Mwoyo wako hauna simba here? Ngatidzidzei nezve Diastolic Heart Failure!

Dzimwe nguva unonzwa kushaya mweya here? Kana kuti unonzwa kupera simba kunyangwe mushure mekufamba chinhambwe chipfupi? Pamwe unofanira kuzvitsigira nemapiro maviri kana matatu husiku kuitira kuti usagone kurara wakatwasuka? Izvi zvingasava kuneta chete. Nhasi tichataura nezvechirwere chisingazivikanwe nevanhu vazhinji, asi chinogona kukanganisa hutano hwemwoyo yedu zvakanyanya uye chinogona kuva chakakomba. Izvozvo zvinoreva Diastolic Heart Failure .

Unoziva here kuti Diastolic Heart Failure chii?

Zvichitaurwa zviri nyore, Diastolic Heart Failure chirwere chinoita kuti imba huru yemoyo wako, iyo left ventricle , iome uye isakwanise kuzadza ropa rakakwana. Izvi zvinonziwo Heart Failure with Preserved Ejection Fraction (HFpEF) .

Kune mhando mbiri dzekushaya simba kwemoyo dzinoitika kuruboshwe rwemoyo wedu. Kushaya simba kwemoyo kweDiastolic rudzi rumwe. Rumwe rudzi rwekushaya simba kwemoyo kwesystolic . Chinoitika ipapo kudzikira kwekugona kweventricle yekuruboshwe kupomba ropa. Asi nhasi tiri kutaura zvakawanda nezvekusagona kushanda kwemoyo kwediastolic.

Chii chinoitwa ne ventricle yekuruboshwe yemoyo wedu?

Waizviziva here kuti moyo wedu wakafanana neimba ine makamuri mana? Kune makamuri maviri padhoro repamusoro (right atrium neleft atrium), uye makamuri maviri padhoro repasi (right ventricle neleft ventricle). Ventricle yekurudyi inopomba ropa kuenda kumapapu chete. Asi ventricle yekurudyi ndiyo inonyanya kukosha inopomba ropa kuenda kumuviri wese. Ndosaka ventricle yekurudyi iri iyo kamuri yakakora kwazvo mumoyo. Ndiyo inogovera ropa rine oxygen mumuviri wedu wese.

Zvinorevei mazwi ekuti "diastolic" uye "systolic"?

Wakamboongororwa BP yako here? Inopa nhamba mbiri. Nhamba mbiri idzodzo dzinonzi systolic uye diastolic.

Funga nezvazvo, pese painorova mwoyo wako, unopomba ropa shoma mumuviri wako wese. Kumanikidzwa kunokonzerwa neropa iroro kunonzi systolic blood pressure .

Kumanikidzwa kweropa kweDiastolic ndiko kumanikidzwa kuri mutsinga dzeropa kana moyo uchizorora pakati pekurova, ndiko kuti, kana tsandanyama dzemwoyo dzichizorora zvishoma.

Ndosaka kumanikidzwa kwako kune zvinhu zviviri:

• Nhamba yepamusoro i systolic blood pressure.
• Nhamba yepasi ndiyo diastolic blood pressure.

Zvino, unonzwisisa here kuti izwi rekuti "diastolic" rinobuda sei patinoti diastolic heart failure? Izvi zvinoreva kuti dambudziko riri panguva yediastolic phase, apo moyo unenge wakazorora uye uchizadzwa neropa.

Kukundikana kwemoyo kwe diastolic kunokanganisa sei muviri wako?

Kana divi rekuruboshwe remoyo wako, kunyanya ventricle yekuruboshwe, raoma, hezvino zvinoitika:

• Mwoyo haugone kuzorora zvakanaka pakati pekurova kwemoyo.
• Saka, moyo hauzare neropa rakakwana .
• Mwoyo une hutano hwakanaka haugone kupomba ropa rakawanda mumuviri wese.

Nekuda kweizvozvo, unogona kuona zviratidzo zvekusashanda zvakanaka kwemoyo. Ungave uchinetseka nekufema, uye unganzwa kuneta zvisinei nekuti unowana zororo rakadii . Ungave uchinetsekawo nekufema paunorara pasi husiku. Ungave uchitoonawo kuzvimba (edema) mudumbu mako kana makumbo. Zviratidzo izvi zvinogona kuwedzera zvishoma nezvishoma nekufamba kwenguva.

Chii Chinokonzera Kukundikana kweDayastolic Heart?

Pane zvinhu zvakawanda zvinogona kukonzera chirwere ichi. Zvimwe zvacho ndeizvi:

• Atrial fibrillation (Afib) : Uku kurova kwemoyo kusina kurongeka.
• Chirwere chetsinga dzeropa : Kuvharika kwetsinga dzinoendesa ropa kumoyo.
• Chirwere cheshuga
• Kukwira kweropa (BP)
• Kumbomira kufema panguva yekurara (OSA)
• Kufuta
• Chirwere cheitsvo chisingaperi
• Zvimwe zvirwere zvinokanganisa nhengo dzemwoyo, zvakaita seamyloidosis .

Tichitarisa zvikonzero izvi, zviri pachena kuti zvirwere zvakawanda zvatinofanira kudzora muhupenyu hwedu hwezuva nezuva zvinokanganiswa nazvo.

Ndezvipi zviratidzo zvechirwere ichi?

Zviratidzo zvekushaya simba kwemoyo panguva yekuzvitakura zvakafanana zvikuru nezvimwe zviratidzo zvekushaya simba kwemoyo panguva yekuzvitakura. Kana uine chirwere ichi, unogona kusangana nezviratidzo zvakaita se:

• Kufemereka, ruzha rwakaita sekukosora kana kufemereka .
• Dzungu .
• Kuzvimba , zvinoreva kuzvimba, kunyanya mumakumbo, muzvitsitsinho, mutsoka, kana mudumbu.
• Kuneta kusingaperi .
• Kuita weti kakawanda .
• Kushaya mweya wekufema , kunyanya kana wakarara pasi kana kuita basa rakareruka.
• Kusakwanisa kurovedza muviri zvakanyanya . Chimbofunga, kana uchinzwa sekuti chipfuva chako chiri kuvharika uye uri kunetseka kufema paunokwira masitepisi awakambokwanisa kukwira zviri nyore, ichi chingave chiratidzo.

Zvakakosha:Kana uine chimwe chezviratidzo izvi kana kupfuura, ndapota tsvaga rubatsiro rwechiremba. Izvi zvingasava nguva dzose zvichikonzerwa nekushaya simba kwemoyo kwe diastolic, asi zvakakosha kuti uongororwe chirwere chacho nemazvo.

Kukundikana kwemoyo weDiastolic kunoonekwa sei?

Paunoenda kunoona chiremba, achakubvunza nezvezviratidzo zvako uye nhoroondo yehutano hwemhuri yako, ozokuongorora woteerera mwoyo wako ne stethoscope .

Miedzo yakasiyana-siyana inogona kuitwa kuti paonekwe chirwere ichi chemwoyo. Semuenzaniso:

• X-ray yechipfuva : Tora mifananidzo yechipfuva chako nemoyo wako.
• Electrocardiogram (EKG) : Muedzo unoratidza mashandiro emagetsi emwoyo.
• Echocardiogram : Inoshandisa mafungu eruzha kuongorora chimiro uye mashandiro etsandanyama dzemwoyo nemavharuvhu.
• Kuongororwa kwekushushikana kwemuviri : Kurova kwemoyo wako kunowedzera, kungave nekukupa mushonga kana kufamba patreadmill, uye mwoyo wako unotariswa kuti unopindura sei.
• Kuisa catheter mumoyo : Chubhu yakatetepa, isina chinhu (catheter) inoiswa kuti ione kumanikidzwa uye kuyerera kweropa mumoyo.

Miedzo iyi ndiyo inobvumira chiremba kuti azive kuti une chirwere chipi chaizvo.

Ndezvipi zvinorapwa izvi?

Usatya kana ukaona kuti une diastolic heart failure. Kune mishonga yekurapa. Chiremba wako angangokurudzira shanduko dzemararamiro . Tsika dzakanaka dzinogona kuvandudza hutano hwemwoyo wako uye kubatsira moyo wako kushanda zvakanaka. Unogona kuwana zororo nekuita zvinhu izvi:

• Wana huremu hwakanaka uye chengetedza .
• Kudya chikafu chine sodium shoma mumoyo . Zvakanaka zvikuru kuderedza munyu muzvikafu zvatinodya uye kudya michero nemiriwo yakawanda.
• Rapa BP yakakwira .
• Kupfeka muchina weCPAP kana uine sleep apnea .
• Kurovedza muviri kwemaminitsi makumi matatu mazuva mazhinji evhiki.
• Kurega kusvuta uye kushandisa zvigadzirwa zvefodya . Bvunza chiremba wako kana uchida rubatsiro panyaya iyi.

