Kuwunikira Kafotokozedwe kazinthu zopezeka pachipatala, matenda amisala, kusuta kwambiri komanso kugwiritsa ntchito mankhwala osokoneza bongo zitha kufotokozera za chiwopsezo chachikulu cha matenda a mtima pakati pa ovuta omwe ali ndi vuto lakusokonezeka kwa pambuyo.

DALLAS, Feb. 13, 2019 - Matenda a post-traumatic stress (PTSD) palokha sizimalongosola za kuopsa kwa matenda amtima mwa omenyera nkhondo omwe ali ndi vutoli. Kuphatikizika kwa zovuta zakuthupi, matenda opatsirana kusokonezeka ndi kusuta, komwe kumakhala kofala kwambiri kwa odwala omwe ali ndi PTSD, kungafotokozere mgwirizanowu, malinga ndi kafukufuku watsopano mu Journal of the American Heart Association, Open Access Journal ya American Heart Association / American Stroke Association. (Opandidwa mpaka 4 am CT / 5 am ET Lachitatu, Feb. 13, 2019)

Ofufuzawo adawunika ngati chimodzi kapena chimodzi chophatikizika cha matenda amtima chodziwika bwino mwa omwe ali ndi vuto la kupsinjika kwa m'mbuyo chingathe kufotokozera mgwirizano pakati pa PTSD ndi matenda amtima. Adawunikiranso zolemba zamagetsi zaumoyo za 2,519 Veterans Affairs (VA) odwala omwe adapezeka ndi PTSD ndi 1,659 opanda PTSD. Ophunzirawo anali ndi zaka 30-70 (anthu 87 pa amuna; 60 oyera), analibe matenda amtima wazaka 12 zisanachitike ndipo adatsatiridwa kwa zaka zosachepera zitatu.

Mavuto obwera pambuyo pa zoopsa: ofufuza anapeza.

Mwa odwala VA, omwe adapezeka kuti ali ndi vuto la kupsinjika kwa thupi anali 41 peresenti atha kukhala ndi matenda otaya magazi komanso a mtima kuposa omwe alibe PTSD.

Kusuta, kupsinjika maganizo, matenda ena a nkhawa, matenda okhudza kugona, mtundu wa 2 shuga, kunenepa kwambiri, kuthamanga kwa magazi, ndi cholesterol, zinali zofala makamaka kwa odwala okhala ndi PTSD kuposa omwe alibe.
Palibe chikhalidwe chimodzi chokha chomwe chinalongosola mgwirizano pakati pa PTSD ndi matenda a mtima, pambuyo pa kusintha kwa zovuta za thupi ndi zamaganizo, kusuta, matenda ogona, matenda osokoneza bongo, PTSD sichikugwirizana ndi matenda atsopano a mtima.

"Izi zikusonyeza kuti palibe comorbidity kapena khalidwe lomwe limafotokoza kulumikizana kwa matenda ovutitsa maganizo ndi matenda amtima," watero wolemba kafukufuku Jeffrey Scherrer, Ph.D., pulofesa ndi director, Division of Research mu department of Family and Community Mankhwala ku Saint Louis University School of Medicine ku Missouri. "M'malo mwake, kuphatikiza kwamatenda akuthupi, matenda amisala ndi kusuta - omwe amapezeka kwambiri kwa odwala omwe ali ndi PTSD popanda PTSD - akuwoneka kuti akufotokoza ubale pakati pa PTSD ndi matenda amtima."

 

PTSD: Ntchito ya ofufuza

Ofufuzawo anachenjeza kuti zotsatira zake sizingafanane ndi zambiri kwa odwala omwe ali ndi zaka zopitilira 70 kapena anthu omwe si kale ankhondo. Kuphatikiza apo, kafukufukuyu sanayeza chiopsezo cha matenda obwera ndi mtima; chifukwa chake, mgwirizano wapakati pa zoopsa za kupsinjika kwa thupi ndi chiopsezo cha matenda amtima wazaka zambiri zitha kusiyanasiyana ndi zomwe zilipo.

"Kwa ateteko, ndipo mwina osakhala achilendo, kuyesetsa kuteteza matenda a mtima ayenera kuthandiza odwala kuchepetsa kulemera, kuchepetsa kuthamanga kwa magazi, cholesterol, mtundu wa 2 shuga, kuvutika maganizo, matenda, nkhawa, kugona, kugwiritsa ntchito mankhwala osokoneza bongo ndi kusuta fodya," adatero Scherrer. "Ndilo mndandanda wautali, ndipo odwala omwe ali ndi mavuto ambiriwa ndi ovuta komanso ofunika kuwatsogolera onsewo."

"Kuzindikira kuti vuto la kupsinjika kwa m'mbuyo sikumakonzekeretsa matenda amtima kungapatse mphamvu odwala kuti asamale kuti ateteze komanso / kapena asamalire zomwe zingayambitse chiopsezo cha CVD," akutero Scherrer.

Olemba Co-Joanne Salas, MPH; Beth E. Cohen, MD, M.Sc ;; Paula P. Schnurr, Ph.D .; F. David Schneider, MD, MSPH; Kathleen M. Chard, Ph.D .; Peter Tuerk, Ph.D .; Matthew J. Friedman, MD, Ph.D .; Sonya B. Norman, Ph.D.; Carissa van den Berk-Clark, Ph.D.; ndi Patrick Lustman, Ph.D. Zolemba za wolemba zidalembedwa pamanja.

Bungwe la National Heart Lung ndi Magazi a Magazi linalimbikitsa maphunzirowo.

 

ZINTHU ZINA

Pafupi American Heart Association

 

NKHANI ZINA ZOSANGALALA

PTSD: Oyankha oyamba adzipeza okha kukhala zojambula za Daniel