Zvinhu zvaunofanira kuziva nezvekurova kwemoyo kwevakadzi!

Wakambozvibvunza here kuti moyo wako unorova nekukurumidza sei kana wakangomira wakamira? Dzimwe nguva unonzwa sekunge uri kurova nekukurumidza, uye dzimwe nguva unonzwa kunonoka. Zvakakosha kuti vakadzi vazive kurova kwemoyo yavo, nekuti kurova kwemoyo yedu kunogona kusiyana zvishoma nekwemurume.

Kurova kwemoyo kwemukadzi kwakajairika kwakadii?

Avhareji yekurova kwemwoyo kwemukadzi mukuru iri pakati pe78 ne82 paminiti. Asi chatinofunga kuti "nguva yakajairika" iri pakati pe60 ne100 paminiti. Kukosha uku kunogona kusiyana kubva pamunhu nemunhu. Zvinhu zvakawanda zvinokanganisa izvi, kusanganisira mahormone ako, maekisesaizi aunoita, uye mararamiro ako .

Kazhinji, vakadzi vane kurova kwemwoyo kwakanyanya zvishoma pane varume. Avhareji yekurova kwemwoyo yemurume mukuru iri pakati pe70 ne72 paminiti.

Sei kurova kwemwoyo kwevarume nevakadzi kwakasiyana?

Pane chikonzero chiri nyore. Kazhinji, panguva yekuyaruka , moyo wemukomana unova mukuru ne15% kusvika 30% kupfuura moyo wemusikana. Kuwedzera uku kwehukuru hwemoyo kunoitika muviri uchikura.

Zvino funga nezvazvo, kana mwoyo wako uchirova kamwe chete, kusimba ikoko ndiko kunopomba ropa mumuviri wako wese. Mwoyo yevakadzi inowanzova diki pane yevarume, saka kuti upombe ropa rakafanana mumuviri wako wese, mwoyo wako unofanira kurova kakawanda. Ndosaka kurova kwemoyo wedu kwakakwira zvishoma. Maona?

Kurova kwemoyo kupi kune njodzi kumukadzi?

Kana kurova kwemoyo wako uchizorora kuri pamusoro pekurova kwe100 paminiti, kunyangwe usiri kurovedza muviri, chirwere ichi chingave chakakomba . Unofanira kuona chiremba nekukasika, kunyanya kana uine zviratidzo zvakaita sedzungu uye musoro wakachenuruka .

Saizvozvowo, kurova kwemoyo kunodzikira pasi pekurova makumi matanhatu paminiti dzimwe nguva kunogona kuva dambudziko. Kunyanya kana uchinzwa dzungu, musoro wakareruka, kana kuneta zvakanyanya. Zvisinei, zvakajairika kuti vanhu vanoshanda, vakaita sevatambi, vave nekurova kwemoyo mumakore ekuma40 ne50 paminiti. Hapana chekunetseka nacho.

Mahormone anokanganisa sei kurova kwemoyo?

Ongororo yakawana kuti vasati vasvika pakuguma kuenda kumwedzi , kureva kuti, vasati vasvika pakuguma kuenda kumwedzi zvachose, vakadzi vane mashandiro emwoyo ari nani kupfuura varume vezera rimwe chete. Zvisinei, mushure mekuguma kuenda kumwedzi, musiyano uyu hausi pachena zvakanyanya. Vaongorori vanotenda kuti izvi zvinogona kunge zvine chekuita nehomoni inonzi estrogen uye hutano hwemwoyo.

Kusvika panguva yekuenda kumwedzi uye kuenda kumwedzi zvinokukanganisa sei?

Vakadzi vasati vasvika panguva yekuenda kumwedzi uye panguva yekuenda kumwedzi, vane migumisiro iri nani kubva kune mamwe matambudziko emwoyo (zvichienzaniswa nevarume vezera rimwe chete). Semuenzaniso:

• Kupera kwetsinga yeropa : Uku kuchekwa kwevharuvhu yetsinga huru yemoyo.
• Kukundikana kwemoyo kwakakombama : Kukundikana kwemoyo.
• Kukwira kweropa (BP) .
• Hypertrophic cardiomyopathy. (Kurwara kwemwoyo kwakanyanya .)

