Stroke inobatana zvikuru nehosha yemwoyo. Kana uine chirwere chemwoyo, iwe unogona kuedzwa kuti urege kunyatsorega kana kudzoka kuchipatara kana iwe usina zviratidzo zvinonetsa. Asi, kana wakamboonekwa une chirwere chepfungwa, zvinokosha kuti urege kuzvirega. Iwe unofanirwa kuva nechokwadi chekuenda kune yese yako yakakurudzirwa kusarudzwa kwezvokurapa nokuti chirwere chemwoyo chinogona kuva nemigumisiro mikuru yehutano, chimwe chezvinhu zvakanyanya zvakanyanya izvo zvinokonzera chirwere.
Mhando dzeMwoyo Matambudziko Akabatanidzwa neStroke
Ko chirwere chemwoyo chinokonzera sei kurohwa? Kune marudzi akasiyana ezvirwere zvepfungwa zvinokonzerwa nesitiroko uye zvinogona kukonzera kushungurudzika nemhaka yekubatana kwepedyo pakati pemwoyo uye kubuda kweropa kusvika muuropi.
Moyo Rhythm Kusakanganiswa (Arrhythmia)
Mwoyo wakagadzikana unorova nguva dzose, uchiita chido chemoyo. Chimwe nechimwe chemoyo chinogunun'una chinoputira ropa mumuviri wako kanenge ka 60-100 nguva paminiti.
Kune chirwere chepfungwa chinoratidzirwa nekusava nemwoyo. Kusava nemwoyo kunokanganisa kunonzi "arrhythmia". Apo mwoyo unoputira zvisina kufanira, izvi zvinogona kutungamirira kune zvakatevedzana zvezviitiko zvingaita sitiroko.
Rudzi rwakakurumbira rwerhythmia inonzi inrial fibrillation. Atrial fibrillation inokonzerwa nekusasa kwemazuva emagetsi mumoyo nekuda kwekushaya simba kwemhepo yemhepo pacemaker, iyo iri mune imwe nzvimbo yemwoyo inonzi atrium yakarurama.
Ventricular fibrillation ndechimwe chevanhu vanozivikanwa nemagodhi arrhythmias. Ventricular fibrillation inoratidzirwa nemhepo inokanganisa kupisa kwemoyo.
Arrhythmias inobatsira kurwisa nokuti apo mwoyo unorova zvisina kukodzera, ropa harifaniri kufamba sezvinofanira. Mimwe yeropa inogona kuderera panzvimbo, panzvimbo yekuyerera zvakanaka.
Iyi kuwedzera kweropa, iyo inonzi stasis, inongogumira milliseconds chete, asi iyo ndiyo nguva yakakwana yokuti ropa rigadzire masa.
Ropa rakagadzirwa rinogona kufamba kubva pamwoyo kusvika kumaketari e-carotid kana kuuropi, kupopotera kupararira muuropi uye kukonzera ischemic strokes . Kukuvadza kweuropi kwekurohwa kweschemic dzimwe nguva kunoita kubuda ropa muuropi kuburikidza nehutano hunonzi hemorrhagic change. Nokudaro, kushanduka kwemhepo kunoshandiswa kwezvinyorwa zvinokanganisa zvinogona kuitika nekurohwa kunokonzerwa nechirwere chemwoyo.
Arrhythmias inowanzowanikwa panguva yekuongororwa kwechiremba. Apo chiremba wako anoteerera mwoyo wako ne stethoscope , ari kuterera rwiyo, uye naizvozvo anokwanisa kuona kana moyo wako uchirova neshamwari nguva dzose kana isiri. Kuenderera mberi kuedzwa nekuongorora zvirwere zvakadai se electrocardiogram (EKG), echocardiogram, test test kana Holter mamiriro angave akadikanwa kuti aone zviri nani chikonzero uye chinokonzera dambudziko rhythm.
Yakawanda inorthythmias inoporesa nemishonga kana kuvhiyiwa. Kana iwe uine arrhythmia, unogona kutora ropa rakapfava kuti ubatsire kudzivirira chirwere, kunyange kana iwe uchiwana kurapwa kwekusava nemwoyo wako.
Kurapa kwerhythmia pachayo ingasave yakanyatsoshanda. Kuvhiya kana mishonga ye arrhythmia pamwe chete neropa rakapfava rakawanikwa richibudirira mukudzivisa kuparadzirwa pane kurapwa kweArmhythmia pasina ropa rakaonda.
Heart Failure
Mwoyo kukanganisa uye kuora mwoyo mwoyo kusagadzikana ndiwo mazwi anowanzoshandiswa kutsanangura mwoyo kana isina simba uye isiri kushanda zvakanaka. Vanhu vane mwoyo wekukundikana kana kuora mwoyo mwoyo kukanganisa zvinowanzoita 2-3 nguva yakawanda yekuwana chirwere kune vanhu vasina mwoyo yekukundikana.
Kukundikana kwemwoyo kunoita zviratidzo zvakasiyana-siyana, kusanganisira kuneta, kupera simba, uye kupererwa kwemhepo.
