Injini iri mumuviri wako moyo wako. Inotichengeta tiri vapenyu nekuti inoshanda nguva dzese. Asi funga nezvazvo, chii chinoitika kana injini iyi, tsandanyama yemoyo, ikatanga kushaya simba, kukura, kana kukora? Ndizvo zvatinongodaidza kuti cardiomyopathy. Zvakakosha kuziva izvi.
Chii chinonzi cardiomyopathy?
Zvichitaurwa zviri nyore, chirwere chemwoyo (cardiomyopathy) chirwere chinokanganisa tsandanyama dzemwoyo (myocardium). Apa ndipo apo tsandanyama dziri mumoyo mako dzinoshaya simba. Kungofanana nebhandi rerubha rava kupfava zvakanyanya uye rinomira kutwasanudza, tsandanyama dziri mumoyo mako hadzichakwanisi kupwanya zvakanaka uye kupomba ropa.
Izvi zvinogona kukonzera kuti tsandanyama dzemwoyo dzikure , dzikure , kana kuti dziome . Dzimwe nguva, mavanga anogonawo kuumbwa mumoyo. Chero chikonzero chipi zvacho, mhedzisiro ndeyekuti moyo hauchakwanisi kupomba ropa rakakwana kune muviri wese. Nekufamba kwenguva, chirwere ichi chinogona kuva chakanyanya, zvichitokonzera kutadza kushanda kwemoyo . Asi usazvidya moyo, kune mishonga yakanaka yeizvi.
Ndeapi marudzi makuru echirwere chemwoyo?
Kune mhando dzakawanda dzechirwere ichi. Chimwe nechimwe chinokanganisa mwoyo nenzira yakasiyana zvishoma. Ngatitarisei mhando huru dzacho.
| Rudzi rwechirwere | Zvichitaurwa zviri nyore, chii chinoitika? |
|---|---|
| Kuora Mwoyo Kwemwoyo | Kamuri guru rinopomba ropa remwoyo (ventricle yekuruboshwe) rinokura, madziro aro anotetepa uye asina simba. |
| Hypertrophic Cardiomyopathy | Tsandanyama dzemwoyo dzinova gobvu zvisingawanzoitiki, zvichiita kuti zviomere mwoyo kuzadza ropa. |
| Kudzora Cardiomyopathy | Tsandanyama dzemwoyo dzinooma uye dzinorasikirwa nekusimba kwadzo. Izvi zvinoita kuti zvive zvakaoma kuti makamuri emwoyo azare neropa. |
| Cardiomyopathy inokonzera kusagadzikana kwepfungwa | Tsandanyama yemoyo inotsiviwa nemafuta nenyama dzine mavanga. Izvi zvinogona kukanganisa masaini emagetsi emoyo uye kukanganisa kurova kwemoyo. |
| Mamwe marudzi | Pamusoro pezvo, kune mhando dzinokonzerwa nezvinhu zvakaita sekunwa doro zvakanyanya, chemotherapy, pamuviri, uye kushushikana kwakanyanya (broken heart syndrome). |
Ndezvipi zviratidzo zvechirwere ichi?
Vamwe vanhu havaratidzi zviratidzo pakutanga, asi chirwere ichi pachinoenderera mberi, zviratidzo zvinotanga kuoneka. Tarisa kana uri kusangana nechimwe chezviratidzo izvi.
- Kushaya mweya: Kutadza kufema zvakanaka, kunyanya kana uchiita basa diki, kufamba, kana kukwira masitepisi.
- Kuzvimba kwemakumbo, zvitsitsinho, netsoka (Edema): Kuzvimba kwemakumbo nekuda kwekuungana kwemvura mumuviri.
- Kuneta: Kunzwa kuneta uye hope nguva dzese, kunyangwe pasina chauri kuita.
- Arrhythmia: Kunzwa kuti moyo uri kurova nekukurumidza, sekunge uri kurova, kana sekunge uri kusvetuka-svetuka.
- Dzungu kana Kufenda: Kunzwa kupera simba kana kurasikirwa nepfungwa, sekunge waingoerekana wasimuka.
