Kana iwe wakamboudzwa kuti une diastolic dysfunction kana diastolic mwoyo kukundikana , zvinokosha kwauri iwe nachiremba wako kuti uite chirongwa chekurapa - zvose kudzivirira nekudzivirira zviratidzo zvako, uye kuderedza mikana yako yekufa kubva pane izvi.
Kurapa Nzira ye Diastolic Dysfunction
Nzira yakanakisisa yekurapa diastolic kusagadzikana, kwehupi hwehutano hwekuoma, ndeyekuedza kuziva chero mamiriro ezvinhu aripo anobatsira pairi, uye ozogadzirisa zvine utsinye.
Kunyanya, mikana inotevera inofanira kutaurirwa:
Sedentary lifestyle
Vanhu vazhinji vane diastolic kusagadzikana vanoita kuti vagare vaine hupenyu huripo, uye kugara pasi kune chinhu chikuru chinokonzera diastolic mwoyo yematambudziko. Purogiramu yekudzidzira muviri kunobatsira kuvandudza diastolic basa remwoyo uye inogona kubatsira zvikuru muhutachiona hwemaharasi. Ichokwadi, chirongwa chekuita zvekurovedza ndiyo chete kurapwa kwakaratidzwa kuvandudza hutano hwehupenyu kune varwere vane chirwere ichi. Iwe unofanirwa kutaura nachiremba wako nezvekukutumira iwe purogiramu yekuvandudza mwoyo kuti utange.
Hypertension.
Iwe unofanirwa kunyatsoongororwa nehutachiona . Hempertension inowanzovapo kune vanhu vane diastolic dysfunction, uye inogona kuva yakaoma kuongorora. Zvakaipisisa, kuwedzera kwehupombwe kunowanzotadza kurapwa. Asi kana iwe une diastolic kusagadzikana, zvakakosha zvikuru kuti chiremba wako awedzere kutarisirwa kuti ave nechokwadi chekuti ropa rako rinenge riri munharaunda yakakwana.
Coronary artery disease. (CAD)
Vanhu vane dysfunction diastolic vanofanirawo kuongororwa nokuda kwehutano hwechirwere chirwere (CAD) ; kana CAD ichionekwa, inofanirwa kubatwa nechisimba. Chiitiko (kureva, chisingazivikanwi uye chisingaoneki) CAD ndicho chikonzero chinowanzoita diastolic dysfunction.
Atrial fibrillation.
Kana iwe uine atrial fibrillation , ichi chironga chemwoyo chinofanirwa kuitwa zvakakwana. Mune vanhu vane diastolic dysfunction uye fibrillation yeAricrial, rhythm control strategy inowanzosarudzwa pamusoro pehutano hwekuyera. (Verenga pamusoro peshoko rinotarisana nemutengo wekutengesa muhutano hwehutachiona .) Zvisinei, kana mwoyo wakakwana unyanzvi usingagoni kuchengetedzwa, zvinokosha zvikuru kuti uwane mwoyo uri pasi pekutonga Izvi ndezvekuti inokurumidza mwoyo maitiro anowanzokonzerwa nehutrial fibrillation inogona kukonzera kukanganisa kwakanyanya mumoyo wepfungwa mukati mevanhu vane diastolic dysfunction.
Chirwere cheshuga uye kuneta.
Chirwere cheshuga uye kuninipiswa zvose zviri zviviri zvinosanganiswa neodastolic dysfunction. Kurasikirwa nekusimudza nekuchengetedza chirwere cheshuga pasi pekutonga kwakanaka kunogona kubatsira kumisa kuderera kwekusavhiringidza kwe diastolic.
Kurara kunetseka kufema kufema
Kushungurudzika kwokuputika panguva yehope, kunyanya kupererwa kwemafupa , zvinogona kuwedzera zvakanyanya kudii dysfunction. Vanhu vane dysfunction diastolic - kunyanya kana vakanyanya kuoma kana kuti vane zviratidzo zvinoratidza kufema kunetseka kufema-kunofanira kuongororwa nekuda kwekurara kwepnea, uye kana ichionekwa kuti inofanira kurapwa.
