Maminitsi Madiki Mashomanana Nemawa Maawa Anokosha Kupona Mwoyo Wakaipa
Pane zvikonzero zviviri zvakanaka kwazvo zvaunofanira kuziva kuti ungapona sei kurwisa kwemoyo. Chokutanga, maitiro akareba kwazvo kana iwe kana mumwe munhu waunoda achasangana nemarwadzo emwoyo munguva yako yeupenyu. Uye rwechipiri, kana iwe uchipona kuti kurwisa kwemwoyo kunogona kuvimba nezvamunoita iwe nevarapi vako pamusoro peizvi mumaawa mashomanana okutanga.
Chii Chiri Kutambudza Mwoyo?
Kurwadziwa kwemwoyo, kunonziwo myocardial infarction (MI) , ndiyo inonyanya kuoma yeacute coronary syndrome (ACS) .
Kufanana nemhando dzose dzeAACS, chirwere chepfungwa chinowanzokonzerwa nekuparara kweaatrosclerotic plaque mukati megoniyoni (arteri inopa oxygen kumutsipa wemwoyo). Iyi kupera kwemavara inokonzera ropa clot kuumba, zvichiita kuti kuvharwa kwetari. Mutsipa wemwoyo unowanikwa nechivharo chakavharidzirwa zvino unotanga kufa. kuora mwoyo kunowanikwa apo kune rufu rwechikamu chemuviri wemwoyo.
Ndezvipi Migumisiro Yekurwa Kwemwoyo?
Kusvika pamwero mukuru, zvakaguma zvekurwadziwa kwepfungwa zvinoenderana nekuwanda kwemasumbu emweya anofa. Nhamba yemwoyo yemisumbu inouraya inobatana neiyo yerinari yakavharwa, iyo iri muyeri kuvharwa kunoitika, uye (zvichida kunonyanya kukosha) inguva yakareba sei arteri inogona kuzarurirwa nekurapa. Kuvhara kwepedyo pedyo nekwakabva kweropa kunobata mwoyo wakawanda musumbu kudarika kuvhara mberi kwetari. Kuvharidzirwa kunoramba kuripo kwemaawa mashanu kana matanhatu kunokonzera kuwanda kwemwoyo mutsvuku kufa kunze kwekuvharwa kunopindurwa mukati maawa maviri kana matatu.
Kana huwandu hwenyama hukuvadza hwakanyanya, zvinokwanisika kukudziridza kukanganisika kwemoyo mukati meM MI pachayo, iyo inenge ine ngozi zvikuru. Kana uwandu hwenyama hukuvadzwa husiri hukuru asi huri hunokosha, kukanganisa kwemwoyo kunogona kukura gare gare. Nokudaro, kutora matanho ekudzivirira mwoyo kusakundwa mushure mekurwadziwa kwepfungwa, kana kurwisa zvakashata kukanganisa kwemwoyo kana kuchikura zvakanyanya, chinhu chakakosha zvikuru pakurapa chirwere chemwoyo.
Kurwadziwa kwepfungwa kunogonawo kutora chirongwa chemwoyo chinotyisa. Munguva yakaoma MI pachake, kusagadzikana kwemagetsi kunoitika kunogona kukonzera tricycardia (VT) uye ventricular fibrillation (VF) . Gare gare, ruvara rune ruvara runokonzerwa nekurapa kunogona kukonzera kusagadzikana kwemagetsi kusingaperi. Saka, zvinosuruvarisa, kusungwa kwemoyo uye kufa kamwe kamwe njodzi dziripo zvose panguva yekurwadza kwemoyo, uye (kune imwe nzvimbo) mushure mokudzorera zvakakwana.
Sei Maona Maawa Mashomanana Okumhanya Kwemwoyo Anokosha?
Kune munhu ane chirwere chemwoyo, kukurumidza kurapwa kwakanyanya kunonyanya kukosha pamusana pezvikonzero zviviri:
- Kuwanda kwekusungwa kwemwoyo kunowanikwa nekurwadza kwemoyo kunowanikwa mukati maawa mashomanana okutanga. Kana kusungwa kwomwoyo kuchiitika mushure mokunge chirwere chepfungwa chakakonzerwa nechirwere ichi chasvika kuchipatara, kune mukana wakanaka kwazvo unogona kubudirira kurapwa; kana zvisinei zvipingamupinyi zvekupona kusungwa kwemwoyo zvakanyanya kwazvo.
