Uri munhu anowanzoita maekisesaizi here? Ngatidzidzei nezve "Moyo weMutambi"?

Waizviziva here kuti kana tikaita maekisesaizi akawanda, kunyanya kana tikaita maekisesaizi anorema kweanopfuura awa pazuva, mwoyo yedu inogona kuona shanduko dzakati? Izvi ndizvo zvatinodaidza kuti "Moyo weMutambi." Kazhinji, shanduko idzi hadzina njodzi, asi dzimwe nguva zviratidzo izvi zvinogona kufanana nezvezvimwe zvirwere zvemwoyo, saka zvakakosha kuti uzvizive.

Chii chinosiyanisa mwoyo wemutambi nechirwere chemwoyo chinonzi hypertrophic cardiomyopathy?

Sezvo mimwe yemigumisiro yebvunzo (Electrocardiogram - EKG) yezvose zviri zviviri ichitaridzika zvakafanana, zvakakosha zvikuru kuziva mutsauko chaiwo pakati pezviviri izvi. Nekuti chimwe chine njodzi, chimwe chine njodzi.

Chii chinonzi Hypertrophic Cardiomyopathy?

Kana ukafunga nezvazvo, iyi inyaya yakakomba.

• Izvi zvinogona kukonzera kuti vatambi vafe nekufa kwemwoyo kamwe kamwe.
• Nzvimbo iri mukati me ventricle yekuruboshwe yemoyo wako inova diki.
• Rusvingo rwe ventricle yekuruboshwe rwakakora kupfuura rusvingo rwemwoyo wemunhu ane moyo wemutambi.

Saka chii chinonzi Moyo weMutambi?

Izvi hazvina chekutyiwa.

• Izvi hazvizokonzere kuti vatambi vafe nechirwere chemwoyo kamwe kamwe.
• Nzvimbo iri mukati me ventricle yekuruboshwe yemoyo wako inokura.
• Madziro eventricle yekuruboshwe anokora, asi kwete zvakanyanya sezvakaita hypertrophic cardiomyopathy.

Ndiani anowana chirwere ichi chinonzi moyo wemutambi?

Zvichitaurwa zviri nyore, chirwere ichi, chinozivikanwa se "moyo wemutambi," chinokanganisa vanenge 2% yevatambi. Hazviitike kamwe kamwe. Chinowanzoitika kuvanhu vanga vachidzidzira nesimba kwemakore, zvichireva kuti vari kuita maekisesaizi akasimba kwezuva rose. Semuenzaniso, funga nezvevanomhanya marathon, vanoshambira daro refu, uye vanotasva mabhasikoro. Dzimwe ongororo dzinoratidza kuti chirwere ichi chinowanzoitika pakati pevatambi vatema kupfuura mamwe marudzi.

Mwoyo wemutambi unokanganisa sei muviri wako?

Funga nezvazvo, paunenge uchimhanya, uchishambira, kana kuita chero chimwe chiito chinorema, tsandanyama dzako dzinoda okisijeni yakawanda kupfuura yakajairika, handiti? Saka, kuti ugutse kuda uku kwakawedzerwa kweokisijeni, mwoyo wako unofanirwa kushanda nesimba zvishoma. Kunyanya, ventricle yekuruboshwe yemoyo wako—kamuri huru inopomba ropa rakawanda reokisijeni kune muviri wako wese—inotanga kupomba ropa rakawanda kupfuura zvakajairika, pasi pekumanikidzwa kwakanyanya. Iyi ventricle yekuruboshwe ndiyo inogovera ropa rakawanda reokisijeni kune muviri wako wese kuburikidza neaorta.

Saka, sezvaunoramba uchishanda zuva nezuva kuti muviri wako uwane ropa rakawanda neokisijeni, kungofanana netsandanyama dzemunhu anosimudza zvinorema dzinokura, ventricle yako yekuruboshwe inokurawo.Tsandanyama dzemwoyo dzinotanga kukura uye madziro etsandanyama dzemwoyo anokora. Iyi ndiyo nzira yemoyo yekuchinjika kune dambudziko idzva.

Zvisinei, kana wakazorora, mwoyo wako haudi kupomba ropa rakawanda. Nokudaro, mwoyo unogona kupomba ropa rinodiwa nemuviri kunyangwe kurova kwemoyo kwakaderera. Ichi ndicho chikonzero chikuru chinoita kuti vanhu vane mwoyo yemutambi vave nekurova kwemoyo kwakaderera zvakanyanya pane kwevanhuwo zvavo. Izvi zvinodaro nekuti moyo unoshanda zvakanaka.

