Wakambonzwa here kuti kusuruvara kana kuvhunduka kukuru kunogona kukuvadza moyo? Dzimwe nguva, patinorasikirwa nemudiwa kana kusangana nedambudziko guru, tinonzwa kurwadziwa kusinganzwisisike muchipfuva uye kunetseka kufema pamwe chete nekurwadziwa. Nhasi, tichataura nezvechirwere chinoshamisa chinogona kuitika panguva dzakadai, chinonzwika sechirwere chemwoyo, asi chisiri chirwere chemwoyo. Izvi zvinonzi 'Broken Heart Syndrome'. Uku hakusi kungonzwa chete, asi chirwere chaicho chinozivikanwa nenyanzvi dzezvehutano.
Chii chinonzi 'broken heart syndrome' iyi?
Zvichitaurwa zviri nyore, ichi chirwere chenguva pfupi apo chikamu chetsandanyama yemwoyo wako chinongoerekana chapera simba nekuda kwekuvhunduka kwemuviri kana kwepfungwa kamwe kamwe. Funga nezvazvo, kana chimwe chikamu chemwoyo wako chikarega kushanda zvakanaka, zvimwe zvikamu zvinofanirwa kushanda nesimba. Tsandanyama yemwoyo iyi isina simba inoita kuti isakwanise kupomba ropa zvakanaka.
Sero rega rega mumuviri wedu rinoda okisijeni. Okisijeni iyi inotakurwa neropa. Saka kana moyo usingapombi ropa nemazvo, inokanganisa muviri wese. Asi chinhu chakanakisa ndechekuti, ichi chinowanzova chirwere chenguva pfupi.
Kune mamwe mazita akawanda anoshandiswa pachirwere ichi. Usavhunduke kana chiremba akataura rimwe remazita aya, ese anoreva chinhu chimwe chete.
- Takotsubo cardiomyopathy
- Kurwara kwemwoyo kunokonzera maballoon
- Kushungurudzika kwemwoyo
Pane mhando huru dzechirwere ichi here?
Ehe, kune mhando ina huru dzechirwere ichi. Chinozivikanwa nenzvimbo yemoyo isina simba. Ngationei kuti chii.
| Rudzi | Tsananguro iri nyore |
|---|---|
| Nzvimbo yeApical | Rudzi urwu ndirwo rwakanyanya kuwanda (runopfuura 80%). Runokanganisa chikamu chezasi chemoyo. |
| Pakati peventricle | Izvi zvinokanganisa chikamu chepakati chemakamuri epasi emoyo (ventricles). Chikamu ichi chinoita sebhandi rakatenderedza moyo. Zvikamu zviri pamusoro nepazasi pebhandi iri zvinoshanda zvakajairika. |
| Basal | Izvi zvakafanana nerudzi rwepamusoro, asi chikamu che'bhandi' chakakanganiswa chakakwira zvishoma. Izvi hazviwanzoitiki (anenge 2%). |
| Focal | Iyi ndiyo mhando isingawanzoonekwi (inenge 1%). Inobata nzvimbo diki chete yemoyo. Nzvimbo yakakanganiswa inoita sekunge iri kubuda mumoyo. |
Chirwere ichi chakajairika zvakadii? Ndiani ane mukana mukuru wekuchibata?
Vanhu vanosvika 2% vanoenda kuna chiremba vachifungidzirwa kuti vane chirwere chemwoyo vakaonekwa vaine 'broken heart syndrome'. Zvisinei, vaongorori vanotenda kuti vanhu vakawanda vane chirwere ichi, asi dzimwe nguva hachionekwi nemazvo.
Zvinoshamisa kuti chirwere ichi chinonyanya kuitika kuvakadzi . 89% yezviitiko zvakataurwa vakadzi. Njodzi yacho yakanyanya kukura mushure mekuguma kuenda kumwedzi, iyo iri pakati pemakore 58-77.
Imwe tsananguro yeizvi ihormone inonzi estrogen , inowanikwa mumiviri yevakadzi. Hormone iyi inofungidzirwa kuti inodzivirira moyo kubva kumahormone anokuvadza anogadzirwa nemuviri panguva yekushushikana. Sezvo huwandu hweestrogen huchidzikira sezvatinokura, vakadzi vanowanzo kukuvara kwemoyo kana vakasangana nekushushikana kamwe kamwe.
Ndezvipi zviratidzo zveizvi?
Zviratidzo izvi zvinogona kuonekwa mukati memaminitsi kusvika maawa mushure mechiitiko chinorwadza. Mahormone anogadzirwa nemuviri panguva yekushungurudzika kamwe kamwe anomisa tsandanyama dzemwoyo kwenguva pfupi. Zviratidzo zvacho zvakafanana zvikuru nezvirwere zvemoyo zvakajairika.
