Unoziva nezveCardiac Cachexia here? Ngatikurukurei!

Unonzwa here sekuti mumwe munhu mumhuri yako, kunyanya munhu ane chirwere chemwoyo, ari kudzikira huremu zvishoma nezvishoma uye ari kudzikira tsandanyama? Unonzwa kuneta zvakanyanya pamwe chete nekurasikirwa nechido chekudya here? Kana zvakadaro, izvi zvinogona kunge zviri izvo zvatiri kutaura nezvazvo. Tinozvidaidza kuti kurasikirwa nemoyo, kana kuti sekudanwa kwazvinoitwa navanachiremba kuti Cardiac Cachexia.

Chii chinonzi cardiac cachexia iyi?

Zvichitaurwa zviri nyore, (Cardiac Cachexia) chirwere chekushaya kudya kwakakwana uye kurasikirwa netsandanyama kunoitika nechirwere chemwoyo chakakomba, kunyanya padanho rekupedzisira rechirwere. Izwi rekuti "cachexia" rinoreva "mamiriro akaipa". Ichi hachisi chirwere chemwoyo chete, asi chinogonawo kuitika kune zvimwe zvirwere zvakakomba. Chinoitika pano ndechekuti, pasina kuedza, muviri unotetepa uye tsandanyama dzinorasika.

Vanachiremba vanoti chimwe chezviratidzo zvikuru zvechirwere ichi ndechekuti waderedza huremu hwako ne5% mugore rapfuura, usina kuita chero chinhu kuti uderedze huremu. Sekureva kwevamwe nyanzvi, kana huwandu uhwu huri 6% kana kupfuura, uye paine zvimwe zviratidzo zvakawanda, zvinogona kunge zviri "Cardiac Cachexia".

Cardiac Cachexia yakajairika zvakadii?

Pasi rose kune vanhu vanodarika mamiriyoni makumi maviri vane chirwere chemwoyo chisingaperi. Pavanhu ivavo, zvinonzi pakati pe10% ne39% yezvirwere zvemwoyo zvisingaperi zvine zviratidzo vane chirwere ichi (Cardiac Cachexia). Izvi zvinoreva kuti hazvisi zvisinganzwisisike.

Ndezvipi zviratidzo zveizvi?

Yeuka, usavhunduka nekuti une chimwe kana zviviri zvezviratidzo izvi. Asi kana zvikaramba zviripo, zvakanaka kuti uone chiremba.

• Kuderedza huremu hwako hwese neanopfuura 5% mugore risingasviki pasina kuedza (uku kudzikira kwemafuta emuviri, kwete huremu hwemvura).
• Kurasikirwa nesimba remhasuru, kunzwa kushaya simba.
• Kunzwa kuneta zvakanyanya uye kuneta.
• Kusakwanisa kuita mabasa ezuva nezuva nekuda kwekushaya simba.
• Kurasikirwa nechido chekudya.

Fungidzira, kana ambuya vako kana sekuru vako vachirwara nechirwere chemwoyo, kana vasingadyi sezvavaiita kare, kana vasingakwanise kufamba, kana vakarara pamubhedha, kana mbatya dzavo dzichiita sedzakakura zvakanyanya, unofanira kunetseka zvishoma nezveizvi.

Sei Cardiac Cachexia ichikura? Ndezvipi zvikonzero?

Dambudziko iri, rinonzi Cardiac Cachexia'', harikonzerwi nechikonzero chimwe chete. Musanganiswa wekuchinja kwakawanda kunoitika mumuviri wemunhu ane chirwere chemwoyo chakakomba. Zvinhu zvikuru zvinokanganisa chirwere ichi ndeizvi:

• Kusashanda zvakanaka kwemuviri wako. Izvi zvinoreva kuti, dambudziko nenzira iyo muviri wako unogadzira uye unoshandisa simba.
• Kusawana mapuroteni akakwana kubva mukudya nekunwa.Mapuroteni akakosha pakuvaka nekuchengetedza tsandanyama.
• Kusanyatso tora zvinovaka muviri kubva pane zvaunodya nezvaunonwa.
• Kusaita chero chiito chemuviri kana kurovedza muviri.

Ndezvipi zvinetso zvinogona kuitika nekuda kweCardiac Cachexia?

Kana mamiriro ezvinhu aya akasagadziriswa nemazvo, dambudziko rimwe nerimwe rinogona kumuka.

• Sarcopenia: Izvi zvinoreva kudzikira kwetsandanyama.
• Dzimwe nguva mavanga anogona kuitika mutsandanyama yemwoyo.
• Kushaya simba uye kushaya simba zvinogona kuitika, zvichikonzera kudonha nekukuvara kakawanda.
• Kushaya simba remagetsi (anorexia) kunogona kukonzera kusawirirana kwema electrolyte ne fluid mumuviri .
• Osteoporosis inogona kuitika. Izvi zvinoreva kuti kuwanda kwemapfupa kunoderera uye mapfupa anogona kutyoka zviri nyore.
• Zvinosuwisa kuti chirwere ichi (Cardiac Cachexia) chinogona kuva chakanyanya uye kutouraya.

