Dzimwe nguva unonzwa wakaneta zvisina kujairika pasina chikonzero here? Unonzwa kushaya mweya kunyangwe uchikwira masitepisi madiki here? Kazhinji, hatifungi nezveizvi sezvinhu zvakajairika. Zvisinei, dzimwe nguva panogona kunge paine dambudziko nemoyo yedu ratisingazive nezvaro. Nhasi tiri kutaura nezvechirwere chinopedza simba remoyo zvishoma nezvishoma, asi vanhu vazhinji havazivi nezvacho. Izvozvo zvinonzi Dilated Cardiomyopathy.
Chii chinonzi Dilated Cardiomyopathy?
Zvichitaurwa zviri nyore, apa ndipo apo tsandanyama dzemwoyo wako dzinotambanuka uye dzinokura kupfuura zvakajairika. Kungofanana nebhandi rerabha rinorasikirwa nekusimba kwaro kana rakatambanudzwa, tsandanyama dzemwoyo wedu dzinotambanuka, dzinotetepa, uye dzinopera simba.
Dambudziko iri rinonyanya kutanga mu ventricle yekuruboshwe, imba huru yekupomba yemoyo. Imba iyi ndiyo chikamu chikuru chinopomba ropa kumuviri wese. Saka kana tsandanyama iyi isina simba, moyo haugone kupomba ropa nemazvo. Nguva dzese mwoyo paunorova, rimwe ropa rinoda kupombwa rinosara mukati memoyo. Nekufamba kwenguva, izvi zvinova mutoro mukuru pamoyo. Zvinoderedzawo huwandu hweropa hunodiwa nemuviri wese kuti uwane okisijeni nezvinovaka muviri.
Kunyangwe pasina ruzivo rwakanangana nezveizvi muSri Lanka, tsvakiridzo yakawana kuti vanhu vanosvika makumi matatu nevatanhatu pavanhu 100,000 pasi rose vane chirwere ichi. Asi mashoko akanaka ndeekuti pari zvino kune nzira dzekurapa dzinoshanda kwazvo. Uye pane zvakawanda zvaunogona kuita kuti ubatsire kudzora chirwere ichi.
Ndezvipi zviratidzo zvechirwere ichi?
Vanhu vazhinji, kunyanya pakutanga kwechirwere ichi, havaone zviratidzo. Zvisinei, sezvo kushanda kwemoyo kuchiramba kuchiipa, unogona kutanga kuona zviratidzo. Zviratidzo izvi hazviwanzoonekwa kamwe kamwe asi zvinowedzera zvishoma nezvishoma.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kutadza kufema zvakanaka (Dyspnea) | Kunzwa kushaya mweya paunenge uchiita mabasa madiki, uchifamba, kana kutomira. |
| Kuneta | Kuneta kusingawanzoitiki kwaunonzwa mukati mezuva rose, kunyangwe mushure mekurara zvakanaka. |
| Kuzvimba kwemakumbo, zvitsitsinho, uye dumbu (Edema) | Kuzvimba kwemakumbo, tsoka, nedumbu nekuda kwekuungana kwemvura mumuviri nekuda kwekusashanda zvakanaka kwemoyo. |
| Kurova kwemwoyo | Kunzwa kurova kwemoyo wako kuri kuwedzera kamwe kamwe uye chipfuva chako chiri kurova. |
| Dzungu uye kupera simba | Kunzwa dzungu, maziso ebhuruu, kana kupera simba kunokonzerwa nekusafamba zvakanaka kweropa kuenda kuuropi. |
| Kurwadziwa pachipfuva kana kusagadzikana | Kurwadziwa kunonzwa sekumanikidzwa pachipfuva, sekunge pane mutoro pachiri. |
| Kukosora nekusimba kwechipfuva | Kukosora kusingaperi kunokonzerwa nekuungana kwemvura mumapapu. |
| Kuwedzera huremu | Kuwedzera uremu kusingatarisirwi mukati memazuva mashoma nekuda kwekusagadzikana kwemvura mumuviri. |
Ndezvipi zvikonzero zveDilated Cardiomyopathy?