Chinhu chinonyanya kukosha ndechekuti, usamboedza kuzviongorora kuti une zviratidzo izvi, sezvo zvakafanana nechirwere chemwoyo. Enda kuchipatara nekukasika, kunyanya kuEmergency Department (ETU).
| Zviratidzo zvikuru | Tsananguro |
|---|---|
| Kurwadziwa kwechipfuva kwakakomba kamwe kamwe (angina) | Ichi ndicho chiratidzo chikuru uye chinowanzoonekwa. Chipfuva chinogona kunzwa chakaoma uye chakamanikana. |
| Kuoma kufema | Kutadza kufema zvakanaka uye kunzwa kudzipwa zvimwe zviratidzo zvikuru. |
| Kushaya simba kwe ventricle yekuruboshwe yemoyo | Ichi chinhu chinogona kuwanikwa nachiremba kuburikidza nemiedzo. |
| Kurova kwemoyo kusingaenderane (arrhythmias) | Kurova kwemoyo kunogona kuchinja zvisingawanzoitiki. |
| Kuderera kweropa (hypotension) | Kumanikidzwa kweropa (BP) kunogona kudzikira kamwe kamwe. |
| Kurova kwemwoyo | Kunzwa sekunge uri kunzwa moyo wako uchirova zvine ruzha. |
| Kurasikirwa nepfungwa (syncope) | Kashoma, unogona kurasikirwa nepfungwa wobva wadonha. |
Izvi zvakasiyana sei nechirwere chemwoyo?
Apa ndipo panowanzo vhiringika vanhu vazhinji. Kunyange zvazvo zviratidzo zvakafanana, pane musiyano mukuru pakati pezvirwere zviviri izvi.
| Pfungwa yacho | Chirwere cheMwoyo Wakaputsika | Kumira kurova kwemoyo |
|---|---|---|
| Chikonzero chikuru | Kushungurudzika kwepfungwa kana kwemuviri kwakangoerekana kwaitika. | Kuvharika kwetsinga dzeropa (coronary arteries) dzinoendesa ropa kumoyo nekuda kwezvinhu zvakaita secholesterol. |
| Mamiriro etsinga dzeropa | Hapana kuvharika kwetsinga dzeropa kunoonekwa . | Tsinga imwe chete kana kupfuura dzeropa dzakavharika zvachose kana kuti zvishoma . |
| Kukuvara kwemoyo | Kazhinji, hapana kukuvara kusingaperi . Tsandanyama dzemwoyo dzinongopera simba kwenguva pfupi. | Tsandanyama yemoyo inofa (inokuvara) zvachose nekuda kwekushaikwa kweropa rinoyerera. |
| Kupora | Kazhinji inopora nekukurumidza uye zvachose . | Kupora kunotora nguva, uye zvichienderana nehukuru hwekukuvara, mashandiro emoyo anogona kudzikira zvachose. |
Ndezvipi zvinhu zvinogona kukonzera izvi?
Kunyange hazvo vaongorori vachiri kusakwanisa kuwana chikonzero chimwe chete, vanotenda kuti chiitiko chinotyisa kamwe kamwe ndicho chinokonzera. Panguva dzakadai, miviri yedu inongoerekana yaburitsa huwandu hwakawanda hwemahormone ekushushikana muropa. Mahormone aya anofungidzirwa kuti anokanganisa mashandiro emoyo kwenguva pfupi.
Njodzi dzinokonzerwa nepfungwa:
- Kufa kwemudiwa: kungave nhengo yemhuri, shamwari, kana kunyange chipfuwo.
- Kuparara kwehukama, kurambana.
- Mashoko akanaka: Zvinoshamisa kuti dzimwe nguva kunyange chiitiko chinofadza, sekuhwina rotari, chinogona kukonzera izvi.
- Mashoko asina kunaka: zvinhu zvakaita sekurasikirwa nebasa, kurasikirwa nemari yakawanda.
- Chiitiko chinorwadza, chakadai setsaona kana kudengenyeka kwenyika.
- Kutya kwakanyanya: Kutaura pachena, kusangana nekubirwa, nezvimwewo.
- Akatsamwa zvikuru.
Zvinokanganisa panyama njodzi:
- Kurwadziwa kwakanyanya.
- Basa remuviri rinorema zvikuru.
- Asthma chirwere chinonetsa kufema zvakanyanya.
- Zvirwere zvakaita sepfari uye sitiroko.
- Fivha yakanyanya, shuga shoma muropa (hypoglycemia).
- Kubuda ropa rakawanda kana kuvhiyiwa.
Chiremba anoongorora sei izvi?
Kana ukaenda kuchipatara uchirwadziwa pachipfuva, chiremba anotanga akuongorora uye obvunza nezvechiitiko chacho. Zvadaro, vachakuitira bvunzo shoma kuti vaone kana chiri chirwere chemwoyo kana kuti 'broken heart syndrome'.
