Mtima wathu ndi chiwalo chodabwitsa. Kuyambira tsiku lomwe tinabadwa mpaka tsiku lomwe tinamwalira, umagwira ntchito mosalekeza kwa sekondi imodzi. Monga pampu yanzeru, umapopa magazi m'thupi lonse. Pali ziwalo zambiri zazing'ono zomwe zimathandiza kuti ugwire ntchito bwino. Kodi munayamba mwadzifunsapo momwe magazi amayendera mbali imodzi yokha mkati mwa mtima, osayenda chammbuyo? Ndicho chimene "ma valve" a mumtima amathandizira nacho. Lero tikulankhula za valavu imodzi yapadera, valavu ya m'mapapo.
Mwachidule, kodi valavu ya m'mapapo ndi chiyani?
Tangoganizani kuti mtima wanu uli ndi zipinda zinayi. Ziwiri pamwamba ndi ziwiri pansi. Vavu iyi ya m'mapapo ili ngati chipata cholowera mbali imodzi pakati pa chipinda chapansi kumbali yakumanja ya mtima (ventricle yakumanja) ndi mtsempha waukulu wamagazi womwe umanyamula magazi kupita ku mapapo (mtsempha wa m'mapapo) .
Ntchito yake yayikulu ndikulamulira kuyenda kwa magazi "odetsedwa", omwe agwiritsidwa ntchito m'thupi lathu ndipo ali ndi mpweya wochepa, kuchokera mumtima kupita m'mapapo kuti ayeretsedwe. Magazi akadutsa, chipata ichi chimatsekedwa kuti chisabwererenso mumtima.
Vavu iyi ya m'mapapo, pamodzi ndi vavu ya mtsempha wamagazi yomwe ili mbali ina ya mtima, zonse pamodzi zimatchedwa "mavavu a semilunar." Izi zili choncho chifukwa timapepala/mapepala ozungulira mavavu awa amaoneka ngati mwezi wa theka. Nthawi zina madokotala amatchanso izi kuti "vavu ya m'mapapo," zomwe ndi zomwezo.
Kodi valavu iyi imagwira ntchito bwanji? Ndi yodabwitsa!
Mmene chitseko chaching'ono ichi chimagwirira ntchito n'chodabwitsa. Chili ngati chikuvina, chikutsegulidwa ndi kutsekedwa bwino kwambiri ndi kugunda kwa mtima.
- Gawo la Systolic: Pamene ventricle yakumanja ikuchepa, magazi omwe ali mkati mwake amatuluka. Panthawiyo, valavu ya m'mapapo imatsegulidwa . Kenako, magazi omwe alibe mpweya wabwino amalowa mumtsempha wa m'mapapo, womwe umapita ku mapapo.
- Gawo la diastolic: Pamene mtima ukupumula ukamaliza kugwira ntchito, kapena ukapumula, valavu ya m'mapapo imatseka mwamphamvu . Ngati siitseka, magazi otumizidwa ku mapapo amatha kubwerera mumtima. Vavu iyi imaletsa zimenezo kuti zisachitike. Ndi pamene valavu iyi yatsekedwa pamene ventricle yakumanja imadzaza ndi magazi kuti ipompe kuzungulira kwina.
Mwachidule, zili ngati wapolisi wa pamsewu. Amangolola magazi kuyenda mbali imodzi ndipo amaletsa magaziwo kubwerera.
Kugwiritsa Ntchito Kwapadera: Njira ya Ross
Kuwonjezera pa ntchito yachibadwa ya valavu iyi, imagwiritsidwanso ntchito pa cholinga china chodabwitsa: pamene valavu yofunika kwambiri ya aorta mumtima idwala, valavu ya m'mapapo iyi imayikidwa m'malo mwake.
