Fungidzira kuti uri munhu ane hutano hwakanaka, asina chirwere kana kurwadziwa, uchiita mabasa ako ezuva nezuva. Unoita maekisesaizi, unodya zvakanaka, uye unonwa. Asi kamwe kamwe, usingatarisiri, unonzwa kurwadziwa kwakanyanya muchipfuva chako, kuoma. Unotanga kudikitira, unonetseka kufema, uye unonzwa kurwadziwa kunowira paruoko rwako. Chii chinotanga kuuya mupfungwa dzako? "Oh, ndiri kurwara nemoyo here?" Handizvo here kutya? Asi zviratidzo izvi hazvisi nguva dzose zvakafanana nezviratidzo zvechirwere chemwoyo chakajairika chatinoziva. Nhasi, tichataura nezve emergency yekurapa inotaridzika yakafanana, asi yakasiyana zvishoma, kunyanya pakati pevakadzi vechidiki vane hutano. Tinoidaidza kuti 'Spontaneous Coronary Artery Dissection' kana `(SCAD)` muchidimbu.
Zvichitaurwa zviri nyore, chii chinonzi SCAD?
Kunyange zvazvo zita racho ringanzwika serakaoma, zviri nyore kunzwisisa zviri kuitika. Funga nezvemwoyo wedu semota inoshanda nguva dzose. Mota iyi inoda ropa rinogara richiwanikwa, zvinoreva okisijeni nezvinovaka muviri, kuti ishande. Ropa iri rinotakurwa kuenda kutsandanyama dzemwoyo netsinga dzeropa dzakaita semapombi madiki. Idzi ndidzo dzatinodaidza kuti tsinga dzemwoyo.
Zvino, kunyange zvazvo tsinga iyi yemoyo yakaita sechubhu, madziro ayo akaumbwa nezvikamu zvitatu zvakanamirwa pamwe chete. Sekeke rechikamu. Panyaya yeSCAD, chinoitika ndechekuti, pasina chikonzero chakajeka, kubvaruka kudiki kunoerekana kwaitika mune imwe yezvikamu zviri mukati memadziro etsinga iyi.
Fungidzira zvinoitika kana mukati mepombi yemvura pakabvaruka zvishoma. Kumanikidzwa kwemvura kunoita kuti mvura ibude nepakabvaruka yobatwa pakati pemadziro maviri epombi. Saizvozvowo, kana pakava nekutsemuka mutsinga, ropa rinoyerera pasi pekumanikidzwa kwakanyanya rinobuda pakati pemamembrane maviri aya uye rinoungana. Kana ropa rabatwa nenzira iyi, rinoputira mumadziro etsinga panguva iyoyo, richivhara kuyerera kweropa. Izvi zvinonzi ``hematoma``. Kana kuyerera kweropa kwava kushoma kana kuvharwa zvachose nenzira iyi, huwandu hweropa hunosvika mutsandanyama yemwoyo hunoderera. Ndipo panoonekwa zviratidzo zvechirwere chemwoyo zvatakataura nezvazvo pakutanga.
Chinhu chakakosha ndechekuti SCAD haisi chirwere chemwoyo, icho chinowanzo kukonzerwa necholesterol deposits (atherosclerosis) inovhara tsinga dzeropa. Iyi inzira yakasiyana zvachose.
Ndezvipi zviratidzo zveizvi? Unozviziva sei?
Zviratidzo zveSCAD zvakafanana zvikuru nezviya zvechirwere chemwoyo chakajairika, saka zviri nyore kuvhiringidza zviviri izvi. Asi kana ukaona chimwe chezviratidzo izvi, zvakakosha kuzvitora sedambudziko rehutano .
