Kutadza kwemoyo

Kukundikana kwemoyo mamiriro ezvinhu ayo moyo usisakwanise kupomba ropa-rakapfuma reropa kune yakasara yemuviri zvakanaka. Izvi zvinokonzera zviratidzo kuitika mumuviri wese.

Kukundikana kwemoyo kunowanzo kuve kwenguva refu (kusingaperi) mamiriro, asi zvinogona kuuya nekukurumidza. Inogona kukonzerwa nematambudziko emoyo akasiyana siyana.

Mamiriro acho anogona kukanganisa chete kurudyi kana kuruboshwe chete kwemoyo. Mativi ese emoyo anogonawo kubatanidzwa.

Kukundikana kwemoyo kunowanikwa kana:

• Tsitsi yako yemoyo haigoni kubvumirana zvakanyanya. Izvi zvinonzi systolic moyo kutadza, kana kusashanda kwemoyo nechikamu chakadzikira cheejection (HFrEF).
• Tsinga yemoyo wako yakaoma uye haina kuzadza neropa zviri nyore kunyangwe kupomba simba kuri kwese. Izvi zvinodaidzwa kuti diastolic moyo kutadza, kana moyo kutadza nechengetedzwa ejection chidimbu (HFpEF).

Sezvo kupomba kwemoyo kuri kushomeka, ropa rinogona kutsigira mune dzimwe nzvimbo dzemuviri. Fluid inogona kuwedzera mumapapu, chiropa, gastrointestinal turakiti, uye maoko nemakumbo. Izvi zvinonzi congestive moyo kutadza.

Izvo zvinowanzoitika zvikonzero zvekutadza kwemoyo ndezvi:

• Coronary arteri chirwere (CAD), kudzikira kana kuvhara kwemidziyo midiki yeropa inopa ropa neoksijeni kumoyo. Izvi zvinogona kunetesa mhasuru yemwoyo nekufamba kwenguva kana kamwe kamwe.
• Kuwedzera kweropa kusingadzorwe zvakanaka, zvichikonzera matambudziko nekuomarara, kana kupedzisira kwaita kuti tsandanyama ipere simba.

Mamwe matambudziko emoyo anogona kukonzera kukundikana kwemoyo ndeaya:

• Congenital chirwere chemoyo
• Kurwadziwa kwemoyo (apo chirwere checoronary chinoguma nekuvhara kamwe kamwe kwetsinga yemoyo)
• Mavharuvhu emoyo anodonhedza kana kudzikira
• Utachiona hunoderedza moyo wemhasuru
• Mimwe mhando yeasina kujairika moyo maitikiro (arrhythmias)

Zvimwe zvirwere zvinogona kukonzera kana kubatsira kukundikana kwemoyo:

• Amyloidosis
• Emphysema
• Utachiona hwakanyanya
• Sarcoidosis
• Yakanyanya kupererwa neropa
• Yakawandisa iron mumuviri
• Utachiona husingashandi

Zviratidzo zvekutadza kwemoyo zvinowanzotanga zvishoma nezvishoma. Pakutanga, zvinogona kungoitika kana iwe uchinyanya kushingaira. Nekufamba kwenguva, unogona kucherechedza matambudziko ekufema uye zvimwe zviratidzo kunyangwe paunenge uchizorora. Zviratidzo zvinogona zvakare kuoneka kamwe kamwe mushure mekunge moyo wakuvara kubva pakurwara kwemoyo kana rimwe dambudziko.

Zviratidzo zvakajairika ndezvi:

• Kukosora
• Kuneta, kushaya simba, kupera simba
• Kupererwa nechido
• Unoda kuita weti usiku
• Pulse iyo inonzwa nekukurumidza kana isina kujairika, kana kunzwa kwekunzwa kurova kwemoyo (palpitations)
• Kufema kwekufema kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge warara
• Kuzvimba (kwakawedzera) chiropa kana dumbu
• Tsoka dzakazvimba uye makumbo
• Kumuka kubva kuhope mushure memaawa akati wandei nekuda kwekufema kwekufema
• Kurera huremu

Anopa hutano hwako anokuongorora iwe nezviratidzo zvekutadza kwemoyo:

• Kukurumidza kana kuoma kufema
• Kuzvimba kwegumbo (edema)
• Mutsipa mutsinga unonamira kunze (wakasenderedzwa)
• Ruzha (kutsemuka) kubva kune inoyerera inovaka mumapapu ako, inonzwika kuburikidza neiyo stethoscope
• Kuzvimba kwechiropa kana dumbu
• Kusarongeka kana kukurumidza kwemoyo uye kurova kwemoyo kunonzwika

Mazhinji bvunzo anoshandiswa kuongorora uye kuongorora kukundikana kwemoyo.

