Apo Mudiwa Wako Ane Mwoyo Kukundikana
Kuwana kuti iwe waunoda ane mwoyo wekusagadzikana kunogona kushamisa iwe mose. Kuora mwoyo kunokonzera chirwere chakakomba (izwi rokuti "mwoyo kusakwanisa" iro pacharo rinonzwika rinotyisa zvakakwana), iro rinogona kukonzera zvimwe zviratidzo zvisingafadzi uye kuderedza hupenyu hwekutarisira. Muzviitiko zvakawanda zvinowanzova dambudziko risingagumi rinogona kutariswa, asi haritomboperi zvachose.
Kuora mwoyo kunokonzerwa nehutano hunochinja hupenyu hwomunhu anehwo-uyewo muupenyu hwevaya vachange vachigara uye vachimutarisira.
Zvakanaka kana kuti zvakashata sei munhu anoita nekunetseka kwemoyo kunobva pane zvinhu zvakasiyana-siyana, kusanganisira rudzi rwechinetso chepfungwa chinokonzera moyo kusakundikana, kugamuchira kurapa kwakanakisisa, uye kushushikana kwepfungwa uye kwenyama kunopiwa nevanodiwa kumba.
Kuve mutarisiri wemunhu ane kukundikana kwemoyo kunogona kuva dambudziko, pamwe nedzimwe nguva, asi rinogonawo kuva chiitiko chaicho chaicho chinokubatsira iwe uye mudiwa wamunotarisira. Zvisinei, zvakanakisisa zvigumisiro hazvisviki kuburikidza nekusazvipira kusingagumi; kune zvinopesana, iwe uchava uri kuita waunoda iwe uye iwe pachako unofadza zvikuru kana iwe uine chokwadi chokuti uri kutarisira zvaunoda iwe, zvakare.
Heano mamwe mazano anofanirwa kukubatsira kuti ubatsire waunoda nemoyo kusakatika.
Zvaunotarisira
Munhu wose ane kukanganisa kwemwoyo akasiyana, saka kutarisira imwe rudzi rwechiitiko nemunhu wako waunoda nemwoyo kukundikana hakugoni kufanana sezvaunofunga.
Vanhu vazhinji avo vatsva vanongororwa vane mwoyo kusakwanisa-kana mamiriro acho akadzivirirwa navanachiremba, uye chero bedzi ivo vari muchitendero mukutevera mararamiro avo uye kuvandudza mararamiro avo - vanogona kutarisira nguva yakareba yavanogona kufamba nayo upenyu hwavo hunonyaradza.
Vamwe vanhu vane kukanganisa kwemwoyo wakaoma vanogona kutorazve zvakakwana, kana chirwere chemwoyo chinenge chichienda zvachose. ( Kushungurudzika kwepfungwa kunokonzerwa nemamiriro ezvinhu akadaro.)
Kune vamwe, zvisinei, kana zviri mumoyo wemamiriro ezvinhu ari kuunza mwoyo kusakona zvakanyanyisa, kana kuti zviri kufambira mberi nokukurumidza pasinei nekutarisirwa kwehutano, kerini yakaoma zvikuru yekliniki inoenderera mberi. Vanogona kunge vane zviratidzo zvinoramba zvichiitika kana kuti zvinowanzoitika, uye vanogona kuve vachiona "zvikamu" zvekushaya simba kwemoyo kunoda kugara muchipatara.
Uye vanhu vakawanda vane kukundikana kwemoyo vane mapiritsi emakiriniki ari pakati pezvinhu izvi zviviri zvakanyanyisa, nenguva yakareba yekufunga zvakanyatsopindira mune dzimwe nguva zviitiko zvekuwedzera zviratidzo zvinoda mamwe mazinga ekurapa kunopindira.
Somutarisiri, chinangwa chinonzwisisika chingave kuita zvose zvaunogona kubatsira mubatsiri wako kuti arambe akachengeteka apo moyo kusakundikana uri pasi pekutonga kwakanaka, uye kuziva zviratidzo kuti zvinhu zvingave zvisingachagadzirwi, kuitira kuti kupindira kwekurapwa kwepakutanga kungave inodanwa kuti inotora zvinhu zvakare.
