Une dambudziko remwoyo rakadai here? Ngatidzidzei nezve Diastolic Dysfunction!

Dzimwe nguva unonzwa kushaya mweya kunyangwe mushure mekuita basa diki here? Kana kuti makumbo ako anozvimba wonzwa kuneta here? Pamwe zviri shure kwezvinhu izvi pane mamiriro atiri kutaura nezvawo nhasi anonzi `Diastolic Dysfunction`. Usazvidya moyo, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi Diastolic Dysfunction? Ngatinzwisise zviri nyore.

Zvakanaka, ngatitangei tatarisa mashandiro anoita mwoyo yedu. Waizviziva here kuti moyo wedu wakaita sepombi? Pombi iyi ine zvikamu zviviri zvikuru. Imwe makamuri maviri ari pamusoro pemoyo, atinodaidza kuti `Atria` . Imwe makamuri maviri ari pasi pemoyo, atinodaidza kuti `Ventricles` .

Zvino, kana mwoyo uchirova, ndiko kuti, kana paine 'kurova kwemoyo' , zvinhu zviviri zvikuru zvinoitika:

1. Diastole: Iyi ndiyo chikamu chekutanga chekurova kwemoyo. Chinoitika pano ndechekuti makamuri epasi emwoyo (maventricles) anozorora zvishoma, sebharumu riri kugadzirira kuputira. Ipapo ropa rinobva mumakamuri epamusoro (atria) rinozadza makamuri aya. Zvichitaurwa zviri nyore, iyi ndiyo nguva iyo moyo unozadzwa neropa.

2. Systole: Kana maventricle azadzwa neropa, anogumira zvakasimba, kana kuti anogumira. Ropa rinozobva rapombwa kubva mumoyo, kuenda kumapapu, uye kuenda muaorta, tsinga huru yeropa inotakura ropa kumuviri wese.

Zvino wava kunzwisisa here kuti ``Diastole`` chii? Kusashanda zvakanaka kweDiastole inguva iyo ``Diastole``, nguva iyo makamuri epasi (masero) emwoyo anofanira kuzorora kuti azare neropa, isingaitike nemazvo. Kutaura chokwadi, makamuri epasi emwoyo wako anooma zvishoma uye haazorore nemazvo. Chii chinoitika ipapo? Makamuri iwayo haagone kuzadza neropa nemazvo. Kana izvozvo zvikaitika, kumanikidzwa kunotanga kuungana mukati memoyo.

Funga nezvazvo, kuti chipanji chinwe mvura, hachigoni kusvinwa, chinofanira kunge chakasununguka zvishoma. Saizvozvowo, kuti makamuri emwoyo azare neropa, anofanira kunge akasununguka zvakanaka.

Kana chirwere ichi chikawedzera kuipa, chinogona kukonzera chirwere chinonzi ``Diastolic Heart Failure`` , zvinoreva kuti moyo unomira kushanda. Zvadaro, mvura dzakadai semvura dzinogona kuungana munzvimbo dzakadai semapapu, dumbu, nemakumbo.

Chii Chinosiyana Pakati Pekukundikana Kwemoyo kweDiastolic neKukundikana Kwemoyo kweDiastolic?

Izvi zviviri hazvina kufanana, asi zvine hukama. ``Kusashanda zvakanaka kweDiastolic``` ndiko apo dambudziko remakamuri ezasi emoyo rinotanga kusununguka. Kana izvi zvanyanya kuoma, zvichireva kuti makamuri ezasi erutivi rwekuruboshwe rwemoyo anooma, uye zvichiuya nezvimwe zviratidzo zvekushaya simba kwemoyo, tinozvidaidza kuti ``Kukundikana kwemoyo kweDiastolic``.Iyi imhando yekutadza kushanda kwemoyo kunokanganisa divi rekuruboshwe.

Munhu ane "Diastolic Heart Failure" anogona kuona zviratidzo zvakaita se:

• Kuneta: Kunzwa kuneta kunyangwe uripo.
• Kuzvimba kwemakumbo: Kunyanya zvitsitsinho.
• Kusvotwa uye kushaya chido chekudya: Kusanzwa kuda kudya, dzimwe nguva kunzwa kuda kudya.
• Kutadza kufema zvakanaka (Dyspnea): Kutadza kufema zvakanaka kunyangwe pakuita mabasa akareruka, dzimwe nguva kunyangwe pawakarara.
• Kuwedzera huremu: Kuchengetwa kwemvura kunogona kukonzera kuwedzera huremu kamwe kamwe.

