Zviratidzo uye Kurapa
Kurwiswa kwechirwere chemoyo kunonyanya kupararira kune zvitatu zvehupenyu (hutachiona hwemwoyo), humwe humwe hutachiwana hutachiona hwehutachiona uye huchidzivirira hutachiona hwemwoyo.
Mukudengenyeka kwemoyo, mwoyo wemisimba inowedzera simba uye haikwanise kubvumirana nayo. Kubhadhara nokuda kwekushaya simba uku, mwoyo wemisungo "inotambanudza," zvichiita kuti mwoyo (kunyanya kuruboshwe rwemhepo ) kuti iwedzere.
Saka chiratidzo chechirwere chemoyo chinokanganisa mwoyo wakaora, wakawedzerwa.
Zvinokonzera
Chinhu chipi nechipi chinogona kuderedza mwoyo musumbu-iyo inosanganisira nhamba inoshamisa yehutano-inogona kutungamirira kukurapa kwemoyo. Mamiriro ezvinhu akajairika anokwanisa kubudisa hutachiona hwehutachiona hunosanganisira coronary artery disease (CAD) , zvirwere zvakasiyana-siyana, hutachiona hwehutachiona , uye chirwere chemwoyo chevhavha. Kusakwana kwezvokudya, kunwa doro kana kudhakwa kwekodine, kubata, chirwere chemwoyo , kushungurudzika kwepfungwa , maitiro asina kukwana, chirwere chetachiona , uye kushungurudzika kwezvimwe zvinokonzera zvimwe zvinokonzera.
Zviratidzo
Kushungurudzika kwemoyo kunokonzera kukanganisa mwoyo . Ichokwadi, vanhu vazhinji-kusanganisira vanachiremba vazhinji-vanoshandisa izwi rokuti "mwoyo kusakona" sechinhu chinonyanya kushandiswa chekutenderera kwechirwere chemoyo. Nekudaro, haifaniri kushamiswa kuti zviratidzo zvekuderedza mwoyo cardiomyopathy ndiyo yakaratidza zviratidzo zvemoyo kusakundikana .
Izvi zvinosanganisira dyspnea (kukurumidza kufema), kuzvimba mumakumbo nemakumbo, kushaya simba, kushaya muviri kushivirira, kutapira , uye kuchena .
Kuziva
Kuongororwa kwechirwere chemadidiyo chirwere kunobatsira pakuona kuwedzera kwemakamuri emwoyo, kunyanya kuruboshwe. Kucherechedza kuruboshwe kuruboshwe kunogona kuitwa zvakangoita ne echocardiogram , kana MUGA scan .
Chinhu chinokosha chemashoko akawanikwa kubva kune echocardiogram kana kuti MUGA scan ndiyo chikamu chinosara chinonzi ventricular ejection (LVEF) , iyo ndiyo chikamu cheropa raro iro rakasiiwa ventricle rinoratidzira nemoyo wese. A LVEF yakasarura ndeye 50% kana yakakwirira (zvinoreva kuti kazhinji kuruboshwe rwomusiya runotora chikamu chikamu cheropa raro). Mukuderedza mwoyo, LVEF inogara ichiderera pasi pe50%.
Kuwedzerwa kwekuderedza muLVEF kunowanzoenzanisira zvakajeka yehuwandu hwekukuvadza kwechokusiya chinonzi ventricle chakatsigira. Kudzokorora mukana weLVEF nguva nenguva kunogona kujekesa kana chirwere chemunhu chinowedzera kana kuvandudza kwenguva yakareba.
Kurapa
Kana imwe nguva yakanyanyisa kurara, inotanga yebhizimisi inofanira kuva yekuongorora zvakakwana kuedza kuziva kuti chinogona kuchinja chinokonzera. Muchiedza ichi, hapana dombo rinofanira kusiyiwa risina kubviswa, nokuti kubvisa chikonzero chinokonzera kazhinji ndiyo nzira yakanakisisa yekugadzirisa kuora mwoyo kwemoyo, uye mune dzimwe nguva kuidzosera. Panyaya iyi, zvakakosha zvikuru kutarisa CAD, zvinetso zvepfungwa dzemwoyo, kusakwana kwezvokudya, kuvhara doro kana kushandisa cocaine, uye chirwere chetachiona.
Paanenge achitsvaga chinokonzera chinokonzera chikonzero, utsinye hunotyisa hunofanira kuiswa kuti huderedze zviratidzo, uyewo kumisa kuora mwoyo kwemoyo.
Mitsara yakawanda yerapi ikozvino yakaratidzwa kuti iwedzere kupona uye kuderedza zviratidzo kune vanhu vakaderedza cardiomyopathy, uye kurapwa kwechiitiko ichi kwave kuchikura nokukurumidza.
Zvinosuruvarisa, zvidzidzo zvichiri kuratidza kuti chikwata chikuru chevanhu vakashandura chirwere chemarayari havagoni kunyatsotarisirwa. Kana iwe kana munhu waunoda akawedzera chirwere chemoyo, unofanirwa kuzviziva nemishonga inofanirwa kugamuchira-uye iva nechokwadi chokuti urikurukura nachiremba wako. Zvinowanzova pfungwa yakanaka kuva nechechi yepamusoro ekutarisira kutarisira kwako, zvose kuti uve nechokwadi chokuti kurapa kwako kunosvika pakuenderana, uye kukuchengetedza iwe kuziviswa kwezvimwe zvinogona kuitika mukurapa chirwere ichi chakakomba.
> Sources:
> McMurray JJ, Adamopoulos S, Anker SD, et al. ESC Zvinyorwa Zvokuziva uye Kurapwa kweApute uye Chronic Chronic Heart Failure 2012: Basa reKushandiswa kweKutsvaga uye Kurapwa kweApute uye Chronic Chronic Heart Fail 2012 yeEuropean Society of Cardiology. Yakagadzirirwa nekubatana ne Heart Failure Association (HFA) ye ESC. Eur Heart J 2012; 33: 1787.
> Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA Nhungamiro yekutungamira kweMwoyo kusakundikana: Executive Summary: Bhuku reAmerican College of Cardiology Foundation / American Heart Association Task Force pamitemo yekuita. Circulation 2013; 128: 1810.