Kulephera kwa diastolic kumatanthawuza kulephera kwa minofu ya mtima kuti mupumule mwachizolowezi pamtunda uliwonse. Popeza ndi nthawi yopumula (yomwe imatchedwa "diastole") kuti mitsempha ya mtima (yaikulu yopopera zipinda ) imadzaza ndi magazi pokonzekera chiwonongeko chotsatira, kuwonongeka kwa diastolic kungayambitse kudzaza mtima.
Kuzaza kosawonongeka kumeneku kungalepheretse kuchuluka kwa magazi komwe mtima ukhoza kukupaka ndi mtima uliwonse ndipo ukhoza kuwonjezera zovuta mkati mwa mtima.
Kusokonezeka kwakukulu kwa diastolic kungayambitse kutaya mtima kwa diastolic, nayenso.
Chidule cha Zizindikiro
Kulephera kugwira ntchito kwa diastolic kaŵirikaŵiri sikumatulutsa zizindikiro konse. Wachiwiri, kuchepa kwa pang'onopang'ono zolimbitsa thupi kungakhalepo. Komabe, anthu ambiri omwe ali ndi vuto la diastolic sadziwa kuti chizindikirochi chimakhala chifukwa chakuti amakhala ndi moyo wambiri (zomwe zimayambitsa matenda oopsa a diastolic) kapena amadzichepetsa kuti athetse mphamvu zawo zowonjezereka.
Koma, pamene vuto la mtima wa diastolic likulowa, zizindikiro zazikulu ndizofala. Ngakhale zizindikiro zomwe zimachitika ndi vuto la mtima wa diastolic zimakhala zofanana ndi zizindikiro zomwe anthu amawapeza omwe ali ndi vuto linalake la mtima , zizindikiro za pulmonary-zomwe zimayambitsa matenda a m'mapapo-nthawi zambiri zimakhala zotchuka kwambiri kwa iwo omwe ali ndi vuto la mtima wa diastolic.
Dyspnea yolimba (kupuma bwino), kawirikawiri limodzi ndi kutsokomola ndi kupuma mofulumira, ndiwonetsedwe kowoneka kwa mtima wa diastolic.
Kuwonjezera apo, zizindikiro nthawi zambiri zimakhala zochitika m'mabuku omwe angathe kuchitika mwadzidzidzi popanda chenjezo.
Mtundu uwu wadzidzidzi mwadzidzidzi ndi wosiyana kwambiri ndi momwe amachitira anthu omwe ali ndi "mtima" umene umayamba kuchepa, kumachitika kwa maola kapena masiku.
Mavuto odzidzimutsa, opuma kwambiri omwe amapezeka ndi vuto la mtima wa diastolic amatchulidwa ngati "epmone pulmonary edema ."
Zochitika izi za mpweya wa mphumu za edema zingayambitsidwe ndi matenda ena, kuphatikizapo mafilimu oopsa komanso mitundu ina ya tachycardia (nthawi ya mtima yofulumira), nthawi zamagetsi (kuthamanga kwa magazi, makamaka masipiritsi a magazi ), ndi zigawo za mtima wachemysi .
Matendawa amatha kusokoneza kwambiri mtima wa diastolic ndipo amatha kukankhira munthu wodetsa matenda osokoneza bongo. Komanso, pamene magulu a flash pulmonary edema amaonedwa ngati chizindikiro cha mtima wosagwirizana ndi matenda a diastolic, anthu omwe ali ndi vutoli nthawi zambiri amatha kuchepa kwambiri komanso amayamba kuchepa pang'ono pa dyspnea.
Momwe Iwo Amadziwira
Kulephera kwa mtima wa Diastolic kumapezeka ngati munthu ali ndi vuto la mtima komanso kufufuza kumeneku kumasonyeza kuti mphamvu ya mtima (yomwe ndi mphamvu yake yopezera magazi ndi kupopera mphamvu) ndi yachibadwa.
Kuti anene njira ina, iwo ali ndi vuto la mtima ngakhale ali ndi kachigawo kakang'ono kamene katsalira kotsitsika . M'zaka zaposachedwa akatswiri a cardiologists adziwa kuti anthu opitirira 50 peresenti ya anthu omwe amapempha thandizo lachipatala pa zochitika zapoponopeni zoopsa zimakhala ndi diastolic mtima kulephera.
Kulephera kwa diastolic kumatha kupezedwa ndi echocardiogram, yomwe ingayang'ane zizindikiro za kuchepa kwa diastolic ndi kutalika kwa " ventry ". Echocardiogram nthawi zina imathanso kufotokoza chifukwa cha matenda osokoneza bongo a diastolic mwa anthu ena.
Mwachitsanzo, echocardiogram ikhoza kuwonetsa mitsempha yotsalira ya ventricular (yomwe ili, ventricular hypertrophy) yogwirizana ndi matenda a hypertension ndi hypertrophic cardiomyopathy . Zingasonyezenso kupezeka kwa aortic stenosis kapena zovuta zowonongeka . (Zonsezi zikhoza kutulutsa matenda osokoneza bongo.)
Komabe, mwa anthu ambiri omwe ali ndi vuto loipa la diastolic, zojambula zojambula zithunzi siziwonetseranso zina zosavuta kufotokoza chifukwa chake chikhalidwecho chiripo.
Kwa odwalawa, sizingatheke kunena kuti chinthu chomwe chimayambitsa matenda osokoneza bongo.
Kodi Zimakhala Zovuta Kwambiri Kulimbana ndi Diastolic?
Kulephera kwa diastolic kumakhala kofala kwambiri kuposa akatswiri a cardiologist omwe amaganiza kuganiza. Kafukufuku wina wamakono atulukira kuti matenda osokoneza bongo amachititsa anthu 15 peresenti ya anthu osapitirira zaka 50 ndipo ambiri mwa anthu 50 pa anthu 100 aliwonse.
Kusokonezeka kwa diastolic makamaka ndi matenda a akazi, nawonso. Kufikira 75 peresenti ya anthu omwe amapezeka ndi diastolic mtima kulephera ndi akazi.
Kulephera kwa mtima wa diastolic kumapezeka ngati munthu amene ali ndi matenda oopsa a diastolic amayamba chiwonongeko choopsa kwambiri kuti chiwonongeke. Ngati chiwonongeko cha mtima wa diastolic chikachitika kamodzi, ndizotheka kwambiri kuti chichitike, makamaka ngati chithandizo chili chokwanira.
Mawu Ochokera
M'zaka zaposachedwa, akatswiri a cardiologists adziwa kufunikira kwa kuwonongeka kwa diastolic ndikuti ndizofala kwambiri kuposa momwe anadziwira kale. Ndikofunikira kwambiri kuti aliyense amene ali ndi vuto la diastolic athane ndi vutoli komanso kuti agwire ntchito ndi madokotala kuti agwiritse ntchito njira yothetsera mavuto abwino.
> Zotsatira:
> Andersen MJ, Borlaug BA. Mtima Wosagonjetsedwa Ndi Mphungu Yopulumutsidwa: Kumvetsetsa Kwambiri ndi Mavuto Amakono. Mkondwe; 16: 501.
> Paulus WJ, Tschöpe C, Sanderson JE, et al. Mmene Mungayambitsire Kugonana kwa Mtima wa Diastolic Kulephera: Chigwirizano Chotsutsana ndi Kuzindikira Mtima kwa Mtima Kusagwedezeka Kwambiri Kwambiri Kwambiri Kumeneko Kulimbana ndi Mtima Wosatha ndi Zojambula Zojambula Zogwirizana ndi European Society ya Cardiology. Mtima; 28: 2539.