Wakambonzwa nezvechirwere chinokanganisa tsinga diki dzeropa mumoyo mako here? Ngatikurukurei nezve Microvascular Coronary Disease (Small Vessel Disease)!

Dzimwe nguva unonzwa kuda kurutsa kana kurwadziwa muchipfuva chako here? Asi paunoenda kuna chiremba, vanoti hapana chakaipa netsinga huru? Izvozvo zvinogona kunge zvakadaro. Nekuti, pamusoro petsinga huru dzeropa dziri mumoyo, kunewo network yetsinga diki dzeropa, dzakapfava sebvudzi. Dzimwe nguva dambudziko rinogona kuvapo. Ndizvo zvatichataura nezvazvo nhasi.

Chii chinonzi `Microvascular Coronary Disease`?

Zvichitaurwa zviri nyore, `Microvascular Coronary Disease` (MCD) chirwere chinokanganisa mitsipa midiki yeropa, isina kusimba (inonziwo `coronary microvasculature`) inobuda mutsinga huru dzeropa dziri mumoyo mako. Zvakafanana nekuva nepaipi yemvura inounza mvura kumba kwako, asi kana paipi diki inoenda kupombi ikavharika, mvura haizobudi.

Kune mamwe mazita eizvi, aunogona kunge wakanzwa:

• `Chirwere chetsinga diki`
• Chirwere chetsinga diki
• Chirwere chemwoyo X
• Chirwere cheMicrovessel
• "Chirwere chemwoyo chisingadziviriri tsinga dzeropa" (chirwere chisina kuvharika nekuda kwemafuta ari mutsinga huru dzeropa)

Chii chinoitwa netsinga diki dzeropa idzi (Coronary Microvasculature) dziri mumoyo?

Funga nezvemoyo wako semota diki inogara ichishanda. Kuti mota iyi irambe ichishanda zvakanaka, inoda kudya kunovaka muviri uye okisijeni nguva dzose. Basa iroro rinokosha rinoitwa netambo iyi yetsinga diki dzakaita sebvudzi dzinonzi 'coronary microvasculature.'

Mitsipa midiki iyi inodzora kufamba kweropa mumoyo. Inokoshawo mukuita kwakaoma kunonzi capillary exchange. Capillary exchange inongoreva kuti mitsipa midiki iyi inoendesa ropa rine oxygen kumatishu emoyo uye inodzosera ropa risina oxygen kumoyo. Zvakafanana nebasa rekutumira zvinhu, kuendesa zvinhu zvakanaka uye kubvisa zvinhu zvakaipa. Mukuchinjana uku, zvinhu zvakawanda zvinotsiviwa, kusanganisira magasi, zvinovaka muviri, uye marara.

Musiyano uripo pakati pechirwere ichi chinonzi 'Microvascular Coronary Disease' nechirwere che'Coronary Artery Disease' chatinowanzo nzwa nezvacho?

Zvirwere izvi zvose zvinowedzera mukana wekuva nechirwere chemwoyo . Zvisinei, pane misiyano midiki pamaitiro azvinoita pamoyo.

• Chirwere chemwoyo: Izvi zvinokanganisa tsinga huru dzeropa dzinoenda kumoyo wako (tsinga dzemoyo). Kazhinji kacho zvinokonzerwa nemafuta akaunganidzwa (plaques - setsvina iri mupombi yemvura) mukati metsinga, zvichiita kuti ropa risafambe zvakanaka kana kuti rivharidzike zvachose.
• Chirwere cheMicvascular Coronary: Izvi zvinokanganisa mitsipa midiki yeropa ('microvasculature') inopararira kubva mutsinga huru dzeropa. Izvi zvinobvisa zvinovaka muviri mumoyo. Izvi hazvikonzerwi nemafuta akaunganidzwa ('plaques')., kungave nekuda kwekukuvara kwetsinga diki idzi kana nekuda kwekusashanda zvakanaka kwadzo.

Zvichitaurwa zviri nyore, imwe yakafanana nemota dziri mumugwagwa mukuru (Coronary Artery Disease), uye imwe yakafanana nemugwagwa mudiki une zambuko rakatyoka (Microvascular Coronary Disease). Zvose izvi zvinokanganisa rwendo.

Ndiani ane mukana mukuru wekuwana `Microvascular Coronary Disease`?

Dambudziko iri, rinonzi `Small Vessel Disease`, rinowanzoitika kuvakadzi kupfuura kuvarume. Njodzi iyi yakanyanya kuwanda kuvakadzi vane hormone inonzi `estrogen` yakaderera (semuenzaniso, panguva yekuenda kumwedzi).

