Omutima gwo munafu? Ka tuyige ku bulwadde bw'omutima obuyitibwa Diastolic Heart Failure!

Oluusi owulira ng’omukka gukukendeddeko katono? Oba owulira ng’ozirika ne bw’oba ​​otambudde akabanga katono? Mpozzi olina okwewanirira n’emitto ebiri oba esatu ekiro n’otosobola kugalamira butereevu? Bino biyinza obutaba bukoowu bwokka. Leero tugenda kwogera ku mbeera abantu bangi gye batamanyi, naye eyinza okukosa ennyo obulamu bw’omutima gwaffe era eyinza okuba ey’amaanyi ennyo. Okwo kwe kulemererwa kw'omutima okuyitibwa Diastolic Heart Failure .

Omanyi Diastolic Heart Failure kye ki?

Mu ngeri ennyangu, Diastolic Heart Failure mbeera ng’ekisenge ekikulu eky’okupampagira omutima gwo, left ventricle , kikaluba ne kitasobola kujjuza musaayi gumala. Kino era kiyitibwa Heart Failure with Preserved Ejection Fraction (HFpEF) .

Waliwo ebika by’okulemererwa kw’omutima bibiri ebibeera ku ludda olwa kkono olw’omutima gwaffe. Obulwadde bw’omutima obuyitibwa diastolic heart failure kye kika kimu. Ekika ekirala ye systolic heart failure . Ekibaawo awo kwe kukendeera mu busobozi bw’omusuwa gwa kkono okukuba omusaayi. Naye leero twogera nnyo ku diastolic heart failure.

Ekitundu kya kkono eky’omutima gwaffe kikola ki?

Obadde okimanyi nti omutima gwaffe gulinga ennyumba erimu ebisenge bina? Waliwo ebisenge bibiri ku mwaliiro ogw’okungulu (omusuwa ogwa ddyo n’omusuwa ogwa kkono), n’ebisenge bibiri ku mwaliiro ogwa wansi (omusuwa ogwa ddyo n’omusuwa ogwa kkono). Ventricle eya ddyo ekuba omusaayi mu mawuggwe gokka. Naye ekitundu kya kkono kye kitundu ekisinga obukulu ekikuba omusaayi mu mubiri gwonna. Eno y’ensonga lwaki ekitundu kya kkono ekiyitibwa left ventricle kye kisenge ekisinga obunene mu mutima. Ye eyo egaba omusaayi ogulimu omukka gwa oxygen mu mubiri gwaffe gwonna.

Ebigambo Diastolic ne Systolic bitegeeza ki?

Wali obadde opimiddwa puleesa yo? Ewa ennamba bbiri. Ennamba ezo ebbiri ziyitibwa systolic ne diastolic.

Lowooza ku kino, buli omutima gwo lwe gukuba, gusika omusaayi omutono mu nkola y’okutambula kw’omusaayi mu mubiri gwo gwonna. Puleesa etondebwawo ng'omusaayi ogwo gukubiddwa eyitibwa puleesa y'omusaayi eya systolic .

Puleesa y’omusaayi (diastolic blood pressure) ye puleesa eri mu misuwa ng’omutima guwummudde wakati w’okukuba, kwe kugamba ng’ebinywa by’omutima biwummudde katono.

Eno y’ensonga lwaki puleesa yo erina empisa bbiri:

• Ennamba ey’oku ntikko ye puleesa ya systolic.
• Ennamba eya wansi ye puleesa ya diastolic.

Kati, otegedde engeri ekigambo "diastolic" gye kijja nga tugamba nti diastolic heart failure? Ekyo kitegeeza nti obuzibu buli mu kiseera kya diastolic phase, ng’omutima guwummudde era nga gujjula omusaayi.

Obulwadde bw’omutima obuyitibwa diastolic heart failure bukosa butya omubiri gwo?

Oludda olwa kkono olw’omutima gwo naddala omusuwa gwa kkono bwe gukaluba, bino bye bibaawo:

• Omutima tegusobola kuwummulamu bulungi wakati w’okukuba kw’omutima.
• N’olwekyo, omutima tegujjula musaayi gumala .
• Omutima omulamu ogwa bulijjo tegusobola kussa musaayi mungi bwe gutyo mu mubiri gwonna.

N’ekyavaamu, oyinza okufuna obubonero bw’omutima okulemererwa. Oyinza okukaluubirirwa okussa, era oyinza okuwulira ng’okooye ne bw’owummudde otya . Oyinza n’okukaluubirirwa okussa ng’ogalamidde ekiro. Oyinza n’okulaba okuzimba (edema) mu lubuto oba amagulu. Obubonero buno buyinza okweyongera mpolampola okumala ekiseera.