Nokuda kwechikonzero ichi, chichava chirevo chakanaka kuti iwe uve nekunzwisisa kwepfungwa pamusoro pekushaya kwemoyo nekurapa kwayo.
Kunzwisisa Mwoyo Usakundikana
"Kuora mwoyo" zvinongoreva kuti chimwe chechirwere chepfungwa chakakonzera mwoyo kusakwanisa kuchengeta zvido zvose zvemuviri pasi pemamiriro ose.
Anenge mhando ipi neipi yehutano hwepfungwa inogona kukonzera kukanganisa kwemwoyo, kusanganisira (pakati pevamwe) chirwere chetachiona chirwere (CAD) , chirwere chemwoyo chinonzi valvular , utachiona , hypertension , hypertrophic cardiomyopathy , kana dysfunction dysfunction .
Izvo zvikonzero zvakasiyana-siyana zvinokonzera zvinogona kubudisa zvakasiyana siyana zvemoyo kusakona. Semuenzaniso, CAD, aortic kudzokera shure , mitral regurgitation , zvirwere zvehutachiona, uye mamwe mimwe mamiriro ezvinhu kazhinji anowedzera hutachiona hwechirwere-kushaya simba kwemitsipa yemwoyo inoita kuti isakwanise kubvumirana zvakanaka.
Kune rumwe rutivi, aortic stenosis, hypertrophic cardiomyopathy, hypertension, uye diastolic kusagadzikana kunogona kukonzera kuwedzera (hypertrophy) kana "kusuruvara" kwemutsipa wemwoyo kunodzivisa hurukuro yekuputira makamuri emwoyo (iyo mhepo yakasimba) kubva pakuzadza zvakakwana.
Izvi zvakasiyana-siyana zvekushushikana kwemoyo zvinowanzotarisirwa zvakasiyana. Saka zvakakosha kuti vanachiremba vanyatsoziva kuti chii chinoita kuti mwoyo usakundikana kuitira kugadzirisa kurapa kwakakodzera.
Inobatsira kune mutarisiri kuti ave nekunyatsonzwisisa kwechikonzero chiripo chinokonzera kukanganisa kwemwoyo, uye zvezvirairo zvinorayirwa zvinotarisirwa zvose mukurapa chinokonzera chinokonzera uye mwoyo kusakundikana pachako.
Zvisinei, chero chii chinokonzerwa nehutano hwemwoyo chinogona kunge chiri, uye kana mudiwa wako ane mwoyo wekukundikana ane simba, rakapfava musimba kana kuti rakaoma, musimba wakaoma, kune maviri maitiro akazara ematambudziko anokonzerwa nekushaya mwoyo kunowanzoita zviratidzo.
Kutanga, kukanganisa kwemwoyo kunogona kuita kuti ropa ridzokere kumwoyo kuti ridzoke, zvichiita kuti mapapu asanganise uye kuputika kwemasumbu.
Uye chechipiri, kuwanda kweropa kuri kuputika nemwoyo kunogona kuderedzwa, zvichiita kuti itsvo dzirege kumira kushanda zvakanaka. Kugadziriswa kwepfungwa kunogona kuita kuti itsvo dzichengetedze munyu nemvura, zvichiita kuti kuwedzererwa kukuru (edema) mutsoka, makumbo uye mimba.
Zvimwe zviratidzo zvekushaya kwemoyo zvakabatana nemapapu ekuputika, kusvika kuderedzwa kwehuwandu hweropa mwoyo unokwanisa kupomha, uye nekuchengetedzwa kwemunyu nemvura. Izvi zviratidzo zvikuru ndezvekufema kwemafuro ( dyspnea ), kuneta, kusaita muviri kushivirira, uye edema. Kuoma kwezviratidzo izvi kunogona kubva pane zvakanyanyisa kusvika kune zvakanyanya-uye vanogona kuchinja zuva rimwe nerimwe. Kuchengetedza nhungamiro yakanyatsonaka yehutano hwezviratidzo kunogona kubatsira pakuona kuchinja kunokosha mumoyo kusakundikana. Verenga zvakawanda pamusoro pezviratidzo zvekushaya mwoyo .