Kazhinji zvakaoma kuwana chikonzero chaicho chechirwere ichi. Zvisinei, mune dzimwe nguva, zvinhu zvakati wandei zvakaonekwa. Vamwe vanhu vanogona kukanganiswa nezvinhu zvinopfuura chimwe chete.
| Chikonzero | Tsananguro |
|---|---|
| Majini akapfuudzwa kubva kuzvizvarwa kusvika kuzvizvarwa | Zvakaonekwa kuti vanhu vanopfuura 50% vane chirwere ichi vanochigara nhaka kubva mumajini avo. Izvi zvinonzi mhuri dilated cardiomyopathy. |
| Chirwere chemwoyo nechirwere chemwoyo | Dambudziko iri rinogona kukonzerwa nekuvharika kwetsinga dzeropa dzinopa moyo kana kukuvara kwetsandanyama dzemwoyo nekuda kwechirwere chemwoyo. |
| Kukwira kweropa | Kukwira kweropa kwenguva refu kusingadzoreki kunogona kunetesa tsandanyama dzemwoyo nekumanikidza moyo kushanda nesimba. |
| Utachiona hwehutachiona | Dambudziko iri rinogona kukonzerwa nemamwe marudzi emavhairasi (semuenzaniso hepatitis, HIV) kana hutachiona hunokanganisa tsandanyama dzemwoyo pachadzo (myocarditis). |
| Kunwa doro zvakanyanya | Kunwa doro zvakanyanya kwemakore akawanda kunokuvadza tsandanyama dzemwoyo zvakananga. |
| Zvimwe zvirwere | Zvirwere zvakaita sechirwere cheshuga, chirwere chethyroid, chirwere chemwoyo, uye chirwere chemwoyo chekuzvarwa nacho. |
| Matambudziko panguva yekuzvitakura | Izvi zvinogona kuitika nekuda kwematambudziko anoitika panguva yekupedzisira yekuzvitakura kana mushure mekusununguka. |
| Mimwe mishonga nemishonga | Mimwe mishonga yekurapa kenza uye kushandiswa kwemishonga yakaita secocaine. |
Ndezvipi zvinetso zvinogona kuitika kubva muchirwere ichi?
Kana Dilated Cardiomyopathy ikanyanya kuoma, matambudziko akasiyana-siyana anogona kuitika. Mamwe acho anogona kunge akakomba zvikuru.
Chinhu chinonyanya kukosha ndechekuongorora chirwere ichi uye kutanga kurapwa kwakakodzera matambudziko aya asati aitika. Zvadaro njodzi idzi dzinogona kuderedzwa zvakanyanya.
- Kukundikana kwemoyo: Iri ndiro dambudziko guru. Mwoyo haugone kupomba ropa rakakwana kuti rigutse zvinodiwa nemuviri.
- Arrhythmia: Kurova kwemoyo kusina kurongeka kunokonzerwa nekuchinja kwemagetsi emagetsi emoyo.
- Matambudziko emavharuvhu emwoyo: Nekuda kwekukura kwemoyo, mavharuvhu ari mumoyo haavharike zvakanaka uye ropa rinotanga kubuda richidzokera kumashure.
- Kugwamba kweropa: Kugwamba kweropa kunogona kuumbwa mumoyo nekuda kwekudzikira kwekumhanya kwemoyo. Kana gwamba iri rikabvaruka robva ranamatira mutsinga iri muuropi, rinogona kukonzera sitiroko , kana kuti rikabatwa mutsinga iri mumapapu, rinogona kukonzera chirwere chine njodzi chinonzi pulmonary embolism .
- Kumira Kwemwoyo Kamwe Kamwe: Kumira kwemoyo kamwe kamwe nekuda kwekusagadzikana kwemoyo kune njodzi.
Chiremba anoongorora sei chirwere ichi?
Kana uine zviratidzo zvataurwa pamusoro apa, chinhu chekutanga chaunofanira kuita kuona chiremba wako. Iye achakubvunza nezvezviratidzo zvako, kana paine munhu mumhuri yako ane chirwere chemwoyo (nhoroondo yemhuri), uye nhoroondo yako yehutano.
Zvadaro, chiremba achakuongorora. Achateerera chipfuva chako ne stethoscope kuti aongorore kana paine mvura mumapapu ako uye kuti ateerere ruzha rwemwoyo rusina kujairika (kugomera kwemoyo). Chiremba anogona kunzwa kugomera kwemoyo usati wava nezviratidzo.
