Kuora mwoyo kwemwoyo chirwere chakakomba chisingagoni kurapwa. Kuponeswa uye hupenyu hwehupenyu nemoyo wekukundikana kunogona kuvandudzwa nekurapa, mararamiro ekuchinja, uye, dzimwe nguva, nekuvhiya kwakananga. Mishonga yemishonga, iyo yakadai se beta blockers, ACE inhibitors, uye diuretics, ndiyo nzira dzinowanzoshandiswa kumwoyo kusakonzera kurapwa.
Mishonga inoshandiswa kushanda nekukurudzira mwoyo kuputira zvakanyatsonaka, kudzivirira kupisa kwakanyanya kwekuvaka mumuviri, kana nekuderedza ropa. Kugadziriswa kwemagetsi, pacemaker, kana mamwe mazano anogona kuonekwa mune vamwe varwere.
Zvinyorwa
Mishonga yemishonga yemishonga ndiyo mishonga inobatsira zvikuru yekutarisira kwekushaya mwoyo. Iyi mishonga inowanzofanira kugadziriswa nguva nenguva sezvo chirwere chako chinopfuurira. Dzimwe nguva, chiremba wako anogona kupa mishonga yemishonga yekutarisa mwoyo wako kukundikana nokuti inorwisana zviratidzo zvekushaya kwemoyo nenzira dzakasiyana. Zvimwe zvinosanganisira:
Beta blockers : Beta blockers- Zebeta (bisoprolol), Coreg (carvedilol), uye Toprol (metoprolol)-inoshandiswa kutsamwa kwepfungwa nokuti inononoka kudarika mwoyo. Izvi zvinobvumira mwoyo kuzadza zvakakwana zvakakwana musati wapemha, izvo zvinoita muviri kuti uwedzere ropa neropa rimwe nerimwe.
Izvi zvinobatsira kuderedza zvimwe zvekuneta kwaunogona kuwana nekuda kwekushaya mwoyo.
Diuretics : Diuretics mishonga inokurudzira kubviswa kwemvura kubva mumuviri kuburikidza nekubata paitsvo. Izvi zvinoderedza idema uye kuperevedza kwepfungwa yekushaya simba kwemoyo, sezvo zviratidzo izvi zvose zviri mugumisiro wekushanda kwemvura mumuviri.
Kazhinji inoshandiswa pakurapa inosanganisira Lasix (furosemide), Bumex (bumetanide), uye Esidrix (hydrochlorothiazide). Mazinga ePotassium anogona kuve akaderera neyokushandisa diuretic, saka mineral supplementation inogona kudiwa.
Angiotensin-kuchinja enzyme (ACE) inhibitors : Mishonga iyi inoshanda zvakananga pamitambo yeropa yemuviri kuderedza kushanda kwemoyo wako. Inonyanya kuzivikanwa neACE inhibitors inoshandiswa mumoyo wekukundikana inosanganisira Prinivil naZestril ( lisinopril ), Lotensin (benazepril), Capoten (captopril), Vasotec (enalapril), uye Monopril (fosinopril).
Angiotensin II receptor blockers (ARBs) : ARBs inoshanda nekuderedza ropa, izvo zvinoderedza kushungurudzika pamwoyo. Mienzaniso yeAARs inosanganisira Losartan (Cozaar) uye Benicar (olmesartan).
Aldosterone vanopikisa: Aldosterone vanopikisa, zvakadai seAldactone (spironolactone), shandisa hormone inonzi aldosterone uye kubvisa mvura kubva mumuviri. Ivo vanozivikanwa se "potassium-sparing," nokuti vanodzivirira kuti potasium inhengo mumuviri isanyanya kuva yakanyanya.
Hydralazine ne nitrate: Kubatana uku kunoshanda kuwedzera (kuwedzera) arteri, kuderedza ropa. Izvi zvinodzivisa kuora mwoyo kwekukundikana, izvo zvinoitika apo moyo unoputira kurwisana nekumanikidza kwemakore.
