Moyo wako waneta zvishoma here? Ngatidzidzei nezve Congestive Heart Failure nenzira iri nyore!

Dzimwe nguva unonzwa sekunge unonetseka kufema kunyangwe uchifamba chinhambwe chipfupi kana kukwira masitepisi here? Kana kuti unonzwa sekunge makumbo ako kana zvitsitsinho zviri kuzvimba here? Izvi zvinogona kunge zviri kukuudza chimwe chinhu pamoyo wako. Nhasi tichataura nezveCongestive Heart Failure , kana sekudanwa nevamwe, congestive heart failure . Usazvidya moyo, kana ukanzwisisa izvi zvakanaka uye ukazvigadzirisa nemazvo, unogona kuva nehupenyu hwakanaka.

Chii chinonzi Congestive Heart Failure?

Muchidimbu, Congestive Heart Failure zvinoreva kuti mwoyo wako haugone kupomba ropa zvakanaka sezvaunoda. Funga nezvemoyo wako senzvimbo huru yekugovera ropa. Pakeji yega yega inouya (kureva ropa) inofanira kuendeswa kunzvimbo chaiyo (kureva nhengo) nenguva. Asi chii chinoitika kana nzvimbo iyi yava isina simba uye isingakwanise kuendesa mapakeji ese nenguva? Pakeji dzinoungana, handiti? Ndizvo zvinoitikawo pano. Kana moyo usingakwanise kupomba ropa zvakanaka, ropa rinodzokera shure uye rinoungana munzvimbo dzakasiyana dzemuviri, kunyanya mumapapu, makumbo, muzvitsitsinho, nemudumbu . Izvi ndizvo zvatinodaidza kuti (Congestive), zvinoreva kuti pane "kuunganidza."

Pane mhando huru dzeCongestive Heart Failure here?

Ehe, kune mhando huru dzinoverengeka:

• Kukundikana kwemoyo kudivi rekuruboshwe: Uku ndiko kunonyanya kuitika. Apa ndipo apo divi rekuruboshwe remoyo (ventricle yekuruboshwe) risingakwanise kupomba ropa mumuviri wese. Izvi zvinogona kukonzera kuti ropa riungane mumapapu, zvichikonzera kutadza kufema.
• Kukundikana kwemoyo kurudyi: Izvi zvinowanzokonzerwa nekukundikana kwemoyo kuruboshwe. Kana divi rekurudyi remoyo risingakwanise kupomba ropa kubva mumapapu zvakanaka, ropa rinoungana mutsinga dzeropa rokonzera kuzvimba munzvimbo dzakadai semakumbo, zvitsitsinho, nedumbu.
• Kukundikana kwemoyo kunobuda zvakanyanya: Uku kunowanzoitika zvisingawanzoitiki. Mumamiriro ezvinhu aya, moyo unopomba ropa zvakanaka, asi nekuda kwekudiwa kwakanyanya kwemuviri (semuenzaniso, kupererwa neropa kwakanyanya, hyperthyroidism), moyo haugone kuzadzisa kudiwa ikoko.

Dambudziko iri rakajairika zvakadii?

Mamiriyoni evanhu pasi rose vanotambura nechirwere ichi. Chinowanzoitika kuvanhu vane makore anopfuura makumi matanhatu nemashanu , uye ndicho chikonzero chikuru chekurapwa muchipatara muboka iroro rezera. Saka, zvakakosha kuziva nezvechirwere ichi.

Ndezvipi zviratidzo zveCongestive Heart Failure?

Zviratidzo izvi zvinogona kusiyana kubva pamunhu kuenda kune mumwe, uye zvinosiyanawo zvichienderana nekuoma kwechirwere chacho. Zvisinei, pane zvimwe zviratidzo zvakajairika zvinogona kuonekwa:

