Kushushikana kwemwoyo kunobatanidza nekunotswa kusaneta
Chirwere chisingaperi (fatigue syndrome) (CFS) - inonziwo myalgic encephalopathy, kana ME / CFS - chirwere chinoratidzirwa nekuneta kuneta uye zvimwe zviratidzo zvinogadzirisa kukwanisa kwevanhu kuita mabasa ezuva nezuva. ME / CFS haina kunyatsonzwisiswa uye inotendwa inokonzerwa nekubatanidzwa kwepfungwa, maitiro, uye zvipenyu.
Mumakore achangobva kupfuura, vatsvakurudzi vakaona kuti, kunze kwezviratidzo zvekuora simba, vanhu vane ME / CFS vane mazinga akawandisa emwoyo kusina kunaka kupfuura vanhu vakawanda. Kunyange zvazvo zvinowanzooma kuwirirana nekukonzera, kune vazhinji vari munharaunda yekutsvakurudza vanotenda kuti kushamwaridzana uku kunopfuura kungoitika.
Mhando dzeMwoyo Zvakaipa
Chimwe chidzidzo chekutanga chekutanga chakaitwa muna 2006 chakashuma kuti vanhu vane ME / CFS vakafa nemoyo wekukundikana vakaita saizvozvo pazera remakore 58.7 zvichifananidzwa nemakore 83.7 kune avo vasina ME / CFS. Kunyange pasina munhu anogona kuziva chokwadi chezvinhu zvipi zvingave zvakakonzera mugumisiro uyu, zvidzidzo zvakadai sezvo zvakagara zvichiratidza kuti ME / CFS inobatanidzwa nehuwandu hwemwoyo wemabasa.
Uye kusagadzikana hakumire ipapo. Vamwe vatsvakurudzi vakacherechedza mafungiro akafanana emitemo yemwoyo, kusanganisira:
- kushayikwa kwemazuva mashoma kutarisa kuchinja (zvinoreva kuti mwoyo unokundikana kunonoka sezvinotarisirwa panguva yokurara)
- kambani kaduku kakasiyiwa (kamuri yemwoyo inoputira ropa kune imwe muviri wose)
- postural tachycardia (mamiriro apo mwoyo wekukura unokurumidzira, kazhinji asina kufanana, kana munhu abuda)
- Nhamba yepfupi ye QT (a genetic disorder inokanganisa magetsi emwoyo uye inokonzera kupera kana kurasikirwa kamwe kamwe kwekuziva)
- zvisinganzwisisiki pasi ropa
Izvo zvisina kukodzera zvingangodaro, zvichitsanangura, zvimwe zvezviratidzo zvikuru zve ME / CFS. Vanoratidza zvakare kuti vanhu vanogara ne ME / CFS vangave vachida kushanda nesimba kuti varambe vane utano hwakanaka hwemoyo kupfuura vanhu vari vanhu vakawanda.
Low Heart Rate Variability
Chidzidzo chakaitwa mugore ra2011 chakatarisa kurara muvanhu vane ME / CFS kuitira kuti vanzwisise kuti sei kusavhiringidza kurara kunowanzotaurwa muboka iri. Zvavakawana, zvinoshamisa, ndezvokuti vanhu vane ME / CFS vaisava nekusiyana kwakasiyana mumoyo yavo yekutengesa kubva masikati kusvika usiku, mamiriro ezvinhu anozivikanwa sehutachiona hwemhepo yakasiyana-siyana (HRV).
Kuti unzwisise izvi, kana iwe uchinzwa kupisa kwako uye wofema mukati uye uchibuda zvishoma, unotarira kuti moyo wako unotanga kuchinja zvishoma, kukurumidza kana iwe uchifema uye uchinonoka kana uchifema. Ndiyo mwoyo wekutsvaga kuchinja.
Mhepo yakadzika yeusiku HRV inoratidza kuti kune dambudziko nemagetsi emagetsi anodzora pacemaker yemwoyo (inonzi node ye sinus ). Izvi zvinowirirana nekufunga kuti ME / CFS inogona kukonzerwa, kunyanya muchikamu, nekukanganisa mumunhu wehutongi hwehutongi hwehupenyu (iyo nzira inotonga mabasa asingaiti sekuita sekufema, kupera, uye kushaya mwoyo).
Small Left Ventricle
Chidzidzo che2011 chakawana kuti vamwe vanhu vane ME / CFS vane zviduku zvishoma zvevashandi, kamuri yemwoyo inokonzerwa nekuputira ropa kune imwe muviri wose. Somugumisiro weizvi, vanhu vachagara vachiona zviratidzo zveicho chinonzi kusagadzikana kwetsika (OI) .