| Chiratidzo | Tsananguro |
|---|---|
| Kurwadziwa pachipfuva kana kumanikidzwa | Ichi ndicho chiratidzo chinowanzoitika. Zvinogona kuita sekuti chipfuva chako chiri kusimba kana kuti chiri kudzvinyirirwa. |
| Kuoma kufema | Unganzwa kushaya mweya uye chipfuva chako chinganzwa chakazara. |
| Kurwadziwa muruoko, pafudzi, mumutsipa, kana mushaya | Marwadzo epachipfuva anogona kupararira kuruoko rweruboshwe, pafudzi, kana pashaya. |
| Kudikitira zvakanyanya | Unganzwa kutonhora uye kudikitira pasina chikonzero. |
| Dzungu kana kuti musoro wakapfava | Kunzwa dzungu kana kupera simba. |
| Kusvotwa nekurutsa | Kurutsa kunogona kukonzerwa nekurwadziwa kwemudumbu. |
| Kurova kwemwoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza. |
Kana ukaona chimwe chezviratidzo izvi, usanonoka kwekanguva. Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika kana kufonera amburenzi. Izvi hazvisi zvinhu zvaunogona kuchengeta kumba.
Ndiani ari panjodzi huru yekuva neSCAD?
Ichi ndicho chinhu chinoshamisa zvikuru nezveSCAD. Kurwiswa kwemoyo kunowanzoitika kuvanhu vakuru, vane zvinhu zvine njodzi zvakaita seshuga, BP, uye cholesterol. Asi SCAD haina kudaro.
- Kazhinji kacho vakadzi: Pavanhu gumi vane chirwere cheSCAD, 9 vakadzi.
- Vachiri vadiki: Dambudziko iri rinowanzoitika, kunyanya pakati pevakadzi vane hutano hwakanaka vari pakati pemakore makumi mana kusvika makumi mashanu vasina zvimwe zvinhu zvinokonzera chirwere chemwoyo.
- Zvine chekuita nepamuviri: Vamwe vakadzi vanogona kuva nechirwere ichi panguva yekuzvitakura kana mushure mekusununguka. Zvinofungidzirwa kuti chinokonzerwa nekuchinja kwemahormone uye kushushikana kwekusununguka.
- Kushushikana kwakanyanya mumuviri kana mupfungwa: Kusimudza zvinorema kamwe kamwe, kurovedza muviri kwakaoma, kana kushungurudzika kwakanyanya mupfungwa kana kusuruvara zvinogona kukonzera chirwere cheSCAD.
- Zvimwe zvirwere: Vanhu vane Fibromuscular Dysplasia (FMD) (chirwere chinopedza simba madziro etsinga dzeropa), zvirwere zve connective tissue zvakaita seMarfan syndrome, uye lupus vari panjodziwo.
Chiremba anoongorora sei izvi?
Paunoenda kuchipatara che emergency, chinhu chekutanga chinoitwa navanachiremba ndechekutarisa kana uine chirwere chemwoyo. Vanoita bvunzo dzakasiyana-siyana kuti vaone kana uine chirwere chemwoyo. Kuongororwa kwakakosha kunodiwa kuti unyatsoongorora chirwere cheSCAD.
| Bvunzo | Zvichitaurwa zviri nyore... |
|---|---|
| ECG (Electrocardiogram) | Kushanda kwemagetsi kwemoyo kunonyorwa uye zviratidzo zvechirwere chemwoyo zvinoongororwa. |
| Kuongororwa kweRopa | Mazinga ema enzyme anoungana muropa kana tsandanyama yemwoyo yakuvara anoongororwa. |
| Angiogram yeCoronary | Iyi ndiyo bvunzo huru uye inonyanya kukosha yekuongorora SCAD.Kachubhu kadiki kanopinzwa nepatsinga iri paruoko kana pagumbo uye dhayi yakakosha inopinzwa mutsinga dzemwoyo. X-ray inotorwa kuti ionekwe mukati metsinga. Panyaya yeSCAD, izvi zvinogona kuratidza zvakajeka kuti tsinga yaputika sei uye kuti ropa ravharika sei. |
| IVUS kana Gumiguru | Aya ma scan akakosha anoitwa panguva imwe chete neangiogram kuti aone zviri mukati metsinga zvakajeka. |
Inorapwa sei? Zvinotora nguva yakareba sei kuti ipore?
