Mwoyo wako hauna simba uye wakakura here? Ngatikurukurei nezve Dilated Cardiomyopathy!

Mwoyo wedu inhengo inoshamisa zvechokwadi, handiti? Tine hanya zvakadini nemoyo uyu unogara uchipa hupenyu kumuviri wedu wese? Dzimwe nguva, tisingazvizivi, moyo uyu unogonawo kukura nematambudziko akasiyana-siyana nezvirwere. Nhasi tichataura nezvechirwere chinopedza simba mwoyo uye chinoita kuti tsandanyama dzemwoyo dzikure zvisina kufanira, chirwere chine zita rinotyisa zvishoma, asi chakakosha kuti isu tese tizive nezvacho. Izvi ndizvo zvinonzi navanachiremba (Dilated Cardiomyopathy).

Chii chinonzi Dilated Cardiomyopathy?

Zvichitaurwa zviri nyore, chirwere ichi (Dilated Cardiomyopathy) chinoitika kana imba huru yekupomba yemoyo wako, ventricle yekuruboshwe , kana tsandanyama huru yemoyo, ichitambanuka uye ichikura kupfuura zvakajairika. Funga nezvazvo sekutambanudza bhandi rerubha, asi muchiitiko ichi, hazvina kunaka kumoyo. Kana tsandanyama yemoyo ikaneta, ikaneta, uye ichikura, kugona kwemoyo kupomba ropa nemazvo kunoderera. Chii chinoitika ipapo? Nguva imwe neimwe mwoyo unorova, ropa shoma rinosara mukati memoyo. Nekuda kweizvozvo, muviri wese hauwani ropa rakawanda reokisijeni. Muzviitiko zvakakomba, izvi zvinogona kukanganisawo dzimwe nzvimbo dzemoyo.

Vaongorori vanofungidzira kuti vanhu vanosvika 36 pavanhu 100,000 vari muvanhu vose vanotambura nechirwere ichi. Asi mashoko akanaka ndeekuti kune mishonga yekurapa chirwere ichi chemwoyo. Uye pane zvinhu zvaunogona kuita kuti ugadzirise chirwere ichi.

Ndezvipi zviratidzo zvechirwere ichi?

Vanhu vazhinji, kunyanya pakutanga kwechirwere ichi, vangasaratidza zviratidzo. Ndiyo nzvimbo inotyisa yechirwere ichi. Asi sezvo kushanda kwemoyo kuchiramba kuchiipa zvishoma nezvishoma, unotanga kunzwa zviratidzo zvakawanda.

Zviratidzo zveDilated Cardiomyopathy zvinogona kusanganisira:

• Kurwadziwa kwechipfuva kana kuomarara
• Kukosora uye kuzara
• Dzungu kana kuti musoro wakapfava
• Kufenda
• Kunzwa kuneta zvisina kujairika ( Kuneta )
• Kurova kwemoyo kana kubhururuka muchipfuva chako
• Kushaya mweya / kupererwa nemhepo
• Kuzvimba/kubuda ropa mudumbu, makumbo, zvitsitsinho, netsoka
• Kuwedzera uremu kusingatarisirwi kubva mukuchengetedza mvura mumuviri

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kuti utsvage rubatsiro rwechiremba nekukasika.

Sei izvi (Dilated Cardiomyopathy) zvichiitika?

"Sei izvi zvakaitika kwandiri?" ungave uchishamisika. Kutaura zvazviri, kazhinji, kunyange nyanzvi hadzigone kutsanangura chikonzero chaicho. Zvisinei, kune zvimwe zvikonzero zvinozivikanwa. Ndizvo:

