Idan an gaya maka cewa akwai dysfunction diastolic ko zuciya rashin cin zarafin diastolic , yana da muhimmanci a gare ka da likitanka suyi aiki da shirin magani - duka biyu don hanawa da kuma kula da bayyanar cututtuka, da kuma rage yawan damar mutuwa daga wannan yanayin.
Hanyoyin Gudanar da Ƙungiyar Cutar Duka
Mafi kyawun hanyoyin da za a magance zubar da jini na diastolic, na kowane nau'i mai tsanani, shine ƙoƙarin gano duk wani yanayin da ke taimakawa, sannan kuma ya sarrafa su.
Musamman ma, dole ne a magance wadannan ayyuka:
Sedentary salon
Mutane da yawa tare da ciwon halayen diastolic suna haifar da rayuwa mai zaman kansa, kuma kasancewar zama mai banbanci shine babbar hanyar bayar da gudunmawa ga matsalolin zuciya na diastolic. Shirin shirin horar da aikin motsa jiki na iya inganta aikin zane na zuciya na zuciya kuma zai iya taimakawa sosai a dysfunction diastolic. A gaskiya ma, shirin motsa jiki ne kawai magani wanda aka nuna don inganta yanayin rayuwa a cikin marasa lafiya da wannan yanayin. Ya kamata ku yi magana da likitanku game da kiran ku zuwa shirin gyaran zuciya na zuciya don farawa.
Hawan jini.
Ya kamata a lura da ku sosai don hauhawar jini . Har yanzu yawancin hawan jini ya kasance a cikin mutanen da ke fama da dullus na jini, kuma yana iya zama daɗaɗɗa don ganewa. Mafi muni, hauhawar jini yana sau da yawa wanda ba a bi da shi ba. Amma idan kana da nakasasshen diastolic, yana da mahimmanci sosai cewa likitanka ya dauki karin kulawa don tabbatar da jinin ka a cikin mafi kyau.
Ciwon maganin jinƙai na coronary. (CAD)
Wadanda suke da ciwon halayen diastolic ya kamata a iya kimantawa don kasancewar cututtukan cututtukan cututtuka (CAD) ; idan an bincikar CAD, ya kamata a bi da shi sosai. Abune (wato, ba a sani ba da kuma asymptomatic) CAD shine mawuyacin dalilin dysfunction diastolic.
Atrial fibrillation.
Idan kana da wani filastillation , dole ne a magance wannan arrhythmia cardiac . A cikin mutanen da ke da lahani na diastolic da kuma filastillation, za a fi dacewa da tsarin dabarun kariyar da aka tsara. (Karanta game da rikice-rikice na vs. kulawa da lamuni a cikin fibrillation .) Duk da haka, idan ba'a iya kula da zuciya ta al'ada ba, yana da mahimmanci don samun karfin zuciya a karkashin iko Wannan shi ne saboda ƙananan yawan zuciya da aka haifar da fibrillation babban ci gaba a cikin aikin zuciya a cikin mutane da dysfunction diastolic.
Ciwon sukari da kiba.
Ciwon sukari da kiba suna da alaƙa da dysfunction diastolic. Rashin nauyi da kuma kiyaye ciwon sukari karkashin iko mai kyau zai taimaka wajen dakatar da mummunan lalacewar diastolic.
Rashin numfashi na rashin barci
Rashin haɗari a lokacin barci, musamman yanayin haɗarin barci , zai iya taimakawa sosai ga dysfunction diastolic. Mutane masu fama da launi na ƙwayar diastolic - musamman ma idan sun kasance sunyi girma ko suna da bayyanar cututtuka da suke ba da shaida game da numfashi na rashin barci - ya kamata a kimanta su don barcin barci, kuma idan aka gano cewa ana kula da su.