Zvisinei, mhedzisiro yezvirwere izvi yakafanana zvakanyanya kuvakadzi vasvika panguva yekupedza kuenda kumwedzi nevarume vezera rimwe chete.

Ko kurapa nekutsiva mahormone (HRT) kunovandudza hutano hwemwoyo here?

Vaongorori havasati vawana kuti kurapa kwekutsiva mahormone (HRT) inzira inoshanda yekuvandudza mashandiro emwoyo muvakadzi vasvika panguva yekumenopa. Hazviratidzikewo kuti hazvideredzi njodzi dzematambudziko emwoyo. Zvisinei, HRT inogona kubatsira kudzora zviratidzo zvekumenopa, zvakaita sekurova kwemoyo, kupisa muviri, kana kudikitira husiku .

Kuenda kwako kumwedzi pamwedzi kunokanganisa kurova kwemoyo wako here?

Ehe, zvechokwadi. Mahormone ako anochinja mukati memwedzi wako wese. Kazhinji, kurova kwemoyo wako kunowedzera zvishoma panguva yeovulation uye vhiki inotevera (luteal phase). Kurova kwemoyo wako kunoderera zvishoma mukati memazuva anotungamira kumwedzi wako uye vhiki inotevera (follicular phase). Izvi zvakajairika.

Chii chinoitika pakurova kwemoyo panguva yekuzvitakura?

Avhareji yekurova kwemwoyo kwevakadzi vane pamuviri yakakwira kupfuura yevakadzi vasina pamuviri. Kana uine pamuviri, moyo wako unofanirwa kushanda nesimba kuti upombe ropa kuenda kuchibereko chako . Huwandu hweropa rinopombwa nemoyo wako hunowedzera ne30% kusvika 50%. Nokudaro, avhareji yekurova kwemoyo wako inowedzera kusvika pakurova kwe90 paminiti panguva yekuzvitakura. Zvakare, paunorovedza muviri panguva yekuzvitakura, kurova kwemoyo wako kunowedzera kupfuura zvakajairwa.

Zvinowanzoitika kuva nekushaya simba kwemoyo zvishoma panguva yekuzvitakura. Semuenzaniso, mukadzi mumwe chete pavakadzi vaviri vane pamuviri anosangana nedambudziko rinonzi premature atrial contractions . Kusagadzikana kwemoyo uku hakuwanzo kukonzera matambudziko uye kunowanzopera pasina kurapwa. Zvisinei, kusagadzikana kwemoyo kwakanyanya, senge diastolic heart murmurs, kungada kurapwa.

Ndezvipi zvinetso zvinowanzo sangana nemoyo (arrhythmias) zvinobata vakadzi?

Zvimwe zvirwere zvemoyo (arrhythmias) uye zvirwere zvinokanganisa kurova kwemoyo zvinonyanya kuitika kuvakadzi. Zvimwe zvacho ndeizvi:

• Atrial tachycardia : Kurova kwemoyo kusina kurongeka uye nekukurumidza mumakamuri epamusoro emoyo (atria).
• Atrioventricular nodal reentry tachycardia (AVNRT) : Kurova kwemoyo kunokurumidza kudzoka.
• Long QT syndrome (LQTS) : Chirwere chekuti chiratidzo chemagetsi chinotora nguva yakareba kupfuura yakajairika kuti chitumirwe kuburikidza nemakamuri epasi (ventricles) emwoyo wozochajwazve.
• Postural orthostatic tachycardia syndrome (POTS) : Chirwere chinokonzera dzungu uye kurova kwemoyo nekukurumidza kana wamira wakarara.
• Kumira kwesimba remagetsi risingashande (PEA) : Uku kurwara kwemoyo. Chinoitika pano ndechekuti kunyangwe paine chiratidzo chemagetsi chinobva pamoyo, moyo hausi kurova, saka hapana kurova kwemoyo.
• Kurongeka kweropa remumwoyo (RVOT) ventricular arrhythmias (VAs) : Kusagadzikana kwemoyo apo maventricles emwoyo anosvetuka kurova panzvimbo pekupomba zvakanaka.
• Sick sinus syndrome : Kusashanda zvakanaka kwemoyo kunoitika kana sinoatrial (SA) node, iyo inotumira chiratidzo chemagetsi kuti kurova kwemoyo kwega kwega kutange.

Ndezvipi zvinetso zvemoyo zvinokanganisa vakadzi zvishoma?

Uyewo, vakadzi havawanzova nematambudziko emwoyo uye zvirwere zvinokanganisa kurova kwemoyo. Mienzaniso:

• Atrial fibrillation (Afib) : Kurira kwemoyo kusina kurongeka kunotanga mumakamuri epamusoro emoyo (atria). (Zvimwe pamusoro peizvi pazasi)
• Kurwara kwemoyo (fascicular ventricular tachycardia) (FVT) : Chirwere chekuti mwoyo unorova nekukurumidza, chinosanganisira mabhurugwa efibers (fascicles) anotakura masaini emagetsi mumoyo.
• Rufu rwemwoyo kamwe kamwe : Dambudziko rehutano rinokonzerwa nekurasikirwa nekushanda kwemoyo kamwe kamwe.
• Kupera kwemoyo mutsinga : Kufamba kwemoyo mutsinga kusingaenderane nezvinodiwa nemoyo kunokanganisa makamuri epasi (ventricles) emwoyo.
• Chirwere cheWolff-Parkinson-White (WPW) : Chirwere chinoitika kana paine nzira isina kurongeka muhurongwa hwemagetsi emoyo. Izvi zvinogona kukonzera kuti mwoyo urove nekukurumidza zvisinganzwisisike.

Ko atrial fibrillation (Afib) inokanganisa varume nevakadzi zvakasiyana here?

Kupera simba kweropa (Atrial fibrillation)Chirwere ichi chekurova kwemoyo chisina kujairika chinowanzoitika kuvarume kupfuura vakadzi. Zvisinei, kana vakadzi vakabatwa nechirwere ichi, vanogona kusangana nezviratidzo zvakasiyana . Semuenzaniso:

• Kuzvidya mwoyo kakawanda
• Kurova kwemoyo

Pamusoro pezvo, vakadzi vane mukana mukuru wekuva nezvimwe zvirwere pamwe chete neAfib. Izvi zvinosanganisira:

• Kukundikana kwemoyo nechikamu chekunze chinobuda ropa .
• Kukwira kweropa (BP) .
• Chirwere chevharuvhu .

Matambudziko emwoyo (arrhythmias) anoonekwa sei?

Kana uchifungidzira kuti une chirwere chemwoyo, unogona kutumirwa kuna electrophysiologist , chiremba wemwoyo uyo anonyanya kugadzirisa matambudziko emwoyo.

Chiremba wako anogona kushandisa bvunzo dzakasiyana-siyana uye zvishandiso kuti aongorore chirwere chemwoyo. Zvimwe zvacho zvinosanganisira:

• Ambulatory monitor : Izvi zvishandiso zvinopfekwa mumuviri. Zvinonyora kurova kwemoyo wako kwemazuva kana mavhiki. Izvi zvinogona kubatsira kuona kurova kwemoyo kusingatarisirwi. Funga nezvazvo, dzimwe nguva unonzwa zvakanaka kuhofisi yachiremba, asi unonzwa moyo wako uchirova kumba. Izvi zvinobatsira zvikuru munguva dzakadai.
• Kuyedzwa kwekumanikidzwa kwekurovedza muviri : Kuyedzwa kunoyera kuti mwoyo wako unoita sei paunowedzera mashandiro ako. Kazhinji, unokumbirwa kufamba patreadmill kana kutasva bhasikoro rekurovedza muviri wakabatana nemuchina unorekodha mashandiro emagetsi emwoyo wako.
• Electrocardiogram (EKG/ECG) : Chiremba anogona kuraira EKG kuti inyore mashandiro emagetsi emwoyo wako. Muizvi, zvidimbu zvidiki zvakati wandei, zvinonamira (maelectrode) zvinoiswa pachipfuva chako. Muchina weEKG unoratidza zviratidzo zvemagetsi zvemwoyo wako segirafu.
• Chidzidzo cheElectrophysiology (EP) : Kana chiremba wako achida rumwe ruzivo mushure mekuongororwa kweEKG kana kushushikana, ungangoda kuita chidzidzo cheEP. Muchiitiko ichi, machubhu madiki, asina chinhu (catheters) anoiswa kuburikidza netsinga yeropa iri muhudyu mako. Vachishandisa macatheters aya, vanachiremba vanogona kutarisa mashandiro emwoyo wako.
• Kuedza tafura yekutsvedza: Chishandiso ichi chinoratidza kuti nzvimbo dzakasiyana dzemuviri dzinokanganisa sei kurova kwemoyo wako, BP, uye kurova kwemoyo. Unorara patafura ine injini uye wakabatana nemuchina weEKG. Tafura painofamba munzvimbo dzakasiyana, EKG inorekodha mashandiro emagetsi emwoyo wako.