Kunze kweizvozvo, kune zvimwe zvinhu zvakawanda zvinokonzera njodzi:

• Zvirwere zve autoimmune: Semuenzaniso, zvirwere zvakaita se vasculitis (kuzvimba kwetsinga dzeropa). Apa ndipo apo masoja emuviri wedu anorwisa masero edu.
• Kufuta: Kurema kwakanyanya kwemuviri kunokonzera zvirwere zvakawanda.
• Chirwere cheshuga: Chirwere cheshuga chirwere chinokanganisa huwandu hweshuga muropa. Izvi zvinogonawo kukanganisa mitsipa yeropa.
• Kudya zvisina hutano: Kudya munyu wakawandisa, mafuta akawandisa, uye chikafu chakagadziriswa.
• Kukwira kweropa: Kukwira kweropa hakuna kunakawo patsinga dzeropa.
• Cholesterol yakakwira: Kuwedzera kwemafuta muropa.
• Matambudziko eRheumatologic: Semuenzaniso, zvirwere zvakaita se lupus kana rheumatoid arthritis.
• Mararamiro ekugara pasi: Kusaita maekisesaizi ndiko kunokonzera zvirwere zvakawanda.
• Kusvuta: Kusvuta hakungokanganisi moyo chete, asiwo muviri wese.

Sei chirwere ichi chinonzi 'Microvascular Coronary Disease' chichiitika? Ndezvipi zvikonzero?

Dambudziko iri rinokanganisa tsandanyama dzakatsetseka dziri mumadziro etsinga diki dziri mumoyo mako. Mumoyo une hutano, tsandanyama idzi dzinofanira kukotama uye kukura sezvinodiwa. Kungofanana negirazi rekamera rinogona kukura nekukotama kuti risangane nezvinodiwa nemoyo zvinochinja, iyi ndiyo nzira inodzorwa nayo kufamba kweropa.

Asi mumunhu ane `Microvascular Coronary Disease`, madziro emukati metsinga idzi diki anokuvadzwa. Nekuda kwekukuvara uku, dzimwe nguva tsinga idzi dzinogona kungoerekana dzaoma (`spasms`). Ipapo kuyerera kweropa kuenda kumoyo kunokanganiswa. Fungidzira sekunge pombi yemvura inopwanywa kamwe kamwe, kuyerera kwemvura kunodzikira.

Ndezvipi zviratidzo zve `Zvirwere zveMidziyo Midiki`? Unozviziva sei?

Chiratidzo chikuru kurwadziwa pachipfuva kana kusagadzikana kunonzi `angina` . Izvi zvinowanzogara kwemaminitsi gumi kana kupfuura., kunyangwe kana wakazorora. Marwadzo aya anogona kuwedzera nekushushikana kwepfungwa, asi haawanzo kuwedzera nekurovedza muviri. Zviratidzo izvi zve'Microvascular Coronary Disease' zvinogona kuita kuti zviome kuita mabasa ezuva nezuva.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kuneta: Kunzwa kuneta zvakanyanya.
• Kushaya mweya: Kutadza kufema kunyangwe uchiita basa rakaoma zvishoma.
• Matambudziko ekurara: Zvinhu zvakaita sekushaya hope.

Zvakakosha: Kurwadziwa pachipfuva kunogonawo kuva chiratidzo chekurwara nemoyo. Saka ziva zvinhu izvi:

* Kana kurwadziwa kwechipfuva chako kusingapere kana kuti kuchiwedzera.

* Kana uine zvimwe zviratidzo zvechirwere chemwoyo, zvakaita sekushaya mweya, kurwadziwa kumusana, mutsipa, kana maoko, pamwe chete nekurwadziwa pachipfuva, fonera 911 nekukasika kana kuenda kuchipatara chiri pedyo.

Ungaongorora sei chirwere che "Microvascular Coronary Disease" nemazvo? ('Diagnosis')

Kutaura chokwadi, zvinogona kuoma zvishoma kuona chirwere chemwoyo che microvascular. Nekuti microvessels dzakaoma kuona, dzakaoma kuona nekuongororwa kwemoyo kwakajairika. Saka, zvakanaka kuona chiremba wemwoyo ane hunyanzvi muzvirwere zvemitsipa midiki. Ipapo unogona kuongororwa nemazvo uye kurapwa nekukurumidza.

Kuyedzwa kwakanakisa ("chiyero chegoridhe"`) kusimbisa kana ichi chiri `"Microvascular Coronary Disease`` ndeye `Cardiac Catheterization`` (heart catheterization) nekuyerwa kwe``Coronary Flow Reserve (CFR)``. Uku kuyedzwa kwakaoma zvishoma. Kunotarisa kuti tsinga diki idzodzo dzinogona kukura nekukurumidza sei uye kupa ropa rakawanda kumoyo, zvichienderana nezvinodiwa nemuviri wako.

Pamusoro pezvo, kune mimwe miedzo inoyera huwandu hweropa rinoyerera kuenda kumoyo:

• `Kuongororwa kwesimba remwoyo nenyukireya (PET scan)`
• `MRI yemwoyo ine perfusion`

Ndeapi marapirwo echirwere ichi? ('Marapirwo')

Mishonga inowanzopihwa senzira yekurapa. Mishonga iyi inoshanda nekuvandudza mashandiro etsinga dzeropa uye kuderedza njodzi yematambudziko.

