Hypertensive Hosha Yemwoyo

Zvemukati

• Mhando dzehypertensive mwoyo chirwere
• Kuderedza tsinga
• Kuwedzera uye kuwedzera kwemoyo
• Matambudziko
• Ndiani ari panjodzi yehypertensive mwoyo chirwere?
• Kuziva zviratidzo zvehypertensivechirwere chemwoyo
• Kuedzwa uye kuongororwa: Nguva yekuona chiremba
• Kurapa chirwere chehypertensivechirwere chemwoyo
• Mishonga
• Kuvhiya nemidziyo
• Maonero kwenguva refu
• Kudzivirira chirwere chemoyo chehypertensive

Chii chinonzi hypertensive mwoyo chirwere?

Hypertensive chirwere chemoyo chinoreva mamiriro emwoyo anokonzerwa neBP.

Iwo moyo unoshanda pasi pekuwedzera kwekumanikidza unokonzeresa mamwe akasiyana moyo kushushikana. Hypertensivechirwere chemwoyo chinosanganisira kutadza kwemoyo, kuomesa kwemhasuru yemwoyo, chirwere chetsinga, uye mamwe mamiriro.

Hypertensivechirwere chemwoyo chinogona kukonzera matambudziko akakomba ehutano. Icho chiri chikonzero chinotungamira cherufu kubva kumusoro kweropa.

Mhando dzehypertensive mwoyo chirwere

Kazhinji, matambudziko emwoyo anoenderana neakakwira BP ane chekuita nemitsinga yemoyo nemhasuru. Mhando dzehutachiona hwemwoyo dzinosanganisira:

Kuderedza tsinga

Coronary arteri anotakura ropa kumwoyo wako mhasuru. Kana kukwirira kweropa kukonzera kuti tsinga dzeropa dzive dzakatetepa, kuyerera kweropa kuenda pamoyo kunogona kunonoka kana kumira. Aya mamiriro anozivikanwa se coronary moyo chirwere (CHD), inonziwo coronary arteri chirwere.

CHD inoita kuti zviome kuti moyo wako ushande uye upe dzimwe nhengo dzako neropa. Inogona kukuisa panjodzi yekurwiswa nemoyo kubva pavhara reropa rinonamira mune imwe yetsinga dzakadzikira uye rinocheka kuyerera kweropa kuenda pamoyo wako.

Kuwedzera uye kuwedzera kwemoyo

Kuwedzera kweropa kunoita kuti zviomere moyo wako kupomba ropa. Kunge mamwe mhasuru mumuviri wako, kushanda nesimba nguva dzose kunokonzeresa tsandanyama dzemwoyo wako kukura nekukura. Izvi zvinoshandura mashandiro anoita moyo. Shanduko idzi dzinowanzoitika mukamuri huru yekupomba yemoyo, kuruboshwe ventricle. Mamiriro acho anozivikanwa sekuruboshwe ventricular hypertrophy (LVH).

CHD inogona kukonzera LVH uye zvinopesana. Paunenge uine CHD, moyo wako unofanirwa kushanda zvakanyanya. Kana LVH ichiwedzera moyo wako, inogona kumanikidza iyo coronary arteri.

Matambudziko

Ose ma CHD neLVH anogona kutungamira ku:

• kutadza kwemoyo: moyo wako haugone kupomba ropa rakaringana kune wese muviri wako
• arrhythmia: moyo wako unorova zvisina kujairika
• Ischemic chirwere chemoyo: moyo wako hauwane oxygen yakakwana
• kurwiswa kwemoyo: kuyerera kweropa kuenda pamoyo kwakakanganiswa uye mhasuru yemoyo inofa nekushaiwa okisijeni
• kamwe kamwe kusungwa kwemoyo: moyo wako unongoerekana wamira kushanda, unomira kufema, uye unorasikirwa nechaunoziva
• sitiroko uye kufa kamwe kamwe

Ndiani ari panjodzi yehypertensive mwoyo chirwere?

Chirwere chemwoyo ndicho chikonzero chikuru cherufu kune vese varume nevakadzi muUnited States. Pamusoro pevanhu veAmerica vanofa nechirwere chemwoyo gore rega rega.

Iyo yakanyanya njodzi njodzi yehypertensivechirwere chemoyo kukwirisa kweropa. Ngozi yako inowedzera kana:

• wakanyanya kufuta
• hauna kurovedza muviri zvakakwana
• unoputa fodya
• unodya chikafu chine mafuta akawanda uye cholesterol

Iwe unonyanya kutarisana nechirwere chemwoyo kana ichimhanya mumhuri yako. Varume vane mikana yekuwana chirwere chemoyo kupfuura vakadzi vasina kuenda kumwedzi. Varume nevakadzi vanopera kuenda kumwedzi vane njodzi yakaenzana. Ngozi yako yechirwere chemwoyo ichawedzera paunenge uchikwegura, zvisinei nebonde rako.

Kuziva zviratidzo zvehypertensivechirwere chemwoyo

Zviratidzo zvinosiyana zvichienderana nekukura kwemamiriro uye kufambira mberi kwechirwere. Unogona kusangana nezviratidzo, kana zviratidzo zvako zvinogona kusanganisira:

• kurwadziwa muchipfuva (angina)
• kuomeswa kana kumanikidzwa mubhokisi
• mweya wekufema
• kuneta
• kurwadziwa mumutsipa, musana, maoko, kana mapfudzi
• kuramba chikosoro
• kurasikirwa nenzara
• gumbo kana gumbo kuzvimba

Unoda rubatsiro rwechimbichimbi kana moyo wako uchingorova nekukurumidza kana zvisina kujairika. Tsvaga rubatsiro rwechimbichimbi kana kufonera 911 kana ukapera simba kana uine kurwadziwa kwakanyanya muchipfuva chako.

