Bhora rinorova pachipfuva rinogona kukonzera kuti mwoyo umire kamwe kamwe here? Ngatidzidzei chaizvo nezve Commotio Cordis!

Wakambonzwa here nezvemunhu anorohwa pachipfuva nebhora rinomhanya-mhanya achitamba cricket kana chero mumwe mutambo? Izvi zvinotyisa zvechokwadi, handiti? Kazhinji tinofunga kuti kungori kukuvadzwa kudiki. Zvisinei, mune dzimwe nguva, kunogona kuva chirwere chakakomba chinogona kutyisidzira hupenyu . Nhasi, tichataura nezvechirwere chemwoyo chisingawanzoitiki, chakangoerekana chaitika, uye chaicho. Izvi zvinonzi `Commotio Cordis` mumashoko ekurapa. Izvi zvinoreva `kukanganiswa kwemoyo'' muchiLatin.

Chii chinonzi `Commotio Cordis`? Kungotaura...

Zvichitaurwa zviri nyore, `Commotio Cordis` zvinoreva kurohwa kwemoyo, pane imwe nguva, panguva yakatarwa, kubva kuchinhu chidiki, chakaoma (kazhinji baseball kana hockey puck), kamwe kamwe kunochinja mutinhimira wemoyo, zvichikonzera kurova kwemoyo kusina kujairika (`ventricular fibrillation`) uye zvichiita kuti mwoyo umire kurova kamwe kamwe (`cardiac arrest`). Fungidzira, moyo wedu inhengo yakaoma uye yakarongeka. Inorova zvichienderana nehurongwa hwemagetsi chaiwo. Mu 'Commotio Cordis' iyi, mashandiro emagetsi emoyo anokanganiswa panguva yakaoma zvikuru nekuda kwekukanganiswa kwekurohwa kwekunze ikoko. Izvi zvakafanana nemuchina unoshanda zvakanaka unongoerekana warohwa kubva panzvimbo isiriyo, uchikanganisa mashandiro awo.

Chimiro ichi chinonzi `Commotio Cordis` chakajairika zvakadii?

Kutaura zvazviri, ichi chirwere chisingawanzoitiki. Usavhunduke. Kunyangwe ukatarisa pasi rese, vanhu vashoma pane makumi matatu vanobatwa ne 'Commotio Cordis' vanoonekwa pagore. Saka ichi hachisi chirwere chinokanganisa munhu wese. Zvisinei, kunyangwe chisingawanzoitiki, kukuvara kwachinogona kukonzera kwakakomba, saka zvakakosha kuziva izvi.

Pane munhu anogona kurarama nechirwere chinonzi `Commotio Cordis`?

Ehe, zvinogona kuitika zvechokwadi! Asi zvinoda kurapwa nekukurumidza . Kana munhu akaroverwa pachipfuva seizvi obva adonha, zvakakosha zvikuru kuita `CPR` (Cardiopulmonary Resuscitation) uye `defibrillate` moyo nekukurumidza uchishandisa `AED` (Automated External Defibrillator).

Nerombo rakanaka, sezvo vanhu vava kuziva nezvechirwere ichi nekufamba kwenguva, mikana yekupona yakawedzera zvakanyanya nekuda kwekushandiswa kwakawanda kwemichina yeCPR neAED .

Ndezvipi zviratidzo zvechirwere ichi?

Zviratidzo zvikuru zve `Commotio Cordis` ndezvi:

• Kudhonza wobva wadonha kana wangobatwa nechipfuva. Ichi ndicho chinhu chikuru.
• Kurira kwemoyo kusina kujairika (`Ventricular Fibrillation`). Izvi zvinoreva kuti makamuri epasi emwoyo anongodedera panzvimbo pekupomba ropa nemazvo.
• Kumira kwemwoyo kamwe kamwe (Cardiac Arrest).
• Kurasikirwa nepfungwa.

Zviratidzo izvi zvinongoerekana zvaitika. Panogona kunge pasina zviratidzo pakutanga.

Chii chinokonzera `Commotio Cordis`?