• Kurova kwemoyo kusina kujairika (matambudziko emutsindo) ( Arrhythmia )
• Dambudziko rekushandisa doro
• Mimwe mishonga yekurwisa kenza (iyi inogona kukuvadza mwoyo - mishonga ine chepfu yemwoyo )
• Matambudziko anoitika panguva yekuzvitakura kana mushure mekusununguka
• Chirwere chemwoyo chekuzvarwa nacho
• Chirwere chetsinga yeropa
• Chirwere cheshuga
• Matambudziko anogarwa nhaka kubva kuvabereki kuburikidza nemajini (izvi zvinonzi mhuri dilated cardiomyopathy . Izvi zvinogona kukonzera zvinopfuura 50% yezviitiko)
• Kumira kurova kwemoyo
• Chirwere chevharuvhu yemwoyo
• Kukwira kweropa
• hutachiona hweHIV
• Utachiona hwakadai sekuzvimba kwetsandanyama yemwoyo (semuenzaniso, myocarditis )
• Kushandisa zvinodhaka zvakaita secocaine
• Chirwere chethyroid
• Chiropa chinotapukira

Dzimwe nguva munhu anogona kunge aine zvikonzero zvinopfuura chimwe chete. Semuenzaniso, unogona kunge uine Dilated Cardiomyopathy nekuda kwechimwe chirwere, nepo iwe ungave uine genetically yakajairwa.

Ndiani ari panjodzi huru yekubatwa nechirwere ichi?

Vamwe vanhu vane mukana mukuru wekuwana chirwere ichi kupfuura vamwe. Izvi ndeizvi:

• Vanhu vari pasi pemakore makumi mashanu
• Vanhu vane dzinza dema (kunyangwe izvi zvisina basa zvakanyanya kuSri Lanka, chinhu chinoonekwa pasi rose)
• Vanhurume
• Kana mumwe munhu mumhuri aine Dilated Cardiomyopathy (genetic influence)

Ndezvipi zvinetso zvinogona kuitika nekuda kweDilated Cardiomyopathy?

Kana chirwere ichi chikaramba chichikura, kureva kuti, padanho rekupedzisira, matambudziko akasiyana-siyana anogona kuitika. Izvi zvakakomba zvikuru, ndosaka zvichikosha kutsvaga kurapwa nekukurumidza.

Matambudziko aya anogona kusanganisira:

• Kurova kwemoyo kusina kujairika ( Arrhythmia )
• Kurwadziwa kwechipfuva ( Angina )
• Kugwamba kweropa mumoyo (kugwamba kweropa uku kunogona kufamba kuenda kumapapu uye kukonzera chirwere chine njodzi chinonzi pulmonary embolism )
• Kusungwa kwemwoyo
• Kumira kurova kwemoyo
• Kukundikana kwemoyo - Izvi zvinoreva kuti moyo hauna simba zvekuti haugone kugutsa zvinodiwa nemuviri.
• Chirwere chevharuvhu yemwoyo
• Kurohwa

Ingofunga nezvekuti matambudziko aya akakomba zvakadii. Ndosaka uchifanira kunetseka kana ukaona kunyange chiratidzo chidiki diki.

Vanachiremba vanoongorora sei chirwere ichi (Dilated Cardiomyopathy)?

Paunoenda kunoona chiremba, chinhu chekutanga chaanoita kunyora nhoroondo yako yezvekurapa.Chiremba wako achakubvunza nezvenhoroondo yako yezvekurapa (senge chero chirwere chawakamborwara nacho kana mishonga yawakashandisa) uye nhoroondo yemhuri yako (senge zvirwere zvakamboitika kumhuri yako). Zvadaro, vachakuongororwa muviri . Munguva iyi, chiremba achateerera mapapu ako kuti aongorore kana mvura iri kuungana. Zvinoshamisa kuti chiremba anogona kunzwa ruzha rusina kujairika mumoyo mako (kugomera kwemoyo) usati wava nezviratidzo.

Mushure meizvozvo, muchafanirwa kuongororwa zvakasiyana-siyana kuti muone kuti chirwere chacho chakanyanya kuoma uye kuronga kurapwa kwakakunakirai.

Ndedzipi bvunzo dzinoitwa pakuita izvi?

