Ichokwadi here kuti kuderedza ropa rako rinogona kuvandudza mwoyo wako, uye kana zvakadaro, rudzi rwepi rweropa rwemishonga inofanira kunge uripo?
Diastolic Dysfunction uye Hypertension
Diastolic kudzvinyirira chirwere chepfungwa mukati memo musimba wemwoyo unova "wakaoma," izvo zvinoderedza kukwanisa kwemoyo kuzadza neropa pakati pemakumbo emwoyo.
Diastolic dysfunction inosanganiswa nemitemo yakawanda inosanganisira kuwedzera kwehutachiona , hypertrophic cardiomyopathy , aortic stenosis , chirwere chetachiona chechirwere , chirwere cheshuga , kuneta muviri, uye mararamiro ekugara. Kana chirwere che diastolic chikaoma zvakakwana, kukanganisa kwemwoyo kunogona kukura pakupedzisira.
Vanhu vane hypertension vanonyanya kuwedzera kukura kwemutsipa wemwoyo - chiitiko chinonzi "hypertrophy" - chinotungamirira ku diastolic kudzvinyirira. Uyezve, sezvakangoitwa nachiremba wako, kurapa huwandu hwehutachiona kwakaratidzwa kuderedza dambudziko rekukuvara kwemoyo kubva pane diastolic kusagadzikana.
Zvechokwadi, mamwe mishonga inoshandiswa kurapa huwandu hwehutachiona yakaratidzwa kuti inodzokorora hutachiona hwemutsipa wemwoyo, uye inodzokorora diastolic dysfunction.
Ndezvipi Zvirwere Zvinopesana Nezvechirwere Zvine "Zvakanakisisa" Nekushaya Dhiyabhorosi?
Kune dzakawanda, mishonga yakawanda yekusarudza kubva mukurapa huwandu hwehutano , uye kwete dzose dzakanyatsobudirira mukuvandudza diastolic dysfunction.
Mune mishonga yekliniki yakave ichiitwa pamusoro pemakore kuti aone mishonga inorwisa antihypertensive inogona kuderedza hutachiona hwehutachiona, uye naizvozvo, kuderedza diastolic dysfunction:
A meta-analysis iyo yaisanganisira makumi mapfumbamwe emakirini emitambo yakagadzira migumisiro yeizvi. Kunyange zvazvo mapoka makuru ezvinodhaka anoshandiswa kurapa huwandu hwehutachiona akashanda mukuderedza mwoyo wehutachiona hwehutano, makirasi ayo ainyanya kushanda munyaya iyi aive:
- ACE inhibitors
- Angiotensin II receptor blockers (ARBs)
- Calcium channel blockers
Zvinodhaka mumakirasi aya zvakaderedza mwoyo wehutachiona huri pakati pe10 ne13%. Saka, zvichienderana nenhamba yakawanda yezvidzidzo zvakabudiswa, mapoka matatu ezvinodhaka ainyanya kubudirira mukudzokorora mamiriro ezvinhu anotungamirira ku diastolic kusagadzikana. Diuretics uye beta blockers - mamwe maira maviri makuru emishonga inowanzoshandiswa kurapa huwandu hwehuwandu hwemapfupa - zvakare aida kuchinja hutachiona, asi kusvika pamwero muduku.
Kunyange zvazvo izvi zvichiitika zvinonakidza, tinofanira kuziva kuti izvi zvidzidzo zvakasarudzwa hazvina kugadzirirwa kuti zvione zvakasiyana-siyana mumagariro ekurapa pakati pemishonga iyi - kungopesana kwezvavanoita pahutachiona. Zvinofungidzirwa, asi hazvishuvwi, kuti kuderedza mwoyo wehutachiona hwevanhu mukati mevanhu vane diastolic kudzvinyirira kuchaita kuti zvive nani.
The Bottom Line
Diastolic kusagadzikana chinhu chakakosha chingaita kuti mwoyo usakundikana. Nokuti hypertension (pamwe nekurema, kugara kwepasi, uye zvimwe zvinhu) zvinowanzobereka diastolic kusagadzikana, kuporesa zvakanyanya dambudziko rekuwedzera kwehutano kunogonawo kusiyanisa diastolic dysfunction. Ichokwadi kuti mamwe mishonga inopesana nehutachiona inogona kunge iri nani pakuderedza hypertrophy pane vamwe chimwe chinhu chiremba chinofanira kufungisisa apo rinorayira hurongwa hwehutano hwehutano.
Saka chiremba wako anoita seakupa mazano akanaka ekurapa, uye iwe unofanirwa kushanda pamwe naye kuti uwedzere ropa rako pasi pekutonga. Zvisinei, cherechedza mupfungwa kuti kunyatsogadzirisa chirwere chepfungwa ndiko chinhu chinonyanya kukosha. Kana izvi zvingaitwa nemishonga iri nani pakuderedza hypertrophy, yakakura. Asi kana zvisingaiti, chinonyanya kukosha kuwana kudzora kweropa rako, pamwe nemishonga chero ipi zvayo kana zvinodhaka ndizvo zvakakosha uye zvakanakisisa zvinoregererwa mumhosva yako pachako.
> Sources:
> Davis BR, Kostis JB, Simpson LM, et al. Mwoyo Usakundikana Nekuchengetedzwa uye Kuderedzwa Eft Ventricular Ejection Fraction muArahypertensive uye Lipid-downing Treatment Kuvhara Chirwere Chekurwa Kwemwoyo. Circulation 2008; 118: 2259.
> Klingbeil AU, Schneider M, Martus P, et al. Meta-kuongororwa kweMigumisiro yeArapa kuMusi weWedft Ventricular muEntential Hypertension. Am J Med 2003; 115: 41.
> Schwartzenberg S, Redfield MM, Kubva AM, et al. Migumisiro yeVasodilation muMwoyo Kukanganiswa neKachengetedzwa kana Kuderedzwa Ejection Fraction Zvinokonzera Kusiyanisa Pathophysiology paKubvuma kwaTradio. J Am Coll Cardiol 2012; 59: 442.