Neprilysin inhibitors : Entresto inosanganisira valsartan, ARB inhibitor uye mutevedzeri mutsva, sacubitril. Sacubitril inhibits the enzyme neprilysin, zvichiita kuti kuwedzerwa mumatanda eparride anoreriuretic, ayo anobatsira kuronga ropa, pamwe chete nemunyu uye mashizha. Icho chichiri mushonga mutsva wekushaya simba kwemoyo, uye kuitika kwayo mukuenzanisa nemishonga yakagadziriswa, pamwe chete nemigumisiro yaro kwenguva refu, hainyatsonzwisiswi zvakadaro.
Dopamine: Nokuita kuti mwoyo urove zvakasimba, dopamine inobatsira kuti iparidze ropa rakapfurikidza neropa rakanyanya. Dopamine inowedzera huwandu hwemuti muviri unobereka, unobatsira muviri kubvisa humwe huwandu hwemvura mumapapu, maoko, nemakumbo.
Zvinofadza kuti, kusiyana nemamwe mimwe mishonga inoshandiswa pamwoyo kukanganisa kunoderedza ropa, dopamine inosimudzira ropa. Mune mamwe mamiriro ezvinhu, izvi zvinobatsira nokuti ropa rezasi rinogona kuitika mumoyo kusakundikana.
Dopamine haisi yekutanga kusarudzwa kwehutano hwekushushikana kwemoyo, asi inonyanya kukosha mumucheche asati azvarwa uye vacheche vane mamwe matambudziko emwoyo. Inogona kukurudzira vana 'moyo mahara uye kuwedzerwa kweropa, zvichivandudza mikana yavo yokupona. Dopamine haifaniri kutorwa ne beta blockers , iyo inowedzera nekusimbisa chiitiko chinowanzoitwa dopamine.
Mishonga yeMusha uye Upenyu
Kana iwe uine kukanganisa kwemwoyo, mishonga yemusha uye kuchinja mararamiro zvakanyatsokosha pane zvekutarisira mamiriro ako. Kunyange zvazvo matanho aya asingagoni kuporesa kukanganisa kwemwoyo, kusatevera maitiro ehupenyu hunokurudzirwa kunobatanidza nekuwedzerwa kwezviratidzo zvekushaya mwoyo uye kufambira mberi kwechirwere pachako.
Kugadziriswa kwemunyu: Kushandiswa kwemunyu kunobatanidza nekuwedzera kwemvura mumutumbi. Iyi haisi dambudziko kune vanhu vane hutano, sezvo muviri unogona kugadzirisa uye kubvisa kudarika kwemvura uye munyu zvakanaka. Zvisinei, kana uine mwoyo wekukundikana kana chirwere chepfungwa, izvi hazviitiki sezvakakodzera, zvichiwedzera mikana yako yekuwana mvura. Vanhu vazhinji vane kukundikana kwemoyo vanocherechedza kuti zviratidzo zvekudzimba uye kupera kwekufema kunowedzera nekuwedzera kwewaini. Iwe unogona kuwana mazano kubva kune wako wezvokudya kana chiremba pamusoro pehuwandu hwemunyu unogona kudya zuva rega rega.
Zvokudya : Kugara uchidya kudya kwakanaka, pasina cholesterol yakawandisa uye mafuta (zvikurukuru trans mafuta) , inogona kubatsira kudzivirira chirwere chetachiona chirwere (CAD) uye kushaya mwoyo kusagadzikana.
Kurinda uremu hwako : Kuramba uine hutano hwakanaka kunobatsira kuchengetedza mwoyo wako kubva pamutoro wekumanikidzirwa kuputira ropa kutsigira muviri wakaremara-kunetseka, sezvo dambudziko pamwoyo kakatova dambudziko mumoyo kusakundikana. Kuti uwane uremu hunobudirira, unogona kutsvaga mazano kubva kune unyanzvi wezvokudya, ndiani anogona kuongorora kudya kwako kuti aone kana iwe uchifanira kuderedza mapejihydrates, mafuta, kana makoriri.
