Unoziva here nezverufu rwemwoyo rusingatarisirwi?

Ungave wakanzwa kuti mumwe munhu aive akagwinya, asina kurwara kana kutambura, akangoerekana afa. Dzimwe nguva tingave takaona mupepanhau kuti mutambi akadonha panhandare ndokufa. Zvinotishamisa chaizvo patinonzwa zvinhu zvakadaro, handiti? Kazhinji, chikonzero cherufu rwakadaro idambudziko remwoyo. Nhasi, ngatitaurei nezvechirwere ichi chinonzi `Sudden Cardiac Death` (SCD) . Kunyangwe ichi chiri chinhu chine njodzi zvikuru, zvakakosha kuti uzive nezvacho.

Chii chinonzi Sudden Cardiac Death (SCD)?

Zvichitaurwa zviri nyore, `Kufa Kwemwoyo Kusingatarisirwi` (SCD) rufu rusingatarisirwi runoitika mukati menguva pfupi, senge awa imwe chete, nekuda kwedambudziko remwoyo. Izvi zvinoitika kana moyo ukangomira kamwe kamwe, ndiko kuti, kana `Kumira Kwemwoyo` kwaitika. Funga nezvazvo, moyo wakaita seinjini yemuviri wedu. Chinoitika pano chinoita sekunge injini iyi yakangomira kushanda kamwe kamwe.

Chii chinoitika kana moyo wamira? Mwoyo unopomba ropa rine okisijeni mumuviri wedu wese. Kana moyo wamira, uropi nedzimwe nhengo dzinokosha hadzigamuchire okisijeni. Pasina okisijeni, nhengo idzi hadzigone kushanda uye hadzigone kurarama. Saka, kana rubatsiro rukasagamuchirwa nekukurumidza uye moyo ukasatanga kushanda zvakare, unogona kuguma nerufu. Ndizvo zvatinodaidza kuti 'Kufa Kwemwoyo Kusingatarisirwi'.

Asi hechino chimwe chinhu chakakosha chekurangarira. Kana ukatanga CPR (Cardiopulmonary Resuscitation) kana munhu angoerekana amira kurova kwemoyo, ndiko kuti, kana mwoyo wake wamira kurova, unogona kuwedzera kaviri kana katatu mukana wekuponesa hupenyu hwake. Ndosaka zvichikosha kuziva nezveCPR.

Chirwere ichi chinonzi `SCD` chakajairika zvakadii?

Izvi zvinotyisa zvishoma. SCD ndiyo inonyanya kukonzera rufu runokonzerwa nezvikonzero zvechisikigo munyika dzakadai seUnited States. Ndiyo inouraya hafu yevanhu vose vanofa nechirwere chemwoyo.

Zvichienderana nenhamba, vanhu vanopfuura mamiriyoni 3.5 muUnited States chete vanotambura nechirwere chemwoyo chinokonzerwa nekumira kwemoyo vari kunze kwechipatara gore rega rega. Chinhu chinosuwisa ndechekuti, kunyangwe vakarapwa neamburenzi, vashoma chete, vanosvika gumi muzana, ndivo vanopona.

Chimwe chinhu ndechekuti varume vane mukana wakapetwa kaviri wekuwana chirwere cheSDD pane vakadzi. Asi hazviwanzoitiki kuvana vadiki. Mwana mumwe chete kana vaviri chete pavana 100,000 vanozvarwa vari vapenyu pagore.

Pane zviratidzo zvekunyevera here kana munhu afa nemwoyo kamwe kamwe?

Ehe, dzimwe nguva pane zviratidzo zvinogona kuoneka maawa, mazuva, kana kunyange mavhiki SCD isati yaitika. Kana ukanyatsoteerera izvi, unogona kudzivirira tsaona yakakura. Kana uine zviratidzo izvi, unofanira kutsvaga rubatsiro rwechiremba nekukasika .