Izi zimatchedwa njira ya Ross. Ndi njira yovuta pang'ono. Mu njira iyi, dokotala amachotsa valavu yanu ya aortic yomwe ili ndi matenda ndikuyiyika m'malo mwake ndi valavu yanu yathanzi ya m'mapapo. Kenako, valavu ya pulmonary yoperekedwa ndi donor imayikidwa pamalo pomwe valavu ya pulmonary inali. Chifukwa ndi minofu yanu, imakwanira bwino ndipo imatenga nthawi yayitali.
Kodi ndi matenda ati omwe amakhudza valavu iyi?
Kawirikawiri, mavuto a valavu ya m'mapapo amakhudzana ndi matenda a mtima obadwa nawo . Izi zikutanthauza kuti mwana akhoza kukhala ndi mavutowa akangobadwa. Nthawi zambiri, mavuto a valavu iyi amatha kukulirakulira chifukwa cha matenda ena (monga kuthamanga kwa magazi m'mapapo).
Tiyeni timvetse bwino matenda akuluakulu awa kuchokera patebulo ili m'munsimu.
| Mkhalidwe | Mwachidule, izi ndi zomwe zimachitika... |
|---|---|
| Kutsekeka kwa m'mapapo | Imeneyi ndi vuto lobadwa nalo. Chomwe chimachitika apa ndi chakuti valavu ya m'mapapo siikukula bwino. Zili ngati khoma lamangidwa pomwe payenera kukhala chitseko. Magazi sangafike m'mapapo. Izi zingapangitse mwana kukhala wabuluu (cyanosis) akangobadwa. |
| Tetralogy ya Fallot | Imeneyinso ndi matenda ovuta a mtima obadwa nawo. Apa, zilema zinayi za mtima zimachitika pamodzi. Chimodzi mwa zilemazo ndi kuchepa kwa valavu ya m'mapapo ndi mtsempha wamagazi. Popeza vutoli ndi lalikulu, mwana amafunika opaleshoni kuti alikonze. |
| Kutsekeka kwa valavu ya m'mapapo | Chomwe chimachitika apa n'chakuti kutsegula kwa valavu kumakhala kochepa. Kenako mtima umayenera kugwira ntchito molimbika kuti utulutse magazi. Nthawi zambiri, izi zimakhalaponso pobadwa. Anthu ena amalandira chithandizo chokulitsa valavu, pomwe ena amafunika kusinthidwa valavu. |
| Valavu ya m'mapapo yomwe ilibe | Imeneyi ndi vuto losowa kwambiri, lobadwa nalo. Pa vutoli, timapepala ta valavu tikhoza kusowa kapena kusakula bwino. Izi zimapangitsa valavuyo kupapatiza komanso kusatseka bwino, zomwe zimapangitsa kuti magazi atuluke m'mbuyo (regurgitation). |
| Kubwezeretsa kwa valve ya m'mapapo | Chomwe chimachitika apa n'chakuti valavu siitseka bwino. Choncho mtima ukapuma, magazi ena omwe amapopedwa kupita ku mapapo amabwerera ku ventricle yakumanja. Izi zimakhala zochepa kwa anthu ambiri. Koma pazochitika zazikulu, ventricle yakumanja imatha kukula ndikufooka, ndipo thupi limatha kudzaza ndi madzi ndi kutupa (edema). |
Kodi n'zotheka kukhala ndi moyo popanda valavu ya m'mapapo?
Yankho lolunjika la funsoli ndi "ayi." Valavu ya m'mapapo ndi gawo lofunika kwambiri paulendo wa magazi a thupi lathu kupita ku mapapo kuti akalandire mpweya. Popanda valavu yogwira ntchito bwino, sitingakhale ndi moyo.
Koma chofunika kwambiri chomwe tiyenera kumvetsetsa apa ndichakuti ndi chithandizo chamakono chamakono, matenda awa amatha kuchiritsidwa bwino . Ngati sanachiritsidwe, makanda ndi akuluakulu omwe ali ndi matenda oopsa a pulmonary valve amatha kukhala ndi moyo waufupi. Chifukwa chake, ngati inu kapena mwana wanu muli ndi vutoli, ndikofunikira kwambiri kukambirana momasuka ndi dokotala wanu za njira zochiritsira komanso tsogolo la moyo wanu.
