Dzimwe nguva unonzwa kurwadziwa kusinganzwisisike kana kunzwa kusungwa muchipfuva chako here? Kana izvozvo zvikaitika, tinotya toenda kunoona chiremba. Kunyangwe mushure mekuita bvunzo dzakadai seECG ne scan, chiremba anoti, "Hapana kuvharika kwetsinga huru dzeropa dzemwoyo." Zvadaro tinogona kufunga kuti, "Saka sei kurwadziwa kwechipfuva uku?" Kutaura zvazviri, dzimwe nguva chikonzero cheizvi hachisi tsinga huru dzeropa dzemwoyo, asi tsinga diki diki dzeropa dzinobva padziri. Ndiyo mamiriro atiri kutaura nezvawo nhasi, `Microvascular Coronary Disease` kana `Small Vessel Disease`.
Chii chinonzi Microvascular Coronary Disease?
Zvichitaurwa zviri nyore, ichi chirwere chinokanganisa tsinga diki dzeropa dziri mumoyo medu. Fungidzira mwoyo yedu seguta guru. Guta iri rine migwagwa mikuru (iyi ndiyo tsinga huru dzemoyo) dzinopa ropa neokisijeni. Asi kuti ubve mumigwagwa iyoyo wosvika padzimba dzese wotenga zvinhu muguta, unoda migwagwa midiki yedivi, migwagwa yematombo, handiti? Nenzira imwecheteyo, sero rega rega diki mutsandanyama dzemwoyo yedu rinounzwa ropa, okisijeni nezvinovaka muviri ne network yetsinga dzeropa dzakanaka kwazvo, dzisina gobvu kupfuura tambo yebvudzi. Izvi ndizvo zvatinodaidza kuti `(coronary microvasculature)`.
Muchirwere chinonzi `Microvascular Coronary Disease`, kunyangwe migwagwa mikuru iyoyo iri mumamiriro akanaka, migwagwa midiki iyi inokuvara uye haishande zvakanaka. Zvadaro tsandanyama yemwoyo haiwani okisijeni nekudya kunovaka muviri kwainodiwa.
Kune mamwe mazita akawanda anoshandiswa pachirwere ichi. Chiremba wako anogona kushandisa rimwe remazita aya:
- Chirwere chetsinga diki
- Chirwere chetsinga diki
- Chirwere chemwoyo X
- Chirwere cheMicrovessel
- Chirwere chemwoyo chisingadziviriri
Izvi zvakasiyana sei nechirwere chemwoyo chakajairika (Coronary Artery Disease)?
Vanhu vazhinji vanovhiringidza zvinhu zviviri izvi nekuti zvirwere izvi zvese zvinowedzera njodzi yekurwara nemoyo. Zvisinei, mashandiro ezvinhu zviviri izvi akasiyana zvachose. Ngatinzwisisei musiyano uyu zvakajeka.
| Pokufananidza | Chirwere cheArtery yeCoronary Chakajairika | Chirwere cheMicrovascular Coronary |
|---|---|---|
| Mitsipa yeropa yakakanganiswa | Inokanganisa tsinga huru dzemwoyo dziri pamusoro pemoyo. | Inokanganisa tsinga dzeropa diki, dzakapfava dzinobva mutsinga huru. |
| Chikonzero chikuru chechirwere ichi | Cholesterol nemafuta zvakaiswa (plaque) mukati metsinga dzeropa, zvichikonzera kuvharika. | Kukuvadzwa kwetsinga diki dzeropa kana kusashanda zvakanaka kwemuviri. Hapana plaque yakaungana . |
| Maonero azvinoita mumiedzo | Kuvharika uku kunogona kuonekwa zvakajeka mumiedzo yakaita se angiogram. | Matambudziko ane mitsipa midiki iyi haaonekwe pa angiogram yenguva dzose, saka zvinogona kuoma kuona chirwere chacho. |
Ndiani ari panjodzi huru yekuva nechirwere ichi?
