Tsandanyama dzemwoyo wako "dzakarara" here kana kuti "dzakabatirira"? (Myocardium Inogara kwenguva refu uye Myocardium Yakakasharara) Ngatidzidzei nezvazvo!

Wakambonzwa here nezvezvikamu zvemoyo zvinorara? Kana kuti zvinongoerekana zvamira? Kunyange zvazvo izvi zvinganzwika semashoko asinganzwisisike, izvi chaizvoizvo zvirwere zviviri zvinokanganisa mwoyo yedu. Musazvidya mwoyo, tichataura nezvazvo nenzira iri nyore uye iri nyore kunzwisisa. Tichatarisa kuti ndezvipi, nei zvichiitika, kuti tingazviziva sei, uye kana zvichigona kurapwa.

Chii chinonzi tsandanyama yemwoyo inorara kwenguva refu? (Myocardium inorara kwenguva refu)

Zvichitaurwa zviri nyore, kana chikamu chetsandanyama yemwoyo wako (tinochidana kuti `(Myocardium)`) chikashaikwa kuyerera kweropa, chinoderedza kushanda kwacho zvishoma nezvishoma uye pakupedzisira chinomira. Zvakafanana nekurara nekuti chaneta. Izvi ndizvo zvatinodaidza kuti `(Hibernating Myocardium)` kana kuti "tsandanyama yemwoyo yakarara." Izvi zvinogona kuitika kwemwedzi, pamwe kunyange makore.

Fungidzira, kana mimwe miriwo mubindu rako yapera mvura, inokotama yoita seyava kuoma, handiti? Ndizvo zvazviri kune iyi. Tsandanyama yemoyo inonyanya kuda mafuta acids kuti ishande (kureva kuti iite zvidimbu). Asi kana pasina ropa rakakwana, tsandanyama iyi inotanga kushandisa glucose (kureva rudzi rweshuga) kuti masero ayo arambe ari mupenyu. Zvisinei, haina simba rakakwana rekupomba ropa kuenda kumoyo panguva ino. Saka, tsandanyama iyi "inorara" haisi kubatsira maitiro ekupomba kwemoyo.

Zvinorevei kana tsandanyama dzemwoyo "dzichigumburwa" kana "dzichisvika pakoma"? (Stunned Myocardium)

Dambudziko iri rakasiyana zvishoma nerataurwa kare rekuti munhu haana kurara. Rinogona kuitika nekukurumidza, mukati memaminitsi mashoma kana maawa mashoma. Kana ropa richiyerera mutsandanyama yemwoyo rikadzikira kana kumira kamwe kamwe, tsandanyama dzinomira kushanda, sekunge "dzakabatirira" kana "dzakawoma." Izvi zvinonzi `(Stunned Myocardium)`.

Chinhu chinoshamisa ndechekuti, dzimwe nguva kunyange vanachiremba pavanorapa kuvharika kweropa (semuenzaniso, nekuisa stent, kuwedzera tsinga yakavharika nebharumu, kana kunyungudutsa ropa rakagwamba) kuti ropa rifambe zvakare, zvikamu zvetsandanyama izvi "zvakanamira" hazvidzokeri pakare ipapo. Zvinogona kutora mazuva, kana kunyange mavhiki, kuti tsandanyama idzodzo dzitange kugwinha zvakanaka zvakare.

Matambudziko aya akasiyana sei nechirwere chemwoyo?

Uyu mubvunzo unokosha zvikuru. Kurwara nemoyo ndiyo mhando yakanyanya yechirwere chemwoyo. Izvi zvinoitika kana imwe kana kupfuura yetsinga dzinopa ropa kumoyo dzavharwa zvachose nechinhu chine mafuta chinonzi plaque, zvichiita kuti masero etsinga dzemwoyo afe. ​​Masero etsinga dzemwoyo akafa anotsiviwa netsinga dzemavanga. Dzinga iri harigone kubatsira moyo kupomba zvakanaka. Izvi zvinogona kukonzera kutadza kushanda kwemoyo.