Kazhinji, bvunzo dzakadai dzinogona kuitwa:

• Angiogram: Iyi inotarisa kana paine kuvharika kwetsinga dzemwoyo dzinopa ropa kumoyo wako.
• Kuongororwa kweropa: Izvi zvinoongorora kukuvara kwemoyo nezvimwe zvinetso.
• X-ray yechipfuva: Izvi zvinogona kupa pfungwa isina kujeka yekuti moyo wako wakakura kupfuura zvakajairika here.
• Echocardiogram: Iyi bvunzo inokosha zvikuru. Yakafanana ne 'vhidhiyo' yemoyo. Inogona kuratidza kuti moyo uri kushanda zvakanaka sei, tsandanyama dziri kushanda sei, uye kuti mavharuvhu ari kushanda sei.
• Electrocardiogram (EKG/ECG): Izvi zvinoongorora mashandiro emagetsi emwoyo, kureva kuti, kana paine matambudziko nekufamba kwemoyo.
• Kuedza kushushikana kwemuviri: Izvi zvinoedza kuti mwoyo wako unoita sei paunoita maekisesaizi.
• Kuongororwa kwemajini: Kuongororwa uku kunobatsira kuona kana uine chirwere ichi.
• MRI yemwoyo: Izvi zvinogonawo kupa mufananidzo wakajeka wehukuru uye mashandiro emakamuri emwoyo.
• Kuongororwa kweEndyocardial biopsy: Izvi hazviitwe kakawanda. Zvinosanganisira kutora tsandanyama yemwoyo woiongorora.

Dilated Cardiomyopathy inorapwa sei?

Ungangoda mhando dzakasiyana dzekurapa. Kunyange hazvo kurapwa uku kusingawanzo kurapa chirwere chose, kunogona kubatsira kudzora zviratidzo uye kukubatsira kurarama hupenyu hurefu uye hune hutano. Kurapwa kunotanga nekukurumidza, mhedzisiro yacho inova nani. Chiremba wako wemwoyo kana nyanzvi yekushaya simba kwemoyo achataura newe uye osarudza nzira yakanakisa yekurapa.

Nzira dzekurapa dzinogona kukamurwa kuita zvikamu zvitatu zvikuru: mishonga, shanduko dzemararamiro, uye kuvhiyiwa kana mamwe maitiro ekurapa.

Mishonga

Kune mhando dzakasiyana dzemishonga dzinogona kuvandudza mashandiro emwoyo wako kana uine Dilated Cardiomyopathy. Mimwe mienzaniso ndeiyi:

• Mishonga inodzivirira ACE
• Vadzivisi veAldosterone
• Angiotensin receptor/neprilysin inhibitors (ARNI)
• Mishonga yekurwisa kurova kwemoyo zvisina kurongeka ( antiarrhythmics )
• Beta-blockers
• Mishonga inobvisa ropa mumuviri - kunyanya kune vanhu vane zvirwere zvakaita seatrial fibrillation
• Mishonga inoderedza huwandu hwemvura isingadiwi mumuviri ( Diuretics )

Zvakakosha zvikuru kutora mishonga iyi yese sezvakarairwa nachiremba wako, muchiyero chakakodzera, uye panguva chaiyo.

Kuchinja kwetsika dzezuva nezuva

Nekuchinja zvinhu zvidiki pane zvaunoita zuva nezuva, kudya, nezvimwewo, unogona kuita kuti mishonga yako ishande zviri nani, uye pamwe kutononoka kana kudzivirira kudiwa kwekuvhiyiwa zvachose.