Matambudziko emwoyo anorapwa sei?

Kazhinji, kurapwa kwechirwere chemwoyo kunogona kusanganisira:

• Mishonga : Chiremba wako anogona kukupa mishonga yekudzora kurova kwemoyo wako kana kuderedza njodzi yekugwamba kweropa uye sitiroko . Nekuti vakadzi vane nguva yakareba yeQT kupfuura varume, mimwe mishonga inowedzera nguva yeQT (semuenzaniso, sotalol, dofetilide, amiodarone ) ingasave yakakodzera nguva dzose.
• Kuchinja mararamiro : Mamwe matambudziko anogona kuderedzwa nekuchinja mararamiro, akadai sekuderedza caffeine kana doro . Kurega kusvuta kunogonawo kubatsira kudzora matambudziko.
• Kurovedzwa kwemoyo nemagetsi : Paunenge wakarara, kuvhunduka kwemoyo kunotumirwa kumadziro echipfuva chako. Izvi zvinogona kudzorera kurova kwemoyo kwakajairika. Izvi zvinogona kubatsira varwere vasingakwanisi kuwana kurova kwemoyo kwakajairika nemishonga chete. Inoshandiswawo senzira yekuponesa hupenyu hwevarwere vane ventricular arrhythmias iyo inogona kutungamira mukumira kwemoyo kamwe kamwe.
• Kubvisa catheter : Chiremba anoisa catheter mumoyo mako otumira simba rinopisa kana rinotonhora kuburikidza naro. Izvi zvinogadzira mavanga madiki mumoyo ari kukonzera kusagadzikana, nokudaro zvichivhara mafungu emagetsi asina kurongeka.
• Midziyo yemagetsi : Unogona kubatsirwa nemudziyo mudiki wakaiswa pasi peganda rako. Midziyo iyi inogona kuona kana kurapa mafambiro emwoyo asina kurongeka. Vamwe vanhu vane pacemakers . Izvi zvinotumira ma impulses madiki anodzora kurova kwemoyo. Vamwe vanobatsirwa ne implantable cardioverter-defibrillators (ICDs) . Izvi zvinoona mafambiro emwoyo asina kurongeka uye zvinotumira simba kumoyo kuti udzorere kurova kwemoyo kwakajairika.
• Kuvhiyiwa : Kana pasina imwe nzira yekurapa inogona kudzora kurova kwemoyo wako, chiremba wako anogona kukurudzira kuvhiyiwa. Sarudzo inonyanya kushandiswa ndeyekuvhiyiwa kwemoyo . Mukuita uku, chiremba wemwoyo anogadzira mavanga akawanda munyama yemoyo wako kuti avhare masaini emagetsi asina kujairika.

Saka, chii chiri kutaurwa kubva munyaya iyi?

Kana ukangoerekana wanzwa moyo wako uchirova nekukurumidza paunenge uchizorora mushure mebasa, ungatya zvishoma, handiti? Kana kuti pamwe wakaona kuti kurova kwemwoyo kwemumwe weshamwari dzako dzechirume kunogara kwakaderera pane kwako.

Yeukai, zvakajairika kuti vakadzi vave nekurova kwemoyo kwakanyanya kupfuura varume. Izvi zvinoita sekunge zvinokonzerwa nemahormone.

Zvisinei, kana kurova kwemoyo wako uchizorora kuri pamusoro pekurova kwe100 paminiti , unofanira kuona chiremba. Zvakare, kana kurova kwemoyo wako kuri pasi pekurova kwe60 paminiti, kunyanya kana usinganyanyi kuita zvemitambo kana maekisesaizi, udza chiremba wako nezvazvo. Kutarisira moyo wako kwakakosha zvikuru!

Kurova kwemoyo , hutano hwevakadzi, moyo, mahormone, kuenda kumwedzi, pamuviri, kusagadzikana kwemoyo