Ndezvipi zviratidzo zveizvi?

Heino chimwe chinhu chinoshamisa vanhu vazhinji, uye zvakakosha kuziva. Hapana zviratidzo chaizvo zve athletic heart syndrome. Izvi zvinoreva kuti kunyangwe uine chirwere ichi, ungasanzwa kusagadzikana, kurwadziwa, kana kusagadzikana.

Zvisinei, kana uchinzwa kurwadziwa pachipfuva, kushaya mweya, kurova kwemoyo zvakanyanya, kana kupera simba panguva yekurovedza muviri, hazvisi zvemoyo wemutambi chete. Zvingangodaro chimwe chirwere chemwoyo, pamwe chakakomba. Saka kana uine zviratidzo zvakadaro, usazvitore sezvisina basa. Nguva dzose zvakanaka kuona chiremba woongororwa.

Ndezvipi zvikonzero zvemwoyo wemutambi?

Kazhinji, vamwe vatambi vanowana chirwere ichi chinonzi moyo wemutambi mushure mekudzidziswa zvakasimba kutsungirira kana kudzidziswa simba. Kureva, kumhanya daro refu, kushambira kwemaawa, uye kuchovha bhasikoro.

Zvikuru sei, mitambo yekutsungirira ndiyo inonyanya kuwedzera saizi neukobvu hwemadziro emutambi wekuruboshwe, nekuti mumitambo yakadaro moyo unofanirwa kupomba ropa kwenguva yakareba.

Heano mimwe mitambo inogona kukurudzira mweya uyu wemitambo:

• Kukwasva
• Kushambira
• Kuskiya muchando - Kunyangwe izvi zvisiri kufarirwa zvakanyanya muSri Lanka, uyu muenzanisowo.
• Kutasva bhasikoro
• Kumhanya daro refu

Unoziva sei kana une mwoyo wemutambi?

Ichi hachisi chinhu chaunogona kuongorora uri kumba. Chiremba anogona kunyatsoziva izvi. Vachakuongorora, vachakubvunza nezvemitambo yako, kuti unodzidzira kwenguva yakareba sei, nezvimwewo. Pamusoro pezvo, kune zvimwe zviratidzo zvavachatsvaga:

• Kugunun'una kwemoyo inzwi remwoyo risingawanzoitiki rinonzwika kana chiremba akateerera chipfuva chako achishandisa stethoscope.
• Manzwi ekurova kwemoyo akawandisa asingawanzo kuwanikwa mumoyo une hutano.
• Kurova kwemoyo zvishoma nezvishoma (bradycardia) pakuzorora - kureva kuti, kurova kwemoyo kusingasviki makumi matanhatu paminiti.
• Kumanikidzwa kweropa kwakaderera zvishoma pane zvakajairwa.

Ndedzipi bvunzo dzinoitwa kusimbisa izvi?

Kana chiremba aine fungidziro, anogona kuita bvunzo dzinoverengeka kuti asimbise uye ave nechokwadi chekuti ichi hachisi chimwe chirwere chemwoyo chine njodzi:

• Electrocardiogram (EKG/ECG): Iyi inoyera mashandiro emagetsi emwoyo. Vanhu vane mwoyo yemutambi vanogona kuratidza zvimwe zvinhu zvisina kujairika pavanenge vakazorora, asi zviratidzo izvi zvinopera nekurovedza muviri.
• Echocardiogram: Izvi zvakafanana neultrasound scan yemoyo. Inogona kuona zvinhu zvakawanda zvakaita sehukuru hwemakamuri emwoyo, ukobvu hwemadziro, uye mashandiro ari kuita mavharuvhu. Izvi zvakakosha zvikuru kusiyanisa pakati pemwoyo wemutambi nemamiriro ezvinhu ane njodzi akadai seHypertrophic Cardiomyopathy yambotaurwa.
• X-ray yechipfuva: Izvi zvinogona kupa pfungwa isina kujeka yehukuru nechimiro chemwoyo.
• Kuongororwa kwekurovedza muviri kwemwoyo nemapapu: Izvi zvinosanganisira kumhanya uri patreadmill uye kutarisa kuti mwoyo wako nemapapu zvinopindura sei pakurovedza muviri.
• MRI yemoyo: Iyi haiwanzo shandiswa kuongorora chirwere ichi.
• Kuyedzwa kwekushushikana: Izvi hazviwanzo shandiswa.

