Kutadza kwemoyo - bvunzo

Kuongororwa kwekutadza kwemoyo kunoitwa zvakanyanya pazviratidzo zvemunhu uye kuongorora kwemuviri. Nekudaro, kune akawanda bvunzo dzinogona kubatsira kupa rumwe ruzivo nezve mamiriro acho.

Echocardiogrami (echo) bvunzo inoshandisa mafungu ezwi kugadzira mufananidzo unofamba wemwoyo. Mufananidzo wacho wakanyatsotsanangurwa kupfuura yakajeka x-ray mufananidzo.

Uyu muedzo unobatsira mupi wako wezvehutano kuti adzidze zvakawanda nezvekuti moyo wako unobvumirana sei uye unozorora. Inopawo ruzivo nezve saizi yemoyo wako uye nemavhenji emoyo ari kushanda nemazvo.

Echocardiogram ndiyo bvunzo yepamusoro kune:

• Ziva kuti ndeupi mhando yemoyo kutadza (systolic, diastolic, valvular)
• Tarisa moyo wako kutadza uye tungamira kurapwa kwako

Kukundikana kwemoyo kunogona kuongororwa kana iyo echocardiogram inoratidza kuti iko kupomba basa kwemoyo kwakanyanya. Ichi chinonzi chidimbu chekubvisa. Chikamu chakajairwa chekubvisa chakatenderedza 55% kusvika 65%.

Kana chete zvimwe zvikamu zvemwoyo zvisiri kushanda nemazvo, zvinogona kureva kuti pane kuvharika mutsinga yemoyo iyo inoendesa ropa kunzvimbo iyoyo.

Mimwe mimwe miedzo yekufungidzira inoshandiswa kutarisa kuti moyo wako unokwanisa sei kupomba ropa uye nekukuvara kwemhasuru yemoyo.

Iwe unogona kunge uine chest x-ray yakaitwa muhofisi yemupi wako kana zviratidzo zvako zvikaerekana zvanyanya. Nekudaro, chest x-ray haigone kuongorora kutadza kwemoyo.

Ventriculography ndeimwe bvunzo inoyera kusimba kwesimba kwemoyo (ejection chidimbu). Kunge echocardiogram, inogona kuratidza zvikamu zvetsandanyama yemwoyo isiri kufamba zvakanaka. Uyu muedzo unoshandisa x-ray mutsauko mvura kuzadza iyo yekupomha kamuri yemoyo uye kuongorora mashandiro ayo. Inowanzoitwa panguva imwechete seimwe bvunzo, senge coronary angiography.

MRI, CT, kana PET inoongorora yemoyo inogona kuitwa kuti uone kuwanda kwemhasuru yemoyo iriko. Inogona zvakare kubatsira kuona chikonzero chemoyo wemurwere kutadza.

Stress bvunzo dzinoitwa kuti uone kana moyo mhasuru iri kuwana yakakwana kuyerera kweropa uye oksijeni kana iri kushanda nesimba (pasi pekunetseka). Mhando dzekunetseka bvunzo dzinosanganisira:

• Nyukireya kunetseka bvunzo
• Exercise kunetseka bvunzo
• Kushungurudzika echocardiogram

Mupiki wako anogona kuraira catheterization yemoyo kana chero bvunzo dzekufungidzira dzichiratidza kuti wakadzikira mune imwe yetsinga dzako, kana kana iwe uchirwadziwa nepfupa (angina) kana imwe bvunzo yakajeka inodiwa.

Kuongororwa kwakasiyana kweropa kunogona kushandiswa kudzidza zvakawanda nezve mamiriro ako. Miedzo inoitwa ku:

• Batsira kuongorora chinokonzera uye kuongorora kukundikana kwemoyo.
• Ziva njodzi dzinokonzerwa nechirwere chemwoyo.
• Tarisa zvinokonzeresa zvekutadza kwemoyo kana matambudziko anogona kuita kuti moyo wako utadze kuwedzera.
• Tarisa mhedzisiro yemhedzisiro yemishonga yaunogona kutora.

Ropa urea nitrogen (BUN) uye serum creatinine bvunzo dzinobatsira kuongorora mashandiro ako itsvo. Iwe unozoda bvunzo idzi nguva zhinji kana:

• Uri kutora mishonga inonzi ACE inhibitors kana maARBs (angiotensin receptor blockers)
• Wako mupi anoita shanduko kune kuyerwa kwemishonga yako
• Une zvakanyanya kukundikana kwemoyo

Masodium uye potasium mazinga muropa rako anozoda kuyerwa nguva zhinji kana paine shanduko dzinoitwa mimwe mishonga inosanganisira:

• ACE inhibitors, ARBs, kana mamwe marudzi emapiritsi emvura (amiloride, spironolactone, uye triamterene) nemimwe mishonga inogona kuita kuti potasiamu yako akwire zvakanyanya
• Mazhinji mamwe marudzi emapiritsi emvura, ayo anogona kuita kuti sodium yako ive yakaderera kana kuti potasium yako yakanyanya kukwirira

Anemia, kana yakaderera tsvuku masero eropa kuverenga, inogona kuita kuti moyo wako utadze zvakanyanya. Mupiki wako anoongorora CBC yako kana kuzadza huwandu hweropa nguva nenguva kana kana zviratidzo zvako zvanyanya.

CHF - bvunzo; Congestive moyo kutadza - bvunzo; Cardiomyopathy - bvunzo; HF - bvunzo

Greenberg B, Kim PJ, Kahn AM. Clinical kuongororwa kwekutadza kwemoyo. Mune: Felker GM, Mann DL, eds. Kukundikana Kwemwoyo: A Shamwari kuBraunwald's Chirwere Chemwoyo. 4th ed. Philadelphia, PA: Elsevier, 2020: chits. 31.

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 Saunders; 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. J Cardiac Kukundikana. 2017; 23 (8): 628-651. PMID: 28461259 www.ncbi.nlm.nih.gov/pubmed/28461259.

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

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