Mubvunzo unowanzoitika kune vanhu vakaponeswa nhamo yemwoyo "Ndingaita rini zvepabonde rini?"
Uyu mubvunzo ndeyekuti vanachiremba vanofanira kupa mhinduro kunze kwekuti iwe uzvibvunze, asi pane zvakawanda zvokukurukurirana mushure mekurwa kwepfungwa uye nguva shomanana yekuita iyo dzimwe nguva inopotsa. Usatya kuunza mibvunzo yako uye zvinetso newachiremba wako kuitira kuti iye anogona kugadzirisa zvaunoda.
Panguva ino, aya mazano anofanirwa kubatsira.
Kana Yakachengeteka Kuita Zvepabonde Post-Heart Attack
Nguva yekuita zvepabonde mushure mekurwa kwepfungwa kunobva pane imwe mamiriro ako ezvinhu. Utano hwepfungwa hunosiyana zvikuru pakati pevanhu vakave nekurwadziwa kwepfungwa, naizvozvo iwe uchada kutaura nechiremba wako kune mamwe mazano. Asi apa pane mamwe maonero anokosha iwe unofanira kunge uchiziva.
Mhedzisiro yepabonde pabonde remwoyo inofanana zvikuru nemigumisiro yekuita zvishoma. Kunyanya, zvinenge zvakaenzana nekufamba 2 kusvika kumakiromita mana paawa pane imwe nzvimbo yepamusoro. Saka hazvifaniri kushamisa kuti, sekuita zvekurovedza muviri, kuita zvepabonde kunogona kuwedzera nguva yakawanda njodzi mune vamwe vanhu vane chirwere chegoni (CAD) .
Asiwo sekuita zvekurovedza muviri, nehutano hwakanaka hwekuita zvepabonde mushure mekurwa kwepfungwa chimwe chinhu chinowanzochengeteka, uye (nokuti chinoita kuti munhu ave nehupenyu hwakanaka, kunomisa chisungo pakati pako nemumwe wako, uye kunobatsira kudzivirira kuora mwoyo), ngaakurudzirwe.
General Guidelines
Nenzira yakawanda, vanachiremba vanokumbira vanhu kuti vasaita zvepabonde kwemavhiki mana kusvika ku6 mushure mekurwa kwepfungwa - nguva yenguva iyo yakawanda yekurapa inowanikwa mumusungo wemwoyo wakaora.
Penguva ino yekuporeswa, iwe unofanirwa kugamuchira mishonga yekubatsira moyo wako kuporesa, kudzivirira kufambira mberi kweherosclerosis , uye kudzivirira imwe kurwadza kwemwoyo kana chimwe chimiro chechirwere chinonzi coronary syndrome .
Mukuwedzera, iwe unofanirwa kunge uine chirongwa chekugadzirisa mwoyo , iyo inobatsira moyo wako wehutano hwemagariro kuti ureverere maitiro ekuenzanisa ekutenda iwe uchaona muupenyu hwezuva nezuva - uye munguva yepabonde.
Kana iwe ukaita zvinhu zvose izvi, nenguva yawakagadzirira kudzokerazve zvepabonde, mwoyo wako wehutano huchagadzirirwa - uye iwe uchave uchiita "zvepabonde rekuchengetedza mwoyo."
Kufungisisa kwakakosha
Vamwe vanhu mushure mekurwa kwepfungwa - avo vakagadzikana kukanganisa kwemwoyo , avo vane dambudziko reropa, avo vari kuramba vachiita angina , kana kuti vane mamwe matambudziko - vangada kudzivisa kuita zvepabonde kwenguva yakareba, asi matambudziko avo ehutano ari zvakanyatsogadziriswa. Kana iwe uri mumwe wevanhu ava, iwe unoda kushanda nachiremba wako kuti uone kana iwe wakagadzikana zvakakwana kuti utangezve zvepabonde.
Kusagadzikana kwepabonde mushure mekurwa kwemoyo
Zvakajairika kuti varume vatambure pane imwe nzira yekusavhiringidza kwe erectile mushure mekurwadziwa kwepfungwa, uye kuti varume nevadzimai vaone kuderera kwechido chepabonde. Zvimwe zvezvinetso izvi zvingave zvakakonzerwa nemishonga yaunenge uchitora, asi kazhinji inokonzerwa nekuzvidya mwoyo, kuora mwoyo, kana kutya kwekuve nekumwe kushaya mwoyo panguva yepabonde.
Aya maitiro epfungwa anowanzogadzirisa oga pavanenge mwedzi kana maviri, sezvo iwe unodzokerazve kuvimba mune unyanzvi hwako hwokushanda zvakajeka mune zvimwe zvikamu zvehupenyu hwako. (Zvakare zvakare, chirongwa chemuitiro wemwoyo chinogona kuva chakakosha pakuvakazve chivimbo chako.) Asi kana nyaya idzi dzichiripo, zvinenge zvichibatsira kukurukura navo nachiremba wenyu, sezvo vanokwanisa nguva dzose kutorwa zvakanaka.
Muvarume, mishonga ye erectile dysfunction - yakadai seViagra (sildenafil), Cialis (tadalafil) uye Levitra (vardenafil) - inowanzobudirira chaizvo. Iyi mishonga inogona kushandiswa zvakachengetedzeka mune varume vazhinji vane CAD, pamwe chete nemuenzaniso unokosha: Kana uri kutora nitrates ye angina , zvino kutora chero ipi yemishonga iyi erectile kusagadzikana kunogona kubvisa dambudziko reropa muropa, uye haigoni kushandiswa.
Zvisinei, kana CAD yako inofungidzirwa yakasimba uye iwe hauna kutora nitrates, chiremba wako angangove achifara kukubvumira kutora imwe yemishonga iyi nokuda kwekusavhiringidza kwe erectile.
Heano zvakare nyevero: Kana iwe uri kutora Viagra, Cialis kana Levitra, haufaniri kutora nitrates kunyange iwe une chikamu chengina. Pane kudaro, unofanira kumira basa rose, zorora, uye kumirira maminitsi gumi. Kana chirwere chepfupa chisati chaenda mushure maminitsi gumi, taura 911.
The Bottom Line
Pakati pese, basa rekuita zvepabonde rinowanzogadziriswa mukati memavhiki mashomanana ekurwara kwemoyo. Zvisinei, nokuti kune zvakakosha pane zvaunofunga kuti zviitwe, unofanira kufungisisa nyaya yako newachiremba wako.
> Sources
> DeBusk RF, Pepine CJ, Glasser DB, et al. Kubudirira uye kuchengetedzwa kweSildenafil Citrate muna Varume vane Erectile Dysfunction uye Stable Coronary Artery Disease. Am J Cardiol 2004; 93: 147.
> Levine GN, Steinke EE, Bakaeen FG, et al. Basa Rokuita Zvepabonde uye Matenda Ane Mwoyo: Scientific Statement kubva kuAmerican Heart Association. Circulation 2012; 125: 1058.
> Steinke EE, Jaarsma T, Barnason SA, et al. Kurairirwa kwepabonde kune umwe neumwe ane moyo wehutano nehutano hwavo: Consensus Document kubva kuAmerican Heart Association uye ESC Council on Cardiovascular Nursing neAllied Professions (CCNAP). Circulation 2013; 128: 2075.