• Kushaya mweya: Kunzwa sekunge uchafenda paunenge uchiita basa diki, uchifamba zvishoma, kana kukwira masitepisi mashoma. Muzviitiko zvakakomba, zvinogona kuoma kufema kunyangwe wakamira wakamira.
• Kumuka husiku uchinetseka kufema:Kana ukangoerekana wamuka wakarara wonzwa kushaya mweya, izvozvowo chiratidzo cheizvi.
• Kurwadziwa kana kusagadzikana pachipfuva: Vamwe vanhu vanogona kunzwa kubatwa kana kurema muchipfuva chavo.
• Kurova kwemoyo: Moyo unogona kunzwa sekunge uri kurova zvine ruzha, nekukurumidza, kana kuti zvisina kurongeka.
• Kunzwa kuneta zvakanyanya kana uchiita zvinhu: Kunzwa kuneta zvakanyanya zvekuti haugone kuita zvinhu zvaive nyore kare.
• Kuzvimba kwemakumbo, zvitsitsinho, uye dumbu: Zvitsitsinho zvinogona kuzvimba kusvika padanho rekuti zvinonetsa kupfeka shangu kana kubvisa mhete.
• Kuwedzera uremu kamwe kamwe: Kana ukawedzera makirogiramu mashoma mumazuva mashoma, zvinogona kunge zvichikonzerwa nekuchengetwa kwemvura mumuviri.
• Kuda kuita weti nguva nenguva husiku.
• Kukosora kwakaoma, kusingadzoreki kunouya pasina chikonzero: Kukosora uku kunogona kuwedzera, kunyanya kana uchikosora.
• Kunzwa kuzara kana kusungwa mudumbu.
• Kushaya chido chekudya kana kunzwa kurwara (kuda kurutsa).

Yeuka, dzimwe nguva zviratidzo izvi zvinogona kunge zvisingaonekwe zvakanyanya, kana kutosaonekwa. Asi izvozvo hazvirevi kuti hauna chirwere chemwoyo. Zviratidzo zvinogona kuuya zvoenda. Zvakajairika kuti chirwere chacho chiwedzere kuipa nekufamba kwenguva. Saka kana uine chimwe kana zviviri zvezviratidzo izvi, kuchenjera kuona chiremba.

Ndezvipi zvikonzero zveCongestive Heart Failure?

Pane zvikonzero zvakawanda zvinoita kuti mwoyo ushaye simba. Zvimwe zvezvikonzero zvikuru ndeizvi:

• Chirwere chetsinga dzemwoyo uye/kana kurwara nemoyo: Kukuvadzwa kwetsandanyama dzemwoyo nekuda kwekuvharika kwetsinga dzinopa ropa kumoyo.
• Cardiomyopathy: Izvi zvinogona kukonzerwa nezvikonzero zvemajini, hutachiona hwehutachiona, kana zvimwe zvikonzero, zvichiita kuti tsandanyama dzemwoyo dzishaye simba kana kuti dzikure.
• Chirwere chemwoyo chakaberekerwa: Kuzvarwa uine chirwere chemwoyo.
• Chirwere cheshuga: Chirwere cheshuga chenguva refu chinogona kukanganisa mwoyo.
• Kukwira kweropa: Kukwira kweropa kusingadzoreki kunoita kuti mwoyo ushande nesimba.
• Kusarongeka kwekurova kwemoyo (Arrhythmia): Kusarongeka kwekurova kwemoyo kunoderedza kushanda zvakanaka kwemoyo.
• Chirwere cheitsvo: Kana itsvo dzikasashanda zvakanaka, huwandu hwemvura nemunyu mumuviri hunowedzera, zvichiita kuti mwoyo uome.
• Body mass index (BMI) inodarika 30 (kufuta zvakanyanya).
• Kusvuta fodya nekushandisa zvinodhaka zvisiri pamutemo.
• Kushandisa doro zvakanyanya.
• Mimwe mishonga: Semuenzaniso, mimwe mishonga yechemotherapy inoshandiswa kurapa kenza inogona kukuvadza mwoyo.

Chimwe chinhu chekuziva ndechekuti kutadza kushanda zvakanaka kwemoyo kudivi rekuruboshwe ndicho chikonzero chikuru chekutadza kushanda zvakanaka kwemoyo kudivi rerudyi. Kana divi rekuruboshwe risingashande zvakanaka, ropa rinoyerera richidzokera kumashure richibatawo divi rekurudyi.

Ndiani ari panjodzi huru yeizvi?

Vamwe vanhu vane mukana mukuru wekuwana chirwere ichi. Zvinhu izvi zvinosanganisira:

• Anopfuura makore makumi matanhatu nemashanu ekuberekwa.
• Kushandisa fodya, zvinodhaka zvakaita secocaine, kana doro.
• Mararamiro ekugara pasi asingashande muviri.
• Kudya chikafu chine munyu nemafuta akawanda kakawanda.
• Kuva neBP yakakwira.
• Kuva nechirwere chemwoyo.
• Kunge wakamborwara nemoyo kare.
• Kuva nenhoroondo yemhuri yeCongestive Heart Failure.

