Mwoyo wako unoshanda zvakanyanya here? Izvi zvinonzi Kukundikana Kwemoyo Kunobuda Nesimba Rakawanda! Ngatitaure nezvazvo.

Dzimwe nguva unonzwa kushaya mweya, kana kuti unonzwa kuneta zvakanyanya kunyangwe mushure mekuita chimwe chinhu chidiki? Pamwe makumbo ako akazvimba. Kana uine zviratidzo zvakaita seizvi, chimwe chikonzero cheizvi chingave chekuti moyo wako uri kushanda nesimba kupfuura zvaunofanira kuita, asi muviri wako hausi kuwana mhedzisiro yaunoda. Nhasi tichataura nezverudzi rwakasiyana rwechirwere chemwoyo. Izvi zvinonzi kukundikana kwemoyo kwakanyanya .

Chii chinonzi High-Output Heart Failure?

Zvakanaka, saka chii chinonzi High-Output Heart Failure? Zvichitaurwa zviri nyore, apa ndipo panotanga kushanda zvakanaka mwoyo wako. Kureva kuti, hapana kudzikira kuri pachena mukushanda kwemoyo mukupomba ropa (`ejection fraction`) kana dambudziko rekuti mwoyo huzare neropa (`preserved ejection fraction`). Zvisinei, sezvo huwandu hweropa hunoda muviri wako huchiwedzera zvishoma nezvishoma, moyo haugone kuzadzisa chinodiwa ichocho.

Funga nezvazvo seinjini yemota. Pakutanga inoshanda zvakanaka, asi sezvo mutoro uchiwedzera, injini haigone kuibata. Nekufamba kwenguva, moyo unoshanda zvakanyanya zvekuti unopera simba uye pakupedzisira haugone kupomba ropa zvakanaka mumuviri.

Sei izvi zvichinzi "High-Output"?

Zvino ungave uchishamisika kuti sei izvi zvichinzi 'high-output' kana kuti `high-output'. Pane chikonzero chaicho chezita iri. Rinosiyana nedzimwe mhando dzekushaya simba kwemoyo nekuda kwehuwandu hweropa rinopombwa kubva mumoyo, rinonzi ` cardiac output''.

Mumhando zhinji dzekushaya simba kwemoyo, kubuda kwemoyo uku kwakajairika kana kutoderera. Zvisinei, kune munhu ane Kukundikana Kwemoyo Kwakanyanya, moyo unopomba marita masere eropa paminiti (izvozvo zvinosvika magaroni maviri!) Mwoyo wemunhu mukuru ane hutano hwakanaka unopomba marita mashanu kusvika matanhatu eropa paminiti (magaroni 1.3 kusvika 1.6). Saka unogona kuona kuti mwoyo uri kushanda basa rakawanda sei? Asi dambudziko nderekuti muviri haubatsirike nebasa iroro rekuwedzera.

Dambudziko iri rakajairika zvakadii?

Kutaura zvazviri, zvichienzaniswa nedzimwe mhando dzekushaya simba kwemoyo, chirwere ichi chinonzi ``High-Output Heart Failure'' hachiwanzoitika . Semuenzaniso, vanhu vanosvika mamiriyoni matanhatu muUnited States vanotambura nemarudzi akasiyana-siyana ekushaya simba kwemoyo. Zvisinei, imwe ongororo yakawana kuti ``High-Output Heart Failure'' inongoratidza chikamu chidiki chevanhu vanotsvaga mazano ekurapa nekuda kwekushaya simba kwemoyo, inenge 0.07%. Izvi zvinoreva kuti chirwere ichi hachiwanzoitiki.

Ndezvipi zviratidzo zvechirwere ichi `(High-Output Heart Failure)`?