Kurapa kweSCAD kwakasiyana zvishoma nekurapa chirwere chemwoyo chinogara chichiitika. Zvinoshamisa kuti, nyaya zhinji dzeSCAD dzinopera dzoga nekufamba kwenguva nemishonga, pasina kuvhiyiwa kana kuvhiyiwa kukuru. Muviri unogona kuporesa tsinga yakabvaruka wega.
Nzira dzekurapa
- Kurapa nemishonga: Mishonga yakaita seaspirin yekudzivirira kuumbwa kweropa, beta-blockers yekudzora kurova kwemoyo neBP uye kudzikamisa tsinga dzeropa, uye mishonga yekudzora marwadzo echipfuva ndiyo yakakosha.
- Kupinda muchipatara: Murwere anochengetwa muchikamu chevarwere vanorwara zvakanyanya kana muwadhi yechipatara kwemazuva akati wandei, uye mashandiro emoyo anotariswa zvakanaka.
- Angioplasty uye Stenting: Izvi hazviwanzoitwa kakawanda. Kana tsinga yeropa yakavharwa zvachose uye hupenyu hwemurwere huri panjodzi, bharumu rinoshandiswa kuputira tsinga uye mudziyo wakaita seweshi (stent) unoiswa kuti irambe yakavhurika.
- Kuvhiyiwa kweBypass: Izvi hazviwanzoitwa kune SCAD.
Nguva yekupora inosiyana kubva pamunhu nemunhu. Kazhinji unofanira kugara muchipatara kwemazuva angangoita matatu kusvika mashanu. Zvinogona kutora mavhiki akati wandei kana mwedzi kuti tsinga yakabvaruka ipore zvizere. Zvisinei, zvakakosha kutevedzera mirairo yachiremba nokungwarira panguva iyi.
Mushure mekupora
Kunyangwe mushure mekupora, uchafanira kuramba uchienda kukiriniki uchitarisirwa nachiremba wemwoyo.
- Kurapa Mwoyo: Izvi zvakakosha zvikuru. Chirongwa ichi chinokubatsira kurovedza muviri zvakachengeteka uchitarisirwa nachiremba, kudya chikafu chine hutano pamoyo, uye kudzora kushushikana.
- Kuchinja mararamiro: Chiremba wako anogona kukukurudzira kuti usashandise zvinhu zvinorema uye mabasa anokumanikidza muviri wako.
Kana chirwere cheSCAD chikaitika, zvakajairika kuti unzwe kunetseka uye kunetseka, uchizvibvunza kuti, "Chinhu chakadai chingaitikazve here?" Taura pachena nezvazvo nachiremba wako. Tsvaga mazano epfungwa kana zvichidikanwa.
Mharidzo Yekuenda Nayo Kumba
- SCAD chirwere chekukurumidzira chinokonzera tsinga yemwoyo yakangoerekana yatsemuka, kunyangwe iine zviratidzo zvakafanana nechirwere chemwoyo, asi zvakasiyana.
- Dambudziko iri rinowanzoonekwa kuvakadzi vechidiki vane hutano hwakanaka, vasina njodzi yekubatwa nezvimwe zvirwere zvemwoyo.
- Kana ukaona zviratidzo zvakaita sekurwadziwa pachipfuva, kuoma kufema, kana kudikitira zvakanyanya, usazviregeredza. Enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Varwere vazhinji veSCAD vanopora zvachose nemishonga, uye kuvhiyiwa hakudiwi kakawanda.
- Mushure mekupora, kutevedzera mirairo yachiremba wako, kuramba uchienda kukiriniki, uye kutora chikamu muzvirongwa zvekurapa mwoyo zvakakosha zvikuru pahutano hwako hweramangwana.
- Usazeza kutaura nachiremba wako nezvekutya uye kuzvidya mwoyo kwaunosangana nako mushure mekusangana nemamiriro ezvinhu aya uye tsvaga rubatsiro rwepfungwa runodiwa.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga