Tingangotaura nezvekuvhiyiwa kwemwoyo here?

Mwoyo wedu muchina unoshamisa unopomba ropa rinopa okisijeni nezvinovaka muviri kumasero ese nenhengo dziri mumuviri wako. Wakafanana nemota inopa mvura mumba. Asi dzimwe nguva mota iyi inonzi moyo inoshaya simba. Zvadaro haigone kupomba ropa rakakwana mumuviri. Mukurapa, tinodana chirwere ichi kuti Heart Failure , kana kuti sekudanwa kwazvinoitwa nevamwe, Congestive Heart Failure (CHF) . Kunzwa zita iri kunogona kutyisa zvishoma, asi hazvityise sezvaungafunga. Nekuti kune mishonga yakanaka kwazvo yeizvi.

Chii chinonzi Heart Failure?

Zvichitaurwa zviri nyore, moyo ipombi ine simba yakagadzirwa netsandanyama. Kana pombi iyi isisina simba, haikwanise kupomba ropa nekukurumidza zvakakwana kana kuti ine simba rakakwana rekugutsa zvinodiwa nemuviri. Fungidzira kuti pombi yako yemvura yakwegura uye isina simba. Zvinotora nguva yakareba kupomba mvura mutangi, uye ingasatombokwanisa kuizadza zvachose. Chinhu chimwe chete chinoitika kumoyo.

Vanachiremba vanowanzo rapa chirwere ichi nekuchinja mararamiro (sekuderedza munyu nekurovedza muviri) uye mishonga. Vanhu vazhinji vanopora nekurapwa uku. Asi kune vamwe, izvi chete hazvina kukwana. Ndipo panogona kufungwa nezvekuvhiyiwa. Kuvhiyiwa kunogona kuvandudza mashandiro emoyo wako, kuderedza zviratidzo, uye kukubatsira kurarama kwenguva refu.

Muzviitiko zvipi apo kuvhiyiwa kunodiwa?

Pane zvikonzero zvakawanda nei chiremba wako angakurudzira kuvhiyiwa kwemwoyo.

• Rapai chikonzero chikuru chekushaya simba kwemoyo wenyu: Kushaya simba kwemoyo wenyu kunogona kukonzerwa nedambudziko revharuvhu yemwoyo kana kuti tsinga yeropa yakavharika. Kana chikonzero chikuru chikabviswa kuburikidza nekuvhiyiwa, moyo wenyu unotanga kupora.
• Kuvandudza kugona kwemoyo kupomba: Kune mamwe maoparesheni anobatsira mwoyo zvakananga. Semuenzaniso, kuisa mudziyo wakaita sepombi inobatsira moyo.
• Chengetedza hupenyu: Kana moyo ukanyanya kushaya simba rekushandisa mishonga nemimwe mishonga, kuvhiyiwa kungave ndiyo nzira yekupedzisira yekuponesa hupenyu.

Ndeapi marudzi ekuvhiyiwa anoitirwa Heart Failure?

Kune mhando dzakasiyana dzekuvhiyiwa kwechirwere ichi. Dzimwe dziri nyore, dzinoitwa nekucheka zvidimbu zvidiki. Dzimwe dzinosvika pakuvhiyiwa kwemoyo wakavhurika uye kuisirwa moyo. Ngatikurukurei nezvechimwe nechimwe.

Kurapa kweArrhythmia

ArrhythmiaZvinoreva kuti moyo unorova zvisina kurongeka nekuda kwedambudziko diki riri mumagetsi emoyo. Izvi zvinogona kukonzera kutadza kushanda kwemoyo, pamwe nechiratidzo.

