Yakakomba chirwere chemwoyo: chii icho, chikuru zviratidzo uye marapirwo anoitwa

Zvemukati

• Zviratidzo zvikuru
• Kurapwa kunoitwa sei

Zvirwere zvemoyo zvakakomba zvinoitika kana moyo watanga kurasikirwa nehunhu hunoshanda nekuda kwechimwe chirwere kana kuberekwa kusagadzikana. Hosha dzemwoyo dzakakomba dzinogona kuverengerwa mu:

• Yakakomba isingaperi chirwere chemoyo, iyo inoratidzirwa nekufambira mberi kurasikirwa kwesimba rekushanda kwemoyo;
• Yakakomba chirwere chemwoyo, iyo ine shanduko inokurumidza, inotungamira mukudzikira kwakamwe kamwe mumabasa emoyo;
• Yakakomba chirwere chemoyo, umo moyo usingakwanise kuita basa rawo nemazvo, zvichideredza tarisiro yeupenyu hwemunhu. Kazhinji, avo vane chirwere chakakomba chemwoyo havapindure pakurapwa nemishonga uye havasi ivo vanofanirwa kuvhiyiwa kugadzirisa shanduko yemoyo, uye kazhinji yenguva, kuisirwa moyo kunoitwa.

Zvirwere zvemoyo zvakakomba zvinogona kukonzera kuremara kukuru muhupenyu hwevarwere nehunyanzvi, kuwedzera mukuneta kwemuviri uye kwepamoyo. Congenital mwoyo chirwere ndechimwe chemhando huru dzechirwere chakakomba chemwoyo uye chinoonekwa nehurema mukuumbwa kwemoyo uchiri mukati medumbu raamai izvo zvinogona kutungamira mukukuvara kwemoyo basa. Dzidza zvakawanda nezve kuberekwa chirwere chemoyo.

Uye zvakare, congestive moyo kutadza, hypertension, coronary moyo kutadza uye yakaoma arrhythmias zvirwere zvinogona kusangana nechakakomba chirwere chemoyo kana kutowedzera mamiriro acho, izvo zvinogona kutungamira kune yakakomba terminal chirwere chemoyo, semuenzaniso.

Zviratidzo zvikuru

Zviratidzo zvine hukama nechirwere chemwoyo chakakomba zvinoenderana nehurema hwemoyo, izvo zvinogona kunge zviri:

• Kunetseka kufema;
• Kurwadziwa pachipfuva;
• Kufenda, kusagadzikana kana kukotsira kazhinji.
• Kuneta mushure mekuedza kushoma;
• Moyo palpitations;
• Dambudziko rekurara wakarara pasi;
• Kukosora kwemanheru;
• Kuzvimba kwemaoko epasi.

Chirwere chemwoyo chakakomba chinogona zvakare kuunza kutadza kukuru mumuviri, mukuvandudzwa kwemabasa ako ezuva nezuva uye kubasa, zvinoenderana nerudzi uye kuomarara kwechirwere chakabatana. Naizvozvo, iyo hurumende inopa rubatsiro kune vanhu vane chirwere chakakomba chemwoyo, sezvo ichi chichigona kunge chiri chirwere chinotadzisa. Nechinangwa chekurega basa, chakakomba chirwere chemwoyo chinotaridzika kuve zviitiko umo basa remoyo rakaongororwa netransthoracic echocardiography iri pazasi pe40%.

Kuongororwa kwezvirwere zvakakomba zvemwoyo kunoitwa nachiremba wezvemwoyo kuburikidza nekuongorora nhoroondo yekiriniki yemurwere, mukuwedzera kune bvunzo, senge electrocardiogram uye echocardiogram pazororo uye mukufamba, bvunzo, chest X-ray uye angiography, semuenzaniso.

Kurapwa kunoitwa sei

Kurapa kwechirwere chemoyo chakakomba kunoenderana nechikonzero uye kunoonekwa nachiremba wezvemwoyo, uye kunogona kuitwa kuburikidza:

• Kushandiswa kwemishonga, yakawanda yenguva inotyisa;
• Kuiswa kwe-intra-aortic balloon;
• Kuvhiya kugadzirisa kusagadzikana kwemoyo.

Muzviitiko zvakakomba kwazvo, kupinza moyo kunogona kukurudzirwa, izvo zvinonyanya kuratidzwa kune vanhu vane chirwere chemwoyo chakakomba, umo, nekuda kwekurasikirwa nebasa remoyo, tarisiro yeupenyu hwemunhu yakakanganiswa. Tsvaga kuti kupinza kwemoyo kunoitwa sei uye kuti kupora kwakadii.