Kodi tingasunge bwanji valavu iyi kukhala yathanzi?
Sitingathe kupewa matenda a mtima obadwa nawo. Koma pali zinthu zambiri zomwe tingachite kuti tidziteteze ku mavuto omwe angabwere m'moyo wathu komanso kuti mitima yathu ikhale yathanzi. Yesetsani kuziphatikiza mu moyo wanu.
- Pewani kusuta fodya kotheratu: Mitundu yonse ya fodya, osati ndudu ndi ma vape okha, ndi yoipa kwambiri pamtima. Ngati mukuvutika kusiya, funsani dokotala wanu kuti akuthandizeni.
- Siyani kumwa mowa kapena kuchepetsa kwambiri: Mowa si wabwino pa thanzi la mtima.
- Idyani zakudya zopatsa thanzi pamtima: Chepetsani zakudya zokhala ndi mafuta ambiri, mchere, ndi shuga. Phatikizani ndiwo zamasamba, zipatso, nyemba, ndi tirigu wambiri muzakudya zanu.
- Kuchita masewera olimbitsa thupi nthawi zonse: Monga momwe dokotala wanu akulangizira, chitani masewera olimbitsa thupi pang'ono, monga kuyenda, kwa mphindi zosachepera 150 pa sabata.
- Kuletsa matenda monga kuthamanga kwa magazi ndi cholesterol:Ngati muli ndi matenda amtunduwu, gwiritsani ntchito mankhwalawo monga momwe dokotala wanu wanenera.
- Kayezetseni kuchipatala chaka chilichonse: Ngakhale mutakhala kuti mulibe matenda aliwonse, pitani kwa dokotala kamodzi pachaka kuti akaone thanzi lanu.
- Makamaka kwa amayi oyembekezera: Ngati muli ndi pakati, pitani kuzipatala zoyenera ndikupeza upangiri ndi chithandizo chofunikira. Izi zitha kuchepetsa chiopsezo cha matenda monga matenda a mtima obadwa nawo.
Kuphunzira za kapangidwe ka mtima ndi momwe ziwalo zake zimagwirira ntchito nthawi zina kungawoneke kovuta pang'ono. Makamaka mukazindikira kuti inu kapena mwana wanu ali ndi vuto la mtima. Zingakhale zovuta kuphunzira zambiri nthawi imodzi. Koma kumbukirani kuti dokotala wanu nthawi zonse amakhalapo kuti akuthandizeni ndikuyankha mafunso anu. Musamaope kufunsa chilichonse chomwe chili m'maganizo mwanu, ngakhale chitakhala chaching'ono bwanji.
Uthenga Wopita Nawo Kunyumba
- Vavu ya m'mapapo ndi valavu yofunika kwambiri, yolowera mbali imodzi yomwe imalola magazi opanda mpweya kupita ku mapapo kuti ayeretsedwe.
- Matenda ambiri okhudzana ndi valavu iyi akhoza kukhala obadwa nawo. Samalani kwambiri ndi zizindikiro monga mtundu wabuluu mwa khanda lobadwa kumene.
- Ngati muli ndi zizindikiro zilizonse za matenda a mtima kapena mukukayikira, pitani kwa dokotala nthawi yomweyo.
- Chifukwa cha njira zamakono zopangira opaleshoni ndi chithandizo, anthu ambiri amatha kuchiza matenda amenewa bwino ndikukhala ndi moyo wathanzi.
- Moyo wathanzi wa mtima (kudya bwino, kuchita masewera olimbitsa thupi, komanso kupewa kusuta fodya) ungateteze thanzi la mtima kwa nthawi yayitali.











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