Zviratidzo zvaunogona kuona kana uri mudambudziko iri zvakafanana nezvimwe zvirwere zvemwoyo. Asi zvakakosha kuti uzvizive. Ona kana uine chimwe chezvizvi:

• Kuoma kwekufema : Izvi zvinogona kutowedzera kana wakarara pasi kana kuti wakarara pasi. Vamwe vanhu vanomuka husiku vachinetseka kufema.
• Kuneta kwakanyanya: Kunzwa kuneta zvakanyanya kunyangwe mushure mekuita basa diki, kana kunzwa hope nguva dzese.
• Kuzvimba ( kuzvimba ): Kuzvimba kunogona kuitika, kunyanya mumakumbo, muzvitsitsinho, uye dzimwe nguva mudumbu. Izvi zvinonzi `(edema)`.
• Kurova kwemoyo : Unganzwa sekuti moyo wako uri kurova nekukurumidza, sekunge kurova kwemoyo kuri kubuda mukati mechipfuva chako.
• Kurova kwemoyo nekukurumidza (tachycardia): Chirwere chekuti moyo unorova nekukurumidza zvakanyanya.

Kana uine chimwe chezviratidzo izvi kana kupfuura,Zvechokwadi unofanira kuona chiremba.

Chii chinokonzera chirwere ichi chinonzi `(High-Output Heart Failure)`?

Pane zvikonzero zvakasiyana-siyana zvinoita kuti chirwere ichi chiitike. Heano zvimwe zvacho:

• Body mass index (BMI) pamusoro pe30 ( kufuta ): Ichi ndicho chikonzero chikuru uye chinowanzo konzera chirwere ichi. Zvichitaurwa zviri nyore, huremu hwemuviri hunoisa zvakananga kumanikidzwa kwakanyanya pamoyo. Funga nezvazvo, sero rega rega mumuviri wako rinoda ropa. Saka muviri wako paunokura, huwandu hweropa rinofanira kupombwa nemoyo wako uye daro raunofanira kutumira iro ropa rinowedzera. Izvozvo zvinorema mwoyo zvakanyanya.
• Chirwere chechiropa : Semuenzaniso, zvirwere zvechiropa zvisingaperi zvakaita sechiropa chinonzi cirrhosis .
• Mafistula emutsinga kana kuti mafistula emutsinga: Izvi zvinogona kuzvarwa nazvo kana kukura gare gare. Izvi zvinoita kuti ropa riyerere zvakananga mutsinga panzvimbo pekwarinodiwa, zvichiita kuti basa remwoyo riwedzere.
• Kushaya ropa kwakanyanya: Kana ropa richidzikira mumuviri, mwoyo unofanirwa kupomba ropa rakawanda kuti riite basa rakawanda neropa riripo.
• Zvirwere zvemapapu: Dambudziko iri rinogonawo kukonzerwa nezvimwe zvirwere zvemapapu zvisingaperi.
• Sepsis: Utachiona hwakanyanya mumuviri. Izvi zvinowedzerawo kuda kweropa mumuviri.
• Hyperthyroidism: Kugadzirwa kwakanyanya kwemahormone ethyroid kunoita kuti kugaya kwemuviri kumhanye uye mwoyo ushande nesimba.
• Kenza dzeropa dzisingawanzoitiki: Dzimwe mhando dzekenza dzeropa dzinogonawo kukonzera izvi.

Chii chinoitika chaizvo mu `(High-Output Heart Failure)`?

Funga nezvazvo nenzira iyi: mitsipa yeropa iri mumiviri yedu yakafanana nemapombi emvura. Zvimwe zvirwere zvinokonzera kuti mitsipa yeropa iyi ikure kupfuura zvayaifanira kuva, sepaipi iri kukura. Mukurapa, tinodana izvi kuti vasodilation . Izvi zvinotanga zviitiko zvakawanda zvinowedzera kubuda kweropa mumoyo, huwandu hweropa rinopombwa nemoyo.

