Uchapupu huchangobva kuitika hunoratidza kuti kugara uchiita basa rinogona kubatsira kubvisa "kuomesa" kwemwoyo musungo unokonzerwa nehutachiona hwemaastolic . Diastolic kudzvinyirira kazhinji kunobatsira kuderedza kushandiswa kwekuita muviri uye kunogona kutungamirira kumhando yekushaya mwoyo kunonzi diastolic heart failure.
Purogiramu yekuita zvemaitiro anokwanisa kuvandudza zviratidzo zve diastolic kusagadzikana uye kusimbisa hupenyu hwehupenyu.
Overview
Kurohwa kwemoyo kunopatsanurwa kuva zvikamu zviviri-chirongwa chekurova (apo mwoyo wemisumbu inopindirana uye inotora ropa muyeriyo), uye chirongwa chokuzorodza (apo mwoyo unozadza neropa kuti ugadzirire hupenyu hunotevera). Chikamu chokurova chinonzi systole , uye nzvimbo yekuzorora inonzi diastole .
Mukusagadzikana kwe diastolic, kuoma kwemutsipa wemwoyo kunokanganisa diastolic chikamu chekushaya moyo, zvichiita kuti zvive zvakaoma kuti mwoyo unofara ugare uzere neropa.
Kudzidzira muviri uye Diastolic Dysfunction
Panguva yekurovedza muviri, mwoyo unowanzokwanisa kuwedzera huwandu hweropa iro mapompo nehomwe imwe neimwe. Chikamu chekuwedzera uku, hongu, isimba rakasimba panguva ye-systole, kuitira kuti ibvise ropa nokukurumidza. Asi zvakakosha zvakajeka iyo inyanzvi yekuzadza mwoyo nokukurumidza neropa panguva ye diastole. Diastolic kusagadzikana-mwoyo wakaoma musumbu-zvinodzivisa izvi kukurumidza kuzadza.
Somugumisiro, chiyero cheropa iyo mwoyo inogona kuputika nemoyo umwe neumwe ishoma. Varwere vane diastolic dysfunction kazhinji vane mikana yekudzidzira, uye vanowanzonyunyutira dyspnea pamusana pekuita zvishoma.
Maitiro Aerobic Kudzidzira Kudzidzira Kubatsira Kubatsira
Izvo zvave zvichizivikanwa kwenguva refu kuti maitiro anogara achiita aerobic anogona kunyanya kuvandudza maitiro ekugadzirisa uye hupenyu hwehutano kune varwere vane mafungiro ekushaya kukanganisa-ndiko kuti, kukanganisa kwemwoyo kunobatanidzwa nehutachiona, hunobaya mwoyo musumbu (unozivikanwawo sechinotapira mwoyo cardiomyopathy ).
Munguva pfupi yapfuura, yakaratidzwa kuti mhando dzemigumisiro inogona kuwanikwa nekudzidzira aerobic kune varwere vane dysfunction dysfunction. Kunyanya, maitiro anogara achiita aerobic anogona chaizvo kuderedza kuoma kwemoyo wemutsipa uye kuvandudza kuzadzwa kwe mwoyo munguva ye diastole.
Miedzo yeRandomized muvarwere vane diastolic moyo kusakonzerwa yakaratidza kuti nguva dzose maitiro ekudzidzira aerobic kwemwedzi mitatu kusvika mana inogona kunyanya kuwedzera maitiro ekushandisa, zviratidzo zvekufema kwekufema nekushingaira, uye hutano hwehupenyu hwehutano.
Zvakakosha kusimbisa kuti nehutachiona hwe diastolic inonzi aerobic muviri uye kwete kusimudza muviri kana kudzidziswa simba kunowedzera kuoma kwemoyo. Ichokwadi, kune humwe uchapupu hwokuti mune izvi vanhu kudzidziswa simba kunogona kukuvadza dambudziko nekukonzera mwoyo musungo kune hypertrophy (thicken) nenzira inowedzera kuoma kwemoyo.
Basa reAerobic-kazhinji, kufamba, mabhasikoro, kana kukwira-ndiyo inonyanya kushandiswa, yakadzika-yakasimba fomu yekurovedza umo simba rinotarisirwa mumasumbu rinosangana nokupedza oksijeni.
Kana Une Diastolic Dysfunction
Kana iwe une diastolic kusagadzikana, matambudziko akakwirira kuti iwe uchazobatsirwa kubva purogiramu yekuita zvekuita aerobic.
Hausi iwe chete unofanirwa kunzwa uri nani pashure pemwedzi mishomanana, asi iwe unogona kutanga kutarisa kuoma kwemoyo wako musumbu, uye (zvinonyanya kukosha) kudzivirira kutanga kwe diastolic mwoyo kusakundikana. Iwe unofanirwa kutaura nachiremba wako nezvekutanga maitiro aerobic, kana kunyange nekutora chikamu purogiramu yakagadzirisa chirwere chemoyo , kuti utange iwe kutanga munzira yakarurama.
Sources:
Zile MR, Baicu CF, Gaasch WH. Diastolic mwoyo kukundikana - kusagadzikana mukugadzikana kushingaira uye kusagadzikana kusina simba kwemaodzanyemba kwema ventricle. N Engl J Med . 2004; 350: 1953.
Kitzman DW, Brubaker PH, Morgan TM, uye al. Dzidzirai kurovedza kuvarwere vakwegura vane kukundikana kwemoyo uye kuchengetedza chikamu chekudzivirira: chiitiko chisina kumira, chinotungamirirwa, chisina maturo. Circ Heart Inoshaya . 2010; 3: 659.
Edelmann F, Gelbrich G, Düngen HD, et al. Kudzidzira kurovedza kunowedzera hutano hwekudzidzira uye diastolic basa kune varwere vane mwoyo wekukundikana nekuchengetwa chikamu chiduku: migumisiro ye Ex-DHF (Kudzidzira maitiro muDaastolic Heart Kusakona) kudzidza kwepurogiramu. J Am Coll Cardiol . 2011; 58: 1780.