MATENDA A MTIMA NDI MATENDA ASHUGA

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Malinga ndi kafukufuku, anthu omwe ali ndi matenda a shuga ali pachiwopsezo cha kudwala kwamtima kwa 40-50%.

Ndi matenda a shuga, makoma a zotengera amakhala osalimba, zigawo zamagazi ndi tinthu tating'onoting'ono timalowa mu duct. Ndiye chifukwa chake pamasamba amitsempha yamagazi ndi kuthamanga kwa magazi mthupi kumangokulira.

Kusokonezeka kwa mtima wokhawokha ndikumwalira kwakanthawi kwamankhwala, komwe kumachitika chifukwa cha kuwonongeka m'magazi nthawi ya embolism kapena mtima.

Kuchita zinthu mochenjera kwamtima kumatsimikizira kuti kuyambika kwake kungakhale osakhala ndi chizindikiro. Kupweteka kufatsa kumawonedwa.

Odwala ambiri amadwala chifukwa chotchedwa "mtima wodwala"makoma a minofu ya mtima akakhudzidwa, kuchuluka kwake ndi kusagwira ntchito kwake kumachitika.

Mtima wokula umawonedwa ngati mtundu wofatsa wa matenda a mtima m'matenda a shuga, chifukwa zochitika zowawa kwambiri nthawi zambiri zimabweretsa kufa. Anthu ambiri amakhala zaka zambiri osachitidwa opaleshoni.

Matenda a mtima ndi matenda ashuga. Mawonekedwe

Nthawi ya vuto la mtima kwa odwala omwe ali ndi matenda ashuga ali ndi izi:

Kuwoneka kwa kugunda kwamtima kwakukulu;
Zovuta za Thromboembolic;
Chiwopsezo chobwereranso;
Ambiri mwa anthu akufa;
Kupezeka kapena kufooka kwa zizindikiro.

Zambiri zimakhudza kusinthasintha kwamavuto, kuphatikiza:

Mulingo uliwonse wa kunenepa;
M'badwo wodwala;
Matenda oopsa
Kutalika kwa chiwonetsero cha matenda ashuga (koposa zonsezi zimakhudzana ndi mtundu 1 wa matendawa);
Hyperlipidemia;
Mawonekedwe a shuga ndi njira zamankhwala.

Vuto lalikulu lodziwitsa matenda a mtima ndi njira yake ya asymptomatic (40-43% ya zochitika zonse), sizomwe zimachitika chifukwa cha vuto la mtima popanda kuphatikizidwa ndi matenda a shuga (5%) okha.

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Zizindikiro za vuto la mtima ndipo ndi ndani amene ali pachiwopsezo?

Pamaso pa matenda a shuga, vuto la mtima limatha kudziwonetsa:

lakuthwa lonse;
kusanza kopanda tanthauzo;
nseru
kugunda kwa mtima;
pulmonary edema;
kupweteka kwambiri pachifuwa ndi dera la mtima, wokhala ndi mawonekedwe oponderezana kapena oponderezana;
ululu womwe umawonekera kukhosi, nsagwada, phewa lakumanzere, phewa lamanja kapena mkono womwe suudutsa piritsi ya nitroglycerin.

Ngati munthu ali ndi matenda amtundu uliwonse wa shuga ndipo ali ndi chimodzi mwazizindikiro izi, ali kale pachiwopsezo ndipo ayenera kusamala kwambiri ndi vutoli.

Kupezeka kwa vuto la mtima mwa makolo ndi abale apafupi mpaka 55 mwa akazi ndi zaka 65 mwa abambo.
Kusuta. Kuledzera kumeneku kumakhala ndi zotsatira zoyipa kwambiri pamitsempha yamagazi ndipo kumawonjezera chiopsezo cha vuto la mtima ndi 2 times!
Kukhalapo kwa ochepa matenda oopsa, komwe kumayambitsa mikangano yambiri yamitsempha yamagazi.
Mitundu yotsika ya cholesterol yabwino.
Kuchuluka kwamafuta m'magazi.
Kunenepa kwambiri, komwe kumadziwika kwambiri ngati azimayi amatha kupitirira 89 masentimita komanso amuna - masentimita 101.

Monga momwe zikusonyezera, matenda ashuga amawonjezera mwayi wokhala ndi vuto la mtima ndipo ndi mdani # 1.

