Zvinetso zvemwoyo zvinowanzoshungurudza kune vanhu vane chirwere. Kana iwe uine chirwere, iwe nevanachiremba munofanirwa kuve wakangwarira pamusoro pemwoyo wako munguva yepamusoro yechirwere, munguva yekudzorera - uye pashure.
Mhando dzeCardiac Matambudziko Anoonekwa neStroke
Mhando dzakawanda dzehutano hwemwoyo dzinowanzoonekwa kuvanhu vanotambura nesitiroko.
Izvi zvinosanganisira myocardial infarction (kurwisa kwemwoyo), kukanganiswa kwemwoyo, uye mapirimic arrhythmias - kunyanya kushaya firati , ventricular tachycardia uye ventricular fibrillation .
Matambudziko emwoyo anokonzerwa nekurohwa angakonzerwa neroroyo pachayo, kana kuti inogona kukonzerwa nehumwe hutsika huripo hunobudisa chirwere (chinowanzosanganisira, kugadziriswa kwetari). Kana, dambudziko remwoyo rinogona kuitika pakutanga, uye kushungurudzika kunogona kuitika kubva. (Izvi zvinonyanya kuonekwa apo inrial fibrillation inobatanidza kuropi.).
Saka pose apo chirwere chinokonzerwa nechinetso chemwoyo, zvakakosha kuti chiremba aite zvose zvaanogona kuronga chikonzero-uye-zvinoitika. Izvi zvinonzwisisika kuitira kuti kurapa kwakanakisisa kunogona kusarudzwa kuti kukurumidze kupora uye kudzivirira mamwe matambudziko mune ramangwana.
Stroke uye Myocardial Infarction
Vose vanenge 13% vevarwere vakaroorwa vane makore 60 kana kupfuura vachavewo nehosha yepfungwa mumazuva matatu ekurohwa.
Kusiyana naizvozvo, hazvisi zvisizvo kuti chirwere chepfungwa chikurumidze kuteverwa nesitiroko.
Nokuti varwere vazhinji vane chirwere chakanyanya kuoma vanogona kuomerwa nekuona kana kuzivisa zviratidzo zvekurwadziwa kwemwoyo , dambudziko remwoyo rinogona kuonekwa risingaoneki. Nokudaro, zvakakosha kuti vanachiremba vanotarisira varwere vemaitiro kuti vatarise zvakanyatsonaka nokuda kwezviratidzo zvemwoyo ischemia .
Izvi zvinosanganisira kuongorora maEGG zvishoma zuva nezuva kwemazuva mashomanana ekutanga uye kuongorora enzyme yemoyo yezviratidzo zvemoyo.
Hazvisi zvachose zvakajeka kuti sei mwoyo inorwadza uye kurwadza kwakanyanya kunoitika pamwe chete kakawanda. Zvichida kuti vamwe vanhu vane atherosclerosis vanogona kupedza nguva dzenzira iyo ngozi yeprombosis panzvimbo yeimwe atherosclerotic plaque inonyanya kukwirira (somuenzaniso, kwezuva kana maviri mushure mekusvuta fodya ).
Sezvo mavara ari anowanzowanika mune arteriyano inopa moyo uye uropi, panguva dzakadaro dzengozi dzakanyanya kuputika nekurwadziwa kwemoyo zvinogona kuitika pamwe chete.
Zvinonyanya kukosha kuti vanachiremba vabata chirwere chemwoyo chakaoma kuti vave nechokwadi chokuti murwere haasiwo ane chirwere vasati vashandisa zvinodhaka zveprombolytic (kureva, "clot busters"). Kunyange zvazvo kupera kweporosiyamu muyoriyoroni inowanzorapa, kupedza chirwere chepfungwa chinokonzera hutori kunogona kutungamirira kuuropi kuputika uye kuwedzera kuderera kwesitiroko.
