Kundikana kwemoyo - kuvhiya nemidziyo

Kurapa kukuru kwekutadza kwemoyo kuri kuita shanduko yemararamiro uye kutora mishonga yako. Nekudaro, pane maitirwo uye maoparesheni ayo anogona kubatsira.

Iyo yemoyo pacemaker idiki, bhatiri-rinoshandiswa chishandiso chinotumira chiratidzo kune moyo wako. Chiratidzo chinoita kuti moyo wako urove panguva chaiyo.

Pacemaker anogona kushandiswa:

• Kugadzirisa zvisina kujairika moyo mutinhimira. Mwoyo unogona kurova zvishoma nezvishoma, nekukurumidza, kana nenzira isina kujairika.
• Kugadzirisa zvirinani kurova kwemoyo muvanhu vane kusakwanisa kwemoyo. Izvi zvinonzi biventricular pacemaker.

Kana moyo wako wakaneta, wakakura zvakanyanya, uye usingapombi ropa zvakanaka, uri panjodzi huru yekurova kwemoyo zvisina kujairika izvo zvinogona kutungamira mukufa kamwe kamwe kwemoyo.

• Iyo inodyarwa cardioverter-defibrillator (ICD) chishandiso chinoona moyo mutinhimira. Inokurumidza kutumira kushamisika kwemagetsi pamoyo kushandura mutinhimira kudzoka pane zvakajairwa.
• Mazhinji biventricular pacemaker anokwanisa zvakare kushanda seanodyara cardio-defibrillators (ICD).

Chikonzero chakajairika chekutadza kwemoyo chirwere checoronary artery chirwere (CAD), kunova kudzikira kwemidziyo midiki yeropa inopa ropa neoksijeni kumoyo. CAD inogona kuwedzera uye ichiita kuti zvive zvakaoma kugadzirisa zviratidzo zvako.

Mushure mekuita imwe bvunzo mupi wezvehutano anogona kunzwa kuti kuvhura yakamanikana kana yakavharika muropa reropa kunovandudza moyo wako kutadza zviratidzo Maitiro akataurwa anogona kusanganisira:

• Angioplasty uye stent kuiswa
• Moyo unopfuura kuvhiya

Ropa rinoyerera pakati pemakamuri emoyo wako, kana kunze kwemoyo wako muaorta, rinofanira kupfuura nepavharuvhu yemoyo. Mavharuvhu aya anovhura zvakakwana kuti ropa ribude. Ivo vanobva vavhara, vachichengetedza ropa kubva kuyerera richidzokera kumashure.

Kana mavharuvhu aya asinga shande zvakanaka (anozovuza zvakanyanya kana kutetepa), ropa harifambe nemazvo nemoyo kuenda kumuviri. Dambudziko iri rinogona kukonzera kukundikana kwemoyo kana kuita kuti moyo utadze kuwedzera.

Kuvhiyiwa kwevhavha yemoyo kunogona kudikanwa kugadzirisa kana kutsiva imwe yemavharuvhu.

Dzimwe mhando dzekuvhiya dzinoitwa nekuda kwekutadza kwemoyo zvakanyanya apo kumwe kurapwa kusingashande. Maitiro aya anowanzo shandiswa kana munhu akamirira kuisirwa moyo. Iwo zvakare dzimwe nguva anoshandiswa kwenguva yakareba mune zviitiko kana kuisirwa zvisina kurongwa kana kuita.

Mienzaniso yezvimwe zvezvigadzirwa izvi zvinosanganisira kuruboshwe ventricular assist kifaa (LVAD), kurudyi ventricular assist michina (RVAD) kana yakazara yeumbowo mwoyo. Ivo vanoonekwa sevanoshandiswa kana iwe uine zvakanyanya kutadza kwemoyo izvo zvisingakwanise kudzorwa nemushonga kana yakakosha pacemaker.

• Ventricular assist zvishandiso (VAD) zvinobatsira moyo wako kupomba ropa kubva kumakamuri ekupomba emoyo wako kuenda kumapapu kana kune imwe muviri wako Mapombi aya anogona kuiswa mumuviri wako kana kubatana nepombi iri kunze kwemuviri wako.
• Iwe unogona kunge uri pane yekumirira rondedzero yemoyo kupinza. Vamwe varwere vanowana VAD vanorwara zvakanyanya uye vanogona kunge vatove pamwoyo-mapapu ekupfuura muchina.
• Mhedziso yemoyo yekugadzira iri kugadzirwa, asi haisati yashandiswa zvakanyanya.

Midziyo yakaiswa kune iyo catheter senge intra-aortic balloon pombi (IABP) dzimwe nguva inoshandiswa.

• IABP ibharuni rakatetepa rinoiswa mutsinga (kazhinji mugumbo) uye rakapetwa mutsinga huru ichibuda pamoyo (aorta).
• Aya majaira anogona kubatsira kuchengetedza moyo basa munguva pfupi. Nekuti dzinogona kuiswa nekukurumidza, zvinobatsira kune varwere vane kamwe kamwe uye kwakanyanya kuderera mumoyo basa
• Ivo anoshandiswa mune vanhu vakamirira kupora kana zvimwe zvemberi zvekubatsira zvishandiso.

CHF - kuvhiya; Kusundikana kwemoyo kukundikana - kuvhiyiwa; Cardiomyopathy - kuvhiya; HF - kuvhiya; Intra-aortic balloon pombi - moyo kutadza; IABP - kutadza kwemoyo; Catheter based assist michina - moyo kutadza

• Pacemaker

Aaronson KD, Pagani FD. Mechanical circulatory tsigiro. 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 29.

Allen LA, Stevenson LW. Manejimendi yevarwere vane chirwere chemwoyo chinosvika kumagumo ehupenyu. 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: chits.

Ewald GA, Milano CA, Rogers JG. Circulatory inobatsira zvishandiso mumoyo kutadza. Mune: Felker GM, Mann DL, eds. Kukundikana Kwemwoyo: A Shamwari kuBraunwald's Chirwere Chemwoyo. 4th ed. Philadelphia, PA: Elsevier, 2020: chits. 45.

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.

Otto CM, Bonow RO. Kusvika kumurwere ane chirwere chemoyo chevvalvular. 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: chits. 67.

Rihal CS, Naidu SS, Givertz MM, et al; Sosaiti yeCardiovascular Angiography uye Kupindira (SCAI); Kundikana Mwoyo Sosaiti yeAmerica (HFSA); Sosaiti yeTracic Kuvhiya (STS); American Heart Association (AHA), uye American College yeCardiology (ACC). 2015 SCAI / ACC / HFSA / STS kiriniki nyanzvi yekubvumirana chirevo pamusoro pekushandiswa kwezvimedu zvemuchina zvekutenderera zvinotsigira michina muhutano hwemwoyo (yakagamuchirwa neAmerican Heart Association, iyo Cardiological Society yeIndia, uye Sociedad Latino Americana de Cardiología Intervencionista; kusimbiswa kwekukosha iyo Canadian Association yeInopindirana Cardiology-Association Canadienne de Cardiologie d'intervention). J Ndiri Coll Cardiol. 2015; 65 (19): e7-26. PMID: 25861963 www.ncbi.nlm.nih.gov/pubmed/25861963.

Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA nhungamiro yeiyo manejimendi ekundikana kwemoyo: chirevo cheAmerican College yeCardiology Foundation / American Heart Association Task Force pane maitiro enzira. Kutenderera. 2013; 128 (16): e240-e327. PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Kukundikana Kwemwoyo
• Pacemaker uye Inogadzika Inogadzikiswa