Echocardiogrami (echo) ndiyo inowanzo bvunzo dzakanakisa dzekutanga kuvanhu kana kushaya moyo kuri kuongororwa. Mupiki wako anozoishandisa kutungamira kurapwa kwako.

Mimwe miedzo yekufungidzira inogona kutarisa kuti moyo wako unokwanisa sei kupomba ropa, uye kuti tsandanyama yemoyo yakakuvara zvakadii.

Ongororo zhinji dzeropa dzinogona zvakare kushandiswa ku:

• Batsira kuongorora uye kuongorora kusashanda kwemoyo
• Ziva njodzi dzemhando dzakasiyana dzehosha yemoyo
• Tarisa zvinokonzeresa zvekutadza kwemoyo, kana matambudziko anogona kuita kuti moyo wako utadze kuwedzera
• Chengetedza mhedzisiro yemishonga iwe yaunogona kutora

KUTAURA NOKUDZIDZA KWAZVO

Kana iwe uine kutadza kwemoyo, mupi wako anozokutarisa zvakanyanya. Iwe uchave uine yekutevera-kushanya kanokwana ese matatu kusvika kumwedzi mitanhatu, asi dzimwe nguva kazhinji kazhinji. Iwe zvakare uchave nemiyedzo yekutarisa yako moyo mashandiro.

Kuziva muviri wako uye zviratidzo zvekuti moyo wako kutadza kuri kuwedzera zvichakubatsira iwe kugara uine hutano uye kunze kwechipatara. Kumba, tarisa shanduko mukurova kwemoyo wako, kupomba, BP, uye huremu.

Kurera huremu, kunyanya pamusoro pezuva kana maviri, kunogona kuve chiratidzo chekuti muviri wako wakabatirira kune imwe mvura uye moyo wako kutadza kuri kuwedzera. Taura nemupi wako nezve izvo zvaunofanirwa kuita kana huremu hwako hukakwira kana iwe uchikudziridza zvimwe zviratidzo.

Ganhurira kuti munodya munyu wakadii. Wako mupi anogona zvakare kukumbira iwe kudzora huwandu hwemvura yaunonwa mukati mezuva.

Dzimwe shanduko dzakakosha kuita mumararamiro ako:

• Kumbira mupiki wako kuti unganwa doro rakawanda sei.
• USASVIRA.
• Ramba uchishingaira. Famba kana kuchovha bhasikoro rakamira. Wako mupi anogona kupa yakachengeteka uye inoshanda kurovedza chirongwa iwe. Usatange kurovedza muviri pamazuva apo huremu hwako hwakwira kubva mukuyerera kana iwe usiri kunzwa mushe.
• Deredza uremu kana iwe uri kufuta.
• Deredza cholesterol yako nekuchinja mararamiro ako.
• Zorora zvakakwana, kusanganisira mushure mekurovedza muviri, kudya, kana zvimwe zviitiko. Izvi zvinoita kuti moyo wako uzorore.

Mishonga, KUVARA, NEZVANHU

Iwe unozofanirwa kutora mishonga yekurapa moyo wako kutadza. Mishonga inobata zviratidzo, inodzivirira mwoyo wako kukundikana kubva mukuwedzera, uye inokubatsira iwe kurarama kwenguva refu. Izvo zvakakosha kuti iwe utore mushonga wako sekurairwa kwehutano hwako timu.

Iyi mishonga:

• Batsira iyo moyo mhasuru pombi zvirinani
• Chengetedza ropa rako kubva pakuvhara
• Deredza cholesterol yako mazinga
• Vhura mitsipa yeropa kana kunonoka kurova kwemoyo wako kuti moyo wako usashande zvakanyanya
• Deredza kukuvara kumoyo
• Deredza njodzi yekusagadzikana kwemoyo mutinhimira
• Dzorera potasium
• Bvisa muviri wako wekuwedzera mvura uye munyu (sodium)

Izvo zvakakosha kuti utore mushonga wako sekurairwa. Usatore chero mimwe mishonga kana mahebhu usati watanga kubvunza mupi wako nezvazvo. Zvinodhaka zvinogona kuita kuti moyo wako utadze zvakanyanya zvinosanganisira:

• Ibuprofen (Advil, Motrin)
• Naproxen (Aleve, Naprosyn)

Kuvhiya kunotevera uye zvishandiso zvinogona kukurudzirwa kune vamwe vanhu vane moyo kukundikana:

• Coronary bypass kuvhiyiwa (CABG) kana angioplasty ne kana pasina kunhuwa kunogona kubatsira kuvandudza kuyerera kweropa kune rakakuvara kana kushaya simba mhasuru yemoyo.
• Kuvhiyiwa kwevhavha yemoyo kunogona kuitwa kana shanduko muvhavha yemoyo iri kukonzera moyo wako kutadza.
• Iyo pacemaker inogona kubatsira kubata inononoka moyo rate kana kubatsira mativi ese esungano yako yemoyo panguva imwe chete.
• Defibrillator inotumira kupisa kwemagetsi kumisa hupenyu hunotyisidzira husina kujairika moyo mutinhimira.

