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Migumisiro mitatu yechirwere chemoyo wemhuka

Chirwere chePet Heartmumakati nembwa chirwere chakakomba uye chakaoma.Nhengo shanu huru dzemuviri "moyo, chiropa, mapapu, dumbu neitsvo".Mwoyo ndiwo musimboti wenhengo dzese dzemuviri.Kana mwoyo wakaipa, zvinotungamirira zvakananga kupulmonary dyspnea, kuzvimba kwechiropa uye kukanganisa kwetsvo nekuda kwekuderedza kutenderera kweropa.Zvinoita sokuti hapana anogona kutiza kunze kwedumbu.

Kurapa kwechirwere chemoyo chipfuyo kazhinji mamiriro matatu:

1: Imbwa zhinji diki dzine chirwere chemoyo chekuzvarwa, asi chinoda kutungamirwa pane imwe zera.Nekudaro, nekuti dzimwe tsaona dzinongoerekana dzaitika kare, mamiriro ezvinhu aya anogona kazhinji kupora sekunge akakwana, kwesainzi uye kwakasimba kurapwa, uye anogona kurarama seakajairwa katsi nembwa pasina kutora mushonga kwenguva yakareba.Hazviitike zvakare kusvikira basa remitezo yakwegura yapera simba.

2: Mushure mekusvika pane rimwe zera, kushanda kwenhengo kunotanga kupera simba.Nenguva, sainzi uye yakakwana mishonga uye kurapwa zvinogona kuchengetedza iripo yekushanda mamiriro enhengo, uye mazhinji acho anogona kurarama kusvika kune yakajairika zera rezvipfuyo.

3: Zvimwe zviitiko zvemoyo hazvina kunyanya kujeka kushanda, uye zvakaoma kuongorora rudzi rwechirwere zvichienderana nemamiriro ekuongorora emunharaunda.Mimwe mishonga yakajairika haigone kushanda, uye kugona kwekuvhiyiwa kwemoyo wemumba hakuna kusimba (kune vashoma vanokwanisa zvipatara zvakakura uye vanachiremba vane ruzivo).Nokudaro, kazhinji kutaura, kuvhiyiwa kusingagoni kushanda nemishonga kwakaomawo kununura, uye kazhinji kunosiya mukati memwedzi 3-6.

Sezvo mwoyo wakakosha, zvine musoro kutaura kuti varidzi vezvipfuyo vanofanira kuedza nepavanogona napo kurapa chirwere chemoyo chemhuka.Nei kune zvikanganiso zvakakomba zvakawanda?Izvi zvinotanga nekuratidzwa kwechirwere chemoyo.

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Chirwere chemwoyo chinowanikwa zvisiri nyore

Chikanganiso chekutanga chinowanzoitwa "misdiagnosis".

Chirwere chemoyo wemhuka chinowanzo ratidza humwe hunhu, hunonyanya kuoneka hunosanganisira "chikosoro, dyspnea, muromo wakashama uye rurimi, asima, kuhotsira, kusava nehanya, kurasikirwa nechido, uye kushaya simba mushure mekuita zvishoma".Kana ichinge ichirwara zvakanyanya, inogona kuita senge ichifamba kana kufenda kamwe kamwe kana ichisvetuka kumba, kana zvishoma nezvishoma kuoneka pleural effusion uye ascites.

Zviratidzo zvechirwere, kunyanya kukosora uye asthma, zviri nyore kufuratirwa sehosha dzemoyo, dzinowanzobatwa maererano nekufema uye kunyange pneumonia.Pakupera kwegore rapfuura, shamwari yembwa yakabatwa nechirwere chemoyo, icho chairatidza kukosora + dyspnea + asima + kugara uye kurara pasi + kusava nehanya + kuderera kwekudya uye kuderera kwefivha kwezuva rimwe chete.Izvi zviri pachena zviratidzo zvechirwere chemoyo, asi chipatara chakaita X-ray, maitiro eropa uye c-reverse kuongorora, uye akavabata semabayo uye bronchitis.Vakabayiwa mahomoni nemishonga inorwisa kuzvimba, asi havana kuzopora mushure memazuva mashoma.Zvadaro, zviratidzo zvemuridzi wemhuka zvakasunungurwa mushure memazuva matatu ekurapwa maererano nechirwere chemoyo, zviratidzo zvekutanga zvakanyangarika mushure memazuva gumi, uye mushonga wacho wakamiswa mushure memwedzi miviri.Gare gare, muridzi wemhuka akafunga nezvechipatara chakavimbika chinogona kutonga chirwere chacho, saka akatora pepa rekuongorora nevhidhiyo apo chipfuyo chakanga chichirwara ndokuenda kuzvipatara zvakawanda.Sezvineiwo, hapana akakwanisa kuona kuti idambudziko remwoyo.

Kuongororwa kwechirwere chemoyo muchipatara chiri nyore kwazvo.Vanachiremba vane ruzivo vanogona kuona kana pane hosha yemwoyo nekuteerera kurira kwemoyo.Ipapo vanogona kutarisa X-ray uye ultrasound yemwoyo.Zvechokwadi, ECG inogona kuva nani, asi zvipatara zvizhinji hazviiti.Asi iye zvino vanachiremba vakawanda vadiki vanovimba zvakanyanya nedata.Havana kuona chiremba vasina midziyo yemurabhoritari.Vasingasviki makumi maviri kubva muzana vevanachiremba vanogona kunzwa kurira kwemoyo kusingaite.Uye hapana muripo, hapana mari, uye hapana anoda kudzidza.

