Wakambozvibvunza here kuti moyo wako unoshanda sei nguva dzose, usina zororo? Kungofanana nemota inoda peturu, moyo wedu unodawo ropa rizere nezvinovaka muviri uye okisijeni kuti ushande. Kune sisitimu yakakosha yetsinga dzeropa inounza ropa iroro rinokosha kumoyo. Tinodaidza idzi kuti tsinga dzemoyo, kana muchirungu, tsinga dzemoyo . Pamwe wakambonzwa zita iri pakutaura nezvechirwere chemwoyo. Saka, nhasi tichataura zviri nyore uye zvine mutsa nezvesisitimu yetsinga dzeropa, iyo inokosha zvikuru muhupenyu hwedu.
Zvichitaurwa zviri nyore, tsinga idzi dzemwoyo dzinonzi chii?
Fungidzira kuti moyo, unopomba ropa mumuviri wedu wese, wakafanana negwenya guru renyika yedu. Asi gwenya iroro rinodawo simba rakasiyana kuti rishande. Saizvozvowo, tsandanyama dzemwoyo, dzinopomba ropa mumuviri wese, dzinodawo ropa rakasiyana kuti rishande. Basa iri rinokosha rinoitwa netsinga dzemwoyo.
Idzi ndidzo tsinga huru dzinopa ropa kumoyo. Dzinobuda kubva paaorta, tsinga huru yeropa mumuviri wedu. Dzinobuda kubva pamusoro pemoyo dzichiita matavi madiki anopinda mutsandanyama yemoyo. Sezvinongoita muti unotangira pamudzi wobuda matavi.
Tine mitsipa miviri mikuru yemoyo:
1. Right Coronary Artery (RCA): Iyi inonyanya kupa ropa kurutivi rwerudyi rwemwoyo, ndiko kuti, atrium yekurudyi neventricle yekurudyi. Apa ndipo panoungana ropa remuviri risina oxygen risati ratumirwa kumapapu. Chinonyanya kukosha ndechekuti, iyi tsinga inopawo ropa ku sinoatrial (SA) node uye atrioventricular (AV) node, nzvimbo mbiri dzemagetsi dzinodzora rhythm yemoyo. Zvichitaurwa zviri nyore, idzi node mbiri dzinoshanda se'pacemaker' yemoyo, dzichiratidza kuti moyo unofanira kurova riini.
2. Kuruboshwe Kwetsinga Yemoyo Yemoyo (LMCA): Iyi inopa ropa kuruboshwe rwemoyo, kureva, atrium yeruboshwe neventricle yeruboshwe. Iyi ndiyo chikamu chikuru chinopomba ropa rakachena, rine oxygen kubva mumapapu kuenda kumuviri wese. Saka, zvakakosha kuti chikamu ichi chiwane ropa rakanaka.
Mitsipa iyi yeropa yakarongwa zvakafanana here mumunhu wese?
Heino chinhu chinoshamisa. Haasi munhu wese ane tsinga dzemwoyo dzakarongwa nenzira imwechete. Kungofanana neminwe yedu, izvi zvinogona kusiyana zvishoma kubva pamunhu nemunhu.
- Mitsipa iyi inowanzo kuwanikwa mukati memafuta akakomberedza moyo, asi mune vamwe vanhu, inowanikwa mukati memhasuru yemoyo pachayo.
- Mune vamwe vanhu (anenge munhu mumwe chete pavanhu gumi), maSA neAV nodes, anodzora kurova kwemoyo, anogamuchira ropa kubva kugotsi remoyo rekuruboshwe (LMCA), kwete gotsi remoyo rerudyi (RCA).
- Kashoma, vamwe vanhu vane tsinga imwe chete yemoyo inotangira paaorta, yozopatsanuka kuita matavi ekurudyi nekuruboshwe.
Zvizhinji zvekuchinja uku hazvina njodzi uye zvinhu zvakajairika zvisingakonzeri zviratidzo. Zvisinei, zvimwe zvirwere zvisingawanzoitiki (zviri pasi pe1%) zvinogona kukonzera matambudziko akakomba.
Ndezvipi zvinetso zvikuru zvinogona kuitika netsinga dzemwoyo?
Chirwere chemwoyo (CAD) chirwere chatinowanzo kunzwa nezvacho. Ichi ndicho chirwere chinowanzoitika uye chakakomba chinokanganisa tsinga idzi.
Chirwere chemwoyo (CAD) chinokura sei?
Chikonzero chikuru cheizvi i atherosclerosis . Apa ndipo apo rudzi rwemafuta runonzi 'plaque' runoungana mutsinga dzedu dzeropa, sezvinoita tsvina nengura zvinoungana mupombi yemvura nekufamba kwenguva. Mafuta aya anonyanya kuumbwa necholesterol nezvimwe zvinhu.
Nekufamba kwenguva, mafuta aya anokura uye anoderedza nzvimbo iri mukati metsinga yeropa, zvichireva kuti anovhara kufamba kweropa.
- Kana ropa richiyerera zvishoma: Kana wakaneta kana kuita maekisesaizi, mwoyo hauwani ropa rakakwana. Izvi zvinogona kukonzera kurwadziwa muchipfuva (angina) .
- Kana tsinga yeropa ikavharika zvachose: Dzimwe nguva mafuta aya anogona kuputika, ropa rinogwamba munzvimbo iyoyo, uye tsinga yeropa inogona kuvharika zvachose. Zvadaro, ropa rinomira kuyerera kuenda kuchikamu ichocho chemwoyo. Kana okisijeni ikabviswa, tsandanyama dziri muchikamu ichocho dzinotanga kufa. Ndizvo zvatinodaidza kuti 'chirwere chemwoyo' .
