Tsoka dzako nemakumbo zvinogara zvichizvimba here? Unonzwa kushaya mweya kunyangwe mushure mekufamba kana kukwira masitepisi here? Ungafunga kuti idambudziko reitsvo kana chirwere chinowanzoitika apo muviri wako unozadzwa nemvura. Asi waizviziva here kuti zvinhu izvi zvinogonawo kukonzerwa nedambudziko remwoyo wako? Nhasi tiri kutaura nezvechimwe chirwere chakadai, chinonzi 'Right-Sided Heart Failure' . Izvi zvinganzwika seshoko rakakomba, asi usazvidya mwoyo. Ngatitaure nezvazvo zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Right-Side Heart Failure?
Fungidzira kuti mwoyo yedu yakaita seimba diki ine makamuri mana. Kune mativi maviri eimba iyi, divi rekuruboshwe nedivi rekurudyi. Kune makamuri maviri kudivi rega rega.
Zvino, basa guru rerutivi rwerudyi rwemoyo nderekuunganidza ropa "rakasviba" rakashandiswa rose uye rapera okisijeni mumuviri wedu wese, uye kuripomba richidzokera kumapapu kuti ripihwezve okisijeni.
Asi kana paine chirwere chinonzi 'Right-Sided Heart Failure', kugona kupomba kwerutivi rwerudyi rwemoyo kunoderera. Zvakafanana nepombi yemvura inokundikana uye isingapombi mvura. Chii chinoitika semhedzisiro?
- Ropa rinoda kutumirwa kumapapu harigone kupombwa zvakanaka.
- Nekuda kweizvi, ropa rinoungana mutsinga dzinotakura ropa kubva mumuviri kuenda kumoyo, zvichiita kuti vanhu vakawanda vagare mumigwagwa.
- Kuzara uku kunowedzera kumanikidzwa mukati metsinga.
- Nekuda kwekumanikidzwa kwakawedzerwa ikoko, mvura iri mukati metsinga inotanga kudonhera zvishoma nezvishoma mumatishu akakomberedza.
- Mvura iyi inobuda youngana munzvimbo dzakadai semakumbo, zvitsitsinho, nedumbu, zvichikonzera kuzvimba (edema).
Zvichitaurwa zviri nyore, ndiyo nyaya yacho. Kana pombi yerudyi ikaneta, ropa rinozara uye muviri unozara nemvura.
Saka chii chinonzi kutadza kwemoyo kudivi rekuruboshwe?
Mwoyo une divi rekurudyi nedivi rekuruboshwe. Basa redivi rekuruboshwe nderekupomba ropa "rakachena" rine oxygen kubva mumapapu kuenda kumuviri wese. Nekuti rinofanira kupomba ropa mumuviri wese, divi rekuruboshwe rakasimba uye rakakura kupfuura divi rekurudyi.
'Kukundikana kwemoyo Kudivi Rekuruboshwe' chirwere chinokonzerwa nekusashanda zvakanaka kwemoyo kuruboshwe. Zvinoshamisa kuti kazhinji, chikonzero chikuru chekukundikana kwemoyo kurudyi ndiko kutadza kushanda kwemoyo kuruboshwe. Tichatanga taongorora izvozvo.
Chii chinokonzera kusasimba kurudyi rwemoyo?
Sezvatakambotaura, chikonzero chikuru uye chinowanzoonekwa iLeft-Side Heart Failure. Zvisinei, panogona kunge paine zvimwe zvikonzero zvakare. Ngationgororei zvikonzero izvi.