Zvisinei, mamiriro ese ari maviri ekuti ``Hibernating Myocardium'' uye ``Stunned Myocardium'' ndezvenguva pfupi. Chinoitika pano ndechekuti tsandanyama yemwoyo haisi kushanda zvakanaka, asi masero ayo achiri mupenyu.Kana ropa neokisijeni zvikadzorerwa, nhengo idzi dzetsandanyama "dzakarara" kana "dzakanamatira" dzinogona kutanga kushanda zvakare. Ndicho chinhu chakakosha!

Ndezvipi zvikonzero zve 'Hibernating Myocardium'?

Dambudziko iri rinonyanya kuonekwa muvanhu vane chirwere chakakomba chetsinga dzemwoyo. Muchirwere ichi, mafuta anoungana (tinoti "plaque") mukati metsinga dzinotakura ropa kuenda kumoyo, zvichiita kuti dzivharike. Kana tsinga ikanyanya kutetepa, tsandanyama yemoyo haiwani okisijeni yakakwana nezvinovaka muviri kuti irambe iri mhenyu uye ibatsire moyo kupomba ropa. Saka, tsandanyama "inorara" kuchengetedza simba kuti irambe ichiita mabasa ayo ekutanga emasero.

Ndezvipi zvikonzero zve 'Stunned Myocardium'?

Kushamisa kwemhasuru dzemwoyo, kunozivikanwawo se "kunamatira" kwetsandanyama yemwoyo, kunogonawo kuitika panguva yekurapwa kwechirwere chemwoyo. Kunyangwe kurapwa kuchidzoreredza kuyerera kweropa, zvimwe zvikamu zvetsandanyama yemwoyo hazvipore nekukasika. Pamusoro pezvo, chirwere ichi chinogona kuitika nekuda kwezvimwe zvikonzero zvakati wandei:

• Kubatwa nepfari (kushanda kwemagetsi kusingawanzoitiki muuropi).
• Kushungurudzika (Stress) Cardiomyopathy chirwere chinokanganisa moyo nekuda kwekushushikana.
• Chirwere chakafanana nestroke.
• Kubuda ropa muuropi (Subarachnoid Hemorrhage).

Ndezvipi zviratidzo zvezvirwere izvi zviviri?

Nekuti mumamiriro ese ari maviri, chikamu chimwe chete kana kuti chikamu chikuru chetsandanyama yemwoyo chinokanganiswa, zviratidzo zvinowanzofanana nezviya zvinoonekwa mukushaya simba kwemoyo. Zvinosanganisira:

• Kuoma kufema
• Kurwadziwa kwechipfuva
• Kuzvimba kwemakumbo

Kana uine zviratidzo izvi, zvakanaka kuti uone chiremba wonoongororwa.

Nzira yekuziva sei `Hibernating Myocardium`?

Kuti chirwere ichi chiongororwe nemazvo, bvunzo dzakati wandei dzakaoma dzinodiwa. Miedzo iyi inogona kubatsira kusiyanisa zvikamu zvetsandanyama yemwoyo zviri "kurara" kana "zvakanamira" asi zvinogona kumutswa , uye zvikamu zvakafa uye zvine mavanga uye zvisingagone kumutswa .

Mimwe yemiedzo mikuru inoshandiswa navanachiremba pachinangwa ichi ndeiyi:

• `Dobutamine Stress Echocardiogram`: Izvi zvinosanganisira kukupa mushonga (unonzi `(Dobutamine)`) wekukurudzira mwoyo wako sekunge uri kurovedza muviri. Chiremba wemwoyo achabva atarisa mashandiro anoita mwoyo wako kana wakazorora uye mashandiro aunoita kana mushonga wawedzerwa. Kana kugona kwetsandanyama yemoyo kushanda kuchiwedzera kana mushonga wapihwa, zvinoreva kuti une chirwere chinonzi `(Stunned Myocardium)` kana `(Hibernating Myocardium)`. Kana tsandanyama ikasabatana kunyangwe mushonga wawedzerwa, zvinoreva kuti tsandanyama yafa uye yava nemavanga.
• MRI yemwoyo:Izvi zvinoshandisa magineti ane simba uye mafungu eredhiyo kuti zvinyatso ratidza mifananidzo yakajeka uye yakadzama yetsandanyama yemwoyo wako. Nekutarisa chitarisiko uye ukobvu hwetsandanyama yemwoyo mumifananidzo iyi, vanachiremba vanogona kuziva kuti ndeipi nyama ine mavanga (yafa), chii chakajairika, uye chii "chakamira" kana "chakanamira."
• Cardiac Positron Emission Tomography (PET) scan: Izvi zvinoshandisa mwero wakachengeteka wezvinhu zvine radioactive uye kamera yakakosha. Inoratidza kuti ndeapi mativi emhasuru dzemwoyo wako ari kushanda zvakanaka uye kuti ndeapi mativi ane mavanga kana kuti nyama yakafa.

