Kodi ndi chipolopolo chonga baluni chomwe chili pakhoma la mtima? Tiyeni tikambirane za izi (Ventricular Aneurysm)!

Kodi mudamvapo kuti gawo la khoma la mtima limatha kufooka ndikutupa ngati baluni? Ichi ndi vuto lomwe lingachitike kwa anthu ena. Lingachitike makamaka pambuyo pa matenda a mtima. Chifukwa chake, lero tikambirana za vuto ili lotchedwa `(Ventricular Aneurysm)` m'njira yosavuta, kuti mumvetsetse.

Kodi `(Ventricular Aneurysm)` iyi ndi chiyani? Mwachidule...

Chabwino, choyamba tiyeni tiwone chomwe ichi chili. Mukudziwa kuti mtima wathu uli ndi zipinda zazikulu zinayi. Zipinda ziwiri zomwe zili pansi pa izi ndi zomwe zimapopera magazi kupita ku thupi ndi mapapo. Zipinda zapansi zimenezo ndi zomwe timazitcha `(Ventricles)` . Chifukwa chake, pamene malo pakhoma la chimodzi mwa izi `(Ventricle)`, kutanthauza, chimodzi mwa zipinda zapansi za mtima, chikhala chofooka ndikutuluka ngati baluni, timangochitcha `(Ventricular Aneurysm)`. Taganizirani ngati khoma la m'mbali mwa tayala la galimoto limakhala lofooka ndikutuluka ngati thovu. Mtima ukapompa magazi, malo ofookawo amatuluka.

Izi zitha kukhala zoopsa, chifukwa nthawi zina kutupa kumatha kuphulika . Ngati izi zitachitika, ndi ngozi yowopsa ndipo imafuna chithandizo chamankhwala mwachangu.

Kodi pali mitundu ya Ventricular Aneurysm?

Inde, madokotala amazindikira mitundu iwiri ikuluikulu ya Ventricular Aneurysm.

1. Kutupa kwa Mitsempha ya M'magazi Koona: Izi zimachitika pamene gawo la khoma la mtima, lomwe nthawi zambiri limachitika chifukwa cha matenda a mtima (Myocardial Infarction), limafa ndikufooka. Khoma lofooka limatha kutuluka ndikupanga thumba lodzaza ndi magazi. Uwu ndiye mtundu wofala kwambiri wa aneurysm.

2. Aneurysm Yonyenga ya Ventricular kapena Pseudoaneurysm: Izi ndi zosiyana pang'ono. Chomwe chimachitika apa ndichakuti khoma la mtima lawonongeka, ndipo magazi ena amatuluka kudzera mmenemo ndikusonkhana mu nembanemba yopyapyala yozungulira mtima (pericardium). Izi zikutanthauza kuti khoma la mtima lokha silimatupa, koma limawoneka ngati limodzi.

Kodi vutoli ndi lofala bwanji?

Tiyeni tiwone momwe izi zimachitikira kawirikawiri. Ziwerengero zikusonyeza kuti anthu pafupifupi 5 mpaka 7 mwa anthu 100 omwe ali ndi matenda a mtima adzadwala matendawa (Ventricular Aneurysm). Chiwopsezochi chimakhala chachikulu kwambiri ngati matenda a mtima akhudza makulidwe onse a minofu ya mtima (Transmural Myocardial Infarction).

Kodi ndi zinthu ziti zomwe zimayambitsa ventricle aneurysm?

Monga tanenera kale, chifukwa chachikulu komanso chofala kwambiri ndi matenda a mtima (`Myocardial Infarction`) . Pa matenda a mtima, magazi opita ku minofu ya mtima amasiya, ndipo ziwalozo zimafa. Kenako, minofu ya zipsera (`Scar Tissue`) imapangika m'malo akufawo. Pakapita nthawi, minofu ya zipsera iyi imatha kutambasuka, kupyapyala, komanso kufooka. Pamenepo ndi pamene `Aneurysm` imapangika.

