Ngatingodzidzai nezve Ischemic Cardiomyopathy, chirwere chinoita kuti mwoyo ushaye simba nekuda kwekushaya ropa rakawanda.

Dzimwe nguva unonzwa sekuti haugone kukwira masitepisi kana kufamba daro refu sezvawaimboita here? Unoona zvichikuomera kufema kunyangwe uchiita mabasa madiki here? Kana kuti tsoka dzako dzinozvimba uye haugone kupfeka shangu dzako here? Kunyange hazvo vanhu vazhinji vachifunga nezvekuneta kwakajairika, dzimwe nguva panogona kunge paine chikonzero chakakomba chiri shure kweizvi. Nhasi tichataura nezvechirwere chakadai, chinonzi 'Ischemic Cardiomyopathy', chirwere umo tsandanyama dzemwoyo dzinopera simba nekuda kwekudzikira kweropa kuenda kumoyo.

Zvichitaurwa zviri nyore, chii chinonzi Ischemic Cardiomyopathy?

Fungidzira kuti muviri wedu iguta guru. Ipapo moyo ndiwo nzvimbo huru yekupomba mvura inoendesa mvura kuguta iroro. Kuti nzvimbo iyi yekupomba (moyo) irambe ichishanda, inodawo simba rakasiyana, kureva, ropa. Tinodana idzi tsinga dzeropa dzinoendesa ropa kumwoyo kuti tsinga dzemoyo.

Fungidzira, chii chinoitika kana tsinga idzi dzemoyo dzikatanga kuvharika? Sekunge mapaipi emvura anovharika nevhu uye kuyerera kwemvura kukadzikira, zvinhu zvakaita secholesterol nemafuta zvinoungana mukati metsinga idzi uye kuyerera kweropa kunodzikira. Izvi ndizvo zvatinodaidza kuti Coronary Artery Disease .

Kana ropa iri radzikira, tsandanyama yemoyo haiwani okisijeni nezvinovaka muviri zvainoda. Kungofanana nemuti unofa zvishoma nezvishoma kana usina mvura, tsandanyama yemoyo inotangawo kupera simba uye kukuvara. Nekufamba kwenguva, mwoyo uyu usina simba haugone kupomba huwandu hweropa hunodiwa nemuviri. Ventricular yekuruboshwe, iyo nzvimbo huru yekupomba yemoyo, inova isina simba uye yakakura. Iyi ndiyo mamiriro ese atinodaidza kuti `Ischemic Cardiomyopathy`.

Zvichitaurwa zviri nyore, chirwere ichi chirwere chinoita kuti tsandanyama dzemwoyo dzishaye simba nekuda kwekuvharika kwetsinga dzeropa dzinopa moyo, zvichideredza kugona kwemoyo kupomba . Ichi ndicho chikonzero chikuru chekukundikana kwemoyo pasi rose.

Ndezvipi zviratidzo zvechirwere ichi? Tinozviziva sei?

Kazhinji, zviratidzo izvi hazvionekwi zvese panguva imwe chete. Zvinokura zvishoma nezvishoma. Vamwe vanhu vanogona kuva nechirwere ichi vasina kana zviratidzo zvachose. Zvisinei, pane zviratidzo zvishoma zvakajairika.

Sei izvi zvichiitika? Ndezvipi zvinhu zvinokonzera njodzi?

Sezvatakambokurukura, chikonzero chikuru chirwere chemwoyo.Izvi zvinoreva kuti tsinga dzeropa dzinotakura ropa kuenda kumoyo dzavharika. Pamusoro pezvo, kurwara kwemoyo kwakamboitika kunokonzerawo dambudziko guru. Kurwara kwemoyo kunoitika kana ropa rinoenda kuchikamu chemwoyo ravharika zvachose uye nyama iri muchikamu ichocho yafa.

Saka, zvinhu zvinokonzera njodzi mukukura kwechirwere chemwoyo zvinobatsirawo mukukura kwe 'Ischemic Cardiomyopathy'.