Shanduko idzi ndedzinotevera:

• Dzivirira muviri wako: Deredza huwandu hwedoro raunonwa. Dzivisa zvinodhaka zvisiri pamutemo zvachose. Zvidzivirire kubva kuzvirwere zvakaita sehepatitis neHIV.
• Idya chikafu chine hutano pamoyo: Idya nyama dzakawanda dzisina mafuta akawanda (senge huku nehove), michero, nemiriwo. Kudya chikafu chine munyu mushoma kunogona kubatsira kuderedza kuchengetwa kwemvura mumuviri, izvo zvinogona kukonzera kushushikana pamoyo.
• Wedzera kurovedza muviri: Kurovedza muviri zvinyoro nyoro kusingaomese mwoyo kunogona kubatsira kuvandudza mashandiro emwoyo. Taura nachiremba wako nezve maekisesaizi akakunakira. Ungangodawo kufunga nezvekupinda muchirongwa chekurapa mwoyo . Iyi inzvimbo yakanaka yekutanga kurovedza muviri zvakachengeteka.

Kuvhiya uye nzira dzisinganyanyi kukuvadza muviri

Kana chirwere chacho chakanyanya kukura uye mashandiro emwoyo akaderera zvakanyanya, ungangoda kuvhiyiwa kana mamwe maitiro ekurapa ane hunyanzvi. Mamwe emaitiro eDilated Cardiomyopathy ndeaya:

• Biventricular pacemaker: Ichi chishandiso chinobatsira makamuri emwoyo kuti ashande zvakanaka.
• Implantable cardioverter defibrillator (ICD): Kana kurova kwemoyo wako kukava kusina kurongeka zvine njodzi, mudziyo uyu unounza kuvhunduka kudiki kwemagetsi kuti udzorere kurova kwemoyo wako.
• Kukundikana kwemoyo kana kuvhiyiwa kwevharuvhu yemoyo: Izvi zvinovandudza mashandiro emoyo.
• Mudziyo wekubatsira ventricle yekuruboshwe (LVAD): Uyu mudziyo wemuchina unobatsira kupomba ropa kuenda kune tsandanyama yemwoyo isina simba zvakanyanya.
• Kuisirwa moyo: Iyi isarudzo isingawanzoitiki, inofungwa kana mamwe marapirwo ese akundikana.

Chirwere ichi chinogona kudzivirirwa here?

Kutaura chokwadi, chirwere ichi hachigone kudzivirirwa nguva dzose. Chingave chiri chimwe chinhu chinoitika mumhuri yako (genetics). Kana kuti, chingave chiri nekuda kwechemotherapy yechirwere chakadai sekenza.Zvinogonawo kuitika semhedzisiro yekurapwa.

Zvisinei, pane zvinhu zvaunogona kuita kuti uderedze njodzi yako yekuve neDilated Cardiomyopathy:

• Dzivisa zvinodhaka zvakaita secocaine zvachose.
• Kana ukanwa doro, rideredze kusvika pahuwandu hushoma.
• Kana uine zvirwere zvakaita sechirwere cheshuga kana BP, zvidzore zvakanaka.
• Chengetedza moyo wako zvakanaka kudzivirira kurwara nemoyo (kudya zvakanaka, kurovedza muviri, uye kudzivisa kusvuta).

Chii chaungatarisira kana uchirarama nechirwere chinonzi Dilated Cardiomyopathy?

Kufanotaura kwako kuti chirwere chako chichaitika kunoenderana nechikonzero uye kuoma kwechirwere chako. Nekurapwa nguva dzose, unogona kudzokera kubasa wotangazve mabasa ako ezuva nezuva. Zvisinei, dzimwe nguva zviratidzo zvako zvinogona kuwedzera nekufamba kwenguva. Kana chirwere chako chikawedzera kana matambudziko akaitika, ungaomerwa nekutsungirira. Ungangoda kugara muchipatara kusvika zviratidzo zvako zvava nani.

Kune vanhu vazhinji, chirwere chemwoyo chinonzi dilated cardiomyopathy chinogona kuipa nekufamba kwenguva uye chinoita kuti mwoyo usashande zvakanaka kwenguva refu. Izvi zvinoreva kuti mwoyo unova usina simba zvekuti haugone kuzadzisa zvinodiwa nemuviri. Kukundikana kweitsvo uye kutadza kushanda zvakanaka kwemoyo zviratidzo zvekuti chirwere ichi hachizofambi zvakanaka. Vanhu vane zviratidzo kunyangwe vakazorora, kana kuti vasingakwanise kuita chero maekisesaizi emuviri, vanowanzova nemigumisiro yakaipa.