• Zviratidzo zvehupenyu zvisina kujairika : Izvi zvinoreva shanduko dzisiri dzenguva dzose muzvinhu zvakaita sekurova kwemoyo neBP.
• Zviratidzo zvechirwere chemwoyo(Zviratidzo zvechirwere chemwoyo): Zvinhu zvakaita sekurwadziwa pachipfuva, kuomarara, kurwadziwa kunoyerera neparuoko rweruboshwe.
• Utachiona hwakanyanya hwakaita se'Sepsis': Chirwere chinokonzerwa nehutachiona hwakanyanya mumuviri.
• Kuneta : Kunzwa kuneta zvakanyanya pasina chikonzero.
• Kushaya mweya : Kunzwa sekunge uri kudzipwa kunyangwe nekufamba-famba zvishoma.
• Kurwadziwa pachipfuva : Ichi ndicho chiratidzo chikuru chinozivikanwa nevanhu vazhinji.
• Kufenda: Kurasikirwa nepfungwa kamwe kamwe uye kudonha.
• Kurova kwemoyo: Kunzwa kwemoyo uchirova nekukurumidza, ruzha runorova muchipfuva.

Kana iwe kana mumwe munhu waunoziva aine chimwe chezviratidzo izvi kana kupfuura, usazvitore sezvisina basa. Enda kuna chiremba nekukurumidza.

Chii chinokonzera `SCD` iyi?

Chikonzero chikuru che `SCD` chirwere chemwoyo . Zvichitaurwa zviri nyore, kuvharika kwetsinga dzinoendesa ropa kumoyo (coronary arteries) nemafuta akawanda. Izvi zvinotadzisa mwoyo kugamuchira ropa rakakwana.

SCD muvanhu vari pasi pemakore makumi matatu nemashanu ekuberekwa inowanzo kukonzerwa nekushaya kwemoyo kwakashata (arrhythmia) . Iri idambudziko rine rhythm yemwoyo. Izvi zvinogona kukonzerwa nematambudziko emwoyo wekuzvarwa nawo kana mamiriro ezvinhu emumajini anokanganisa mashandiro emagetsi emwoyo.

Ungave wakaona kuti vatambi vemitambo yehunyanzvi vanogara vachiongororwa kuti vane hypertrophic cardiomyopathy (kukora kwetsandanyama dzemwoyo, kunyanya masero etsandanyama dzemwoyo), inova ndiyo inonyanya kukonzera SCD muboka iroro rezera. Zvisinei, SCD haiwanzoitiki muvatambi (pakati pemunhu mumwe chete kusvika kune vatanhatu pavatambi 100,000 vari pasi pemakore 35).

Chikonzero cheSCD muvanhu vane makore anopfuura makumi matatu nemashanu ekuberekwa chinowanzova chakafanana nechirwere cheCoronary Artery Disease chataurwa kare.

Kuwedzera kune zvikonzero zvikuru zviviri izvi, kune zvimwe zvikonzero zvakawanda zve `SCD`. Izvi ndeizvi:

• Cardiomyopathy inobva kuDoro Use Disorder.
• Kufuta zvakanyanya .
• Zvirwere zvemajini zvetsandanyama yemwoyo, semuenzaniso `Hypertrophic Cardiomyopathy` uye `Arrhythmogenic Cardiomyopathy` zvambotaurwa.

Ndezvipi zvinhu zvinokonzera SCD?

Pane zvinhu zvakawanda zvinokonzera chirwere cheSDD. Njodzi iyi inowedzera nekukura, kana uri murume, uye kana uine zvimwe zvirwere zvemwoyo zvemajini (semuenzaniso, Hypertrophic Cardiomyopathy).

Zvinhu zviviri zvikuru zvinokonzera njodzi ndeizvi:

• Kumbova nechirwere chemwoyo chakamboitika: Njodzi yekubatwa nechirwere chemwoyo yakanyanya mushure mekurwara nemoyo.
• Chirwere chetsinga dzemwoyo:Zvimwe zvinhu zvinokonzera izvi zvinosanganisira kusvuta, nhoroondo yemhuri yechirwere chemwoyo, cholesterol yakakwira, uye moyo wakakura.