| Zvikonzero zvikuru | Tsananguro iri nyore |
|---|---|
| Kukundikana kweMwoyo Kudivi Rekuruboshwe | Ichi ndicho chikonzero chikuru chinoita kuti rutivi rwerudyi rwemuviri ruve rusina simba kuvanhu vazhinji . Kana rutivi rweruboshwe rusina simba, kuzara kweropa kunokanganisa zvishoma nezvishoma rutivi rwerudyi, zvichiita kuti rutivi irworwo ruve rusina simba. |
| Zvirwere zvemapapu | - Chirwere chemapapu chenguva refu (semuenzaniso COPD - Chirwere Chisingaperi Chekuvharira Mapupa ) - Kukwira kweropa mumapapu (Pulmonary Hypertension) - Pulmonary embolism (kugwamba kweropa mumapapu) |
| Zvimwe zvirwere zvemwoyo zvinoderedza simba reruboshwe | - Chirwere chetsinga yeropa - Kukwira kweropa kusingadzoreki - Kurwara kwemoyo kwakamboitika |
Chinhu chikuru: Kazhinji, rwendo urwu runotanga nematambudziko anogona kudzorwa akadai seBP yakakwira uye cholesterol. Kana zvikasadzorwa, izvi zvinogona kunetesa zvishoma nezvishoma rutivi rweruboshwe rwemoyo, zvichizopedzisira zvakanganisawo rutivi rwerudyi.
Dambudziko riri kuruboshwe rinokanganisa sei kurudyi?
Zvino ungave uchifunga kuti, "Zvakanaka, kana pombi yekuruboshwe isina simba, divi rekurudyi ringave sei nedambudziko?" Zvinoshanda seizvi, funga nezvazvo semudhudhudhu uri mumugwagwa.
1. Kana rutivi rwekuruboshwe rwemoyo ruchipera simba, huwandu hweropa rarunogona kupomba kuenda kumuviri hunoderera.
2. Nekuda kweizvi, ropa raifanira kunge richiyerera kuruboshwe rinotanga kuvharirwa uye kuungana mumapapu.
3. Kana ropa richiungana mumapapu, BP mumapapu inowedzera.
4. Zvino basa rerutivi rwerudyi nderekupomba ropa kuenda kumapapu, uko kumanikidzwa uku kunowedzera.
5. Sezvo rutivi rwerudyi rwemoyo ruchiramba ruchishanda pakurwisa kumanikidzwa kwakawedzerwa, runonzwa sekunge rwuri kukwira gomo. Nekufamba kwenguva, rutivi rwerudyi runopera simba zvishoma nezvishoma, rusingakwanise kutakura uremu uhwu, uye pakupedzisira runorasikirwa nekukwanisa kwarwo kupomba.
Ndizvo zvinoita kuti dambudziko riri kuruboshwe rikanganise divi rekurudyi.
Ndezvipi zviratidzo zvechirwere ichi?
Chiratidzo chikuru chechirwere ichi kuzvimba (edema) kunokonzerwa nekuungana kwemvura mumuviri, sezvatakambokurukura. Zvisinei, panogona kunge paine zvimwe zviratidzo zvakare.
| Chikamu chezviratidzo | Zvinhu zvinoonekwa |
|---|---|
| Chiratidzo chikuru: Kuzvimba (Edema) | |
| Nzvimbo dzakazvimba | - Makumbo, tsoka netsoka. - Paunomira, mvura inoungana pasi nekuda kwesimba regiravhiti. - Kana uri pamubhedha, musana wako wepazasi unogona kuzvimba. - Sezvo mamiriro acho achiipa, mvura inogona kuungana mudumbu yozadza dumbu ( ascites ). |
| Zvimwe zvinhu zvakajairika | |
| Matambudziko ekufema | - Kutadza kufema kunyangwe kana ukashanda nesimba zvishoma. - Kutadza kufema zvakanaka kana wakarara pasi husiku. |
| Zviratidzo zvine chekuita nemoyo | - Kurwadziwa pachipfuva kana kusagadzikana. - Kunzwa sekuti moyo wako uri kurova nekukurumidza (Heart Palpitations). |
| Zviratidzo zvekugaya chikafu | - Kuungana kwemvura muchiropa nemudumbu kunogona kukonzera kuda kurutsa, kuzvimba, uye kurasikirwa nechido chekudya. |
| Zvinhu zvepamusoro | Sezvo mamiriro acho achiipa, huremu hwemuviri uye tsandanyama zvinogona kudzikira nekukurumidza. Izvi zvinonzi Cardiac Cachexia . |
Unoona sei izvi, Chiremba?