Koma nthawi zambiri, vutoli limapezeka munthu akangobadwa. Limatchedwa vuto la mtima lobadwa nalo.Motero, ngati ilipo, sizingadziwike mpaka munthu atakula ndipo zingayambitse mavuto pambuyo pake.

Kuwonjezera pa chifukwa chachikulu ichi, palinso zifukwa zina zomwe sizimaoneka kawirikawiri:

• Matenda a mkati mwa mtima (endocarditis).
• Kugwiritsa ntchito kwambiri mankhwala ochepetsa ululu monga ma steroids ndi mankhwala oletsa kutupa (NSAIDs) kwa nthawi yayitali.
• Matenda a Nyamakazi.
• Matenda osowa monga `(Sarcoidosis)`.
• Monga vuto la opaleshoni ya mtima yotseguka.
• Matenda opatsirana pogonana monga chindoko.
• Ngozi zoopsa (kuvulala pachifuwa)
• Chifuwa chachikulu.
• `(Matenda a Chagas)` (Iyi ndi matenda omwe amayamba chifukwa cha tizilombo toyambitsa matenda, zomwe sizichitika kawirikawiri ku Sri Lanka).
• Vuto linalake la kukhuthala kwa minofu ya mtima lotchedwa "Apical Hypertrophic Cardiomyopathy".

Ndani ali pachiwopsezo chachikulu chotenga Ventricular Aneurysm?

Ngakhale kuti vutoli lingayambire aliyense, anthu ena ali pachiwopsezo chachikulu. Izi zikuphatikizapo:

• Azimayi opitirira zaka 65.
• Ngati wina m'banja mwanu ali ndi matenda a mtima ('Matenda a Mtima'), matenda a mitsempha ya mtima ('Matenda a Mitsempha ya M'magazi'), kapena mbiri ya matenda a mtima, izi ndi zinthu zomwe zimayambitsa matenda a mtima.
• Anthu omwe ali ndi mtima wokulirapo (Hypertrophic Cardiomyopathy). Pa vutoli, minofu ya mtima imakhala yokhuthala kwambiri.

Kodi zizindikiro za `(Ventricular Aneurysm)` ndi ziti?

Chodabwitsa n'chakuti nthawi zambiri, ngati ``(Ventricular Aneurysm)`` iyi ndi yaying'ono, ikhoza kukhala yopanda zizindikiro. Anthu ena sadziwa ngakhale kuti ali ndi vutoli, ndipo limapezeka mwangozi akamayesedwa pazifukwa zina.

Koma anthu ena akhoza kukumana ndi chimodzi kapena zingapo mwa zizindikiro izi:

• Kupweteka pachifuwa kapena kufinya, kumva kupsinjika (`Angina`). Izi zingamveke ngati matenda a mtima.
• Kutupa kwa thupi (edema), makamaka m'miyendo ndi m'mapazi.
• Kumva kutopa kwambiri nthawi zonse (`Kutopa`). Kumva kutopa ngakhale mutachita ntchito yaying'ono.
• Kugunda kwa mtima kosazolowereka, kofulumira, kapena kumva kugunda pachifuwa (`Heart Palpitations`).
• Kupuma Movutikira. Kumva kupuma movutikira ngakhale mukuyenda kapena mukuchita khama.
• Stroke. Izi zimachitika ngati magazi oundana apanga mkati mwa aneurysm ndikusweka ndikutseka mtsempha wamagazi muubongo.

Kodi ndi mavuto otani omwe angakhalepo chifukwa cha `(Ventricular Aneurysm)` iyi?

Ichi ndi chomwe tiyenera kusamala nacho kwambiri. Ngati pali `(Ventricular Aneurysm)`, ikhoza kuyambitsa mavuto ena oopsa.

Vuto lalikulu komanso loopsa kwambiri ndi kuphulika kwa aneurysm.Ngati zimenezo zitachitika, ndi ngozi yaikulu ndipo imafuna kugonekedwa m’chipatala mwamsanga ndi kulandira chithandizo.