Ndiani ane mukana mukuru wekuwana chirwere ichi? Ndezvipi zvinhu zvinokonzera njodzi?

Kutaura zvazviri, chero munhu anogona kuva ne "Diastolic Dysfunction". Zvisinei, vamwe vanhu vari panjodzi yakakura zvishoma. Ngationei kuti ndivanaani?

• Vanhu vane makore anopfuura makumi manomwe ekuberekwa: Njodzi yechirwere ichi inowedzera sezvaunokura.
• Vanhu vasingaite zvekurovedza muviri: Kusaita maekisesaizi uye kugara pasi zvinogona kukanganisa izvi.
• Vanhu vanoputa kana kushandisa zvigadzirwa zvefodya.

Uyewo, njodzi yacho inotowedzera kana uine matambudziko ehutano akadai se:

• Kana body mass index yako (BMI) iri 30 kana kupfuura (zvinoreva kuti wakafuta).
• Kana uine chirwere chetsandanyama dzemwoyo (`Cardiomyopathy`) .
• Kana uine chirwere cheshuga .
• Kana uine BP yakakwira (BP yakakwira / BP yakakwira) .
• Kana uine chirwere chemwoyo .
• Kana uine chirwere chesleep apnea .

Kusashanda zvakanaka kweDiastolic kunokanganisa sei muviri?

Fungidzira, nekuti makamuri epasi emwoyo haasi kuzadzwa neropa nemazvo, makamuri epamusoro anofanira kushanda nesimba kuti apombe ropa. Izvi zvinowedzera kumanikidzwa mukati memwoyo. Chii chinoitika nekuda kwekumanikidzwa uku?

• Kumanikidzwa kweropa mutsinga dzeropa mumapapu kunowedzera uye mvura inogona kuungana. Apa ndipo panoitika dambudziko rekufema.
• Kumanikidzwa kweropa mutsinga dzeropa mudumbu nemakumbo kunowedzera, uye mvura inogona kuungana imomo zvakare. Izvi zvinogona kukonzera zvinhu zvakaita sekushaiwa chishuwo chekudya uye kuzvimba kwemakumbo.

Nekufamba kwenguva, chirwere ichi, chinonzi ``Diastolic Dysfunction``, chinogona kukura kuita ``Diastolic Heart Failure``. Ichi ndicho chikonzero chikuru cheBP yemapapu . Dzimwe nguva chinogona kusanganiswa nekurova kwemoyo kusina kurongeka kunonzi ``Atrial Fibrillation``` .

Dambudziko rine vanhu vazhinji vane ``Diastolic Heart Failure`` iHFpEF (``Heart Failure with Preserved Ejection Fraction``).Zvichitaurwa zviri nyore, huwandu hweropa rinopombwa nemoyo (tinoti `Ejection Fraction`) ndizvo zvakajairika, asi zvichiri kuratidza zviratidzo zvekukundikana kwemoyo.

Dambudziko iri rakajairika zvakadii?

Kusashanda zvakanaka kweDiastolic chirwere chinowanzoitika pakati pevakwegura. Sekureva kwevamwe vanachiremba, vanhu vanopfuura makore makumi manomwe vanogona kunge vaine dambudziko rekusashanda zvakanaka kweDiastolic. Zvisinei, hazvina kunyanya kuitika pakati pevana nevanhu vari pasi pemakore makumi manomwe.

Ndezvipi zviratidzo zveDiastolic Dysfunction?

Vanhu vazhinji vane mwero mudiki wekuti "Diastolic Dysfunction" . Unganzwa kufema zvishoma kana uchiedza zvishoma, sekukwira masitepisi. Zvisinei, sezvo chirwere ichi chichienderera mberi, kufema kunowedzera kuoma uye zviratidzo zve "Diastolic Heart Failure" zvinogona kutanga.

Ndezvipi zvikonzero zveDiastolic Dysfunction?

Pane zvikonzero zvikuru zvakati wandei zvinoita kuti zvidaro. Zvinhu zvine njodzi zvatakakurukura kare zvine chekuitawo neizvi.

