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Kumba Hutano Kukanganisa kurapa Kushungurudzika Kurapa oi-Amritha K By Amritha K. muna Ndira 27, 2020

Kurwadziwa kwemoyo kunoitika kana ropa richiyerera richienda kumoyo rakavharwa. Ndokunge, inogona kutsanangurwa sekufa kwemhasuru dzemwoyo nekuda kwekushayikwa kweropa uye izvi zvinowanzoitika kana ropa rakavhara rinovharisa tsinga iri kupa tsandanyama yemoyo.

Iko kuvharirwa kunokonzerwa nekuda kwekuwanda kwemafuta, cholesterol nezvimwe zvinhu zvinogadzira chirahwe mune tsinga uye nekudaro ichivharidzira kuyerera kweropa nekutyora kuita mafufu. Iyo inonziwo myocardial infarction, kurwiswa kwemoyo zvakakomba zvehutano zvinoda kurapwa nekukurumidza ^[1] .

Chimwe chezvirwere zvakajairika zvemwoyo, varume vane makore makumi mana nemashanu kana kupfuura uye vakadzi vane makore makumi mashanu nemashanu zvichikwira vanowanzoita chirwere chemwoyo kupfuura varume nevakadzi vadiki.

Zvinokonzera Kurwara Kwemwoyo

Mamiriro emoyo anokonzera kurwiswa kwemoyo. Kurwiswa kwemwoyo kwakawanda kunokonzerwa nechirwere chemwoyo, mamiriro anovhara tsinga dzekoniyoni dzine mafuta emafuta. Kuvaka kwezvinhu zvakasiyana kunogona kutapudza tsinga dzekoniyoni uye zvichizoguma nekuvandudza chirwere chetsinga, chinova ndicho chikonzero chikuru chekurwadziwa nemoyo. ^[piri] .

Kurwadziwa kwemoyo kunogona kukonzerwa neropa rakabvaruka uye mune zvisingawanzoitika zviitiko, zvakaitika nekuda kweropa remutsipa reropa ^[3] .

Zviratidzo Zvekurwara Kwemwoyo

Zviratidzo zvakajairika zve myocardial infarction zvinotevera ^[4] :

Kumanikidza uye kuomarara mubhokisi rako kana maoko anogona kupararira kumutsipa wako

Nausea

Chando ziya

Dzungu rakangoerekana

Nekudaro, zviri kucherechedzwa kuti zviratidzo zvechimiro hazvina kufanana kune wese munhu. Ndokunge, zviratidzo zvinosiyana kubva kune mumwe munhu kuenda kune mumwe uye kunyangwe kubva pakurwisa kwemoyo kuenda kune mumwe.

Zvakakosha kuti iwe udzidze kunzwisisa kana chiri chirwere chemwoyo kana kurwadziwa pachipfuva nekuti vanhu vazhinji vanozvidza zviratidzo zvekutanga zvekurwadziwa nemoyo nekufunga kuti hapana chimwe kunze kwekurwadziwa kwepfupa ^[5] .

Sekureva kwevehunyanzvi vezvekurapa, zviratidzo zvekutanga zvekurwadziwa nemoyo hazvifanirwe kuregeredzwa nekuti zviratidzo zvekutanga zvekurwadziwa kwemoyo zvinoitika mu50 muzana yevanhu vese vanorwara nemoyo. Kuziva zviratidzo zvekutanga kunogona kubatsira mukuwana kurapwa nekukasira, nekudaro kudzivirira kukuvara kwemoyo nekuti 85 muzana yekukuvara kwemoyo kunoitika mumaawa maviri ekutanga zvichitevera kurwara kwemoyo. ^[6] .

Zviratidzo zvekutanga zvekurwadziwa kwemoyo

Marwadzo mumapfudzi ako, mutsipa, uye shaya ^[7]
Kutambura kwakapfava kana kusagadzikana mubhokisi rako kunogona kuuya nekuenda
Kudikitira
Kushushikana kwakanyanya kana kuvhiringidzika
Kusvotwa kana kurutsa
Kufenda kwekunzwa
Kufema
Musoro wakareruka

Kunzwisisa zviratidzo zvekurwadziwa kwemoyo kwakakosha sezvo zvichibatsira mukuwana kurapwa kwakakodzera panguva chaiyo. Nekudaro, izvo zviratidzo zvinosiyana mune vese varume nevakadzi. Ngatitarisei pamisiyano, saka inogona kubatsira iwe nevadikani vako.

Zviratidzo zvekurwadziwa kwemoyo muvarume

Sekureva kwevashandi vezvekurapa, varume vanowanzoita kurwisa pakuenzanisa nevakadzi. Nekuda kwezviuru zveongororo, vaongorori vakakwanisa kunzwisisa zviratidzo zvekurwadziwa kwemoyo zvakanangana nevarume ^[8] .