END-STAGE MWOYO KUKUNDIKANA

Kunyanya kukundikana kwemoyo kunoitika kana kurapwa kusisiri kushanda. Mimwe mishonga inogona kushandiswa kana munhu akamirira (kana panzvimbo ye) kuisirwa moyo:

• Intra-aortic balloon pombi (IABP)
• Kuruboshwe kana kurudyi ventricular anobatsira chishandiso (LVAD)
• Mhedziso yemoyo wekugadzira

Pane imwe nguva, mupi achasarudza kana zviri nani kuramba uchirapa kutadza kwemoyo zvine hukasha. Iye munhu, pamwe nemhuri yake uye vanachiremba, vangangoda kukurukura nezvekupora kana kunyaradza panguva ino.

Kazhinji, iwe unogona kudzora kutadza kwemoyo nekutora mushonga, kuchinja mararamiro ako, uye kurapa mamiriro akonzeresa izvozvo.

Kukundikana kwemoyo kunogona kungoerekana kwawedzera nekuda kwe:

• Ischemia (kushomeka kweropa kuyerera kune mhasuru yemwoyo)
• Kudya zvikafu zvine munyu
• Kumira kurova kwemoyo
• Zvirwere kana zvimwe zvirwere
• Kusatora mishonga nemazvo
• Nyowani, zvisina kujairika moyo mutinhimira

Kazhinji yenguva, kutadza kwemoyo chirwere chisingaperi. Vamwe vanhu vanoita kukundikana kwakanyanya kwemoyo. Panguva ino, mishonga, kumwe kurapwa, uye kuvhiyiwa hazvichabatsiri mamiriro acho.

Vanhu vane kutadza kwemoyo vanogona kunge vari panjodzi yehunhu hwemwoyo hune njodzi. Vanhu ava vanowanzogashira yakaisirwa defibrillator.

Fonera mupiki wako kana iwe uchikura:

• Kuwedzera kukosora kana phlegm
• Kungoerekana wawedzera uremu kana kuzvimba
• Kushaya simba
• Zvimwe zviratidzo zvitsva kana zvisina kutsanangurwa

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) kana:

• Unofenda
• Iwe unokurumidza uye zvisina kujairika kurova kwemoyo (kunyanya kana iwe uine zvimwe zviratidzo)
• Iwe unonzwa kurwadziwa kwakanyanya kwechipfuva

Zviitiko zvakawanda zvekutadza kwemoyo zvinogona kudzivirirwa nekurarama hupenyu hune hutano uye kutora matanho anoitirwa kudzikisa njodzi yako yechirwere chemwoyo.

CHF; Kuvhiringidzika kwemoyo kukundikana; Kuruboshwe-kuruboshwe moyo kutadza; Kurudyi-mativi emoyo kutadza - cor pulmonale; Cardiomyopathy - moyo kutadza; HF

• ACE inhibitors
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Kuva unoshingaira kana uine chirwere chemwoyo
• Kuvhiya kwepamoyo - kubuda
• Kutadza kwemoyo - kubuda
• Kutadza kwemoyo - zvinwiwa uye diuretics
• Kutadza kwemoyo - kuongorora kumba
• Kutadza kwemoyo - chii chekubvunza chiremba wako
• Mwoyo pacemaker - kubuda
• Inodyara cardioverter defibrillator - kubuda

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Kutenderera kweropa kuburikidza nemoyo
• Rutsoka kuzvimba

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Forman DE, Sanderson BK, Josephson RA, Raikhelkar J, Bittner V; American College yeCardiology Kudzivirira kweCardiovascular Disease Chikamu. Kukundikana kwemoyo sekutsvaga kuchangobva kugamuchirwa kwekugadziriswa kwemoyo: matambudziko nemikana. J Ndiri Coll Cardiol. 2015; 65 (24): 2652-2659. PMID: 26088305 pubmed.ncbi.nlm.nih.gov/26088305/.

Mann DL. Manejimendi ekutadza kwemoyo varwere vane yakaderedzwa 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 kugadzirisa kweiyo 2013 ACCF / AHA nhungamiro yehutungamiriri hwemoyo kutadza: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro uye iyo Inokanganisa Mwoyo Society yeAmerica. 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.