Yakakurumbira, asi kazhinji inodzivirirwa
Kana iwe wakatove uine chirwere chemwoyo, iwe uri pangozi yakakura yekusungwa kwemoyo kamwe kamwe. Kufa kubva kumusana pakarepo mushure mekunge chirwere chemwoyo chiri, zvinosuruvarisa, zvakawandisa. Kana munhu apinda mumusungo wemwoyo kamwe, iye anoda kushamiswa kwemagetsi kumwoyo neine defibrillator pakarepo nokuti mikana yekupona inoderera neminiti imwe neimwe, pakupedzisira inotungamirira kurufu rwekushaya mwoyo kamwe.
A Common Story
Heino nhau imwe nyanzvi yemapurisa yakanzwa kakawanda:
John, ane makore makumi mashanu nemashanu, agere muimba yekugara achitarisa sitcom nemudzimai wake. John haana kutungamira hupenyu hwehutano hwakanaka, asi kurwadziwa kwemoyo kwaakaita mwedzi wapfuura kwakamupa kukosha kunokosha. "Waiva nerombo munguva ino, John," chiremba wake akamuudza. "Iwe wakanga uine hukukutu hwemwoyo, asi pombi yekare ichiri kushanda zvakanaka zvakakwana.Kana iwe ukaruramisa chiito chako, une mukana wakaisvonaka wekuona iyo itsva grandbaby inoroora rimwe zuva."
Saka John atanga kudya zvakasimba, atanga kuedza kudzidzira pasi peziso rakarindira purogiramu yekuvandudza mwoyo yemunharaunda, ari kutora mishonga yose chiremba wake akaraira kuti abatsire mwoyo wake kuporesa nekubatsira kudzivisa imwe kurwadza kwemwoyo, uye zvakakosha, iye ane kusiya kusvuta. Mushure mekunge mwedzi chete, atofa marashira mashanu uye ari kufamba anenge makiromita pazuva. Anonzwa zviri nani-akanganisa uye ane simba-kupfuura zvaanenge aine makore. Anosendamira zvakare pachigaro chake chiri nyore uye achinyemwerera. "Iwe unoziva," anodaro kumudzimai wake, "kurwisa mwoyo ikoko kunogona kuva imwe yezvinhu zvakanakisisa zvakamboitika kwandiri."
Anopindura, "Iwe hapana mubvunzo kuti unotaura nezvekuti iwe hauna kumboita chikwata chemabasa emumba mumwedzi unopfuura."
Anotarisira kudzoka kunobva kunaJohani asi haawani. Anotarisa kumurume wake uye anoshamiswa kuona kuti akambomira pachigaro chake, asingazivi. Kuedza kwake kumumutsa hakuna kubudirira. Anokurumidza kushevedza 911, asi pasinei nekuedza kwevashandi vezvematongerwo enyika vanouya mushure maminitsi gumi gare gare, Johane anofa.
John akatambura kusungwa kwemoyo, uye nokuti kuedza kumutsidzira kwakanga kusina maturo, chiitiko chakaguma nekufa kwake. Rufu rwomumwoyo rwomumwoyo runotaura hupenyu hwevanhu vakuru vanenge 325 000 muUnited States gore negore.
Kamwe kamwe Kakafa Rufu
Vazhinji vakaurayiwa nekufa kwechimiro chekushaya mhepo vakave nehutachiona hwemyocardial (kurwadziwa kwemoyo) vhiki, mwedzi, kana kunyange makore apfuura. Mwoyo unorwisa, iyo yakaoma kwazvo iyo yakaoma yeconary syndrome , inobudiswa apo arton coronary inokurumidza kuvharwa, kazhinji nekuda kwekuparara kwegoniyuta yemaariti, zvichiita kuti rufu rwechikamu chemuviri wemwoyo.
Iyo yakaora mwoyo musumbu inopedzisa kuporesa kurwisa kwemwoyo, asi nguva dzose inobereka chigunzo chisingaperi. Chikamu chakaora mwoyo chemoyo chinogona kuva magetsi chisingachinji uye kusagadzikana kwemagetsi kunogona kuunza moyo unopisa moyo arrhythmia anonzi ventricular tachycardia (kukurumidza kutsamwa kwomwoyo), izvo zvinogona kutungamirira kune ventricular fibrillation. Zvinosuruvarisa, aya arhythmias anogona kuitika nokukurumidza, pasina chero kunyeverwa, uye vanhu vanogona kuzviona kunyange kana zvinhu zvose zvichiita sezviri kufamba zvakanaka kubva mune zvekurapa-sezvinotaurwa munyaya yaJohane. Iyo arrhythmia inogona kutungamirira kumusana pakarepo kusungwa, izvo zvinowanzokonzera rufu.
