Kana iwe wakanga uine myocardial infarction (MI, kana chirwere chemwoyo), iwe wakatsigira huwandu hwekuvhiringidza pamwoyo wako. Kana kukanganisa kwakakwana kwave kwaitwa, iwe unogona kunge uri pangozi yekukuvara kwemoyo . Saka, kutora matanho ekudzivirira mwoyo kukanganisa chinhu chinokosha cherapi mushure me MI.
Kune vanhu vane MI yakakura zvikuru, njodzi yekushaya mwoyo inogona kunge yakakwirira kwazvo.
Muvarwere ava kutanga kwekushaya mwoyo kunogona kuva kwakanyanya, kazhinji mukati memaawa mashoma maawa kana mazuva.
Asi kunyange apo MI inokonzera kuwanda kwemaviri emusana, zvinokanganisa kusagadzikana kwemoyo zvinogona. Mishonga yakakodzera yemishonga uye mararamiro ekuchinja mararamiro anogona kunge akakonzera kuchetedza kana kudzivirira kutanga kwemoyo kusakundikana.
Chii Chiri Kugadzirisa?
Chero kana kwete mwoyo kukanganisa kunoitika mushure mokunge MI inofanirwa nehukuru hwekuti kusakanganiswa kwemwoyo musumbu inopindura sei. Mushure meM MI, mutsara wemwoyo wakagadzikana "unotambanudza" mukuedza kutora mutoro webasa remuviri wakaora. Izvi zvinotungamirira pakuwedzera kwe mwoyo, chirongwa chinonzi moyo "kugadzirisa".
Kutambanudza kunobatsira kusagadzikana kwepurogiramu yemusungo musimba nesimba, uye inobvumira kuita mamwe mabasa. Mutsipa wemoyo unoita chimwe chinhu chakafanana nebandu re rubber; paunowedzera kutambanudza, kunyanya "kunyorera" kuri. Zvisinei, kana iwe uchitambanudza bhanhire rerabhu, kana kuti uchiramba uchitaridzika kwenguva yakareba kwenguva yakareba, inozopedzisira yasisina "kusviba," uye inova yakajeka.
Zvinosuruvarisa, moyo wemisumbu unoita chinhu chimwe chete. Kusununguka kusingaperi kwemutsipa wemwoyo kunokonzera kuti iwedzere, uye kusagadzikana kwemoyo kungaguma. Saka, apo kugadzirisa kunogona kubatsira mwoyo kushanda zviri nani munguva pfupi, munguva yekugadzirisa kwenguva yakareba chinhu chakaipa. Kana kugadzirisa kunogona kudzivirirwa kana kusagadzikana, njodzi yekudzikisa mwoyo kunokera.
Kuzvidzora Kunoenzaniswa Sei?
Chimwe chikamu chinokosha chekuongorora hutano hwako mushure mekunge MI inofungidzira kuwanda kwekugadzirisa kwemoyo kunenge kuchiitika. Iyi ruzivo inogona kuwanikwa nokuita MUGA scan kana echocardiogram , nzira mbiri dzisingatauri kutaridzika kuruboshwe .
Nzira yakanaka yekufungidzira huwandu hwenyama hukuvadzwa kunokonzerwa ne MI, uye chiyero chekugadzirisa kunoitika, kuenzanisa kuruboshwe rwe ventricular fraction ejection (LVEF). IWVEF ndiyo inenge yeropa rakakanganiswa nechokupedzisira ye ventricle nemoyo wose. Nekuwedzera kwemoyo (kureva, nekugadzirisa), chikamu che ejection chinowira. Kana iLVEF iri pasi pe40% (inowanzova 55% kana yakakwirira), saka kuve kwemaviri musikana kwakakonzerwa. Icho chiri pasi pasi peLVEF, iyo inowedzera kukanganisa, inozogadziriswazve - uye inowanzova nengozi yekuva nekushaya simba kwemoyo.