- Zvose mbiri yenguva pfupi uye yenguva refu yekurwadziwa kwemwoyo inonyanya kugadziriswa nehuwandu hwemitsipa yemwoyo inofa. Nekurapa uye nekutsinyera kwechiremba, mutambo wakavharwa unogona kazhinji kuzarurirwa nekukurumidza, nokudaro kuchengetedza huzhinji hwemutsipa wemwoyo uri pangozi yekufa. Kana kurapwa kuchipiwa mukati memaawa matatu kana mana, zvakawanda zvekusagadzikana kwemisasa zvinogona kudziviswa. Asi kana kurapwa kunonoka kudarika maawa mashanu kana matanhatu, huwandu hwemutsipa wemwoyo hunogona kuponeswa hunodonha zvikuru. Mushure memaawa anenge gumi nemaviri, kukanganisa kunowanzoregererwa.
Kana Iwe Uchifunga Iwe Ungave Uine Mwoyo Wokurwisa
Kuwana kurapwa kwakakodzera uye kwakakodzera kunoda kuti zvinhu zviviri zviitike. Kutanga , zvinoda kuti iwe uzive zviratidzo zvekurwadziwa kwemoyo, uye utsvake rubatsiro rwechiremba iyo iwe unofunga kuti iwe unogona kuva neumwe. Nepo kurwadziwa kwepfupa chiratidzo che "classic" chekurwadziwa kwepfungwa, zvimwe zviratidzo zvinogona kuitika kunze kwe (kana kuti) chechifu chisina kunaka. Izvi zvinogona kusanganisira kusinganzwisisiki kwekunze kwekutya kukuru, kukurumidza kufema, kufema kwepfupa, kusagadzikana kwejaya, mutsipa, mapepa, kana maoko, kana kuora mwoyo-sezvinoita zviratidzo. Munhu wose ane ngozi yehutachiona hwehutano hunofanirwa kunyanya kuchenjerera kune chero chezviratidzo izvi.
Heano zvimwe zvekuti ungaziva sei zviratidzo zvekurwadziwa kwemwoyo .
Kana iwe uchifunga kuti pane imwe nguva iwe unogona kunge uine chirwere chemwoyo, iwe unoda kuwana rubatsiro rwechirwere nokukurumidza sezvinobvira. Maminitsi anogona kuita mutsauko pakati pehutano hwemazuva akawanda, kana kuremara kwenguva refu kana rufu.
Chechipiri , kuwana nguva yakatarwa iwe yaunoda kunoda kuti vashandi vekurapa vari kukuchengetedza vakaita zvinhu zvakanaka, uye vakuidze nokukurumidza. Yeuka: miniti yose inokosha. Iva nechokwadi chokuti vanachiremba vokutanga vaunoona vanoziva kuti unogona kuurayiwa mwoyo, uye kuti vari kutora mukana iwoyo zvakakosha. Nenzira yakawanda, kana vashandi vezvechiremba vaine mazano mune izvi kuongororwa vachaita nokukurumidza kuti vaongororwe, uye kana chirwere chemwoyo chinenge chichiri kufamba, kupa chirwere. Verenga pamusoro pekurumidza kurapwa kwekurwadza kwemwoyo .
Kungotaura chete mazwi, "Ndingangodaro ndine hutsinye hwemwoyo," huchaita zvinonyengera. Vanhu vakawanda kwazvo vane hutsinye hwemwoyo vanoedza kuderedza zviratidzo zvavo pavanoona chiremba, uye vachitaura chimwe chinhu chakadai, "Zvichida kungova nemwoyo chete." Usaita izvozvo, nokuti maminitsi nyaya. Tora chiremba akatanga panzira yekuchechera kurwisa kwemwoyo pakarepo. Kana ikashandura kuti ive kungokanganisa, vanozozviona izvo nokukurumidza.
Ndivo vanhu vanotora zviratidzo zvavo zvakakomba, uye vanoita nokukurumidza, vane mukana wakanakisisa wekupona kurwisa kwemwoyo mune utano hwakanaka.
> Sources:
> O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA Nhungamiro yekutungamirirwa kweS ST-elevation Myocardial Infarction: Nhoroondo yeAmerican College yeCardiology Foundation / American Heart Association Task Force pamusoro pekushandisa mazano. Circulation 2013; 127: e362.