Uri kusangana nematambudziko nekurova kwemoyo wako here? Ngatikurukurei nezve Heart Block!

Wakambonzwa kurwadziwa pachipfuva here, kushaya mweya, kana kunzwa kuti moyo wako uri kurova zvisina kujairika? Ungave wakanzwa dzungu kana kupera simba. Izvi dzimwe nguva zvinogona kuva zviratidzo zvechirwere chinonzi 'heart block', chinoitika kana masaini emagetsi mumoyo asingafambe zvakanaka. Nhasi, tichataura nezvazvo zvakadzama, asi zviri nyore, sekunge uri kutaura neshamwari.

Chii chinonzi Heart Block? Zvichitaurwa zviri nyore...

Funga nezvazvo semota diki inoda magetsi kuti ishande. Saizvozvowo, mwoyo yedu inewo sisitimu yemagetsi yekurova. Zviratidzo izvi zvinotanga kubva mumakamuri maviri epamusoro emoyo (atinodaidza kuti `(Atria)`) uye zvinoenda kumakamuri maviri epasi emoyo (`(Ventricles)`). Pakati pemakamuri aya epamusoro neapasi, semwenje wemotokari, pane nzvimbo inodzora zviratidzo. Inonzi `(AV node)` (atrioventricular node).

Zvino, kuvharika kwemoyo kunoitika kana paine chimwe chinhu chinovhara nzira iyo masaini emagetsi anofamba kubva kumusoro kusvika pasi pemoyo. Pamwe masaini anofamba zvishoma nezvishoma, kana kuti mamwe masaini haasvike kumakamuri epasi, kana kuti masaini anomira kufamba zvachose.

Chii chinoitika ipapo? Mwoyo ungasashanda zvakanaka. Mwoyo ungarova zvishoma nezvishoma, uye kumwe kurova kunogona kudziviswa. Muzviitiko zvakakomba, izvi zvinogona kukanganisa kupomba kweropa mumuviri wese, zvichikonzera matambudziko akakomba. Dambudziko iri rinowanzoitika pazera rehupenyu, pane kuvapo pakuzvarwa. Izvi zvinonziwo ``Atrioventricular (AV) block`` uye dzimwe nguva zvinonzi ``conduction disorder```.

Kune mhando dze heart block here?

Ehe, mablock emwoyo aya anogona kuuya mumhando dzakasiyana uye pamatanho akasiyana. Kureva kuti, anorongwa zvichienderana nekuti chiratidzo chemagetsi chakavharwa zvakadii uye kuti chinoitika kangani.

• Kuvharika kwemoyo kwedhigirii rekutanga: Muchiitiko ichi, chiratidzo chemagetsi chinofamba chichienda kumakamuri epasi emwoyo (maventricles), asi chinononoka zvishoma. Pane kunonoka kudiki painopfuura nepaAV node. Iyi ndiyo mhando yekuvhara isina kunyanya kuoma. Vanhu vazhinji havatombozivi kuti vanayo.
• Kuvharika kwemoyo kwedanho rechipiri (risina kukwana): Muizvi, mamwe masaini emagetsi emwoyo chete ndiwo anosvika mumakamuri epasi, kwete ese. Kunewo marudzi maviri eizvi:
• Rudzi rwekutanga, `(Mobitz Rudzi rwekutanga)` kana `(Wenckebach's AV block)`: Rudzi urwu haruna kunyanya kuoma. Chiratidzo chemagetsi chinoderera zvishoma nezvishoma, pakupedzisira chichidarika kurova kwemoyo kamwe chete.
• Rudzi rwechipiri (Rudzi rwechipiri), `(Mobitz Rudzi rwechipiri)`: Muizvi, kunyangwe zviratidzo zvakawanda zvichienda kumakamuri, dzimwe nguva zvimwe zviratidzo zvinomira kamwe kamwe. Ipapo kurova kwemoyo kunova kusina kurongeka, kuchirova zvishoma nezvishoma kupfuura zvakajairwa. Izvi zvakanyanya kuipa , uye ungangoda `(Pacemaker)` (mudziyo mudiki unobatsira kuchengetedza kurova kwemoyo nekukurumidza).
• Kuvharika kwemoyo kwedanho rechitatu: Uku kuvharika kwemoyo zvachose.Masaini emagetsi anobva mumakamuri epamusoro emwoyo (`(Atria)`) kuenda kumakamuri epasi (`(Ventricles)`) haapfuuri. Izvi zvinokanganisa zvikuru nzira iyo mwoyo inopomba ropa kuenda kumuviri. Ichi chirwere chakakomba zvikuru , uye kurapwa kunowanzoda `(Pacemaker)`.

