Unonzwa ruzha rusinganzwisisike kubva mumoyo mako here? Ngatidzidzei nezve Diastolic Murmur!

Pamwe wakambonzwa chiremba achiti, "Hmm... ndinonzwa ruzha rudiki, ruzha," pavanoisa stethoscope pachipfuva chako. Zvakajairika kuti unzwe kutya zvishoma pavanonzwa izvozvo. Asi hazvisi zvese ruzha zvine njodzi. Nhasi tichataura nezverudzi rwakasiyana rweruzha rwemoyo runonzi diastolic murmur . Ngationei kuti chii, nei zvichiitika, uye kana chiri chinhu chekutya.

Chii chinonzi Diastolic Murmur?

Zvakanaka, ngatitangei tatarisa kuti chii chinonzi diastolic murmur. Zvichitaurwa zviri nyore, ruzha rusina kujairika rwaunonzwa mwoyo wako uchirova, ndiko kuti, kana moyo wako uchizorora kwechinguva (diastole) . Unoziva, paunotarisa BP yako, nhamba yepasi ndiyo diastolic pressure. Ndizvozvo, apa ndipo apo mwoyo wako unenge uchizadzwa neropa uye uchigadzirira kurova kunotevera.

Kurira uku kunogona kunzwika sekurira kwe'swish' kana kuti 'whoosh', kwakafanana nekurira kwemhepo. Ruzha urwu runokonzerwa nekutenderera kunoitika kana ropa richiyerera nemumavharuvhu ari mumoyo.

Kazhinji, kurira kwakadai hakuna njodzi. Asi dzimwe nguva, kunogona kuva chiratidzo chechirwere chemwoyo. Kana chiremba wako akati une kurira kwe diastolic, angangoda kuti aongorore zvimwe zvirwere zvemwoyo kuti aone kana pasina chirwere chemwoyo.

Ndeupi musiyano uripo pakati pe diastolic ne systolic murmurs?

Zvino ungave uchishamisika kuti, 'Kunzwa kurira kwe diastolic ne systolic murder zvinoverengwa sezvikamu zviviri here?' Ehe, ichokwadi.

• Kugunun'una kwe diastolic kunonzwika kana moyo uchizorora pakati pekurova. Ruzha urwu rwakaoma kuziva pane kugunun'una kwe systolic.
• Kugunun'una kwe systolic kunonzwika kana tsandanyama dzemwoyo dzabatana , ndiko kuti, kana moyo uchipomba ropa (panguva ye systole).

Zvichitaurwa zviri nyore, mhando mbiri idzi dzekunyunyuta dzinoitika panguva dzakasiyana mukutenderera kwemoyo.

Chii chinonzi kugunun'una 'kusina mhosva' uye 'kusina kujairika'? Zvese zvine njodzi here?

Zvakanaka, chimwe chinhu chakakosha ndechekuti mabhuru aya anorongwa sei.

Vanachiremba vanoti mamwe mashoko ekunyunyuta 'kunyunyuta kusina mhosva' . Izvi zvinoreva kuti manzwi emwoyo haakonzerwi nechirwere chemwoyo chiripo. Aya mashoko ekunyunyuta akajairika, asina njodzi. Anowanzoonekwa muvana vadiki, uye anowanzopera pavanenge vachikura.

Zvisinei, 'kugunun'una kusina kujairika' zvinoreva kuti kugunun'una kunokonzerwa nechirwere chemwoyo chiri pasi. Apa ndipo pachaita mamwe maedzo kuti vaedze kuwana chikonzero chaicho.

Kunyunyuta kusina mhosva kazhinji hakudi kurapwa. Zvisinei, kurapwa kwekunyunyuta kusina kujairika kunosiyana zvichienderana nechirwere chemwoyo chakakonzera.

Yeuka: Hakusi kunyunyuta kwese kune njodzi. Asi kana chiremba akati une kunyunyuta, zvakakosha kuti unoongororwa.

Ndezvipi zvikonzero zvekunzwa kwe diastolic murmur?

Iye zvino ngatitarisei zvikonzero zvikuru zvemubvumo uyu we diastolic. Kazhinji, izvi zvinokonzerwa nematambudziko emavharuvhu emwoyo.