Komanso, nthawi zambiri, vuto lotchedwa ``Cardiogenic Shock'' limatha kuchitika. Mwachidule, izi zimachitika pamene mtima sungathe kupompa magazi okwanira kupita m'thupi. Izi ndi zadzidzidzi zachipatala.

Chinanso n'chakuti aneurysm imeneyi imafooketsa ventricle yakumanzere ya mtima, zomwe zimapangitsa kuti zikhale zovuta kupompa magazi kupita m'thupi. Izi zingayambitse kulephera kwa mtima . Izi zikutanthauza kuti mtima umafooka pang'onopang'ono ndipo sungathe kukwaniritsa zosowa za thupi.

Kuphatikiza apo, Ventricular Aneurysm imawonjezeranso zoopsa izi:

• Magazi amaundana ndi mabala omwe amatuluka.
• Kuchepa kwa kuyenda kwa magazi kupita ku minofu ya mtima (`Myocardial Ischemia`). Izi zingayambitse kupweteka kwambiri pachifuwa.
• Kugunda kwa mtima mwachangu komanso moopsa (`Ventricular Tachycardia`). Izi zithanso kukhala zoopsa pa moyo.

Kodi madokotala amazindikira bwanji aneurysm ya ventricular?

Monga tanenera kale, popeza nthawi zina sizimasonyeza zizindikiro, ngati mudadwalapo matenda a mtima kale kapena muli ndi zinthu zina zomwe zingakubweretsereni chiopsezo, dokotala wanu angakupatseni mayeso osiyanasiyana kuti aone ngati muli ndi vutoli. Matenda a aneurysm amenewa nthawi zambiri amayamba kupangika mkati mwa miyezi itatu kuchokera pamene mtima wanu wadwala.

Mayeso akuluakulu ojambulira zithunzi omwe amagwiritsidwa ntchito kuzindikira ma aneurysms awa ndi awa:

• X-ray ya pachifuwa.
• Mayeso a Angiogram. Izi zitha kuphatikizapo scan yapadera yotchedwa Coronary Computed Tomography Angiogram (CCTA).
• Kujambula kwa CT.
• Echocardiogram (`Echocardiogram`). Iyi nthawi zambiri imakhala mayeso oyamba ochitidwa, mofanana ndi ultrasound scan ya mtima.
• Kuyesa kwa electrocardiogram (ECG). Izi zimayesa momwe magetsi a mtima amagwirira ntchito.
• Kujambula kwa MRI. Izi zingathandizenso kupanga zithunzi za mtima mwatsatanetsatane.

Kodi mankhwala a `(Ventricular Aneurysm)` ndi otani?

Chabwino, tsopano tiyeni tiwone zomwe izi zingachite.

• Ma aneurysms ang'onoang'ono komanso osawonetsa zizindikiro: Izi sizingafunike opaleshoni yayikulu nthawi yomweyo. Dokotala wanu adzakuyang'anirani. Adzachita mayeso ojambulidwa omwe atchulidwa pamwambapa nthawi zonse kuti awone ngati aneurysm ikusintha kukula kwake kapena ngati pali zizindikiro zilizonse za mavuto.
• Kusintha kwa moyo ndi kukonzanso mtima: Kukonzanso mtima pambuyo pa matenda a mtimaAnthu ambiri amapindula akatenga nawo mbali mu pulogalamu yotchedwa pulogalamu yosintha moyo wathanzi, komwe akatswiri amakuthandizani kusintha moyo wathanzi (monga zakudya ndi masewera olimbitsa thupi). Izi zingathandize thanzi la mtima wanu ndikuchepetsa chiopsezo chanu cha matenda a mtima mtsogolo.
• Mankhwala: Pofuna kuchepetsa chiopsezo cha mavuto, dokotala angapereke mankhwala monga:
• Aspirin kapena mankhwala ena omwe amaletsa magazi kuundana (anticoagulants).
• Mankhwala oletsa kuthamanga kwa magazi.
• Mankhwala ochepetsa cholesterol, monga "Statins".
• Mankhwala operekedwa pa vuto la mtima wosagwira ntchito komanso vuto la mtima losakhazikika.