Kudzivirira Kuchengetedza Kwemwoyo
Zvidzidzo zvezvipatara zvakaratidza kuti makirasi maviri emishonga anogona kuderedza zvakanyanya kugadziridzwa shure kweM MI, uye kuvandudza kupona kwevarwere vane zviratidzo zvekushayikwa kwemoyo kunokonzera. Iyi mishonga ndeye beta blockers uye ACE inhibitors .
Beta blockers inoshanda nekudzivisa kuitika kweAdrenaline pamwoyo, uye vane zvikomborero zvakakosha mumarudzi akasiyana ezvirwere zvemoyo.
Beta blockers inoderedza ngozi yeangina kune varwere vane coronary artery disease (CAD) ; kuvandudza kupona kwevarwere vane mwoyo kusakona; kuderedza njodzi yekufa kamwe kamwe kune varwere mushure mekurwadziwa kwemoyo; uye kunonoka, kudzivirira uye kunyange kutengesa kutsauka kwemweya kugadzirisa mushure me MI.
Saka, kunze kwekunge pane zvikonzero zvakasimba zvekusashandisa (vamwe varwere vane chirwere chakanyanya chirwere chepapu kana mamwe mapapu emapapu havakwanise kutora mishonga iyi), zvinenge zvese kuurayiwa kwemwoyo kunofanira kuiswa pa beta blocker. Iyo inonyanya kutaurwa beta blockers mushure meM MI ndeye Tenormin (atenolol) uye Lopressor (metoprolol).
ACE inhibitors inonyanya kusimbisa kupona kwenguva refu mushure meMI yakaoma, uyezve, kuderedza dambudziko rekushayisa mwoyo kusakundikana (zviri pachena nekudzivirira kana kunonoka kugadzirisa). Vanoderedzawo njodzi yekudzoka kweMIs, kurohwa, uye kufa kamwe kamwe.
ACE inhibitors, kufanana neve beta blockers, inofanirwa kufanirwa kana iwe uine chirwere chemwoyo. Vasotec (enalapril) uye Capoten (captopril) ndiyo mishonga inowanzoshandiswa mushure me MI.
Kuchengeta Utano Hwenyama
Mukuwedzera kunerapi inotarirwa zvakananga mukudzivirira mwoyo kusakundwa mushure mekurwa kwepfungwa, iwe unoda mamwe mazano anokosha kuti urambe uine hutano hwehutano hwakanaka. Heino chirongwa chekutsvaga kwepfungwa chinotevera- iwe unofanira kuongorora nechiremba wako.
Uye kunyange iwe usingakwanisi kuita chero chinhu pamusoro pekuti iwe unotova neCAD, pane zvimwe zvinhu zvakawanda zvaunogona kuita kuti udzike kana kurega kuipa kweCAD yako, uye saizvozvo kudzivirira humwe mwoyo kukuvara. Izvi zvinosanganisira matanho ekuvandudza kudya kwako, cholesterol maitiro, simba rekushandisa, nekuita kuti uwedzere uremu uye ropa rako.
> Sources:
Nuttall, SL, Toescu, V, Kendall, MJ. beta Blockade mushure mekunge myocardial infarction. Beta blockers vane basa rinokosha mukuderedza kuderedza uye kufa kune mushure mekuvhiringidza. BMJ 2000; 320: 581.
Smith, SC Jr, Allen, J, Blair, SN, et al. AHA / ACC mirayiridzo yekudzivirirwa kwechipiri kuvarwere vane coronary uye mamwe atherosclerotic vascular disease: 2006 update yakatsigirwa ne National Heart, Lung, uye Blood Institute. J Am Coll Cardiol 2006; 47: 2130.
Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA nhungamiro yehutungamiri hweS ST-elevation myocardial infarction: executive summary: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pamusoro pekushandisa mazano. Circulation 2013; 127: 529.