Inatsekeratu matenda a mtima ndi curable!

Monga kale kudziwika kwa onse, umatchedwa matenda ischemia, amene analandira zogwirizana ndi maonekedwe a nkhani zosiyanasiyana m'dera m'munda wa zimakhala anthu ndi ziwalo, makamaka mu mtima. Ischemic matenda a mtima kumabweretsa kuchepetsa lakuthwa ndipo blockage wa mitsempha yomwe kulimbikitsa mtima zonse ndi mpweya ndi zakudya zina.

Dziwani kuti madokotala amachenjeza za kuopsa kwake kwa njira yaitali matendawa. Inatsekeratu mtsempha wamagazi matenda zambiri kumayambitsa necrosis a zimakhala ndi ziwalo za thupi la munthu. Mu njira zambiri, woyendera nthambi ndi liwiro maonekedwe a matenda amadalira kwambiri pa kuchuluka n'komwe kuchuluka kwa matenda wamba a magazi ndi mtima wodwalayo, komanso maonekedwe a atherosclerosis mu mitsempha ya minofu. Cardiologists kuti zimayambitsa matenda a mitima yomwe yatchedwa kale, pafupifupi 80% ya milandu zingachititse kuti imfa kapena aakulu mawonetseredwe mu umunthu galimoto zida. Koma mu 10% milandu, inatsekeratu matenda a mtima amayambitsa zotsatira yekha wofatsa pathological.

A khalidwe ndi bwino mbali ya ischemia m'mnyewa wamtima ndi ululu komanso nkhawa pachifuwa, amene amaika kukakamiza ziwalo zonse za mtima nthaŵi zonse gulu lalikulu. M'mnyewa wamtima ischemia nthawi zambiri kugwirizana ndi spasms ziwalo munthu, amene anapha ziwiya inatsekeratu. Posachedwapa, akatswiri opaleshoni anaulula tanthauzo lenileni la matenda onse a kuyambira ululu, omwe nthawi zambiri amapezeka chifukwa cha chiyambi cha boma khunyu za thupi, ndi kutsiriza ndi chomaliza matenda, amagwirizana ndi matenda opha ziwalo.

Komanso, Dziwani kuti akatswiri ambiri kunena kuti milandu wapadera wa matenda mu mtima wodwalayo zimachitika ngakhale sitili zizindikiro concomitant plugging mu ziwalo ndi minofu ya zipangizo inatsekeratu. Zikatero, wodwalayo wodwala amene akufunika thandizo opareshoni, mwinamwake izo zikhoza kufa chifukwa cha matenda opha ziwalo. Mankhwalawa matenda a mitima, cholinga chachikulu cha madokotala ndi kumasula kuundana ka minofu. njirayi kumabweretsa ntchito yachibadwa ya mtima minofu magazi ndi khola. Kuti tichite zimenezi, madokotala amagwiritsa ntchito njira zosiyanasiyana za chithandizo:

1. Choyamba, madokotala ayenera kugwira polimbana kupweteka kwa minofu ya mtima. Ngati wodwala amene amakhala atatopa mavuto amenewa nthawi zonse, sangathe kutenga kupuma ku ntchito imeneyi ululu kwambiri, n'kutheka kuti sadzatha kuzikana ndondomeko. Choncho madokotala kupweteka ntchito mankhwala osiyana. Pofuna aakulu chifuwa ululu madokotala ntchito yapadera epidural mankhwala, cholinga lomwe lili mtima kupyolera catheter anaika mmbuyo, anali kutumikiridwa mankhwala mankhwala ochititsa kuti wodwalayo ndi atsogolere ufa pa nthawi. Mu njira iyi, ambiri madokotala kukonzekera odwala awo ntchito yaikulu.

2. Pambuyo ndondomeko pamwamba, madokotala ayamba kupereka mankhwala anayamba kusintha otaya magazi m'thupi la wodwalayo. Kuti muchite izi thupi wodwalayo kupereka jakisoni munali seramu wapadera kuti normalizes magazi clotting ndi okwana kukhuthala magazi m'thupi la munthu. Komanso, ndi seramu zimenezi pofuna kukwaniritsa mafuta zili mu magazi.

3. Asanayambe kugwira ntchito pawokha ndi zonse wolumikizira bedi wodwalayo bwinobwino ndi njirayi umagwiritsidwa ndi zipangizo zina zapadera ultrasound, amene amachita chindodo mu chithunzi chosonyeza zinkakhala m'dera mu mtima.

Kotero ife tikhoza kunena motsimikiza kuti ishemichekaya matenda a mtima zikhoza kuchizidwa madokotala pa nthawi ino.