Mwoyo yedu yakaita semuchina unoshamisa unoshanda nemutinhimira wakati, handiti? Asi dzimwe nguva mutinhimira uyu unobuda zvishoma. Ungave wakanzwa kuti moyo wako unorova zvishoma nezvishoma, kamwe kamwe unosvetuka kurova, kana kuti chipfuva chako chinonzwa chakamanikana. Chimwe chezvikonzero zvikuru zveizvi chirwere chinonzi 'Heart Block'. Usatya paunonzwa zita iri. Nhasi tichataura nezveizvi, kureva kuvharika kwezviratidzo zvemagetsi zvemoyo, nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Heart Block?
Kuti tinzwisise izvi, ngatitangei tatarisa mashandiro anoita mwoyo yedu. Fungidzirai mwoyo wenyu wakaita seimba ine makamuri mana. Kune makamuri maviri padhoro repamusoro (ratinoti Atria) nemakamuri maviri padhoro repasi (anoti Ventricles). Kuti mwoyo urove, chiratidzo chemagetsi chinofanira kufamba kubva padhoro repamusoro kuenda pasi.
Sezvo chiratidzo ichi chemagetsi chichifamba kubva kumusoro kuenda kumakamuri epasi, chinopfuura nepanosangana diki (inonzi AV node mune zvekurapa) pakati pezviviri. Kuvharika kwemoyo zvinoreva kuti pane kuvharika, kunonoka, kana kumira zvachose kwechiratidzo chemagetsi pachinofamba nepanosangana mativi aya.
Chii chinoitika kana chiratidzo ichi chemagetsi chikasapinda zvakanaka? Nekuti makamuri emoyo (masero) asingawani chiratidzo panguva chaiyo, moyo unorova zvishoma nezvishoma kana kuti unosvetuka kurova kumwe . Muzviitiko zvakakomba, moyo ungasakwanisa kupomba ropa rakakwana mumuviri. Izvi zvinogona kuderedza kufamba kweropa mumuviri wese.
Kuvharika kwemoyo (heart block) kukanganiswa kwemasaini emagetsi anofamba kubva kumusoro kusvika pasi pemoyo. Izvi zvinoita kuti kurova kwemoyo kunonoke kana kuti kusafamba zvakanaka.
Dambudziko iri rinowanzo tanga kukura muhupenyu, kunyanya nekukura, pane kuvapo pakuzvarwa. Rinonziwo Atrioventricular (AV) block.
Ndedzipi mhando huru dzechirwere chemwoyo?
Kuoma kweHeart Block kunosiyana zvichienderana nehuwandu hwekukanganiswa kwechiratidzo chemagetsi. Saka, tinochiparadzanisa kuita mhando nhatu huru. Ngatitarisei tafura iyi kuti tinzwisise izvi zviri nyore.
| Rudzi rweBlock yeMwoyo | Zvichitaurwa zviri nyore... | Kuomarara |
|---|---|---|
| Kuvharika kwemoyo wedhigirii rekutanga | Mwenje wemotokari unobatidzwa, asi wanonoka zvishoma. Sekunge wavharirwa mumotokari. Chiratidzo chega chega chinoenda kwachiri kuenda. | Iyi ndiyo mhando isina kunyanya kuipa . Kazhinji hapana zviratidzo. |
| Kuvharwa kwemoyo kwedhigirii rechipiri | Haasi masaini ese emagetsi anotumirwa anopinda. Mamwe akarasika munzira , sekunge runhare runovharwa pakati. | Kune mhando mbiri dzeizvi. Imwe haina kunyanya kuoma (Mobitz Type I), uye imwe yakanyanya kuoma (Mobitz Type II). |
| Kuvharwa kwemoyo kwedhigirii rechitatu | Hapana masaini emagetsi anobva kumusoro anogona kusvika pasi. Kuvharika zvachose. Makamuri (masero) ari pasi anotanga kurova neruzha rwawo runononoka . | Iyi ndiyo nyaya yakakomba zvikuru . Izvi zvinoda kurapwa zvechokwadi. |
Zvimwe zvishoma nezve Heart Block yedanho rechipiri...
- Mobitz Type I: Iyi inyaya yekuti chiratidzo chemagetsi chinononoka, chobva chanonoka, chobva changoerekana chashaikwa, chobva chatangazve. Iyi inyaya isina kunyanya kuipa.