Mwoyo wemutambi unorapwa sei?

Heano mamwe mashoko akanaka! Chirwere chemwoyo chemutambi hachidi kurapwa kwakakosha. Nekuti hachisi chirwere, imhinduro yakajairika uye ine hutano yemoyo pakurovedza muviri.

Zvisinei, kana chiremba wako aine kusava nechokwadi nezvekuti une chirwere chemwoyo chemutambi here kana chimwe chirwere chemwoyo, chakadai se cardiomyopathy, kuti asimbise, anogona kukukumbira kuti urege kurovedza muviri kwakaoma kwemwedzi mitatu. Zvadaro, vachaita imwe bvunzo, yakaita se echocardiogram, kuti vaone kana mwoyo wako wadzikira muhukuru kana kuti pane shanduko dzakaitika.

Moyo wemutambi uyu uri kupera here?

Ehe, zvinowanzoitika. Mushure mekunge vatambi vazhinji varega kurovedza muviri zvakanyanya, kana kuderedza simba rekurovedza muviri kwavo, moyo yavo inodzokera zvishoma nezvishoma pakukura kwayo uye ukobvu hwayo. Izvi zvinogona kutora mwedzi yakati wandei.

Zvisinei, imwe ongororo yakawana kuti vanenge 20% vevatambi vepamusoro-soro vekare vakanga vachiri ne ventricle yekuruboshwe yakakurisa zvishoma makore mashanu mushure mekunge varega kurovedza muviri zvachose. Asi havana kutaura nezvemigumisiro yakaipa.

Ndingaderedza sei njodzi yeizvi?

Mwoyo wemutambi imhinduro yakajairika uye ine hutano yemwoyo kana uchiita maekisesaizi akaomarara, saka haisi chirwere chine njodzi. Saka, hapana chikonzero chekuita chero chinhu chakakosha "kuderedza njodzi." Kutaura zvazviri, vamwe vanhu vanoiona sechiratidzo chemwoyo wakasimba.

Kana ndine mwoyo wemutambi, chii chandinofanira kutarisira?

Kana chiremba akakuudza kuti une moyo wemutambi, usazvidya moyo nazvo. Kurovedza muviri kwakanakira mwoyo wako. Vanhu vane moyo wemutambi havawanzorwara nechirwere chemwoyo gare gare. Kutaura zvazviri, ongororo yakaitwa pavatambi vepamusoro yakaratidza kuti kurovedza kwavo kutsungirira hakuna kuvadzivirira kubva pakuva nechirwere chemwoyo gare gare. Panewo humbowo hwekuti vanorarama hupenyu hurefu, hune hutano kupfuura munhuwo zvake.

Mwoyo wemutambi unogara kwenguva yakareba sei?

Zviri nyore kwazvo. Mwoyo wemutambi unogona kuramba uripo chero bedzi ukaramba uchidzidzira nesimba. Kunyangwe ukadzikisa simba rekurovedza kwako kana kumisa zvachose, moyo wako uchadzokera pakukura kwawo kwakajairika uye ukobvu mukati memwedzi mitatu.

Ndinofanira kuona chiremba rini?

Ichi ndicho chinhu chinonyanya kukosha. Kunyangwe moyo wemutambi usiri wengozi, pane zvimwe zviratidzo zvekuti unofanira kuona chiremba kana uine izvozvo. Nekuti zviratidzo izvozvo zvinogona kuva chiratidzo cheimwe chirwere chemwoyo chakakomba.

Zviratidzo izvozvo ndeizvi:

• Kufenda kamwe kamwe, kunyanya panguva yekurovedza muviri kana mushure mekurovedza muviri.
• Kurwadziwa pachipfuva kana kunzwa kubatwa muchipfuva.
• Kunzwa moyo wako uchirova nekukurumidza/kurova kwemoyo, kana kuri kukukonzera kusagadzikana.
• Kunzwa kufema zvakanyanya kupfuura zvakajairika paunenge uchirovedza muviri.