Zvinhu zvine njodzi:

• Kukwira Kweropa: Kana BP ikawedzera, mitsipa yeropa inokuvara uye mukana wekuti cholesterol iunganidzwe mairi unowedzera.
• Chirwere cheshuga: Chirwere cheshuga chinokonzerawo kukuvara kwemadziro etsinga dzeropa.
• Cholesterol Yakakwira: Kana huwandu hwecholesterol yakaipa (LDL) muropa hukawedzera, hunosara mutsinga dzeropa uye hunovhara kufamba kweropa.
• Kusvuta fodya: Kusvuta fodya ndicho chinhu chikuru chinokonzera kukuvara kwetsinga dzeropa.
• Nhoroondo yemhuri: Kana mumwe munhu mumhuri yako (amai, baba, vanun'una nemadzikoma) akarwara nechirwere chemwoyo achiri mudiki, iwewo uri panjodzi huru.
• Kufuta zvakanyanya uye Kufutisa: Kana wawedzera uremu, mwoyo wako unoshanda nesimba. Zvinowedzerawo njodzi yako yekubatwa nezvirwere zvakaita seshuga, BP, uye cholesterol.
• Kusaita maekisesaizi: Kugara pasi ndicho chikonzero chikuru cheizvi.

Chiremba anoongorora sei chirwere ichi chaizvo?

Paunoenda kuna chiremba, anotanga anyatsoteerera zviratidzo zvako uye nhoroondo yezveutano hwemhuri yako. Zvadaro achaongorora muviri wako. Pamusoro pezvo, acharaira bvunzo dzinoverengeka kuti asimbise chirwere chacho.

• Kuongororwa kweRopa: Tarisa zvinhu zvakaita sehuwandu hwecholesterol, huwandu hweshuga, uye mashandiro eitsvo.
• Electrocardiogram (ECG): Kuongororwa uku kunonyora mashandiro emagetsi emwoyo uye kunogona kubatsira kuona kana paine chirwere chemwoyo chakamboitika kana kuti paine zvisina kunaka mumoyo.
• X-ray yechipfuva: Tarisa kana mwoyo wakakura uye mvura yakaungana mumapapu.
• Echocardiogram (Echo): Izvi zvakafanana nekuongororwa kwemoyo. Inoshandisa mafungu eruzha kuti ione zvakajeka makamuri emwoyo, mavharuvhu, uye kuti tsandanyama dzemwoyo dziri kupomba sei (Ejection Fraction). Iyi ibvunzo yakakosha kwazvo yekuongorora chirwere ichi.
• Kuedzwa kweKusimba kweKurovedza Muviri: ECG inotorwa paunenge uchifamba patreadmill kuti uone kana mwoyo wako uri kuwana ropa rakakwana paunenge uchirovedza muviri.
• Kuongororwa kweCatheterization yemwoyo / Angiogram: Iyi ndiyo nzira yakanakisisa yekuona kana tsinga dzeropa dzemwoyo wako dzakavharwa. Chubhu yakatetepa inopinzwa netsinga iri muruoko rwako kana gumbo, yopinzwa mutsinga dzemwoyo, yoiswa dhayi yakakosha, uye X-ray inotorwa. Izvi zvinoratidza kuti tsinga dzeropa dzakavharika sei.

Ndezvipi zvinorapwa izvi?

Kune zvinangwa zvikuru zvitatu zvekurapa:

1. Rapai chinokonzera chirwere ichi (semuenzaniso chirwere chetsinga dzemwoyo).

2. Kuvandudza mashandiro emoyo.

3. Deredza zviratidzo uye kuvandudza hupenyu.

Kune izvi, nzira dzakasiyana-siyana dzekurapa dzinoshandiswa pamwe chete.

1. Mishonga (mhando dzemishonga)

Mishonga inopihwa nechinangwa ichi inoderedza mutoro pamoyo, inovandudza mashandiro emoyo, uye inodzivirira mamwe matambudziko.

Zvakakosha:Zvakakosha kutora mushonga wawakanyorerwa nachiremba wako sezvawakanyorerwa, panguva yakakodzera, uye nemupimo wakakodzera. Usamborega kutora mushonga wako kana kuchinja mwero wega.