Pamusoro peizvi, kune zvimwe zvinhu zvinokonzera njodzi:

• Aimbova ne "Sudden Cardiac Arrest" kare.
• Mumwe munhu mumhuri akambobatwa nechirwere chemwoyo chinonzi 'Sudden Cardiac Arrest' kana kuti 'SCD'.
• Iwe kana mumwe munhu mumhuri yako ane mamwe maitiro emwoyo asina kujairika (`Arrhythmia`). Semuenzaniso, mamiriro akaita se`Long QT Syndrome` , `Wolff-Parkinson-White Syndrome` uye `Ventricular Tachycardia` .
• Kuitika kwe 'Ventricular Tachycardia' kana 'Ventricular Fibrillation' mushure mekurwara nemoyo.
• Kuva nematambudziko emwoyo ekuzvarwa nawo kana kuti ane matambudziko etsinga dzeropa.
• Kuva nenhoroondo yekusagona kurara zvakanaka pasina chikonzero chakajeka.
• Kukundikana kwemoyo : Izvi zvinoreva kuti kugona kwemoyo kupomba ropa hakuna kusimba pane zvakajairwa. Vanhu vane Kukundikana kwemoyo vane mukana wakapetwa katanhatu kusvika kapfumbamwe wekuva neVentricular Arrhythmia (kurova kwemoyo kusina kurongeka kwemasero emoyo) uye vanotambura neSpidden Cardiac Arrest kupfuura vamwe.
• Dilated Cardiomyopathy (tsandanyama dzemwoyo dzakakura uye dzisina simba): Ichi ndicho chinokonzera chirwere cheSDD chinosvika 10%. Mavanga nekukuvara kwetsandanyama dzemwoyo zvinowedzera njodzi yekurohwa kwemoyo zvisina kujairika. Izvi zvinogonawo kukonzera kutadza kushanda zvakanaka kwemoyo.
• Hypertrophic Cardiomyopathy (kukora kwetsandanyama yemwoyo).
• Kuchinja kukuru muhuwandu hwe potassium ne magnesium muropa.
• Kufuta zvakanyanya .
• Chirwere cheshuga .
• Kuva nenhoroondo yekushandisa zvinodhaka kana kutora mishonga inokanganisa kurova kwemoyo.

Kana uine chimwe chezvinhu izvi kana kupfuura zvinoisa njodzi, zvakakosha kutaura nachiremba nezvenzira dzekuderedza njodzi yako.

Ungaziva sei `SCD`?

`SCD` inosimbiswa nachiremba mushure mekusimbisa kuti hapana zvimwe zvakakonzera rufu. Munhu anogona kunge aine `Sudden Cardiac Arrest` uye anogona kunge aine `SCD` kana aine zviratidzo zvinotevera:

• Dai ndisiri kufema.
• Kana kurova kwemoyo kusingaderere.
• Dai pasina kuziva.

Chii chatingaita kuti tideredze njodzi yeSCD?

Pane zvakawanda zvatinogona kuita kuderedza njodzi iyi.

• Enda kuna chiremba nenguva uye taura navo nezvehutano hwako.
• Ramba uine mararamiro ane hutano. Ramba uine huremu hwakanaka hunokunakira, rovedza muviri, uye idya chikafu chisina mafuta akawanda.
• Dzivisa zvigadzirwa zvefodya zvachose.
• Kana uine cholesterol yakakwira, kana kuti uine kurova kwemoyo kusina kurongeka (`Arrhythmia`),Inwa mishonga yakanyorerwa nachiremba nemazvo.
• Kana chiremba wako akakurudzira, tora mudziyo unonzi `Implantable Cardioverter Defibrillator` (`ICD`) . Mudziyo uyu unoona mafambiro emwoyo ane njodzi uye unokonzeresa kuvhunduka kwemagetsi kumoyo kuti udzoke pakare.
• Kurapwa kana kuvhiyiwa kunokurudzirwa nachiremba wako, zvakaita seAngioplasty (kuvhura tsinga dzemwoyo) kana Catheter Ablation (kugadzirisa masaini emagetsi asina kurongeka mumoyo).
• Kana chiremba wako akakurudzira, tsvaga kuongororwa kwemajini kuti uone kana paine zvirwere zvemajini zvinogona kukonzera SCD.
• Dzidzisa mhuri yako nezvekukosha kweCPR. Vaudze zvekuita kana paine dambudziko.