Yeuka kuti zviratidzo izvi hazvina chekuita nemoyo wemutambi. Zvinogona kuratidza kuti une chirwere chemwoyo kana chirwere chemwoyo chine njodzi sechatakambotaura nezvacho (cardiomyopathy). Saka chenjerera nezvezviratidzo izvi, uye kana uinazvo, enda kuna chiremba nekukurumidza.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uchinzwa sekuti uri kurwara nemoyo (semuenzaniso, kurwadziwa kwakanyanya pakati pechipfuva, kuchibuda kuruoko, mutsipa, shaya, kudikitira, kuda kurutsa), fonera 1990 (Sri Lanka's emergency ambulance service) pasina kunonoka. Uyewo, kana ukaona mumwe munhu akangoerekana adonha, asisina chaanoziva, uye asingachabatike, fonera emergency service nekukurumidza wokumbira rubatsiro.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana chiremba wako achifunga kuti ungave uine chirwere chemwoyo chakasiyana nechirwere chemwoyo chemutambi, kana kuti kana vachifungidzira kuti chimwe chinhu chakafanana, vachakuudza kuti umire kurovedza muviri kwenguva yakati kuti uone kana chirwere chacho chakanyatsojeka. Kana zvakadaro, usavhunduke, uye bvunza chiremba wako nezvezvinotevera:

• "Pane mimwe miedzo yandingaedza kutsvaga rumwe ruzivo nezvenyaya iyi here?"
• "Kana ukarega kudzidzira, zvinotora nguva yakareba sei kuti uongororwe zvakare?"

Dzimwe nguva, kunyangwe vanachiremba vapedza bvunzo dzese dzavanogona, kana paine fungidziro diki yekuti ungave uine cardiomyopathy, zvinogona kukuomera mupfungwa kuti urege kurovedza muviri kwenguva yakati kuti uone kana moyo wako wadzoka pamaitiro akajairika. Mitambo inogona kunge iri chikamu chikuru chehupenyu hwako.

Asi, funga nezvehutano hwako neramangwana rako. Taura nachiremba wako nezveizvi pachena uye nekuvimbika. Pasinei nekuti mitambo yakakosha sei kwauri, hupenyu hwako hunotonyanya kukosha, handiti?

Mimwe mibvunzo inowanzo bvunzwa nachiremba wako inosanganisira:

• Ndinofanira kuongororwa chirwere chemwoyo nguva nenguva here?
• Ndinofanira kuongororwa hutano hwemwoyo wangu kangani?
• Pane here chimwe chinhu mumishumo yangu yebvunzo chinotaura kuti vamwe vemumhuri mangu (amai, baba, vanun'una nemadzikoma) vanofanira kuongororwa chirwere chemwoyo? (Izvi zvakakosha nekuti zvimwe zvirwere zvemwoyo zvinogarwa nhaka.)

Saka, chii chatinofanira kuyeuka kubva munyaya iyi?

Zvichitaurwa zviri nyore, kana uri munhu anowanzoita maekisesaizi, kunyanya maekisesaizi ekutsungirira, zvakajairika kuti moyo wako ushanduke. Izvi zvinonzi "Moyo weMutambi." Ichi hachisi chirwere chine njodzi. Kazhinji, hachidi kurapwa, uye moyo unodzokera pakuva wakajairika kana ukaderedza simba rekurovedza muviri kwako kana kumira.

Zvisinei, zvakakosha kusiyanisa izvi nezvirwere zvemwoyo zvine njodzi zvakaita seHypertrophic Cardiomyopathy. Nekuti, zvirwere izvozvo zvinoda kurapwa nekukasika. Saka, kana uine zviratidzo zvakaita sekurwadziwa pachipfuva, kufema kushoma, kuoma kufema kusingawanzoitiki, kana kurova kwechipfuva, yeuka kuti izvi hazvisi zviratidzo zvemwoyo wemutambi, uye tsvaga rubatsiro rwechiremba. Pose paunova nekusava nechokwadi, zvakanaka kutaura nachiremba woongororwa rugare rwepfungwa dzako uye kuchengetedzeka kwako.

Yeuka, kurovedza muviri kwakakosha kuti uve nehupenyu hwakanaka, asi kuzviita zvakachengeteka uye uchiziva ndiko kwakanyanya kukosha!

Mwoyo wemutambi, kurovedza muviri, hutano hwemwoyo, hypertrophic cardiomyopathy, kurova kwemoyo, bvunzo dzemwoyo, mushonga wemitambo