Kunyangwe bvunzo idzi dzingaita sedzakaoma zvishoma, dzakakosha kuti unzwisise mamiriro ako chaiwo uye usarudze marapirwo akanakira iwe.

Myocardium inorara (tsandanyama yemwoyo inorara) inogona kurapwa here? Mishonga ipi?

Ehe, aya ndiwo mashoko akanakisa! Dambudziko iri rinogona kurapwa nekurapwa. Chinhu chikuru chekuita ndechekudzorera kuyerera kweropa kwakanaka kuchikamu chetsandanyama yemwoyo chadzikira kuyerera kweropa. Kune nzira mbiri huru dzekurapa izvi:

• Angioplasty: Izvi zvinosanganisira kushandisa chubhu refu, rakatetepa (catheter) kuti ipinde mutsinga yeropa yakavharika uye kuputira bharumu diki riri kumagumo kwechubhu kubvisa plaque uye kuwedzera tsinga. Dzimwe nguva, mudziyo wakaita semesh (stent) unogona kuiswa mukati metsinga kuti isavhare zvakare.
• Kuvhiyiwa kweCoronary Artery Bypass (CABG): Uku kuvhiyiwa kunosanganisira kutora tsinga yeropa ine hutano kubva kune imwe nhengo yemuviri wako (senge gumbo rako kana chipfuva) wogadzira nzira itsva yekuti ropa riyerere nepakati payo, uchipfuura tsinga yakavharika iri mumoyo mako. Zvakafanana nekuvaka nzira yekupfuura kana mugwagwa wavharika.

Mushure mekurapwa uku, unogona zvakare kutumirwa kuchirongwa che "Cardiac Rehabilitation" kuti chikubatsire kupora. Ichi chirongwa chekurovedza muviri chinotariswa nachiremba chinokubatsira kuwedzera simba rako uye kugwinya, uye kukudziridza tsika dzakanaka dzemoyo.

Ndezvipi zvinoitwa pakurapa `Stunned Myocardium`?

Kurapa tsandanyama dzemwoyo dzakavharika kwakafanana nekurapa kwakajairika kwechirwere chemwoyo uye kutadza kushanda kwemoyo. Mimwe yemishonga inonyanya kushandiswa inosanganisira:

• Asipirini
• Beta-blockers
• Statins (mishonga inoderedza cholesterol)
• Mishonga inodzivirira ropa (ACE inhibitors) kana kuti Angiotensin II receptor blockers (mishonga inodzora BP nekudzivirira mwoyo)

Chiremba achaongorora mamiriro ako ezvinhu uye achakupa mushonga wakakodzera iwe.

Ungazvidzivirira sei kubva mumamiriro ezvinhu aya?

Nzira yakanakisisa yekuderedza njodzi yezvirwere izvi ndeyekuchengetedza moyo wako zvakanaka. Izvi zvinoreva kuti:

• Kutevera kudya kwakanaka:Kudya kudya kusina mafuta, shuga, nemunyu, uye miriwo nemichero zvakawanda.
• Kurovedza muviri nguva dzose: Kunyangwe chinhu chiri nyore sekufamba kwemaminitsi makumi matatu pazuva chakanaka.
• Dzivisa kusvuta: Kusvuta kwakaipa zvikuru pamoyo.
• Kuderedza kunwa doro.
• Kuramba uine huremu hwakanaka.
• Kudzora kushushikana.
• Kana uine zvirwere zvakaita sechirwere cheshuga, BP, kana cholesterol yakakwira, zvidzore zvakanaka.
• Kana chiremba wako akakunyorera mushonga uyu, tora mishonga yakaita se statins yekuderedza cholesterol kana aspirin kudzivirira kuumbwa kweropa zuva nezuva.