Maitiro Aungabatsira
Pane zvinhu zvakakosha zvinokosha mutarisiri anogona kuita kuti abatsire munhu waanoda nemwoyo kukundikana kusachengeta zvikamu zvakanyanya zvekuora mwoyo kusakundikana, nekuvandudza mararamiro avo ekureba kwenguva refu. Izvi zvinosanganisira
- kubatsira munhu nemoyo kusakona kusimbisa nekuchengetedza mararamiro ehupenyu huchabatsira moyo yavo
- kuvabatsira kuti varambe vachiita izvo zvinowanzomesa mishonga purogiramu yemishonga
- kubatsira kutarisa zviyero zvezuva nezuva uye zviratidzo zvinogona kuratidza kuti mwoyo kusakona kuri kuwedzera
- kuziva kana iri nguva yekudana chiremba kana kuenda kuchipatara
Kana iwe uri mukuru wekuchengeta, iwe unofanira kuzviona uri chikamu cheboka rehutano hwehutano. Izvi zvinoreva kuti unofanira kuenda kuna vanachiremba kushanyira nemunoda wako pose pose zvichibvira, teerera kune tsanangudzo dzose, uye mubvunze mibvunzo. Sekuita nhengo huru yeboka, zvakakosha kuti iwe utore chikamu mune izvi kugoverana kukuru kwemashoko.
Kubatsira Nekuchinja Kwoupenyu
Kugadzirisa mararamiro ako kunokosha zvikuru kune ani zvake anotarisira kushaya chirwere chemwoyo. Kune munhu ane kukanganisa kwemwoyo, zvinetso zvehupenyu zvinotonyanya kukosha. Nzira dzakanaka dzokuita mararamiro haisi "kungoita" kudzivirira kune munhu ane mwoyo kusakundikana-vanoita chaiyo mwoyo kusagadzikana kurapa.
Kunyanya kana iwe uri kugovera nzvimbo yekugara nemunhu anorarama nemoyo kusakundikana, nzira yakanakisisa yekubatsira nemararamiro ehupenyu huri kuchinja ndeyekutora zvigadziro iwe pachako, uye kuzviisa mumararamiro ezuva nezuva kune umwe neumwe mumba. Nzira idzi dzekuchinja dzinofanira kusanganisira kudya, kurovedza muviri, uye kusasvuta.
Mudiwa wako achada kukurukura kudya kwakakwana nachiremba ari kuvabatsira kutarisira mwoyo yavo kukundikana, asi vanhu vazhinji vane mwoyo wekukundikana vanofanira kunge vari pamvura yakaderera-yeMediterranean-style, ine zvakawanda zvezvibereko nemiriwo, zviyo zvose, uye mafuta ane utano (akadai samaorivhi) panzvimbo yemafuta akazara, asi achidzivirira yakawanda pamapakiti, zvokudya zvakagadzirwa (kunyanya zvakagadzirwa nezvinhu). Mhando iyi yezvokudya inowanzova yakanaka kune chero ani zvake.
Vanhu vane kukundikana kwemoyo, zvisinei, vanofanira kuva vakangwarira zvikuru pamusoro pekuregererwa kwemunyu , sezvo munyu wakawandisa uchanyanya kuwedzera edema yavo ne dyspnea. Tora saltshaker kubva patafura, uye cheka munyu paunenge uchibika. Zvakare, kudzivisa kudya zvakagadziriswa zvakakosha kuti urambe uchinge uchinge uwedzere kudya.
Kusvuta kunokuvadza zvikuru kuhutano hwemwoyo, uye nguva dzose kana mumwe munhu achivhenekera ari kukonzera kuchinja kwakanyanya muvheti yemidziyo yavo yeropa. Kune munhu ane kusagadzikana kwemoyo, kuramba uchisvuta kunowedzera kuwedzera kwemaitiro ekushaya simba kwemoyo, uye kunoderedza hupenyu hwekutarisira. Batsira mudiwa wako kurega kusvuta , kana iye ari kusvuta. Kana iwe uri kusvuta iwe pachako, kubvisa kwako kuchava rubatsiro rukuru mukubatsira mudiwa wako kuti asiye.