Basa rechiito : Kuramba wakashinga kuchengeta mwoyo wako musimba zvakasimba. Kana iwe uine kukanganisa kwemwoyo, zvakakosha kuti iwe uite zvekuita uye uite saizvozvo nekuchenjera, sezvo kunyanya kuwedzera kunogona kuva nengozi pamwoyo wako. Taura nachiremba wako pamusoro pehutano hwemwoyo wako panguva yekurovedza muviri kuti uone kuti hauiti chikamu mune chimwe chinhu chiri kuwedzera.
Nyanzvi-Inzira Dzokufambisa
Kuvhiya kana imwe nzira dzisingarapiki moyo kukanganisa pachako. Vanogona, kunyange zvakadaro, kunatsiridza mwoyo basa, kutonga kusagadzikana kwepfungwa, kana kugadzirisa mwoyo yevhavhavha isina kukodzera, iyo inogona kunge yakakodzera uye inobatsira kune vamwe-kunyange kwete vose-vanhu vane chirwere ichi.
Defibrillator implantation: An incibable defibrillator inogadzirisa pacemaker-yakafanana iyo inoshandiswa kudzivirira kufa kamwe kamwe kune vanhu vari pangozi yezviitiko izvi. Kana chirwere chinouraya chichiitika, iyo inogadziriswa inogadziriswa inogona kuunza zvinotyisa kune mwoyo yekudzorera rhythm kumashure.
Cardiac resynchronization therapy (CRT): Chirongwa che CRT chimiro che pacemaker chinogona kurongedza kupinza kwemaitiro emwoyo 'kurudyi uye kuruboshwe, kuvandudza kushanda kwekushaya moyo. CRT inogona kubatsira kuvanhu vakasarudzwa vane mwoyo yekukundikana vanewo mamwe marudzi ebazi rebazi.
Zvose zviri pamusoro apa zvinogona kuitika munzvimbo yekushanda kana mune imwe nyanzvi yemoyo inofanirwa muchipatara. Inowanzoitwa pasi peanesthesia yemo uye inowanzochengetedzwa zvakanaka. Vanhu vazhinji vanogara muchipatara nekucherechedza kwemaawa anenge 24.
Kubva kuruboshwe rwechirongwa chekubatsira (LVAD) kuiswa: LVADs mapurusi anoshandiswa nebheteri akaiswa mumuviri kuti abatsire mwoyo nekuputa. Pakutanga ivo vaifungidzirwa senzira yekutsigira mwoyo basa kune vanhu vakange vakamirira kuchinja kwemoyo, asi ivo vanobudirira uye vanogona kushandiswa sechirongwa chenguva refu.
Kuiswa kwezvigadzirwa izvi kunoda anesthesia yakawanda uye nguva yekudzorera kwemazuva mazhinji. Iwe unofanirwawo kutarisira boka rako rezvehutano kuti uedze kubudirira kwechigadzirwa nguva pfupi mushure mekugadzirisa uye nenguva nenguva kwenguva refu.
Kugadziriswa kwemwoyo: Kukohwa mwoyo ndiyo nzira iyo mwoyo wako unobviswa chirwere uye unotsiviwa zvachose nemoyo weunopa. Iyi ndiyo nzira huru yekuvhiya, inoda kuti aneshehesia yakawanda uye kuongororwa kwakasimba panguva yekuvhiyiwa. Iwe unofanirwa kutarisira kutarisa pedyo mushure mekuvhiyiwa, mavhiki mashoma ekudzikinura, pamwe neurongwa hwekugadzirisa mwoyo shure kwekuisa kwako.
Catheter ablation: A catheter ablation inzira inobvisa kushanda kwemagetsi kusinganzwisisiki kunokonzera mwoyo rhythm kusagadzikana nekugadzira chironda munzvimbo inoita zvinetso. Iwe unogona kubatsirwa kubva pane iyi nzira kana iwe uine mwoyo usina kukodzera rhythm.
Iwe unogona kunge uine maitiro muimba yekushanda kana mune imwe nyanzvi yemoyo inotungamira pane muchipatara. Iwe unogona kutarisira kukurumidza kukurumidza kugadzirisa kana nzira yako isina kuoma.
