Mwoyo wako ipombi inoshamisa mumuviri wedu. Pombi iyi inotumira ropa rinodiwa kunhengo dzese dzemuviri. Asi dzimwe nguva, moyo uyu unogona kushaya simba. Ipapo moyo haugone kupomba ropa rakawanda sezvinoda muviri. Mukurapa, tinodana chirwere ichi kuti Heart Failure (Heart Failure) kana kuti (Congestive Heart Failure - CHF). Usatya paunonzwa izvi, izvi hazvirevi kuti moyo wamira kushanda, asi kuti mashandiro emoyo apera simba.
Kazhinji, chirwere ichi chinogona kudzorwa nekuchinja mararamiro uye mishonga. Asi kune vamwe vanhu, kurapwa uku chete hakuna kukwana. Ndipo panofungwa navanachiremba nezvekuvhiyiwa. Kuvhiyiwa kunogona kuvandudza mashandiro emoyo wako, kuderedza zviratidzo, uye kukubatsira kurarama kwenguva refu.
Kuvhiyiwa kunodiwa rini?
Zvino ungave uchifunga kuti, 'Munhu wese anovhiyiwa here?' Kwete, handizvo zvazviri. Chiremba wako achakukurudzira kuvhiyiwa nekuda kwezvikonzero zvikuru zvakati wandei.
- Rapai chirwere chakakonzera kutadza kushanda kwemoyo: Dzimwe nguva moyo unogona kushaya simba nekuda kwechimwe chinhu chakadai sechirwere chemwoyo kana dambudziko revharuvhu. Kuvhiyiwa kunogona kurapa chikonzero ichocho.
- Kuvandudza mashandiro emwoyo: Kuvhiyiwa kunogona kuita kuti zvive nyore kuti mwoyo upombe ropa.
- Kuponesa hupenyu: Kana chirwere chacho chakura zvakanyanya zvekuti hachigone kudzorwa nekuchinja mararamiro uye mishonga, kuvhiyiwa kunogona kudiwa kuti chiponese hupenyu.
Ndeapi marudzi ekuvhiyiwa anoitwa kana mwoyo wakundikana?
Kune mhando dzakasiyana dzekuvhiya dzeizvi. Dzimwe dzinongovhiyiwa zvishoma. Dzimwe dzinosvika pakuvhiya kwemoyo wakavhurika uye kuisirwa moyo. Tichataura nezverudzi rumwe nerumwe rweizvi zvakasiyana.
| Rudzi rwekuvhiyiwa | Zvichitaurwa zviri nyore... |
|---|---|
| Kubviswa kweCatheter | Kudzima nzvimbo dziri mumoyo dzinokonzera zviratidzo zvemagetsi zvisina kujairika. |
| Midziyo Yakaiswa Mumuviri | Kuisa mudziyo wakaita sepacemaker kana defibrillator pasi peganda kuti udzore kurova kwemoyo. |
| Kubatanidza Mitsipa yeCoronary (CABG) | Kugadzira nzira itsva (bypass) yekuyerera kweropa, kunzvenga nzira yeropa yakavharika. |
| Angioplasty uye Stent | Bharuni rinoshandiswa kuwedzera tsinga yeropa yakavharika uye stent diki inoiswa kudzivirira kuti isavharika zvakare. |
| Kuvhiyiwa kweVharuvhu yeMwoyo | Kugadzirisa vharuvhu yemwoyo isina kushanda zvakanaka kana kuisa imwe itsva. |
| Mudziyo weLVAD | Kuisirwa pombi diki (Left Ventricular Assist Device) inobatsira mwoyo kupomba ropa. |
| Kuisirwa Mwoyo | Kubvisa moyo usina simba uye kuuisa pamwe chete nemoyo une hutano kubva kune anopa. |
Kubviswa kweCatheter
Iyi inzira inoshandiswa kurapa rhythm yemwoyo isina kujairika, inonzi arrhythmia. Iyi arrhythmia inokonzerwa nemasaini emagetsi asina kunaka anobva kune imwe chikamu chemoyo. Munzira iyi, chiremba anoisa chubhu yakatetepa kwazvo (catheter) mumoyo kuburikidza netsinga yeropa iri muhudyu mako kana paruoko. Zvadaro, achishandisa kupisa kana kutonhora kwakanyanya kuburikidza nechubhu, tishu iri kutumira zviratidzo zvisina kunaka inoparadzwa.
Midziyo Yakaiswa Mukati Inodzora Kurova Kwemwoyo
Kana uine arrhythmia yakanyanya, chiremba wako angasarudza kuisa mudziyo mudiki pasi peganda rako. Waya dzakabatana nemidziyo iyi dzinoiswa mumoyo mako. Dzinotarisa kurova kwemoyo wako uye dzinotumira masaini emagetsi kana zvichidikanwa kuti kurova kwemoyo wako kudzoreredzwe.
- Mushonga weCardioverter Defibrillator (ICD) unoiswa muzvidyarwa:Izvi zvinoona kurova kwemoyo kusina kujairika, kunogona kuisa upenyu pangozi uye zvinounza kuvhunduka kudiki kwemagetsi kumoyo kuti udzoke pakare. Zvakafanana nekudzoserwa kumoyo zvishoma.
- Chinopa simba rinogara riripo: Izvi zvinoita kuti mwoyo urambe uchirova zvishoma nezvishoma nekutumira mapombi madiki emagetsi kumoyo nguva dzose.
Kuvhiyiwa kweCoronary artery bypass (Kuvhiyiwa kweBypass)
Mitsipa yeropa, iyo inopa ropa kumoyo, inovharika nemafuta necholesterol. Iyi plaque inogona kuvhara mitsipa yeropa. Izvi zvinoderedza huwandu hweropa neokisijeni zvinodiwa nemoyo. Nekufamba kwenguva, izvi zvinoderedza simba remhasuru yemoyo. Mukuvhiyiwa kwepachivande, chiremba anoshandisa mitsipa yeropa ine hutano kubva kune imwe nhengo yemuviri wako (kazhinji gumbo rako) kugadzira nzira itsva yeropa kuti ipfuure kuvharika kwacho.
Zvakafanana nekuvaka mugwagwa unodarika nepakati kuti usapinda mumigwagwa yakawanda.
Angioplasty uye Stent
Uku kuvhiyiwa kudiki zvakare kwekuvhura tsinga yeropa yakavharika. Muizvi, bharumu diki riri kumagumo kwecatheter rinopinzwa mutsinga yeropa yakavharika robva razvimba. Izvi zvinopwanya plaque yakavharika uye zvinokudza tsinga yeropa. Zvadaro, chubhu diki yakaita semesh, inonzi stent, inoiswa muburi kuti isavharika zvakare.
Kuvhiyiwa kweVharuvhu yeMwoyo
Mavharuvhu ari mumoyo mako anodzora kuyerera kweropa munzira imwe chete. Mavharuvhu aya anogona kusavhara zvakanaka, zvichiita kuti ropa ridonhe shure (regurgitation), kana kuti madziro evharuvhu anogona kukobvu uye kusavhurika zvakanaka (stenosis). Muzviitiko zvese izvi, moyo unofanirwa kushanda nesimba kupomba ropa. Izvi zvinogonawo kukonzera kutadza kushanda kwemoyo. Kuvhiyiwa uku kunosanganisira kugadzirisa vharuvhu isiri kushanda zvakanaka kana kuitsiva neimwe itsva.
LVAD (Chishandiso Chekubatsira Ventricular Chekuruboshwe)
Kune vamwe vanhu, kutadza kwemoyo kunova kwakanyanya zvekuti mwoyo unotadza kupomba ropa mumuviri wega. LVAD ipombi diki inoiswa mu ventricle yekuruboshwe yemoyo. Chinodzora chinopfekwa kunze kwemuviri. Kune vamwe vanhu, chinoshandiswa sekurapa kwenguva refu, nepo kune vamwe, chinoshandiswa se 'bhiriji' kwenguva pfupi kusvika pawanikwa nzira yekuisa moyo.
Kuisirwa Mwoyo
Iyi ndiyo sarudzo yekupedzisira kune munhu ane chirwere chemwoyo chinopera. Mwoyo wako usina simba unobviswa uye moyo wakagwinya kubva kumupi akafa unosimwa. Zvisinei, nekuda kwekushomeka kwemoyo yemupi, unofanirwa kuzadzisa zvinodiwa zvakasimba kuti ukwanise kuisirwa moyo.
Chii chinoitika usati wavhiyiwa uye mushure mekuvhiyiwa?
Chiremba wako achakupa mirairo yese inodiwa usati wavhiyiwa. Semuenzaniso:
- Zvinhu zvekudya nekunwa nezvinhu zvisingafaniri kuitwa
- Mishonga yekutora nekumisa
- Zvekupfeka uye zvekuuya nazvo kana uchiuya kuchipatara
Mushure mekuvhiyiwa, muchaendeswa kuchipatara chevarwere vane chirwere chakanyanya (ICU) kana kuti kuchipatara chevarwere vose. Nguva yamuchagara muchipatara inoenderana nerudzi rwekuvhiyiwa kwamakaitwa uye hutano hwenyu. Munogona kudzokera kumba mukati mezuva rimwe chete, kana kuti mungangoda kugara kwemavhiki mashoma. Vamwe vanhu vangangodawo kugara kunzvimbo yekurapwa kwenguva yakati kuti vadzorere simba ravo.
Ndezvipi zviri kuitika panjodzi?
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi. Pane mukana mudiki wekubuda ropa, hutachiona, sitiroko, uye kunyange kufa. Asi usazvidya moyo. Chiremba wako achakutsanangurira zvakajeka kuti njodzi idzi dzine chekuita sei nezera rako nezvimwe zvirwere. Bvunza nezvemibvunzo kana zvinokunetsa panguva iyoyo.
Ndinofanira kuona chiremba rini?
Kukundikana kwemoyo chirwere chinotora nguva refu, saka zvakakosha kugara uchitaura nachiremba wako. Udza chiremba wako nekukasika kana chimwe chezviratidzo zvinotevera chikawedzera kana kuti chikatanga.
| Chiratidzo | Tsananguro |
|---|---|
| Kuneta/Kushaya simba | Kunzwa kuneta zvakanyanya kunyangwe mushure mekuita basa diki. |
| Kuoma kufema | Kushaya mweya wekufema kana uchizorora, uchifamba, kana kukotama. |
| Kuzvimba (Edema) | Kuzvimba kwemakumbo, zvitsitsinho, tsoka, kana dumbu. |
Tevedzera mirairo yachiremba mushure mekuvhiyiwa. Enda kumakiriniki pamazuva akarongwa. Kana uine matambudziko kana kusagadzikana panguva yekupora, usambozeza kutaura nachiremba nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Kukundikana kwemoyo kunoderedza simba remoyo, kwete kutadza kwemoyo zvachose. Ichi chirwere chinogona kudzorwa zvakanaka nekurapwa kwakakodzera.
- Kuvhiyiwa kungava sarudzo yakanaka kana mishonga nekuchinja mararamiro zvisina kukwana.
- Kune mhando dzakasiyana-siyana dzekuvhiya, kubva pakuvhiya kusingakuvadzi zvakanyanya kusvika pakuisirwa moyo. Chiremba wako ndiye achasarudza kuti chii chakakunakira.
- Usati wavhiyiwa, taura nachiremba wako pachena nezvezvakanakira uye njodzi dzacho.
- Kutevera mirairo yechiremba uye kutarisirwa kwechiremba nguva dzose kwakakosha zvikuru pakupora mushure mekuvhiyiwa.
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