Migumisiro mikuru yekurohwa ndeyekuchinja kwehupenyu, asi matambudziko emwoyo anogonawo kumanikidzira chirwere chechirwere chekurohwa.
Chidzidzo chakabudiswa mumagazini Stroke chakatarisa boka revarwere 846 kwemwedzi mitatu mushure mekunge vatambura chirwere. Vanopfuura 1 mu3 vaiva nechiitiko chakakomba chemwoyo panguva iyoyo , uye vanopfuura 4 muzana vakafa semugumisiro. Kunyange zvazvo kukuvadza kwepfungwa kwechirwere ndicho chikonzero chinowanzokonzera rufu shure kwekurohwa, matambudziko emwoyo anowedzera wechipiri.
Zvinokonzerwa neCaracac Matambudziko Kutevera Stroke
Mumazuva mashoma uchitevera chirwere, kushungurudzika kwemwoyo , kufungidzika kwepfungwa kwepfungwa , kusagadzikana kwemoyo, uye kusungwa kwemoyo kunowanzoitika.
Nzira dzisina kuchena dzemitauro inozivikanwa se " inill fibrillation " uye "inyanzvi yemvura" inowanzozivikanwa. Muzvikamu zviviri, makamuri okumusoro emoyo-iyo inria-inorohwa isingatarisirwi nokukurumidza uye isingaiti.
Kana iwe uchitambura neutrial fibrillation, chido chako chemoyo chichave chakanyanyisa, kana chisina kuitika. Kusiyana neizvi, kana iwe "atta", "chimiro chemoyo wako" chichagara chiripo nguva dzose uye ichikurumidza, asi hachina kubudirira. Zvose zviri zviviri zvinotyisa, sezvo dzimba dzepamusoro dzemoyo dziri kuputira zvisina kunaka, izvo zvinoreva kuti ropa harisi kunyatsorongedzwa kubva pamwoyo kusvika kune imwe yose yomuviri.
Panzvimbo pezvo, madziva emvura muAria uye ropa clots anogona kuumba. Kana zvipfeko zvichipinda muropa, zvinogona kuguma mumakironi (coronary arteries) (kwaanogona kukonzera chirwere chemwoyo) kana uropi (kwaanogona kukonzera imwe shamhu).
Kuva neSroroke Kunowedzera Ngozi Yemunhu weKardiac Trouble
Zvimwe zvezvinetso zvakafanana izvo zvinogona kutungamirira kugadziro zvinogonawo kuita kuti zvinetso zvemwoyo zviwedzere, kusanganisira kukwirira kweropa, chirwere cheshuga, high cholesterol, maronary artery disease, uye mwoyo arrhythmias. Mimwe yemakemikari inoshandura zvinokonzera kushungurudzwa zvinogona kuchinja kushanda kwemoyo.
Semuenzaniso, makemikari ari muuropi akabudiswa muropa mushure mekurohwa kunogona kuva akaipa kune mwoyo.
Sitiroko inogona kukuvadza zvakananga zvikamu zveuropi zvinodzora moyo. Kurudyi kwe hemisphere kukuvadza (kupfuura kudarika) kunokonzera kukanganisa kwepfungwa matambudziko uye kufa kunokonzerwa nemwoyo pakarepo kumira zvakanyanya.
Kudzivirirwa Kwemakirini Emwoyo Pashure pekurohwa
Ichangobva kukurudzirwa yakaratidza kuti nguva dzose inotarisa mwoyo yevose vakagadzirirwa chirwere chepachirwere chemaitiro kwemazuva matatu kana matatu kuti vaone zvinetso zviri kuitika mumoyo.
Pano pane zvimwe zvinokonzera ngozi zvinogona kuita kuti ive pfungwa yakanakisisa yekuve nekutsvaga kwemoyo mushure mekurohwa:
- Anopfuura makore makumi manomwe
- Chikuru panzvimbo yekurohwa mutsara (Chirwere chiduku chinonzi chinonzi kushamiswa kwechirwere cheschemic , kana TIA)
- Nhoroondo yeimwechete kana yakawanda yemamiriro ezvinhu anotevera: Chirwere cheshuga, congestive mwoyo kusakundikana, kukwirira kweropa, kupera kwakare, kana ischemic heart disease (coronary artery disease)
- Izvo zvikamu zveSerum creatinine, iyo inobudiswa apo musuru inoputsika
- High troponin I mazinga. Troponin ipuroteni yakawanikwa mumutsipa wemwoyo; inosunungurwa muropa remvura apo masero ari mumoyo akakuvara kana kuparadzwa.
- High systolic blood pressure (yekutanga, kazhinji yakakwirira, nhamba yakapiwa muropa rekutsvaga; inokera kuoma apo mwoyo inopinda).
- Kuchinja mumigumisiro ye electrocardiogram, iyo inotarisa zviri kuitika mumoyo mako - kunyanya kusagadzirisa rhythm changes; kutanga, zvinowedzera zvipfeko zvevhirikiri ye mwoyo; uye fibrillation yechirungu neyemarara sezvakatsanangurwa kare.
> Sources:
Chalela, Julio A, MA Ezzeddine, L. Davis, S. Warach. "Myocardial Injury muArase Stroke." Neurocritical Care 1 (2004): 343-346.
Maramattom, Boby V. "Kukosha Kwekliniki yeCardiac Troponin Kusunungurwa uye Kushaya Mwoyo Kwevarwere Vane Supratentorial Cerebral Hemorrhages." Mayo Clinic Proceedings 81 (2006): 192-196.
Prosser, Jane, L. MacGregor, K. Lees, H.-C. Diene, W. Hacke, S. Davis. "Kufananidzira kweMapapiro eCardiac and Death After After Ischemic Stroke." Stroke 38 (2007): 2295.