Huru moyo (cardiomegaly): chii zvazviri, zviratidzo, zvinokonzera uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Zvinogona kukonzera cardiomegaly
• Kurapwa kunoitwa sei
• 1. Kushandiswa kwemishonga
• 2. Pacemaker kuiswa
• 3. Kuvhiyiwa kwemoyo
• 4. Coronary yekupfuura kuvhiya
• 5. Kuisa moyo
• Zvinogona kuitika
• Kuchengeta panguva yekurapa

Cardiomegaly, inozivikanwa seye moyo muhombe, hachisi chirwere, asi chiratidzo chechimwe chirwere chemwoyo sekutadza kwemoyo, coronary arteri chirwere, matambudziko nemavhavha emoyo kana arrhythmia, semuenzaniso. Zvirwere izvi zvinogona kuita kuti mhasuru yemoyo ive mukobvu kana makamuri emoyo awedzere, zvoita kuti moyo uwedzere.

Rudzi rwekuchinja mumoyo runowanzoitika kune vakura, asi zvinogona zvakare kuitika kune vechidiki vakuru kana muvana vane matambudziko emoyo uye, padanho rekutanga, zvinogona kusaratidza zviratidzo. Nekudaro, nekuda kwekukura kwemoyo, kupomba kweropa kumuviri wese kwakakanganiswa, izvo zvinokonzeresa kuneta uye kufema kwekufema, semuenzaniso.

Kunyangwe iri mamiriro akakomba anogona kutungamira kurufu, cardiomegaly inogona kurapwa naana cardiologist nemushonga kana kuvhiyiwa, uye inorapika kana ikazivikanwa pakutanga.

Zviratidzo zvikuru

Muchikamu chekutanga, cardiomegaly kazhinji hairatidzi zviratidzo, zvisinei, nekufambira mberi kwedambudziko, moyo unotanga kuve nekunetseka kukuru kupomba ropa kumuviri nemazvo.

Mune mamwe matanho epamberi, zviratidzo zve cardiomegaly zvinosanganisira:

• Kufema kwekufema panguva yekurovedza muviri, pakuzorora kana kana wakarara nemusana;
• Kunzwa kwekusagadzikana kwemoyo;
• Kurwadziwa pachifuva;
• Kosora, kunyanya kana wakarara pasi;
• Dzungu nekufenda;
• Kushaya simba uye kuneta kana uchiita zvishoma kuedza;
• Kugara wakaneta zvakanyanya;
• Kufema kwekufema panguva yekurovedza muviri, pakuzorora kana kana wakarara nemusana;
• Kuzvimba mumakumbo, makumbo kana tsoka;
• Kuzvimba kwakanyanya mudumbu.

Izvo zvakakosha kuti ubvunze kuna cardiologist nekukurumidza kana zviratidzo izvi zvikaonekwa, kana kutsvaga padyo padhuze dhipatimendi kana iwe ukaona zviratidzo zvekurwadziwa kwemoyo sekurwadziwa pachipfuva uye kunetseka kufema. Ziva maitiro ekuziva zviratidzo zvekutanga zvematambudziko emoyo.

Maitiro ekusimbisa kuongororwa

Kuongororwa kwe cardiomegaly kunoitwa zvichibva pane yekiriniki nhoroondo uye kuburikidza nemuyedzo senge x-rays, electrocardiograms, echocardiograms, computed tomography kana magnetic resonance kuongorora kushanda kwemoyo. Uye zvakare, kuongororwa kweropa kunogona kurairwa kuti uone huwandu hwezvimwe zvinhu muropa izvo zvinogona kunge zvichikonzera dambudziko remwoyo.

Dzimwe mhando dzekuyedzwa dzinogona kurayirwa nachiremba wemweya ndeye catheterization, iyo inobvumidza iwe kuona moyo kubva mukati uye nemoyo biopsy, izvo zvinogona kuitwa panguva yekateti yekuongorora kukuvara kwemaseru emoyo. Tsvaga kuti moyo catheterization unoitwa sei.

Zvinogona kukonzera cardiomegaly

Cardiomegaly inowanzo kuve mhedzisiro yezvimwe zvirwere zvakaita se:

• Systemic arterial neBP;
• Coronary arteri matambudziko senge coronary mhingaidzo;
• Kusakwana kwemoyo;
• Mwoyo arrhythmia;
• Cardiomyopathy;
• Infarction;
• Chirwere chevharuvhu yemoyo nekuda kwerheumatic fever kana hutachiona hwemoyo senge endocarditis;
• Chirwere cheshuga;
• Pulmonary hypertension;
• Chisingaperi obstructive pulmonary chirwere;
• Renal kusakwana;
• Kupererwa neropa;
• Matambudziko ari thyroid shwanu akadai hypo kana hyperthyroidism;
• Nzvimbo dzakakwirira dzedare muropa;
• Chagas chirwere;
• Kudhakwa.

