Kutadza kwemoyo - zvinwiwa uye diuretics

Kukundikana kwemoyo mamiriro ezvinhu ayo moyo usisakwanise kupomba ropa-rakapfuma reropa kune yakasara yemuviri zvakanaka. Izvi zvinokonzera kuyerera kunowedzera mumuviri wako. Kuganhurira kuti unonwa zvakadii uye munyu munyu (sodium) yaunotora inogona kubatsira kudzivirira izvi zviratidzo.

Paunenge uine kutadza kwemoyo, moyo wako haubudisi ropa rakaringana. Izvi zvinokonzera kuti mvura dziwedzere mumuviri wako. Kana iwe ukanwa zvinwiwa zvakawandisa, unogona kuwana zviratidzo zvakadai sekuzvimba, kuwedzera uremu, uye kufema kwekufema. Kuganhurira kuti unonwa zvakadii uye munyu munyu (sodium) yaunotora inogona kubatsira kudzivirira izvi zviratidzo.

Nhengo dzemhuri yako dzinogona kukubatsira kuti uzvichengete. Vanogona kuramba vachitarisa kuti unonwa zvakadii. Vanogona kuve nechokwadi chekuti uri kutora mishonga yako nenzira kwayo. Uye ivo vanogona kudzidza kuziva zviratidzo zvako kutanga.

Mubatsiri wako wehutano anogona kukukumbira kuti udzikise huwandu hwemvura yaunonwa:

• Kana kutadza kwemoyo wako zvisina kunyanya kushata, ungatofanira kudzikamisa mvura yako zvakanyanya.
• Sezvo kukundikana kwemoyo wako kuri kuwedzera kuipa, ungangoda kudzora zvinwiwa kusvika pamakapu matanhatu kusvika ku9 (1.5 kusvika 2 litita) pazuva.

Rangarira, zvimwe zvekudya, zvakaita semuto, pudding, gelatin, ice cream, popsicles uye zvimwe zvine zvinwiwa. Paunodya muto usina kuibva, shandisa forogo kana uchikwanisa, uye siya muto wacho kumashure.

Shandisa kapu diki kumba kune zvinwiwa zvako panguva yekudya, uye unwe chete 1 kapu (240 mL). Mushure mekunwa 1 mukombe (240 mL) yemvura paresitorendi, tendeuka mukombe wako kuti zivise server yako kuti haudi zvimwe. Tsvaga nzira dzekuchengetedza kuti usanyanya kunzwa nyota.

• Paunenge uine nyota, tsenga chingamu, sukurudza muromo wako nemvura inotonhorera uye wosvipa, kana kuyamwa chinhu chakadai seswiti yakaoma, chidimbu chemoni, kana zvidimbu zveaizi.
• Ramba uchitonhorera. Kupisa zvakanyanya kunoita kuti uve nenyota.

Kana uchinetseka kuzvichengeta, nyora pasi kuti uri kunwa zvakadii mukati mezuva.

Kudya munyu wakawandisa kunogona kuita kuti uve nenyota, izvo zvinogona kuita kuti unwe zvakanyanya. Yakawedzera munyu inoitawo kuti mvura irambe ichigara mumuviri wako. Zvikafu zvakawanda zvine "munyu wakavanzika," zvinosanganisira zvakagadzirwa, zvemumagaba uye zvechando. Dzidza maitiro ekudya yakaderera-munyu chikafu.

Diuretics inobatsira muviri wako kubvisa imwe mvura. Ivo vanowanzodaidzwa kuti "mapiritsi emvura." Kune akawanda marangi e diuretics. Vamwe vanotorwa ka1 pazuva. Vamwe vanotorwa ka2 pazuva. Aya matatu marudzi akajairwa ndeaya:

• Thiazides: Chlorothiazide (Diuril), chlorthalidone (Hygroton), indapamide (Lozol), hydrochlorothiazide (Esidrix, HydroDiuril), uye metolazone (Mykrox, Zaroxolyn)
• Loop diuretics: Bumetanide (Bumex), furosemide (Lasix), uye torsemide (Demadex)
• Potassium-inodzivirira vamiririri: Amiloride (Midamor), spironolactone (Aldactone), uye triamterene (Dyrenium)

Kune zvekare diuretics ine musanganiswa wemaviri emishonga iri pamusoro.

Paunenge uchitora diuretics, uchafanirwa kugara uchiongororwa kuitira kuti mupi wako atarise potasiamu yako uye otarisa mashandiro ako itsvo.

Dhiureti inokuita kuti uite weti kakawanda. Edza kusavatora usiku usati warara. Tora ivo panguva imwe chete mazuva ese.