Matambudziko Akabatana neVharuvhu yeMoyo

Mwoyo yedu ine mavharuvhu mana makuru. Mavharuvhu aya akafanana nemasuo, achibvumira ropa kuyerera nenzira imwe chete. Kana paine dambudziko nemavharuvhu aya, ruzha irworwo runogona kuitika.

• Kudzoreredzwa kweAortic Regurgitation: Izvi zvinoitika kana aortic valve, inotakura ropa kubva pamoyo kuenda kuaorta, isingavharike zvakanaka. Izvi zvinoita kuti ropa ribude richidzokera kumashure. Funga nezvazvo sepombi yemvura isina kuvharwa zvakanaka uye ichidonhedza mvura.
• Kudzoreredza ropa mumapapu: Muizvi, vharuvhu yemapapu inotakura ropa kubva pamoyo kuenda kumapapu haivharike zvakanaka. Kunyangwe zvakadaro, ropa rinobuda richidzokera kumashure.
• Mitral Stenosis: Apa ndipo apo vharuvhu yemitral, inotakura ropa kubva kuruboshwe kuenda kuruboshwe, inova diki. Inenge pombi yakavharika. Zvinoomera ropa kuti riyerere.
• Tricuspid Stenosis: Muizvi, vharuvhu yetricuspid, inotakura ropa kubva kuatrium yekurudyi kuenda kuventricle yekurudyi yemoyo, inova yakamanikana.

Matambudziko emavharuvhu akadai anokonzera shanduko mumafambiro eropa, izvo zvinokonzeresa ruzha rwekuti 'whoosh' 'swish', kureva kuti, murmur.

Zvimwe zvikonzero

Kuwedzera kumatambudziko evharuvhu, kurira kwe diastolic kunogona kuitika kune zvimwe zvikonzero zvakawanda:

• Zvimwe zvirwere zvemwoyo zvinoberekwa nazvo zvirwere zvemwoyo zvinovapo pakuzvarwa.
• Endocarditis: Uku kutapukira kwemukati memwoyo uye/kana mavharuvhu awo.
• Mhedzisiro yenguva refu yefivha yerheumatic : Kana isingarapwe zvakanaka paudiki, fivha yerheumatic inogona kukuvadza mavharuvhu emwoyo.

Ndezvipi zviratidzo zve diastolic murmur?

Zviratidzo zvekunzwa kurira kwe diastolic zvinoenderana nechikonzero chiripo. Kureva kuti, zviratidzo zvinogona kusiyana zvichienderana nekuti vharuvhu yakatetepa here (stenotic) kana kuti iri kubuda mvura (regurgitant). Vamwe vanhu vanogona kunge vasina zviratidzo zvachose. Zvisinei, zviratidzo zvinonyanya kuzivikanwa ndeizvi:

• Kutadza kufema zvakanaka , kunyanya kana wakaneta kana kuti wakakotama.
• Kuzvimba mudumbu kana mumakumbo.
• Kurova kwemoyo zvakanyanya , kana kunzwa kurova kwemoyo nekukurumidza.
• Kuneta nguva dzose.
• Dzungu.
• Dzimwe nguva unogona kutofenda .
• Kukosora kunoramba kuripo.

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kuti uone chiremba.

Vanachiremba vanoongorora sei diastolic murmur? (Kuongororwa)

Kazhinji, chiremba anotanga aona kana uine kunyunyuta nekuteerera chipfuva chako ne stethoscope. Paanenge achiteerera, chiremba anofunga nezvezvinhu zvakati wandei:

Zvinhu zvaunonzwa uchishandisa stethoscope

• Kuchinja chimiro chako kana kurovedza muviri kunokanganisa ruzha urwu here?
• Ruzha rwacho rwakanyanya sei?
• Ruzha rwunonzwika sei? Rwakakwira here kana kuti rwakaderera?
• Ruzha runonzwika panguva ipi pakurova kwemoyo, uye runogara kwenguva yakareba sei?
• Kugunun'una uku kuri kunzwikwa kupi mumoyo ?

Kubva pazvinhu zvakaita seizvi, chiremba anogona kunzwisisa rudzi rwekunyunyuta.