Vanachiremba vanoziva sei izvi?

Chiremba anoongorora chirwere che "Cardiac Cachexia" kana wakadzikira huremu hwako ne5% kana kupfuura mugore rapfuura, pamwe chete nematambudziko matatu anotevera:

• Kuneta zvakanyanya, kuneta.
• Kurasikirwa nesimba kana huremu hwetsandanyama.
• Kushaya hope.
• Kuzvimba mumuviri.
• Kushaya ropa.
• Kuva neprotein shoma inonzi albumin mumuviri.

Ndedzipi bvunzo dziri kuitwa pakuita izvi?

Kuti asimbise chirwere ichi nemazvo, chiremba anogona kuraira bvunzo dzakasiyana-siyana.

• Kuongororwa kweropa: Izvi zvinogona kuongorora zvinhu zvakawanda, zvakaita sehuwandu hwemapuroteni, kupererwa neropa, uye zvirwere zvekuzvimba.
• Electrocardiogram (EKG): Ona mashandiro emagetsi emwoyo.
• Echocardiogram: Kutarisa mashandiro uye maumbirwo emwoyo, zvakafanana nekuongororwa kwe ultrasound.
• X-ray yechipfuva.
• DEXA (DXA) scan: Inoyera kuwanda kwemapfupa uye maumbirwo emuviri (tsandanyama, mafuta).
• Kuongororwa kwe "Computed Tomography (CT)".
• Kuongororwa kweMagnetic Resonance Imaging (MRI).
• Kuongororwa kwekurovedza muviri kwemwoyo nemapapu: Ona kuti mwoyo nemapapu zvinopindura sei pakurovedza muviri.

Kuongororwa uku kwakakosha zvikuru nekuti vanhu vane chirwere chemwoyo vanowanzova nekugara kwemvura mumuviri uye kuzvimba, izvo zvinogona kukonzera kuti muviri uve neBMI yakakwira.Zvinogona kuoma kuyera nemazvo. Kuzvimba kunogona kuvharira huwandu chaihwo hwekudzikira kwehuremu hwako.

Kuongororwa kwakakosha kunonzi "right heart catheterization" kunogona kubatsira chiremba wako kuona kuti une mvura yakawanda sei mumuviri wako. Izvi zvinogonawo kukubatsira kunzwisisa kuti warasikirwa nehuremu hwakadii uye kuti wasara nemvura yakawanda sei.

Ndezvipi zvinoitwa pakurapa Cardiac Cachexia?

Ichi chirwere chakaoma zvikuru, saka zvakaoma kufunga kuti, "Ingodya zvakawanda uye zvichava zvakanaka." Hachigone kurapwa nekurapwa kamwe chete. Chinofanira kutariswa kubva kumativi akasiyana.

• Kurovedza muviri: Chiremba wako anogona kukukurudzira kuti uite maekisesaizi e aerobic (izvo zvinowedzera kurova kwemoyo wako). Izvi zvichabatsira kudzivirira kurasikirwa netsandanyama. Vaongorori vakaona kuti kurovedza muviri ndeimwe yenzira dzakanakisisa dzekurapa cachexia yemwoyo. Zvirongwa zvekugadzirisa mwoyo zvine mabhenefiti akawanda kune vanhu vane chirwere chemwoyo:
• Unogona kuvandudza hupenyu.
• Kugara muchipatara kunogona kuderedzwa.
• Unogona kuwedzera hupenyu hwako.

• Kupinda muchipatara: Kana uchinzwa kupera simba kana kuti BP yako yakaderera, chiremba wako anogona kukugamuchira kuchipatara. Huremu hwako nehuwandu hwaunodya nekunwa zvichaongororwa. Uchakwanisa kuenda kumba mushure mekunge wawana chikafu chakakwana. Uchada kuona nyanzvi dzinotevera mumavhiki maviri kusvika mana anotevera:
• Chiremba wemwoyo.
• Nyanzvi yezvekudya.
• Chiremba wemhuri yenyu ('Mupi wehutano hwepakutanga').

• Kurapa chirwere chemwoyo chiri pasi pechirwere: Kana chirwere chemwoyo wako chave padanho repamusoro, zvingave zvakaoma kugadzirisa cachexia pasina kurapa chirwere chemwoyo chiri pasi pechirwere. Izvi zvinoda kuona chiremba wemwoyo ane hunyanzvi. Anogona kunyora mishonga inodiwa, kana kana zvakakodzera, kuisa pombi yemwoyo yemuchina, kana kukutumira kuti unoisirwa moyo.

Mishonga chaiyo kana zvimwe zvinowedzera zvinopihwa

Chiremba anogona kunyora zvinhu zvakaita se:

• Mapuroteni ekuwedzera.
• Mavhitamini C na E.
• Omega-3 fatty acids.
• Mishonga yeAnabolic Steroids.
• Homoni yekukura kwevanhu (Homoni yekukura kwevanhu - HGH).
• MaGhrelin receptor agonists.
• Beta-blockers.
• Mamodulator ekusarudza androgen receptor.