• Chirwere chemwoyo: Kuvharika kwetsinga dzinopa ropa kumoyo.
• Chirwere cheshuga.
• Kukwira kweropa (`Kukwira kweropa / Kukwira kweropa`).
• Kana wakamborwara nemoyo kare.
• Kutadza kufema zvakanaka pakurara.

Ungaziva sei chirwere ichi? (Kuongororwa)

Kana chiremba wako achifungidzira kuti une chirwere ichi, vangangokutumira kuti uongororwe echocardiogram ( inozivikanwawo se "echo test") .

Kuongororwa kwe echo kwakafanana ne ultrasound scan. Kunotarisa kuti mwoyo wako uri kupomba ropa zvakanaka sei, kuti mavharuvhu emwoyo wako ari kushanda zvakanaka sei, kuti madziro emakamuri emwoyo wako akakora sei, uye kuti anozorora zvakanaka sei. Izvi zvakakosha kuti uzive kana uine dambudziko re diastolic.

Kusashanda zvakanaka kweDiastolic kunoongororwa zvichienderana nekuoma kwechirwere here? (Magiredhi)

Ehe, vanachiremba vanoisa chirwere ichi muzvikamu zvichienderana nekuoma kwacho. Chinonzi "Magiredhi".

• Giredhi I: Uku kusasimba kudiki mukukwanisa kwemoyo kuzorora. Izvi zvinowanzoonekwa muvanhu vane makore anopfuura makumi matanhatu.
• Giredhi rechipiri: Kumanikidzwa kwemoyo kuruboshwe kwakawedzera zvishoma.
• Giredhi III: Kumanikidzwa kwemoyo kuruboshwe kwakawedzera zvakanyanya.
• Giredhi rechina: Uku kukundikana kwemoyo zvakanyanya. Kumanikidzwa kwemoyo kuruboshwe kwakakwira zvikuru.

Ndezvipi zvirongwa zvekurapa kusagadzikana kweDiastolic?

Chinhu chakanakisa ndechekuti, kune nzira dzekurapa chirwere ichi. Kune nzira dzakasiyana siyana dzekurapa:

1. Kuchinja mararamiro: Izvi zvakakosha zvikuru.

• Kana uchisvuta, rega.
• Kuderedza munyu (sodium) muzvikafu.
• Kurovedza muviri nguva dzose (kunyanya kurovedza muviri kweaerobics senge kufamba netsoka nebhasikoro).
• Chiremba wako anogonawo kukutumira kune chirongwa chekurapa mwoyo , icho chinogona kubatsira kuvandudza hutano hwemwoyo wako.

2. Mhando dzemishonga:

• Mishonga inobvisa mvura mumuviri (kana kuti "mapiritsi emvura"): Iyi mishonga inobatsira kuderedza huwandu hwemvura isingakoshi inenge yaungana mumuviri.
• Kana uine zvimwe zvirwere, zvakaita seBP kana chirwere cheshuga, unogona kupihwa mishonga yakasiyana yekuzvidzora .

3. Midziyo yeKubatsira Kuburitswa Kwemhepo Yekuruboshwe (LVADs): Idzi midziyo midiki inoiswa mumoyo nevanovhiyiwa kuti ibatsire moyo kupomba ropa. Inowanzo shandiswa kana paine Diastolic Heart Failure yakanyanya, kunyanya kana kugona kwemoyo kupomba ropa (Systolic Function) kwakadzikirawo zvakanyanya .

4. Kuisirwa Mwoyo: Izvi zvinongoonekwa chete kana paine mamiriro akaoma, kana pasina kumwe kurapwa kwakashanda. Vanhu vazhinji vanogona kugadzirisa dambudziko iri nekuchinja mararamiro uye mishonga.

Kusashanda zvakanaka kweDiastolic kunogona kudzivirirwa here?

Ehe, zvinokwanisika zvakanyanya! Kutevedzera tsika dzinobatsira pamoyo kunogona kuderedza njodzi iyi. Ndedzipi tsika idzodzo?