Kazhinji, patinomuka kubva panzvimbo yakagara kana kuti kureva nhema, ropa redu rinomuka pfupi kuti ripikise kukuvadza uye kuchengetedza ropa richiyerera kuuropi. NaOI, izvi hazviitike, uye munhu achapedzisira apedza kunzwa achinetseka kana kupera kana paanobuda. Izvi zvinokonzerwa nehupenyu zvinogona kutsanangura kuti sei kushanda kwakanyanya kunowanzopedza munhu ane ME / CFS kupfuura vamwe.
Postural Tachycardia
Postural tachycardia yakafanana neOI kunze kwekuti inosanganisira kuwedzera kwemaitiro kunze kwekuda ropa. Tachycardia ndiyo izwi rezvokurapa nokuda kwekushaya kwemhepo kusinganzwisisiki. Postural tachycardia inongoreva kuti moyo wako unomhanya zvakananga pose paunomuka, zvichiita kuti uve nechezuru kana kutopera. Postural tachycardia inowanzoonekwa kuvanhu vane ME / CFS, inoshanda katatu muyero wevanhu vakawanda.
Mutsara weKutani QT
Nenguva yeKT izwi rinoshandiswa kurondedzera nzvimbo pakati pezvimwe zvepamusoro-uye-pasi pamusoro pekuverenga kwe electrocardiogram (ECG). Nenguva shomanana yeKT inoreva kuti mwoyo wako uri kurova kazhinji asi une mukana muduku wekuwanazve shure kwekushaya moyo. Nenguva shomanana yeQT inowanzoonekwa sechirwere chemazwi uye inobatanidza nehuwandu hwekufa kwechimbichimbi chekufa. Kunyange zvazvo zvisingawanzoitiki muhuwandu hwevanhu, nguva shomanana yeQT inowanzoonekwa kuvanhu vane ME / CFS.
Abnormally Low Blood Volume
Zvidzidzo zviviri zvakaitwa muna 2009 na2010 zvakashuma kuti vanhu vane ME / CFS vaiva nemavhuvhu akawandisa kupfuura vanhu vakawanda. Uyezve, kuoma kweM ME / CFS zvakananga kuenderana nekuderera kweropa rezwi, kureva avo avo vasina kukwanisa kushanda vakanga vane ropa shoma kudarika avo vaive. Vazhinji masayendisiti ikozvino vanodavira kuti ropa rakadzika rinopa huwandu hwezviratidzo zve ME / CFS kuburikidza nokudzivirira masero e okisijeni aidiwa kubudisa simba.
Zvinotsvakurudzwa neUtsvakurudzo
Kunyange zvazvo zvidzidzo zvinoratidza kuti kusaipa kwemoyo uye chirwere chinotyisa kunobatsira pakukwira kwepamusoro kwekukundikana kwemoyo mukati mevanhu vane ME / CFS, havafanire kuratidza kuti ndivo chete zvikonzero. Zvimwe zvinhu, zvakadai sokurema uye mararamiro ekugara , zvinogona kupa zvakawanda kana kupfuura.
Pakupedzisira, zvizhinji zvezviongorori izvi zviduku uye zvakasara uye zvinoda kuongorora kwakawanda kunofungidzirwa kuti yakagadziriswa. Zvinofanira kusimbisa, zvisinei, kuwedzera kudiwa kwekutarisa utano hwemwoyo hwevanhu vanogara ne ME / CFS. Izvi zvinonyanya kukosha kune avo vane zviratidzo zvakakomba uye chero munhu ane ngozi dzechirwere chepfungwa (kusanganisira kusvuta, kuneta, uye kusava nekurovedza muviri).
Chii chinowedzera kujekesa ndechekuti ME / CFS haisi "zvose zviri mumusoro wako." Kana ukararama neE ME / CFS, uite sezvinozoita chero humwe hutano hwekutarisa nekutarisa kwete paurwere pachako pachako asi pamagumisiro ayo pane hutano hwako hwose.
> Sources:
> Hurwitz, B., et. al. "Kukanganisika kwechirwere chisingarapiki: chirwere chakakomba, mararamiro ehupenyu, ropa rehumwe uye uchapupu hwokuderedza mwoyo." 2009; 118 (2): 125-35.
> Jason LA, et. al. Utano hwakanaka hwevakadzi pasi rose. 2006 Aug; 27 (7): 615-26. Zvinokonzera rufu pakati pevarwere vane chirwere chisingaperi chisinganeti.
> Miwa, K. naF Fujita, M. "Mwoyo mutsva wakaderera nehutachiona hwehutano hwehutano hwevamwe varwere vane chirwere chisingaperi chine simba." Clinical Cardiology. 2011; 34 (12): 782-6.
> Naschitz J., et. al. "Kupfupiswa kwemukati weKT: chimwe chinhu chakasiyana nedysautonomia yekusingaperi kuneta kwechirwere." European Journal ye Internal Medicine. 2006; 39 (4): 389-94.
> Rahman K., et. al. "Kurara kwemaitiro muhutano husingaperi." Kurara. 2011; 34 (5): 671-8.