- Mobitz Type II: Ichi hachisi chiratidzo chekunyevera. Ipfungwa yemagetsi isingadzoreki isinganzwike kamwe kamwe. Kurova kwemoyo hakuna kurongeka uye kunononoka. Izvi zvakakomba kupfuura Type I. Chirwere ichi chinowanzo da pacemaker.
Unewo zviratidzo izvi here?
Zviratidzo zvinosiyana zvichienderana nekuoma kwechirwere chemwoyo. Ungasaona zviratidzo kana shamwari yako ichizvibata.
- Vanhu vane chirwere chemwoyo chedhigirii rekutanga havawanzo ratidza zviratidzo . Izvi zvinoonekwa netsaona panguva yekuongororwa kweECG (electrocardiogram) nekuda kwechimwe chikonzero.
Asi padanho rechipiri nerechitatu, sezvo kurova kwemoyo kuchiderera, zviratidzo zvakaita se:
- Kurwadziwa pachipfuva kana kusagadzikana
- Kuneta zvakanyanya pasina chikonzero
- Kuoma kufema kana kupfupika kwemweya
- Kurova kwemoyo (kunzwa sekuti moyo wako uri kurova nekukurumidza)
- Dzungu uye kunzwa kusuruvara
- Kufenda
- Kusvotwa
Zviratidzo izvi zvinogona kunyanya kuoma kana mwoyo wako wavharika padanho rechitatu. Kana uine zviratidzo izvi zvakakomba, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika. Kana zvichibvira, enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Ndezvipi zvikonzero zve heart blockade?
Chero chinhu chipi zvacho chinogona kukanganisa mashandiro emagetsi emoyo chinogona kukonzera izvi. Heano mamwe ezvikonzero zvikuru:
- Kurwara nemoyo: Kukuvadzwa kwetsandanyama yemoyo kunokonzerwa nekurohwa nemoyo.
- Chirwere chetsinga dzeropa (CAD): Kutetepa kwetsinga dzinopa ropa kumoyo.
- Cardiomyopathy: Kupera simba kana kukora kwetsandanyama yemwoyo.
- Zvirwere zvevharuvhu yemoyo: Mamwe matambudziko ane chekuita nemavharuvhu emoyo.
- Mimwe mishonga: Mimwe mishonga yeBP yakakwira uye chirwere chemwoyo (semuenzaniso Beta-blockers, Calcium channel blockers).
- Chirwere chemwoyo chekuzvarwa nacho: Kuvapo kwekuchinja kwakasiyana-siyana mumaumbirwo emwoyo pakuzvarwa.
- Kukuvara panguva yekuvhiyiwa kwemoyo.
- Zvimwe zvirwere: Zvirwere zvakaita sechirwere cheLyme.
- Zvimwe zvirwere: chirwere chethyroid, sarcoidosis, nezvimwewo.
Ungazviwana sei izvi?
Paunoenda kunoona chiremba, achakubvunza nezvezvinhu izvi:
- Ndezvipi zviratidzo zvako uye wava nenguva yakareba sei uine zviratidzo izvi?
- Pane mumwe munhu mumhuri yako ane chirwere chemwoyo here?
- Nezvemishonga yaunotora.
- Nezvemararamiro ako (kudya, kunwa, kurovedza muviri, kusvuta).
Zvadaro, chiremba achakuongorora, oteerera mwoyo wako, oongorora kurova kwemoyo wako, uye, kana zvichidikanwa, okutumira kuna chiremba wemwoyo.
Kuti usimbise chirwere ichi, bvunzo dzinotevera dzinogona kuitwa:
- ECG (Electrocardiogram): Iyi ndiyo bvunzo inonyanya kukosha uye iri nyore. Inonyora mashandiro emagetsi emwoyo.
- Ambulatory Monitor (Holter Monitor): Kuvharika kwemoyo kungasaitika nguva dzose, saka uchapihwa kamuchina kadiki kekupfeka kuti unyore mashandiro emoyo wako kwemaawa makumi maviri nemana kusvika makumi mana nemasere.
- Kuedzwa kweKushushikana muKurovedza Muviri: ECG inotorwa paunenge uchifamba kana kumhanya uri patreadmill, uchitarisa kuti kurova kwemoyo wako kunochinja sei nekurovedza muviri.