Pane migumisiro yakaipa here yekurapwa kwacho?

Mimwe yemishonga inowanzoshandiswa pakurapa Cardiac Cachexia inogona kukonzera migumisiro yakaipa yakaita seyi:

• Ganda rine mafuta.
• Kuzvimba kwetsoka.
• Kuneta.
• Kusvotwa.
• Dzungu.
• Kushaya hope.

Nzira yekuderedza sei njodzi yeCardiac Cachexia?

Kuti zvideredze njodzi yechirwere ichi, chiremba wako anogona kunyora mishonga yakaita seiyi (iyi inowanzo kunyorerwa kurwisa kwemoyo):

• Zvinodzora enzyme inoshandura angiotensin (ACE).
• Beta-blockers.
• Mishonga inobvisa tsvina mumuviri (loop diuretics) (mapiritsi emvura).
• Vadzivisi veAldosterone.

Chii chingatarisirwa nemunhu ane Cardiac Cachexia?

Kutaura chokwadi, (Cardiac Cachexia) chirwere chinowanzova nemhedzisiro yakaipa. Zvisinei, kuongororwa nekukurumidza uye kurapwa kunogona kubatsira kuvandudza mhedzisiro. Kurapwa kunotanga, mikana yekudzosera mamiriro acho ezvinhu iri nani.

Ko cardiac cachexia inogona kutokonzera rufu here?

Ehe, zvinogona kuitika. Kufanotaura kwe "Cardiac Cachexia" hakuna kunaka. Zvinonzi vanhu vanosvika 50% vane chirwere ichi vanofa mukati memwedzi gumi nemisere . Sekureva kweimwe ongororo, vamwe vanhu vanogona kufa mukati memwedzi mitatu, mitanhatu, kana gumi nemiviri. Izvi hazvisi zvekukutyisidzirai, asi kuti munzwisise kukomba kwechirwere ichi.

Ndingazvichengeta sei ini kana mumwe munhu wandinoda?

Kana uri kutambura nechirwere ichi, pane zvinhu zvishoma zvaunogona kuita kuti ubatsire:

• Kudya chikafu chakapfava kunogona kubatsira kudzivirira kufema zvakaoma panguva yekudya.
• Zviri naniwo kudya zvidiki kakawanda, pane kudya zvakawanda panguva imwe chete.
• Vanachiremba vane maonero akasiyana pamusoro pekuti munyu wakawanda sei waunofanira kudya. Saka, bvunza chiremba wako kuti akupe mazano. Vanachiremba vazhinji vanoti Mediterranean Diet neDASH diet zvakanaka kune vanhu vane Cardiac Cachexia.
• Tora chero mishonga inovaka muviri iyo chiremba wako anofunga kuti ichakubatsira. Izvi zvinogona kuvandudza hupenyu hwako uye hupenyu hwako. Kuwana zvinovaka muviri zvakakwana kunogonawo kukubatsira kugadzirira kuisirwa moyo kana uchizoiisa.

Ndinofanira kuona chiremba rini?

Taura nachiremba wako kuti unofanira kumuona kangani. Ungangoda kugara uchiongororwa.Kana zvirinani, uchafanira kutaura nezvehuremu hwako uye macalorie aunoda.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Usazeza kubvunza chiremba wako mibvunzo yakaita seiyi:

• Dambudziko rangu rekuti '(Cardiac Cachexia)' rakakomba zvakadini?
• Mungandikurudzira kudya kwakakosha kunondinakira here?
• Ndezvipi zvekudya zvinovaka muviri zvakandinakira?

Chinonyanya kukosha: Kana uine chirwere chemwoyo chakakomba uye uri kudzikira uremu, taura nachiremba wako nekukasika. Vanhu vane chirwere chemwoyo vanowanzova nemuviri wakazvimba, saka ungasaziva kuti wadzikira uremu hwakadii. Zvichengete uye uwane rubatsiro rwaunoda. Ndipo chete paunogona kudzivirira kuti chirwere ichi chisanyanya kuipa.

Muchidimbu, meseji yekudzokera nayo kumba

Zvakanaka, saka ikozvino wava kunzwisisa zviri nani chirwere chatakataura nezvacho chinonzi (Cardiac Cachexia). Yeuka, ichi chirwere chakakomba chinogona kuuya nekushaya simba kwemoyo. Kana uri kudzikira uremu usingazvizivi, uine zviratidzo zvakaita sekushaiwa chishuwo chekudya, uye kuneta, usazviregeredza.

Kuongororwa nekukurumidza uye kurapwa kwakakodzera ndizvo zvinhu zvinonyanya kukosha. Hapana mushonga mumwe chete weizvi, musanganiswa wekurovedza muviri, kudya kunovaka muviri, uye, kana zvichidikanwa, mishonga. Zvakakosha kutaura pachena nachiremba wako uye kutevedzera mazano ake nemazvo. Kana shamwari yako iri kutambura nechirwere ichi, usakanganwa kumukurudzira uye kumupa rutsigiro rwakakodzera.