Opaleshoni ya Aneurysm Yeniyeni ya Ventricular

Kutupa kwa mitsempha yamagazi kwakukulu komwe kumayambitsa kupweteka pachifuwa, kupuma movutikira, kapena kulephera kwa mtima kungafunike opaleshoni. Madokotala ochita opaleshoni ya mtima amachita opaleshoni yotsegula mtima yotchedwa opaleshoni yokonzanso mitsempha yamagazi kapena opaleshoni yokonzanso mitsempha yamagazi .

Opaleshoni iyi ikuphatikizapo:

• Gawo lofooka, lotupa la minofu ya mtima (aneurysm) limachotsedwa.
• Kenako, ziwalo zathanzi za mtima zimasokedwa pamodzi, kapena chinthu chonga chigamba chopangidwa chimasokedwa kuti chilimbikitse gawo lofooka.

Ngati muli ndi vuto la mtima losakhazikika (`Arrhythmia`) ndipo simungathe kulilamulira, mungafunike kuchitidwa opaleshoni kuti muyike chipangizo chaching'ono pansi pa khungu la chifuwa chanu chomwe chimawongolera kugunda kwa mtima wanu. Timatcha izi `(Implantable Cardioverter Defibrillators - ICD)` ndi `(Pacemakers)` .

Opaleshoni ya "Aneurysm Yonyenga ya Ventricular" kapena "Pseudoaneurysm"

Mawu awa ndi okhwima pang'ono, koma ndi bwino kudziwa. Ngati sanachiritsidwe, pafupifupi theka la anthu omwe ali ndi ma aneurysms abodza a ventricular, kapena pseudoaneurysms, adzafa. Ndiko kuopsa kwake. Chifukwa chake, dokotala wanu mwina angakulangizeni opaleshoni yotsegula mtima kuti akonze pseudoaneurysm.

Kodi chitukuko cha `(Ventricular Aneurysm)` ichi chingalepheretsedwe?

Ndipotu, njira yabwino yopewera aneurysm ya m'mitsempha yamagazi ndikuyesera kupewa chomwe chimayambitsa matenda a mtima. Izi zikutanthauza kusamalira thanzi la mtima wanu. Zinthu izi zidzakuthandizani pa izi:

• Idyani zakudya zopatsa thanzi la mtima. Idyani zakudya zokhala ndi mchere wochepa, mafuta ochepa, ndi shuga wochepa, komanso zipatso ndi ndiwo zamasamba zambiri.
• Kuchita masewera olimbitsa thupi nthawi zonse. Ngakhale kungoyenda kwa mphindi 30 patsiku ndikwabwino.
• Pezani njira zabwino zochepetsera kupsinjika maganizo. Zinthu monga kusinkhasinkha, yoga, ndi kuchita zinthu zosangalatsa.
• Chepetsani kumwa mowa, ndipo ngati n'kotheka, siyani kotheratu.
• Ngati muli onenepa kwambiri, chepetsani thupi lanu ndipo pitirizani kukhala ndi thupi labwino.
• Ngati muli ndi matenda omwe amaika mtima wanu pampanipani, monga kuthamanga kwa magazi, matenda a shuga, kapena cholesterol yokwera, samalani bwino. Tsatirani malangizo a dokotala wanu ndipo imwani mankhwala anu monga momwe mwalangizidwira.
• Ngati mukusuta fodya, funani thandizo kuti musiye nthawi yomweyo. Ndikofunikanso kupewa utsi wosuta fodya womwe umachotsedwa kwa anthu ena.

Kodi chiyembekezo cha anthu omwe ali ndi vutoli ndi chotani?