Miedzo ipi inoitiswa?

Kana uchifungidzira kuti une mubvumo, chiremba wako anogona kukutumira kuna chiremba wemwoyo kuti aenderere mberi nekuongororwa. Miedzo iyi inogona kubatsira kuona kuti mwoyo wako wakagwinya uye kuti wakadini. Miedzo inowanzo shandiswa ndeiyi:

• Echocardiogram (Echo): Iyi ndiyo bvunzo huru inoshandiswa kuongorora kurira kwemoyo. Echo inoshandisa mafungu e ultrasound kutora mifananidzo yemoyo. Inogona kuratidza tsandanyama dzemwoyo nemavharuvhu zvakadzama. Hazvirwadzi, sekunge scan yemwana ari mudumbu.
• X-ray yechipfuva: Izvi zvinotora mifananidzo yemwoyo, mapfupa, nemapapu. Zvinogona kuratidza kana moyo wakakura kana kuti mumapapu mune mvura.
• Electrocardiogram (EKG/ECG): Iyi inoongorora mashandiro emagetsi emwoyo. Inogona kutarisa kana paine zvisina kumira zvakanaka pakurova kwemoyo.

Tingadzidzewo here nezvekuyera kwakapihwa mabhuru aya?

Vanachiremba vanoongorora kurira kwemoyo zvichibva pakusimba kwawo, zvinoreva kuti ruzha rwacho rwakanyanya sei, kuti ruzha rwacho rwakapinza sei, uye kuti runogara kwenguva yakareba sei.

• Kurira kweDiastolic kunoongororwa pachikero cheimwe kusvika mana (1 kusvika 4) . Imwe (1) ruzha rusinganzwike zvakanyanya, uye ina (4) ruzha rukuru kwazvo.
• Kurira kweSystolic kunoonekwa kubva pa1 kusvika pa6 (1 kusvika 6). Imwe (1) hainzwiki zvakanyanya, uye nhanhatu (6) ine ruzha rwakakura zvekuti inonzwika pasina stethoscope yakaiswa pachipfuva.

Giredhi iri rinogona kukupa pfungwa yekuoma kwemubvumo.

Kunzwa kwe diastolic murmur kunorapwa sei?

Kurapwa kunoenderana nechikonzero chiri kukonzera kurira. Semuenzaniso, kana kurira kwacho kuchikonzerwa nedambudziko revharuvhu, chiremba wako anogona kukurudzira mishonga, kugadzirisa mavharuvhu, kana kutsiva mavharuvhu.

Mishonga

Mimwe yemishonga inoshandiswa pakurapa ndeiyi:

• Angiotensin-converting enzyme (ACE) inhibitors: Semuenzaniso, benazepril (Lotensin®) kana captopril (Capoten®). Izvi zvinoshanda nekuderedza BP yako.
• Beta-blockers: Zvakadai seBisoprolol (Cardicor®) kana Metoprolol (Lopressor®). Izvi zvinoderedza BP uye kurova kwemoyo.
• Mishonga inoomesa ropa: warfarin (Coumadin®) kana aspirin (Bayer®, Zorprin®) mishonga yese inoderedza kugona kweropa kugwamba.
• Mishonga inobvisa mvura mumuviri (Diuretics) (mapiritsi emvura): Yakadai sefurosemide (Lasix®) kana torsemide (Demadex®). Iyi mishonga inobatsira kuderedza huwandu hwemvura mumuviri.

Zvakakosha: Zvakakosha kutora mishonga iyi sezvakarairwa nachiremba wako, muchiyero chakanyorwa uye kwenguva yakatarwa.

Kuvhiya (Kugadzirisa/Kutsiva Mavharuvhu)

Kana imwe yevharuvhu yemoyo wako yakakuvara kana kuti ichibuda mvura, ungangoda kuvhiyiwa vharuvhu yemoyo.

• Kugadziriswa kweVharuvhu: Kuvhiyiwa uku kunogona kuwedzera vharuvhu yakatetepa kana kusimbisa vharuvhu inodonhedza mvura. Pose pazvinogoneka, vanachiremba vanoedza kugadzirisa nekuchengetedza vharuvhu yako.
• Kutsiva Vharuvhu: Kana vharuvhu iri diki kwazvo (kuoma kwevharuvhu zvakanyanya) kana kukuvara zvakanyanya, chiremba achabvisa vharuvhu oitsiva nevharuvhu yemuchina kana vharuvhu kubva kune anopa.