Kugara uchiongorora bvunzo kucharatidza kana uchirwara neBP. Kana iwe uine yakakwira BP, chenjera zvakanyanya kutarisa kune zviratidzo zvehosha yemoyo.

Kuedzwa uye kuongororwa: Nguva yekuona chiremba

Chiremba wako anoongorora nhoroondo yako yekurapa, kuitisa bvunzo yemuviri, uye kumhanyisa bvunzo bvunzo kuti aongorore itsvo dzako, sodium, potasium, uye kuwanda kweropa.

Imwe kana yakawanda yemiedzo inotevera inogona kushandiswa kubatsira kuona chikonzero chechiratidzo chako:

• Electrocardiogram monitors uye inorekodha moyo wako wemagetsi chiitiko. Chiremba wako anozobatanidza zvigamba pachipfuva chako, makumbo nemaoko. Mhedzisiro yacho ichave ichionekwa pachiratidziri, uye chiremba wako achavadudzira.
• Echocardiogram inotora yakadzama pikicha yemoyo wako uchishandisa ultrasound.
• Coronary angiography inoongorora kuyerera kweropa kuburikidza neyako coronary arteri. Chubhu mutete inonzi catheter inoiswa kuburikidza nekugomera kwako kana tsinga iri muchanza chako uye kumusoro mumoyo.
• Exercise kushushikana bvunzo inotarisa kuti kurovedza muviri kunokanganisa sei moyo wako. Iwe unogona kubvunzwa kuti utakure bhasikoro rekurovedza muviri kana kufamba pane chinotsika.
• Nyukireya kushushikana bvunzo inoongorora kuyerera kweropa kupinda mumoyo. Muedzo unowanzoitwa iwe uchizorora uye uchirovedza muviri.

Kurapa chirwere chehypertensivechirwere chemwoyo

Kurapa kwehypertensivechirwere chemoyo kunoenderana nekukura kwechirwere chako, zera rako, uye nhoroondo yako yekurapa.

Mishonga

Mishonga inobatsira moyo wako munzira dzakasiyana siyana. Zvinangwa zvikuru ndezvekudzivirira ropa rako kubva pakuvhara, kugadzirisa kuyerera kweropa rako, uye kudzikisa cholesterol yako.

Mienzaniso yechirwere chemoyo chirwere chinosanganisira:

• mapiritsi emvura kubatsira kudzikisa BP
• nitrate kurapa kurwadziwa kwepfupa
• statins yekurapa yakakwira cholesterol
• calcium chiteshi blockers uye ACE inhibitors kubatsira kudzikisa BP
• aspirin yekudzivirira kuwanda kweropa

Izvo zvakakosha kuti ugare uchitora mishonga yese chaizvo sekurairwa.

Kuvhiya nemidziyo

Muzviitiko zvakanyanyisa, ungangoda kuvhiyiwa kuti uwedzere kuyerera kweropa kumoyo wako. Kana iwe uchida rubatsiro kudzora mwero wemwoyo wako kana mutinhimira, chiremba wako anogona kuvhiya achiisa mudziyo unoshandiswa nebhatiri unonzi pacemaker muchipfuva chako. Iyo pacemaker inogadzira kusimudzira kwemagetsi kunokonzeresa mhasuru yemoyo kubvumirana. Kuiswa kwepacemaker kwakakosha uye kunobatsira kana moyo wemhasuru yemagetsi mashandiro ari kunonoka kana kusavapo.

Cardioverter-defibrillators (ICDs) zvigadzirwa zvinogadzirika zvinogona kushandiswa kurapa zvakakomba, kutyisidzira hupenyu moyo arrhythmias.

Coronary artery inopfuura graft kuvhiyiwa (CABG) inobata yakavharika coronary arteri. Izvi zvinongoitwa chete mune yakaoma CHD. Kuisa moyo kana zvimwe zvishandiso zvinobatsira moyo zvinogona kudikanwa kana mamiriro ako ari kunyanya kuoma.

Maonero kwenguva refu

Kupora kubva pahypertensivechirwere chemwoyo zvinoenderana nemamiriro chaiwo uye kusimba kwaro. Mararamiro ehupenyu anogona kubatsira kuchengetedza mamiriro acho kubva pakuwedzera mune dzimwe nguva. Muzviitiko zvakakomba, mishonga uye kuvhiyiwa zvinogona kunge kusiri kugona kubata chirwere.

Kudzivirira chirwere chemoyo chehypertensive

Kuongorora nekudzivirira yako BP kuti isanyanya kukwirira ndiyo imwe yenzira dzakakosha kwazvo dzekudzivirira hosha yemwoyo. Kuderedza kuwedzerwa kweropa rako uye cholesterol nekudya kudya kunovaka muviri uye kuongorora kushushikana mazinga ingangove nzira dzakanakisa dzekudzivirira matambudziko emoyo.

Kuchengeta huremu hune hutano, kuwana zvakakwana kurara, uye kurovedza muviri nguva zhinji ndiwo marongero ehupenyu hwakawanda. Taura nachiremba wako nezvenzira dzekuvandudza hutano hwako hwese.