Vatambi vanokwikwidza vanofanira kuongororwa chirwere chemwoyo kamwe chete pagore. Izvi zvinofanira kusanganisira kuongororwa kwenhoroondo yavo yezveutano uye yemhuri (iyo inofanirwa kugadziriswa gore rega rega) uye kuongororwa kwemuviri. Kana paine chimwe chinhu chinofungira panguva yekutanga kuongororwa, chiremba wavo wezvemitambo anogona kukurudzira kuongororwazve.

Kana chiremba akafungidzira kuti une chirwere chemwoyo, iva nechokwadi chekuona chiremba wemwoyo.

Ndeupi musiyano uripo pakati pechirwere chemwoyo nechirwere cheSCD?

Vanhu vazhinji vanovhiringidza zvinhu zviviri izvi. Kurwara kwemoyo idambudziko rinokonzereswa nekuyerera kweropa rine oxygen mutsandanyama yemwoyo. Zvinowanzoitika kana tsinga yemoyo inoendesa ropa kumoyo yavharika. Panyaya iyi, moyo haumire, unoramba uchirova, asi chikamu chemoyo chinokuvadzwa.

Rufu rwemwoyo rusingatarisirwi (SCD) rufu runoitika mushure mekunge moyo wamira kurova (Cardiac Arrest) uye rusingazomutsiri. Kumira kwemoyo kunokonzerwa nedambudziko remagetsi emoyo. Kunyange hazvo kurwara kwemoyo kuchigona kukonzera SCD, kune zvimwe zvinokonzera SCD. Zvichitaurwa zviri nyore, kurwara kwemoyo idambudziko "rekupa", uye kumira kwemoyo idambudziko "remagetsi".

`SCD` inogona kuitika nekukurumidza zvakadii?

Kana `Cardiac Arrest` ikaitika, uropi hahuwani ropa rakakwana. Izvi zvinogona kukonzera kurasikirwa nepfungwa mukati memasekonzi. `Sudden Cardiac Death` inogona kuitika mukati memaminitsi mashoma. Ndosaka ichionekwa sedambudziko.

Kana munhu waunoda akafa kamwe kamwe nechirwere cheSDD...

Kufirwa nemunhu waunoda kamwe kamwe kunogona kuva chimwe chezvinhu zvakaoma zvikuru muhupenyu. Zvakaoma kutsungirira kurwadziwa. Zvisinei, kana munhu waunoda akafa nekuda kwedambudziko remwoyo rinogona kukanganisa dzimwe nhengo dzemhuri, zvakakosha kutaura nachiremba wako nezvazvo uye kuona kana uri panjodzi. Kutora matanho izvozvi kunogona kubatsira kuzvidzivirira iwe nemhuri yako kubva kune chimwe chiitiko chinotyisa.

Chekupedzisira, chinhu chinonyanya kukosha chekurangarira

Kunyange hazvo 'Kufa Nemwoyo Kamwe Kamwe' kuri chirwere chakakomba, njodzi yacho inogona kuderedzwa zvakanyanya nekuziva nezvacho, kuziva nekudzora zvinhu zvinoisa njodzi, uye kutevedzera mazano akakodzera ekurapa.

• Chengetedza moyo wako. Rarama mararamiro ane hutano.
• Zivai zviratidzo zvinonyevera. Musazvifuratira.
• Kana uine chirwere chemwoyo, tevera mirairo yachiremba wako nemazvo.
• Dzidza CPR. Iwewo unogona kuponesa hupenyu hwemumwe munhu.

Ndinovimba ruzivo urwu ruchakubatsira. Chengeta moyo wako uine hutano!

Rufu rwemwoyo rwakamwe kamwe, kurwara nemoyo, chirwere chemwoyo, kurova kwemoyo, CPR , hutano hwemwoyo, zvinhu zvine njodzi