Ndezvipi zviratidzo zveizvi?

Zviratidzo zve heart block zvinogona kusiyana kubva pamunhu kuenda kumunhu, zvichienderana nekuoma kwe heart block uye kuti inokanganisa sei mashandiro emoyo.

Zviratidzo zvinowanzoonekwa ndeizvi:

• Kurwadziwa kwechipfuva
• Kuneta, kuneta
• Kuoma kufema
• Kunzwa sekuti moyo wako uri kurova nekukurumidza (kurova kwemoyo)
• Kuwedzera kwekufema
• Kusvotwa
• Dzungu, kunzwa sekunge uri kutenderera.
• Kurasikirwa nepfungwa (kufenda)

Zvisinei, vanhu vane chirwere chemwoyo chinonzi first degree blockage vanogona kunge vasina zviratidzo. Dzimwe nguva chinowanikwa kana chiremba akaita electrocardiogram (EKG) panguva yekuongororwa nguva dzose.

Muchirwere chemwoyo chinonzi third-degree blockage, zviratidzo zvinogona kuva zvakanyanya, sezvo kurova kwemoyo kuchiderera zvakanyanya. Kana uine zviratidzo zvakakomba, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.

Ndezvipi zvikonzero zve heart blockade?

Pane zvinhu zvakawanda zvinogona kukonzera kuvharika kwemoyo. Zvimwe zvezvikonzero zvikuru ndeizvi:

• Kumira kurova kwemoyo
• Chirwere chetsinga yeropa (CAD)
• Chirwere chetsandanyama dzemwoyo (`Cardiomyopathy`)
• Zvirwere zvevharuvhu yemoyo
• Kukuvadzwa kusingatsananguriki kwemagetsi emoyo
• Matambudziko emwoyo akaberekerwa mudumbu
• Kukuvara kwemoyo panguva yekuvhiyiwa kwemoyo kwakavhurika
• Migumisiro yemimwe mishonga (semuenzaniso, mishonga yakaita se `(Beta-blockers)`, `(Digitalis)`, `(Calcium channel blockers)`)
• Kusangana nehupfu
• Kumbomira kufema panguva yekurara (OSA)
• Chirwere chethyroid
• Zvimwe zvirwere, semuenzaniso `(chirwere cheLyme)`
• Zvirwere zve autoimmune
• Kusarongeka kwemajini

Ndiani ari panjodzi huru yeizvi?

Unogona kuva panjodzi yakakura yekubatwa nechirwere chemwoyo kana:

• Kana uine zvimwe zvirwere zvemwoyo, zvakaita sechirwere chemwoyo kana chirwere chevharuvhu yemwoyo.
• Kana wakazvarwa uine chirwere chemwoyo chisina kunaka.
• Kana uine chirwere chinokanganisa mwoyo, chakadai se `(Rheumatic heart disease)` kana `(Sarcoidosis)`.
• Kana "tsinga yako yemudumbu" (tsinga inobatsira kudzora kurova kwemoyo wako) ikatanga kushanda zvakanyanya uye inoderedza kurova kwemoyo wako.
• Kana uri kutora mishonga inoderedza masaini emagetsi emwoyo. Izvi zvinogona kusanganisira mishonga yezvirwere zvemwoyo neBP (semuenzaniso, `(Beta-blockers)`, `(Diuretics)`, `(Calcium channel blockers)`, `(Digoxin)`), mishonga yekurova kwemoyo zvisina kurongeka (`(Antiarrhythmics)`), mishonga inozorodza tsandanyama, mapiritsi ekurara, uye mishonga yekuora mwoyo nechirwere chepfungwa.

Ndezvipi zvinetso zvinogona kukonzera izvi?

Kana mavhariji emwoyo akasarapwa zvakanaka, anogona kukonzera matambudziko anogona kuisa hupenyu panjodzi. Izvi zvinosanganisira:

• Kukundikana kwemoyo (kutadza kwemoyo kupomba ropa rakakwana mumuviri)
• Kurova kwemoyo kusina kurongeka (`Arrhythmia`)
• Kumira kurova kwemoyo
• Kumira kwemwoyo kamwe kamwe (moyo unomira kamwe kamwe)

Nzira yekuongorora sei chirwere chemwoyo?

Kuti aone kana une chirwere chemwoyo, chiremba wako achaita zvinotevera:

• Nhoroondo yako yezvekurapa ichaongororwazve.
• Bvunza nezvenhoroondo yehutano hwemhuri yako.
• Vachakubvunza mibvunzo nezveutano hwako, maitiro ako ekudya, maitiro ekurovedza muviri, uye zviratidzo.
• Vanobvunza nezvemishonga yaunotora (yose yawakanyorerwa nachiremba wako neyaunotenga kupharmacy).
• Vanokubvunza kana uchisvuta kana kushandisa zvimwe zvinodhaka.
• Vachateerera mwoyo wako uye vachaongorora kurova kwemoyo wako.
• Tarisa kana paine zviratidzo zvekurwara nemoyo (semuenzaniso, kuzvimba mumakumbo nemuzviziso).

Chiremba wemwoyo wako anogonawo kukutumira kuna electrophysiologist (nyanzvi yekushanda kwemagetsi emwoyo).

Miedzo yerudzii ichaitwa?

Kuti unyatsoongorora chirwere ichi, unogona kuita bvunzo dzinotevera:

• Kuongororwa kweropa
• Kuongororwa kwemajini
• Kuongororwa kweElektrocardiogram (EKG)
• Ambulatory monitor (muchina mudiki unonyora kurova kwemoyo wako kwemazuva akati wandei)
• Chinorekodha cheLoop (mudziyo unotarisa kurova kwemoyo kwenguva yakareba)
• Chidzidzo cheElectrophysiology (nzira yakakosha inoongorora masisitimu emagetsi emwoyo)
• Kuyedzwa kwekumanikidzwa kwekurovedza muviri (`Kuyedzwa kwekumanikidzwa kwekurovedza muviri` - kutarisa mashandiro anoita moyo panguva yekurovedza muviri)

Inorapwa sei?

Kurapa kwechirwere chemwoyo kunosiyana kubva pamunhu kusvika pamunhu. Ungangove uri muchipatara kuti utarise moyo wako. Kuti ugadzirise mamiriro ako ezvinhu, chiremba wemwoyo wako achafunga nezvezvinotevera:

• Une rudzii rwechirwere chemwoyo?
• Zvakakomba sei?
• Zvinokanganisa sei mashandiro emoyo wako?
• Zviratidzo zvako ndezvipi?

Dzimwe nguva, kuvharika kwemoyo kunopera kana ukachinja mishonga yaunotora kana kurapa chimwe chirwere chemwoyo. Asi vamwe vangada pacemaker, kungave kwenguva pfupi kana zvachose, kuti vatumire masaini emagetsi kumoyo.

• Kuvharika kwedanho rekutanga: Pamwe hauzodi kurapwa.
• Kuvharika kwedanho rechipiri: Kana uine Type I, pamwe hauzodi kurapwa. Asi kana uine zviratidzo, ungangoda pacemaker yenguva pfupi kana kuti inogara iripo kuti mwoyo wako urambe uchirova zvakanaka.
• Kuvharika kwedanho rechitatu: Vanhu vane rudzi urwu vanowanzoda pacemaker.