Zvino ungafunga kuti, 'Zvakanaka kupomba ropa rakawanda.' Ehe, patinoita maekisesaizi, miviri yedu inoda ropa rakawanda, saka zvakanaka kuti mwoyo yedu ipombe ropa rakawanda. Asi izvi hazvisi zvechikonzero chakanaka. Zviri kuitika pano ndezvekuti pamwe muviri wako uri kushandisa okisijeni yakawanda kupfuura zvawagara uchiita, kana kuti pamwe ropa rako riri kutenderera tsinga diki (arterioles) pachinzvimbo chekupinda madziri. Saka ropa rakawanda riri kuungana mutsinga, tsinga dzinotakura ropa kudzokera kumoyo, pachinzvimbo chekuenda kune vamwe vese vemuviri. Saka zviri kuitika ndezvekuti muviri hausi kuwana huwandu hweropa hwaunoda. Mwoyo uri kungoshanda nesimba zvakanyanya.

Ndezvipi zvinhu zvinokonzera njodzi zvinokanganisa izvi?

Kutaura zvazviri, zvinhu zvimwe chete zvinokonzera chirwere ichi (High-Output Heart Failure) zvinoshandawo sezvinhu zvine njodzi. Izvi zvinoreva:

• BMI inodarika 30.
• Chirwere chechiropa, kunyanya cirrhosis.
• Kuvapo kwe `arteriovenous fistulas` kana `shunts`.
• Kushaya ropa kwakanyanya.
• Zvirwere zvemapapu.
• Mamiriro e'Sepsis'.
• `(Hyperthyroidism)`.
• Kenza yeropa isingawanzoitiki.

Kana uine zvirwere izvi, uri panjodzi yekubatwa ne "High-Output Heart Failure".

Ndezvipi zvinetso zvinogona kuitika kana mwoyo wako wakundikana zvakanyanya (Heart Failure)?

Kana chirwere ichi chikasarapwa zvakanaka, mamwe matambudziko anogona kumuka. Mamwe acho ndeaya:

• Pulmonary hypertension: Kuwedzera kwesimba mutsinga dzeropa dzinotakura ropa kuenda kumapapu.
• Kukundikana kwemoyo kweSystolic: Kushaya simba kwemoyo pakupomba ropa (kuoma).
• Kuzvimba kwemakumbo epasi: Kuchengeta mvura mumakumbo.

Kukundikana Kwemwoyo Kunobuda Nesimba Rikuru Kunoonekwa Sei?

Kana ukaona chiremba, ndiye anotanga akuongorora muviri wako. Iye achakubvunza nezvezviratidzo zvako, kana paine munhu mumhuri mako ane chirwere chemwoyo, mishonga yauri kutora, uye kana uine zvimwe zvirwere zvisingaperi zvinogona kukonzera chirwere ichi, High-Output Heart Failure. Zvakakosha kupa nhoroondo yako yese yekurapa.

Ndezvipi zviedzo zvekuongorora chirwere?

Vanachiremba vanogona kuita bvunzo dzakasiyana-siyana kuti vasimbise chirwere ichi uye vaone chikonzero chacho.

• Kuongororwa kweropa: Tarisa huwandu hwemahormone ethyroid, huwandu hwehemoglobin (tarisawo kana paine anemia), uye mashandiro echiropa neitsvo.
• Kuongororwa kweropa re natriuretic peptide: Mazinga aya anowedzera mukushaya simba kwemoyo.
• Electrocardiogram (EKG): Ona mashandiro emagetsi emwoyo.
• Kuongororwa kwemoyo muchikamu cheTransthoracic: Izvi zvinogona kuratidza zvinhu zvakawanda nezvemoyo, zvakaita sechimiro chawo, saizi yawo, kuti unopomba ropa sei, uye kuti mavharuvhu ari kushanda zvakanaka sei.
• Kuisa catheter mumoyo: Kuongororwa uku kunogonawo kudiwa mune dzimwe nguva.
• Kuongororwa kwekombiyuta (CT).
• MRI yemoyo - magnetic resonance imaging scan.

Miedzo iyi inogona kubatsira chiremba wako kuona kana uine High-Output Heart Failure, uye kana zvakadaro, chii chiri kukonzera izvi.