• Chengetedza huremu hwakanaka zvichienderana nehurefu hwako, zera rako, uye kuti murume kana mukadzi.
• Dzivisa fodya nedoro. Deredza kunwa caffeine (tii, kofi).
• Idya chikafu chakakwana chine michero, miriwo, nyemba, zviyo zvakakwana, mafuta ane hutano (semuenzaniso mafuta emuorivhi, avocado), uye mapuroteni asina mafuta akawanda (hove, huku).
• Ita maekisesaizi e aerobic kwemaminitsi angangoita 150 (sekufamba nekukurumidza, kumhanya, kushambira) pasvondo.
• Kana uine zvimwe zvirwere (zvakaita sechirwere cheshuga, BP), tevera mirairo yachiremba wako uye tora mishonga yako sezvawakanyorerwa.
• Deredza kudyiwa kwemafuta akazara, munyu, uye shuga yakacheneswa.
• Dzora kushushikana (kuburikidza nekufungisisa, yoga, kutaura nemunhu waunovimba naye, nezvimwewo).
• Rara zvakanaka kwemaawa manomwe kusvika masere husiku.

Chii chinoitika kana uine dambudziko re diastolic? Chii chaungatarisira?

Kana ikasarapwa, chirwere che "Diastolic Dysfunction" chinogona kuwedzera zvishoma nezvishoma uye kukonzera kutadza kushanda kwemoyo. Zvisinei,Vanhu vazhinji vanogona kurarama nechirwere ichi zvakanaka uye kurarama hupenyu hwakajairika nekuchinja mararamiro avo uye kushandisa mishonga.

Chinhu chinonyanya kukosha ndechekuti kana uine chirwere ichi, unoenda kunoongororwa nachiremba nguva dzose uye unotevera mirairo yachiremba wako nemazvo. Zvadaro, chiremba wako anogona kutarisa chirwere chako uye kuwedzera mamwe marapirwo kana zvichidikanwa.

Mibvunzo ipi yaunofanira kubvunza chiremba wako?

Kana uine kana kuti uchifungidzira kuti une dambudziko re diastolic dysfunction, unogona kubvunza chiremba wako mibvunzo iyi:

• Chii chinonyanya kukonzera zviratidzo izvi zvandinazvo?
• Ndezvipi zviratidzo zvekutanga zve "Diastolic Dysfunction"?
• Ndedzipi bvunzo dzandinofanira kuita kuti ndinyatsoongorora chirwere ichi?
• Ndedzipi nzira dzekurapa ``Diastolic Dysfunction``?
• Ndezvipi zvandinofanira kuchinja muhupenyu hwangu kuti ndideredze njodzi yekuti chirwere ichi chiwedzere kuipa?

Chii chinonyanya kukonzera kusashanda zvakanaka kweDiastolic?

Kukwira kweropa kusingadzoreki ndicho chikonzero chikuru uye chinonyanya kukonzera kusagadzikana kwe diastolic uye kutadza kwemoyo kwe diastolic.

Unogona kurarama kwenguva yakareba sei neDiastolic Dysfunction?

Pane mashoko akanaka! Vanhu vane ``Diastolic Dysfunction`` vasina chirwere chemwoyo vanogona kurarama kwenguva yakareba seyemunhu ane hutano ane zera rimwe chete. Zvisinei, kana uine ``Diastolic Dysfunction`` pamwe chete nezvimwe zvirwere zvemwoyo (zvakaita sechirwere chemwoyo , systolic heart failure), mamiriro acho ezvinhu anogona kunge akasiyana zvishoma. Ndosaka zvichikosha kuwana kurapwa kwakakodzera uye kutevedzera zano rachiremba wako.

Mharidzo Yekuenda Nayo Kumba

Kusashanda zvakanaka kwemoyo (diastolic dysfunction) kunoitika kana makamuri epasi emoyo asingazorori zvakanaka uye achizadzwa neropa. Izvi zvinowedzera kumanikidzwa mukati memoyo, izvo zvinogona kupedzisira zvaita kuti mwoyo usashande zvakanaka.

Asi musazvidya mwoyo! Ichi chirwere chinogona kudzorwa zvakanaka nekuchinja mararamiro zvakanaka, kushandisa mishonga kana zvichidikanwa, uye kugara muchiongororwa nachiremba. Chengetedza moyo wako uye urarame hupenyu hune hutano. Kana uine zvinokunetsa, usazeza kutaura nachiremba wako.

` Kusashanda zvakanaka kwe diastolic, chirwere chemwoyo, kutadza kushanda zvakanaka kwemoyo, kushaya mweya, BP, chirwere cheshuga, kutadza kushanda zvakanaka kwemoyo