Pakupedzisira, chokwadi chaicho chokuti munhu aine chirwere chepuroke anoisa panzvimbo yavo pangozi yekurwadziwa kwemoyo munguva yemberi. Izvi ndechokuti, muzviitiko zvakawanda, kupora ndiko kunokonzerwa nekushaya atherosclerosis, chirwere chimwechete icho chinotungamirira kumarwadzo emwoyo.
Saka vanhu vazhinji avo vakaponeswa chirwere chepachirwere vanonyanya kuve nehutano hwehutachiona hwehutano (CAD) , uye vanofanira kuita mhirizhonga yekuderedza dambudziko ravo remangwana remangwana.
Kushungurudza uye Kushaya Mwoyo
Stroke inogona kubatanidzwa neutsva kana kuipa kwemoyo kusakundikana.
Kukanganiswa kwemwoyo kunogona kuitika kana chirwere chiri pamwe chete neyo myocardial infarction.
Uyezve, chirwere ichocho chinogona kukonzera kukanganisa kwemwoyo kuburikidza nekuwedzera kuwedzera kwemazinga adrenaline (pamwe chete nezvimwe, zvishoma zvakanyatsotsanangurwa neurological change). Izvi zvinogona kukonzera kushaya mwoyo ischemia (kutadza kwe okisijeni mumutsipa wemwoyo) kunyange kune vanhu vasina CAD.
Mwoyo wakakonzerwa ne "chirwere chepfungwa" chinonzi "cardiac ischemia", chinowanzova chisingaperi, chinowanzoshungurudza kune vechiduku, vane hutano avo vane chirwere chekurohwa kwechirwere.
Stroke inobatanidzawo nechekare "mwoyo unoshamisa," umo chikamu chemuviri wemwoyo chinongomira kushanda zvakanaka. Ichi chiitiko, chinogona kunge chakangofanana neicho chinonzi " broken heart syndrome ," chinogona kubudisa zvikamu zvekukurira, asi kwenguva pfupi, kukanganisa kwemwoyo.
Stroke uye Cardiac Arrhythmias
Chirwere chemaitiro chinonzi cardiac arrhythmias chinoonekwa mumazuva mashomanana ekutanga mu 25% yevarwere vanobvumirwa kuchipatara vane chirwere chakanyanya.
Chirongwa chemaitiro chinowanzobatanidzwa neroproke isharia fibrillation, iyo inokonzera kudarika hafu yepfungwa-yakabatana mwoyo miviri yezvinetso.
Upenyu hunotyisa hunogona kuitikawo, kusanganisira ventricular fibrillation uye kusungwa kwemwoyo. Muzviitiko zvizhinji, zvirwere zvinogona kuuraya zvinokonzerwa neHTT kwenguva refu , izvo zvingaguma nekurohwa.
Bharcarcardia inokosha (slow heart rate) inogona kuitika zvakare mushure mekurohwa. Kazhinji, bradycardia inopera, asi pane dzimwe nguva chinonzi mwoyo block inogona kuonekwa, inoda kuiswa kwepemaker .
Summary
Matambudziko emwoyo akakomba anowanzoitika shure kwekurohwa. Munhu wose anotambura chirwere chinofanira kuongororwa zvakanyatsotariswa uye kuongororwa kwemazuva mashomanana kuitira kuti mukana wekuita myocardial infarction, mwoyo kusakwanisa, uye cardiac arrhythmias. Uye nokuti chirwere chinowanzoratidza kuti iwe uri pangozi yakanyanya yezvinetso zvemuviri wepamusoro, matanho ane utsinye ekuderedza dambudziko rako remwoyo inonyanya kukosha kana iwe wakarohwa.
> Sources:
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> Kumar S, Selim MH, Caplan LR. Zvinetso Zvoutano Pashure pekurohwa. Lancet Neurol 2010; 9: 105.
> Samuels MA. The Brain-Heart Connection. Circulation 2007; 116: 77.