Kukundikana kwemoyo kunobuda zvakanyanya kunorapwa sei?

Pane zvinangwa zvikuru zvakawanda pakurapa. Chekutanga, vanachiremba vachaedza kuderedza kufema kwako, kuderedza kuzvimba, uye kugadzirisa mamiriro ako ezvinhu. Zvadaro, chinonyanya kukosha, vacharapa mamiriro ezvinhu akakonzera chirwere ichi che "High-Output Heart Failure".

Zvakakosha zvikuru kuwana chikonzero chaicho chechirwere ichi. Nekuti nzira dzekurapa dzinosiyana zvichienderana nechikonzero chacho. Kana chirwere chiripo chikarapwa nemazvo, chirwere chinonzi `(High-Output Heart Failure)` chinogona kudzorwa, uye dzimwe nguva kutopora zvachose.

Mishonga chaiyo inoshandiswa

Pamusoro pekupa okisijeni, chiremba anogona kukupa mishonga yakaita se:

• Mishonga inobvisa mvura mumuviri: Inobatsira kubvisa mvura yakawandisa mumuviri kuburikidza neweti, izvo zvinoderedza kuzvimba.
• Inotropes: Inowedzera kugona kwemoyo kudzika, zvichibatsira kupomba ropa zvinobudirira.
• Mimwe mishonga:Mishonga chaiyo yechirwere chakakonzera chirwere ichi (High-Output Heart Failure). Semuenzaniso, mishonga yedambudziko rethyroid, mapiritsi esimbi ekuderedza ropa.

Migumisiro yekurapwa

Mimwe mishonga inopiwa yeHigh-Output Heart Failure inogona kukonzera migumisiro midiki, asi havasi vese vanoiwana.

• Musoro
• Dzungu
• Kusagadzikana kwedumbu
• Kurova kwemoyo kusina kurongeka
• Kukwira kweropa
• Kuderera kweropa

Kana uchinzwa chimwe chinhu chakadai, unofanira kuudza chiremba wako.

Ndichanzwa zviri nani kwenguva yakareba sei mushure mekurapwa?

Mishonga yakaita sediuretics inogona kubatsira kuderedza kuzvimba mukati meawa imwe chete kana maviri. Izvi zvinogona kupa zororo rakakura. Zvisinei, chirwere chakakonzera chirwere ichi (High-Output Heart Failure) chinoda kurapwa kwenguva refu. Nguva inotora izvi inosiyana zvichienderana nemamiriro ezvinhu uye nzira yekurapa.

Nzira yekuderedza sei njodzi ye `(High-Output Heart Failure)`?

Kuti kuderedza njodzi yechirwere ichi, zvakakosha kurapa zvirwere zvinowedzera kudiwa kweropa mumuviri. Izvi zvinosanganisira:

• Kana BMI yako yadarika 30, tsvaga rubatsiro kubva kuna chiremba kuti uderedze huremu.
• Kana uine hyperthyroidism, irapwe zvakanaka.
• Kana uine zvirwere zvemapapu nechiropa, zvidzore.
• Kana uine anemia yakanyanya, tsvaga chikonzero chacho wotsvaga kurapwa.

Taura nachiremba wako nezvezvinhu izvi wotora matanho anodiwa.

Chii chinoitika kana uine `(High-Output Heart Failure)`?

Vanachiremba vanogona kukubatsira kugadzirisa zviratidzo zvako. Zvisinei, kuti urape chirwere ichi nemazvo, unofanirwa kuziva chikonzero chaicho. Zvadaro, zvakakosha kurapa chikonzero ichocho.

Kukundikana kwemoyo kunobuda zvakanyanya kunogara kwenguva yakareba sei?

Dambudziko iri rinogona kuramba riripo chero bedzi chirwere chakakonzera chirwere ichi chisina kurapwa.

Kukundikana Kwemwoyo Kunobuda Nesimba Rikuru Kunogona Kurapwa Here?

