Sei Chigumo Chichigona Kuve Chiratidzo Chinokosha Chokushaya Mwoyo
Vanhu vazhinji vanobatana nekukanganiswa nechinetso chemapapu kana chemhepo, kwete nemoyo. Asi, hazvisi zvisizvo kune vanhu vane mwoyo yekukundikana kuve nekukanganisika kukuru. Kutaura zvazviri, chifukidziro chinogona kuva chiratidzo chinokosha chokuti mwoyo kukanganisa kurapa hakusi kukwana-kana kunyange kuti kurapwa kungave kuchikonzera matambudziko.
Heart Failure
Kunyangwe zvinonzwika zvakakwana uye zvakashata-sechiremera simba- "mwoyo kusakundikana" hazvirevi kuti moyo unongomira, ndiko kusungwa kwemoyo .
Pane kudaro, kukanganisa kwemwoyo kunongoreva kuti moyo wekupemha kwemoyo wakanga usina simba kusvika pamwoyo apo nguva dzose haigone kuchengeta zvose zvinoda muviri.
Kukanganiswa kwemwoyo kunogona kuwanikwa nekusiyana kwematambudziko emwoyo, kusanganisira coronary artery disease (CAD) , hypertension , hypertrophic cardiomyopathy , dysfunction dysfunction , uye chirwere chepfungwa chemoyo, pakati pevamwe vakawanda. Vanhu vanodarika mamiriyoni gore roga roga vari muchipatara nemwoyo kusakundikana.
Vanhu vane kukundikana kwemoyo vanogona kushaya simba, kuneta, kusava nekunyorovedza muviri kushivirira, dyspnea isina kujairika (kupfupika kwemhepo) paanenge achidzidzira kana kana akarara (chiratidzo chinonzi orthopnea ), edema (kupfugama) mumakumbo, uye dzimwe nguva kuora.
Chimwe chinetso chinowanikwa nemwoyo kusakonzerwa ndechokuti, zvichienderana nemoyo wekushaya simba kwemoyo, ropa rinodzokera kumwoyo kubva kumapapu rinowanzosimudzira, rinobudisa mapirmita kusangana. Ichi ndicho chikonzero vanhu vane kukanganisa kwemwoyo vanowanzotaurwa kuti vane " kubvumira mwoyo kusakundikana ."
Nepermonary congestion, fluid (uye kunyange ropa shoma) rinogona kupinda mukati mealveoli (air bags) yemapapu. Iyi mapapu emvura inonyanya kukonzera dyspnea inowanzoonekwa nevanhu vane mwoyo yekukundikana. Nokuti kukwezva inzira yemuviri yekuchenesa mhepo uye mabhuroni, zvinonzwisisika kuti kukwezva kunogona kukonzerwa nemapemmonary congestion.
Cardiac Cough
Kushungurudza kunokonzerwa nekushaya mwoyo kunogona kutora maitiro akawanda. Kukanganiswa kunonaya kunobudisa frothy sputum iyo inogona kukonzerwa pink neropa yakakurumbira nemoyo kusakatika. Kufema kwakanyanya uye kushanda kufema kunogonawo kupfuurira kunongedza kwekukanganiswa, pamwe nekunzwa kunoputika mubhokisi kana kunyange kurira kuridza kumapapu.
Zvinonakidza zviratidzo zvekukanganiswa sezvizvi kazhinji chiratidzo chekuti mwoyo kukanganisa kwave kuchiwedzera kuipa, uye zvechokwadi kukwezva kwakadaro kunowanzoenderana nehuwandu hwekushaya mwoyo kwezviratidzo.
Zviratidzo izvi zvinogona kunge zvinosanganisira dyspnea , orthopnea , edema, uye kunyange paroxysmal nocturnal dyspnea (achikwira kubva muhope pakati peusiku, kuputika, nekukandira). Vanhu vane chirwere ichi chakaipa chekushaya chiropa chinowanzorwara zvakakwana kuti vatsvake rubatsiro rwechiremba pasina kunyanya kukurudzira.
Kuteya komukati kunogonawo kutora fomu yakaoma zvikuru. Vamwe vanhu vane kukanganisa kwemwoyo vacharamba vachigumbusa, kusingaperi, kuora mwoyo kunokonzera kunogona kubudisa zvishoma zvitsvuku kana piniki frothy mucus. Vamwe vane chimiro ichi chisina simba chekushaya chimiro vanogona kuinyora sechikonzero chechimwe chikonzero uye vangakundikana kutsvaga rubatsiro rwechiremba.
Kana vakanonoka kuona chiremba, zvisinei, zviratidzo zvemoyo kusakwana zvinogona kunge zvakanyanya kuipa zvisati zvareba.
Saka, ani zvake akaudzwa kuti ane mwoyo wekukundikana haafaniri kumboderedza kusanganisa kwekukanganiswa, kunyange kana vachifunga kuti yakanaka.
Chirwere-Chimwe Chine Musoro
Zvinoshamisa ndezvokuti kukwezvawo kunowanzokonzera kukanganisa kwekirasi yemishonga inowanzogadzirirwa kuti mwoyo isakundikana: angiotensin-kuchinja enzyme (ACE) inhibitors . ACE inhibitors inobatsira kuti mwoyo usakundikana nokuti inowedzera mishonga, zvichiita kuti zvive nyore kuti mwoyo ipe ropa.
Zvisinei, mishonga iyi inobereka chifukidziro mune anenge makumi mana muzana yevanhu vanovatora. Chifukidziro chinosangana neACE inhibitors chinhu chinoshungurudza, chakaoma kunyorera chifukidzo chisina kubereka sputum.
Nepo kune nhepfenyuro dzinofunga kutora zvisiri-steroidal anti-inflammatory drugs (NSAIDs) inogona kuvandudza kukanganiswa kunokonzerwa neACE inhibitors, muvanhu vakawanda vane dambudziko iri, mushonga unofanirwa kubviswa. Kazhinji, iACE inhibitor inogona kuchinjwa kune angiotensin II receptor blocker (ARB) , iyo inobatsira yakawanda yakafanana neACE inhibitor, asi inokonzera kukohwa kashoma.
Shoko Rinobva
Kushanda kwekodhi chiratidzo chakakosha chokuti mwoyo kukundikana kuri kuwedzera. Muzviitiko zvakawanda, chiratidzo ichi-uye kuora mwoyo kusakundikana-kuchapindura kugadziriswa kwemoyo kusagadzikana kurapa . Nokuda kwechikonzero ichi, vanhu vane hutsinye hwemwoyo havafaniri kukanganwa kutanga kwekukanganiswa.
> Sources:
> Mwoyo Kukanganiswa Society of America, Lindenfeld J, Albert NM, et al. HFSA 2010 Inonzwisisika Heart Failure Practice Guideline. J Khadhi Inokundikana 2010; 16: e1.
> 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, et al. ACCF / AHA Nhungamiro yekutungamirirwa kweMwoyo Kusagadzikana: Nyaya yeAmerican College yeCardiology Foundation / American Heart Association Task Force pamusoro pekushandisa mazano. Circulation 2013; 128: e240.