Pamene Kuthamanga Kwambiri kwa Magazi Kusintha Mwachifwamba
Kuopsa kwa matenda oopsa kwambiri ndikuthamanga kwa magazi omwe amachititsa kuti thupi limodzi kapena zingapo ziwonongeke. Ngakhale kuti zosawerengeka-zimakhudza pafupifupi anthu mmodzi peresenti ya anthu omwe ali ndi mbiri ya kuthamanga kwa magazi kwambiri-matenda oopsa kwambiri angayambitse kuwonongeka kosatha komanso ngakhale imfa ngati sichikuchitidwa mwamsanga.
Matenda oopsa kwambiri amatanthauzidwa ngati kuthamanga kwa magazi powerenga zoposa 180/120.
Mosiyana ndi zimenezi, kuthamanga kwa magazi kulikonse pansi pa 140/90.
Ngakhale kuti ziwalo zonse zazikuluzikulu zili pangozi yowonongeka pamwambo woopsa kwambiri, impso, maso, ubongo, ndi mtima ndizo zowonongeka kwambiri. Matenda oopsa amayamba mofulumira, ndipo amachititsa kuti mitsempha yaing'ono ikhale yambiri m'mthupi.
Zimayambitsa Matenda Oopsa Ambiri
Zomwe zimayambitsa matenda oopsa kwambiri sizimveka bwino. Nthaŵi zambiri, zikuwoneka kuti ndi zotsatira za zifukwa zambiri zowonjezera. Mwa iwo:
- Kuletsa kumwa mankhwala a mtima wapamwamba
- Mbiri yakale ya kulephera kwa impso kapena stenosis (mitsempha yambiri ya impso)
- Kugonjetsa kwapakati pa nthawi ya mimba kapena mavuto ena okhudzana ndi mimba monga preeclampsia
- Anthu okhala ndi collagen matenda aakulu monga scleroderma
- Zopweteka za adrenal gland
Ngakhale mbiri ya kuthamanga kwa magazi imatengedwa kuti ndi yaikulu ku chiopsezo, zina, zifukwa zonse zosagwirizana zingayambitse matenda oopsa kwambiri.
Izi zikuphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo (monga cocaine kapena methamphetamine), mapiritsi oletsa kubereka, kupsinjika mutu, ndi kuvulala kwa msana.
Zina mwazifukwazi zikhoza kuwerengera chifukwa chake achinyamata ali ndi vuto loopsa kwambiri kuposa okalamba. Mosiyana ndi zimenezi, akuluakulu amakhala ndi mankhwala osokoneza bongo ndipo amachepetsa chiopsezo chawo.
Zizindikiro za Kuthamanga Kwambiri kwa Mthupi
Chifukwa chakuti matenda oopsa kwambiri amakhudza ziwalo zomwe zimakhudza kwambiri kuthamanga kwa magazi, zizindikiro zimadalira kwambiri malo ovulala kwambiri. Zina mwa zizindikiro zowonjezereka zikuphatikizapo:
- Masomphenya a Blurry
- Mutu
- Kupweteka pachifuwa
- Kuphatikizika kwa mtima
- Osasunthika
- Kupuma pang'ono
- Kusinkhasinkha, kunjenjemera, kutentha, kapena kumverera kwa khungu
- Kufooka kapena chizungulire
- Kuchotsedwa kwa mkodzo
- Nsowa kapena kusanza
- Kusintha maganizo
- Mapuloteni oyipa a retina
- Kugonjetsa
Ngakhale kuti zizindikirozi sizowopsa kwambiri, zimakhudzidwa ndi zinthu zingapo zoopsa monga matenda a mtima, kupweteka, kapena impso kulephera. Pa chifukwa ichi chokha, zizindikiro monga izi siziyenera kunyalanyazidwa.
Kuchiza Kuthamanga Kwambiri kwa Malungo
Kudziwa kuti matenda oopsa kwambiri amachititsa munthu kuthamanga kwa magazi. Anthu omwe ali ndi kachilombo ka HIV ayenera kupitidwa kuchipatala kuti akawone bwinobwino. Malingana ndi momwe mwambowo ulili, kuvomereza ku chithandizo chokwanira kungafunike.
Mankhwala osokoneza bongo angagwiritsidwe ntchito pang'onopang'ono kuchepetsa kuthamanga kwa magazi, kuphatikizapo sodium nitroprusside ndi nitroglycerin. Impso, ubongo, ndi mtima zimagwiritsidwanso ntchito mosamala kuti aone zopanda pake zomwe zimafuna kuchitapo kanthu mwadzidzidzi.
Nthawi zambiri, kumwa magazi kungagwiritsidwe ntchito ngati mankhwala osokoneza bongo sakugwira mwamsanga.
Mukakhazikika, mayesero angagwiritsidwe ntchito kuti ayang'anire kutaya magazi kapena kuvulaza kwakukulu. Izi zingaphatikizepo ultrasound, computed tomography (CT) scan , kapena imaging magnetic resonance (MRI) .
Munthuyo atakhazikika kuti athe kumasulidwa, mankhwala osokoneza bongo monga beta blockers kapena ACE inhibitors angapangidwe ngati sali kale.
> Zotsatira:
> Cremer, A .; Amraoui, F .; Lip, G. et al. "Kuchokera ku matenda oopsa kwambiri ku matenda oopsa-MOD: kutanthauzira kwamakono koopsa koma koopsa kwambiri." Journal of Human Hypertension. 2016; 30: 463-466.
> Kessler, C. ndi Joudeh, Y. "Kufufuza ndi Chithandizo cha Kuthamanga Kwambiri Kwambiri Kwambiri." American Family Physician. 2010; 81 (4): 470-476.