Ndezvipi zvinetso zvinogona kuitika kana mwoyo wako wakundikana kushanda zvakanaka?

Kana chirwere ichi chikasarapwa zvakanaka kana kudzorwa, mamwe matambudziko anogona kuitika.

• Kurova kwemoyo kusina kurongeka.
• Kumira kwemwoyo kamwe kamwe kunogona kutokonzera rufu.
• Matambudziko evharuvhu yemoyo.
• Kuungana kwemvura mumapapu (pulmonary edema).
• Kukwira kweropa mumapapu.
• Kukuvara kweitsvo kana kutadza kushanda zvakanaka kweitsvo.
• Kukuvara kwechiropa.
• Kushaya chikafu chinovaka muviri.

Ungaziva sei kana uine Congestive Heart Failure?

Kana uine zviratidzo izvi, paunoona chiremba, ndiye achatanga nekukubvunza mibvunzo.

• Zvinhu zvakaita sekuti zviratidzo zvaunazvo uye kuti wava nenguva yakareba sei nazvo.
• Zvimwe zvirwere zvaunazvo (zvakaita sechirwere cheshuga, BP).
• Pane mumwe munhu mumhuri mako akamborwara nechirwere chemwoyo here kana kuti akafa kamwe kamwe?
• Unoshandisa fodya, doro, kana zvinodhaka here?
• Kunyangwe wakambopiwa chemotherapy kana radiation yekenza.
• Mishonga ipi yaunoshandisa?

Zvadaro chiremba achakuongorora panyama. Vachateerera mwoyo wako, vachaongorora mapapu ako, uye vachaongorora makumbo ako kuti haana kuzvimba here.

Ndezvipi zvikamu zvina zveCongestive Heart Failure?

Nekuti ichi chirwere chinokura zvishoma nezvishoma nekufamba kwenguva, pane matanho mana. Matanho aya anonzi A, B, C, naD. Kureva kuti, rwendo kubva padanho renjodzi shoma kuenda padanho renjodzi huru.

Danho A (Danho A - Kutadza kwemoyo usati watanga)

Izvi zvinoreva kuti uri panjodzi huru yekukundikana kwemoyo. Izvi zvinogona kunge zvichikonzerwa nekuti mumwe munhu mumhuri mako akamborwara nechirwere ichi. Kana kuti zvinogona kunge zvichikonzerwa nekuti une chimwe chezvirwere izvi:

• Kukwira kweropa (BP).
• Chirwere cheshuga.
• Chirwere chetsinga dzeropa.
• Chirwere chemetabolic.
• Nhoroondo yedambudziko rekushandisa doro.
• Kuva nefivha yerheumatic.
• Kuva nenhoroondo yemhuri yechirwere chemwoyo.
• Kushandisa mishonga inogona kukuvadza mwoyo (semuenzaniso, mimwe mishonga yekurwisa kenza).

Danho B (Danho B - Kutadza kwemoyo usati watanga)

Padanho iri, ventricle yako yekuruboshwe (kamuri huru inopomba ropa mumuviri wese) haisi kushanda zvakanaka, kana kuti pane shanduko mumaumbirwo ayo (semuenzaniso kukora). Asi hausati wava nezviratidzo zvekukundikana kwemoyo.

Danho C

Vanhu vari padanho iri vakaonekwa zviri pamutemo kuti vane Congestive Heart Failure. Vanogona kunge vaine zviratidzo izvozvi, kana kuti vakambova nezviratidzo asi ikozvino havana.

Danho D uye Chikamu Chishoma Chekubuda Kweropa (EF)

Vanhu ava vane chirwere cheAdvanced (Heart Failure) chakanyanya kukura . Kunyangwe vachirapwa, zviratidzo zvinonetsa kudzora. Huwandu hweropa rinobuda mumoyo panguva imwe chete, kureva kuti, `(Ejection fraction - EF)`, hwakaderera zvikuru uye hunogona kunge huine `(HFrEF - heart failure with reduced ejection fraction)`. Iri ndiro danho rekupedzisira re (Heart Failure).