• Kubvisa Catheter: Iyi inzira diki kwazvo. Chiremba wako achaisa chubhu yakatetepa (catheter) kuburikidza netsinga iri mugumbo rako kana ruoko rwako mumoyo mako. Zvadaro, vachawana nzvimbo chaiyo mumoyo mako iri kukonzera masaini emagetsi asina kujairika voidzima nekuisa kupisa kudiki kana kutonhora kwakanyanya panzvimbo iyoyo. Mushure meizvi, moyo wako unotanga kurova zvakajairika zvakare.
• Midziyo Yakaisirwa: Kune mhando mbiri dzemichina midiki inoisirwa mumuviri kuti idzore mutinhimira wemoyo. Idzi dzakafanana nevanodzivirira moyo vanogara vachitarisa mutinhimira wemoyo.

Kuvhiyiwa kwetsinga dzinopa ropa kumoyo

• Kuvhiyiwa kweCoronary Artery Bypass Graft Surgery (CABG): Nekufamba kwenguva, mafuta anoungana mutsinga diki dzinopa ropa kutsandanyama yemwoyo, zvichiita kuti dzivharike. Izvi zvinogona kuita kuti mwoyo ushaye simba uye usakwanise kuwana mweya waunoda. Kuvhiyiwa kwebypass kwakafanana nekugadzira nzira itsva (bypass) yakatenderedza tsinga yakavharika. Chiremba anoshandisa chidimbu chetsinga yakatorwa kubva kune imwe nhengo yemuviri wako (senge gumbo rako kana chipfuva) kugadzira nzira itsva yekuti ropa riyerere rakatenderedza tsinga yakavharika.
• Coronary Angioplasty neStent: Iyi inzira yekurapa tsinga yakavharika, asi iri nyore pane kuvhiyiwa kwe bypass. Pano, mucha:

1. Katheta diki inoiswa mutsinga yeropa iri muruoko rwako kana pahudyu.

2. Catheter inopfuudzwa pedyo netsinga yeropa yakavharika mumoyo.

3. Kana bharumu diki riri kumagumo kwecatheter rafuridzirwa, mafuta ari mudumbu anosundirwa kumativi uye tsinga inovhurika.

4. Zvadaro, chubhu diki yakaita semesh (stent) inoiswa mutsinga iyoyo kuti isavharike zvakare.

Kuvhiyiwa kweVharuvhu yeMwoyo

Mavharuvhu emwoyo ndiwo mativi akaita semusuwo ari pakati pemakamuri emwoyo anobvumira ropa kuyerera nenzira imwe chete uye kudzivirira kuti risadzokere shure. Mavharuvhu aya anogona kuva nemarudzi maviri ezvirwere. Chimwe ndechekuti vharuvhu harina kuvhara zvakanaka uye ropa richidonhera kumashure (regurgitation). Chimwe ndechekuti vharuvhu rinokora uye harivhurike zvakanaka (stenosis). Muzviitiko zvese izvi, moyo unofanirwa kushanda nesimba kupfuura zvawagara uchiita kuti ropa ripombe. Nekufamba kwenguva, izvi zvinoderedza simba remoyo.

Mavharuvhu aya anogona kugadziriswa nekuvhiyiwa, kana kuti kana izvozvo zvisingaite, vharuvhu itsva inogona kuiswa (kutsiviwa) .

Kurapa kwemwoyo isina simba zvakanyanya

• Mudziyo weKubatsira Ventricular Yekuruboshwe (LVAD): Mwoyo yevamwe vanhu inoshaya simba zvekuti havazokwanisi kupomba ropa mumuviri wavo vega. LVAD ipombi diki inoiswa mu ventricle yekuruboshwe (chikamu chikuru chemwoyo chinopomba ropa) kuti ivabatsire. Inogona kushandiswa sekurapa kwenguva refu, kana kuti inogona kushandiswa kwenguva pfupi kusvika pave nekuisirwa moyo.
• Kuisirwa Mwoyo: Iyi ndiyo sarudzo yekupedzisira yemurwere ane chirwere chemwoyo chinopera. Muizvi, moyo wemurwere usina simba unobviswa uye moyo wakagwinya kubva kumupi akafa unoisirwa. Zvisinei, nekuda kwekushomeka kwemoyo yemupi, zvinodiwa zvakasimba zvinofanirwa kuzadzikiswa kuti munhu akwanise kuvhiyiwa uku.

Chii chinoitika usati wavhiyiwa, panguva uye mushure mekuvhiyiwa?

Kugadzirira kuvhiyiwa inyaya huru. Chiremba wako achakutsanangurira zvese.

• Usati wavhiyiwa: Uchapiwa mirairo yekuti unofanira kurega kudya nekunwa riini, mishonga yaunofanira kuramba uchinwa uye yekurega, uye yekuendesa kuchipatara. Kana wapinda muchipatara, mukoti achaisa cannula muruoko rwako kuti akupe saline. Nzvimbo yauchavhiyiwa ichagerwa uye ichacheneswa. Kazhinji ucharadzikwa zvachose panguva yekuvhiyiwa.
• Panguva yekuvhiyiwa: Zvinoitika zvinosiyana zvichienderana nerudzi rwekuvhiyiwa kuri kuitwa. Kuvhiyiwa kwemoyo kunosanganisira kucheka kukuru pakati pechipfuva. Zvisinei, kuvhiyiwa kudiki, kwakadai sekuvhiyiwa kwecatheter, kunongosanganisira kucheka kudiki paruoko kana gumbo. Kuvhiyiwa kudiki kunogona kuitwa muawa imwe chete kana maviri.
• Mushure mekuvhiyiwa:Mushure mekuvhiyiwa, muchaendeswa kuchipatara chevarwere vane chirwere chakanyanya (ICU) kana kuti zvakananga muwadhi. Nguva yamuchagara muchipatara ichasiyana zvichienderana nerudzi rwekuvhiyiwa uye hutano hwenyu. Vamwe vanhu vanogona kudzokera kumba mukati mezuva rimwe chete, nepo vamwe vangada kugara kwemavhiki. Musati maenda kumba, chiremba wenyu nevashandi vekuchengeta varwere vachakupai hurongwa hwakajeka hwekuti mungazvichengeta sei kumba, kuti munganwa sei mishonga yenyu, uye kuti munofanira kudzoka riini.

Ndeipi njodzi dzekuvhiyiwa?

Kufanana nekuvhiyiwa kupi zvako, kuvhiyiwa kwemoyo kune dzimwe njodzi. Njodzi huru dzinosanganisira rufu, sitiroko, kubuda ropa rakawanda, uye hutachiona. Njodzi idzi dzinogona kusiyana zvichienderana nezera rako nezvimwe zvirwere.

Upenyu huchava hwakaita sei mushure mekuvhiyiwa?

Kukundikana kwemoyo chirwere chinokonzeresa kuti zviratidzo zviwedzere kuipa nekufamba kwenguva. Zvinogona kuita kuti zviome kuita mabasa ezuva nezuva. Zvisinei, mushure mekuvhiyiwa, zviratidzo zvevanhu vazhinji zvinodzikira zvakanyanya, uye hupenyu hwavo nehupenyu hwavo zvinowedzera.

Kuti mhedzisiro yako ichava sei zvinoenderana nezvinhu zvakati wandei:

• Mashandiro emoyo wako uye zviratidzo zvawo usati wavhiyiwa.
• Kubudirira kwekuvhiyiwa.
• Kuti unozvitarisira zvakanaka sei mushure mekuvhiyiwa uye kutevedzera mirairo yachiremba.

Unofanira kuona chiremba wako rini?

Kukundikana kwemoyo chirwere chinotora nguva refu, saka zvakakosha kugara uchitaurirana nachiremba wako. Udza chiremba wako nekukasika kana zviratidzo zvako zvikawedzera kana kuti ukatanga zviratidzo zvitsva.

Mushure mekuvhiyiwa, tevera mirairo yachiremba nemazvo. Endai kumakiriniki pamazuva akarongwa. Kana muine matambudziko kana kusagadzikana panguva yekupora, musatya kutaura nachiremba nezvazvo.