Cardiac kusungwa

Kusungwa kwemoyo kunoitika kana moyo ukangoerekana wamira kurova. Kana izvi zvikaitika, kuyerera kweropa kuenda kuuropi uye nemuviri wese unomira. Cardiac kusungwa chimbichimbi chekurapa. Kana ikasarapwa mukati memaminetsi mashoma, kusungwa kwemoyo kunowanzo kukonzera rufu.

Nepo vamwe vanhu vachitaura nezvekurwadziwa kwemoyo sekusungwa kwemoyo, ivo havasi chinhu chimwe chete. Kurwadziwa kwemoyo kunoitika apo tsinga yakavharika inomisa kuyerera kweropa kumoyo. Kurwadziwa kwemoyo kunogona kukuvadza moyo, asi hazvireve kuti kunokonzera rufu. Zvisinei, chirwere chemwoyo dzimwe nguva chinogona kukonzera kusungwa kwemoyo.

Cardiac kusungwa kunokonzerwa nedambudziko nemoyo wemagetsi system, senge:

• Ventricular fibrillation (VF) - Kana VF ikaitika, makamuri epasi ari mukati memwoyo unokwenya panzvimbo pekurova kazhinji. Moyo haugone kupomba ropa, izvo zvinoguma nekusungwa kwemoyo. Izvi zvinogona kuitika pasina chikonzero kana semhedzisiro yeimwe mamiriro.
• Heart block - Izvi zvinoitika kana chiratidzo chemagetsi chadzora kana kumira kana chichifamba kuburikidza nemoyo.

Matambudziko anogona kutungamira mukusungwa kwemoyo anosanganisira:

• Coronary mwoyo chirwere (CHD) - CHD inogona kuvhara tsinga dziri mumoyo mako, saka ropa harigone kufamba zvakanaka. Nekufamba kwenguva, izvi zvinogona kuisa kushushikana pamhasuru yemoyo wako nemagetsi system.
• Kurwisa kwemoyo - Kurwiswa kwemoyo kwepamberi kunogona kugadzira zvinyama zvitsvuku izvo zvinogona kutungamira kuVF uye kusungwa kwemoyo.
• Matambudziko emwoyo, akadai seakazvarwa chirwere chemoyo, matambudziko emagetsi emoyo, matambudziko emwoyo, uye moyo wakawedzera zvinogona kutungamira mukusungwa kwemoyo.
• Izvo zvisina kujairika mazinga e potassium kana magnesium - Aya mamineral anobatsira moyo wako magetsi system. Zvakawanda zvisina kujairika zvakakwirira kana zvakadzika zvinhanho zvinogona kukonzera kusungwa kwemoyo.
• Kushushikana kwakanyanya kwemuviri - Chero chinhu chinokonzeresa kushushikana mumuviri wako chinogona kutungamira kukusungwa kwemoyo. Izvi zvinogona kusanganisira kushungurudzika, kushamisika kwemagetsi, kana kurasikirwa kukuru kweropa.
• Mishonga yekuvaraidza - Kushandisa mimwe mishonga, yakadai secocaine kana amphetamines, zvakare inowedzera njodzi yako yekusungwa kwemoyo.
• Mishonga - Mimwe mishonga inogona kuwedzera mukana weasina kujairika mwoyo mutinhimira.

Vazhinji vanhu HAVANA chero zviratidzo zvekusungwa kwemoyo kusvikira zvaitika. Zviratidzo zvinogona kusanganisira:

• Kamwe kamwe kurasikirwa kwekuziva; munhu anowira pasi kana kutsvedza kana akagara
• Hapana kupisa
• Hapana kufema

Mune zvimwe zviitiko, iwe unogona kuona zvimwe zviratidzo nezve awa pamberi pekusungwa kwemoyo. Izvi zvinogona kusanganisira:

• Moyo unomhanya
• Dzungu
• Kufema kwekufema
• Kusvotwa kana kurutsa
• Kurwadziwa pachifuva

Cardiac kusungwa kunoitika nekukurumidza, hapana nguva yekuita bvunzo. Kana munhu akapona, bvunzo zhinji dzinoitwa mumashure kubatsira kuziva kuti chii chakakonzera kusungwa kwemoyo. Izvi zvinogona kusanganisira:

• Kuongororwa kweropa kuti utarise ma enzymes anogona kuratidza kana iwe uine chirwere chemwoyo. Chiremba wako anogona zvakare kushandisa bvunzo dzeropa kuti aongorore huwandu hwemamwe mamineral, mahormone, uye makemikari mumuviri wako.
• Electrocardiogram (ECG) kuyera moyo wako wemagetsi chiitiko. ECG inogona kuratidza kana moyo wako wakakuvadzwa kubva kuCHD kana chirwere chemwoyo.
• Echocardiogram kuratidza kana moyo wako wakakuvara uye uwane mamwe marudzi ematambudziko emwoyo (senge matambudziko ane mhasuru yemoyo kana mavhavha).
• Cardiac MRI inobatsira wako mupi wehutano kuti aone mifananidzo yakadzama yemoyo wako nemidziyo yeropa.
• Intracardiac electrophysiology kudzidza (EPS) kuti uone mashandiro emoyo wako emagetsi. EPS inoshandiswa kutarisa kusagadzikana kwemwoyo kana zvirevo zvemwoyo.
• Catheterization yemoyo inoita kuti mupi wako aone kana ako arteri ari mashoma kana akavharika
• Electrophysiologic kudzidza kuongorora iyo conduction system.

Wako mupi anogona zvakare kumhanyisa mimwe bvunzo, zvinoenderana neyako hutano nhoroondo uye nezvakabuda mukuyedzwa uku

Kusungwa kwemoyo kunoda kurapwa nechimbichimbi ipapo kuti moyo utangezve.

• Cardiopulmonary kumutsidzira (CPR) - Iyi ndiyo kazhinji mhando yekurapa yekusungwa kwemoyo. Izvo zvinogona kuitwa nechero munhu akadzidziswa muCPR. Inogona kubatsira kuchengetedza okisijeni ichiyerera mumuviri kudzamara kurapwa kwekukurumidzira kwasvika.
• Defibrillation - Iyi ndiyo yekurapa yakakosha yekusungwa kwemoyo. Inoitwa uchishandisa chishandiso chekurapa icho chinopa kuvhunduka kwemagetsi kumoyo. Kuvhunduka kunogona kuita kuti moyo urove zvakajairika zvakare. Diki, inotakurika defibrillator inowanzo kuwanikwa munzvimbo dzeveruzhinji kuti ishandiswe nechimbichimbi nevanhu vakadzidziswa kuishandisa. Iyi kurapwa inoshanda zvakanyanya kana ikapihwa mukati memaminetsi mashoma.

Kana iwe ukapona kusungwa kwemoyo, iwe unozopinzwa muchipatara kunorapwa. Zvichienderana nezvakakonzera kusungwa kwemoyo, ungangoda mimwe mishonga, maitiro, kana kuvhiyiwa.

Iwe unogona kunge uine mudziyo mudiki, unonzi unodyarwa cardioverter-defibrillator (ICD) yakaiswa pasi peganda rako padyo nepachipfuva chako. ICD inoongorora kurova kwemoyo wako uye inopa moyo wako kugwinha kwemagetsi kana ikaona isina kujairika moyo mutinhimira.

Vanhu vazhinji HAVAPONESI kusungwa kwemoyo. Kana iwe wakasungwa nemoyo, uri panjodzi huru yekuve neimwe. Iwe unozofanirwa kushanda padhuze nachiremba wako kuti uderedze njodzi yako.

Kusungwa kwemoyo kunogona kukonzera mamwe matambudziko ehutano anogara anosanganisira:

• Kukuvara kwehuropi
• Zvinetso zvemwoyo
• Mamiriro ezvinhu emapapu
• Utachiona

Iwe unogona kuda kuramba uchichengetwa uye kurapwa kuti utarise zvimwe zvezvinetso izvi.

Fonera mupiki wako kana 911 kana iyo yemuno emergency emergency nhamba kana iwe uine:

• Kurwadziwa pachifuva
• Kufema kwekufema

Nzira yakanakisa yekuzvidzivirira kubva pakusungwa kwemoyo ndeyekuchengetedza moyo wako kugwinya. Kana iwe uine CHD kana imwe mamiriro emoyo, bvunza mupi wako nzira yekudzora njodzi yako yekusungwa kwemoyo.

Kamwe kamwe kusungwa kwemoyo; SCA; Cardiopulmonary kusungwa; Circulatory kusungwa; Arrhythmia - kusungwa kwemoyo; Fibrillation - kusungwa kwemoyo; Heart block - kusungwa kwemoyo

Myerburg RJ. Maitiro ekusungwa kwemoyo uye anotyisidzira hupenyu arrhythmias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 57.

Myerburg RJ, Goldberger JJ. Cardiac kusungwa uye kamwe kamwe kufa 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: chitsuwa 42.