Kana ukaenda kunoona chiremba ane zviratidzo izvi, achatevera matanho akati wandei kuti aongorore chirwere chacho.
1. Kukubvunzai ruzivo rwakadzama: Chinhu chekutanga chatinoita kutaura nemi zvizere. Tinokubvunzai nezvezviratidzo zvenyu, kuti mave nenguva yakareba sei muchizvibata, uye kana muine zvimwe zvirwere, zvakaita seBP kana chirwere cheshuga.
2. Kuongororwa kwemuviri: Tevere, uchaongororwa.
- Kurova kwemoyo wako neBP yako zviri kuyerwa.
- Chipfuva nemapapu zvinoteererwa ne stethoscope.
- Tarisai nokungwarira kuti hamuna kuzvimba munzvimbo dzakadai semakumbo nedumbu.
Miedzo yekurapa inodiwa
Mushure mekuongorora zviratidzo zvako nekuongororwa kwemuviri, chiremba wako anokurudzira bvunzo dzinoverengeka kuti asimbise chirwere chacho uye awane chikonzero chacho.
- X-ray yechipfuva: Izvi zvinogona kushandiswa kutarisa kana mwoyo wakakura uye mvura yakaungana mumapapu.
- ECG (Electrocardiogram): Nekunyora mashandiro emagetsi emwoyo, zvinokwanisika kuona kusarongeka kwemoyo uye zviratidzo zvechirwere chemwoyo.
- Echocardiogram (Echo): Izvi zvakafanana nekuongororwa kwemoyo. Zvinogona kuona kuti makamuri emoyo akakura sei, kuti mavharuvhu emwoyo ari kushanda zvakanaka sei, uye kuti mwoyo uri kupomba zvakanaka sei (ejection fraction). Iyi bvunzo yakakosha zvikuru.
- Kuongororwa kweRopa: Izvi zvinonyanya kuyera huwandu hwekemikari inonzi ``Natriuretic Peptides (NPs).`` Kemikari iyi inowedzera muropa kana moyo uchinzwa basa rakawanda.
Mune zvimwe zviitiko, bvunzo dzakadai seMRI, CT scan, uye cardiac catheterization zvinogona kuitwa kuti zviongororwe kana kuti zvisave nezvimwe zvinokonzera chirwere ichi.
Ndezvipi zvinorapwa izvi?
Chinhu chinonyanya kukosha ndechekuyeuka kuti kunyangwe chirwere ichi chisingarapike zvachose, chinogona kudzorwa zvakanaka uye unogona kurarama hupenyu hune simba nekurapwa kwakakodzera uye kuchinja mararamiro ako .
Pane zvinangwa zvikuru zviviri pakurapa: chimwe ndechekudzora zviratidzo, uye chimwe kudzivirira kuti chirwere chisanyanya kuipa.
1. Kuchinja Kwemararamiro
Iyi ndiyo hwaro hwekurapa. Hazvina kukwana kungotora mushonga chete, unofanirawo kuita zvinhu izvi iwe pachako.
- Deredza munyu: Sezvo munyu uchiwedzera kuchengetwa kwemvura mumuviri, kuderedza zvakanyanya huwandu hwemunyu unowedzerwa muchikafu.
- Kuderedza kunwa mvura:Chiremba wako achakutaurira huwandu hwemvura yaunofanira kunwa pazuva. Usanwe mvura inopfuura iyoyo.
- Kurega kusvuta nedoro zvachose: Zvese zvinokuvadza mwoyo zvikuru.
- Kudya kwakanaka: Idya mafuta mashoma neshuga shoma, miriwo yakawanda, michero, uye miriwo.
- Kuchengeta huremu hwakanaka: Kufuta kunoremedza mwoyo.
- Kurovedza muviri: Bvunza chiremba wako uye ita maekisesaizi akareruka akakodzera iwe. Kunyangwe kufamba zvakanaka.
- Kudzora kushushikana: Chengetedza hutano hwepfungwa kuburikidza nezvinhu zvakaita seyoga nekufungisisa.