Ehe, chirwere ichi chinogona kurapwa. Asi zvinoenderana nechirwere chakakonzera chirwere ichi. Zvimwe zvinokonzera zvinogona kurapwa zvachose uye chirwere ichi chinogona kubviswa.

Ndeipi tarisiro ye `(High-Output Heart Failure)`?

Maonero emunhu ane chirwere ichi anonyanya kuenderana nechikonzero chacho. Semuenzaniso, imwe ongororo yakaratidza kuti vanhu vane BMI inodarika makore makumi matatu vane mwero wekurarama kwemakore mashanu uri nani pane avo vane chirwere chechiropa.

Zvisinei, kuongororwa nekukurumidza uye kurapwa kwechikonzero chacho kunogona kuwedzera makore ekurarama.

Ndinozvitarisira sei?

Chinhu chinonyanya kukosha ndechekutevera mirairo yachiremba chaizvo paunenge uchirapa chirwere chakakonzera chirwere ichi (High-Output Heart Failure). Inwa mushonga wako nenguva, ita zvaanokuudza kuti uite, uye ita zvaanokuudza kuti udzore kudya kwako.

Ndezvipi zvinhu zvakanakisisa zvekudya nekunwa kana uine `(High-Output Heart Failure)`?

Chiremba wako anogona kukuudza kuti udye chikafu chine munyu mushoma (sodium) uye kuderedza kudya kwako mvura. Zvakakosha kutevedzera mirairo iyi nokungwarira, sezvo munyu nemvura yakawandisa zvinogona kukonzera kuchengetwa kwemvura mumuviri, izvo zvinogona kuwedzera kuzvimba uye kuwedzera kumanikidzwa pamoyo wako.

Ndinofanira kuona chiremba rini?

Uchafanira kuona chiremba wako kakawanda mumwedzi wekutanga mushure mekunge wadzoka kumba kubva kuchipatara. Mamwe matambudziko anokonzera High-Output Heart Failure angada kuti upinzwe muchipatara zvakare. Saka, usapotsa nguva yako yekutevera sezvakarairwa nachiremba wako.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba mibvunzo yakaita seiyi:

• Chii chiri chirwere chakakonzera kuti ndive ne `(High-Output Heart Failure)`?
• Chii chingave chiri fungidziro yekuti chirwere changu chichaitika?
• Ndinofanira kuuya kakawanda sei kuzosangana nevamwe?

Usatya kubvunza chiremba wako chero mibvunzo kana kusava nechokwadi kwaungave nako.

Saka, ndezvipi zvinhu zvatinofanira kurangarira kubva pane izvi zvose?

Kukundikana kwemoyo kunobuda zvakanyanya chirwere chakaoma apo mwoyo unopomba ropa rakawanda kupfuura zvaunofanira kuita, asi muviri haubatsirike zvakakwana kubva machiri.

• Zviratidzo: Chenjerera zvinhu zvakaita sekushaya mweya, kuneta, uye kuzvimba.
• Chikonzero chakakosha: Pane chirwere chiri pachena (chakadai sekufutisa, chirwere chechiropa, kupererwa neropa) chiri kukonzera chirwere ichi. Chinhu chikuru ndechekutsvaga nekurapa chikonzero chacho.
• Inorapika: Dambudziko iri rinogona kudzorwa uye dzimwe nguva kutorapwa nekurapa chikonzero chacho.
• Tevedzera mazano echiremba: Shandisa mushonga wacho sezvakakurudzirwa nachiremba wako.
• Taura zvizere: Paunoona chiremba wako, muudze zvese nezvehurwere hwako pamwe nemishonga yaunotora. Dzimwe nguva, kunyangwe zvinhu zvausingafungi nezvazvo, zvinogona kunge zvine chekuita nazvo.

Kana uine zviratidzo zvakaita seizvi, kuchenjera kutsvaga rubatsiro rwechiremba nekukasika pane kuzvifuratira.