Dambudziko iri rinowanzoitika kuvakadzi kupfuura varume, kunyanya panguva yekuenda kumwedzi uye mushure mekusvika kumwedzi, apo huwandu hweestrogen mumuviri hunoderera.
Pamusoro pezvo, vanhu vane zvinotevera vari panjodzi huru yekubata chirwere ichi:
- Kuva nechirwere cheshuga .
- Kukwira kweropa .
- Kuva necholesterol yakakwira muropa .
- Kufuta zvakanyanya uye kuwedzera uremu.
- Kusvuta .
- Kurarama hupenyu hwekugara pasi pasina kurovedza muviri .
- Kudya munyu wakawandisa, mafuta akawandisa, uye chikafu chakabikwa muzvigadzirwa .
- Kuva nezvirwere zve autoimmune zvakaita se lupus kana rheumatoid arthritis.
Sei chirwere ichi chichiitika?
Mumoyo une hutano, tsandanyama dzakapfava dziri mumadziro etsinga diki idzi dzeropa dzinodzora kuyerera kweropa nekudzikama uye kuzorora sezvinodiwa. Semuenzaniso, patinorovedza muviri, mwoyo unoda ropa rakawanda, saka tsinga idzi dzinokura uye dzinopomba ropa rakawanda. Patinenge takazorora, dzinodzokera panzvimbo yadzo yakajairika.
Asi kana paine chirwere che "Microvascular Coronary Disease", madziro emukati metsinga diki idzi dzeropa anokuvadzwa. Kukuvadzwa uku kunokanganisa mashandiro adzo. Dzimwe nguva nzira idzi dzinogona kungoerekana dzaoma (spasms). Ipapo ropa rinoenda kutsandanyama yemwoyo rinongoerekana rakanganiswa, zvichikonzera zviratidzo zvakaita sekurwadziwa pachipfuva.
Ndezvipi zviratidzo zvechirwere ichi?
Chiratidzo chikuru uye chinowanzoonekwa chechirwere ichi kurwadziwa kwechipfuva kunonzi angina . Zvisinei, kurwadziwa uku kunogona kusiyana zvishoma nekurwadziwa kunoitika muchirwere chemwoyo chakajairika.
- Kazhinji zvinotora maminetsi gumi kana kupfuura .
- Kurwadziwa uku kunogona kuitika panguva yekurovedza muviri pamwe nekuzorora .
- Marwadzo anogona kuwedzera kana paine kushushikana kwepfungwa .
- Kune vamwe vanhu, kurwadziwa uku kunoita kuti zvivaomere kuita mabasa ezuva nezuva nemazvo.
Kuwedzera pakurwadziwa kwechipfuva uku, zvimwe zviratidzo zvinogonawo kuitika:
- Kushaya mweya uye kufema zvakaoma .
- Kuneta zvakanyanya pasina chikonzero .
- Matambudziko ekurara, kusanganisira kushaya hope .
Zvakakosha: Kurwadziwa pachipfuva kunogona kuva chiratidzo chekurwara nemoyo. Saka, kana uine kurwadziwa pachipfuva kunoramba kuripo, kana kukawedzera kuipa, kana uchinetseka kufema, kana uine kurwadziwa kunopararira kuruoko rwako, mutsipa, kana kumusana, enda kuchipatara chiri pedyo nekukurumidzira (ETU) nekukurumidza.
Nzira yekuziva chirwere nemazvo sei?
Kutaura chokwadi, kuongorora chirwere ichi kunogona kuoma nekuti mitsipa midiki iyi midiki zvekuti haigone kuonekwa nekuongororwa kwemoyo. Saka, kana uine zviratidzo izvi, zvakanaka kuona chiremba wemwoyo ane ruzivo nezvezvirwere izvi.
Bvunzo repamusoro rekuongorora chirwere ichi ibvunzo chaiyo inonzi `Cardiac catheterization with coronary flow reserve (CFR).` Izvi zvinoyera kuti mitsipa midiki iyi yeropa inogona kukura nekukurumidza sei uye kupa ropa rakawanda kuzvinodiwa nemuviri.