Inokurumidza kana isina kujairika kurova kwemoyo
Chando ziya
Dzungu
Kufema kwekufema, izvo zvinogona kukusiya uchinzwa senge haugone kuwana mweya wakaringana (kunyangwe pazororo)
Dumbu kusagadzikana
Kutambudzika kana kusagadzikana mumuviri wepamusoro (maoko, kuruboshwe fudzi, musana, mutsipa, shaya, kana dumbu)
Kunzwa kwakayerwa pachipfuva chako, icho chinouya nekuenda

Zviratidzo zvekurwadziwa kwemoyo muvakadzi

Zvidzidzo zvakakwanisa kuunganidza kunzwisiswa kwekuti zviratidzo zvekurwadziwa kwemoyo muvakadzi zvainge zvakasiyana nevakadzi. Zviratidzo zvinotaurwa pazasi ^[9] .

Indigestion kana gasi-senge kurwadziwa
Kutambudzika kwepafudzi
Kumusoro kurwadziwa shure
Kurwadziwa pahuro
Kufema kwekufema
Kufunganya
Kushungurudzika kurara
Musoro wakareruka
Kuneta kwakasarudzika kunogara kwemazuva akati wandei kana kukurumidza kuneta

Mumadzimai anodarika makore makumi mashanu, njodzi yekurwiswa nemoyo inowedzera sezvo ino nguva kana muviri wechikadzi uchichinja kuburikidza nekuguma kuenda kumwedzi. Izvi zvinodaro nekuti iyo hormone estrogen iyo inobatsira kuchengetedza moyo wako kudonha panguva yekuguma - nekudaro kuwedzera njodzi ^[10] .

Zvimwe zvezviratidzo zvinonyatsotaurwa mumadzimai anodarika makumi mashanu zvinotevera ^{[gumi neimwe]} :

Kurwadziwa kukuru kwepfupa
Inokurumidza kana isina kujairika kurova kwemoyo
Kudikitira
Marwadzo kana kusagadzikana mune rimwe kana maviri mawoko, musana, mutsipa, shaya, kana dumbu

Njodzi Zviitiko Zvekurwisa Kwemwoyo

Zvimwe zvinhu zvinowedzera mukana wako wekurwadziwa nemoyo uye zvinotevera ^[12] :

Zera
Kufutisa
Fodya
Yakakwira ropa cholesterol kana triglyceride mazinga
Yakakwira BP
Chirwere cheshuga
Kushungurudzika
Kushandisa zvinodhaka zvisiri pamutemo
Kushaikwa kwekuita muviri
Metabolic chirwere
Nhoroondo yemhuri yekurwara kwemoyo
Mamiriro ekuzvidzivirira
Nhoroondo yepreeclampsia

Matambudziko Emoyo Kurwisa

Kurwadziwa kwemoyo kunogona kukonzera kusanzwisisika kwemoyo mutinhimira (arrhythmias), kutadza kwemoyo (kurwisa kunogona kukuvadza nyama yemoyo iyo inosara mhasuru yemoyo inokundikana kushanda) uye kamwe kamwe kusungwa kwemoyo ^[13] .

Kuongororwa Kwekurwara Kwemwoyo

Chiremba achaita ongororo yemuviri uye ongorora nhoroondo yezvokurapa. Electrococardiogram (ECG) ichaitwa kuti itarise moyo wemagetsi.

Kunze kweizvi, masampuli eropa achawanikwa kumhanyisa bvunzo kuti aone kukuvara kwemhasuru.

Mimwe yemamwe miedzo yekuongorora yakabatanidzwa ndeinotevera ^[14] :

Echocardiogram
X-ray yechifuva
Coronary catheterisation (angiogram)
Exercise kunetseka bvunzo
Cardiac CT kana MRI

Kurapa Kwekurwiswa Kwemwoyo

Zvichienderana nechakakonzera uye nemamiriro, chiremba anokurudzira bvunzo dzakasiyana.

Chekutanga uye chekutanga chinhu chinoitwa chichava catheterisation yemoyo apo probe ichaiswa mumidziyo yeropa, iyo inozobatsirawo chiremba kuti anzwisise dombo rekuvaka ^{[gumi neshanu]} .

Kana paine chirwere chemwoyo, chiremba anokurudzira maitiro anobatsira mukudzora marwadzo uye kudzivirira kutanga kweimwe chirwere chemwoyo.

Maitiro acho anosanganisira angioplasty, stent, kuvhiya kwemoyo, kuvhiya moyo wevhavha, pacemaker uye kumuisira moyo. ^[16] .

Iyo mishonga yakatemerwa kurapa kurwisa kwemoyo inosanganisira aspirin, antiplatelet uye anticoagulants (ropa rakatetepa), mishonga yekubvisa kugwamba, marwadzo, thrombolytics, beta-blockers, ACE inhibitors, statins, nitroglycerin uye BP. ^[17] .