Kana uchida pacemaker, chiremba wako achakuudza nezvayo, rudzi rwakakunakira, uye zvekutarisira usati waisa pacemaker, panguva, uye mushure mekunge yaiswa.

Ndezvipi zvinetso/migumisiro yekurapwa?

Kana uine pacemaker yenguva pfupi kana kuti inogara iripo, unogona kusangana nematambudziko akadai se:

• Matambudziko nekugadzira mapurogiramu emidziyo
• Kusashanda zvakanaka kwemidziyo
• Utachiona
• Kugwamba kweropa
• Kukuvara kwemoyo

Zvinotora nguva yakareba sei kuti munhu apore kubva mukurapwa uku?

Mushure mekuvhiyiwa nepacemaker, uchafanira kugara muchipatara kwehusiku humwe chete. Unofanira kukwanisa kutangazve mabasa ako emazuva ese mukati memazuva mashoma kana mavhiki. Bvunza chiremba wako nezvezvausingafaniri kuita mushure mekuvhiyiwa.

Kurwiswa kwemwoyo kunogona kudzivirirwa here?

Unogona kudzivirira zvimwe zvezvikonzero zvinokonzera kutadza kushanda kwemoyo, zvakaita sechirwere chemwoyo.

Zvinhu zvaunogona kuita kuti mwoyo wako nemuviri wako zvive neutano hwakanaka sezvinobvira:

• Rarama mararamiro ane hutano hwemwoyo. Izvi zvinoreva kudya chikafu chine hutano hwemwoyo, kuita maekisesaizi nguva dzose , kuwana hope dzakakwana husiku hwese, kuderedza kushushikana, kuderedza doro, uye kurega kusvuta nekushandisa zvinodhaka.
• Taura nachiremba wako nezvemishonga nezvimwe zvinovaka muviri zvaunotora. Anogona kutarisa kana paine chauri kutora chiri kuchinja huwandu hwezvinhu zvakajairwa mumuviri wako (zvakaita sepotassium, calcium, uye magnesium, izvo zvakakosha kumagetsi emwoyo). Chiremba wako anogona kugadzirisa mishonga yako kana zvichidikanwa.

Chii chinoitika kana ndikabatwa nechirwere chemwoyo?

Kana uine chirwere chemwoyo chakavharika padanho rekutanga, bvunza chiremba wemwoyo kana nyanzvi yezvemagetsi kana uchida kuchinja mararamiro ako kana mishonga. Rudzi urwu rwechirwere chemwoyo haruwanzokanganisa mabasa ako ezuva nezuva.

Kazhinji, kuva nepacemaker hakukanganisi zvakanyanya kugona kwako kutora chikamu mumitambo uye zvinhu zvekuzvifadza. Zvisinei, zvakakosha kutevedzera mirairo yachiremba wako kuti uve nechokwadi chekuti pacemaker yako iri kushanda nemazvo.

Kuvharika kwemoyo kunogara kwenguva yakareba sei?

Kureba kwenguva iyo mwoyo wako uchavhara zvichienderana nechikonzero chacho. Kutsiva mushonga uri kukonzera kuvharika kwemoyo nemumwe mushonga kunogona kugadzirisa dambudziko racho. Asi kana kuvharika kwemoyo kuchikonzerwa nechimwe chinhu, zvinogona kunge zviri chirwere chehupenyu hwese.

Ndeipi tarisiro yechirwere chemwoyo chakavharika?

Kuvharika kwemoyo chirwere chinogona kunge chakakomba. Kana chikasarapwa, kuvharika kwemoyo kwakanyanya kunogona kukonzera kumira kwemoyo kamwe kamwe. Asi kazhinji, kuvharika kwemoyo kusina kurapwa kunogona kukonzera dzungu kana kufenda.

Kana uchirapwa, mamiriro ako ezvinhu anoenderana nezera rako nezvimwe zvirwere zvaunazvo.

