Zviratidzo zvekushushikana kwemoyo (kukurumidza kufema, kufema) kunogona kutevedzera kune dzimwe mamiriro ezvehutano. Zvakakosha kuunza kunetseka kwakadaro kune chiremba wako, asi achashandisa zvinopfuura izvozvo kuti asimbise kuti kusagadzikana kwemoyo ndicho chikonzero. Iyo tsika yekuongorora chirwere chekushushikana kwemoyo inobva pamashandiro epfungwa, izvo zvinonyanya kushandisa electrocardiogram (EKG) uye echocardiogram (echo).
Bongo natriuretic peptide (BNP) chiyero chakanyatsocherechedza nokuti chinogona kuitwa kuburikidza nekuongorora ropa, izvo zviri nyore kuita. BNP inobatsira, asi kwete sevimbiso seyakatendeka uye EKG mukutsvaga kwekushaya mwoyo.
Self-Checks
Kuziva zviratidzo uye zviratidzo zvekushaya simba kwemoyo kunogona kukubatsira kuti uongororwe uye ugamuchire kurapwa kwaunoda pakutanga kwechirwere chisati chaitika. Izvi zvinogona kunge zvisinganzwisisiki pakutanga uye zvinogona kufambira mberi zvishoma, saka zviri nyore kusazvinyima kana kungozvinyengedza kusvikira mukukwegura. Kuziva izvi, iva nechokwadi chekuunza chimwe chezvinhu izvi kune chiremba wako:
- Kupfupisa kwemhepo: Izvi zvinogona kuitika nekuedza kusinganisa, pakufamba, kurara pasi, kupfugama, kana kurara. Iwe unogona kugara uchingopera kufema , kunyange kana iwe usisiri kushandisa.
- Kuneta: Unogona kuve wakaneta nyore, kunyange kana usati waita chero chinhu chingava chinotyisa.
- Edema : Iwe unogona kuve nokuzvikudza kana kuratidzika kwekuzvikudza kwetsoka kana maoko; kazhinji, hazvina kurwadza kana kusagadzikana. Kana iwe ukashandisa kushungurudza kunharaunda yacho uye ikava yakagadzika, yakasara kwemaminitsi mashomanana kana maminitsi (anonzi pitting), inogona kunge yakaguma nemwoyo wekukundikana, pane kuwedzera kukura kana kusanganiswa kwemvura.
Labs uye Miedzo
Kana iwe uine zviratidzo zvekushaya simba kwemoyo, uye chiremba wako anokanganwa mamiriro acho ezvinhu, anogona kuedza mamwe maedzo kuti ave nechokwadi chekuongorora.
Mwoyo uye mapapu anuscultation: Chiremba wako anoteerera mwoyo wako nemapapu achishandisa stethoscope pane imwe nguva yekushanyira kurapa. Kazhinji, iwe unofanirwa kuva nechimiro chemwoyo miviri inonzwika nemoyo wose. Kukundikana kwemoyo kunowanzokonzera mwoyo wechitatu kurira. Mapapu ako anganzwika akazara pamapapu ekuongorora kana iwe uine kukanganisa kwemwoyo.
EKG: Chiedza chakajairika chinoshandiswa kuongorora moyo wemabasa, EKG isu muedzo usingasviki unosanganisira kuisa magetsi pamusana webhokisi kuti aone basa rekugadzira kwemwoyo. Kana uine zviratidzo zvehutano hwepfungwa, chiremba wako anogona kunyatsogadzirira EKG kwauri. Chiratidzo chinoratidzwa (kana kutevera) chechiitiko ichi chinobudiswa pamapepa kana pamakombiyuta. Maitiro asina kukodzera pane EKG, kusanganisira kuvapo kwemafungu eQ, kusara bundle branch block, ST kuderedza, kusiyiwa ventricular hypertrophy, uye arrhythmias inoonekwa mukushaya mwoyo. Zvisinei, nepo kukanganisa kwemwoyo kunowanzotaridzana nemumwechete kana kuti akawanda emitambo iyi, aya maitiro haasi chaiwo ekushaya simba kwemoyo uye aripo mune mamwe mamiriro emwoyo.
