Shin Rashin Ciwon Zuciya Yana Juyawa? Sabon Bincike Ya Ce, "Wataƙila"
Shin Rashin Ciwon Zuciya Yana Juyawa? Sabon Bincike Ya Ce, "Wataƙila"
Anonim

Za a iya juyawa gazawar zuciya tare da sabon magani wanda ya haɗu da magani tare da yin amfani da wucin gadi na famfon zuciya na wucin gadi, in ji masu bincike a Jami'ar Utah Health.

Maganin, wanda ya haɗa da dasa na'urar taimakawa ventricular na hagu (LVAD), na iya: taimakawa wajen juyar da lalacewar tsarin zuciya, kawar da buƙatar dashen zuciya, da tsawaita rayuwar wasu marasa lafiya, a cewar sanarwar manema labarai da kiwon lafiya na Utah ya fitar. cibiyar (U of U Health).

"Tsawon shekarun da suka gabata, dashen zuciya da kuma LVADs sun kasance ginshiƙan hanyoyin kwantar da hankali na ciwon zuciya na ci gaba," in ji Stavros Drakos, MD, PhD, marubucin marubucin binciken da aka yi kwanan nan da kuma darektan bincike na zuciya da jijiyoyin jini na Cibiyar Kiwon Lafiya ta Cibiyar Kiwon Lafiyar Zuciya. “Amma wannan madadin hanyar ta bambanta. Ya bayyana a matsayin gada zuwa farfadowar zuciya ba tare da buƙatar dasawa ko amfani da dogon lokaci na famfon zuciya na wucin gadi ba."

Rayuwa tare da gazawar zuciya

Ciwon zuciya cuta ce ta yau da kullun, mai ci gaba wacce ke shafar kusan manya miliyan 6.2 a Amurka. Yana faruwa ne lokacin da zuciya ba ta fitar da jini yadda ya kamata kamar yadda ake bukata ba, wanda ke haifar da karancin jini da iskar oxygen a sauran sassan jiki.

Don ramawa, zuciya na iya haɓakawa da haɓaka yawan ƙwayar tsoka. Zai yi sauri don ƙara yawan fitarwa, yayin da tasoshin jini sun ragu don ƙara hawan jini. Ko da yake waɗannan canje-canjen suna taimaka wa jiki yin aiki, da lokaci yakan sa zuciya ta ƙare.

Daga ƙarshe, jiki da zuciya ba za su iya ci gaba ba, kuma majiyyaci na iya samun gajiya da ƙarancin numfashi. Yawancin masu fama da ciwon zuciya ana ƙarfafa su yin canje-canjen salon rayuwa da kuma shan magungunan da aka tsara.

A da, ba a yi la'akari da gazawar zuciya mai iya juyawa ba. Duk da haka, masu bincike a cibiyar kiwon lafiya ta Utah sun sami ƙarfafa ta sakamakon binciken da suka yi kwanan nan.

Binciken, wanda aka gudanar a cibiyoyin kiwon lafiya shida a duk fadin kasar, ya bayyana a cikin Circulation.

Taimakawa zuciya ta warke

Masu bincike sun bi 40 ci-gaba marasa lafiya marasa lafiya masu shekaru 18 zuwa 59, waɗanda duk suna buƙatar LVAD don kasancewa da rai. Marasa lafiya goma sha tara, waɗanda suka yi amfani da haɗin gwiwar haɗin gwiwa, sun inganta sosai yadda za a iya cire LVAD. Masu bincike sun gano cewa kashi 90% na waɗannan marasa lafiya suna raye shekara ɗaya bayan cire su. Bayan shekaru uku, 77% har yanzu suna raye kuma suna da kyau.

An dasa LVAD a cikin kirji, tare da haɗin baturin waje ta tashar jiragen ruwa a cikin fata. Ana iya amfani da shi na ɗan lokaci don rage damuwa a kan zuciya mai gazawa, ba da damar hutawa da gyara lalacewa. Wannan yana haifar da ingantaccen aiki, yana haifar da cire shi.

Steven Boyce, MD, likitan likitan zuciya a Adventist HealthCare White Oak Medical Center a Silver Spring, Md., Ya bayyana cewa LVAD yana rage ventricle na hagu. Wannan yana haifar da ƙarancin damuwa akan myocardium, ƙwayar tsoka na zuciya.

"Masu lafiya da ke fama da rashin ischemic cardiomyopathy za su zama mafi kyawun 'yan takara. Idan an maye gurbin tsokar zuciya da yawa da tabo na biyu zuwa maimaita ciwon ciki, ba za su iya amfana da yawa ba,”in ji shi.

Maganin da ke ƙarƙashin bincike shine mai yuwuwar madadin goyon bayan LVAD na rayuwa ko kuma dashen zuciya, kuma yana sanya ƙarancin damuwa ga majiyyaci. Dokta Boyce ya ce yana da majinyata wadanda ba 'yan takarar dashen zuciya ba kuma sun kasance a kan LVADs sama da shekaru 10.

Mataki na gaba a cikin shirin masu binciken shine don warware dalilin da kuma ta wace hanya magani ke aiki. Hankali yana mai da hankali kan abin da aka sani da hanyoyin rayuwa, abubuwan da ke tattare da sinadaran da ke faruwa a cikin tantanin halitta. Wasu hanyoyin suna haifar da kuzari, wasu kuma suna buƙatar su.

Shahararren taken