial infarction (matenda a mtima) . Komabe, kupweteka pachifuwa kungayambitsenso ndi mavuto angapo osakhala ndi mtima.
Ndipo chimodzi mwa mavuto omwe siwowopsa kwambiri omwe amachititsa nthawi zambiri kupweteka pachifuwa ndi vuto lachisokonezo.
Kodi Kuda Nkhawa N'kutani?
Kuda nkhaŵa, komwe kumatchedwanso mantha, ndi zizindikiro za mantha aakulu ndi kupsinjika maganizo komwe kaŵirikaŵiri kumachitika mwadzidzidzi popanda chenjezo, ndipo nthawi zambiri imatha kuchokera maminiti angapo mpaka ola limodzi.
Zotsutsanazi zingakhale ndi discrete trigger, koma zikhoza kuchitika popanda chifukwa chodziwikiratu.
Kuda nkhawa ndi kawirikawiri, ndipo kumakhala kovuta kwambiri kwa anthu omwe amawawona - komanso okondedwa awo. Anthu omwe ali ndi mantha oopsya amakhala nthawi yambiri akudandaula chifukwa chokhala ndi zida zambiri, ndipo nthawi zambiri amakhala ndi moyo wosawoneka ngati wosasinthika pofuna kuyesetsa kupewa zinthu zomwe zingayambitse zida zamtsogolo. Angapewe zinthu zomwe, zomwe zimamva, zakhala zikulepheretsa zigawo zapitazi, kapena malo omwe sangathe kuthawa mosavuta ngati chiwonongeko china chiyenera kuchitika.
Zomwe mungachite kuti musagwirizane nazo zikhoza kukhala zazikulu -kuti munthu amene akuvutika ndi mantha amatha kukhala pafupi ndi nyumba, kapena kuchoka pazochitika zamoyo.
Anthuwa amanenedwa kuti akuvutika ndi agorbia.
Kuphatikiza pa mantha aakulu, zipsyinjo zimayambitsa zizindikiro zenizeni zakuthupi. Izi nthawi zambiri zimakhala ndi dyspnea oopsa, kupweteka kwa m'mimba, kutsegula m'mimba, kupweteka kwa m'mimba, kupweteka , ndi kupweteka pachifuwa. Panthawi ya matenda oopsa, tachycardia (kuthamanga mtima kwa mtima) ndi tachypnea (kupuma mofulumira) amakhalansopo.
Chifuwa Chakumtima ndi Kuda Nkhawa
Chisoni cha pachifuwa chimene anthu omwe akukumana nacho chiopsezo chingakhale choopsa komanso chowopsya.
Kupweteka kawirikawiri kumakhala kosavuta komanso koopsa, ndipo kumatha kukhala ngati "kugwira" komwe kumapangitsa mpweya kupuma. Zikuoneka kuti ndi mtundu wa kupweteka kwa mchifu , chomwe chimayambitsa mitsempha yomwe imatha kukhala ndi nkhawa. Ndipotu, chifukwa cha minofuyi imakhalabe yovuta kwa maola kapena masiku amodzi.
Kulemera kwa kupweteka pachifuwa nthawi zambiri kumakulira ndi mantha aakulu omwe amachititsa mantha. N'zosadabwitsa kuti kupweteka pachifuwa ndi chizindikiro chomwe nthawi zambiri chimatumiza anthu omwe akuwopsya kupita kuchipinda chodzidzimutsa.
Kuwona Chifuwa cha Chifuwa
Kuwona kuti chifuwa cha chifuwa chimayambitsidwa ndi vuto lachisokonezo, osati ndi angina, nthawi zambiri sivuta kuti dokotala adziwe. Mbiri yachipatala mosamala ndi kuunika bwino kwa thupi nthawi zambiri imanena nkhaniyi.
Komabe, ngati zifukwa zowopsa za matenda a mtima zilipo, kafukufuku wosagwira ntchito kuti athetse matenda amtundu wa matenda (CAD) nthawi zina angakhale bwino. Ndipotu, kafukufuku wina wasonyeza kuti anthu omwe ali ndi matenda osaneneka amakhala ndi chiwerengero chowonjezeka cha CAD - ndiko kuti, nkhaŵa yosatha ingakhale chinthu chowopsa kwa CAD.
Choncho madokotala asamafulumire kulemba chifuwa ngati "mophweka" chifukwa cha nkhawa.
Ayenera kukhala osakayikira kuti mavuto onsewa akhoza kukhalapo. ndipo ayenera kuchita zoyenera.
Kodi Chimachitika Chiyani?
Kuchokera ku mtima wa mtima, kupatula ngati matenda a mtima amayamba kupezeka, chifuwacho chitatha kupweteka pachifuwa chifukwa cha vuto lomvetsa chisoni ndibwino kwambiri.
Komabe, kawirikawiri, makamaka panthawi ya chipinda chodzidzimutsa (komwe anthu omwe amamva kupweteka pachifuwa chifukwa cha kupsinjika maganizo nthawi zambiri amatha), dokotala akangochita zozizwitsa zamtima nthawi zambiri amamupiritsa kukhala ndi vuto laling'ono losafunikira.
Koma kuopseza sikuyenera kusunthidwa.
Kuda nkhawa ndi kawirikawiri kumasokoneza kwambiri moyo wa munthu, ndipo anthu omwe akuvutika ndi zovutazi ayenera kuwonedwa ngati ali ndi vuto lachipatala lomwe liyenera kuthandizidwa mozama. Kuchiza - ndi mankhwala ndi uphungu wokhudzana ndi maganizo - kawirikawiri kumawathandiza kubwezeretsa anthuwa kumoyo wamba, wokondwa kwambiri.
Mawu Ochokera
Kuda nkhawa ndi zomwe zimayambitsa kupweteka pachifuwa osati chifukwa cha matenda a mtima. Ngakhale kuli kofunika kudziwa kuti kupweteka kwa chifuwa chanu sikunayambe chifukwa cha CAD, ngati mwauzidwa kuti muli ndi nkhawa - kapena ngati mukuganiza kuti muli ndi zizindikiro zanu - ndikofunika kuti mupeze chithandizo chamankhwala choyenera.
> Zotsatira:
> Angst J, Gamma A, Baldwin DS, et al. The Generalized Anxiety Spectrum: Kukula, Kuyambira, Phunziro ndi Zotsatira. Eur Arch Psychiatry Clin Neurosci 2009; 259: 37.
> Tully PJ, Cosh SM, Baune BT. Kubwereza kwa Zopweteka ndi Zachibadwa Matenda Oda Nkhawa pa Matenda a Moyo ndi Matenda a Coronary Heart. Sukulu; 18: 627.
> Walters K, Wolemba G, Petersen I, et al. Matenda Oopsya ndi Kuopsa kwa Matenda Omwe Akumayambiriro a Coronary Heart, Acute Myocardial Infarction, ndi Kufa kwa Mtima: Maphunziro a Gulu Pogwiritsa Ntchito Zowonetsera Zofufuza Zowonetsera. Mtima; 29: 2981.