Dzimwe nguva unomboomerwa nekufema here kana uchifamba pamatanho kana kwenguva pfupi? Unonzwa kuneta zvakanyanya here? Makumbo ako nemakumbo zvinozvimba here manheru? Usazvitore sezvimwe zvinhu. Izvi zvinogona kunge zviri zviratidzo zvekuti mwoyo wako uri kuedza kukuudza chimwe chinhu. Nhasi tichataura nezvenyaya yakakosha iyo vanhu vazhinji vasingazive nezvayo. Iyoyo kushaya simba kwemoyo, kana sezvatinoidaidza mumashoko ekurapa, kushaya simba kwemoyo, uye mishonga inopihwa nekuda kwayo.
Kutanga, ngatinzwisise kuti chii chinonzi Heart Failure.
Vanhu vazhinji vanotya pavanonzwa izwi rekuti Heart Failure. Vanoti, "Maiwe, moyo wangu wamira kushanda here?" Asi handizvo zvazviri. Muchidimbu, Heart Failure chirwere apo tsandanyama dzemwoyo wako hadzigone kupomba ropa zvakanaka kuenda mumuviri. Zvakafanana nepombi yemvura isina simba uye isingakwanise kupomba mvura mutangi nekumhanya kwakakodzera.
Ichi chirwere chinoramba chichienderera mberi. Sezvo moyo usingapombi ropa zvakanaka, mvura inotanga kuungana munzvimbo dzakasiyana dzemuviri, kunyanya mapapu , makumbo, netsoka. Ndokusaka ndataura nezvezviratidzo zvekushaya mweya , kuneta, uye kuzvimba mumakumbo . Kana chirwere ichi chikasarapwa, pane njodzi huru yematambudziko akakomba akadai sekukuvadzwa kwenhengo dzakadai sechiropa neitsvo, uye kumisa kwemoyo kamwe kamwe .
Chinhu chinonyanya kukosha ndechekuti kutadza kushanda kwemoyo hakugone kurapwa zvizere nemishonga. Asi musazvidya mwoyo! Nemishonga yakakodzera uye shanduko dzemararamiro, munogona kudzora chirwere ichi zvakanaka, kudzivirira kuti chisanyanya kuipa, uye kuchengetedza hupenyu hwakanaka.
Chiremba wako ndiye achasarudza kuti mushonga upi wakakunakira zvichienderana nezviratidzo zvako, kana uine zvimwe zvirwere zvakaita sechirwere cheshuga , BP , kana chirwere cheitsvo , uye kuti chirwere chako chakura zvakadii. Saka, mushonga wakanyorerwa mumwe munhu hauzonyorerwi mumwe.
Ndeipi mishonga mikuru inoshandiswa pakurapa Heart Failure?
Pakurapa kukundikana kwemoyo, musanganiswa wemishonga unowanzo shandiswa, pane mushonga mumwe chete. Chikonzero cheizvi ndechekuti mushonga wega wega unoita mabasa akasiyana mumuviri uye unobatsira moyo. Sekunge nhengo yega yega yechikwata chekriketi inyanzvi pane chimwe chinhu uye pamwe chete vanokunda mutambo.
Ngatitarisei tafura iri pazasi kuti tione mhando dzemishonga dzinonyanya kushandiswa uye mashandiro adzo.