Ramba uchifunga kuti vanhu vane mwoyo wekukundikana kazhinji vanowanzova kuneta nyore nyore kupfuura zvaungatarisira. Ronga mabasa ako nemunhu uyu maererano. Rega nguva yakawedzerwa yezvinhu zvaunoda kuita, uye dzimwe nguva dzekuita nenguva yekuzorora. Edza zvakaoma sokusagona kwako kuratidza kushivirira kana zvinhu zvishoma nezvishoma zvaunoda.
Panguva imwecheteyo, kurovedza muviri kunokosha kune munhu ane mwoyo kusakundikana. Saka ukurudzira chero huwandu hwekuita muviri wako mudiwa wako anokwanisa kuita kunze kwekuneta zvakanyanya kana dyspnea. Iwe newaunoda unofanirwa kubvunza chiremba kana chirongwa chekugadzirisa zvekuvhima chingabatsira pakuita kuti vatange.
Kubatsira Nemishonga
Vanhu vane kukanganisa kwemwoyo vanotora mishonga yakawanda, uye zvakakosha kuchengetedza mapiritsi ari kutora. Zvinowanzova zvakanaka kuti vatarisiri vamurege kumurega nemwoyo kusakundikana ave mutungamiriri mukuru wemishonga yavo- asi inowanzova pfungwa yakanaka kuongorora kaviri. Kushandisa mapiritsi mabhokisi kana chati kunoita kuti zvive nyore kuti munhu wese azive zvave zvakatorwa uye izvo zvakasipo.
Zvinonyanya kubatsira munhu ane mwoyo wekukundikana uye mutarisiri vose kuti ave nekunzwisisa kwakanaka kwezvinhu zvose izvo mapiritsi acho, uye matanho api anofanira kutorwa kana chirwere chemumwe mishonga chinorasikirwa nechimwe chikonzero. Kunzwisisa mishonga yemishonga ndeimwe yezvikonzero zvakakosha izvo mutarisiri anofanira kubatanidzwa mukuchiremba kushanyira kana zvichibvira.
Kuongorora Zviratidzo-Ndeipi Kuda Kubatsirwa
Kune vanhu vane mwoyo wekukundikana, zviratidzo zvinowanzokanganiswa uye zvinoputika kwenguva, uye mamwe mazuva ari nani kupfuura mamwe. Mushure mechinguva, vazhinji vanochengeta vanove vakasununguka vachiziva "chaiye-zuva-yakanaka," uye vachangoita kuti mudiwa wavo aite zvishoma nezvishoma pamazuva iwayo akaipa.
Asi dzimwe nguva, kungotora nyore nyore kwezuva kana kuti hazvina kukwana. Dzimwe nguva zvichave zvakakosha kune munhu ane mwoyo wekukundikana kuona chiremba wavo, kana kutoenda kune imwe nzvimbo yekukurumidzira. Nokuti mutarisiri, kuziva nguva yekukumbira rubatsiro dzimwe nguva ingasava ne-brainer, asi pane dzimwe nguva ichava kudanwa kwekutonga. Asi sezvo iri mwoyo wako waunoda iwe uri kutarisana nawo, kana pane mubvunzo wekuti iwe ungaita seiko (kuhofisi yechiremba kana 911), ita saizvozvo.
Iko pfungwa yakanaka yekucherechedza zviratidzo zvemudiwa wako mazuva ose, uye kugona kuoma kwezviratidzo izvi pane chati kana diary. Inobatsira kuona nhamba ye dyspnea yavo, dhigirii yavo yekuneta uye simba, uye chiyero chekuputika chavo mune makumbo avo kana maziso. Vabvunze kuti vanovata sei mangwanani oga oga. Vakanzwa vachinonoka kufema pavakarara usiku here? Vakamuka usiku here vachinzwa kufema? Cherechedza kuti vanofema sei kana vachifamba, kana vachitaura. Kunyora zvinhu izvi zuva rega rega kuchakubatsira kuona maitiro kune nguva.
Kuyera uremu hwavo zuva rega rega (panenge panguva imwe chete, kupfeka pamusoro pezvipfeko zvakafanana zvekufuka, uye nechirwere chisina chinhu) kunobatsira. Kusachengetedza kwemhepo kunowanzoonekwa sepfuma inorema (kazhinji, pane imwe nguva yemazuva), pamberi pako kana mudiwa wako anokwanisa kuona chero edema yakawanda kana dyspnea.