B-type natriuretic peptide (BNP) muedzo: Iyi ndiyo inonyanya kuongororwa yeropa inoshandiswa kushaya mwoyo. BNP, purotoni hormone, inosunungurwa muropa rinopararira nemwoyo masero masero apo chero yomuviri wepamuviri inenge yakanyanya kukwirira. BNP inokonzera kuti itsvo dzigadzire munyu nemvura uye inoderedza kushanda kweropa kuti idzose zvinhu zvakare.
Muvanhu vane hutano, mazinga eBNP anowanzo pasi pe100 pg / ml, uye mazinga anopfuura 400 pg / ml anosanganiswa nekutadza kwemoyo. Nhamba dzeBNP pakati pe 100 pg / ml uye 400 pg / ml dzakaoma kududzira, ndicho chikonzero ichi chiyero hachina kufungidzirwa kuongororwa kwemoyo kusakundikana, kungovatsigira.
Nemhaka yokuti haina kunyatsovimbika, chiremba wako angasafunga kuti inobatsira pakuongorora mamiriro ako.
Imaging
Kuenzanisa miedzo kunogona kubatsira mukuona maitiro ekuchinja uye kushanda mukati memwoyo, pamwe chete nekushandura mumapapu, izvo zvinogona kusiyanisa kukanganisa kwemwoyo kubva kune mamwe matambudziko emwoyo uye emapapu. Zvisarudzo zvakasiyana siyana zvingafungidzirwa.
X-ray: Chifukidzo che X-ray chirwere chekufungidzira chisingokurumidza chinowanzobatsira zvikuru pakuongorora chirwere chemwoyo. Chifuva chako X-ray chinogona kuratidza kuti mwoyo wako unooneka wakakura kana unogona kuratidza zviratidzo zvekubatana mumapapu ako kana une mwoyo usina kukwana. Kana chiremba wako ane hanya nezvezvinetso zvemapapu kana mumoyo, zvinogona kunge iwe uchava nebhokisi X-ray.
Echocardiogram: An echocardiogram, inowanzonzi echocho, inenge isingaiti inopisa test ultrasound inoratidzira mwoyo apo iri kuita. Shanduro shomanana inoiswa pachifuva chako, iyo nyanzvi ichaenda kunotora chiito chemoyo wako valves uye makamuri semoyo wako zvisikwa. Echo yako inogona kupa ruzivo rwakanyanya rwemwoyo wako basa. Mukugadzikana kwekushaya kwemoyo zvakananga, kuwanda kwemwoyo wako musungo, kuzadza uye kubuda kwekamuri imwe neimwe, uye mwoyo rhythm inotarisirwa kuva isina kuchena. Chiremba wako anogona kuraira echocardiogram iwe kana iwe uine mwoyo wemaitiro asina kukwana kana kuti inogona kunge yakasvibiswa nemasumbu asina kufanana.
Kufungidzira kweNyukireya: Iyi miedzo yekufungidzira, iyo inosanganisira positron emission test (PET) uye imwe chete photon emission computerized tomography (SPECT), inosanganisira kujekeswa kwemaeyesheni anoshandura mavara anoshandura mararamiro achida kuchinja mune metabolism, kufamba, uye kushungurudza kwemoyo wako. Iko kuchinja kwemavara kunogona kubatsira chiremba wako kuti aone kana mamwe masvikiro emwoyo wako asingakwanise kupomba sezvaanowanzoita. PET uye SPECT zvose zvinoshandiswa kubatsira mukufungisisa kwemamiriro emwoyo, kusanganisira CAD uye mwoyo kusakatika.
Kushungurudzika kwepfungwa: Kuedzwa kwepfungwa kunoshandisa maitiro ekudzivirirwa kuti aone matambudziko emwoyo anogona kubudiswa nekuedza. Inonyanya kukosha pakuongorora angina (kurwadziwa kwepfupa) inokonzerwa nekoronary artery disease. Chiremba wako angatora chirwere chepfungwa kana iwe uine zviratidzo zvinowedzera nekuedza. Kakawanda, vanhu vane mwoyo wakakundikana havagone kutsungirira kuongororwa kwepfungwa, asi zvinogonawo kuziva kusakosha kwemoyo kare.
