Kurova kwemoyo kusina kurongeka? Ngatitaurei nezvekurapa kweCRT (Cardiac Resynchronization Therapy)

Funga nezvemoyo wako seboka revaimbi. Kana munhu wese achishanda pamwe chete, panguva imwe chete, mimhanzi yakanaka inogadzirwa. Asi dzimwe nguva, kunyanya nemamiriro ezvinhu akadai sekushaya simba kwemoyo, makamuri maviri ezasi emwoyo, maventricles, anotanga kushanda achipesana, zvisingaenderane. Kana rimwe richirova, rimwe harirove, uye kana rimwe richirova, harirove. Kana makamuri maviri emwoyo akaparadzaniswa, moyo haugone kupomba ropa nemazvo. Ndipo panouya rubatsiro rwekurapa kwakakosha kunonzi Cardiac Resynchronization Therapy, kana kuti CRT muchidimbu.

Zvichitaurwa zviri nyore, chii chinonzi CRT iyi?

CRT mushonga unodzorera rhythm yemoyo kuti iite zvakanaka. Unonziwo Biventricular Pacing. "Biventricular" zvinoreva "makamuri ese ari maviri." Izvi zvinoreva kuti kurapwa uku kunoita kuti makamuri maviri epazasi (ventricles) emoyo arove pamwe chete panguva imwe chete. Kuti uite izvi, chiremba wako achaisa mudziyo mudiki pasi peganda rechipfuva chako.

Izvi zvakasiyana zvishoma nepacemaker yenguva dzose. Pacemaker yenguva dzose ine waya imwe kana mbiri. Asi mudziyo uyu weCRT une waya nhatu . Waya idzi nhatu dzakabatana nenzvimbo nhatu dzakatarwa mumoyo.

• Waya imwe inoenda kukamuri repamusoro remoyo (right atrium)
• Waya yechipiri inoenda kuimba yepazasi yekurudyi yemoyo (right ventricle).
• Waya yechitatu inoenda kuimba yepasi yekuruboshwe yemoyo (left ventricle).

Waya nhatu idzi dzinotumira zviratidzo zvemagetsi zvisinganzwisisike, zvichiita kuti makamuri emoyo ashande pamwe chete, pamwe chete. Zvakafanana nemutungamiriri akagara pamberi pechikwata chemimhanzi uye achipa munhu wese chiratidzo chekuti vatambe pamwe chete. Izvi zvinowedzera zvakanyanya kushanda kwemoyo.

Ndiani anoda kurapwa uku kweCRT?

Kurapa uku hakusi kwemunhu wese. Chiremba wako achaongorora zvinhu zvakati wandei asati akurudzira.

• Kukundikana kwemoyo: Kunoongorora kana uine kutadza kwemoyo kuri pakati nepakati kana kwakanyanya.
• Kurapwa nemishonga: Kunyangwe mushure mekushandisa mishonga yakanakisisa yekushaya simba kwemoyo, zviratidzo (kushaya mweya, kuneta) zvichiri kuonekwa.
• Matambudziko emwoyo: Kuongororwa kweECG kunotsvaga kunonoka kwekutumira masaini emagetsi mumoyo mako. Izvi zvinowanzo kurudzirwa, kunyanya kune vanhu vane chirwere chakaita seLeft Bundle Branch Block .
• Simba rekupomba kwemoyo:Echocardiogram (heart scan) ichaongororawo kana kugona kwemoyo wako kupomba ropa (ejection fraction) kwakaderera.

Zvichitaurwa zviri nyore, vanachiremba vanofunga nezvekurapa uku kune vanhu vane kurova kwemoyo kusina kurongeka uko kwakaoma kudzora nemishonga uye kuchinja mararamiro avo.

Unogadzirira sei usati warapwa?

Sezvo uku kuri kuvhiyiwa kudiki, unofanira kugadzirira usati waita. Chiremba wako achakuudza kuti uite zvinotevera:

• Miedzo: Mazuva mashoma usati wavhiyiwa, uchakumbirwa kuti uongororwe moyo ne echocardiogram , pamwe neMRI scan yemoyo , uye kuongororwa ropa kuti uone mamiriro chaiwo emoyo wako.
• Kutsanya: Uchaudzwa kuti usadye kana kunwa chero chinhu kwemaawa matanhatu usati wavhiyiwa.
• Mishonga: Panguva yekuvhiyiwa, uchapihwa mushonga wekuderedza marwadzo ako uye wekurara zvishoma, kuitira kuti usazonzwa chero chinhu.

Kuvhiyiwa uku kunoitwa sei?