- Chidzidzo cheElectrophysiology (Chidzidzo cheEP):Iyi bvunzo yakaoma zvishoma. Waya yakatetepa inopinzwa mumoyo kuti ionekwe nzvimbo chaiyo yedambudziko mumagetsi.
Heart Block inorapwa sei?
Kurapwa kunoenderana nekuti une rudzii rwechirwere chemwoyo chawakavharika, chakakomba sei, uye zviratidzo zvaunazvo.
- Kuvharika kwemoyo kwedhigirii rekutanga: Izvi hazviwanzodi kurapwa . Chiremba wako achakutarisa.
- Kuvharika kwemoyo kwedanho rechipiri: Mobitz Type I ingasade kurapwa kana pasina zviratidzo. Zvisinei, kana paine zviratidzo, kana Mobitz Type II, pacemaker inogona kudiwa kuti mwoyo urambe uchishanda zvakanaka.
- Kuvharika kwemoyo kwedanho rechitatu: Vanhu vane chirwere ichi vanowanzoda pacemaker .
Chii chinonzi Pacemaker iyi?
Chishandiso chepacemaker chidiki kwazvo, chinoshandiswa nebhatiri. Chinoiswa pasi peganda rechipfuva chako panguva yekuvhiyiwa kudiki. Waya yakatetepa inobva pane iyi yakabatana nemoyo wako. Chishandiso chepacemaker chinoshanda nekutumira masaini emagetsi kumoyo wako kana uchirova zvishoma nezvishoma, zvichiita kuti urambe uchirova zvakanaka.
Zvinhu zvekufunga nezvazvo kana uchigara nepacemaker
Unogona kurarama hupenyu hwakanaka mushure mekuisirwa pacemaker, asi unofanira kungwarira zvinotevera:
- Rega kushandisa simba remagineti rakasimba: Usaswedere pedyo nezvinhu zvakaita semichina yeMRI.
- Nharembozha: Usatakura foni yako muhomwe imwe chete nepacemaker yako. Ichengete iri kure neanenge masendimita matanhatu.
- Kuongorora kuchengetedzwa, kwakadai sekunge panhandare dzendege: Udza vakuru vekuchengetedza kuti une pacemaker. Uye gara uine kadhi rinotaura kuti une pacemaker.
- Udza vamwe vanachiremba: Ungave uchizoenda kunoona chiremba wemazino kana chero mumwe chiremba, vaudze kuti une pacemaker.
Unofanira kuona chiremba wako rini?
Kana uine chirwere chemwoyo chakavharika, zvakakosha kuti upinde kumakiriniki panguva dzakatarwa sezvakarairwa nachiremba. Kana uine pacemaker, unofanira kugara uchitarisa kuti iri kushanda nemazvo here.
Kana ukaona chimwe chezviratidzo izvi, fonera chiremba wako nekukasika:
- Dzungu kana kuti musoro wakapfava
- Kurwadziwa kwechipfuva
- Kurova kwemoyo kana kusvetuka-svetuka
- Kunzwa kushaya simba
- Kuoma kufema
- Kuzvimba kwemakumbo netsoka
Kana ukava nezviratidzo zvekurwara nemoyo (kurwadziwa kwechipfuva zvakanyanya, kunetseka kufema) kana zviratidzo zvekumira kwemoyo (kurasikirwa nepfungwa kamwe kamwe), enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Kuvharika kwemoyo kunokanganisa kufambiswa kwemashoko emagetsi mumoyo. Izvi hazvisi zvekutya, asi chinhu chekufunganya nezvacho.
- Kune mhando dzeizvi, kubva pane dzisina kunyanya kuoma (dhigirii rekutanga) kusvika kune dzakanyanya kuoma (dhigirii rechitatu).
- Kana uine zviratidzo zvakaita sedzungu, kuda kurutsa, kuneta zvakanyanya, kana kunetseka kufema, usazviregeredza. Edza kuona chiremba.
- Mazuva ano, kune nzira dzekurapa dzinoshanda zvikuru dzeizvi, dzakadai se pacemakers. Nekurapa uku, unogona kurarama hupenyu hwakanaka uye hwakajairika.
- Chengetedza moyo wako. Zvakakosha nguva dzose kutevera mararamiro ane hutano.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga