Ini dzimwe nguva ndinoudzwa nevarwere kuti vane chirwere chemwoyo uye ivo vari kushamisika kana vachida kurapa-kurapa. Ava varwere vanowanzobvunza kana zviratidzo zvinotevera zvinokonzerwa nechirwere chemafi:
Cardiac Chirwere Chinokonzerwa NeApmma
Pasinei nevarwere vazhinji vachifunga nenzira dzakasiyana uye vane zvirwere-sechiratidzo, chirwere chemwoyo chinenge chisina mweya chaiwo.
Kunyange zvazvo chirwere chephma chinokonzera kuputika uye kuderera kwemhepo, zviratidzo zvepfungwa yemweya zvinokonzerwa nemamiriro ezvinhu epasi.
Kuora mwoyo, chirwere umo mwoyo usingadi kuputira kazhinji, dzimwe nguva unogona kufanana nechirwere uye dzimwe nguva unonzi sechirwere chepemhemi nevarwere. Kugurisa mumoyo wepachimiro chemafi hazviiti nekuda kwekudzivirira kwemhepo uye kuputika, asi nekuda kwemvura mumapapu. Apo mwoyo wemapombi isiri kushanda zvakanaka, mvura inonaya inowedzera kudzokera kumapapu. Iyo inonaya mumapapu ndiyo inotungamirira kumakumbo mumapapu.
Kukundikana kwemoyo hakusi mamiriro chaiwo, asi kuungana kwezviratidzo. Mune mamwe mazwi, kukanganisa kwemwoyo kune chikonzero uye chiremba wako anofanira kusarudza chikonzero kuti akupe iwe mushonga wakanaka. Dzimwe nguva kukanganisa kwemwoyo kunokonzerwa nekuderera kwemasero anopa ropa kune mwoyo. Dzimwe nguva kukwirira kweropa kudarika makore mazhinji kunokonzera kukanganisa kwemwoyo uye varombo pombi basa.
Kakawanda nguva mamiriro aya anoita kuti mwoyo uve usina simba, wakaoma, kana zvose.
Dzimwe nguva mwoyo unoshaya unoshanda hausi wekusava neropa ruchiyerera, kazhinji kunonzi cardiomyopathy. Utachiona hwehutachiona, kushandiswa kwezvinodhaka, uye kushandiswa kwezvinodhaka zvinogona kutungamirira kune zvakakanganiswa mwoyo musungo uye zviratidzo zvekushaya mwoyo mwoyo kusakundikana.
Pakupedzisira, zvimwe zvinetso zvezvehutano zvinogona kukanganisa mwoyo uye zvinokonzera kukuvara kwemisvo yemwoyo. Izvi zvinosanganisira matambudziko emagetsi emwoyo, chirwere chetachiona, chirwere chisingaperi chepfungwa, kana chirwere cheshuga.
Dzimwe nguva mishonga inogona kugadzirisa chirwere chepakati uye zviratidzo zvinowanzovandudzwa.
Zviratidzo zveCardiac Asthma
Mukuwedzera kwechirwere chechirwere-sechiratidzo chemhepo yekufema, kufema kwekufema, uye kukwezva, mwoyo wehma asthma inogona kutungamirira kune vanochengetedza kushanduka kwemvura mukati memakumbo uye kumucheto kwakadanwa kunonzi edema. Kuwedzerwa vatachiona vangaona kuwedzera kwekuyera semugumisiro wekuchengetedza kwemvura. Varwere vane mwoyo inoshaya vanotaura zvimwe zviratidzo zvinogona kunge zvakafanana nevarwere vane hutachiwana husingatauriki kusanganisira kuneta, kushaya simba, uye kuwedzera kuneta.
Icho Chirwere Chepfungwa Chikukurumidzira Here?
Zvinogona kuva. Apo zviratidzo zvakanyanya zvakakwana zvinogona kutungamirira ku hypo hypoemia kana kuti madukukisi maduku muropa. Cardiac asthma inozopedzisira inoda kutsigira ventilatory yakadai sekutaura kana kubvumirwa kupinda muchikwata chekuchengetedza zvakanyanya. Kana chirwere chemweya chinonzi chirwere chemweya chinenge chichiderera zvakanyanya muropa richiyerera kusvika pamwoyo mune mutezo myocardial infarction kana chirwere chemwoyo, chiitiko chinogona kutyisa upenyu.
Zvinofadza, inenge chikamu chetatu chevamwe vakwegura vakwegura vane congestive heart failure vanouya ne wheezing.
Kuziva
Muzviitiko zvakawanda chirwere chinonzi kliniki nechiremba wako Kana chiremba wako achifungidzira kuti zviratidzo zvako hazviiti nekuda kwechirwere, vanogona kurongedza mimwe miedzo yekutsvaga kubvumira mwoyo kusakundikana kwakadai se:
- BNP - kuongorora ropa kunokwidziridzwa mu congestive mwoyo kusakundikana.
- Echocardiogram - test ultrasound yemwoyo inotarisa kuona kuti mwoyo wako uri kupera sei.
- ECG- mwoyo unotarisa unogona kukurumidzira kuziva zvinetso zvakakomba nemwoyo uye kuziva kana wakambove wakakuvadza mwoyo.
- Cardiac MRI- zhinji nzvimbo dzakatanga kuongorora miriyo yeMRI kutsvaga calcium deposits uye kuvhara mumitsipa yeropa inopa mwoyo.
Kurapa
Chirwere chikuru chichave chekugadzirisa chirwere chepfungwa chepfungwa. Kana zviratidzo zviri kukonzerwa nehurombo hwepombi remwoyo ipapo marapirwo achaisa pfungwa pane izvozvi nemishonga yakadai seyi:
- Diuretics- inokonzera kuwedzerwa kwekutsvaira uye kubviswa kwemvura
- ACE Inhibitor- kuderedza kushushikana pamwoyo
- Nitrates- Itai kuti vasodilation uye kuderedza kuwandisa kwehuwandu
Munguva pfupi, chiremba wako angangobata neakagata -beta agonists (SABA) kuitira kuti awedzere zviratidzo. Uyezve, Kana iwe uine hypoxia ipapo iwe ucharapwa ne oksijeni. Mwoyo yemapirma varwere vane zviratidzo zvekupererwa kwemhepo kazhinji vanokurumidza kukurumidza kuvaSABAs.
Mune zvimwe zviitiko, unogona kurapwa kufanana nemurwere we asthma ne systemic steroids. Izvi zvinowanzove apo iwe usingaiti nokukurumidza kune diuretics uye kune zvimwe zvinogona kukuvadza iwe une asthma kana zvimwe zvikamu zve reactive airway chirwere kana COPD. Kana pane chinetso iwe unogonawo kugamuchira antibiotics.
Kana chiremba wako achishuva kuti iwe gumbo rako rinokonzerwa nemweya wepachimiro, unogona kunge usingave nechirwere zvachose. Ndosaka zvakakosha kuona chiremba wako pamusoro pezviratidzo izvo zvinoita sechirwere. Chimwe chinhu chinokosha chavanodzidzisa muchikoro chezvokurapa ndechekuti haisi iyo yose inoputika isma. Chiremba anonyatsodzidziswa chete anokwanisa kuziva kuti zviratidzo zvako ndezvipi uye zvino anokupa kurapa kwakakodzera.
> Sources
> Jorge S, Becquemin MH, Delerme S, Bennaceur M, Isnard R, Achkar R. Chirwere chepfungwa muvarwere vakwegura: mamiriro, kliniki mharidzo, uye mugumisiro. BMC Cardiovasc Disord 2007. 7:16.
> National Heart, Lung, uye Blood Institute. H hatina kukanganisa kwemwoyo here?
> Keet CA, McCormack M. Chirwere Chepfungwa : Nhembera Yekare Inogona Kuva Nechinangwa Chitsva? J Allergy Clin Immunol Pract. 2016 Sep-Oct; 4 (5): 924-5.
> Bang CL, Porsbjerg CM. Funga kaviri - Kuona kunonoka mumurwere ane kurwadziwa kwepfupa. Respir Med Case Rep. 2016 Aug 20; 19: 94-7.