Matenda a mtima, matenda a mtima (angina ndi matenda a mtima)

Matenda a mtima, matenda a mtima (angina ndi matenda a mtima)

 Matenda a mtima: Lingaliro la Dr. Martin Juneau
 

Tsambali limakhudza kwambiriangina ndi matenda a mtima (myocardial infarction). Chonde funsaninso ma arrhythmias athu a mtima ndi zowona za kulephera kwa mtima ngati pakufunika.

The matenda a mtima matenda ambiri okhudzana ndi kusagwira ntchito bwino kwa matenda mtima ku mitsempha ya magazi kuti azidyetsa.

Tsambali likuyang'ana pazovuta ziwiri zomwe zimakonda kwambiri:

  • Theangina zimachitika pamene pali kusowa kwa magazi okosijeni mu minofu ya mtima. Zimayambitsa vuto lalikulu ululu mu mtima, anamva m'dera pachifuwa. Matendawa amapezeka pochita khama ndipo amatha pakangopita mphindi zochepa ndikupumula kapena kumwa nitroglycerin, osasiya sequelae iliyonse. Mawu akuti "angina" amachokera ku Chilatini kukwiya, kutanthauza “kunyonga”;
  • Them'mnyewa wamtima infarction ou matenda amtima zimasonyeza vuto lachiwawa kwambiri kuposa angina. Kuperewera kwa oxygen kumayambitsa necrosis, ndiko kunena kuti kuwonongedwa kwa mbali ina ya minofu ya mtima, imene idzaloŵedwa m’malo ndi a chilonda. Kuthekera kwa mtima kugundana bwino lomwe ndikupopa magazi ochulukirapo pakugunda kulikonse kungakhudzidwe; zonse zimatengera kukula kwa chipsera. Mawu akuti "infarction" amachokera ku Chilatini wocheperako, kutanthauza kudzaza kapena kudzaza, chifukwa minyewa ya mtima imaoneka kuti yadzaza ndi madzi.

Le mtima ndi mpope womwe umalola kuti magazi agawidwe ku ziwalo zonse, choncho amaonetsetsa kuti akugwira ntchito. Koma minofu imeneyi iyeneranso kukhala kudyetsedwa ndi mpweya ndi zakudya. Mitsempha yomwe imapereka ndi kudyetsa mtima imatchedwa Mitsempha yamtima (onani chithunzi). Matenda a angina kapena ma infarcs amapezeka Mitsempha yapamtima yatsekeka, m’mbali kapena mwathunthu. Madera amtima omwe saperekedwanso bwino ndi madzi amaundana moyipa kapena kusiya kutero. Mtundu woterewu umachitika pamene makoma a mitsempha ya mu mtima awonongeka (onani Atherosclerosis ndi Arteriosclerosis pansipa).

Zaka zomwe zimayamba ndi angina kapena matenda a mtima zimatengera mbali zinacholowa, koma makamaka zizolowezi zamoyo : zakudya, masewera olimbitsa thupi, kusuta fodya, kumwa mowa komanso kupsinjika maganizo.

pafupipafupi

Malinga ndi Heart and Stroke Foundation, anthu pafupifupi 70 amakumana matenda amtima chaka chilichonse ku Canada. Pafupifupi 16 a iwo amagonja. Unyinji wa iwo amene apulumuka amachira mokwanira kuti abwerere ku moyo wokangalika. Komabe, ngati mtima wawonongeka kwambiri, umataya mphamvu zambiri ndipo umavutika kukwaniritsa zosowa za thupi. Zinthu zosavuta, monga kuvala, zimakhala zolemetsa. Ndi kulephera kwa mtima.

Matenda a mtima ndi 1re chifukwa cha imfa padziko lonse lapansi, malinga ndi World Health Organisation2. Komabe, sizilinso choncho ku Canada ndi France, komwe khansa imapezeka mu 1er udindo. Komabe, matenda a mtima ndi 1re chifukwa cha imfa mu odwala matenda ashuga ndi magulu ena a anthu, monga zachikhalidwe.

The mavuto amtima pafupifupi mofanana zimakhudza anthu ndi akazi. Komabe, akazi amachipeza akakalamba.

