Chii chinokonzera kugunun'una kwemoyo uye maitiro ekuchibata

Zvemukati

• Zviratidzo zvikuru
• Chii chinokonzera kugunun'una kwemoyo
• Mucheche moyo kugunun'una
• Kugunun'una kwemoyo muvanhu vakuru
• Kurapa sei
• Kurapa nemishonga
• Kurapa nekuvhiya
• Moyo kugunun'una nepamuviri

Kugunun'una iri ruzha rwemhirizhonga inotambudzwa neropa panguva yekupfuura nemumoyo, kana ichidarika mavharuvhu ayo kana kukonjana nemhasuru yayo. Hakusi kugunun'una kwese kunoratidza chirwere chemwoyo, sezvazvinoitika muvanhu vazhinji vane hutano, vari, mune izvi zviitiko, vanonzi kugunun'una kana kushanda.

Nekudaro, iko kugunun'una kunogona zvakare kuratidza hurema mukati memavharuvhu emwoyo, mumhasuru yemwoyo kana chirwere chinoshandura kumhanya kweropa, senge rheumatic fever, kupererwa neropa, mitral valve prolapse kana chirwere chekuzvarwa, semuenzaniso.

Mune zvimwe zviitiko mamiriro ezvinhu aya anogona kukonzeresa zviratidzo sekufema, kuzvimba mumuviri uye kurova marara uye, mune dzino mamiriro, kurapwa kunofanira kuitwa nekukurumidza sezvinobvira, uchishandisa zvinodhaka kana kuita oparesheni, uchitungamirwa naana cardiologist.

Zviratidzo zvikuru

Kazhinji, kugunun'una kwemoyo hakuperekedzwe nezvimwe zviratidzo kana zviratidzo, uye kuvapo kwayo kwoga hakuna kuipa. Nekudaro, kana kugunun'una kukonzerwa nechirwere chinokonzeresa mukushanda kwemoyo, zviratidzo zvinogona kuoneka zvinoratidza kunetseka pakupomba ropa nekumwisa maseru emuviri muviri.

Zvimwe zvezviratidzo zvikuru ndezvi:

• Kufema kwekufema;
• Kukosora;
• Palpitations;
• Kushaya simba.

Mune vacheche, zvakajairika kucherechedza kuoma kwekuyamwisa, kushaya simba uye kuvapo kwemuromo wepururu nemaoko, uye izvi zvinokonzerwa nekuoma kwekukisa ropa ropa, sezvo moyo usinga shande nemazvo.

Chii chinokonzera kugunun'una kwemoyo

Kugunun'una kwemoyo chiratidzo, icho chinogona kunge chiri chemuviri, asi chinogona zvakare kuratidza rumwe rudzi rwechinjo kana chirwere, pazvikonzero zvakasiyana siyana, muvakuru nevana.

Mucheche moyo kugunun'una

Muvacheche nevana, chikonzero chikuru chekugunun'una ndechekuipa uye inonyangarika nekufamba kwenguva, kazhinji nekuda kwekushayikwa kwekuvandudzwa kwezvimiro zvemoyo, izvo zvinogona kunge zvisingaenzaniswi.

Nekudaro, zvinogona zvakare kuitika nekuda kwekuvapo kwechirwere chepamuviri mukuumbwa kwemoyo, iyo yakatoberekwa nemwana, nekuda kwezvirwere zvemagene kana kusangana panguva yekuzvitakura, senge rubella hutachiona, kushandiswa kwemimwe mishonga, kudhakwa kana kushandisa zvinodhaka neane nhumbu. Kune mhando dzinoverengeka, asi zvakakanganisika zvakajairika izvo zvinogona kukonzera mweya ndeizvi:

• Kukanganisa mumakamuri kana mavhavha emoyo, senge mitral valve prolapse, bicuspid aortic vharafu, aortic stenosis kana aortic coarctation, semuenzaniso;
• Kutaurirana pakati pemakamuri emoyo, izvo zvinogona kuitika nekuda kwekunonoka kana kuremara mukuvhara kwemhasuru dzemakamuri emoyo, uye mimwe mienzaniso kushingirira kweductus arteriosus, kutaurirana kwemashure kana kupindirana, zvikanganiso muatrioventricular septum uye tetralogy yeFallot.

Mamiriro akapfava anogona kuongororwa nachiremba wevana, kana kuvandudzwa nekushandiswa kwemishonga, senge inorwisa-kupisa mishonga, inoshandiswa mukushingirira kweiyo ductus arteriosus. Nekudaro, kana shanduko yacho yakanyanya, kusvika pakukonzeresa zviratidzo senge muromo nemitezo yepepuru, zvakakosha kuronga kuvhiya.

Dzidza zvakawanda nezve nzira yekuziva yekuzvarwa yemoyo chirwere.