Kuti chirwere ichi chiitike, zvinhu zvakawanda zvinofanira kuuya pamwe chete. Chikonzero chikuru kurohwa kuruboshwe rwechipfuva, chaipo pamoyo, kazhinji kubva pachinhu chidiki, chakasimba, senge baseball, lacrosse ball, kana hockey puck, pakona yemadhigirii makumi mapfumbamwe, nekumhanya kwemakiromita angangoita 40-50 paawa. Funga nezvebhora reganda rinofamba nekukurumidza pakutamba cricket, kana chero chimwe chinhu chemitambo chinorwadza kana chikarova muviri. Asi izvi hazviitike nekurohwa kwese. Chinhu chakakosha inguva apo kurohwa uku kunoitika. Pane nguva chaiyo, diki kwazvo mu 'cardiac cycle' yemoyo wedu, nguva apo makamuri epasi ('ventricles') emoyo anogumira, anopomba ropa, uye ozorora zvakare. Ndiyo nguva chaiyo iyo kurohwa uku kunofanira kuitika. Zvadaro, nekuda kwekukanganiswa kwekurohwa ikoko, tsandanyama yemoyo, iyo inofanira kusununguka, inogona kungoerekana yakurudzirwa, zvichitungamira kumamiriro e'ventricular fibrillation' ambotaurwa.

Ko punch inogona kukonzera `Commotio Cordis` here?

Ehe, mudzidziso zvinogoneka. Asi kuti zvidaro, mamiriro ese ataurwa kare anofanira kuzadzikiswa. Kureva kuti, kurohwa kunofanira kunge kuri kuruboshwe rwechipfuva, pakona yemadhigirii makumi mapfumbamwe, nekumhanya kwemakiromita makumi mana paawa kana kupfuura, uye panguva iyoyo chaiyo mumoyo. Mikana yekuti izvi zviitike nekurohwa kwakaitwa muhondo yakajairika yakaderera zvikuru.

Ndiani ari panjodzi huru ye `Commotio Cordis`?

Kunyange zvazvo chirwere ichi chichigona kuitika kune chero munhu, vamwe vanhu vari panjodzi huru:

• Kune avo vanotamba mitambo: Kunyanya kune avo vanotamba mitambo inoshandisa mabhora akaomarara kana zvishandiso, zvakaita sebaseball, lacrosse, softball, hockey. Munyika medu, zvakanaka kungwarira izvi mucricket zvakare.
• Kune vechidiki vari pasi pemakore makumi maviri: Chirwere ichi chinowanzobata vanhu vane makore ari pakati pe15. Izvi zvinogona kunge zvichikonzerwa nekuti mapfupa epachipfuva evechidiki haasati akura zvakakwana, zvichiita kuti zvinyanye kuitika kuti kurohwa nekurohwa kupfuure mumoyo.
• Kuvanhurume: Izvi zvinowanzoitika pakati pevakomana kupfuura vasikana. Izvi zvinogona kunge zvichikonzerwa nekuti vakomana vanowanzoita mitambo yekubatana.

Ndeapi matambudziko e `Commotio Cordis`?

Dambudziko guru uye rine njodzi zvikuru reizvi kufa kamwe kamwe nekuda kwechirwere chemwoyo.Sekureva kweNational Cardiovascular Registry, vanhu vanopfuura mazana maviri nemakumi maviri vakafa nechirwere ichi kubvira muna 1996. Saka, ichi hachisi chinhu chekurerutsa.

Nzira yekuziva sei `Commotio Cordis`?

Kana mumwe munhu, kunyanya wechidiki, akarohwa kuruboshwe rwechipfuva achitamba mitambo uye akangoerekana awira, chiremba anogona kufungidzira kuti 'Commotio Cordis'. Zvisinei, uku ndiko 'kuongororwa kwekubviswa' . Izvi zvinoreva kuti vanachiremba vanotanga vatarisa kuti vaone kana paine zvimwe zvikonzero zvakajairika, zvakaita sechirwere chemwoyo. Kana pasina zvikonzero zvakadaro, vanofunga kuti 'Commotio Cordis' ingave ndiyo inokonzera. Mushure mekupa 'CPR' uye 'defibrillation' nekukurumidza, bvunzo dzinotevera dzinogona kuitwa muchipatara:

• Electrocardiogram (EKG): Inotarisa mashandiro emagetsi emwoyo.
• Kuongororwa kweropa : Kutarisa kukuvara kwemoyo kana zvimwe zvinetso.
• Echocardiogram: Kuongororwa kwemoyo kunoongorora chimiro uye mashandiro emoyo .
• MRI yemoyo kana CT scan : Wana mifananidzo yakajeka yemoyo.
• Kuisa catheter mumoyo: Kuongororwa kwezvinhu zvakaita sekuvharika kwetsinga dzeropa dzemwoyo.