Miedzo yekusimbisa chirwere chacho
Mushure mekuongororwa kwemuviri wenyu, chiremba wenyu achakurudzira kuongororwa kwakawanda kuti asimbise chirwere chacho, anzwisise kuoma kwacho, uye aronge kurapwa kwakanakisisa zvinoenderana nazvo.
| Bvunzo | Chii chinotarisirwa kubva pane izvi? |
|---|---|
| Echocardiogram | Iyi ndiyo bvunzo inonyanya kukosha. Yakafanana nekuongororwa kwemwana mucheche. Inoshandisa mafungu eruzha kuyera mashandiro emoyo, kukura kwemakamuri ayo, uye kuti inopomba ropa zvakadii. |
| Kuongororwa kweElectrocardiogram (ECG) | Kuongororwa kunonyora mashandiro emagetsi emwoyo. Kunogona kuona mamiriro akaita se arrhythmia. |
| X-ray yechipfuva | Unogona kutarisa kana moyo wakakura kupfuura zvakajairika uye kana mvura yakaungana mumapapu. |
| Kuongororwa kweropa | Tsvaga kana paine kukuvara kwetsandanyama yemwoyo, pamwe nezvimwe zvikonzero zvakaita sechirwere cheshuga nematambudziko ethyroid. |
| Kuongororwa kwemoyo neMRI | Unogona kuwana mufananidzo wakajeka wehukuru uye mashandiro emakamuri emwoyo. |
| Angiogram | Tarisa kana paine kuvharika kwetsinga dzemwoyo dzinopa ropa kumoyo. |
Ndeipi mishonga yeDilated Cardiomyopathy?
Kunyangwe pasina mushonga wechirwere ichi, kune mishonga inoshanda zvikuru inogona kudzora zviratidzo, kudzivirira mwoyo wako kuti usave nesimba, uye kukubatsira kurarama kwenguva yakareba. Kana ukakurumidza kutanga kurapwa, mhedzisiro yacho inova nani. Kurapa kunogona kukamurwa kuita zvikamu zvitatu zvikuru.
1. Mishonga (mhando dzemishonga)
Chiremba wako anogona kukupa mishonga yakati wandei yekuvandudza mashandiro emoyo wako, kuderedza zviratidzo, uye kudzivirira matambudziko.
- Mishonga inodzivirira ACE neARNI: Izvi zvinokudza mitsipa yeropa, zvinoderedza BP, uye zvinoderedza basa remwoyo.
- Beta-blockers: Kudzora kurova kwemoyo, kupa moyo zororo, uye kuvandudza mashandiro emoyo kwenguva refu.
- Mishonga inobvisa mvura mumuviri:Aya anonzi "mapiritsi emvura." Anobatsira kubvisa mvura yakawandisa mumuviri kuburikidza neweti, zvichideredza kuzvimba uye kufema kushoma.
- Aldosterone antagonists: Izvi zvakare rudzi rwe diuretic. Zvinobatsira kudzora sodium nemvura mumuviri.
- Mishonga Inorwisa Kugwamba Kweropa: Mishonga iyi inopihwa kudzivirira kugwamba kweropa mumoyo kana paine njodzi yekuti ropa ritange kugwamba.
2. Kuchinja mararamiro
Mishonga chete haina kukwana. Kuchinja kudiki kwaunogona kuita muhupenyu hwako hwezuva nezuva kunogona kuwedzera kubudirira kwekurapwa.
- Deredza kunwa munyu: Munyu ndicho chinhu chikuru chinoita kuti muviri ugare wakabata mvura. Kuderedza kunwa munyu muchikafu kunogona kubatsira kuderedza kuzvimba uye kushushikana kwemoyo.
- Dzivisa doro nezvinodhaka: Sezvo doro richikuvadza tsandanyama dzemwoyo zvakananga, zvakakosha kuti urege zvachose kana kuti udzivise kushandisa zvinodhaka zvichienderana nezano rachiremba. Zvinodhaka zvakaita secocaine zvinofanira kudziviswa zvachose.
- Kurovedza muviri zvishoma: Unogona kuvandudza mashandiro emoyo wako nekuita maekisesaizi akareruka (semuenzaniso kufamba) akakodzera iwe uye akatenderwa nachiremba wako.
- Zvekudya zvine hutano pamoyo: Idya miriwo yakawanda, michero, nyama dzisina mafuta akawanda (huku, hove), nezvimwewo. Dzivisa zvekudya zvine mafuta akawanda neshuga yakawanda.