Kugunun'una kwemoyo muvanhu vakuru

Kugunun'una kwemoyo muvanhu vakuru zvakare hakuratidze huvepo hwechirwere, uye, muzviitiko zvakawanda, zvinokwanisika kugara nazvo zvakajairika, uye zvinogona kudzidzira kurovedza muviri mushure mekusunungurwa nachiremba wemoyo. Nekudaro, kuvepo kwechiratidzo ichi kunogona zvakare kuratidza kuvepo kweshanduko, senge:

• Kudimbudzira kweimwe kana anopfuura mavharuvhu emwoyo, inonzi stenosis, nekuda kwezvirwere zvakaita se rheumatic fever, calcification nekuda kwezera, bundu kana kuzvimba nekuda kwehutachiona hwemwoyo, semuenzaniso, izvo zvinodzivirira kufamba kwemahara kweropa panguva yekurova kwemoyo;
• Kusakwana kweimwe kana anopfuura mavharuvhu, nekuda kwezvirwere zvakaita sekupararira kwemitral vharafu, rheumatic fever, kuwedzera kana hypertrophy yemoyo kana imwe mhando yekuchinja iyo inodzivirira kuvhara chaiko kwemavharu panguva yekupomba kwemoyo;
• Zvirwere zvinoshandura kuyerera kweropa, senge anemia kana hyperthyroidism, izvo zvinoita kuti ropa rifambe panguva yekufamba kwayo.

Kuongororwa kwekugunun'una kwemoyo kunogona kuitwa nachiremba wepamoyo kana chiremba wezvemwoyo panguva yekuongororwa kwekiriniki yekusimudzira kwemoyo, uye kusimbiswa kwayo kunoitwa nekufungidzira bvunzo, senge echocardiography.

Kurapa sei

Muzviitiko zvakawanda, kurapwa kwemuviri kugunun'una kwemoyo hakuna basa, nekutevera-yega yega mwedzi mitanhatu kana gumi nemiviri neye cardiologist. Nekudaro, kana paine zviratidzo kana kiriniki kuratidzwa kwechero chirwere, moyo unoda kurapwa, uchishandisa zvinodhaka kana kuvhiyiwa.

Kurapa nemishonga

Kurapa kunosanganisira zvinodhaka kudzora kumanikidza uye kufambisa basa remwoyo, nemishonga inodzora kuwanda kwayo senge propranolol, metoprolol, verapamil kana digoxin, iyo inoderedza kuwanda kwemvura mumapapu, senge diuretics, uye iyo inodzora kumanikidza. uye kugonesa kupfuura kweropa kuburikidza nemidziyo, senge hydralazine uye enalapril.

Kurapa nekuvhiya

Kuvhiya kunoratidzirwa nachiremba wezvemwoyo uye chiremba wemwoyo, mushure mekuongorora zvinhu zvakaita sezviratidzo zvisingavandudzike nemushonga, kuomarara kwekuremara mumoyo uye kuvapo kwezvimwe zviratidzo, sekushaya moyo kana arrhythmia.

Iyo yekuvhiya sarudzo ndeiyi:

• Balloon kururamisa kwevhavha, Yakagadzirwa pamwe nekuunzwa kwecatheter uye insufflation yebhaluni, ichinyanya kuratidzirwa pamatambudziko ekuderedza;
• Kugadziriswa nekuvhiyiwa, Yakagadzirwa nekuvhurwa kwechifuva nemoyo kugadzirisa kukanganisa muvhavha kana mhasuru;
• Valve kutsiva kuvhiya, iyo inogona kutsiviwa neyakagadzirwa kana simbi vharuvhu.

Rudzi rwekuvhiya runosiyanawo zvinoenderana nezviitiko zvese uye pamwe nekurudziro yeanachiremba vemoyo uye chiremba wemoyo.

Iko kutanga kupora kubva pakuvhiya kwemoyo kunowanzoitwa muICU kweinenge 1 kusvika mazuva maviri. Ipapo munhu anozoramba achigamuchirwa kuchipatara, uko kwaanozoongororwa kuongororwa kwevezvemwoyo kudzamara akwanisa kuenda kumba, kwaanogara masvondo mashoma achizvishaya uye achipora.

Munguva yekudzoreredza, zvakakosha kuti uchenjere nekudya zvine hutano uye kurapwa kwemuviri. Tsvaga zvimwe zvakawanda nezve iyo post-op yekuvhiya kwemoyo.

Moyo kugunun'una nepamuviri

Mumadzimai aive nerumwe rudzi rwekunyarara kwemoyo kana hunyoro hwemwoyo kugunun'una, nhumbu inogona kukonzera kiriniki kuora, zvichikonzera zviratidzo sekufema kwekufema uye kurovera moyo. Izvi zvinodaro nekuti, panguva ino, pane kuwanda kwehuwandu hweropa uye huwandu hweropa rakaputirwa nemoyo, izvo zvinoda basa rakawanda nenhengo. Tsvaga zvimwe nezve izvo zvikonzero zvinokonzeresa kufema kwekufema pamuviri.

Muzviitiko izvi, kurapwa nemushonga kunogona kuitwa kudzora zviratidzo, uye kana pasina kuvandudzwa uye kuvhiyiwa kuri madikanwa, zvinonyanya kuitwa mushure meyechipiri trimester, kana nhumbu yave kugadzikana.