Kune mairi maviri maitiro akawanda apo iwe unofanirwa kutsvaga rubatsiro rwechiremba kune waunoda. Kutanga, sidzai 911 kana vachiona zvakanyanya kuwedzera dyspnea, kurwadziwa kwepfupa kana kusagadzikana , kuchena kwakasimba, syncope , kana chimwe chechiratidzo chinoratidzika chinotyisa kana chakaoma. Iwe haufaniri kunge wakanetseka pakudana 911 zvisina kufanira. Kana iwe unonetseka kana unonetseka, dana.
Chechipiri, dana chiremba kana iwe ukacherechedza mafambiro pamusoro penguva inoita sekunetseka. Izvi zvinogona kusanganisira kuwedzera kuderedza kuwedzera kwemazuva maviri kana matatu, zvishoma nezvishoma kuwedzera dyspnea, kuwedzera kwedema yemakumbo, kana kungopedzisira kuneta kana kuti kuneta kudarika iwe unofunga. Izvi zvingangova zviratidzo zvekuti kushushikana kwomwoyo wako wekuderera kuri kuwedzera kuwedzera, uye kuti chikamu chakaoma chinogona kunge chakakomberedza kona. Kana akanyeverwa nezvekuchinja, chiremba anowanzokwanisa kuchinja zvinhu nekugadzirisa mishonga kwenguva pfupi.
Kuzvichengeta Iwe pachako
Iwe hausi kuzova mutarisiri anobudirira kunze kwekuti iwe uchitarisira zvaunoda. Kana iwe uchingorwara, uchigumburwa, kana kupiswa kunze, hakuna munhu anokunda.
Tanga kuongorora nekuongorora iwe pachako purogiramu yako. Ndeapi nhengo dzemhuri neshamwari dzakakwanisa uye dzinoda kupinda mukati? Chivaziva, uye rega vabatsire.
Kuchengeta mumwe munhu ane hanya nekushaya moyo hakufaniri kunge sekuita basa-zvakasimba sekutarisira kune munhu akave ((somuenzaniso) chirwere chakanyanya, kana kuti chirwere chemwoyo. Saka musarega ichi chikava chose-chinopedza. Vanhu vakawanda vane hukama hwakasimba hunogona kugadzirisa kudya kwakasara, kuwana tsamba, kuenda kuimba yekugezera, kana kuti kunyange kuchenesa mbatya pachavo. Kazhinji vanofanira kukurudzirwa kuita mabasa akadaro. Uye kazhinji havadi 24/7 kutarisa. Saka kana kuongorora kwako kwezuva nezuva hakuratidzi zviratidzo zvinotyisa kana zviratidzo, unogona kukodzera mune imwe nguva "ini".
Tora mapurogiramu ezuva nezuva, uye mumwe munhu ataure kwauri kwezuva rimwechete pavhiki kana zvakadaro, kana zvichibvira. Gara uine zvaunofarira, zvaunofarira nazvo uye webhusaiti yako yepamusangano, senzira yekuderedza kushungurudzika. Wana zvakakwana kurara, ita basa rako, uye udye kudya kwakanaka. Kuramba uine hutano hwako, kusanganisira hukama hwako hwepanyama uye hwepfungwa, hunokosha kana iwe uri kuzova mutarisiri anobudirira.
Shoko Rinobva
Kukundikana kwemwoyo chinhu chakaoma kune munhu wese-kune munhu ane mwoyo kusakwanisa, kune chiremba, uye kune mutarisiri. Mutevedzeri anobudirira achanzwisisa zvidzidzo pamusoro pekushaya simba kwemoyo, zvipi zviratidzo zvekutarisa uye zvatinotarisira, uye nguva yekukumbira rubatsiro. Zvimwe zvinonyanya kukosha, avo vanonyatsotarisira ndevaya ndivo vanotarisira kuchengetedza hutano hwavo nekugara zvakanaka.
> Sources:
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> Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA Nhungamiro yekutungamirirwa kwepfungwa kukanganisika: Executive Summary: Nyaya yeAmerican College of Cardiology Foundation / American Heart Association Task Force pamusoro Pemitemo Yezvokuita. Circulation 2013; 128: 1810.