Zviratidzo izvi zvinokonzerwa nekushaya ropa kwemwoyo kunounza mumuviri nekuda kwekushaya simba kwemutsipa wemwoyo. Dzimwe nguva, vanhu vane mwoyo wekukundikana vane kukurumidza kwemoyo, iyo ndiyo nzira yemwoyo yekubhadhara iyo isina simba kukumisa chiito chemuviri wemwoyo.
Tsanangudzo yekushamwaridzana pakati pekushaya kwemoyo nekurohwa kwakaoma uye yakabatana nezvimwe zvinhu. Imwe yenzira iyo kukundikana kwemoyo kunobatsira kuti urove kuitika kuburikidza nemuviri wemuviri wepimologic kumhepo isingakwanisi kupa uye kubhadhara basa remwoyo. Mutumbi unoedza kubhadharisa matambudziko aya nekusunungura mahomoni akawanda anoita kuti ropa riwedzere kuvhara, izvo zvinokonzera marwadzo.
Imwe nzira iyo muviri unenge uchiedza kubhadhara kushaya simba kwemoyo ndeyokuchinja kuwedzera kweropa nenzira dzinogona kuita kuti urove. Kukundikana kwemoyo kunogona kutungamirira kune zvisina kumira kana kusakanganiswa kwemwoyo, izvo zvinogona kuita kuti moyo uite ropa rinogadzika rinogona kuenda kumaketari e-carotid kana kuuropi, kupindira ropa muuropi uye nekukonzera chirwere. Uyezve chimwe chikonzero chekuwedzera kwengozi yekurohwa kunokonzerwa nekushaya simba kwemoyo ndeyekuti nzira imwechete yehupenyu inokonzera kukanganisa kwemwoyo kunokonzera chirwere chemidziyo yeropa, iyo inotungamirira kuropa rekuvhara ropa nekurohwa.
Dambudziko reMagetsi Emwoyo
Mwoyo valves zvivako zviduku zvinowanikwa mumakamuri emwoyo uye mumidziyo yeropa yemwoyo. Aya mavhavha anobatsira kuchengetedza kutungamirirwa kwakakodzera kwekuyerera kweropa sezvainoenda kumwoyo, mukati memwoyo, uye kunze kwemoyo.
Zvinokanganisa mapikisi emwoyo zvinogona kutungamirira kumigumisiro yakakomba yakawanda. Ropa rinogona kunyura kana kuti 'kudzoka' mukutadza kwakashata, zvichikonzera kuvhara ropa nemhaka ye stasis. Ropa, cholesterol nezvimwe zvinhu zvinogona kusunga uye kuumba zvishoma kukura pamagetsi. Iko kukura kunogona kuparara uye pakupedzisira kuenda kune uropi, kudzivirira midzi midzi yeropa muuropi, kuvhara ropa nekuyerera nekukonzera ischemic strokes. Mwoyo valves inogona kutotapukirwa, kutumira madota uye 'matanda' zvinhu zvinogona kudzivirira midzi yeropa yeuropi.
Zvinetso zvemagetsi emwoyo zvinowanzoonekwa panguva yekugadzwa kwechiremba apo chiremba wako anoteerera mwoyo wako inonzwika ne stethoscope. Mwoyo yevhavha yepabhesi inoratidzirwa nekusiyana, kusina kuchena kwemwoyo. Imwe nyanzvi yekuongororwa nekuongororwa kwakaitwa seychocardiogram inogona kujekesa zviri nani rudzi rwehutachiona hwemapapiro emwoyo uye rubatsiro pakuvaka chirongwa chekugadzirisa magetsi, iyo inogona kusanganisira mishonga kana kuvhiyiwa.
Heart Attacks
Kurwisa kwemwoyo, kunonziwo myocardial infarction (kufa kwemwoyo musumbu nekuda kwekushayikwa kweropa) inowanzova chiitiko chinorwadza chinoratidzirwa nekupererwa kwekufema uye kufema kwepfupa. Zvichienderana nokuti chikamu chipi chemoyo chinokanganisa panguva yekurwadziwa kwepfungwa, kukuvara kunogona kukonzera kusashanda kwenharaunda yakakanganisika.
Kana chirwere chemwoyo chinokuvadza chimwe chezvinhu zvemoyo zvinodzora moyo rhythm, chirmiti chinogona kuitika. Kana kukanganisa kwemwoyo kuchikuvadza mitsipa yemwoyo, ipapo iyo isina simba yemisimba kufamba inogona kuita kuti mwoyo usakundikana. Mukurwadziwa kukuru kwepfungwa, pangave nekushaikwa kweropa rakakwana kuuropi panguva yekurwadziwa kwemoyo. Nokudaro, munhu anogona kuona chirwere panguva imwe chete sekurwadziwa kwemwoyo.