Jiyya na Lalacewar Zuciyar Diastolic
Yin maganin rashin ƙarfi na zuciya na diastolic (wanda magungunan likitoci yanzu ke magana a matsayin "gazawar zuciya tare da ɓangaren haɓakaccen haɓaka ,") na iya zama kalubale. Ya bambanta da classic systolic zuciya rashin cin nasara , da yawa karatu sun saukar da takamaiman maganin magani magani da muhimmanci inganta mace-mace, babu irin wannan karatu suna samuwa ga diastolic zuciya rashin cin nasara. Bugu da ƙari kuma, saboda ventricles a cikin ƙashin zuciya na diastolic ƙananan ƙanƙara ne kuma mai tsanani (maimakon rashawa da ƙari), yawancin magungunan da aka saba amfani dashi a cikin rashin nasara na classic classic suna da yiwuwar haɓaka ƙusar zuciya na diastolic.
Drug far for diagnolic heart failure is sau da yawa iyakance ga yin amfani da diuretics kamar furosemide (Lasix) don rage wuce haddi sodium da ruwa daga jiki, kuma don rage bayyanar cututtuka na kwakwalwa ƙwaƙwalwa da kuma edema. Drugs for sarrafa hauhawar jini ma suna da muhimmanci.
Bugu da ari, a cikin jarrabawar TOPCAT, magani tare da spironolactone (wani nau'i na diuretic) yayi kama da rage yawan buƙatar asibiti a cikin mutanen da ke da hasara na zuciya diastolic, amma bai rage yawan mace-mace ba.
Amma mafi mahimmancin farfadowa ga ƙwayar zuciya na diastolic ita ce ta yi amfani da ƙananan abubuwan da aka lissafa a sama, waɗanda suke da muhimmanci a zaluntar lalacewar diastolic. Daga cikin waɗannan, horar da aikin (ba na zama sedentary ba) shine hanya kawai da aka nuna a binciken binciken asibiti don inganta ingantaccen rayuwa a cikin mutane tare da raunin zuciya na diastolic.
Menene Prognosis na Diastolic Dysfunction?
Mutane da suka yi wani ɓangare na zuciya rashin ƙarfi na jini suna da mummunar yanayin zuciya na zuciya. Duk da yake su overall prognosis iya zama da ɗan mafi alhẽri daga ga marasa lafiya tare da classic systolic zuciya rashin cin nasara, shi har yanzu ma rage. Wannan shi ne dalilin da ya sa wanda ya kasance yana da ciwon zuciya na diastolic ya kamata a bi shi da mugunta - ta hanyar ƙoƙari ya sarrafa dukan yanayin da ke tattare da wannan ganewar.
Amma ga mutanen da aka bincikar su tare da cututtuka na diastolic amma wadanda basu da alamun cututtuka na zuciya , shaida ta haɗu da cewa waɗannan mutane suna da mummunar mutuwa fiye da al'ada. Wannan ya kamata ba abin mamaki bane idan ka yi la'akari da haddasa mawuyacin lalacewa na diastolic, likitan likitoci su "damu" biyu na mafi yawan waɗannan (watau hauhawar jini da cututtukan cututtukan jini), kuma mafi yawancin mutane suna da canza sauye-sauyen yanayi, da rasa nauyi.
Cutar cutar Diastolic yana da mahimmanci cewa, a kalla, ya kamata a binciki bincike mai mahimmanci, sa'an nan kuma mawuyacin magani. Yin isasshen maganin dysfunction diastolic zai iya inganta kyakkyawar sakamako mai kyau.
> Sources:
> Borlaug BA, Paulus WJ. Zuciyar Zuciya Tare Da Yankin Yarda Da Yarda Da Kwarewa: Ƙwarewar Ƙwarewar, Fahimtarwar, da Kulawa. Eur Heart J 2011; 32: 670.
> Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for Heart Bace tare da Tsararre Ejection Fraction. N Engl J Med 2014; 370: 1383.
> Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / Dokar Sharuɗɗa ta AHA don Gudanar da Zuciyar Zuciya: Rahoton Cibiyar Kasuwancin Cibiyar Kwayoyin Kimiyya ta Ƙungiyar Amirka ta Amirka da Ƙungiyar Ayyuka ta Ƙungiyar Amirka game da Ka'idoji. J Am Coll Cardiol 2013; 62: e147.