Ndezvipi zviedzo zvekuongorora chirwere?

Vanachiremba vanoita bvunzo dzinoverengeka kuti vaone kana uine congestive heart failure, kuti yasvika padanho ripi, uye chii chiri kukonzera izvi:

• Kuongororwa kweropa: Izvi zvinogona kuona zvimwe zvirwere zvinokanganisa mwoyo (semuenzaniso anemia, chirwere cheitsvo, matambudziko ethyroid) uye kana mwoyo wakakuvara (nekutarisa mamwe mazinga ema enzyme).
• Kuisa catheter mumoyo: Izvi zvinoitirwa kutarisa kana paine kuvharika kwetsinga dzemwoyo.
• X-ray yechipfuva: Izvi zvinogona kushandiswa kutarisa kana mwoyo wakakura uye mvura yakaungana mumapapu.
• Echocardiogram (Echo): Izvi zvakafanana neultrasound scan yemoyo. Inogona kuona zvinhu zvakawanda zvakaita semakamuri emoyo, mavharuvhu, mashandiro emhasuru dzemwoyo, uye kuti inopomba ropa zvakanaka sei ("Ejection fraction - EF").
• MRI (Magnetic Resonance Imaging) yemoyo.
• Kuongororwa kwemwoyo neCT (Computed Tomography).
• Electrocardiogram (EKG kana ECG): Izvi zvinobatsira kuona zvinhu zvakaita sekushanda kwemagetsi kwemoyo uye mutinhimira wekurova kwemoyo.
• MUGA scan (Multigated Acquisition Scan): Izvi zvinogona zvakare kushandiswa kuona kuti makamuri emwoyo ari kupomba ropa zvakanaka sei.
• Kuongororwa kwekushushikana: ECG inotorwa paunenge uchifamba patreadmill kana kutasva bhasikoro kuti uone kuti mwoyo wako unoita sei kana uchiita maekisesaizi.
• Kuongororwa kwemajini: Dzimwe nguva, kunyanya kana paine nhoroondo yemhuri, bvunzo idzi dzinoitirwa kutsvaga zvikonzero zvemajini.

Kukundikana kwemoyo kwakakombama kunorapwa sei?

Kurapwa kunoenderana nerudzi rwechirwere chemwoyo chaunacho, chikonzero chacho, uye danho rauri. Mishonga nekuchinja mararamiro chikamu chakakosha chehurongwa hwese hwekurapa. Chiremba wako achataura newe nezvehurongwa hwakanakira iwe.

Chinhu chakakosha ndechekuti, (Heart Failure) hachisi chirwere chinorapika zvachose. Pachinokura, huwandu hweropa rinopombwa nemoyo kuenda kunhengo dzemuviri hunoderera, uye unoenderera mberi nedanho rinotevera. Haugone kudzokera shure kubva padanho iri. Saka, chinangwa chikuru chekurapa ndechekukudzivisa kuenda kudanho rinotevera, kurinonotsa, kudzora zviratidzo uye kuvandudza hupenyu hwako.

Ngationei kuti kurapwa kunochinja sei kubva padanho kuenda pane rimwe:

Kurapa kwedanho A:

Vanhu ava havasati vava nechirwere chemwoyo, asi njodzi yacho yakakura. Ndosaka vachiita zvinhu zvekuderedza njodzi yacho.

• Kurovedza muviri nguva dzose, sekufamba netsoka zuva nezuva.
• Kurega zvachose kushandisa zvigadzirwa zvefodya.
• Kurapa BP yakakwira (mushonga, kudya kushoma, mararamiro anoshanda).
• Kurapa kwehuwandu hwecholesterol yakakwira.
• Kudzivisa doro nezvinodhaka zvisiri pamutemo.
• Kana uine zvimwe zvirwere zvakaita sechirwere chemwoyo, chirwere cheshuga, kana BP, unogona kunyorerwa mushonga unodzivirira enzyme inochinja ropa (ACE-I) kana kuti Angiotensin II receptor blocker (ARB).

Kurapa kwedanho B:

Vanhu ava vane dambudziko remwoyo, asi havana zviratidzo.