Atherosulinosis ndi atherosulinosis

Theatherosclerosis amatanthauza kukhalapo kwa zolembera pakhoma lamkati la mitsempha yomwe imasokoneza kapena kutsekereza kutuluka kwa magazi. Zimapanga pang'onopang'ono, nthawi zambiri zaka zambiri zisanachitike kuukira kwa angina kapena zizindikiro zina. Atherosclerosis makamaka zimakhudza Mitsempha yayikulu ndi yapakatikati (mwachitsanzo, mitsempha yapamtima, mitsempha ya ubongo ndi mitsempha ya miyendo).

Nthawi zambiri zimagwirizanitsidwa ndinyamakazi : ndiko kuti, kuumitsa, kukhuthala ndi kutayika kwa mitsempha ya mitsempha.

Kodi matenda a mtima amachitika bwanji?

Nthawi zambiri matenda a mtima amapezeka 3 masitepe motsatizana.

  • Choyamba, khoma lamkati la mtsempha liyenera kudutsa microblessures. Zinthu zosiyanasiyana zimatha kuwononga mitsempha pakapita nthawi, monga kuchuluka kwa lipids m'magazi, shuga, kusuta, komanso kuthamanga kwa magazi.
  • Nthawi zambiri, nkhaniyi imathera apa, chifukwa thupi limasamalira bwino kuvulala kwazing'ono izi. Komano, zimachitika kuti khoma la mtsempha wamagazi thickens ndi kupanga mtundu wa chilonda kuyitana" mbale “. Izi zimakhala ndi mafuta a kolesterolini, maselo a chitetezo cha mthupi (chifukwa kuvulala kochepa kunayambitsa kutupa) ndi zinthu zina, kuphatikizapo calcium.
  • Zolemba zambiri sizili "zowopsa"; mwina sizikula kapena zimatero pang'onopang'ono, kenako zimakhazikika. Ena amatha kuchepetsa kutsegula kwa mitsempha ya m'mitsempha mpaka 50% mpaka 70%, popanda kuyambitsa zizindikiro komanso popanda kuwonjezereka. Kuti vuto la mtima lichitike, a magazi magazi mawonekedwe pa mbale (yomwe sinali yayikulu kwenikweni). M’maola angapo kapena masiku angapo, mtsempha wa magaziwo ukhoza kutsekeka kotheratu ndi magaziwo. Izi ndi zomwe zimapanga matenda a mtima ndi kupweteka kwadzidzidzi, popanda chenjezo lamtundu uliwonse.

    Masitepe omwe amatsogolera ku kutsekeka kwa magazi pa cholembera sikumveka bwino. Chophimbacho chimapangidwa ndi magazi oundana. Monga ngati chala chavulala, thupi limafuna kuchikonza kudzera mu coagulation.

Theatherosclerosis amakonda kukhudza Mitsempha ingapo nthawi imodzi. Chifukwa chake kumawonjezera chiopsezo cha zovuta zina zofunika zaumoyo, monga sitiroko kapena kulephera kwa impso.

Kuwunika zoopsa: mafunso a Framingham ndi ena

Mafunso awa amagwiritsidwa ntchito kulingalira chiopsezo cha matenda a mtima m'zaka 10 zotsatira. Zitha kukhala zochepa (zosakwana 10%), zochepetsetsa (10% mpaka 19%) kapena zapamwamba (20% ndi zina). Zotsatira zimatsogolera madokotala posankha chithandizo. Ngati chiwopsezo chili chachikulu, chithandizocho chidzakhala chachikulu. Mafunsowa amaganizira zam'badwo, mitengo ya mafuta, kuthamanga kwa magazi ndi zina zoopsa. Amagwiritsidwa ntchito kwambiri ndi madokotala aku Canada ndi America. Idapangidwa ku United States, m'tawuni ya Framingham4. Pali mitundu ingapo yamafunso, chifukwa iyenera kusinthidwa kuti igwirizane ndi anthu omwe amawagwiritsa ntchito. Ku Europe, imodzi mwazomwe zimagwiritsidwa ntchito kwambiri ndi ONSE (" Systematic COronary Risk Emtengo »)5.

 

Siyani Mumakonda