`Commotio Cordis` inorapwa sei?

Kurapwa nekukurumidza kwakakosha kune munhu ane `Commotio Cordis`. Kana ukaona chiitiko chakadaro, fonera 119/1990 nekukurumidza wotanga `CPR` iwe pachako. Kana zvichibvira, tsvaga muchina we`AED` nekukurumidza woushandisa. Mushure mekupa rubatsiro rwekukurumidzira, murwere anopinzwa muchipatara uye kuongororwa kwakazara kunoitwa kuti vaone kana paine zvimwe zvirwere zvemwoyo zvisina kuongororwa. Muchipatara, mashandiro emoyo anotariswa.

Kurapa kwakananga

Kana murwere mukuru ane `Commotio Cordis` asina chaanoziva uye asingakwanise kutevedzera mirairo, vanachiremba vanogona kushandisa mushonga unonzi `therapeutic hypothermia`. Izvi zvinosanganisira kunyaradza murwere, kuisa chubhu yekufema, uye kudzikisa tembiricha yemuviri kusvika pa32-34 degrees Celsius (89.6-93.2 Fahrenheit) kwemaawa angangoita 12-24. Izvi zvinoitwa uchishandisa michina yekutonhodza yakakosha, ma ice packs, mvura ye`IV` yakaomeswa nechando, uye magumbeze ekutonhodza. Izvi zvinobatsira kuderedza mwero wekushandiswa kweokisijeni neuropi uye kudzivirira kuzvimba. Zvadaro, muviri unodzoserwa zvishoma nezvishoma kwemaawa akati wandei.

Migumisiro yekurapa

Kurapa kwakadai se `therapeutic hypothermia` dzimwe nguva kunogona kukonzera migumisiro yakaipa. Semuenzaniso:

• `Mabayo`
• Sepsis (kuchetura ropa)
• Kurova kwemoyo kusina kujairika
• Coagulopathy (kuderera kwekugona kweropa kugomara)

Nzira yekudzikisa sei njodzi ye `Commotio Cordis`?

Kunyange zvazvo izvi zvisingagone kudzivirirwa zvachose, pane zvinhu zvaunogona kuita kuderedza njodzi yacho:

• Kupfeka zvipfeko zvekudzivirira: Kupfeka zvinodzivirira pachipfuva kunogona kudzivirira. Zvisinei, kwave kune zviitiko zve 'Commotio Cordis' kunyangwe izvi zvaipfekwa.
• Midziyo yemitambo yakachengeteka: Kushandisa zvinhu zvakaita se "mabaseball akapfava", akagadzirirwa vatambi vechidiki.
• Kuziva uye kugadzirira (ichi ndicho chinhu chakakosha!):
• Zvakakosha kuti varairidzi, vadzidzisi, nevashandi vemitambo vadzidziswe nzira yekuziva `Commotio Cordis` uye maitiro ekuita `CPR`.
• Tinofanira kuva nechokwadi chekuti nzvimbo dzemitambo dzine michina yeAED iri nyore kusvika uye inoshanda zvakanaka.
• Kuva neEmergency Action Plan (EAP) yakarongwa zvakanaka uye inoshanda zvakanaka kwakakosha kuti munhu arapwe nekukurumidza.

Fungidzira kuti zvaizova zororo rakadini dai paiva ne'AED' apo mwana wako anotambira, kana kuti paunotambira, uye mumwe munhu anoziva mashandisirwo ayo.

Chii chaunotarisira kana ukasangana ne 'Commotio Cordis'?

Kana vanachiremba vakakuongororai uye vakasimbisa kuti hapana mamwe matambudziko emwoyo wenyu, hamuzodi kurapwa zvakare mushure mekupora kubva ku 'Commotio Cordis'. Zvisinei, kana vakaona kuti mune chirwere chemwoyo chamusati maziva, chekuzvarwa nacho kana chemajini, muchafanira kurapwa izvozvo.

Ndingatanga kutamba zvakare here?