- Kurwadziwa pachipfuva: Kunzwa kumanikidzwa muchipfuva, kunyanya paunenge uchirovedza muviri.
Chinhu chakakosha ndechekuti, kana uine chimwe chezviratidzo izvi kana kupfuura, usafunge kuti chirwere chemwoyo. Zvisinei, hazvina kunaka kuzvifuratirawo. Chinhu chakanakisa chekuita ndechekuona chiremba wako nekukurumidza uye kuwana mazano.
Chii chinokonzera izvi uye ndezvipi zvinhu zvinokonzera njodzi?
Zvakaoma kuziva chikonzero chimwe chete chechirwere ichi. Dzimwe nguva, chikonzero chacho chingasawanikwe zvachose. Zvisinei, kune zvimwe zvikonzero zvikuru zvinokonzera chirwere ichi uye zvinhu zvinoisa njodzi.
Zvikonzero zvikuru
- Zvinhu zvinokonzerwa nemajini: Kana amai vako, baba, kana hama yepedyo vakambova nechirwere ichi, iwe uri panjodzi yekuchibatawo.
- Chirwere chetsinga dzemwoyo: Kuvharika kwetsinga dzinopa ropa kumoyo kunogona kukanganisa tsandanyama dzemwoyo.
- Kukwira kweropa: Kukwira kweropa kwenguva yakareba kusingadzoreki kunogona kuwedzera kuomesa mwoyo uye kukonzera tsandanyama dzemwoyo kukora.
- Utachiona hunokanganisa mwoyo: Humwe utachiona hunokonzerwa nemavhairasi kana mabhakitiriya hunogona kukonzera kuzvimba kwetsandanyama yemwoyo.
- Mamwe matambudziko ehutano: Izvi zvinogonawo kukonzerwa nematambudziko ehutano akadai sechirwere cheshuga, chirwere chethyroid, amyloidosis, uye sarcoidosis.
Zvinhu zvinowedzera njodzi
- Kushandisa doro zvakanyanya: Kunwa doro zvakanyanya kwenguva yakareba kunokuvadza tsandanyama dzemwoyo zvakananga.
- Kushandisa zvinodhaka: Kushandisa zvinodhaka zvakaita secocaine.
- Kurapa Gomarara: Mimwe mishonga yekurwisa gomarara (Chemotherapy) uye radiation therapy zvinogona kukanganisa mwoyo.
- Kufuta: Zvakakosha kudzora huremu hwemuviri.
- Kubata pamuviri: Kashoma, chirwere ichi chinogona kuitika mukati mehafu yekupedzisira yekuzvitakura kana mushure mekusununguka.
Chiremba anoongorora sei chirwere ichi chaizvo?
Paunoenda kuna chiremba, anotanga akubvunza nezvenhoroondo yako yezveutano uye yemhuri yako. Wobva akuongorora. Kana akafungidzira kuti une chirwere ichi, achakutumira kuna chiremba wemwoyo uye okukumbira kuti uite mimwe miedzo.
| Bvunzo | Chii chaunoona pane izvi? |
|---|---|
| ECG (Electrocardiogram) | Kushanda kwemagetsi kwemoyo kunonyorwa. Kusashanda zvakanaka kwemoyo kunogona kuonekwa. |
| Echocardiogram | Uku kuongorora mwoyo. Kukura kwemoyo, ukobvu hwemadziro awo, uye kuti unopomba ropa zvinoonekwa zvakajeka. |
| X-ray yechipfuva | Unogona kutarisa kana moyo wakakura kana kuti mvura yakaungana mumapapu. |
| Kuedza kushushikana kwemuviri | ECG inotorwa paunenge uchifamba patreadmill, uchitarisa mashandiro anoita moyo wako paunenge wakaneta. |
| MRI yemwoyo kana CT scan | Izvi zvinobatsira kuwana ruzivo rwakadzama uye rwakadzama nezvemaumbirwo uye mashandiro emwoyo. |
| Kuisa katheta mumoyo | Chubhu diki inopinzwa nepatsinga iri paruoko kana pagumbo, kumanikidzwa kuri mumoyo kunoyerwa, uye kana zvichidikanwa, chidimbu chidiki chetsandanyama yemoyo chinotorwa kuti chiongororwe (biopsy). |
Ndezvipi zvinorapwa izvi?