| Kirasi yeMishonga | Zvichitaurwa zviri nyore, chii chinoitika neizvi? | Mienzaniso Yakajairika |
|---|---|---|
| MaACE Inhibitors (Angiotensin-Converting Enzyme Inhibitors) | Izvi zvinoshanda nekukudza mitsipa yeropa nekuderedza BP. Izvi zvinoderedza basa remwoyo rekupomba ropa. Funga nezvazvo sekukudza pombi yakavharika kuti mvura ifambe zviri nyore. | Captopril, Enalapril, Lisinopril, Ramipril |
| MaARB (Angiotensin-2 Receptor Blockers) | Kufanana nemishonga inodzivirira ropa yeACE, iyi inobatsirawo mwoyo nekuwedzera tsinga dzeropa. Vanachiremba vanokurudzira rudzi urwu kana vamwe vanhu vachisangana nemigumisiro yakadai sekukosora nekuda kwemishonga inodzivirira ropa yeACE. | Losartan, Valsartan, Candesartan |
| Beta Blockers | Izvi zvinoderedza kurova kwemoyo uye zvinoderedza kumanikidzwa kwemoyo. Izvi zvinopa moyo "zororo" uye zvinoita kuti ukwanise kupomba zviri nani nekufamba kwenguva. Zvinodzorawo mahormone anokonzera kushushikana kwemoyo. | Carvedilol, Bisoprolol, Metoprolol Succinate |
| Mishonga Inobvisa Hutachiona (Mapiritsi Emvura) | Tinowanzodaidza kuti mapiritsi aya "emvura." Anobatsira kubvisa mvura yakawandisa mumuviri kuburikidza neweti. Izvi zvinoderedza zvikuru kuzvimba kwemakumbo uye kuoma kwekufema kunokonzerwa nemvura mumapapu. | Furosemide (Lasix®), Spironolactone, Hydrochlorothiazide |
| ARNIs (ARB + Neprilysin Inhibitor) | Uyu mushonga mutsva uye wepamusoro. Unobatsira muviri kuchengetedza mahormone akawanda echisikigo anodzivirira mwoyo, ukuwo uchikudza tsinga dzeropa. Unonyanya kubatsira vanhu vane mwoyo wakaderera (ejection fraction). | Sacubitril/Valsartan (Entresto®) |
| Zvidziviriro zveSGLT2 | Kunyangwe izvi zvakatanga kugadzirwa kurapa chirwere cheshuga, zvakazoonekwa kuti zvinoderedza njodzi yekuiswa muchipatara kune varwere vane chirwere chemwoyo. Zvinobatsira itsvo kuburitsa shuga nesodium. | Dapagliflozin (Farxiga®), Empagliflozin (Jardiance®) |
| Digoxin | Mushonga uyu unoderedza kurova kwemoyo uye unosimbisa kusimba kwetsandanyama dzemwoyo. Unopiwa kuvanhu vane zviratidzo pasinei nemimwe mishonga uye kune avo vane rhythm yemoyo isina kujairika (atrial fibrillation). | Digoxin (Lanoxin®) |
Pane migumisiro yakaipa here pakushandisa mushonga uyu?
Ehe, semushonga upi zvawo, vamwe vanhu vanogona kusangana nematambudziko kubva mumishonga iyi. Asi havasi vese vanoawana. Matambudziko aunosangana nawo anoenderana nerudzi rwemushonga waunopiwa.
Mimwe yemigumisiro yakajairika ndeiyi:
- Dzungu, kunyanya kana uchisimuka kubva panzvimbo yawakagara.
- Kunzwa kuneta.
- Kuderera kweropa.
- Vamwe vanhu (kunyanya avo vanotora mishonga inhibitor yeACE) vanogona kukosora zvakaoma.
- Kuita weti kakawanda nekuda kwekushandisa diuretics.
- Mazinga epotassium akaderera kana kuti akakwira muropa.
- Kurwadziwa kwetsandanyama.
Kana ukaona zviratidzo zvitsva zvisingawanzoitiki, usamborega kutora mushonga wako usati watanga wabvunza chiremba wako. Izvi zvinogona kuva nengozi zvikuru. Udza chiremba wako nezvekusagadzikana kwauri kuita. Anogona kukwanisa kuchinja dose kana kunyora mumwe mushonga wakakunakira.
Pamwe chete nemushonga, ndezvipi zvinhu zvaunofanira kuita iwe pachako?
Mishonga inongova hafu yehondo. Imwe hafu iri mumaoko ako. Kugadzirisa mararamiro ako kunogona kuunza mhedzisiro iri nani kupfuura mishonga.
Gadzirisa zvinhu izvi zuva nezuva.
- Tarisa huremu hwako panguva imwe chete zuva nezuva, mangwanani. Kana ukangoerekana wawedzera makirogiramu maviri pazuva rimwe chete kana maviri, zvinogona kuva chiratidzo chekusanwa mvura mumuviri. Kana izvi zvikaitika, taura nachiremba wako nekukasika.
- Zvingava zvakanaka kana ukakwanisa kuyera BP yako uri kumba. Bvunza chiremba wako kuti akupe muchina wekuongorora BP wako zvakanaka.
- Chenjererai huwandu hwemunyu (sodium) muchikafu chamunodya. Munyu wakawandisa unowedzera kuchengetedza mvura mumuviri uye unowedzera mutoro pamoyo. Regai kudya zvinhu zvakaita semapickle, michero yakaomeswa, masosi, chikafu chemumagaba, uye masoseji zvakanyanya sezvinobvira.
- Inwa mvura inorayirwa nachiremba chete pazuva. Dzimwe nguva ungangoda kuderedza huwandu hwemvura yaunonwa.
Kuchinja kwemararamiro
- Kana uchisvuta, rega nhasi. Kusvuta ndeimwe yevavengi vakuru vemwoyo.
- Deredza kana kurega zvachose kushandisa doro.
- Sezvakataurwa nachiremba wako, ita maekisesaizi ane mwero zuva rega rega anokodzera iwe. Kunyangwe kufamba netsoka kwakanaka.
- Fungawo nezvehutano hwako hwepfungwa . Zvakajairika kunzwa kusuruvara uye kuzvidya mwoyo kana uchirarama nechirwere chakadai kwenguva refu. Taura nemhuri yako neshamwari nezvazvo. Tsvaga mazano kana zvichidikanwa.
Nzira yekurapa mishonga sei?
Dzimwe nguva zvinogona kuita sebasa rakaoma kana uchifanira kunwa mishonga yakawanda. Asi kana ukaita zvinhu izvi nemazvo, unonzwa mutsauko mukuru.
- Tora mushonga wekuwedzera mazuva mashoma mushonga wako usati wapera. Usamirira kusvika zuva rekupedzisira.
- Nyora pasi mishonga yese yaunotora woichengeta iri pedyo newe.Nyora zvese zviri pamusoro payo, kusanganisira zita remushonga, chiyero (semuenzaniso 50mg), kuti unoutora kangani pazuva, uye kana uchiutora usati wadya kana kuti wapedza kudya. Tora runyorwa urwu paunoenda kunoona chiremba.
- Usarega kutora mushonga wako usina kubvunza chiremba wako chero chikonzero chipi zvacho. Kunyangwe uchinzwa zviri nani, usarega kutora mushonga wako. Unonzwa zviri nani nekuti mushonga uri kushanda nemazvo. Kana ukarega kuutora, mamiriro ako ezvinhu anogona kuipa zvakare.
- Kana uchironga kuva nepamuviri kana kuti uri nepamuviri, taura nachiremba wako nekukasika, sezvo mimwe mishonga yekushaya simba kwemoyo isingakodzeri panguva yekuzvitakura.
Kukundikana kwemoyo hazvirevi kuti moyo wako "wakundikana." Zvinongoreva kuti moyo wako unoda rubatsiro rudiki kuti uite zvaunofanira kuita. Rubatsiro irworwo runobva mumishonga iyi uye shanduko mumararamiro ako. Saka ramba wakasimba uye tevera mirairo yachiremba wako nemazvo. Ipapo unogona kurarama hupenyu hurefu, hunofadza, uye hune hutano nechirwere ichi.
Mharidzo Yekuenda Nayo Kumba
- Kukundikana kwemoyo hakusi kutadza kwemoyo, asi kuderera kwekushanda kweropa remwoyo.
- Kunyange hazvo mishonga isingakwanise kurapa chirwere ichi zvachose, zvinokwanisika kudzora kuipa kwechirwere uye kurarama hupenyu hwakanaka.
- Kunyangwe uchinzwa zviri nani, usamborega kutora mushonga wako usina kupiwa mazano nachiremba. Zvinogona kuva nengozi.
- Pamwe chete nemishonga, kudya zvine munyu mushoma, kusasvuta fodya, uye kurovedza muviri sezvakakurudzirwa nachiremba wako zvakakoshawo zvikuru.
- Kana ukasangana nematambudziko anokonzerwa nemishonga yako kana zviratidzo zvako zvikachinja, usazeza kutaura nachiremba wako nezvazvo.
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