Chinyararire Heart Attack

Zvakafanana nechero chirwere chemwoyo chega, chirwere chemwoyo chakanyarara chinoitika pasina zviratidzo zvakajairika. Izvi zvinowanzo konzera kuti munhu asatomboziva kuti vari kurwiswa.

Maererano nezvidzidzo, makumi mashanu neshanu muzana yevanhu muIndia vanosangana nekurwadziwa kwemoyo gore rega rega vasingatozvizive. Kunyarara kwekurwadziwa kwemoyo kunokonzeresa kukuvadza pamoyo wako uye kunosimudzira mukana wekurwara nemoyo ^[18] .

Kunyarara kwekurwadziwa kwemoyo kwakajairika pakati pevanhu vane chirwere cheshuga uye mune vanhu vakamborwara nemoyo kare.

Zviratidzo zvinogona kuratidza kunyarara kwekurwadziwa kwemoyo zvinotevera ^[19] :

Kuputika kweganda
Marwadzo emudumbu
Kushungurudza
Kukanganiswa kwekurara
Kuwedzera kuneta
Kusadzikama kunyoro mubhokisi rako, shaya kana maoko anoenda nekuzorora

Kudzivirira Kwekurwisa Kwemwoyo

Kugamuchira uye kuita shanduko muhupenyu hwako hwezuva nezuva uye maitiro zvinogona kubatsira mukugadzirisa mamiriro acho ^{[makumi maviri]} .

Dzivisa kusvuta
Rovedza muviri nguva dzose
Chengetedza huremu hune hutano
Idya a moyo-hutano kudya
Chengetedza chirwere cheshuga
Dzora kushushikana
Deredza kunwa doro
Chengetedza cholesterol yako uye kuwedzera kweropa
Gara uchiongororwa zvekurapa

Kuchengetedza

Dzivisa kutora mapiritsi ekudzivirira kubereka kana iwe uine chirwere chemwoyo, sezvo vachigona kuwedzera chiitiko chekuvhara ropa mumuviri wako ^{[makumi maviri nerimwe]} .