Izvi zvinotora maawa akati wandei. Hezvino zvinoitika:

1. Kuisa waya: Chekutanga, chiremba anoisa waya nhatu dzakatetepa zvikuru kuburikidza netsinga iri pafudzi rako, kana kuti pamwe pachidya chako. Izvi zvinoitwa nokungwarira zvikuru paunenge uchitarisa muchina weX-ray.

2. Kutumira waya kumoyo: Waya idzi dzinobva dzapfuudzwa nemutsinga dzoiswa munzvimbo nhatu dzakatarwa dzemoyo dzataurwa kare (right atrium, right ventricle, uye left ventricle).

3. Kugadzira nzvimbo yemudziyo: Tevere, ganda diki rinochekwa pasi pebhonzo rako, zvichiita kuti pave nenzvimbo diki pasi peganda. Apa ndipo pachaiswa mudziyo weCRT.

4. Kubatanidza uye kuyedza: Mamwe magumo ewaya nhatu dzinotumirwa kumoyo akabatana nemudziyo uyu weCRT. Zvadaro, vanoongorora kana uri kushanda nemazvo uye kana masaini ari kufamba nemazvo.

5. Kuisirwa kwemudziyo: Kana zvese zvakanaka, mudziyo weCRT unoiswa muhomwe yakagadzirwa, kucheka kunovharwa, uye masitichi anoiswa zvakanaka.

Ndezvipi zvakanakira uye njodzi dzekurapa uku?

Kufanana nemamwe marapirwo ekurapa, CRT ine zvakanakira uye njodzi. Zvakakosha kukurukura izvi nachiremba wako nokungwarira.

Chii chinoitika mushure mekurapwa?

Uchafanira kugara muchipatara kwezuva rimwe chete mushure mekuvhiyiwa.

• Munzira yekudzokera kumba: Sezvo wakapihwa mapiritsi ekurara, hauzokwanisi kutyaira mota . Saka, zvakakosha kuuya nemumwe munhu kuti akutore uende naye kumba.
• Kufamba kweruoko: Ruoko rwuri parutivi pakaiswa mudziyo (kazhinji ruoko rweruboshwe) runofanira kuramba rwakamira uye rusingasimudzwe kwemaawa angangoita 12. Izvi zvinoita kuti waya dzakaiswa dzigare zvakanaka mumoyo.
• Kadhi Rakakosha: Uchapihwa kadhi rakakosha, rine zvese zviri muchishandiso ichi. Zvakakosha kuti ugare uine kadhi iri muchikwama chako nguva dzese.
• Kupora: Unogona kutangazve mabasa ako emazuva ese mukati memazuva mashoma, asi hazvikurudzirwi kutyaira kana kusimudza zvinhu zvinorema kweinenge vhiki.
• Kuongororazve: Usati watumirwa kumba, unogona kutorwa X-ray kana ECG kuti uone kana waya dziripo.

Ndeupi musiyano uripo pakati peCRT neICD?

Izvi zvinovhiringidza vanhu vazhinji. CRT neICD mhando mbiri dzezvishandiso.

• CRT (Cardiac Resynchronization Therapy): Sezvatakakurukura, izvi zvinoshandiswa kubatanidza kurova kwemoyo. Kureva kuti, zvinoita kuti makamuri emoyo ashande pamwe chete, murhythm imwe chete. Ishanduro yepamusoro ye pacemaker.
• ICD (Implantable Cardioverter-Defibrillator): Izvi zvinoita zvakasiyana. Kana moyo uchirova nekukurumidza zvine njodzi, unozviziva wobva waita shock yemagetsi kuti udzoke pakare . Uyu mudziyo unoponesa hupenyu.

Asi kazhinji, vanhu vane chirwere chemwoyo vanogona kuva nematambudziko ese ari maviri. Ndosaka vanachiremba vachiisa mudziyo mumwe chete une zvese izvi, CRT-D (CRT ine Defibrillator) .

Nguva yekutaura nachiremba

Mushure mekunge waisa mudziyo weCRT, pane zvimwe zvinhu zvaunofanira kungwarira.

Pamusoro pezvo, unofanira kuenda kumazuva akarongwa ekiriniki.

• Kuongororwa kwekutanga kuchaitwa mwedzi mumwe chete mushure mekuvhiyiwa.
• Mushure meizvozvo, vachakumbira kukuonai kamwe chete kana kaviri pagore.

Pamakiriniki aya, chiremba anoongorora mamiriro emudziyo uyu, bhatiri rawo, uye waya dzawo. Anoongororawo kuti mashandiro emoyo wako achinja sei nekuda kwemudziyo uyu.