Heart Failure

Kukonewa kwemwoyo chirwere chinofambira mberi umo kukuvadzwa kwemwoyo kunoguma nokunetesa kwesimba remwoyo romurwere. Chinowanzova chisingaperi, chenguva refu mamiriro asi chinogona kuitika kamwe kamwe. Kunyange zvazvo chikonzero chinowanzokonzera kukanganisa kwemwoyo chirwere chekoronary artery, chirwere ichi chinogonawo kuitika kana utachiona hunoderedza tsandanyama yemwoyo kana nekuda kwezvimwe zvirwere zvakadai seshuga kana zvinetso zvethyroid, nekuda kwekusadzora kwehypertension, kutadza kwetsvo, kuramba kuchiita rhythms yemoyo, uye zvakare nekuda kwemimwe mishonga inoshandiswa mukurapa cancer.

Kukundikana kwemoyo kuri kuwedzera sezvo vanhu vakwegura vari kuwedzera. Asi nhasi kune kuwedzera kuziva uye zviri nani zvivako zvekuongorora zvinowanikwa. Vazhinji varwere vemoyo saka vanokwanisa kurarama izvozvi & kurarama kwenguva refu.

Ko Mwoyo Kukundikana kwakafanana nea kumira kurova kwemoyo?

Kwete. Kukundikana kwemoyo uye kurwisa kwemwoyo kwakasiyana zvakasiyana kubva kune mumwe. Kukundikana kwemoyo hachisi chirwere chega asi boka renyeredzi rezviratidzo zvakasiyana-siyana uye zviratidzo zvinokonzerwa nekusiyana kwakasiyana-siyana kwezvirwere zvinosanganisira valvular, heart muscle, pericardial (inovhara mwoyo yemukati) pamwe chete nezvimwe zvirwere zvisiri zvemwoyo. Kutanga uye kuoma kwezviratidzo zvekukundikana kwemoyo zvinoenderana nemhando yezviri pasi chirwere chemoyo.

Zvakaoma sei uye zvinotyisidzira hupenyu kutadza kwemoyo?

Kukundikana kwemoyo kunogona kuitika kamwe kamwe [acute] kana kuti zvichida nekufamba kwenguva (kusingagumi). Kukundikana kwemwoyo kunogona kuitika kana kamuri yezasi yemwoyo yekuruboshwe ( ventricle yekuruboshwe) isingakwanisi kuzadza ropa zvakanaka panguva ye diastolic phase (apo mwoyo unozorora uye wozadzwa neropa), nokudaro ropa rinodzikira rinopombwa richienda kumuviri. Kukundikana kweSystolic kunogona kuitika kana ventricle yekuruboshwe inorasikirwa nekukwanisa kwayo kubvumirana kazhinji. Mwoyo haugoni kupomba nesimba rakakwana uye kusunda ropa rakakwana kuti rifambe.

Inova emergency kana murwere auya neacute heart failure uye ane nhoroondo yeangina/heart attack kana yakanyanya high blood pressure.

zviratidzo

Zvizhinji zvezviratidzo nezviratidzo zvekutadza kwemoyo imhaka yekuunganidzwa kwemvura uye kusangana mumakumbo, mapapu, dumbu nezvimwe, uye kusakwanisa kwemoyo kupomba nemazvo kuzadzisa zvinodiwa nematishu nenhengo dzemuviri.

Zvimwe zvezviratidzo zvekutadza kwemoyo kutadza kufema, kungave kuwedzeredza, kusagadzikana kuziva nezvekufema. Kufema hakuende kudzika nemapapu.

Zvimwe zviratidzo zvinosanganisira:

• Kupfupika kwemhepo
• Kufema zvakanyanya
• Kuoma muchipfuva
• Choking

Kufema kunogona kuitika panguva yekuedza mukutanga kwechirwere, asi kunogonawo kuitika pakuzorora apo chirwere chacho chakura. Panogona kunge paine kufema kunoitika mukurara asi kurerukirwa pakugara. Varwere vanowanzotaura kuti vanoda mapiro matatu kana kupfuura kuti varare zvakanaka usiku.

Izvi zvinotungamirira kuParoxymal Noctumal Dyspnoea (PND), iyo inowanzotanga maawa 2-4 mushure mekutanga kwekurara. Varwere vanodikitira zvakanyanya uye vanotanga kukosora nekufema, izvo zvinowanzorerutswa nekumuka pamubhedha.

Zvimwe zviratidzo zvakakurumbira zvinosanganisira kuneta uye kutadza kushanda nesimba. Varwere vanogona zvakare kutaura dumbu rakazara kuzvimba kwemakumbo, kusvotwa uye kurasikirwa nechido.

kuongorora chirwere

Chiremba anoongorora kutadza kushanda kwemwoyo zvichienderana nezviratidzo zvinenge zviripo uye zviratidzo zvaanoona paanenge achiongorora murwere.