• Kurapa kwese kwakataurwa muChikamu A.
• Kana `(Ejection fraction - EF)` yako iri 40% kana pasi, `(ACE-I)` kana `(ARB)` ndiyo mushonga wakakodzera.
• Kana wakambova nechirwere chemwoyo kare uye EF yako iri 40% kana pasi (kana usati watoitora), unofanira kutora mushonga unonzi beta-blocker.
• Kana wakambova nechirwere chemwoyo kana kuti EF yako iri 35% kana pasi, ungangoda mushonga unonzi Aldosterone antagonist.
• Dzimwe nguva, kuvhiyiwa kana kumwe kupindira kunogona kudiwa pazvirwere zvakaita sechirwere chetsinga yemwoyo, kutadza kushanda kwemoyo, chirwere chevharuvhu (kugadzirisa kana kutsiva mavharuvhu), kana chirwere chemwoyo chekuzvarwa nacho.

Kurapa kwedanho C (HFrEF - kune avo vane kushaya simba rekupomba ropa):

Vanhu ava vane (Heart Failure) uye vane/vakave nezviratidzo.

• Kurapa kwakataurwa muzvikamu A neB.
• Mishonga ye`(Beta-blocker)` uye`(Aldosterone antagonist)`.
• Rudzi rwemishonga inonzi `(Sodium-glucose transport 2 inhibitors - SGLT2i)`.
• Mushonga wemusanganiswa unonzi ``(Hydralazine/nitrate)`` unoshandiswa kana mamwe marapirwo asingadzore zviratidzo, kunyanya kuvanhu vane dzinza reAfrica America.
• Kana kurova kwemoyo kuchipfuura kurova makumi manomwe paminiti uye zviratidzo zvikaramba zviripo, tora mushonga unoderedza kurova kwemoyo.
• Kana zviratidzo (kunyanya kuzvimba uye kufema zvakaoma) zvikaramba zviripo, mushonga wekubvisa mvura mumuviri (watinoti mapiritsi emvura) unopihwa.
• Kuderedza huwandu hwemunyu (sodium) muzvokudya.
• Zviyere zuva nezuva. Kana ukawedzera kana kudzikira uremu hunopfuura makirogiramu maviri (mapaundi mana) muzuva rimwe chete kana maviri, zivisa chiremba wako nekukasika.
• Ungangodawo kuderedza huwandu hwemvura yaunonwa pazuva.
• Vamwe vanhu vanoda kuiswa mudziyo we "pacemaker" unonzi "Cardiac resynchronization therapy - CRT``, kana kuti "biventricular pacemaker``.
• Mudziyo unonzi implantable cardiac defibrillator (ICD) unoiswa muvanhu vari panjodzi yekukanganisa mafambiro emwoyo nenzira inotyisidzira hupenyu.
• Kunyangwe zviratidzo zvikachinja nekurapwa, zvakakosha kuti munhu arambe achirapwa kuti anonoke kukura kwechirwere ichi kusvika padanho rechitatu.

Kurapa kwedanho D:

Vanhu ava vane chirwere chakakomba (Heart Failure).

• Kurapa kwese kwakataurwa muzvikamu A, B, uye C. Pamusoro pezvo, kurapwa kwakanyatsogadzirwa kuri kutariswa:
• Kuisirwa moyo.
• Midziyo yemakanika inotsigira moyo (Ventricular assist devices - VADs)
• Kuvhiyiwa kwemwoyo kwakakosha `(Kuvhiyiwa kwemoyo)`.
• Mishonga inotropic inopindwa netsinga nguva dzose (mishonga inowedzera simba rekurwadziwa kwemoyo).
• Kutarisirwa kwevarwere vane hospice kana kuti kutarisirwa kwevanorwara zvakanyanya.

Matanho C naD (HFpEF - kune avo vasina dambudziko rekupomba ropa kubva mumoyo):

Muchiitiko ichi, kunyangwe kugona kwemoyo kudzika (ejection fraction) kuri kwakajairika, pane dambudziko rekuti mwoyo unozadzwa neropa (diastolic function) zvichikonzera kutadza kushanda kwemoyo.

• Kurapa kwakataurwa muzvikamu A neB.
• Kurapa zvimwe zvirwere zvinogona kukonzera kana kuwedzera kutadza kwemoyo (semuenzaniso, atrial fibrillation, high blood pressure, chirwere cheshuga, kufuta, chirwere chemwoyo, chirwere chemapapu chisingaperi, cholesterol yakakwira, chirwere cheitsvo).
• Mishonga inobvisa mvura (mapiritsi emvura) kuderedza kana kuderedza zviratidzo.