Unogona zvakare kushandisa macalculator enjodzi kubva kumasangano akaita seAmerican College of Cardiology kana European Society of Cardiology kuti uone njodzi dzako uye zvaunoda kurapwa. Zvisinei, kana uchitova nechirwere chemwoyo, zvakanaka kutaura nachiremba wako nezvenjodzi yako. Mumamiriro ezvinhu aya , kurapwa kwekurapa kwakaratidzwa kuti kunoderedza zvakanyanya njodzi yekurwara nemwoyo, kutadza kwemoyo, uye kunyange kufa.

Chii chinonzi fungidziro?

Hutano hwemangwana hwemunhu ane chirwere ichi (tinoti izvi "kufanotaura zvichaitika") zvinoenderana nezvinhu zvakati wandei. Semuenzaniso:

• Kukwanisa kwemoyo kupomba kwadzikira zvakadii.
• Kana uri kushandisa mushonga chaiwo wawakanyorerwa nachiremba.
• Kana wakakodzera kuvhiyiwa kwe `(Angioplasty)`/`(Stent)` kana `(CABG)`.

Vanhu vane chirwere chemwoyo vane njodzi yehupenyu hwavo hwese yekuve nematambudziko emwoyo mune ramangwana. Kana tsinga dzemwoyo dzikadzikira zvakare, tsandanyama dzemwoyo wako dzinogona "kurara" zvakare.

Zvakakosha: Myocardium inorara kwenguva refu inoitika kana ropa richiyerera kuenda kumhasuru dzemwoyo richidzikira kwenguva yakareba nekuda kwekuvharika kwakanyanya kwetsinga yemoyo muvanhu vane chirwere chetsinga dzemwoyo. Myocardium inokatyamadza inoitika kana ropa richiyerera zvishoma nezvishoma. Kana ropa rikadzoka, tsandanyama dzemwoyo wako dzinofanira kukwanisa kudzika zvakare munguva pfupi. Matambudziko ese aya anogona kurapwa. Zvakakosha kuchengetedza moyo wako zvakanaka kudzivirira kuti zvirwere izvi zvisadzokorore.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, ngatipfupisei zvinhu zvamunofanira kurangarira kubva pane zvatataura nezvazvo:

• Myocardium inorara kwenguva refu uye Myocardium inokatyamadza muviri zvirwere zviviri zvinoitika nekuda kwekudzikira kweropa rinoyerera mutsandanyama yemwoyo.
• Mumamiriro ese aya, tsandanyama yemoyo haife, asi haishande nemazvo. Izvi zvakasiyana nechirwere chemwoyo.
• Matambudziko ese aya anogona kurapwa! Zvakakosha kuti ropa ridzokere pakare uye, kana zvichidikanwa, tsvaga rubatsiro rwechiremba.
• Kana uine zviratidzo zvakaita sekuoma kufema, kurwadziwa muchipfuva, kana kuzvimba kwemakumbo ako, tsvaga rubatsiro rwechiremba pasina kutambisa nguva.
• Njodzi yezvirwere izvi inogona kuderedzwa nekutevera mararamiro ane hutano uye kugadzirisa zvirwere zviripo (zvakadai sechirwere cheshuga neBP).
• Kana uine chirwere chemwoyo, zvakakosha kuti utevedzere mirairo yachiremba wako nemazvo uye kuti uongororwe nguva nenguva.

Mwoyo wako ndiwo chinhu chako chinokosha kupfuura zvose. Saka utarisire. Ndinovimba ruzivo urwu ruchakubatsira!

Chirwere chemwoyo , myocardium inorara kwenguva refu, stun myocardium, kurwara kwemoyo, chirwere chetsinga dzemwoyo, angioplasty, kuvhiyiwa kwebypass