Kiki ekivaako okulemererwa kw’omutima okuyitibwa Diastolic Heart Failure?

Waliwo ebintu ebiwerako ebiyinza okuvaako embeera eno. Ebimu ku byo bye bino:

• Atrial fibrillation (Afib) : Kino kibeera kikuba omutima mu ngeri etategeerekeka.
• Obulwadde bw’emisuwa gy’omusaayi : Okuzibikira emisuwa egigabira omutima omusaayi.
• Ekirwadde ekya sukaali
• Puleesa (puleesa) .
• Obulwadde bw’okusannyalala mu tulo (OSA) .
• Obunene
• Obulwadde bw’ekibumba obutawona
• Endwadde endala ezikwata ebitundu by’omutima, gamba nga amyloidosis .

Bw’otunuulira ensonga zino, kyeyoleka lwatu nti endwadde nnyingi ze twetaaga okufuga mu bulamu bwaffe obwa bulijjo zikosebwa kino.

Bubonero ki obulaga embeera eno?

Obubonero bw’okulemererwa kw’omutima mu diastolic bufaanagana nnyo n’obw’ebika ebirala eby’okulemererwa kw’omutima. Bw’oba ​​olina embeera eno, oyinza okufuna obubonero nga:

• Okuwunya, eddoboozi ng’okusesema oba okuwunya .
• Okuziyira .
• Edema , ekitegeeza okuzimba naddala mu magulu, enkizi, ebigere oba mu lubuto.
• Obukoowu obutawona .
• Okufuka ennyo .
• Okussa obubi , naddala ng’ogalamidde oba ng’okola emirimu emitono.
• Okukendeera mu kugumiikiriza dduyiro . Lowooza, bw’oba ​​kati owulira ng’ekifuba kikunyiga era ng’olina obuzibu mu kussa ng’olinnya amadaala ge wali osobola okulinnya amangu, kano kayinza okuba akabonero.

Mugaso:Bw’oba ​​olina ekimu oba ebisingawo ku bubonero buno, nsaba onoonye omusawo amagezi. Bino bulijjo biyinza obutaba biva ku kulemererwa kw’omutima okuyitibwa diastolic heart failure, naye kikulu nnyo okuzuula ekituufu.

Obulwadde bw’omutima obuyitibwa Diastolic Heart Failure buzuulibwa butya?

Bw’ogenda okulaba omusawo, ajja kukubuuza ku bubonero bwo n’ebyafaayo by’obulamu bw’amaka go, n’oluvannyuma akukebere n’okuwuliriza omutima gwo ng’akozesa ekyuma ekiwuliriza .

Okukebera okw’enjawulo okuwerako kuyinza okukolebwa okuzuula ekizibu kino eky’omutima. Okugeza nga:

• X-ray y'ekifuba : Kuba ebifaananyi by'ekifuba n'omutima.
• Electrocardiogram (EKG) : Okukebera okuwandiika amasannyalaze g’omutima.
• Echocardiogram : Ekozesa amaloboozi okwekenneenya ensengekera n’enkola y’ebinywa by’omutima ne vvaalu.
• Okukebera situleesi mu dduyiro : Omutima gwo gweyongera okukuba, oba ng’okuwa eddagala oba ng’otambulira ku treadmill, era omutima gwo gulondoolebwa okulaba oba guddamu.
• Cardiac catheterization : Ekituli ekigonvu ekituli (catheter) kiyingizibwa okupima puleesa n’okutambula kw’omusaayi mu mutima.

Ebigezo bino bye bisobozesa omusawo okuzuula ddala embeera gy’olina.

Bujjanjabi ki obukolebwa ku kino?

Tosattira singa okizuula nti olina obulwadde bw’omutima obuyitibwa diastolic heart failure. Waliwo obujjanjabi obugijjanjaba. Omusawo wo ajja kukuwa amagezi okukyusa mu bulamu bwo . Emize emirungi giyinza okulongoosa obulamu bw’emisuwa gyo n’okuyamba omutima gwo okukola obulungi. Oyinza okufuna obuweerero ng’okola ebintu bino:

• Tuuka n'okukuuma obuzito obulungi .
• Okulya emmere erimu sodium omutono omutima ogulemererwa . Kiba kirungi nnyo okukendeeza omunnyo mu mmere gye tulya ne tulya ebibala n’enva endiirwa.
• Okujjanjaba puleesa .
• Okwambala ekyuma kya CPAP singa oba olina obulwadde bw'okusannyalala mu tulo .
• Okukola dduyiro okumala eddakiika ezitakka wansi wa 30 ennaku ezisinga mu wiiki.
• Okulekera awo okunywa sigala n'okukozesa ebintu ebikolebwa mu taaba . Buuza omusawo wo oba weetaaga obuyambi ku nsonga eno.