Kunzwa kwe diastolic murmur kunogona kudzivirirwa here?

Hapana nzira chaiyo yekudzivirira kurira kwe diastolic, sezvo kuchiwanzobatanidzwa nezvimwe zvirwere. Zvisinei, kana chiremba wako aona kuti une diastolic murmur, zvakakosha kuti ugare uchiona chiremba wako kuti uzive chikonzero (sedambudziko revharuvhu) uye uteedzere mirairo yake.

Uyewo, kutevedzera mararamiro ane hutano anogona kuchengetedza moyo wako uine hutano kunogona kuderedza njodzi yezvirwere izvi kusvika pamwero wakati.

• Idya chikafu chine michero yakawanda, miriwo, uye zviyo zvakakwana.
• Ita maekisesaizi e aerobic kwemaminitsi angangoita 150 pasvondo (semuenzaniso, kufamba nekukurumidza, kumhanya, kushambira).
• Deredza kushandiswa kwedoro necaffeine.
• Kana uchisvuta, rega zvachose .
• Deredza kushushikana kuburikidza nezvinhu zvakaita sekufungisisa.
• Rara zvakanaka kwemaawa manomwe kusvika masere husiku hwega hwega.

Chii chiri kutarisira munhu ane diastolic murmur? (Outlook)

Maonero acho anoenderana nemamiriro ezvinhu aripo. Nerombo rakanaka, ikozvino kune nzira dzakanaka dzekurapa matambudziko evharuvhu. Zvakare, kutevedzera mararamiro ane hutano kunogona kukubatsira kurarama hupenyu huri nani, hwakazara, kunyangwe uine kunyunyuta kwemoyo. Saka usatya, ingotevera mirairo yachiremba wako.

Ndeipi mibvunzo inokosha yekubvunza chiremba?

Kana ukaona kuti une diastolic murmur, zvakanaka kubvunza chiremba wako mibvunzo yakaita seiyi:

• Chii chingangove chikonzero chikuru chekunyunyuta uku kwe diastolic mandiri?
• Ndedzipi mhando dzebvunzo dzandinofanira kuita?
• Ndedzipi nzira dzekurapa dzandinadzo ?
• Chii chandinofanira kuziva nezvekurapa zvirwere zviri pasi pangu?
• Ndinofanira kuona nyanzvi here?
• Ndinofanira here kuchinja mararamiro angu kuti ndivandudze hutano hwemwoyo wangu?

Pamusoro pemibvunzo iyi, bvunza chiremba wako nezvechero chaunacho, zvisinei nekuti chidiki sei.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura zvakawanda nezve Diastolic Heart Murmur nhasi. Heano zvinhu zvishoma zvekurangarira muchidimbu:

• Kugunun'una kwe diastolic inzwi risinganzwisisike rinonzwika kana moyo uchizorora (panguva ye diastole).
• Kunyangwe hazvo kunyunyuta kwakawanda kusina njodzi, dzimwe nguva kunogona kuva chiratidzo chechirwere chemwoyo. Saka kana chiremba akakuudza kuti une kunyunyuta, zvakakodzera kuti unoongororwa .
• Zvichienderana nechikonzero chacho, chinogona kurapwa nemishonga kana kuvhiyiwa.
• Kurarama hupenyu hune hutano kuchakubatsira kurarama zvakanaka kunyangwe uine mamiriro ezvinhu akadai.
• Kana muine mibvunzo kana kusava nechokwadi, musatya kutaura nachiremba wenyu .

Yeuka, kuchengetedza moyo wako kwakakosha zvikuru. Ndinovimba ruzivo urwu ruchakubatsira!

Kugunun'una kweDiastolic , Kugunun'una kweDiastolic, Chirwere cheMwoyo, Mavharuvhu eMwoyo, Kushaya Mweya, Kurova kweMwoyo, Echocardiogram, ECG, Ruzha rweMwoyo, Kurova kweMwoyo