Pa avareji, anthu 9 mwa 10 omwe ali ndi aneurysm ya ventricle yomwe siyambitsa mavuto akuluakulu amakhalabe ndi moyo zaka zisanu kuchokera pamene adapezeka ndi matendawa. Izi zikutanthauza kuti ngati mutalandira chithandizo choyenera, mutha kukhala ndi moyo wabwino.

Komabe, pamene aneurysms izi zimayambitsa zizindikiro zomwe sizingatheke kuchiritsidwa, kapena pamene mavuto achitika, chiopsezo cha mavuto omwe angawononge moyo chimawonjezeka. Ndicho chifukwa chake ndikofunikira kuyezetsa ndi kulandira chithandizo monga momwe madokotala amalangizira.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukukumana ndi zizindikiro izi, muyenera kuyimbira dokotala nthawi yomweyo, kapena kupita kuchipatala chapafupi:

• Kupweteka kwambiri pachifuwa. Ngati kuti winawake akukufinya pachifuwa, kapena ngati kuti chinachake chikukulemetsani.
• Kuvuta kwambiri kupuma.
• Zizindikiro zina za matenda a mtima (monga kupweteka komwe kumatuluka m'dzanja lamanzere, kupweteka kwa nsagwada, thukuta, nseru)
• Ngati mwadzidzidzi mukumva ngati mtima wanu ukugunda mofulumira kapena mosagwirizana.

Mu mkhalidwe wotere, musataye nthawi. Imbani ambulansi ya 1990 (Suvaseriya) mwachangu momwe mungathere.

Kodi muyenera kufunsa dokotala chiyani?

Ngati dokotala wanu akukuuzani kuti muli ndi ``Ventricular Aneurysm'', ndi bwino kufunsa mafunso angapo ngati awa. Mwanjira imeneyi, mutha kumvetsetsa bwino za vutoli.

• N’chifukwa chiyani ndinapanga `(Ventricular Aneurysm)` iyi?
• Kodi ndi mtundu wanji wa Ventricular Aneurysm womwe ndili nawo? (Zenizeni kapena Zabodza?)
• Kodi aneurysm yanga ndi yaikulu bwanji?
• Kodi ndiyenera kuchita chiyani kuti ndichepetse chiopsezo cha kuphulika kwa aneurysm?
• Ndi mankhwala amtundu wanji omwe ndiyenera kumwa?
• Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwala amenewo?
• Kodi ndikufunika opaleshoni?
• Ngati ndichitidwa opaleshoni, kodi zoopsa zake ndi ziti?
• Ndi zizindikiro ziti za mavuto zomwe ndiyenera kuda nkhawa nazo?

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, ``Ventricular Aneurysm'' yomwe takambiranayi ndi kutupa komwe kumachitika chifukwa cha kufooka kwa khoma la chipinda chimodzi chapansi pa mtima. Vutoli nthawi zambiri limapezeka mwa anthu omwe adadwala matenda a mtima. Izi nthawi zambiri zimachitika kumanzere kwa ventricle.

Chofunika ndichakuti, ngakhale kuti nthawi zambiri izi sizimayambitsa zizindikiro, ngati zizindikiro zotere zimachitika (monga kupweteka pachifuwa, kuvutika kupuma), pali mankhwala kapena opaleshoni zomwe zingagwiritsidwe ntchito pochiza.Komabe, ngati ``Ventricular Aneurysm'' yaphulika, ikhoza kukhala vuto lalikulu kwambiri pa moyo.

Choncho, ngati mukumva kupweteka kwambiri pachifuwa, kuvutika kupuma, kapena zizindikiro zina za matenda a mtima, musazengereze, imbani 1990 nthawi yomweyo ndikupita kuchipatala. Zidzakuthandizani kwambiri kupulumutsa moyo wanu.

Samalani mtima wanu. Khalani ndi moyo wathanzi. Mukatero mutha kudziteteza ku mavuto ambiri ngati awa.

` Ventricular Aneurysm, matenda a mtima, matenda a mtima, kufooka kwa khoma la mtima, opaleshoni ya mtima, thanzi la mtima, kupweteka pachifuwa