3. Kuvhiya nedzimwe nzira dzekurapa
Kana chirwere chacho chiri padanho rakakomba uye chakaoma kudzora nemishonga chete, chiremba anogona kukurudzira nzira yakaita seiyi.
- Biventricular Pacemaker: Muchina mudiki unobatsira kuti makamuri emwoyo akwanise kupwanyika panguva imwe chete, zvichiita kuti kupomba kushande zvakanaka.
- ICD (Implantable Cardioverter Defibrillator): Mudziyo unoona kusagadzikana kwemoyo uye unoburitsa kuvhunduka kudiki kwemagetsi kumoyo kuti udzorere kumhanya kwemoyo.
- LVAD (Chishandiso Chekubatsira Ventricular Kuruboshwe): Pombi yemuchina inobatsira kupomba kwemoyo. Iyi inowanzo shandiswa kwenguva pfupi kuvarwere vakamirira kuisirwa moyo.
- Kuisirwa Mwoyo: Sarudzo yekupedzisira inofungwa nezvevarwere vari muzviitiko zvakakomba, apo mamwe marapirwo ese akakundikana.
Chii chaunofanira kutarisira paunenge uchirarama nechirwere ichi?
Kufanotaura kwako kunoenderana nechikonzero chechirwere, kuoma kwechirwere, uye kuti unotanga kurapwa nekukurumidza sei. Nekurapwa kwakakodzera uye shanduko dzemararamiro, vanhu vazhinji vanogona kurarama hupenyu hwakajairika uye kuramba vachiita basa ravo.
Zvisinei, kune vamwe vanhu, zviratidzo zvinogona kuwedzera nekufamba kwenguva, uye vangangoda kuendeswa kuchipatara kuti vanorapwa.
Asi musazvidya mwoyo. Kurapwa kwechirwere ichi kuri nani zvikuru iye zvino kupfuura makore mashoma apfuura. Nekurapa kwazvino uno, vanhu vanopfuura 80% vane chirwere ichi vachiri kurarama zvakanaka mushure memakore masere vasingade kuisirwa moyo.
Unofanira kuzvitarisira sei?
Zvakakosha kuti uzvitarisire parwendo urwu.
- Tevedzera mirairo yachiremba wako: Inwa mushonga wako sezvawakarairwa, panguva yakakodzera, uye nemupimo wakakodzera. Usapotsa zuva rimwe chete.
- Zviyere zuva nezuva: Zviyere panguva imwe chete mangwanani ega ega wonyora huremu hwako. Kuwedzera huremu kamwe kamwe muzuva rimwe chete kana maviri kunogona kureva kuti uri kuwedzera huremu hwemvura. Kana izvi zvikaitika, taurira chiremba wako nekukasika.
- Pinda kumakiriniki akarongwa: Iva nechokwadi chekuenda kukiriniki pamazuva anotaurwa nachiremba kuti auye. Zvakakosha zvikuru kutarisa mamiriro ako ezvinhu.
- Teerera muviri wako: Kana uchinzwa kuti zviratidzo zvako zviri kuwedzera, semuenzaniso, kana uchinetseka kufema kana kuti makumbo ako akazvimba, usazviregeredza wozivisa chiremba wako.
Zvakajairika kunzwa kutya uye kusuruvara paunoziva kuti une dambudziko remwoyo. Asi yeuka, hausi wega. Nekurapwa kwanhasi, chirwere ichi chinogona kugadziriswa zvakanaka. Taura pachena nachiremba wako nezvematambudziko kana zvinokunetsa zvaungave nazvo. Iwe nachiremba wako muri parwendo urwu pamwe chete.
Mharidzo Yekuenda Nayo Kumba
- Dilated Cardiomyopathy chirwere chakakomba apo tsandanyama dzemwoyo dzinopera simba uye moyo unowedzera kukura.
- Usafuratira zviratidzo zvakaita sekuneta kusingatsananguriki, kushaya mweya, uye kuzvimba kwemakumbo.
- Izvi zvinogona kukanganiswa nezvinhu zvakawanda, zvakaita semajini, utachiona, BP, uye mararamiro.
- Kuongororwa nekukurumidza uye kurapwa kunogona kupa mhedzisiro yakanaka kwazvo.
- Kurapwa kunoda mishonga, shanduko dzemararamiro, uye dzimwe nguva kuvhiyiwa.
- Zvakakosha kutevedzera mirairo yachiremba wako nemazvo uye kuenda kukiriniki pamazuva akarongwa.
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