Wona Chinyorwa Mareferenzi

[1]Schilling, R. (2016). Dzivisa Iyo Yekurwara Kwemwoyo.
[piri]Bayrak, D., & Tosun, N. (2018). Kugadzwa kwezviitiko zvekuyamwisa zvekudzivirira chirwere chemwoyo uye kurohwa nevarwere vehypertension. International Zvinyorwa zveKuchengeta Sayenzi, 11 (2), 1073.
[3]Huang, C. C., & Liao, P. C. (2016). Kurwara Kwemwoyo Kunokonzera Musoro-Ache-Cardiac Cephalalgia. Acta Cardiologica Sinica, 32 (2), 239.
[4]Chau, P.H, Moe, G., Lee, S. Y., Woo, J., Leung, A. Y., Chow, C. M., ... & Zerwic, J. (2018). Iyo yakaderera huwandu hweruzivo rwekurwara kwemoyo zviratidzo uye zvisina kukodzera kutarisira kurapwa kwekutsvagisa pakati pevakuru vechiChinese: muchinjikwa-chikamu chikamu. J Epidemiol Nharaunda Hutano, 72 (7), 645-652.
[5]Bayrak, D., & Tosun, N. (2018). Kugadzwa kwezviitiko zvekuyamwisa zvekudzivirira chirwere chemwoyo uye kurohwa nevarwere vehypertension. International Zvinyorwa zveKuchengeta Sayenzi, 11 (2), 1073.
[6]Kitakata, H., Kohno, T., Kohsaka, S., Fujino, J., Nakano, N., Fukuoka, R., ... & Fukuda, K. (2018). Kuvimba kwemurwere maererano neyechipiri mararamiro maratidziro uye ruzivo rwe 'moyo wekurwisa's zviratidzo zvinotevera percutaneous revascularisation muJapan: muchinjikwa-chikamu chikamu. BMJ yakavhurika, 8 (3), e019119.
[7]Narcisse, M. R., Rowland, B., Yakareba, C. R., Felix, H., & McElfish, P. A. (2019). Kurwara Kwemwoyo uye Kurohwa Nezviratidzo Ruzivo rwevaNative Hawaiian nePacific Islanders muUnited States: Zviwanikwa Kubva kuNational Health Interview Survey. Hutano kusimudzira tsika, 1524839919845669.
[8]Goff Jr, D. C., Mitchell, P., Finnegan, J., Pandey, D., Bittner, V., Feldman, H., ... & Cooper, L. (2004). Zivo yezviratidzo zvekurwadziwa kwemoyo munharaunda makumi maviri dzeUS Mhedzisiro kubva kuRapid Yekutanga Chiito cheCoronary Treatment Nharaunda Trial. Mishonga yekudzivirira, 38 (1), 85-93.
[9]Arslanian-Engoren, C., Patel, A., Fang, J., Armstrong, D., Kline-Rogers, E., Duvernoy, C. S., & Eagle, K. A. (2006). Zviratidzo zvevarume nevakadzi vanouya neacute coronary syndromes. Iyo yeAmerican jenaliya yemoyo, 98 (9), 1177-1181.
[10]Tullmann, D.F, & Dracup, K. (2005). Kuziva kwekurwadziwa kwemoyo zviratidzo muvakuru varume nevakadzi vari panjodzi yekukomba myocardial infarction. Zvinyorwa zveCardiopulmonary Kuvandudza nekudzivirira, 25 (1), 33-39.
[gumi neimwe]Finnegan Jr, J. R., Meischke, H., Zapka, J. G., Leviton, L., Meshack, A., Benjamin-Garner, R., ... & Weitzman, E. R. (2000). Kushivirira kunonoka mukutsvaga kuchengetedza kweanorwara nemoyo zviratidzo: zvakawanikwa kubva kumapoka ekutarisa anoitwa mumatunhu mashanu eUS. Mishonga yekudzivirira, 31 (3), 205-213.
[12]Mozaffarian, D., Benjamin, E.J, Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., ... & Howard, V. J. (2016). Chirwere chemwoyo uye sitiroko manhamba-2016 kugadzirisa mushumo kubva kuAmerican Heart Association. Kutenderera, 133 (4), e38-e48.
[13]Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., ... & Huffman, M. D. (2015). Executive pfupiso: chirwere chemoyo uye sitiroko manhamba-2015 kugadzirisa: mushumo kubva kuAmerican Heart Association. Kutenderera, 131 (4), 434-441.
[14]Micha, R., Peñalvo, J. L., Cudhea, F., Imamura, F., Rehm, C. D., & Mozaffarian, D. (2017). Sangano pakati pezvinhu zvekudya uye kufa kubva kuchirwere chemoyo, sitiroko, uye Type 2 chirwere cheshuga muUnited States. Jama, 317 (9), 912-924.
[gumi neshanu]Mozaffarian, D., Benjamin, E.J, Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., ... & Howard, V. J. (2016). Executive pfupiso: chirwere chemoyo uye sitiroko manhamba-2016 kugadzirisa: mushumo kubva kuAmerican Heart Association. Kutenderera, 133 (4), 447-454.
[16]Feigin, V. L., Roth, G. A., Naghavi, M., Parmar, P., Krishnamurthi, R., Chugh, S., ... & Estep, K. (2016). Mutoro wepasi rose wekurohwa nesitiroko uye zvine njodzi munyika 188, panguva ya1990-2013: kuongororwa kwakarongeka kweGlobal Burden of Disease Study 2013. Iyo Lancet Neurology, 15 (9), 913-924.
[17]Kyu, H.H, Bachman, V. F., Alexander, L.T, Mumford, J. E., Afshin, A., Estep, K., ... & Cercy, K. (2016). Chiitiko chemuviri uye njodzi yekenza yemazamu, gomarara rekoloni, chirwere cheshuga, ischemic moyo chirwere, uye ischemic sitiroko zviitiko: kurongeka kuongorora uye dhizaini-kupindura meta-ongororo yeGlobal Burden Yezvirwere Kudzidza 2013. bmj, 354, i3857.
[18]Strom, T. K., Fox, B., & Reaven, G. (2002). Syndrome X: kukunda muurayi akanyarara anogona kukupa chirwere chemwoyo. Simon naSchuster.
[19]Kannel, W. B. (1986). Chinyararire myocardial ischemia uye infarction: maonero kubva kuFramingham Yekudzidza. Makiriniki eCardiology, 4 (4), 583-591.
[makumi maviri]Naghavi, M., Falk, E., Hecht, H. S., Jamieson, M. J., Kaul, S., Berman, D., ... & Shaw, L. J. (2006). Kubva padanda risinganetseki kune murwere ari panjodzi-chikamu chechitatu: pfupiso yepamusoro yeChechi cheKuchenesa Kwemwoyo Kudzivirira uye Dzidzo (SHAPE) Task Force mushumo. Iyo yeAmerican jenareta yemoyo, 98 (2), 2-15.
[makumi maviri nerimwe]Kernan, W.N, Ovbiagele, B., Mutsvuku, H.R, Bravata, D. M., Chimowitz, M. I., Ezekowitz, M. D., ... & Johnston, S. C. (2014). Nhungamiro yekudzivirira sitiroko kune varwere vane sitiroko uye inopera ischemic kurwisa: nhungamiro yevashandi vezvehutano kubva kuAmerican Heart Association / American Stroke Association. Kurohwa, 45 (7), 2160-2236.