Kune mamwe mamiriro ezvinhu asingawanzoitiki:
- Aneurysm: Kusasimba kwemadziro etsinga yeropa, zvichiita kuti ibunduke sebharumu.
- Kupwanyika kwetsinga dzeropa: Kuzvimba kwetsandanyama dziri mumadziro etsinga kamwe kamwe, zvichikonzera kuvharika kweropa.
- Zvisina kujairika zvekuzvarwa nazvo (Anomalous coronary arteries): Kuvapo kwezvimwe zvinhu zvisina kujairika panzvimbo yetsinga pakuzvarwa.
Zviratidzo zvekunyevera - chenjerera izvi!
Kana paine dambudziko netsinga dzemwoyo, chiratidzo chikuru kurwadziwa pachipfuva (angina) . Zvisinei, kune vamwe vanhu, kekutanga pavanoziva kuti vane chirwere chemwoyo mushure mekunge vabatwa nechirwere chemwoyo. Saka zvakakosha kuziva zviratidzo izvi.
Nyatsoteererai hunhu hunotevera.
| Chiratidzo | Chii chekuita? |
|---|---|
| Kurwadziwa pachipfuva kana kusagadzikana (Angina) Marwadzo anoitika kunyanya panguva yekurovedza muviri, kukwira masitepisi, kana panguva yekushushikana kwepfungwa uye anodzikira nekuzorora. | Iyi inyevero. Enda kuna chiremba wemhuri yako nekukurumidza uye taura nezvazvo. |
| Dambudziko! - Izvi zvinogona kuva zviratidzo zvechirwere chemwoyo | |
| Kurwadziwa kwakanyanya pachipfuva Chipfuva chacho chinonzwa chakaoma, chakadzvanywa, uye chakarema. | Kana uine chimwe chezviratidzo izvi kana kupfuura, usapedza nguva uye fonera ambulensi ye1990 nekukurumidza kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo. |
| Marwadzo anopararira kune dzimwe nzvimbo Marwadzo anopararira kusvika pashaya, mutsipa, musana, maoko (kunyanya ruoko rweruboshwe), kana pamafudzi. | |
| Kuoma kufema | |
| Kunzwa kutonhora uye kudikitira | |
| Kushaya simba, kupera simba, kana kuti dzungu | |
Unoita sei kuti tsinga idzi dzeropa dzirambe dzakagwinya?
Chinhu chakanakisa kudzivirira chirwere ichi chisati chaitika. Kuchinja kuri nyore mumararamiro edu kunogona kuchengetedza tsinga idzi dzinokosha dzemwoyo dzakasimba.
- Kudya kwakanaka pamoyo: Deredza munyu, mafuta, uye shuga . Deredza kudya zvine mafuta akawanda uye cholesterol (nyama dzine mafuta, chikafu chakakangwa, chikafu chinokurumidza). Pane kudaro, isa michero mitsva, miriwo, nyemba, hove diki, uye zviyo zvakakwana mukudya kwako.
- Kurovedza muviri nguva dzose: maminetsi makumi matatu pazuvaIta maekisesaizi akadai sekufamba nekukurumidza, kumhanya, kana kuchovha bhasikoro. Izvi zvichakubatsira kudzora BP yako, cholesterol, uye huremu.
- Kudzora BP: Kana uine BP yakakwira, tora mushonga wako sezvawakarairwa nachiremba wako. Tarisa BP yako nguva nenguva.
- Dzivisa kusvuta zvachose: Kana ukasvuta, rega ipapo ipapo . Ndiyo kukuvara kukuru kwemoyo wako netsinga dzeropa. Uyewo, kuva nevanhu vanosvuta (kusvuta pasina kusvuta) kune njodzi.
- Deredza kunwa doro: Deredza kunwa doro zvakanyanya kana kuti rega zvachose.
- Kudzora kushushikana: Edza kuchengetedza pfungwa dzako dzakasununguka kuburikidza nezvinhu zvakaita seyoga nekufungisisa.
Kana uine zvinhu zvinogona kukonzera njodzi pahutano hwetsinga dzemwoyo (semuenzaniso, nhoroondo yemhuri yechirwere chemwoyo, chirwere cheshuga, cholesterol yakakwira), taura nachiremba wako nezvazvo uwane mazano anodiwa uye kurapwa.
Mharidzo Yekuenda Nayo Kumba
- Mitsipa yeropa inonzi coronary arteries ndiyo nzira yekupa ropa kutsandanyama dzemwoyo yedu uye inokosha pakushanda kwemoyo.
- Mitsipa iyi inogona kuvharwa nemafuta akaunganidzwa (atherosclerosis). Chirwere ichi chinonzi chirwere chemwoyo (CAD), uye ndicho chinokonzera kurwiswa kwemoyo.
- Kurwadziwa pachipfuva (Angina) chiratidzo chikuru chekunyevera. Usambozvifuratira. Enda kuna chiremba wako nekukasika.
- Zviratidzo zvakaita sekurwadziwa pachipfuva zvakanyanya, kushaya mweya, uye kudikitira zvinogona kuva zviratidzo zvechirwere chemwoyo. Kana zvakadaro, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Unogona kuchengetedza tsinga dzemwoyo wako dziine hutano nekudya chikafu chine hutano, kurovedza muviri nguva dzose, kusasvuta fodya, uye kudzora BP yako.
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