Uye zvakare, chiremba anogona kukurudzira mimwe miedzo yakati wandei:
- Kuongororwa kwemwoyo neNyukireya (PET scan)
- MRI yemwoyo ine perfusion
Ndezvipi zvinorapwa izvi?
Chinangwa chikuru chekurapa ndechekuvandudza mashandiro etsinga dzeropa, kudzora zviratidzo, uye kuderedza njodzi yematambudziko akadai sekurwadziwa kwemoyo. Chiremba wako anogona kukupa mishonga yakati wandei kuti ikubatsire kuita izvi.
- Angiotensin-converting-enzyme (ACE) inhibitors: inobatsira kudzora BP nekuwedzera tsinga dzeropa.
- Mishonga Inorwisa Kugwamba Kweropa: Mishonga inodzivirira kugwamba kweropa.
- Aspirin: Inodzivirira maplatelet eropa kuti asanamatirane uye inoderedza kuumbwa kweropa rakagwamba.
- Beta-blockers: Kudzora kurova kwemoyo uye kuderedza BP.
- Zvinodzivirira calcium channel: Zvinosunungura tsandanyama dziri mutsinga dzeropa, zvichidziwedzera.
- Mishonga inobvisa mvura mumuviri: Bvisa mvura yakawandisa nemunyu mumuviri, zvichideredza BP.
- Statins: Mishonga inoderedza cholesterol muropa.
Chii chatinofanira kuita kudzivirira uye kudzora chirwere ichi?
Pamwe chete nemishonga, shanduko dzakanaka mumararamiro edu dzakakosha zvikuru mukudzivirira chirwere ichi.
- Tevedzera kudya kunovaka muviri: Deredza munyu, mafuta, shuga, uye chikafu chakagadziriswa, uye idya miriwo yakawanda, michero, nyemba, uye chikafu chine fiber yakawanda.
- Maekisesaizi nguva dzose: Ita maekisesaizi kwemaminitsi makumi matatu pazuva, akadai sekufamba kana kumhanya-mhanya. Kana uri mutsva pakuita maekisesaizi, taura nachiremba wako uye funga nezvechirongwa chekurapa mwoyo kana zvichidikanwa.
- Ramba uine huremu hwakanaka hwemuviri.
- Chengetedza huwandu hweropa neshuga mumuviri zviri mukati mehuwandu hwakakodzera.
- Kana uchisvuta, rega zvachose.
Nezvekurarama nechirwere ichi
Kushandisa mishonga yakawanda uye kuchinja mararamiro akadai kunogona kuoma pakutanga. Mimwe mishonga inogona kukonzera matambudziko akadai sedzungu.
Iva nechokwadi chekutaura pachena nachiremba wako nezve chero kusagadzikana kwaunosangana nako. Anogona kukwanisa kugadzirisa mushonga wako kana kukupa mamwe mazano.
Zvinogonawo kubatsira zvikuru kunyora pasi zviratidzo zvako neBP yako, sezvo izvi zvichizobatsira chiremba wako kuti anzwisise mamiriro ako ezvinhu uye kugadzirisa marapirwo ako zvinoenderana nawo.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheMicrovascular Coronary Disease hachisi mutsinga huru dzeropa dzemwoyo, asi mutsinga diki dzeropa dzakapfava.Chirwere chinoitika.
- Izvi zvakasiyana nechirwere chemwoyo chakajairika, uko cholesterol inoisa (plaque) inovhara mitsipa yeropa.
- Dambudziko iri rinowanzoonekwa pakati pevakadzi .
- Chiratidzo chikuru kurwadziwa kwepachipfuva kunoramba kuripo kunowedzera pakuzorora uye nekushushikana.
- Kuongororwa nguva dzose hakuna kukwana kuti chirwere chionekwe, uye bvunzo dzakagadzirwa dzingangodiwa.
- Kuchinja mishonga nemararamiro zvinogona kukubatsira kudzora zviratidzo zvako, kudzivirira matambudziko, uye kurarama hupenyu hune hutano. Zvakakosha kugara uchionana nachiremba wako .
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