Usakanganwa kuti kugadzirisa mamwe matambudziko ako (chirwere cheshuga, chirwere cheitsvo, anemia, BP, chirwere chethyroid, asthma, chirwere chemapapu chisingaperi) kwakakosha zvikuru pakudzivirira chirwere ichi (Heart Failure) .

Pane migumisiro kana matambudziko ekurapwa here?

Mamwe marapirwo anogona kunge asina migumisiro midiki.

• Kuderera kweropa (Hypotension).
• Mhedzisiro pakushanda kweitsvo (kutadza kweitsvo).
• Kugara muchipatara, kunyanya nemishonga inopinzwa mutsinga (central IVs), kunowedzera njodzi yekutapukirwa.

Taura nachiremba wako nezvenyaya iyi uye uzive.

Ungaderedza sei njodzi ye (Congestive Heart Failure)?

Kunyangwe tisingakwanise kuchinja zvinhu zvakaita sezera uye nhoroondo yemhuri, tinogona kuderedza njodzi yedu yekubatwa nechirwere ichi (Heart Failure) nekuchinja mararamiro edu.

• Kuramba uine huremu hwakanaka hunokunakira.
• Kudya chikafu chine hutano mumoyo (munyu mushoma, shuga, mafuta mashoma, miriwo nemichero yakawanda).
• Kurovedza muviri nguva dzose.
• Kugadzirisa kushushikana zvakanaka.
• Kurega zvachose kushandiswa kwefodya.
• Kusanwa doro kana kurinwa zvishoma.
• Kusashandisa zvinodhaka zvisiri pamutemo.
• Kana uine zvimwe zvirwere zvinowedzera njodzi yako (senge BP, chirwere cheshuga, cholesterol yakakwira), zvirape uye zvidzorerwe zvakanaka.

Munhu ane Congestive Heart Failure angatarisira remangwana rerudzii?

Kana munhu akarapwa zvakanaka, achichinja mararamiro ake, uye achitevedzera zvinotaurwa nachiremba wake, vanhu vazhinji vanogona kurarama hupenyu hunofadza pasinei nekuti ane Congestive Heart Failure. Remangwana rake rinoenderana nezvinhu izvi:

• Zvinoenderana nekuti tsandanyama dzemwoyo wako dzinoshanda zvakanaka sei.
• Zvichienderana nerudzi uye kuoma kwezviratidzo zvako.
• Zvinoenderana nekuti unopindura sei kuchirongwa chekurapa.
• Zvinoenderana nekuti unotevera sei chirongwa chako chekurapa (mishonga, kudya, kurovedza muviri).

Dzimwe ongororo dzinoratidza kuti vanhu vane chirwere chemwoyo vanogona kurarama makore asingasviki gumi pane vasina chirwere ichi. Asi izvi zvinosiyana zvikuru kubva kumunhu kusvika kumunhu. Saka zvakanaka kuva pachena uye kutendeseka nezvechirwere chako kuna chiremba wako. Chirwere chemwoyo chirwere chisingaperi, chinogara kwenguva refu. Chinoda kurapwa uye kutarisirwa kwehupenyu hwese.

Ndinozvitarisira sei? (Kuzvitarisira)

Kana uchirarama neHeart Failure, zvakakosha kuti uzvitarisire.

• Inwa mushonga wako sezvawakarairwa nachiremba wako, panguva chaiyo. Usapotsa zuva rimwe chete.
• Ramba uchishingaira sezvinobvira. Bvunza chiremba wako kuti maekisesaizi api akakunakira.
• Tevedzera kudya kushoma munyu. Zvikafu zvakaputirwa, zvakabikwa mumagaba, uye zvinokurumidza kudya zvine munyu wakawanda.
• Tarisa huremu hwako zuva nezuva. Kana ukaona kuwedzera huremu kamwe kamwe (semuenzaniso, 1-2 kg muzuva rimwe chete kana maviri), udza chiremba wako .
• Kana zviratidzo zvitsva zvikaonekwa, kana kuti zviratidzo zviripo zvikawedzera, zivisa chiremba wako nekukasika.
• Iva nechokwadi chekuenda kuna chiremba panguva yakatarwa yekusangana nemurwere.
• Nekuti ichi chirwere chinogona kuuraya, zvakanaka kuzivisa chiremba wako nemhuri yako zvaunoda maererano nekurapwa kwako (semuenzaniso, kana uchida kurapwa kwenguva refu/kurapwa muchipatara). Izvi zvinogona kuitwa nekuzadza "gwara rekuchengetedza nguva" kana "chido chekurarama". Zvakanaka kugadzirira izvi uchiri nepfungwa dzakanaka kana ukasakwanisa kuita sarudzo idzi pane imwe nguva.