Iyo yakareba kwenguva refu pangozi mushure mekurwa kwepfungwa chimwe chezvinhu zvinonyatsozivikanwa zvakashata zvemamiriro aya. Ichi ndicho chikonzero chimwe chezvinhu zvinokosha zvekutsvaga kwepfungwa yekuzvidzivirira kunosanganisira kutarisana nekudzivirira kurwisa, izvo zvinosanganisira kuchengetedza utano hwakanaka hwehucholesterol uye kuwedzerwa kweropa mumutengo wakarongedzwa .
Heart Infections and Inflammation
Kakawanda, zvirwere zvepfungwa uye chirwere chinoputika chemwoyo hachisi ichocho. Mwoyo inotapukira inowedzera mikana yekuve nechirwere cheschemic kana chirwere chinopisa. Endocarditis rudzi rwekuvhiringidza kana utachiona hwemwoyo. Endocarditis inogona kunge yakabatana nenjodzi zvinhu zvakadai semapapiro emwoyo. Chirwere chepalve chakadai se rheumatic heart disease chimwe chinokonzera kukanganisa endocarditis. Kutungamirirwa kwekuguma kwechido kunoda kutarisirwa zvikuru, uye kupindira kwekuvhiya kunogona kudiwa.
Inborn Heart Heart
Nhamba dzakasiyana-siyana dzakaberekwa nemoyo dzinokonzerwa nehuwandu hwekuwana chirwere. Mwoyo yemwoyo yakaberekwa inowanzonzi sekuzvarwa kwepfungwa dzisina kunaka. Kune hutano hwakasiyana-siyana hunokanganisa moyo, kusanganisira mafungiro emagetsi emagetsi uye kusagadzikana muhutano hwemidziyo yeropa mumoyo. Iyo yakawanda iyo yakawanda iyo yakaremara mwoyo yakaremara ndeyokuzarura kana kuti 'gomba' mu septum, iyo ndiyo yakagadzirisa nzvimbo, dzinonzi dzimba, dzemwoyo.
Ipa patent foramen ovale (PFO) yakaremara munzvimbo yee septum inoparadzanisa atria yakarurama yemwoyo kubva kuruboshwe rweAria. PFO yakanga yave ichionekwa sechirwere chekukuvadza kwakakosha kwemakore mazhinji, asi munguva pfupi yapfuura tsvakurudzo yakaratidza kuti inogona kuva isina ngozi kune iyo yaimbofunga. Pari zvino, vanhu vane patent foramen ovale havasi nguva dzose vanorayirwa kuti vave nekugadzirwa kwekugadzira.
Yakawanda yekuberekwa kwepfungwa yepfungwa inowanikwa muhuduku. Zvisinei, nepo congenital moyo kusakwana kunoita kuti mukana wekushaya chirwere pazera duku, mukana wose wekushaya chirwere pazera duku hauna kunaka.
Kana iwe uine urema hwepfungwa, zvinenge zvichiitika kuti chiremba wevana vako akazviona pawakanga uri mwana kana munhu mukuru wechidiki. Zvakakosha kuti iwe urambe uchishanyira ne cardiologist muhupenyu hwako hwose kusvikira wapera maererano nehutano hwako hwepfungwa.
Unogona Sei Kuziva Kana Une Mwoyo Wechirwere?
Zviratidzo zvepfungwa yemwoyo zvakasiyana zvichienderana nemamiriro ezvinhu chaiwo emwoyo. Mimwe mamiriro emwoyo anounza manzwiro ekuneta, asi vamwe vanobereka mapapiro, asi vamwe vanobudisa kuneta mukubatana nekushingaira kwenyama. Chirwere chepfungwa chinogona kuratidza nechezizi .
Kunyange zvazvo mamwe mamiriro emwoyo asingakonedzi zviratidzo, kunyanya kana zvinyoro kana kuti zvichiri mumatambo ekutanga, zviitiko zvako zvekare zvinogadzirirwa kubatsira kuona zvirwere zvakawanda, kusanganisira chirwere chemwoyo. Chinhu chakanakisisa chaunogona kuita kuti uone kana une chirwere chemwoyo ndeyekucherechedza nezvekuchinja chero kupi zvako mune simba rako uye kuti uve nechokwadi chokuti iwe unoronga maongororwo ako akakurudzirwa.
Shoko Rinobva
Chirwere chepfungwa hachisi chisingazivikanwi, asi izvozvo hazvirevi kuti iwe haufaniri kuitora zvakanyanya. Kana uine zviratidzo zvehutano hwemwoyo, haufaniri kunonoka kurapwa. Kurapa kwechirwere chepfungwa kwakauya nenzira yakareba uye huwandu hwematambudziko emwoyo hunogona kunyatsogadzirirwa kuchengetedza migumisiro yakadai sitiroko.
Kuita kuti hurumende iongororwe zvekare ndeye nzira yakanakisisa yekuvimbisa kuti matambudziko ehutano anowanikwa kare, asati aita zvinetso zvakakosha.
> Sources:
> Kuenzanisa kukosha kwevarwere vekudzivisa zviratidzo uye zvinobudirira zvekushaya mwoyo, Hauber AB, Obi EN, Mutengo MA, Whalley D, Chang CL, Curr Med Res Opin. 2017 Jul 13: 1-26.