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Kupewa komanso kuchiza matenda a mtima ndi matenda ashuga

Matenda aliwonse, kuphatikizapo matenda a shuga a mellitus, ndi osavuta kupewa kuposa kuchiritsa.

Kupewa kungaphatikizeponso:

Kuwunikira pafupipafupi kolesterol ndi shuga m'magazi.
Kukana kwathunthu mowa ndi kusuta.
Kutsatira zakudya zamafuta ochepa.
Pitani kwa madokotala (cardiologist ndi endocrinologist).
Kulandila mankhwala onse omwe waperekedwa.
Kusungabe tulo tokwanira komanso kupuma.
Kuchita zolimbitsa thupi zomwe zimapangidwira anthu omwe ali ndi matenda ashuga.

Khalidwe lodwala mukakumana ndi vuto la mtima

Pamaso pa matenda a shuga ndi zina mwa mfundo zomwe zili pachiwopsezo, ndikofunikira kudziwa zizindikiro za vuto la mtima ndi njira zodzithandizira. Ndikofunikira kuti mapiritsi anu azikhala nanu nthawi zonse. nitroglycerin. Kupweteka kwamakhalidwe kumachitika, piritsi limodzi la mankhwalawa ndi madontho 30-35 a valocordin kapena corvalol amatengedwa. Njira izi zikuthandizira kuchepetsa nkhawa, yomwe imakhala yoopsa kwambiri pamenepa.

Pankhani ya kutenga nitroglycerin ndi kusapezeka kwa zotsatira zabwino, muyenera kuyimbira ambulansi nthawi yomweyo.

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Choyamba thandizo la matenda a mtima

Ngati mwakumana ndi vuto la mtima, muyenera kupereka chithandizo kwa omwe akukhudzidwayo.

Ikani wodwalayo pansipansi ndikukweza pang'ono kumtunda.
Osayimitsa kapena chovala zovala zomwe zingapangitse kupuma kukhala kovuta.
Tsegulani zenera la mpweya wabwino.
Ngati ndi kotheka, yang'anirani kuthamanga kwa magazi, komanso kupuma komanso kugunda kwa mtima.
Patsani piritsi ya nitroglycerin ndi sedative iliyonse (corvalol, valerian ndi ena).
Panthawi yoti mtima wamangidwa, kupindika kwake kosadziwika komanso kupuma kochita kupanga.

Kodi chithandizo cha matenda a mtima ndi chiyani?

Kuti mupeze chithandizo chokwanira, muyenera kufunsa madokotala oyenera, kuti mupeze mayankho athunthu ndikuwonetsetsa momwe mankhwalawo alili.

Kulimbana ndi vuto la mtima limodzi ndi matenda a shuga ndizovuta kwambiri.

Monga momwe machitidwe amasonyezera, kununkha ndi angioplasty kumabweretsa zotsatira zabwino kwambiri. Amachepetsa kwambiri chiopsezo chosakhala ndi vuto lachiwiri la mtima, komanso zotsatira zakupha.

Angioplasty Ankakonda kuwonjezera zotchingira m'ngalawa zotsekedwa. Pochita opaleshoniyo, cholembera cha baluni chimayikidwa mu mtsempha, womwe umayamba pamalo ake. Kuyika palaini kukhoma lamkati la nyambo ndi kutseguka kwa lumen.
Ndikuluma Ankakonda kukonza makhoma a chotengera, chomwe chatchepetsa. Kukhazikitsidwa kwa chubu la ma mesh opangidwa ndi zitsulo zapamwamba kumapangika m'matumbo a coronary. Kuwongolera zochitika zonse kumachitika kudzera paziwonetsero za x-ray.

Ndi matenda a shuga, chiopsezo cha zovuta zimachuluka kwambiri, nthawi zambiri madokotala amasiya kuthandizira kapena kuwongolera ndi mankhwala othandizira. Ndipo popeza matendawa nthawi zambiri amayambitsa kusokonezeka kwa kagayidwe kachakudya, kagayidwe ka metabolic kamayikidwa kuti athetse.

Kuphatikizidwa kwa matenda ashuga komanso matenda a mtima kumachepetsa thanzi la odwala, chifukwa chake ndikofunikira kuti mumayesedwe panthawi yake ndikuwunika momwe mumadyera komanso moyo wanu.

Kusankhidwa kwa mtima ndi kudalirika:

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