Zvakajairika mhedzisiro mhedzisiro ye diuretics ndeiyi:

• Kuneta, tsandanyama, kana kushaya simba kubva pasi potasiamu mazinga
• Dzungu kana hurema
• Unhu kana kugwinha
• Kupomba kwemoyo, kana kurova kwe "fluttery"
• Gout
• Kushungurudzika
• Kushatirwa
• Urinary incontinence (kusakwanisa kubata weti yako)
• Kurasikirwa kwepabonde kutyaira (kubva potasium-inodzivirira diuretics), kana kusakwanisa kuve ne erection
• Bvudzi kukura, kuenda kumwedzi shanduko, uye izwi rinodzika muvakadzi (kubva potassium-sparing diuretics)
• Chipfuva kuzvimba muvarume kana zamu nyoro muvakadzi (kubva potasium-inodzivirira diuretics)
• Allergic reaction - kana uri weergoria kune sulfa zvinodhaka, haufanirwe kushandisa thiazides.

Ive neshuwa yekutora diuretic yako nenzira yawakaudzwa iwe.

Iwe unozosvika pakuziva huremu hwakakunakira iwe. Kuzviyera pachako kunobatsira iwe kuziva kana paine zvakawandisa mvura mumuviri wako. Iwe unogona zvakare kuona kuti mbatya dzako neshangu zviri kunzwa zvakasimba kupfuura zvakajairwa kana paine zvakawandisa mvura mumuviri wako.

Zviyese wega mangwanani ega ega pachiyero chimwe chete paunomuka - usati wadya uye mushure mekushandisa imba yekugezera. Ita shuwa kuti iwe uri kupfeka zvipfeko zvakafanana nguva imwe neimwe iwe uchizviyera iwe. Nyora pasi huremu hwako mazuva ese pachati kuitira kuti ugone kuzviona.

Fonera mupiki wako kana huremu hwako hukakwira nemapaundi anopfuura maviri kusvika matatu (1 kusvika 1.5 kilograms, kg) pazuva kana makirogiramu mashanu (2 kg) muvhiki. Zvakare fonera mupiki wako kana ukarasa huremu hwakawanda.

Fonera mupiki wako kana:

• Wakaneta kana kupera simba.
• Iwe unonzwa kushaya mweya wekufema kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchizorora.
• Iwe unonzwa kushaya mweya paunorara pasi, kana awa kana maviri mushure mekurara.
• Uri kufema uye uchinetseka kufema.
• Une chikosoro chisingapere. Inogona kunge yakaoma uye kubiridzira, kana inogona kunge yakanyorova uye kuunza pink, foamy mate.
• Une kuzvimba patsoka dzako, makumbo, kana makumbo.
• Iwe unofanirwa kuita weti yakawanda, kunyanya husiku.
• Wakawana kana kurasikirwa uremu.
• Iwe une kurwadziwa uye unyoro mudumbu rako.
• Iwe une zviratidzo zvaunofunga kuti zvinogona kunge zvichibva kumishonga yako.
• Kupomba kwako, kana kurova kwemoyo, kunononoka kana kukurumidza kwazvo, kana kuti hakuna kudzikama.

HF - zvinwiwa uye diuretics; CHF - ICD kubudiswa; Cardiomyopathy - kubuda kweICD

Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA / ACC nhungamiro pane manejimendi manejimendi yekudzora njodzi yemoyo: chirevo cheAmerican College yeCardiology / American Heart Association Task Force pamitemo yekudzidzira. J Ndiri Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. PMID: 2423992 pubmed.ncbi.nlm.nih.gov/24239922/.

Mann DL. Manejimendi yevarwere vane moyo kutadza neakaderedzwa ejection chidimbu. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 25.

Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC / AHA / HFSA yakatarisa kuvandudzwa kwegore ra2013 ACCF / AHA nhungamiro ye manejimendi ekundikana kwemoyo: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro uye iyo Inokanganisa Mwoyo Sangano reAmerica. Kutenderera. 2017; 136 (6): e137-e161. PMID: 28455343 pubmed.ncbi.nlm.nih.gov/28455343/.

Zile MR, Litwin SE. Kukundikana kwemoyo nechikamu chakachengeterwa ejection. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 26.

• Coronary chirwere chemoyo
• Kutadza kwemoyo
• Yakakwira ropa cholesterol cholesterol
• Yakakwira BP - vakuru

• Aspirin uye chirwere chemwoyo
• Cholesterol uye mararamiro
• Kudzora kukwira kweropa rako
• Kurumidza kudya matipi
• Kutadza kwemoyo - kubuda
• Kutadza kwemoyo - kuongorora kumba
• Kutadza kwemoyo - chii chekubvunza chiremba wako
• Kudya kwakaderera-munyu

• Kukundikana Kwemwoyo