Inenge 75 kubva muzana yevanhu vane mwoyo yekukundikana vanorondedzera kusuruvara nguva dzose, vachiita ichi chimwe chezviratidzo zvinowanzosvika pamwoyo .
Kusuruvara kunoratidzika nekutambudzika kurara hope, kunetseka kurara hope, kana kumuka mangwanani-ngwanani (kana kuti ose matatu), kuteverwa nezviratidzo zvekushaya hope panguva yemasikati, zvakadai sokurara, kuneta, kusava nesimba, kufara, uye / kana kuoma kuisa pfungwa.
Kunyange zvazvo chero munhu aigona kushaya njodzi nguva nenguva, vanhu vane mwoyo wekukundikana vanogona kutambura kubva pane izvi kakawanda uye zvakanyanya kudarika vamwe vanhu.
Zvinokonzera Kushushikana
Kune zvakawanda zvinokonzera kusuruvara. Izvi zvinosanganisira maitiro ekugadzirisa (zvakadai sekuwedzera kwemaitiro emagetsi kana kushaya simba); zviito zvehutano (zvakadai sepurogiramu yebasa, zvinoda mhuri, kana kudya usiku kana tsika dzekuita); pfungwa dzepfungwa (dzakadai sokuora mwoyo, tsika yekuzvidya mwoyo, kusagadzikana kusingaperi, kana dambudziko rehupenyu huchangobva kuitika); uye kurwara (zvakadai sekushaya mwoyo).
Nyanzvi dzakawanda dzehutano dzinofunga kuti, chero zvipi zvingaita kuti munhu ave nehope, mamiriro acho anogona kuwedzerwa nekufunganya nezvekusawana kurara zvakakwana (izvo zvinowedzera kuita kuti zvive zvakaoma kurara), kana nekutadza kugadzirisa nzira (zvakadai sekuona TV kana kutamba mitambo yemavhidhiyo panguva yokurara). Saka kushanda kwenguva pfupi kwehope kunowanzofambiswa nekuita kwedu kwariri.
Chinoita Kuti Mwoyo Usakundikana Unosangana Nekusuruvara
Vanhu vane kukundikana kwemoyo vanoita sevanowanzoita zvinhu zvinowanzokonzera kukanganisa sevamwe vanhu. Ichokwadi, nokuti vari pasi pekunetseka kwekuva nechirwere chisingaperi, uye nokuti ivo vanonyanya kuwedzera kuora mwoyo, "zvinhu zvinowanzokonzera kukonzerwa" nekushaya hope zvinowanzowedzerwa.
Asi kunze kwekunge zvingangodaro sezvinongoita ani zvake kuti aone zvinowanzokonzera kusuruvara, vanhu vane mwoyo wekukundikana vari pasi pezvinetso zvinowedzera zvinowanzokonzera kuvhiringidzika kwehope.
Kurara uye Zviratidzo Zvekushaya Mwoyo
Zviratidzo zvinowanzoitika pamwoyo zvinokanganisa zvinogona kuvhiringidza kurara. Orthopnea -shortness yemhepo inofema kana yakarara pasi-inogona kuita kuti zvive nyore kusvika kurara. Chimwe chiitiko chakafanana- paroxysmal nocturnal dyspnea, kana PND- zvikwangwani zvinoerekana zvamuka kubva pakarara, uye kazhinji zvinotyisa chiitiko chokuti kudzokera kurara shure kwechiitiko chePND kazhinji hachibviri. Mishonga inonzi diuretic inorayirwa kune vakawanda varwere vane mwoyo yekukundikana kunogona kuvhiringidza kurara nekukonzera nocturia-kudiwa kwekumuka uye kunyura usiku. Nokudaro kukanganisa kwemwoyo pachako kunogona kuvhiringidza kurara.
Kurara kweApnea uye Mwoyo Kukundikana
Kurara kwepabonde kwakajairika mumoyo kusakatika. Varwere vane chirwere chekurara vanorara kwenguva yakareba mukufema kwavo munguva yehope. Izvi zvinokonzera kufema zvinokonzera kamwe-kamwe kubva mukurara zvakadzika, kazhinji zvinowanzo nguva nenguva neusiku, uye zvinokonzera kubatwa kwakanyanya kwehope. Varwere vane chirwere chekurara vanowanzova vasingazivi kuti vanokwidzika usiku, uye havagoni kunyunyutira nehope-asi vanoona zvakawanda zvezviratidzo zvekurara kwekurara.