Enteekateeka yo ey'obujjanjabi eyinza n'okubeeramu eddagala eriwandiikiddwa omusawo . Kikulu nnyo okumira eddagala lyo ddala nga omusawo bw’akulagira.

Abantu bangi abalina HFpEF nabo bayinza okuba nga bamira eddagala eriweweeza ku mbeera z’omutima endala. Omusawo ayinza n’okukuwa eddagala naddala erijjanjaba omutima oguyitibwa diastolic heart failure. Mu bino biyinza okuli:

• Eddagala erifulumya omusulo : Eddagala eriyamba okuggya sodium (omunnyo) n’amazzi ebisukkiridde mu mubiri. Bino bye tutera okuyita "diuretics."
• Mineralocorticoid receptor antagonists : Zino era ziyamba okukuuma omuwendo gwa potassium ate nga ziggya sodium ayitiridde mu mubiri.
• Eddagala erikendeeza puleesa .

Obulwadde bw’omutima obuyitibwa diastolic heart failure busobola okuwona ddala?

Mu butuufu, okulemererwa kw’omutima okuyitibwa diastolic heart failure tekusobola kuwona ddala . Kyokka bw’ofuna obujjanjabi obutuufu, osobola okufuga obubonero n’okulongoosa enkola y’omutima gwo. Kino kitegeeza nti osobola okubeera obulungi n’embeera eno.

Kiki kye tuyinza okukola okukendeeza ku kabi kano?

Engeri esinga okukendeeza ku bulabe bw'okulemererwa kw'omutima mu diastolic kwe kwettanira emize emirungi . Emize gino gijja kulongoosa obulamu bw’omutima gwo okutwalira awamu n’okukendeeza ku bulabe bw’okufuna endwadde z’omutima.

Osobola okukendeeza ku bulabe bwo ng’okola ebintu bino:

• Okulya emmere eyamba omutima .
• Okukola dduyiro buli kiseera .
• Kkomya okunywa omwenge era weewale okunywa sigala .
• Okufuga embeera nga sukaali, puleesa, ne kolesterol omungi .

Endowooza etya eri omuntu alina obulwadde bw’omutima obuyitibwa Diastolic Heart Failure?

Bw’ofuna obujjanjabi, osobola okubeera obulungi n’obulwadde bw’omutima obuyitibwa diastolic heart failure. Ekisinga obukulu kwe kugoberera enteekateeka y’obujjanjabi bw’omusawo wo mu butuufu. Wadde ng’okulemererwa kw’omutima okuyitibwa diastolic heart failure kuyinza obutaggwaawo ddala, osobola okuddukanya obubonero bwo.

Kiki ekirala ky’oyagala okubuuza omusawo wo?

Osobola okubuuza omusawo ebibuuzo nga bino:

• Kiki kye nnyinza okukola okutangira omutima guno okulemererwa okweyongera?
• Mmere ki gye nsaanidde okwewala okulya nga nnina obulwadde bw’omutima obuyitibwa diastolic heart failure?
• Kiki kye nsobola okukola okuddukanya ebizibu ebiva mu ddagala?
• Mirundi emeka gye nnina okulaba omusawo ku mbeera eno ey’okulemererwa kw’omutima okuyitibwa diastolic heart failure?

Obubaka Obutwala Awaka

Obulwadde bw’omutima obuyitibwa Diastolic heart failure kye kimu ku bika bibiri eby’okulemererwa kw’omutima ebibeerawo ku ludda olwa kkono olw’omutima. Era eyitibwa HFpEF . Obulabe bw’okufuna embeera eno bweyongera ng’ogenda okaddiwa. Ate era, akabi kasinga singa oba olina embeera z’obujjanjabi ezikusibukako, gamba nga ssukaali oba puleesa.

Wadde nga tewali ddagala lyonna eriwonya obulwadde bw’omutima obuyitibwa diastolic heart failure, obubonero busobola okuddukanyizibwa obulungi nga tuyita mu nkyukakyuka mu bulamu n’eddagala.

Abantu bangi babeera mu bulamu obujjuvu, obw’okukola ennyo nga balina obulwadde bw’omutima obuyitibwa diastolic heart failure. N’olwekyo, totya era goberera amagezi amatuufu ag’abasawo.

Omutima okulwala, okulemererwa kw’omutima mu diastolic, okukola kw’omutima, okussa obubi, okuzimba, puleesa, ssukaali