- Kuongororwa kweropa: Kune ma enzyme anoungana muropa kana tsandanyama yemwoyo yakuvara. Tarisa huwandu hwawo.
- EKG (electrocardiogram): Muedzo unonyora mashandiro emagetsi emwoyo.
- Echocardiogram: Izvi zvakafanana nekuongororwa kwemoyo. Zvinogona kutarisa mashandiro ari kuita makamuri emwoyo, mavharuvhu, uye tsandanyama dzemwoyo. MuBroken Heart Syndrome, zvinogona kuratidza zvakajeka kuti chikamu chemwoyo chapera simba sei.
- Coronary Angiogram: Iyi ndiyo bvunzo inonyanya kukosha. Izvi zvinosanganisira kubaya dhayi yakakosha mutsinga dzinotakura ropa kuenda kumoyo uye kutora X-ray. Izvi zvinogona kuratidza kana paine kuvharika kwetsinga idzodzo. Pakurwiswa nemoyo, idzi tsinga dzinovharika, asi muBroken Heart Syndrome, hapana kuvharika kwakadaro kunoonekwa. Iyi bvunzo ndiyo yega nzira yekusiyanisa zvakarurama pakati pezvirwere zviviri izvi.
- X-ray yechipfuva neMRI yemoyo: Miedzo iyi inogonawo kuitwa kana zvichidikanwa.
Inorapwa sei?
Kunyange hazvo pasina mushonga chaiwo weizvi, mishonga inopiwa kudzora zviratidzo uye kubatsira mwoyo kupora. Vanhu vazhinji vanopora zvizere nemishonga iyi.
- Aspirin: Inodzivirira kugayiwa kweropa.
- ACE inhibitors kana ARBs: Dzora BP.
- Beta-blockers: Inoderedza kurova kwemoyo uye inoderedza kumanikidzwa kwemoyo.
- Mishonga inobvisa mvura mumuviri: Bvisa mvura isina kufanira mumuviri uye deredza mutoro pamoyo.
Mwoyo unowanzo dzoka pakare mukati memazuva mashoma kusvika kumavhiki mashoma. Zvisinei, vamwe vanhu vanogona kunzwa kuneta uye vasina hupenyu kwemwedzi yakati wandei. Muzviitiko zvakadaro, zvakakosha kutaura nachiremba wako.
Chii chatingaita kuti tidzivise izvi uye tizvitarisire?
Kunyange zvazvo pasina nzira chaiyo yekudzivirira chirwere ichi kuti chisaitike, kudzidza kudzora kushushikana kunouya muhupenyu hwedu kunogona kubatsira zvikuru.
- Kudzora kushushikana: Yoga, kufungisisa, uye kuita zvinhu zvinounza rugare mupfungwa zvakakosha zvikuru. Maekisesaizi ekufema zvakadzama anobatsirawo zvikuru.
- Mararamiro ane hutano:
- Idya chikafu chinovaka muviri.
- Maekisesaizi nguva dzose (inenge maminetsi makumi matatu mazuva mashanu pasvondo).
- Wana maawa manomwe kusvika mapfumbamwe ekurara zvakanaka pazuva.
- Dzivisa zvachose kusvuta, kushandisa zvinodhaka, uye kunwa doro zvakanyanya.
- Tsvaga rubatsiro: Kana uri kusangana nekushushikana kwausingakwanise kugadzirisa wega, taura nemumwe munhu waunovimba naye nezvazvo. Kana zvichidikanwa, tsvaga rubatsiro kubva kune nyanzvi yekupa mazano.
Zvakakosha: Dambudziko iri hariwanzokonzereswi nekunetseka kudiki muhupenyu hwezuva nezuva. Rinokonzerwa nekuvhunduka kwakakomba, kwakakomba. Zvisinei, kana uchigara uchirwadziwa pachipfuva kana kufema zvakaoma, iva nechokwadi chekutaura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- 'Broken heart syndrome' haisi nyaya yekungonzwa chete, asi chirwere chaicho .
- Izvi zvinokonzerwa nekukuvadzwa kwakakomba, kwemuviri kana kwepfungwa.
- Zviratidzo zvacho zvakafanana zvikuru nechirwere chemwoyo . Saka kana ukanzwa kurwadziwa muchipfuva kana kufema zvakaoma, enda kuchipatara chekukurumidzira (ETU) nekukasika . Usaite sarudzo uri wega.
- Dambudziko iri rinowanzova renguva pfupi uye mwoyo unogona kupora zvachose pasina kukuvara zvachose.
- Kana ukava nechirwere ichi, zvakakosha kushandisa mushonga wawakanyorerwa nachiremba wako nemazvo uye kudzokera kunoongororwa pamazuva akarongwa.
- Kudzidza kudzora kushushikana muhupenyu kuchakubatsira kukudzivirira kubva mumamiriro ezvinhu akadaro mune ramangwana.
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