Zaka zaposachedwapa, mtundu watsopano wa vuto la mtima wapezeka ndi akatswiri a cardiologists, otchedwa diastolic operewera . Pamene kutaya kwa diastolic kumakhala koopsa, mtima wa diastolic umatha kuchitika.
Kulephera kwa diastolic kapena kulephera kwa mtima wa diastolic ndizo "zatsopano" - zikhalidwezi zakhala zikuzungulira kwamuyaya. Koma zakhala zaka khumi kapena ziwiri zokha, popeza zojambula zithunzi zagwiritsidwa ntchito kwambiri kuti zitsimikizire mavuto a mtima, kuti izi zidziwika bwino.
Matenda a diastolic akulephera kugwira ntchito nthawi zambiri, makamaka amayi okalamba, omwe ambiri amawadabwa kumva kuti ali ndi vuto la mtima. Ngakhale ena mwa odwalawa adzapitiriza kukhala ndi mtima wolephera wa diastolic, ambiri sangathe - makamaka ngati atalandira chithandizo chamankhwala choyenera ndikudziyang'anira okha.
Komabe, tsopano akuganiza kuti pafupifupi theka la odwala omwe amabwera kuzipatala zam'chipatala ndi zovuta za mtima kwenikweni amakhala ndi diastolic mtima kulephera.
Koma matendawa angakhale opusa, chifukwa wodwalayo atakhala ndi mtima wosasunthika wa diastolic wakhala atakhazikika, mtima ukhoza kuwonekera mwachibadwa pa echocardiogram - pokhapokha ngati dokotala akuwoneka kuti ali ndi umboni wosayenerera wa diastolic. Pachifukwa ichi, matenda a diastolic mtima amalephereka ndi madokotala osazindikira.
Kodi Kusokonezeka kwa Diastolic ndi Diastolic Kulephera kwa Mtima?
Mpweya wa mtima umagawidwa m'magulu awiri - systole ndi diastole.
Panthawi ya systole, mgwirizano wamagetsi (chipinda chachikulu cha mtima wa kupuma), motero amachotsa magazi kunja kwa mtima ndi m'mitsempha. Pambuyo pa zinyama zam'mimba zitatha kugwira ntchito, zimamasuka. Pa nthawi yopuma imeneyi, amadzaza ndi magazi kuti akonzekeretse chigwirizano chotsatira.
Gawo ili lachisangalalo limatchedwa diastole .
Nthawi zina, chifukwa cha zochitika zosiyanasiyana zachipatala, zinyama zimakhala "zolimba" Mphepo zowopsya sizingathetse bwino nthawi ya diastole; Zotsatira zake, zinyama zazing'ono sizidzadzaza kwathunthu ndipo magazi akhoza "kuwononga" mu ziwalo za thupi (makamaka m'mapapo). Kuuma kosazolowereka kwa zinyama zam'mimba ndi zotsatira zosazolowereka zowonjezera zowopsa pa nthawi ya diastole zimatchedwa kuwonongeka kwa diastolic .
Pamene kutayika kwa diastolic kumakwanira kuti pakhale mpweya wosokonezeka (kutanthauza kuwononga magazi m'mapapo), kutaya mtima kwa diastolic kumakhalapo.
Kawirikawiri, pamene madokotala amagwiritsa ntchito mawu olakwika a diastolic ndi diastolic mtima kulephera, akukamba za zovuta zosaoneka bwino za diastolic - pali kulephera kwa diastolic popanda umboni uliwonse wosagwira ntchito. ("Kusokonezeka kwa Systolic" ndi dzina lina lokha lokhazika mtima kwa minofu ya mtima, yomwe imapezeka mu mitundu yosiyanasiyana ya mtima wosalimba .)
Kodi Chimachititsa Bwanji Kuipa kwa Diastolic?
Kulephera kwa diastolic kungapangidwe ndi matenda ambiri, kuphatikizapo:
- zolepheretsa kugonana
- matenda a shuga
- kunenepa kwambiri
- kukalamba (Kaya zaka zomwezo zimapangitsa kuumitsa kwa zinyama, kapena kukhumudwa kotereku kumagwirizana ndi matenda ena okhudzana ndi ukalamba, sichimveka.)
Kuzindikira ndi Kuchiza Kuwonongeka kwa Diastolic ndi Diastolic Heart Failure
Pano pali zambiri zowonjezereka pa zovuta za diastolic ndi diastolic mtima kulephera:
- Zizindikiro ndi matenda a diastolic operewera ndi diastolic mtima kulephera.
- Chithandizo cha kuchepa kwa diastolic ndi diastolic mtima kulephera .
Zotsatira
Gutierrez C, Blanchard DG. Kulephera kwa Mtima wa Diastolic: Mavuto a Kusanthula ndi Chithandizo. American Family Physician. 69:11. 2004. Zapezeka pa http://www.aafp.org/afp/2004/0601/2609.html.