Kugadziriswa kwemagetsi : Kuchinja kwepfungwa yemwoyo kunogona kugadzirisa kukanganiswa kweropa nekuda kwechirwere chisina kujairika. Izvi zvingava nzira yekugadzirisa, kana inogona kuva yakakura kwazvo, zvichienderana nekuoma kwematambudziko evhavha uye kuti mavhaji akawanda anoputirwa sei.
Kushandurwa kwevheti yemwoyo kunoshandisa ivhavha yekugadzira kana imwe inoumbwa nemunhu kana yenguruve. Ndeupi rudzi rwemagetsi yemhepo inoshandiswa iwe zvakakosha kwauri unobva pane chinetso chako chetomical heart valve uye zvaunoda iwe pachako.
Complementary Medicine (CAM)
Kune dzimwe nzira dzakasiyana-siyana dzokurapa dzakagadziriswa kuratidza kubatsirwa mukutarisira kwekushaya kwemoyo. Aya maitiro haapi kurapa kana kuvandudza mamiriro acho ezvinhu, uye haana kuonekwa kuti anowedzera upenyu. Zvisinei, vanogona kuvandudza zviratidzo uye kubatsira mukudzivirira kuora kwe mwoyo kusakundikana.
- Kufungidzira kwemuviri: Nzira dzakadai se yoga, tai-chi. kubhakwa, biofeedback, uye reflexology inowanzoitwa nekutungamirirwa nekutariswa kweyanzvi akadzidziswa. Zvidzidzo zvakaratidza kuti kupindira uku kunogona kupa zviduku kuderedza zvikwereti kune vanhu vane mwoyo yekukundikana.
- Kushungurudzika mupfungwa : Kushungurudzika kwepfungwa kuburikidza nemaitiro akadai kufungisisa, kupa mazano, kufunga, uye mararamiro ekugadzirisa ose ave akaratidzirwa kuti aite zvakanakira kubatsira mumoyo kusakundikana. Muzvizhinji, pane maitiro akasiyana-siyana ekugadzirisa kushungurudza, uye zvakakosha kusarudza nzira inonyatsokodzera unhu hwako hwakanakisisa.
- Curcumin: Mavara ezvisikwa akawanikwa kubva kumucheka, curcumin akaratidza chivimbiso chekutanga chekushaya mwoyo mumhuka. Kubudirira kwahwo pakudzivirira kana kubata chirwere chemoyo mune vanhu hazvizivikanwi.
Over-the-Counter Therapies
Kupfuura-the-mishonga yemishonga haisi inowanzobatsira mumoyo kusakatika. Ichokwadi, huwandu hwavo hunogona kukonzera kukanganisa kwemwoyo kuwedzera. Vamwe vanogonawo kupindira nemishonga yekurapa mwoyo kusakundikana kwemishonga, kudzivirira kuti vasashanda sezvavanofanira. Kana iwe uine kushaya mwoyo, zvakanakisa kuti usashandise kupfuura-in-zvinodhaka zvinodhaka, kunyange kune zvinetso zvehutano zvekugara kwenguva dzose, pasina kutarisa nachiremba wako kana mutori wemapurisa kutanga.
Zvimwe zvezvinonyanya kudarika kupfuura-the-counter mishonga yaunofanira kudzivisa kana iwe uine kukanganisa kwemwoyo kunosanganisira:
- Kwete-steroidal anti-inflammatories (NSAIDs): Zvinodhaka zvakadai seAspirin, Advil kana Motrin (ibuprofen), uye Aleve kana Naprosyn (naproxen) zvinogona kukonzera kuwedzera kweropa rako.
- Mishonga yemakwenzi ine pseudoephedrine (Yakashata, Yakagadzirwa, Contrex, uye Nyquil) ingawedzerawo ropa rako.
Kupfuura-the-counter mishonga inonzi yakachengeteka kutora kana iwe uine kukanganisa kwemwoyo kunosanganisira:
- Chlortrimeton kana Aller-Chlor (chlorpheniramine)
- Robitussin DM (guaifenesin ne dextromethorphan)
- Claritin (loratadine)
Asi zvakare, zvakanaka nguva dzose kutarisa nachiremba wako usati watanga mushonga mutsva kana iwe uine mwoyo wekukundikana.
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