Kwemakore yave iri "ruzivo rwakajairika" kuti vanhu vari pasi pedambudziko guru vane ngozi yakawedzerwa yehutano hwemoyo. Asi izvi zvakajairika zivo yakarurama here? Uye kana zvakadaro, ndezvipi zvinonetsa zvinowedzera dambudziko rehutano hwemoyo, rinowedzera sei njodzi yako, uye chii chaungaita pamusoro pazvo?
Zvimwe zvitatu zvinhu zvakaita kuti zvive zvakaoma kugadzirisa migumisiro yekudzvinyirira pamwoyo:
- Vanhu vanoreva zvinhu zvakasiyana ne "kushungurudzika."
- Mamwe maitiro ekunetseka anoita kunge akaipa kupfuura mwoyo kune vamwe.
- Maitiro aunoita kumanikidziro angave akakosha kupfuura kudzvinyirira pachako.
Mumakore achangopfuura tadzidza zvakawanda nezvekudzvinyirira uye chirwere chemwoyo. Iyi pfupiso pfupi ichakubatsira iwe kudzidza zvaunoda kuziva nezvazvo.
Vanhu Vanorevei Pavanoti Kudzvinyirira Kunokonzera Matambudziko Epfungwa?
Apo vanhu vanotaura nezve "kushungurudzika," ivo vanowanzotaura pamusoro pezvinhu zviviri zvakasiyana: kushushikana mupfungwa, kana kushungurudzika mupfungwa. Masayendisiti ezvokurapa anonyora nezvekudzvinyirira uye mwoyo inowanzotaura pamusoro pekunetseka mupfungwa. Apo mapadiologist vanoda kuedza " kuongororwa kwepfungwa ," vanokuisa iwe pachitsiko chekutsika; havanokuzivisa zvenhema kuti imbwa yako yakafa.
Asi kana vazhinji vedu tichitaura nezvekudzvinyirira uye mwoyo, isu tinowanzoreva maitiro akasiyana-siyana.
Kushungurudzika Kwepanyama uye Mwoyo
Kushushikana kwepanyama - kurovedza muviri kana mamwe maitiro ekushingaira kwemuviri - nzvimbo dzinogona kuenzaniswa uye zvinoda kuberekwa pamwoyo.
Uku kunetseka mupfungwa kunowanzobvumirwa kuva akanaka. Kutaura zvazviri, kushayikwa kwepfungwa (kureva, mararamiro ehupenyu ) ndiyo inokonzerwa nehutano hwehutachiona hwehutano . Nokudaro rudzi urwu rwe "kushungurudzika" runowanzoonekwa kuti rinobatsira mwoyo.
Kana uine chirwere chepfungwa chinokosha, zvisinei, kunyanya kunetseka mupfungwa kunogona kuva nengozi.
Mune munhu ane chirwere chemuviri wehutachiona, kurovedza muviri kwakanyanya kunogona kuisa zvinoda pamutsipa wemwoyo kuti mishonga inorwara yeconary isingagoni kusvika, uye mwoyo unova ischemic (kureva, kushaya nzara yemhepo). (kurwadziwa kwepfupa), kana kurwadziwa kwepfungwa (kunyanya kufa kwepfungwa yemwoyo).
Saka kushungurudzika mupfungwa - ndiko kuti, kurovedza muviri- kunowanzove kwakakunakira iwe , uye kazhinji kunokurudzirwa (nekuchengetedzwa kwakakodzera, kana une chirwere chemwoyo). Uye kunze kwekuti basa racho rinonyanya kudarika, kushungurudzika kwepanyama hazviiti kukonzera chirwere chemwoyo.
Kushungurudzika Kwepfungwa uye Mwoyo
Kushungurudzika mupfungwa kunowanzova kushungurudzika kwevanhu vari kutaura nezvavo pavanotaura kuti kudzvinyirira kunokonzera chirwere chemwoyo. "Hazvishamisi kuti akafa," iwe unonzwa vanhu vachiti, "nekutambudzika kwose kwaakamuisa." Asi ichokwadi here? Eda Ed akauraya zvechokwadi Elsie nezvose zvekubhejera uye kunwa nekugara kunze kwemaawa ose eusiku here?
Munhu wose - kunyange vanachiremba-vane pfungwa yokuti kushungurudzika mupfungwa, kana kwakanyanya zvakakwana kana kusingaperi, kwakaipa kwauri. Vazhinji vanotenda kuti rudzi urwu rwekunetseka runogona kukonzera chirwere chemwoyo. Asi uchapupu hwezvesayenzi hwokuti inonyatsoita izvi hwakanga hwakaoma kuuya.
Munguva pfupi yapfuura, zvakadaro, humwe uchapupu hwakawanda hwakawanda kuti hukwanise kutaura kuti mamwe marudzi ekunetseka mupfungwa, mune vamwe vanhu uye mune mamwe mamiriro ezvinhu, anoita seanobatsira kune chirwere chemwoyo. Pasi pekodzero (kana kuti, zvisina kunaka) mamiriro ezvinhu, kushungurudzika mupfungwa kunogona kuita kuti kuve nekusingaperi kwechirwere chemwoyo, kana kunogona kubatsira kukonzera matambudziko ane mwoyo mukati mevanhu vane utano hwemwoyo.
Zvakakosha kuziva, zvisinei, kuti haisi kushungurudzika kwepfungwa kwakangofanana, uye hazvisi izvo zvose zvakaipa kwatiri. Kakawanda, ndiko kupindura kwatinoita kunetseka, kwete kudzvinyirira pachako, kunokonzera matambudziko .
Nzira dzinoita kuti kushungurudzika mupfungwa kunogona kuita kuti zvirwere zvemoyo zvive zvisinganzwisisiki.
Nokuti hazvibviri kudzivisa kushungurudzika kwepfungwa - kusataura nezvekusakosha - zvakakosha kuti isu tidzidze kugadzirisa kushungurudzika uku kuderedza kushanda kwayo pamagariro edu emwoyo.
Sources:
Denollet, J, Brutsaert, DL. Kuderedza kushungurudzika mupfungwa kunovandudza kufungidzira mune chirwere chemoyo: chirwere chemakore gumi nemanomwe mukurongwa kwekliniki yekuvandudza. Circulation 2001; 104: 2018.
Rozanski, A, Bairey, CN, Krantz, DS, et al. Kushungurudzika kwepfungwa uye kubudiswa kwemhepo yakanyarara myocardial ischemia kune varwere vane chirwere chegoni. N Engl J Med 1988; 318: 1005.
Shen BJ, Avivi YE, Todaro JF, et al. Kuzvidya mwoyo maitiro zvakasiyana uye zvinotarisa kufanotaura myocardial infarction mumarume mupiro wakasiyana wekuzvidya mwoyo pakati pepfungwa dzepfungwa. J Am Coll Cardiol 2008; 51: 113.