Kuisa moyo

Kuiswa kwemoyo kuvhiya kubvisa moyo wakakuvara kana unorwara uye kuitsiva nemoyo unopa wakanaka.

Kutsvaga wekupa moyo kunogona kuoma. Moyo unofanirwa kupihwa nemumwe munhu ane hura-akafa asi achiri pachitsigiro chehupenyu. Iwo moyo wekupa unofanirwa kunge uri muchimiro chakajairwa pasina chirwere uye unofanirwa kufananidzwa zvakanyanya sezvinobvira neropa rako uye / kana mhando yenyama kuti uderedze mukana wekuti muviri wako urambe.

Iwe unoiswa muhope huru pamwe neanesthesia yakajairika, uye kucheka kunoitwa kuburikidza nepfupa rechipfuva.

• Ropa rako rinoyerera kuburikidza nemoyo-wemapapu wekudarika muchina apo chiremba anovhiya achishanda pamoyo wako. Muchina uyu unoita basa remwoyo wako nemapapu paakamiswa, uye unopa muviri wako neropa neoksijeni.
• Moyo wako unorwara unobviswa uye iwo wekupa moyo wakasonwa munzvimbo. Mushonga wemwoyo-wemapapu unobva wabviswa. Ropa rinoyerera kuburikidza nemoyo wakasimwa, uyo unotora pamusoro kupa muviri wako neropa uye neoksijeni.
• Machubhu anoisirwa kubvisa mweya, mvura, uye ropa kubva muchipfuva kwemazuva akati wandei, uye kubvumira mapapu kuti awedzere kuwedzera.

Kuiswa kwemoyo kunogona kuitwa kurapa:

• Kukuvadza kukuru kwemoyo mushure mekurwadziwa kwemoyo
• Kukundikana kwemoyo kwakanyanya, apo mishonga, kumwe kurapwa, uye kuvhiyiwa hazvichabatsiri
• Kuremara kwemoyo kwakange kuripo pakuzvarwa uye hakugadziriswe nekuvhiya
• Hupenyu-hunotyisidzira kusagadzikana kwemoyo kurova kana mutinhimira usingapindure kune kumwe kurapwa

Kuvhiya kwepamoyo kunogona kusashandiswa muvanhu vano:

• Vanoshaya zvinovaka muviri
• Vakura kupfuura zera 65 kusvika 70
• Ndakaita sitiroko yakanyanya kana kuora mwoyo
• Wakave nekenza isingasviki makore maviri apfuura
• Ivai neutachiona hweHIV
• Iva nezvirwere, zvakadai sehepatitis, izvo zvinoshanda
• Iva ne insulin-inotarisira chirwere cheshuga uye dzimwe nhengo, dzakadai seitsvo, dzisiri kushanda nemazvo
• Iva neitsvo, mapapu, tsinga, kana chirwere chechiropa
• Usave nerutsigiro rwemhuri uye usateedzere kurapwa kwavo
• Iva nezvimwe zvirwere zvinokanganisa tsinga dzeropa dzemutsipa uye gumbo
• Iva nemapermonary hypertension (kuwedzera kwemidziyo yeropa mumapapu)
• Kuputa kana kushandisa doro zvisina kufanira kana madhiragi, kana uine mamwe maitiro ehunhu anogona kukuvadza moyo mutsva
• Hazvivimbike zvakakwana kutora mishonga yavo, kana kana munhu wacho asingakwanise kuenderana nezvakawanda zvekuchipatara uye zvekurapa zvekushanyirwa uye bvunzo

Njodzi kubva kune chero anesthesia ndeiyi:

• Zviitiko kumishonga
• Matambudziko kufema

Ngozi dzinobva pane chero kuvhiyiwa ndedzinoti:

• Kubuda ropa
• Utachiona

Ngozi dzekutapudza dzinosanganisira:

• Ropa clots (yakadzika venous thrombosis)
• Kukuvadza kune itsvo, chiropa, kana dzimwe nhengo kubva kunopesana nemishonga yekuramba
• Kubudirira kwekenza kubva kumishonga inoshandiswa kudzivirira kurambwa
• Chirwere chemwoyo kana sitiroko
• Matambudziko emoyo mutinhimira
• Yakakwira cholesterol mazinga, chirwere cheshuga, uye bone kutetepa kubva mukushandiswa kwemishonga yekuramba
• Kuwedzera njodzi yekutapukirwa nekuda kwemishonga yekurwisa-kuramba
• Mapapu neitsvo kutadza
• Kurambwa kwemoyo
• Yakakomba coronary artery chirwere
• Zvironda maronda
• Moyo mutsva unogona kusashanda zvachose

Paunenge uchinge waendeswa kunzvimbo yekudyara, iwe uchaongororwa nechikwata chekudyara. Ivo vanozoda kuve neshuwa kuti iwe uri mukwikwidzi akanaka wekuiswa. Iwe uchashanyira kakawanda pane akati wandei masvondo kana kunyange mwedzi. Iwe unozofanirwa kutorwa ropa uye x-ray inotorwa. Izvi zvinotevera zvinogona kuitwawo:

• Ropa kana kuongororwa kweganda kuongorora hutachiona
• Kuyedzwa kwetsvo yako uye chiropa
• Kuyedza kuongorora moyo wako, senge ECG, echocardiogram, uye moyo catheterization
• Kuedza kutsvaga cancer
• Nyama uye kutaipa kweropa, kubatsira kuona kuti muviri wako haurambe moyo wakapihwa
• Ultrasound yemutsipa wako nemakumbo

Iwe uchazoda kutarisa kune imwe kana anopfuura nzvimbo dzekuisira kuti uone izvo zvingave zvakakunakira iwe:

• Vabvunze kuti mangani ma transplants avanogadzira gore rega uye izvo avo ekupona mareti ari. Enzanisa idzi nhamba nenhamba dzinobva kune dzimwe nzvimbo. Izvi zvese zvinowanikwa pa internet pa unos.org.
• Bvunza kuti ndeapi mapoka ekutsigira avanowana uye kuti ingani rubatsiro rwavanopa nerwendo uye dzimba.
• Bvunza nezve mutengo wemishonga yauchazoda kutora mushure uye kana paine rubatsiro rwemari mukuwana mishonga.