Chirongwa chenyu chekurapa chingasanganisirawo mishonga yakanyorerwa nachiremba . Zvakakosha zvikuru kutora mishonga yenyu sezvakarairwa nachiremba wenyu.

Vanhu vazhinji vane HFpEF vanogona kunge vari kutora mishonga yemamwe matambudziko emwoyo. Chiremba wako anogonawo kunyora mishonga inonyanya kushandiswa pakurwisa mwoyo uri diastolic. Izvi zvinogona kusanganisira:

• Mishonga inobvisa sodium (munyu) nemvura mumuviri. Iyi ndiyo yatinowanzodaidza kuti "mishonga inobvisa sodium."
• Mineralocorticoid receptor antagonists : Izvi zvinobatsirawo kuchengetedza huwandu hwepotassium ukuwo zvichibvisa sodium yakawandisa mumuviri.
• Mishonga yekuderedza BP .

Kukundikana kwemoyo kwe diastolic kunogona kurapwa zvizere here?

Kutaura zvazviri, diastolic heart failure haigone kurapwa zvizere . Zvisinei, nekurapwa kwakakodzera, unogona kudzora zviratidzo uye kuvandudza mashandiro emwoyo wako. Izvi zvinoreva kuti unogona kurarama zvakanaka nechirwere ichi.

Chii chatingaita kuti tideredze njodzi iyi?

Nzira yakanakisisa yekuderedza njodzi yekukundikana kwemoyo uri pa diastolic ndeyekushandisa tsika dzakanaka . Maitiro aya achavandudza hutano hwemwoyo wako uye anoderedza njodzi yako yezvirwere zvemwoyo.

Unogona kuderedza njodzi yako nekuita zvinhu izvi:

• Kudya chikafu chine hutano pamoyo .
• Kurovedza muviri nguva dzose .
• Deredza kunwa doro uye usasvuta fodya .
• Kudzora zvirwere zvakaita seshuga, BP, uye cholesterol yakakwira .

Ndeipi tarisiro yemunhu ane Diastolic Heart Failure?

Kana uchirapwa, unogona kurarama zvakanaka nechirwere chemwoyo chinonzi diastolic heart failure. Chinhu chakakosha ndechekutevedzera hurongwa hwekurapa hwachiremba wako nemazvo. Kunyange zvazvo chirwere chemwoyo chinonzi diastolic heart failure chingasapera zvachose, unogona kudzora zviratidzo zvako.

Chii chimwe chaungada kubvunza chiremba wako?

Unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Ndingaitei kuti ndidzivise kukundikana kwemoyo uku kusanyanya kuipa?
• Ndezvipi zvekudya zvandinofanira kudzivisa kudya kana ndine diastolic heart failure?
• Ndingaitei kuti ndigadzirise migumisiro yemishonga?
• Ndinofanira kuona chiremba kangani kana ndine chirwere ichi chekushaya simba kwemoyo che diastolic?

Mharidzo Yekuenda Nayo Kumba

Kukundikana kwemoyo kweDiastolic ndeimwe yemhando mbiri dzekutadza kwemoyo kunoitika kuruboshwe rwemoyo. Inonziwo HFpEF . Njodzi yekubatwa nechirwere ichi inowedzera sezvaunokura. Zvakare, njodzi yacho yakakura kana uine zvirwere zvakasiyana-siyana, zvakaita sechirwere cheshuga kana BP.

Kunyange hazvo pasina mushonga wakakwana wekutadza kushanda kwemoyo uri pa diastolic, zviratidzo zvinogona kugadziriswa zvakanaka nekuchinja mararamiro uye mishonga.

Vanhu vazhinji vanorarama hupenyu hwakakwana uye hune simba rekushaya simba kwemoyo panguva yekuzvitakura. Saka, musatya uye teverai mazano akakodzera echiremba.

Kurwara nemoyo , kutadza kushanda kwemoyo kwe diastolic, kushanda kwemoyo, kufema zvishoma, kuzvimba, BP yakakwira, chirwere cheshuga