Kurapa kweDiastolic Heart Kusakwanisa
Kurapa diastolic mwoyo kusagadzikana (iyo nyanzvi yemapurisa ikozvino inonzi "mwoyo kusagadzikana nechachengetedzwa chikamu chekudzivirira ,") inogona kuva dambudziko. Kusiyana neyero systolic moyo kusakundikana , umo zvidzidzo zvakawanda zvakaratidza mishonga chaiyo yekurapa mishonga iyo inonyanya kuvandudza kufa, hakuna tsvakurudzo dzakadaro dzinowanika diastolic mwoyo kusakundikana. Uyezve, nokuti zvinyorwa zve diastolic mwoyo kusakatika zviduku uye zvakasimba (panzvimbo pekunyoroveswa uye flaccid), mishonga yakawanda inowanzoshandiswa mukugadzirisa kukanganisa kwemwoyo inogona kukanganisa kushaya mwoyo diastolic.
Kushandisa zvinodhaka zve diastolic mwoyo kusakundikana kunowanzoshandiswa kushandisa diuretics yakadai sefurosemide (Lasix) kuderedza zvakanyanya sodium nemvura kubva mumuviri, uye kuderedza zviratidzo zvepermonary congestion uye edema. Zvinodhaka zvekudzivirira huwandu hwepfungwa zvakakoshawo.
Uyezve, mumuedzo we TOPCAT, kurapwa ne spironolactone (rudzi rwechirwere) kwakaita kuderedza kudiwa kwekuchengetwa mumba mavanhu vane diastolic mwoyo kukundikana, asi hazvina kuderedza kuwanda kwekufa.
Asi chirwere chakakosha zvikuru che diastolic mwoyo kukundikana ndechokudzivirira nechisimba zvinhu zvakafanana, zvakanyorwa pamusoro apa, izvo zvinokosha mukurapa diastolic kusagadzikana. Pakati peizvi, kurovedza kurovedza (kusati kwava kugara kwenguva refu) ndiyo chete nzira yakaratidzwa muzvidzidzo zvekliniki kunonyatsovandudza hupenyu hwevanhu vane diastolic mwoyo kusakundikana.
Ndezvipi zvinonzi Diastolic Dysfunction?
Vanhu avo vakave nechiitiko che diastolic mwoyo kusakona vane chirwere chakakomba, chinopisa upenyu. Kunyange zvazvo kuburitswa kwavo kwose kungave kwakanaka kune vavarwere vane chekuita systolic mwoyo kusakundikana, ichiri kuderedzwa. Ichi ndicho chikonzero munhu wose ane diastolic moyo kukundikana kunofanira kuitirwa utsinye - kuburikidza nekuedza kutarisa zvose zviri mumamiriro ezvinhu anokonzerwa neizvi.
Kana vari vanhu vakaonekwa kuti vane diastolic dysfunction asi vasina kumbova nezviratidzo zvekushaya simba kwemoyo , uchapupu huri kuwedzera kuti vanhu ava vanewo hutano hwepamusoro kupfuura hunowanzoitika. Kuwana uku hakufaniri kushamisika kana iwe uchiona zvikonzero zvinokonzerwa nehutachiona hwe diastolic, kufambisa kwechiremba kuti "kuitisa" izvo zviviri zvakanyanya pane izvi (kureva, kuwedzera kwehutachiona uye kusazivikanwa kwechirwere chirwere chemishonga), uye kuoma kwevanhu vakawanda vane kuchinja mararamiro ekugara, uye kurasika.
Diastolic kusagadzikana chinhu chakakosha kuti, kana zvishoma, inofanira kukurudzira kunyatsoongorora zvikonzero zvinokonzera, uye zvekare kushungurudza. Kurapa kwakakwana kwekusavhiringidza kwemaastolic kunogona kuchinja zvikuru mukana wekuita zvakanaka.
> Sources:
> Borlaug BA, Paulus WJ. Mwoyo Usakundikana nePervised Ejection Fraction: Pathophysiology, Kuziva, uye Kurapa. Eur Moyo J 2011; 32: 670.
> Pitt B, Pfeffer MA, Assmann SF, uye al. Spironolactone yeMwoyo Inokundikana neKachengetedzwa Ejection Fraction. N Engl J Med 2014; 370: 1383.
> Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA Nhungamiro yekutungamirirwa kweMwoyo Kusakwanisa: Nyaya yeAmerican College yeCardiology Foundation / American Heart Association Task Force pamusoro pekushandisa mazano. J Am Coll Cardiol 2013; 62: e147.