Murwere anogona kunge aine mitsipa yemutsipa yakakurumbira, kuzvimba kwemakumbo, anogona kuita seanofema, akawedzera saizi yemoyo, tsoka dzakazvimba, kuwedzera kwechiropa, kufema, nezvimwe.

Kamwe kufungidzira kwekiriniki kwekutadza kwemoyo kunoonekwa, kumwe kuedzwa kunoitwa kuratidza kuvepo uye chikonzero chekutadza kwemoyo. Mumurwere mutsva ane anofungidzirwa kuti mwoyo wakundikana, kuongororwa ropa kunoitwa kuongorora BNP (Brasin Natriuretic Peptide]; Kana yakasimudzwa inodarika 100 Pg/ml, mukana wekutadza kwemoyo wakasimba. ECG neX-ray yechipfuva zvinogara zvichiitika zvaitwa uye a nemusvo rinoratidza kushanda kwemoyo. Ongororo yezvinokonzeresa zvinhu inoitwa zvakare, ine chaiyo yekuongororwa bvunzo kuti ibvise zvinodzoreredza zvinokonzeresa senge hormonal kana metabolic disturbances uye kutapukira.

Kukundikana kwemoyo hakurevi kuti mwoyo watomira kushanda. Zvinongoreva kuti moyo uri kushanda padanho rakaderera kana kuita kushoma. Kurapa, kuvhiya uye nzira dzepamusoro dzinogona kushandiswa kurapa kutadza kwemoyo. Zviyero zvakajairika zvinorayirwa kuvarwere kudzora kutadza kwemoyo zvinosanganisira - Zorora, kuderedza kudyiwa kwemunyu uye kurambidzwa kwemvura.

mabatiro

Zvinangwa zvekurapa kwezvinodhaka zvekutadza kwemoyo ndezvizvi: 

• Kuderedza kuwandisa kwemvura (Diuretics)
• Deredza kumanikidza kwekuzadza mukati memoyo (Nitroglycerine)
• Deredza kushushikana pamoyo (Vasodilators)
• Kuvandudza kana kusimbisa kushanda kwemhasuru yemwoyo (Digoxin uye inotropes)
• Kuvandudza kana kudzivirira kuchinja kwakashata mumoyo (ACE inhibitors uye AT ll blockers)
• Kuvandudza kupona, kuderedza kudiwa kwekurapwa uye kudzivirira kufa kamwe kamwe (Beta Blockers)
• Dzivirira dysrhythmia (Antiarrhythmic agents)
• Kudzivirira kugwamba kweropa (Antiplatelet, Anticoagulants)

Mishonga yekurapa Hypertension, Diabetes uye Coronary Artery Disease inopihwawo kana zvichidiwa.

Kuvhiya kurapwa kunosanganisira coronary artery bypass graft surgery, kuvhiyiwa kwevharuvhu, kuvhiya kudzorera saizi yemoyo uye geometry, uye kuvhiyiwa kwemidziyo yekubatsira inoiswa ventricular. Kudyarwa kwemoyo ndiyo yekupedzisira sarudzo.

MaPacemaker anogona kubatsira mune iyi mamiriro?

Kurasikirwa kwekupindirana kwechibvumirano chekurudyi uye kuruboshwe ventricle yemoyo mumurwere wemoyo wekushaya simba kunogona kugadziriswa nekuisa pacemaker (Triple Chamber Pacemaker) iyo inogona kuvandudza kushanda kwese kupomba kwemoyo. Iyi cardiac resynchronization therapy (CRT) inopa zororo rechiratidzo, inovandudza kurarama, uye inoderedza kuwanda kwekuiswa muchipatara.

Chii chinoitika muchiitiko chekutadza kwemoyo kwakanyanya?

Nepo kurapwa kwekutanga kwekutadza kwemoyo kuri nemishonga, fungidziro yeavo vane moyo pakati nepakati kusvika kune yakanyanya kutadza kushanda nemishonga chete haina kunaka. Sarudzo dzekuvhiya dzinobatsira vazhinji vevarwere ava zvese maererano nekufungidzira uye hupenyu hwehupenyu. Kune akati wandei ekuvhiya uye kupindira sarudzo dzinogona kutariswa.

mhedziso

Kana iwe uri kutambura neKutadza Kwemoyo, nekutarisirwa kwakakodzera, kutadza kwemoyo kungasakutadzisa kuita zvinhu zvaunofarira. Maonero ako eramangwana anoenderana nezviratidzo zvako, kuti tsandanyama yemwoyo wako iri kushanda zvakadii uye kuti unopindura sei uye nekutevera chirongwa chako chekurapa.