Ndi Chiyani Chochita Pa Izo
Mmene Mungapulumutsire Kugonjetsa Mtima
Chinsinsi chokhalira ndi matenda a mtima ndi kuzindikira kuti mwina mungakhale nawo, ndikupeza thandizo lachipatala mwamsanga.
Kuwonongeka kwa mtima (komwe kumatchedwanso myocardial infarction , kapena MI), kumayambitsidwa ndi kutuluka mwadzidzidzi kwa mitsempha yamakono , yomwe imayambitsa mwina minofu ya mtima yomwe imaperekedwa ndi mzere umenewo kuti ufe.
Zotsatira zambiri zafupipafupi komanso za nthawi yayitali za MI zimatsimikiziridwa ndi kuchuluka kwa minofu ya mtima. Choncho kamodzi kokha kamene kadzatsekedwa (ndiko kuti, MI ikangoyamba), nkofunika kulandira chithandizo chamankhwala mwamsanga, pofuna kutsegula mitsempha yotsekedwa mofulumira.
Mfundo imeneyi ndi yofunika kwambiri. Pa matenda a mtima, kutenga mankhwala mofulumira ndi chinthu chovuta. Mphindi zochepa zingapangitse kusiyana pakati pa kuchira, kapena kulemala kosatha kapena imfa.
Izi zikutanthawuza, ndithudi, kuti kutsata chilakolako chachilengedwe ambiri a ife tidzakhala ndi vuto la mtima, ndiko kuti, kukana ndi kuchedwa, kungakhale kulakwitsa koopsa. Ngati muli ndi zizindikiro za matenda a mtima, kuyesa kukwera panyumba kwa kanthawi - kuyembekezera kuti zizindikirozo zidzasokonezeka kapena kusokonezeka kwa mitsempha - zikhoza kubweretsa kuchedwa komwe kungabweretse mavuto aakulu komanso osatha.
Aliyense amene ali ndi matenda a mitsempha (CAD), kapena amene (chifukwa cha zoopsa za mtima wawo) akhoza kukhala ndi CAD, ayenera kudziwa zizindikiro zomwe akufuna.
Kodi Zizindikiro Zotani za Mtima Zimakukhudzani?
Chizindikiro choyambirira cha MI ndikumva kupweteka pamtima kapena kupweteka. Izi nthawi zambiri zimatchulidwa kuti ndizowopsa, nthawi zina kupweteka, kupweteka kapena kupweteka mkati kapena pafupi ndi chifuwa, nthawi zambiri zimayendayenda ku nsagwada kapena mkono wamanzere, ndipo nthawi zina zimaphatikizapo kutuluka thukuta, kapena mantha oopsa kapena chiwonongeko.
Mwamwayi, simungadalire kukhala ndi chitsanzochi chachikale. Nthawi zina mavutowa amakhala ochepa , ndipo amatha kumverera kumbuyo, mimba, mapewa, kapena zida zonse. Mpweya wosadziŵika wosadziŵika, kusungunuka ndi kusanza, kapena kumangokhala kumverera kwa kupwetekedwa mtima , kungakhale chizindikiro chachikulu (kapena chokha).
Zizindikiro zoterezi sizingakupangitseni kuganizira za vuto la mtima, ndipo zingakulepheretseni kupeza chithandizo chamankhwala.
Ndizodabwitsa kuti amayi amawoneka kuti ali ndi "zizindikiro" zowopsa kuposa amuna. Izi nthawi zambiri zimapangitsa amayi kuchedwa kufunafuna chithandizo chamankhwala, ndipo mwina amachititsa madokotala kuchepetsa kupanga matenda oyenera. Ichi ndi chifukwa chimodzi chomwe akazi, mu maphunziro ena, akhala akukhala ndi zotsatira zoipitsitsa ndi zowawa za mtima kusiyana ndi amuna.
Chofunika kwambiri ndi chakuti aliyense amene ali ndi zifukwa zambiri kapena zoopsa zambiri za CAD ayenera kumvetsera mwatcheru zizindikiro zadzidzidzi, zachilendo kapena zosadziwika zomwe zimaphatikizapo gawo lakumtunda kwa thupi . Chenjezoli lingagwiritsidwe ntchito, mwachitsanzo, kwa munthu aliyense wazaka zapakati (kapena wokalamba) yemwe ali wochulukitsitsa, wodwalayo, wosuta fodya, kapena yemwe ali ndi shuga , mkulu wa cholesterol , kuthamanga kwa magazi , kapena mbiri ya banja ya matenda a mtima.
Kwa anthu otere (ndipo pali ambiri a ife), zizindikiro zina zosadziwika zomwe zingakhale chifukwa cha vuto la mtima ziyenera kuonedwa mozama.
Kodi Muyenera Kuchita Chiyani Ngati Mukuganiza Kuti Mukhoza Kugonjetsa Mtima?
Ngati mukumva zizindikiro zilizonse zowononga matenda a mtima, makamaka ngati mukudziwa kuti muli ndi zifukwa zoopsa za CAD, muyenera kupeza thandizo lachipatala mwamsanga. Kawirikawiri, chinthu chovuta kwambiri kuchita ndi kuyitana 911 ndikupatseni odwala matenda opatsirana.
Mukakhala m'manja mwa akatswiri azachipatala, chiopsezo chanu chakufa chichepa.
Ngati mumakhala kudera limene odwala opaleshoni sapezeka mosavuta, ndiye kuti wina akakuyendetseni kuchipatala.
Koma chirichonse chomwe mungachite, pemphani thandizo nthawi yomweyo, chifukwa ngati muli ndi vuto la mtima, miniti iliyonse ndi yofunika kwambiri. Ndipo pamene mukuyembekezera opaleshoni, kapena pamene muthamangitsidwa kuchipatala, tengani aspirin .
Kodi Chiyenera Kuchitika Pachipatala?
Mukafika kuchipatala, ogwira ntchito zachipatala ayenera kutenga kwambiri zizindikiro zanu.
Iyi si imodzi mwa nthawizi pamene muyenera kuyembekezera kukhala pansi mu dipatimenti yosavuta kwa maola awiri, kuyembekezera abusa, osungunuka ndi ofesikira kuti atenge inshuwalansi yanu. M'malo mwake, muyenera kuyembekezera kuti mwamsanga muikidwa m'chipinda chachipatala, ndipo anthu angapo akuyenera kukugwiritsani ntchito pang'onopang'ono, kuyambitsa IV, kukupatsani oksijeni, kupeza electrocardiogram (ECG), kutengera magazi kuti ayese, ndi Yambani kukufunsani mafunso okhudza zizindikiro zanu ndikufufuza mtima wanu.
Poonetsetsa kuti mukupempha yankho lolondola kuchokera kwa antchito azachipatala, muyenera kunena mawu amatsenga mukangofika. Mawu amatsenga ndi, "Ndikuganiza kuti ndikudwala matenda a mtima."
Musati muwauze kuti muli pano chifukwa mapewa anu amachititsa manyazi, kapena mukuganiza kuti muli ndi kupweteketsa mtima, kapena kuti muli ndi zina zomwe mungathe kuziganizira (ndi kuyembekezera). Maganizo anu sayenera kukhala, "Ziribe kanthu, kotero sindingapange kanthu kakang'ono. Aloleni afotokoze ngati ndi mtima wanga." Ngati ndizo njira yanu, mudzapeza mankhwala opweteketsa, kupweteka kwachangu, mphindi zamtengo wapatali (kapena ngakhale maola) zidzawonongedwa, ndipo mudzalipira mtengo.
Mukadziŵa zizindikiro za vuto la mtima, mukhoza kupita kuchipatala, ndipo mudachenjeza ogwira ntchito zachipatala kuti muli ndi vuto la mtima, mwachita ntchito yanu.
Gawo lotsatira liri kwa madotolo. Ndipo nkofunika kuti mudziwe, mwachidule, zomwe madokotala ayenera kukuchitirani pamene akudwala matenda a mtima. Mukhoza kuwerenga zambiri zokhudza mankhwala okhudza mtima apa .
Mawu Ochokera
Chinsinsi chokhalira ndi matenda a mtima ndi kuzindikira zizindikiro zowopsa kwa mtima, ndikuchitapo kanthu mwamsanga mukakumana ndi aliyense wa iwo. Zotsatira zoopsa kwambiri za matenda a mtima nthawi zambiri zimapewa ngati mankhwala ayambitsidwa mofulumira. Masiku ano, zipatala zamakono zamakono zimayesetsa kupereka chithandizo msanga kamodzi kafukufukuyo akuwonekera bwino; ndipo kuchedwa kwambili poyambitsa chithandizo kuli m'manja mwa munthu amene ali ndi vuto la mtima. Choncho, makamaka ngati muli ndi zifukwa zowopsa kwa CAD, dziwani zomwe mungayang'ane, ndipo khalani atcheru ku zizindikiro zilizonse za matenda a mtima.
> Zotsatira:
> Fanaroff AC, Rymer JA, Goldstein SA, ndi al. Kodi Woleza Mtima Amene Ali ndi Chifuwa Chakumtima Ali ndi Matenda Oopsa a Coronary ?: The Rational Clinical Review Review System. JAMA 2015; 314: 1955.
> Thygesen K, Alpert JS, Jaffe AS, ndi al. Tanthauzo Lake Lachitatu la Myocardial Infarction. Kuthamanga kwa 2012; 126: 2020.