Kusiyanisa Kuziva
Kana iwe uine zviratidzo zvekushaya simba kwemoyo, boka rako rezvechiremba rinogona kutarisa mamwe mamiriro ezvinhu anokonzera kupfupika kwemhepo kana kuputika kwemigumo. Kazhinji yenguva, pane zvirwere zvekuongororwa zvinogona kusiyanisa pakati pemamiriro aya uye mwoyo kusakundikana. Zvisinei, kuongororwa kunogona kuva kwakaoma kana iwe uine kushaya mwoyo pamwe nechimwe chirwere chekurapa.
Chirwere chekudzivirira chirwere chepachimona (COPD) : Ichi chiitiko chinokonzera kupererwa kwemweya, izvo zvakanyanya kuwedzera nekuedza. COPD inokonzerawo magirasi uye chifukidziro chinowanzobatanidzwa nekamu. Kunyange zvazvo dzimwe zviratidzo zvakafanana neyekushaya simba kwemoyo, COPD inokwanisa kusiyaniswa kubva pamwoyo kusakonzerwa nemaitiro asingakanganisi pamapurmonary work test. COPD kazhinji inokonzerwa nokusvuta uye inoda kurapwa nemhepo mukati mekupedzisira.
Pulmonary embolus (PE) : A PE, ropa mukati meimwe mishonga yeropa yemapapu, inokonzera matambudziko ekufema uye kurwadziwa kwepfupa. Zvinhumba zve dyspnea uye kurwadziwa kwepfuva vanhu vanoona kazhinji zvinopesana pakati pe PE uye mwoyo kusakundikana uye zvinogona kupa zvinyorwa sekukonzera kwezviratidzo. Zvisinei, kuongororwa kuongororwa kunowanzodiwa kuti zviite zvakakodzera kuongororwa.
Kuora kweiyo: Kuora kweiyo, kufanana nekushaya simba kwemoyo, kunogona kutora nguva yekukura, zvichikonzera zvirwere zvishoma nezvishoma. Apo itsvo dzisingashande sezvazvinenge zvichifanirwa, kuneta uye edema yemakumbo nemaoko zvinogona kukura, sezvinongoita mwoyo kusagadzikana. Nenzira yakawanda, kusvibiswa kwetsvo kunokonzera kuchinja kwemazinga e electrolyte muropa, izvo zvisingaonekwi mukushaya mwoyo.
Dambudziko rekudzivirira hutachiona (DVT): DVT inopa ropa rinowanzokonzera dema uye rinogona kuita kuti PE iite. Kusiyana kukuru pakati peEdema yeDVT uye iyo yekusakatika kwemoyo ndeyekuti muDVT, edema inowanzobatanidza gumbo rimwe chete uye haisi kunyanya kumira. A DVT inogona kukonzera kushaya simba kwepamuviri, kunogona kuonekwa neine ultrasound yegumbo uye inofanira kurapwa neropa rakanyanyisa.
> Sources:
> Fu S, Ping P, Wang F, Luo L. Synthesis, secretion, basa, metabolism uye kushandiswa kwepatriuretic peptides mumoyo kutadza. J Biol Eng. 2018 Jan 12; 12: 2. doi: 10.1186 / s13036-017-0093-0. eCollection 2018.
> Hunter BR, Martindale J, Abdel-Hafez O, Pang PS. Nzira ye Moyo Wakanaka Kukundikana muDhipatimendi Emergency. Prog Cardiovasc Dis. 2017 Sep - Oct; 60 (2): 178-186. doi: 10.1016 / j.pcad.2017.08.008. Epub 2017 Sep 1.
> Lishmanov Y, Minin S, Efimova I, et al. Izvo zvinoita basa rekufungidzira kwe nyukireya mukuongorora kwechimiro chekushandura kwemapiritsi ehutano hwehutano kune varwere vane unyanzvi hwekushaya mwoyo. Ann Nucl Med. 2013 May; 27 (4): 378-85. doi: 10.1007 / s12149-013-0696-6. Epub 2013 Mar 1.
> Minami Y, Kajimoto K, Sato N. Chechitatu mwoyo inonzwika muzvipatara varwere vane mwoyo wakaoma kukundikana: mazano kubva ku ATTEND kudzidza. Int J Clin Pract. 2015 Aug; 69 (8): 820-8. doi: 10.1111 / jcp.12603. Epub 2014 Dec 18.