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Kupora here kana usingafeme?

Chikanganiso chechipiri chakajairika ndeche "kuisa pamberi chirwere chemoyo."

Imbwa hadzigoni kutaura nevanhu.Chete mune mamwe maitiro anogona varidzi vezvipfuyo kuziva kana vasina kugadzikana.Vamwe varidzi vezvipfuyo vanofunga kuti zviratidzo zvembwa hazvina kukomba.“Hautoriwo nechikosoro here?Nguva nenguva vhura muromo wako wombofema, sekunge wapedza kumhanya”.Ndiko kutongwa.Vazhinji varidzi vezvipfuyo vanoisa chirwere chemoyo sechakareruka, chepakati uye chinorema.Zvisinei, sachiremba, haazombofa akaronga chirwere chemwoyo.Chirwere chemwoyo chinogona kufa panguva ipi zvayo paanenge achirwara, uye utano hahuzofi.Kana paine dambudziko remoyo, unogona kufa chero nguva, chero kupi.Pamwe uchiri kuita basa kana uchimbofamba-famba, pamwe uchiri kusvetuka-svetuka uye kutamba kumba miniti yapfuura, kana kuti unoridza mhere pamusuwo kana wauya kuexpress, wobva warara pasi, uchizununguka uye pakoma, wofa usati waendeswa kuchipatara.Ichi chirwere chemoyo.

Zvichida muridzi wemhuka anofunga kuti hapana dambudziko.Hatifaniri kunwa zvinodhaka zvakawandisa here?Ingotora zvishoma zviviri.Hapana chikonzero chekushandisa nzira yakakwana yekurapa.Asi kutaura zvazviri, miniti imwe neimwe, mwoyo wemhuka iri kuwedzera, uye kukanganisa kwemoyo kunowedzera zvishoma nezvishoma.Kusvikira imwe nguva, haichakwanisi kudzoreredza kushanda kwayo kwekare kwemoyo.Ndinowanzopa vamwe varidzi vemhuka vane chirwere chemoyo muenzaniso wakadaro: kukanganisa kwemwoyo wembwa dzine hutano ndeye 0. Kana ikasvika zana, ivo vachafa.Pakutanga, chirwere chinogona kusvika makumi matatu chete. Kuburikidza nemishonga, vanogona kudzorera ku5-10 kukanganisa;Zvisinei, kana zvichitora 60 kurapa zvakare, mishonga inogona kudzorerwa ku30 chete;Kana iwe wakasvika pakoma uye kugwinha, iyo iri pedyo neanopfuura 90, kunyange iwe ukashandisa mushonga, ndinotya kuti inogona kuchengetedzwa chete pa60-70.Kumisa mushonga wacho kunogona kutungamirira kurufu chero nguva.Izvi zvinoumba zvakananga kukanganisa kwakajairika kwechitatu muridzi wemhuka.

Chikanganiso chechitatu chinowanzoitika ndeche "kukurumidza kubvisa"

Kudzorerwa kwechirwere chemoyo kwakaoma zvikuru uye kunononoka.Tinogona kudzvinyirira zviratidzo mumazuva 7-10 nekuda kwemushonga wakakodzera uye wakakodzera, uye hakuzove neasthma uye kukosora, asi moyo uri kure nekupora panguva ino.Shamwari dzakawanda dzinogara dzichinetseka pamusoro pemigumisiro yechirwere kana maitiro asina kunaka anounzwa nemishonga.Zvimwe zvinyorwa zvepamhepo zvinowedzerawo mafungiro aya, saka vanowanzomira kutora zvinodhaka nekukasira.

Mishonga yose munyika ine migumisiro yakaipa.Zvinongoenderana nekuoma kwemigumisiro uye zvirwere, izvo zvinotungamirira kurufu.Mudiki pahuviri huipi hwacho ndihwo hwakarurama.Vamwe vatengesi vepadandemutande vanoshoropodza kuita kwakashata kwemamwe zvinodhaka, asi havakwanise kutaura mamwe madhiragi kana marapiro, zvakangofanana nekurega mhuka dzinovaraidza dzichifa.Zvinodhaka zvinogona kuwedzera mutoro pamwoyo.Katsi nembwa dzine hutano dzine makore makumi mashanu dzaigona kunge dzakasvetukira kumoyo wemakore makumi mapfumbamwe.Mushure mekutora zvinodhaka, vanogona kungosvetuka kusvika kumakore makumi manomwe nemashanu vokundikana.Asi zvakadini kana mhuka yemakore makumi mashanu ine chirwere chemwoyo uye inogona kufa nokukurumidza?Zviri nani here kurarama kuva 51, kana kuti zviri nani kuva 75?

Kurapa kwechirwere chemoyo wemhuka kunofanira kutevera nzira dze "kunyatsoongorora", "mishonga yakakwana", "hupenyu hwesainzi" uye "kurapwa kwenguva refu", uye kuedza kudzorera zvachose simba remhuka.