Ndinofanira kuzvitarisira sei? (Kunyanya kana uine pacemaker)

Kana uine pacemaker, yeuka zvinhu izvi:

• Dzivisa kushandisa magineti uye chero mudziyo unoburitsa simba remagetsi. Izvi zvinoreva kuti usashandise nharembozha yako iri kure nefoni. Semuenzaniso, usachengete foni yako muhomwe yehembe.
• Paunenge uchiongorora nzvimbo dzekuchengetedza (semuenzaniso nhandare dzendege, matare edzimhosva), udza vanoongorora kuti une pacemaker uye unofanira kudzivirira kushandisa tsvimbo dzinobatwa nemaoko. Gara uine kadhi rine mhando ye pacemaker yako.
• Udza vese vanokupa rubatsiro rwehutano (vanachiremba, vanachiremba vemazino) kuti une pacemaker. Dzimwe nzira dzekurapa, dzakadai sekuongororwa kwemagnetic resonance imaging (MRI), dzinogona kukanganisa pacemaker yako. Mushure mekuvhiyiwa kwakasiyana-siyana, chiremba wako angangoda kugadzirisa pacemaker yako.

Unofanira kuona chiremba rini?

Kana uine pacemaker, chiremba wemwoyo wako achaiongorora nguva nenguva kuti ave nechokwadi chekuti inoramba ichishanda zvakanaka. Vanogona kukutarisa uri kure, asi uchiri kuda kushanyirwa nemunhu ari ega gore rega rega uko chiremba wako anogona kuongorora pacemaker yako uye kugadzirisa chero chinodiwa.

Fonera chiremba wako kana ukaona chimwe chezviratidzo izvi:

• Dzungu kana kupera simba
• Kurwadziwa kwechipfuva
• Kurova kwemoyo kana kusvetuka-svetuka
• Kushaya simba
• Kuoma kufema
• Kuzvimba kwetsoka, zvitsitsinho, kana makumbo

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uri kurwara nemoyo kana kuti mwoyo wako uchimira kushanda, unoda rubatsiro rwechiremba nekukasika. Zivisa mhuri yako nevaunoshanda navo nezvenjodzi iyi (nezviratidzo zvayo). Vanogona kufonera 1990 (kana nhamba yako yekukurumidzira yemuno).

Mibvunzo ipi yandinofanira kubvunza chiremba?

Mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Rudzii rwechirwere chemwoyo chandinacho?
• Ndinoda kurapwa here?
• Ndeipi nzira yakanakisisa yekurapa?
• Kana mwana wangu aine chirwere chemwoyo chaakaberekwa nacho, vana vangu vemangwana vanogonawo kuva nacho here?

Zvakajairika kunzwa kutya kana uine kurwadziwa pachipfuva kana kunetseka kufema. Asi kana ukaonekwa uine heart blockade, unogona kunzwisisa kuti nei uine zviratidzo izvozvo. Mashoko akanaka ndeekuti kune avo vanoda kurapwa, mishonga kana pacemaker zvinogona kubatsira kuchengetedza moyo wako uchirova zvakanaka. Paunenge uchikurukura nezvehurongwa hwako hwekurapa, iva nechokwadi chekubvunza chiremba wako nezvechero chinhu chisina kujeka.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kuvharika kwemoyo idambudziko rine chekuita nemagetsi emoyo. Rinogona kubva padiki kusvika pakanyanya. Kana ukaona zviratidzo, kunyanya kurwadziwa muchipfuva, kushaya mweya, kana kupera simba, enda kuna chiremba nekukasika.

Nerombo rakanaka, kune mishonga yekurapa izvi. Vamwe vanhu vanowana zororo nekuchinja mishonga, vamwe vachigona kurarama hupenyu hwakajairika ne pacemaker. Chinhu chakakosha ndechekutarisira moyo wako, kutevedzera mirairo yachiremba wako, uye kubvunza chiremba wako kana uine mibvunzo. Hausi wega, uye kune vanachiremba vanogona kukubatsira parwendo urwu.

Kuvhara Mwoyo , Kurova Kwemwoyo, Muchina wePacemaker, Zviratidzo zveMwoyo, Chirwere cheMwoyo, Hutano hweMwoyo