Ndezvipi zvinhu zvausingakwanise kudya nekunwa nazvo (Congestive Heart Failure)?

Vanhu vazhinji vane chirwere chemwoyo vanofanira kuderedza munyu wavanodya zuva nezuva. Vamwe vanhu vangangodawo kuderedza munyu wavanodya (semvura, tii, soup). Chiremba wako kana nyanzvi yezvekudya achakupa mazano panyaya iyi.

Ndinofanira kuona chiremba rini?

Zvakakosha kuudza chiremba wako kana uine zviratidzo zvitsva kana kana zviratidzo zvako zvekushaya simba kwemoyo zvawedzera. Kunyanya kana uine chimwe chezvinotevera:

• Kana uchinetseka kufema kunyangwe wakazorora.
• Kana kuzvimba kukawedzera mumakumbo, muzvitsitsinho, kana mudumbu.
• Kana ukangoerekana wawedzera uremu (kupfuura 1-2 kg muzuva rimwe chete kana maviri).
• Kana uchigara uchinzwa kuneta uye hope.

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Kana mwoyo wako ukangoerekana wawedzera kuipa (semuenzaniso, kufema zvisina kunaka, kurwadziwa kwechipfuva zvakanyanya), unoda kurapwa nekukurumidza. Vanachiremba vanoti izvi zvinokonzerwa nekusashanda zvakanaka kwemoyo . Muchiitiko ichi, unogona kupihwa mishonga neokisijeni kuti zvikubatsire kugadzirisa mamiriro ako. Kusvika kuchipatara nekukurumidza pasina kutambisa nguva kunogona kuponesa hupenyu hwako.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Paunoenda kunoona chiremba, usatya kubvunza mibvunzo iri mupfungwa dzako.

• "Ndine danho ripi re (Congestive Heart Failure)?"
• "Ndeipi nzira yakanakisisa yekurapa panguva ino?"
• "Ndeapi mamwe maekisesaizi akachengeteka andingaita? Ndinofanira kuaita kwenguva yakareba sei?"
• "Ndezvipi zvandinofanira kuchinja pakudya kwangu?"
• "Pane mapoka ekutsigira vanhu vane (Congestive Heart Failure) here?"
• "Ndinofanira kuitei kana zviratidzo zvangu zvikawedzera?"

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Kusagadzikana kwemoyo (Congestive Heart Failure) hachisi chinhu chekutya, asi hachisi chinhu chekutora sechisina basa. Kana uine chirwere ichi, pane zvakawanda zvaunogona kuita kuti uvandudze hutano hwemwoyo wako.

• Inwa mushonga wako panguva chaiyo uye nemazvo.
• Idya chikafu chisina munyu mushoma, chine hutano pamoyo.
• Ramba uchishingaira sezvinobvira.
• Tarisa huremu hwako zuva nezuva uye ziva shanduko dzinongoerekana dzaitika.
• Iva nechokwadi chekuenda kuna chiremba pamazuva akarongwa.
• Nyora pasi zviratidzo zvako uye udza chiremba wako kana zvikawedzera kuipa.

Kana muine mibvunzo kana zvinokunetsai nezvemishonga yenyu, shanduko dzemararamiro, kana chimwe chinhu chiri muchirongwa chenyu chekurapwa, taurai pachena nachiremba wenyu. Varipo kuti vakubatsirei kugadzirisa dambudziko iri uye kurarama hupenyu hwakanaka. Yeukai, hamusi mega!

'Kurwara nemoyo, chirwere chemwoyo, chirwere chemwoyo, kurwadziwa pachipfuva, kunetseka kufema, kutadza kushanda zvakanaka kwemoyo, kusashanda zvakanaka kwemoyo, kuzvimba kwemakumbo