2. Mishonga
Zvichienderana nemamiriro ako ezvinhu, chiremba wako anokurudzira mhando dzakasiyana dzemishonga.
- Mishonga inobvisa mvura mumuviri: Idzi dzinonziwo "mapiritsi emvura." Dzinobatsira kubvisa mvura yakawandisa mumuviri kuburikidza neweti.
- Mishonga yeBP: Mishonga yakaita seACE inhibitors, ARBs, uye ARNIs inoderedza kumanikidzwa kweropa mutsinga dzeropa uye inoderedza basa remwoyo.
- Mishonga inoderedza kurova kwemoyo: Mishonga yakaita se'Beta-blockers' inobatsira kudzora kurova kwemoyo uye kupa moyo zororo.
- Mimwe mishonga: Kana zvichidikanwa, mishonga yakaita semishonga inoderedza ropa uye mishonga inoderedza cholesterol inogona kupihwa.
3. Mamwe marapirwo
Kana mamiriro acho akanyanya kuipa, chiremba anogona kukurudzira michina yakakosha kana kuvhiyiwa.
- Midziyo yakakosha: Kana kurova kwemoyo kusina kurongeka, pacemaker dzakadai se `Implantable Cardioverter-Defibrillator (ICD)` kana `Cardiac Resynchronization Therapy (CRT)` dzinogona kuiswa kuti dzidzore kurova kwemoyo.
- Kuvhiyiwa: Kana paine chikonzero chinogona kurapwa nekuvhiyiwa, senge dambudziko revharuvhu yemwoyo kana kuvharika kwetsinga dzemwoyo, unogona kutumirwa kunovhiyiwa senge `Coronary Artery Bypass` kana `Valve Replacement`.
- Kuisirwa Mwoyo: Senzira yekupedzisira, kuisirwa moyo kunogona kufungwa nezvako kana paine nyaya dzakakura apo pasina imwe nzira yekurapa inogona kudzora mamiriro acho ezvinhu.
Unofanira kutsvaga rubatsiro rwechiremba nekukasika rini?
Kana ukanzwa kurwadziwa kwechipfuva kamwe kamwe, kupererwa nemweya zvakanyanya, kana kupera simba, zvinogona kuva chiratidzo chekurwara nemoyo. Kana zvakadaro, fonera amburenzi nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
Pamusoro pezvo, kana ukaona chimwe chezviratidzo zvitsva kana kuti zviri kuipa zvinotevera, ona chiremba wako:
- Kuoma kwekufema kuri kuwedzera.
- Kuzvimba kwemakumbo kunowedzera nekukurumidza mukati memazuva mashoma.
- Kunzwa kurova kwemoyo kusina kujairika.
- Kunzwa kuneta kana kushaya simba zvakanyanya.
Mharidzo Yekuenda Nayo Kumba
- Kukundikana kwemoyo Kudivi Rerudyi chirwere chinokonzerwa nekutadza kupomba zvakanaka kwemoyo, zvichiita kuti muviri ugare wakabata mvura uye uzvimbe, kunyanya makumbo nedumbu.
- Chikonzero chikuru chechirwere ichi kusasimba kwekutanga kwerutivi rweruboshwe rwemoyo. Kukwira kweropa nezvimwe zvirwere zvemoyo zvinogona kukonzera izvi.
- Kana uine zviratidzo zvakaita sekuzvimba kwemakumbo, kuoma kufema kunyangwe uchishanda nesimba zvishoma, uye kushaya chido chekudya, tsvaga rubatsiro rwechiremba.
- Kunyangwe izvi zvisingarapike zvachose, zvinogona kudzorwa zvakanaka uye kurarama hupenyu hwakajairika nekushandisa mishonga, kuchinja mararamiro, uye kutarisirwa kwakakodzera kwechiremba.
- Zvakakosha kutevedzera mirairo yachiremba wako nemishonga nemazvo. Usamborega kutora mushonga wako kana kuchinja mwero wemushonga wega.
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