Dambudziko Rokukurumidza Kumuviri Rinosangana Mushure Mokurwa Kwemwoyo
Ngozi yekusungwa kwemwoyo kamwe kamwe mushure mekunge uine chirwere chemwoyo chiripamusoro mukati pemwedzi mitanhatu uchitevera moyo wako. Makumi makumi manomwe nemashanu kubva muzana yevanhu vane kushungurudzika kwemwoyo kusinganzwisisiki vane chirwere chemwoyo chekare.
Dambudziko guru kwazvo rinowanikwa kune vanhu vakatova vasati vasara uye vakasunungurwa zvakare. Vanhu ava vane mukana wegore we20 kubva kune umwe wekusungwa kwemwoyo. Nengozi iriwo yakakwirira kune vanhu vane kutambura kwemwoyo kunonzi kwakakura, ndiko kuti, avo vanorwiswa nemwoyo vanouyisa hutano hwemutsara wemwoyo.
Ejection Fraction
Chimwe chiyero chakanaka chinoratidza chiyero chekucheka chikamu chiduku , chiyero chekuona kuti mwoyo wako uri kuputira ropa sei. Kana uchinge uine rutivi rwakawanda, rezasi chikamu che ejection. Mushure mekurwadziwa kwepfungwa, avo vane chikamu chinoputika chinopfuura makumi mana (chikamu chinowanikwa ejection chikamu chikamu makumi mashanu kana kupfuura) chinoratidzika seine ngozi shoma yekufa kamwe kamwe. Ngozi yekufa kamwe-kamwe inowedzera nemazana ejekiti ejection uye inova yakakwirira zvikuru nemitengo ye30 muzana kana pasi. Nokuda kwechikonzero ichi, ani zvake anenge ane chirwere chemwoyo anofanira kunge ane zvikamu zviduku zvinotaridzika zvakaenzana.
Nzira Yokuderedza Dambudziko Rako Rokukurumidza Kushanda Kwemakumbo Mushure mekurwa Kwemwoyo
Ngozi yekufa kamwe kamwe mushure mekurwa kwemoyo kunogona kuderedzwa zvikuru nemhando mbiri dzezviyero:
- Matanho ekurapa ekurapa kusanganisira beta blockers, ACE inhibitors, uye remetinitari ye statin.
- Kuziva vanhu vanenge vachiri pangozi yakawanda pasinei nekurapa, uye vachifunga nezvemhepo inogadziriswa inonzi cardioverter defibrillator (ICD) kune vanhu ava.
Mishonga Kuderedza Dambudziko Rokukurumidza Kushanda Kwemakumbo
Beta-blockers, ACE inhibitors, uye mitemo zvose zvakaratidzwa kuderedza dambudziko rekufa mushure mekurwa kwemoyo. Nepo huzhinji hwekufa kwehutachiwana hunoenderana nekuderedza mikana yekudzikisa kukanganisa kwemwoyo kana kukanganisa kwemwoyo, madhiragi aya anonyatsoderedza dambudziko rekusungwa kwemoyo uye kamwe kamwe rufu. Vose vanopukunyuka pamarwadzo emwoyo vanofanira kuiswa pamishonga iyi kunze kwekuti pane chikonzero chakanakisisa kwete.
Inogadziriswa Cardioverter Defibrillator (ICD) Kuderedza Dambudziko Rokukurumidza Kushanda Mwoyo
Pasinei nekushandiswa kwechirwere chinotyisa, mune vamwe vanhu, njodzi yekufa kamwe kamwe nekuda kwekusungwa kwemwoyo kunoramba yakakwirira. Iwe unogona kunge uri mukana wakanaka kune ICD kana chimwe chezviitiko zvinotevera ndezvechokwadi:
- Iwe wakanga uine kusungwa kwepfungwa kusinganzwisisiki, kushaya mwoyo, kana kuti ventricular arrhythmia
- Iwe une Long LongTT syndrome
- Iwe une chirwere chemwoyo chinokonzera kana zvimwe zviitiko zvinogona kutungamirira kumusana pakarepo kusungwa
Zvidzidzo zvekuchipatara zvakaratidza kuti mune chero ipi zvayo mamiriro ezvinhu aya, kuva neCII kunogona kubatsira kudzivirira kushungurudzika kwemoyo kusungwa.
> Sources:
> American Heart Association. Ejection Kuputsana Kwemoyo Kusakundikana. Yakaperedzwa Gunyana 13, 2017.
> American Heart Association. Inogadziriswa Cardioverter Defibrillator (ICD). Yakavandudzwa musi waDecember 21, 2016.
> Cleveland Clinic. Kamwe kamwe-kamwe Kamufa Rufu (Kungoerekana Kushanda Cardiac): Risk Factors.
> National Heart, Lung, uye Blood Institute. Kufa Kunokonzerwa Sei Nokushamisika Kushanda Kwemakumbo Kunodziviswa? Dhipatimendi reUnited Health Health and Human Services. Yakaperedzwa naJune 22, 2016.