Asi musazvidya mwoyo! Hutano netariro yekurarama kwevanhu vane Dilated Cardiomyopathy zvakavandudzika zvikuru mumakore achangopfuura. Izvi zvinokonzerwa nekurapwa kwakavandudzika uye kuonekwa nekukurumidza. Nhasi uno, vanhu vanopfuura 80% vane chirwere ichi vanorarama zvakanaka kwemakore masere, vasingadi kuisirwa moyo.

Ndinozvitarisira sei?

Chinhu chakakosha chaunogona kuita paunenge uchirarama nechirwere ichi ndechekuzvitarisira. Tevedzera mirairo yachiremba wako nokungwarira.

• Tarisa zviratidzo zvematambudziko, akadai sekuwedzera uremu kamwe kamwe, zuva nezuva.
• Ita shanduko dzawakakurudzirwa nachiremba (semuenzaniso, kudya chikafu chisina munyu mushoma) nemazvo.
• Ona chiremba wako kuti akushanyire kakawanda pagore.
• Inwa mushonga wakanyorwa nenguva chaiyo uye nemazvo.

Ndinofanira kuona chiremba wangu rini?

Nekuti mamiriro ako ezvinhu anogona kuchinja nekufamba kwenguva, zvakanaka kugara uchitaurirana nachiremba wako uye kugara uchiongororwa. Ichi chinhu chaunofanira kuita muhupenyu hwako hwese. Kana uchinzwa kuti zviratidzo zvako zviri kuwedzera kuipa, taura nachiremba wako nekukasika. Iye anogona kukubatsira kudzora zviratidzo zvako.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana uchangobva kuongororwa kuti une chirwere, zvakajairika kuva nemibvunzo yakawanda. Usazeza kubvunza chiremba wako mibvunzo yakaita seiyi:

• Zvakanaka here kuti mhuri yangu yose iongororwe majini?
• Ndinofanira kudzivisa basa rinorema here?
• Pane boka rekutsigira randingabatana naro here, kungave kuSri Lanka kana online?
• Kudya kupi kwakakodzera kwandiri?
• Ndechipi chiito chekurovedza muviri chandinofanira kuita uye ndinofanira kuchiita kwenguva yakareba sei?

Hapana anoda kuziva kuti moyo wake hausi kushanda zvakanaka. Zvisinei, vanachiremba vemazuva ano vanogona kupa nzira dzakasiyana-siyana dzekurapa kuti mwoyo wako ushande zvakanaka mumamiriro ezvinhu akadai seDilated Cardiomyopathy. Kunewo shanduko dziri nyore dzaunogona kuita kuti uvandudze mamiriro ako. Usatya kubvunza mibvunzo uye kunzwisisa zvaunosarudza. Unogona kushanda nachiremba wako kuti uwane nzira yakanakisisa yekufambira mberi nechirwere ichi.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Ndinovimba kuti wava kunzwisisa zviri nani chirwere chetsandanyama dzemwoyo chatataura nezvacho nhasi (Dilated Cardiomyopathy) . Kunyangwe ichi chiri chirwere chakakomba, kana ukachiziva uye ukachibata nemazvo, unogona kurarama hupenyu hwakanaka.

Chinhu chinonyanya kukosha kuziva zviratidzo, kutsvaga mazano echiremba nekukasika, uye kutevedzera kurapwa nemirairo yakapihwa nachiremba wako nemazvo. Hausi wega, kune vanachiremba nevashandi vehutano vanokubatsira nekukutungamira parwendo urwu. Saka ramba wakasimba uye tarisana nemamiriro ezvinhu aya.

` Chirwere chemwoyo, mwoyo wakakura, cardiomyopathy yakakura, kusasimba kwetsandanyama yemwoyo, kushaya mweya, kutadza kwemoyo, kurapwa kwemoyo