Chithandizo cha matenda a mtima, matenda amtima (angina ndi matenda a mtima)

Chithandizo cha matenda a mtima, matenda amtima (angina ndi matenda a mtima)

Chithandizo cha a m'mnyewa wamtima infarction amafuna alowererepo zachipatala kuchokeramwamsanga kuti achepetse zotsatira zake. Lumikizanani ndi chithandizo chamankhwala mwachangu momwe mungathere.

Thandizo ladzidzidzi loperekedwa kuchipatala silidzakambidwa pano. Pamene zadzidzidzi ndi ulamuliro, ndi zothandizira Cholinga chachikulu chidzakhala kuteteza vutoli kuti lisapitirire komanso kuti lisabwerenso.

Ngati mukukumana ndi zizindikiro za angina matenda, kambiranani ndi dokotala mosazengereza.

Mankhwala

Mankhwala otsatirawa amagwiritsidwa ntchito pochiza kapena kupewa angina matenda ndi kupewa recurrent infarction.

  • Matenda a hypolipidemic, kuti muchepetse cholesterol: ma statins, bile acid binders, etc.
  • Antiangineux, kuchiza matenda a mtima: beta blockers, calcium channel blockers, nitrate.
  • Mankhwala osokoneza bongo : acetylsalicylic acid (aspirin) ndi clopidogrel.

Ofufuza akuyesetsa kupanga mamolekyu omwe amatha kukweza cholesterol yabwino (HDL).

zikunena

Kutengera ndi mlanduwu, chimodzi kapena china mwazinthu zotsatirazi zitha kuwonetsedwa pofuna kupewa recurrent infarction.

  • Percutaneous coronary intervenous. Kuchitapo kanthu kumeneku, kochitidwa ndi katswiri wa zamtima wa interventionist, choyamba ndi kuyika catheter yokhala ndi baluni yopumira kuti itseke mtsempha wotsekeka, womwe umatchedwaangioplasty. Catheter imayikidwa mu mtsempha wamagazi m'dzanja kapena groin.

     

    Pa nthawi ya opaleshoni, yaing'ono mtengo wachitsulo, kapena stent, nthawi zambiri amalowetsedwa mu mtsempha wamagazi, zomwe zimachepetsa chiopsezo cha mtsempha wamagazi kutsekekanso. Kuti awonjezere kugwira ntchito kwawo, mitengo ina imakutidwa ndi mankhwala (mwachitsanzo, sirolimus kapena paclitaxel).

  • Opaleshoni yolambalala. Dokotala amalumikiza mtsempha wamagazi, wotengedwa m'mwendo kapena pachifuwa, kuti apange njira yatsopano yoti magazi adutse kutsekeka kwa mtsempha wamagazi. Madokotala amasankha opaleshoni yodutsa pamene mitsempha yambiri yapamtima yatsekeka kapena yopapatiza, kapena pamene mtsempha waukulu wapamtima wakhudzidwa. Izi zimachitika makamaka pakachitika shuga orKulephera kwa Mtima, kapena ngati mitsempha ingapo yatsekeka.

chofunika. Percutaneous coronary intervenous ndi coronary bypass opaleshoni sizokonza mwachangu zomwe zimathetsa mavuto onse. Anthu ambiri amakhulupirira, molakwika, kuti kuchitapo kanthu koteroko n’kokwanira kuwachotsa pangozi ndi kuwalola kuyambiranso zizoloŵezi zawo zakale za moyo.

Kusintha kwa moyo

Madokotala akugogomezera kwambiri kufunika kosintha zizolowezi za moyo kuti athe kuchepetsa kapena kuletsa kukula kwa matendawa, monga tafotokozera mu gawo la Kupewa:

  • Musasute;
  • kuchita masewera olimbitsa thupi;
  • kudya bwino;
  • kukhala ndi thanzi labwino;
  • kugona bwino;
  • phunzirani kumasuka;
  • kufotokoza zakukhosi, etc.

Kodi vuto la mtima limakhudza mtima, komanso ubongo ndi kugona?

Mavuto akusowa tulo ndizofala kwa masabata a 2 pambuyo pa vuto la mtima. Akatswiri akhala akukhulupirira kuti kupsinjika maganizo n’kumene kumayambitsa. Komabe, zitha kukhala kuti infarction imakhudza osati mtima wokha, komanso ma neuron muubongo omwe amathandizira kugona. Osachepera iyi ndi lingaliro lothandizidwa ndi ofufuza aku Quebec.48.

The malo othandizira mu cardiology tsopano amapereka upangiri pazakudya, mapulogalamu olimbitsa thupi, mapulogalamu othandizira kuti asiye kusuta, masewera opumula, kuthana ndi nkhawa, kusinkhasinkha, ndi zina zambiri.

Njirazi zili ndi chitetezo komanso machiritso.

Phunzirani ku zakudya zaku Mediterranean

Angapo cardiologists amalangiza zakudya zimenezi, amene ali othandiza pewani kubwereza.

Kafukufuku wasonyeza kuti zakudya za ku Mediterranean zimatha kuchepetsa 70% chiopsezo cha kuyambiranso kwa matenda a mtimapoyerekeza ndi chakudya chamagulu34-36 .

Zakudya za ku Mediterranean zimadziwika makamaka ndi masamba ndi zipatso zambiri zatsopano, kugwiritsa ntchito mafuta a azitona monga gwero la mafuta, kudya nsomba komanso vinyo, mopanda malire.

Psychotherapy

Kulandira psychotherapy monga gawo la chithandizo cha matenda amtima - kapena bwino, popewa - kungabweretse mapindu ambiri.39, 55. Kupsinjika kwakanthawi, nkhawa, kudzipatula komanso nkhanza zonse ndizinthu zomwe, osazindikira, zimagwira ntchito pamanjenje komanso kufooketsa thanzi lathu lamtima. Kuonjezera apo, kuti tichepetse mavutowa, ndizofala kuti timagwiritsa ntchito makhalidwe omwe, m'malo motithandiza, amawonjezera vutoli: kusuta, kuledzera, kudya mokakamiza, ndi zina zotero.

Kuonjezera apo, anthu omwe, pambuyo pa kuukira kwa angina, mwachitsanzo, amalimbikitsidwa kuti aganizirenso zawo njira ya moyo (kuchita masewera olimbitsa thupi, kusiya kusuta, etc.), khalani ndi chidwi chotenga njira zonse zomwe mungathe kuti mukwaniritse. Mulimonsemo, psychotherapy ikhoza kukhala ndi gawo lalikulu.

Siyani Mumakonda