2. Kuchinja mararamiro

Kuita zvinhu izvi kwakakosha sekungotora mushonga.

• Kudzora munyu: Deredza huwandu hwemunyu waunodya pazuva. Munyu hausi munyu waunowedzera muchikafu chako chete. Kunewo munyu wakavanzika muzvinhu zvakaita sezvikafu zvakagadzirwa, masosi, ketchup, mabhisikiti, nechingwa.
• Kurovedza muviri: Sezvakataurwa nachiremba wako, ita maekisesaizi aunogona. Kunyangwe kungofamba kwemaminitsi makumi matatu pazuva kwakanaka.
• Dzivisa kusvuta: Kana ukasvuta, rega zvachose.
• Kudya kwakanaka: Idya miriwo yakawanda, michero, nyemba, uye zviyo zvakakwana. Deredza kudya zvine mafuta akawanda, shuga, uye hupfu.
• Kudzora huremu: Ramba uine huremu hwakanaka hunoenderana nehurefu hwako.

3. Kuvhiyiwa nedzimwe nzira dzekurapa

Kana chirwere ichi chisingagoni kudzorwa nemishonga uye kuchinja mararamiro chete, chiremba anogona kukutumira kune dzimwe nzira dzekurapa.

• Angioplasty neStents: Panguva yeangiogram, tsinga yeropa yakavharika inozadzwa nechinhu chakaita sebharumu, uye chinhu chidiki chakaita semesh chinonzi stent chinoiswa mukati kuti chisavharwe zvakare.
• Kuvhiyiwa kweCoronary Artery Bypass: Kana tsinga yeropa ikavharika munzvimbo dzakawanda, nzira itsva inogadzirwa nekushandisa tsinga yeropa inotorwa kubva kune imwe nhengo yemuviri (gumbo kana chipfuva) kuti ipfuure nzvimbo yakavharika. Izvi zvinonzi kuvhiyiwa kwe'bypass'.
• Midziyo Inopinzwa Mukati: Kana kurova kwemoyo kusina kurongeka kana kuti kugona kwemoyo kupomba kusina kusimba, mudziyo mudiki wemagetsi wakadai se `ICD (Implantable Cardioverter Defibrillator)` kana `CRT (Cardiac Resynchronization Therapy)` unogona kuiswa pasi peganda rechipfuva. Izvi zvinodzora rhythm yemoyo.
• Kuisirwa Mwoyo: Kuisirwa moyo kwakasimba kunoonekwa senzira yekupedzisira kune varwere vari muchikamu chakanyanya chechirwere vasina kupindura kune imwe nzira yekurapa.

Chirwere ichi chinogona kudzivirirwa here?

Ehe, zvechokwadi. Nzira yakanakisisa yekudzivirira `Ischemic Cardiomyopathy` ndeyekudzivirira chirwere chemwoyo chinokonzera kuti chisakure. Izvi zvinoreva kudzora zvinhu zvine njodzi zvatakakurukura kare.

• Idya chikafu chine hutano.
• Rovedza muviri nguva dzose.
• Dzivisa kusvuta zvachose.
• Dzora huremu hwemuviri wako.
• Kana uine zvirwere zvakaita sechirwere cheshuga, BP, kana cholesterol, zvidzore zvakanaka zvichienderana nemirairo yachiremba wako.
• Dzora kushushikana.

Unofanira kuenda kuchipatara (ETU) nekukasika rini?

Kana uine chirwere ichi kana kuti uri panjodzi yekubatwa nechirwere chemwoyo, enda kuEmergency Department (ETU) nekukasika kana ukaona zviratidzo zvinotevera:

• Kana uine kurwadziwa kwakanyanya pachipfuva kana kunzwa kubatwa muchipfuva chako.
• Kana uchinzwa kuoma kwakanyanya kufema.
• Kana uchinzwa hope kana dzungu.

Sezvo izvi zvichigona kuva zviratidzo zvechirwere chemwoyo, kutsvaga kurapwa pasina kutambisa nguva kunogona kutoponesa hupenyu.