Apo inotaridzirwa, kurara kwepabhesi kunowanika kusvika kusvika ku50 muzana yevarwere vane mwoyo kusakundikana. Kurara kunetseka kunowanzoita kuti kushaya mwoyo kuwedzere, uye kuora mwoyo kunokonzera kukanganisa kunowanzoita kuti hosha yepnea iwedzere-saka kushungurudza kunogona kuitika. Nokuda kwechikonzero ichi, zvinonyanya kukosha pamwoyo kukanganisa varwere vane chirwere chekurara kuti vave nehutano hwemamiriro ose maviri .
Nocturnal Movement Disorders uye Heart Failure
Ive ichangobva kuzivikanwa kuti varwere vane mwoyo yekukundikana vanowanzoita kupfuura huwandu huwandu hwekukudziridza maitiro maviri eusiku hunokonzera kushungurudzika kunogona kukanganisa kurara-kusagadzikana gumbo syndrome uye periodic limb movement movement disorder.
Restless leg syndrome (RLS) inoratidzirwa nezvimwe zviratidzo zvisina kunetseka mumakumbo anowanzoitika pakuvata pamubhedha wekurara. Zviratidzo izvi zvinosanganisira kupisa, kutema, uye / kana zvinokambaira zvinomanikidza vanorwara kuti vatange kufamba nemakumbo avo kuzorodzwa (saka, "makumbo asingadzimi"). Vachashuma vachiita zvisingabatsiri zvinokanganisa kamwe, kana kuzunungusa kufamba kwemakumbo avo. Somugumisiro, varwere ava vanowanzova nezvinetso zvakawanda zvekurara. Nenzira yakanaka, kurapwa kunogona kunyatsobudirira.
Periodic limb movement disorder (PLMD) yakafanana nekusazorora mitsipa, pakuti inosanganisira kufamba kusingabatsiri kwemakumbo (kukwadza, kukwezva kana kukanganisa) kunobatanidza nehope. Mhedzisiro huru ndeyokuti PLMD inowanikwa panguva yekurara, uye inogona kunge isingaoneki zvakananga nemunhu ane chirwere (kunyange zvingave zvichionekwa, kakawanda zvinorwadza, neavo vanovata navo). Zvisinei, PLMD kazhinji inokonzera kukanganisa kurara kwakadzika, uye zvinokonzera kurara kwekurara. Saizvozvowo neRLS, PLMD inogona kurapwa kana yaonekwa.
Shoko Rinobva
Kana iwe uine kukanganisa kwemwoyo, pane mukanano wakanaka wekuti uri kutambura nekurara kwehope, izvo zvingave zvichikonzerwa nekurara kwepabonde, kushungurudzika kwemasikati usiku, kana kuti "kurara" kusuruvara. Zvakanakisisa therapy yemwoyo wako kukundikana zvakakosha pakurapa zvose izvi zvinetso zvekurara, saka iwe uye chiremba wako unoda kuve nechokwadi kuti uri kugamuchira yese yekurapa kwemoyo iwe unofanirwa kuwana.
Zvisinei, kurapwa kwakagadzirirwa zvirwere zvakasiyana-siyana zvekurara-kunyanya, kurara kwepabhesi uye kushungurudzwa kwemasikati-zvinogona kunge zvakakosha mukurapa kurara kwako. Kana iwe uine kukanganisa kwemwoyo uye uri kuona zviratidzo zvekurara kwekurara-zvakadai semasikati somnolence, kuneta, kusava nehanya, kunyanya kunetseka-kana kuti kana iwe usingazivi dambudziko rehope, unofanira kutaura nachiremba wako nezvazvo. Kuongorora kurara-a polysomnogram- inogona kudiwa kuti iongorore zvakananga, kuitira kuti kurapa kwakakodzera kunotangwa.
Sources:
American Academy Yokurara Mushonga. International classification of disorder, 2nd ed: Bhuku rekuongorora nekunyora, American Academy of Sleep Medicine, Westchester, IL.
Leung RS, Bradley TD. Kurara nehope uye chirwere chemwoyo. Am J Respir Crit Care Med; 164: 2147.
Ohayon MM, Hara R, Vitiello MV. Epidemiology yekusagadzikana kwemakumbo syndrome: a synthesis of the books. Kurara Muvhu 2012; 16: 283.