Cardiomyopathy haigone kurapwa zvachose. Zvisinei, kurapwa kunogona kubatsira kudzora zviratidzo , kumisa kana kunonotsa kufambira mberi kwechirwere , uye kukubatsira kurarama hupenyu huri nani . Chiremba wako ndiye achasarudza marapirwo ako zvichienderana nemamiriro ako ezvinhu.
1. Kuchinja kwemararamiro
Ichi ndicho chinhu chakakosha uye chekutanga kuita.
- Kudya zvine munyu nemafuta mashoma: Kuderedza munyu kunogona kubatsira kudzora kuchengetwa kwemvura mumuviri uye BP.
- Kudzivisa doro nekusvuta: Zvese izvi zvakaipa zvikuru pamoyo.
- Kurovedza muviri kwakakodzera: Bvunza chiremba wako kuti maekisesaizi api akakunakira.
- Kuderedza kushushikana: Zvinhu zvakaita seyoga nekufungisisa zvinogona kubatsira.
- Kuramba uine huremu hwakanaka.
2. Mishonga
Zvichienderana nezviratidzo zvako uye mashandiro emoyo, mishonga yakasiyana inogona kunyorerwa.
- Mishonga yekuderedza BP.
- Mishonga inodzora kurova kwemoyo.
- Diuretics mishonga inobvisa mvura yakawandisa mumuviri.
- Mishonga inorwisa ropa kupwanya ropa.
- Mishonga inoderedza cholesterol.
3. Kuvhiya nezvishandiso
Kana chirwere chacho chiri padanho rakakomba uye chakaoma kudzora nemishonga chete, unogona kushandisa nzira idzi dzekurapa.
- Chinopa simba remoyo: Muchina mudiki unoiswa pasi peganda rechipfuva kuti udzore kumhanya kwemoyo kana uchirova nekukurumidza.
- ICD (Inopinzwa Cardioverter-Defibrillator):Mudziyo unoona kurova kwemoyo kusingatarisirwi kunogona kutyisidzira hupenyu uye unorova moyo nemagetsi kuti ugadziriswe.
- Septal myectomy: Kuvhiyiwa kubvisa chikamu chetsandanyama yemwoyo yakakora.
- Kuisirwa moyo: Kunoonekwa senzira yekupedzisira kana mamwe marapirwo ese akakundikana.
Unofanira kutsvaga rubatsiro rwekukurumidzira riini?
Kana uine chirwere chemwoyo, zvakakosha kuti ugare uchiona chiremba wako uye utevedzere mirairo yake. Zvisinei, kana ukasangana nechimwe chezviratidzo zvinotevera kamwe kamwe, enda kuchipatara cheEmergency Department (ETU) nekukasika.
- Kana uchinzwa kurwadziwa kwakanyanya pachipfuva.
- Kana ukangoerekana waomerwa nekufema.
- Kana ukangoerekana warasikirwa nepfungwa (kufenda).
- Kana moyo ukatanga kurova nekukurumidza kana kuti zvisina kurongeka.
Mharidzo Yekuenda Nayo Kumba
- Cardiomyopathy chirwere chakakomba chinopedza simba tsandanyama dzemwoyo. Asi musazvidya mwoyo, chinogona kurapwa zvakanaka.
- Usaregeredza zviratidzo zvakaita sekushaya mweya, kuzvimba makumbo, uye kuneta nguva dzose. Enda kuna chiremba nekukasika.
- Kana paine munhu mumhuri yako akambova nechirwere ichi kana kuti akambosangana nezvirwere zvemwoyo, zivisa chiremba wako nezvazvo.
- Kutora mishonga yawakanyorerwa nachiremba wako nenguva uye kuchinja mararamiro ako (kudya, kurovedza muviri) zvakakosha zvikuru pahutano hwako hweramangwana.
- Kana vanhu vazhinji vane chirwere ichi vakarapwa zvakanaka, vanogona kurarama hupenyu hwakanaka uye hwakajairika.
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