Uye zvakare, mimwe mishonga yekurapa cancer, yakadai se doxorubicin, epirubicin, daunorubicin kana cyclophosphamide, inogona zvakare kukonzera kuoneka kwe cardiomegaly.

Kurapwa kunoitwa sei

Kurapa kweye cardiomegaly kunofanirwa kutungamirwa naanaologist uye kazhinji kunosanganisira:

1. Kushandiswa kwemishonga

Iyo mishonga iyo cardiologist inogona kupa kurapa cardiomegaly ndeiyi:

• Diuretics se furosemide kana indapamide: vanobatsira kubvisa zvinwiwa zvakawandisa kubva mumuviri, zvichivatadzisa kuunganidzwa mutsinga nekukanganisa kurova kwemoyo, mukuwedzera pakudzora kuzvimba mudumbu nemakumbo, tsoka nemakumbo;
• Antihypertensive zvinodhaka sa captopril, enalapril, losartan, valsartan, carvedilol kana bisoprolol: zvinobatsira kugadzirisa kupora kwemidziyo, kuwedzera kuyerera kweropa uye kufambisa basa remwoyo;
• Anticoagulants sewarfarin kana asipurini: kudzikisa viscosity yeropa, kudzivirira kuoneka kwemapundu anogona kukonzera embolism kana sitiroko;
• Antiarrhythmic senge digoxin: inosimbisa mhasuru yemwoyo, kufambisa zviyero uye inobvumira kupomba kweropa kwakanyanya.

Iko kushandiswa kwemishonga iyi kunofanirwa kungoitwa chete pasi pekutarisirwa kweye cardiologist uye aine chaiwo madosi emunhu wega wega.

2. Pacemaker kuiswa

Mune zvimwe zviitiko zve cardiomegaly, kunyanya mumatanho epamberi, chiremba wezvemwoyo anogona kuratidza kuiswa kwepacemaker kurongedza mafambiro emagetsi uye kudzvinyirira kwemhasuru yemoyo, kuvandudza mashandiro ayo nekufambisa basa remwoyo.

3. Kuvhiyiwa kwemoyo

Kuvhiya kwemoyo kunogona kuitwa nachiremba wezvemwoyo kana chinokonzera cardiomegaly chirema kana shanduko mumavharuvhu emwoyo. Kuvhiya kunokutendera kuti ugadzirise kana kutsiva vheji yakakanganiswa.

4. Coronary yekupfuura kuvhiya

Coronary yekupfuura kuvhiya inogona kuratidzwa neye cardiologist kana cardiomegaly inokonzerwa nezvinetso necoronary arteri ayo anokonzera kudiridza moyo.

Kuvhiya uku kunobvumidza kugadzirisa uye kuendesa zvakare kuyerera kweropa kweakakanganiswa artery coronary uye kunobatsira kudzora zviratidzo zvekurwadziwa pachipfuva uye kunetseka mukufema.

5. Kuisa moyo

Kuiswa kwemoyo kunogona kuitwa kana mamwe marapirwo asiri ekugona kudzora zviratidzo zve cardiomegaly, iri yekupedzisira nzira yekurapa. Tsvaga kuti kupinza kwemoyo kunoitwa sei.

Zvinogona kuitika

Izvo zvinetso izvo cardiomegaly inogona kukonzera ndeiyi:

• Infarction;
• Kuumbwa kweropa clots;
• Cardiac kusungwa;
• Kufa kamwe kamwe.

Aya matambudziko anoenderana nekuti chikamu chei chemwoyo chakawedzerwa uye chinokonzera cardiomegaly. Naizvozvo, pese panofungidzirwa dambudziko remwoyo, zvakakosha kuti utsvage rubatsiro rwekurapa.

Kuchengeta panguva yekurapa

Mamwe matanho akakosha panguva yekurapa cardiomegaly ndeaya:

• Usapute;
• Chengetedza uremu hune hutano;
• Chengetedza ropa rako reropa glucose pasi uye utore chirwere cheshuga chakakurudzirwa nachiremba wako
• Ita zvekurapa kutarisa kudzora BP.
• Dzivisa zvinwiwa zvinodhaka uye caffeine;
• Usashandise zvinodhaka zvakadai secocaine kana amphetamines;
• Ita maekisesaizi epanyama anokurudzirwa nachiremba;
• Kurara maawa masere kusvika mapfumbamwe pausiku.

Izvo zvakakoshawo kuti utevedzere neye cardiologist uyo anofanirwa zvakare kutungamira shanduko mukudya uye kudya chakaringana chikafu chakaderera mumafuta, shuga kana munyu. Tarisa uone izere rondedzero yezvikafu zvakanaka kune moyo.