Kana timu yekuchinjisa ichitenda kuti uri mukwikwidzi akanaka, iwe uchaiswa padunhu rekumirira runyorwa rwemoyo:

• Nzvimbo yako pane iyo rondedzero inoenderana nezvinhu zvinoverengeka. Zvinhu zvakakosha zvinosanganisira mhando uye kuomarara kwechirwere chemwoyo wako, uye kuti uri kurwara zvakadii panguva yaunonyorwa.
• Iyo yakawanda yenguva yaunopedza pane yekumirira rondedzero kazhinji HAKUSI chinhu chekukasira kuti iwe unowana sei moyo nekukurumidza, kunze kwekuda kwevana.

Vazhinji, asi kwete vese, vanhu vakamirira kuisirwa moyo vari kurwara zvakanyanya uye vanoda kuve muchipatara. Vazhinji vanozoda imwe mhando yechigadzirwa kuti vabatsire mwoyo yavo kupomba ropa rakakwana kumuviri. Kazhinji kazhinji, ichi chinhu chinobatsira ventricular (VAD).

Iwe unofanirwa kutarisira kugara muchipatara kwemazuva manomwe kusvika makumi maviri nerimwe mushure mekuiswa kwemoyo. Maawa makumi maviri nemana ekutanga kusvika makumi mana nemasere angangove ari munzvimbo yevanotarisirwa zvakanyanya (ICU). Pakati pemazuva mashoma ekutanga mushure mekuisirwa, iwe unozoda kuteedzera kwepedyo kuti uve nechokwadi chekuti hauna hutachiona uye moyo wako uri kushanda nemazvo.

Iyo yekudzoreredza ingangoita mwedzi mitatu uye kazhinji, yako yekuisira timu inokukumbira kuti ugare wakasarudzika padyo nechipatara panguva iyoyo yenguva nguva. Iwe unozofanirwa kugara uchiongororwa pamwe nekuongororwa kweropa, x-ray, uye echocardiograms kwemakore mazhinji.

Kurwisa kurambwa chiitiko chichienderera mberi. Iyo immune system yemuviri inoona iyo yakasimwa nhengo muviri wekunze uye inoirwisa. Nechikonzero ichi, nhengo yekuisira varwere inofanirwa kutora mishonga inodzvinyirira immune immune mhinduro. Kuti udzivise kurambwa, zvakakosha kutora mishonga iyi uye nekunyatsoteedzera yako yekuzvichengeta mirairo.

Biopsies emutsipa wemwoyo unowanzoitwa mwedzi wega wega mukati memwedzi mitanhatu kusvika gumi nemiviri mushure mekuisirwa, uyezve zvishoma kazhinji mushure meizvozvo. Izvi zvinobatsira kuona kana muviri wako uri kuramba moyo mutsva, kunyangwe usati uine zviratidzo.

Iwe unofanirwa kutora zvinodhaka zvinodzivirira kuisirwa kurambwa kwehupenyu hwako hwese. Unozofanirwa kunzwisisa kuti ungatora sei mishonga iyi, uye uzive mhedzisiro yayo.

Unogona kudzokera kuzviito zvako zvakajairika mwedzi mitatu mushure mekuisirwa uchangonzwa kurwara zvakakwana, uye mushure mekutaura nemupi wako wezvehutano. Bvunza mupi wako kana iwe uchironga kuita zvine simba zvemuviri.

Kana iwe ukava nechirwere checoronary mushure mekumisikidza, iwe unogona kunge uine moyo catheterization gore rega.

Kuisa moyo kunowedzera hupenyu hwevanhu vangazofa. Inenge makumi masere muzana yemoyo wekuisira varwere vari vapenyu makore maviri mushure mekuvhiya. Mumakore mashanu, 70% yevarwere vanenge vachiri vapenyu mushure mekuiswa kwemoyo.

Dambudziko guru, sekune zvimwe zvinofamba, kurambwa. Kana kurambwa kuchikwanisa kudzorwa, kupona kunowedzera kusvika pamakore gumi.

Kuisa moyo; Kuisa - moyo; Kuisazve - moyo

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Akajairwa maitiro emoyo
• Kuisa moyo - akateedzana

Chiu P, Robbins RC, Ha R. Kuisa moyo. Mune: Sellke FW, del Nido PJ, Swanson SJ, eds. Sabiston uye Spencer Kuvhiya kweChipfuva. 9th ed. Philadelphia, PA: Elsevier; 2016: chits. 98.

Jessup M, Atluri P, Acker MA. Kuvhiya manejimendi ekundikana kwemoyo. 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 28.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Chiremba mwoyo uye wemapapu-kuisirwa. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 470.

Mancini D, Naka Y. Cardiac kuisirwa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 82.

Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC / AHA / HFSA Inotarisa Kwakagadziriswa kweiyo 2013 ACCF / AHA nhungamiro ye manejimendi ekundikana kwemoyo: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro uye iyo Inokanganisa Mwoyo Sosaiti yeAmerica. J Kadhi Inokundikana. 2017; 23 (8): 628-651. PMID: 28461259 www.ncbi.nlm.nih.gov/pubmed/28461259.