Kurapa uku kunogona kusanganisira:

• Angiotensin-converting-enzyme (ACE) inhibitors: Izvi zvinokudza mitsipa yeropa uye zvinoderedza BP.
• Mishonga inorwisa ropa kuti risagwambe: Izvi zvinodzivirira ropa kuti risagwambe.
• Aspirin: Izvi zvinobatsirawo kuderedza kugwinha kweropa.
• Beta-blockers: Inoderedza kurova kwemoyo uye inoderedza BP.
• Zvinodzivirira calcium channel: Wedzera tsinga dzeropa.
• Zvinoderedza BP: Zvinoderedza BP nekubvisa mvura nemunyu wakawandisa mumuviri.
• Statins: Kuderedza huwandu hwecholesterol muropa.

Chiremba wako achaongorora mamiriro ako ezvinhu uye achasarudza kuti ndeapi marapirwo akakunakira.

Tingazvidzivirira sei kubva ku "Chirwere cheMidziyo Midiki" ichi? ('Kudzivirira')

Kuchengetedza moyo wako zvakanaka kunogona kukubatsira kuti ugare uine hutano hwakanaka uye kuderedza matambudziko anokonzerwa nezvirwere izvi. Zvinhu zvinotevera zvinogona kubatsira:

• Iva nekurovedza muviri kwakawanda: Zvakakosha kuita maekisesaizi zuva nezuva. Kana uri mutsva pakuita maekisesaizi, chirongwa chekurapa mwoyo chinogona kukubatsira.
• Kudya chikafu chine hutano pamoyo: kudya kusina mafuta, munyu, uye shuga shoma, uye michero nemiriwo yakawanda.
• Kuchengetedza BP iri padanho rakanaka.
• Kuramba uine huremu hwakanaka hunokunakira.
• Rega kusvuta zvachose.
• Kudzora huwandu hweshuga muropa, kunyanya kana uine chirwere cheshuga.

Kunyangwe kuita zvinhu izvi kungaita sekunge kwakaoma zvishoma, unogona kuona mutsauko mukuru kana ukajaira zvishoma nezvishoma.

Mikana ipi yekupora kune munhu ane `Small Vessel Disease`? (`Outlook`)

Kana kurapwa kwacho kuchibudirira, vanhu vazhinji vanopora zvakanaka uye vanokwanisa kutangazve mabasa avo ezuva nezuva. Zvisinei, zvakakosha kuramba uchiwana rubatsiro rwekutevera kuti uve nechokwadi chekuti kurapwa kwacho kuri kushanda nemazvo.

Zvakaita sei kurarama ne 'Microvascular Heart Disease'?

Zvinotora nguva kuti ujairire kutora mishonga uye kuchinja mararamiro ako. Mimwe mishonga inogona kukonzera migumisiro yakaipa, yakadai sedzungu. Zvakakosha kutaura nachiremba wako nezvezvinetso izvi. Anogona kukubatsira, pamwe kukupa mushonga wakasiyana, kana kukudzidzisa mashandisiro aunoita kurapwa kwako.

Chiremba wako anogona kukukumbira kuti unyore pasi zviratidzo zvako nezvinhu zvakaita seBP yako. Ruzivo urwu runogona kuvabatsira kugadzirisa marapirwo ako kuti aenderane nezvaunoda uye zvaunoda.

Chekupedzisira, yeuka kuti Microvascular Coronary Disease chirwere chinokanganisa kufamba kweropa kuburikidza netsinga diki dzeropa dziri mumoyo. Hachisi chivhariso chinokonzerwa nemafuta akawanda akadai sechirwere chemwoyo, asi kukuvara kwetsinga dzeropa. Chirwere ichi chinogona kukonzera kurwadziwa kwechipfuva nguva dzose uye kuwedzera njodzi yekurwara nemoyo. Zvisinei, nemishonga yakakodzera uye shanduko dzemararamiro, vanhu vazhinji vanogona kudzora zviratidzo zvavo uye kudzivirira matambudziko.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

• Chirwere cheMicrovascular Coronary chirwere chinokanganisa tsinga diki dzeropa dzemwoyo, zvakasiyana nechirwere chemwoyo chinowanzo konzerwa nekuvharika kwetsinga huru.
• Dambudziko iri rinowanzoitika kuvakadzi , kunyanya panguva yekuenda kumwedzi.
• Zviratidzo zvinogona kusanganisira kurwadziwa muchipfuva (angina), kushaya mweya, uye kuneta. Usazvifuratira.
• Kuongororwa kwechirwere dzimwe nguva kunogona kuoma, asi kunogona kuitwa nemiedzo chaiyo.
• Dambudziko rinogona kurapwa zvinobudirira nemishonga uye shanduko dzemararamiro.
• Kana uine zviratidzo izvi, tsvaga rubatsiro rwechiremba. Usazvidya moyo, kana ukarapwa zvakanaka, une mukana wakanaka wekupora.

Chengetedza moyo wako!

` Chirwere chemwoyo, chirwere chetsinga diki, chirwere chemwoyo che microvascular, kurwadziwa kwechipfuva, hutano hwevakadzi, njodzi yekurwara nemoyo, hutano hwemwoyo