Mushure mekunge mwoyo wako waongororwa zvizere, kusanganisira EKG, Echocardiogram, MRI kana CT scan yemoyo, uye bvunzo yekushushikana, unogona kudzokera kumitambo. Zvisinei, kana chiremba wako akaona chero matambudziko nemoyo wako, kana paine njodzi diki kana yakakura yekuti Commotio Cordis idzokezve, unogona kurayirwa kudzivirira mitambo ine simba rinogona kukuvadza chipfuva chako.

Ndeipi tarisiro yeramangwana yemamiriro ezvinhu e'Commotio Cordis'?

`Commotio Cordis` ndiyo yechipiri honzeri huru yekufa kamwe kamwe kwemwoyo pakati pevatambi vechidiki. Chekutanga i`hypertrophic cardiomyopathy` (hypertrophic cardiomyopathy). Kana ikarapwa nekukurumidza, huwandu hwekupona hunosvika 59%. Izvi zvinoreva kuti vanhu vanopfuura mumwe chete pavanhu vaviri vanogona kuponeswa. Zvisinei, avo vasingagamuchire `CPR` nekukurumidza, kana avo vane chirwere chemwoyo chekuzvarwa nacho, vane mukana mudiki wekurarama.

Ndinozvitarisira sei?

Kana chiremba wemwoyo wako akati hapana chakaipa nemoyo wako, ungasada kurapwa zvakare. Zvisinei, kana vakawana chirwere chemwoyo chawanga usingazivi, unofanira kuchirapwa. Kunyangwe usina matambudziko emwoyo, zvakanaka kuti uongororwe kanenge kamwe chete pagore.

Ndinofanira kuenda kuchipatara panguva ipi (ER)?

Kana uine chirwere chemwoyo chakaonekwa kuti une chirwere ichi, ungangoda kurapwa nekukurumidza zvakare. Kana ukaona chimwe chezviratidzo izvi, udza mumwe munhu ari pedyo kuti afonere 119/1990 nekukasika:

• Kurwadziwa kwechipfuva
• Kunzwa sekuti moyo wako uri kurova nekukurumidza ('kurova kwemoyo')
• Kushaya mweya
• Kusava nemusoro
• Kufenda

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba mibvunzo yakaita seiyi:

• Ndine matambudziko emwoyo anoda kurapwa here?
• Ndingakwanisazve kutamba mitambo yemakwikwi here?
• Chii chandinofanira kuita kuti ndisanyanya kukuvara pachipfuva changu?

Kurohwa pachipfuva chiitiko chinoshungurudza. Zvisinei, mikana yekupona mushure me `Commotio Cordis` yakakwira zvikuru nhasi kupfuura kare. Nekurapwa nekukurumidza, vanhu vazhinji vanogona kupora. Kana chiremba wako akakuongorora kuti une chirwere chemwoyo, tevera mirairo yavo nemazvo. Kudzidziswa kwe `CPR` uye kuwanikwa kwemichina ye `AED` zvinogona kuunza rugare rukuru rwepfungwa kune avo vanotora chikamu mumitambo iri panjodzi ye `Commotio Cordis`.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, saka ndinovimba kuti wanzwisisa zvakanaka `Commotio Cordis` yatataura nezvayo nhasi. Yeuka, izvi hazviwanzoitika, asi zvinogona kuva nengozi zvikuru kana zvikaitika.

Chinhu chinonyanya kukosha ndechekuti, kana mumwe munhu akangoerekana arohwa nechipfuva achitamba mitambo, usazvitore sezvisina basa. Ipa rubatsiro rwekurapa nekukurumidza (CPR, kushandisa AED, kurara muchipatara).

Sevarairidzi, vabereki, nevatambi, kugara uchiziva izvi, kuwana kudzidziswa kweCPR kana zvichidikanwa, uye kutarisa AEDs kunzvimbo dzemitambo kunogona kubatsira kuponesa hupenyu. Ngatitambei takachengeteka, rambai muine hutano!

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` commotio cordis, kurwiswa kwemoyo, kurwadziwa pachipfuva, kukuvara kwemitambo, kumira kwemwoyo kamwe kamwe, ventricular fibrillation, CPR, AED, kumira kwemoyo, kumutswa kwemoyo nemapapu