Kodi nthawi zina mumamva kutopa kapena chizungulire mukakwera masitepe? Nthawi zambiri timaganiza kuti izi ndi zinthu zachibadwa zomwe zimachitika tikamakula kapena chifukwa chogwira ntchito molimbika. Koma nthawi zina, kumbuyo kwa zizindikiro zazing'onozi, pakhoza kukhala vuto la thanzi lomwe tiyenera kusamala nalo. Vuto limodzi lotere ndi matenda a mtima. Musadandaule, tidzakambirana zonsezi m'njira yosavuta yomwe mungamvetse.
Kodi Matenda a Valavu ya Mtima ndi Chiyani?
Mwachidule, iyi ndi vuto lomwe ma valve amodzi kapena angapo mumtima mwathu sagwira ntchito bwino. Taganizirani za mtima wathu ngati nyumba yaying'ono yokhala ndi zipinda zinayi. Pakati pa zipinda izi pali zitseko zinayi zomwe zimathandiza kuti magazi aziyenda mbali imodzi yokha. Zitseko zimenezo zimatchedwa ma valve .
Mtima ukagunda, valavu iyi imatseguka ndi kutsekedwa, ngati chitseko.
- Valavu iyi imatseguka magazi akamapita patsogolo.
- Izi zimatseka pamene magazi akufunika kusiya kuyenda m'mbuyo.
Ngati njira imeneyi sikugwira ntchito bwino, mtima umayenera kugwira ntchito molimbika kuti upompe magazi. Ngati sunachiritsidwe, vutoli likhoza kukhala lalikulu pakapita nthawi. Koma nkhani yabwino ndi yakuti pali mankhwala ambiri abwino omwe alipo masiku ano. Ma valve amenewa akhoza kukonzedwa ndi opaleshoni kapena njira zina zamakono, kapena wina watsopano ukhoza kuyikidwa.
Pali ma valve anayi akuluakulu mumtima mwathu:
- Valavu ya Mitral: Pakati pa atrium yakumanzere ndi ventricle yakumanzere.
- Valavu ya tricuspid: Pakati pa atrium yakumanja ndi ventricle yakumanja.
- Valavu ya msempha: Pakati pa ventricle yakumanzere ndi aorta.
- Valavu ya m'mapapo: Pakati pa ventricle yakumanja ndi mtsempha wa m'mapapo.
Kodi mitundu ikuluikulu ya matenda a valve ndi iti?
Mavuto a ma valvu amatha kugawidwa m'mitundu ikuluikulu ingapo. Nthawi zina munthu yemweyo akhoza kukhala ndi mavuto amitundu yambiri. Tiyeni tiwone zomwe zili.
| Dzina la mkhalidwe | Mwachidule, chimachitika n’chiyani? |
|---|---|
| Stenosis | Mapepala a valavu amakhala okhuthala, olimba, ndipo satseguka bwino. Monga chitseko chozizira. Izi zimapangitsa kuti magazi alowe m'malo mwake mopapatiza. Mtima uyenera kugwira ntchito molimbika kuti ukankhire magazi patsogolo. |
| Kubwezeretsa m'mimba | Ma valve flaps satseka bwino, zomwe zimapangitsa kuti magazi atuluke m'mbuyo. Izi zimatchedwanso "valvu yotuluka." Zili ngati mpweya wotuluka pakhomo lomwe silinatsekedwe, ndipo magazi akutuluka m'mbuyo. Izi zimapangitsa kuti mtima ugwire ntchito molimbika kawiri. |
| Kulephera kwa chiberekero | Izi zimakhudza kwambiri valavu ya mitral. Chifukwa chakuti timapepala ta valavu timatambasuka kwambiri, timapinda mmbuyo, kupita ku atrium yakumanzere, pamene mtima ukugunda. Izi sizovulaza anthu ambiri, koma kwa ena zingayambitse kubweza m'mimba. |
| Atresia | Imeneyi ndi vuto lobadwa nalo. Vuto la mtima lomwe silimatseguka mwana akadali m'mimba silimapangidwa. Madokotala nthawi zambiri amazindikira izi mwana akangobadwa. |
Kodi zizindikiro za matenda a valve ndi ziti?
Anthu ambiri omwe ali ndi matenda a valavu sasonyeza zizindikiro zilizonse pachiyambi. Komabe, pamene vutoli likukulirakulira pakapita nthawi, zizindikiro zimayamba kuonekera pamene mtima uyenera kugwira ntchito molimbika.
Chofunika kwambiri n’chakuti nthawi zambiri, matendawa amatha kupezeka m’thupi popanda zizindikiro zilizonse. Chifukwa chake, kuyezetsa matenda nthawi zonse n’kofunika kwambiri.
Zizindikiro zazikulu zomwe zimawonedwa ndi izi:
- Kutopa: Ichi chikhoza kukhala chizindikiro choyamba chomwe mungazindikire. Mungamve kutopa ngakhale mutagwira ntchito pang'ono.
- Kupuma movutikira (dyspnea): Kupuma movutikira kumawonjezeka, makamaka pochita masewera olimbitsa thupi, kukwera masitepe, kapena kuchita chilichonse chovuta.
- Kusintha kwa momwe mtima wanu umagunda (kugunda kwa mtima): Mungamve ngati mtima wanu ukugunda mofulumira, ndi mawu akuti "kugunda" pachifuwa chanu, kapena mungamve ngati ukugunda kamodzi kenako nkusiya.
- Kutupa kwa thupi (Edema): Kutupa m'makolo, miyendo, kapena m'mimba.
- Kufooka kapena chizungulire: Mungamve chizungulire, ngati kuti mwadzidzidzi mwaimirira.
- Kuwonjezeka kwadzidzidzi kwa kulemera kwa thupi.
- Kupweteka pachifuwa: Mungakhale ndi vuto la kuuma pachifuwa, makamaka mukamagwira ntchito yolemetsa.
N’chifukwa chiyani matenda a valavu amenewa amapezeka? Kodi zimayambitsa chiyani?
Pali zifukwa zingapo zomwe ma valve a mtima angawonongekere. Zina ndi zinthu zomwe tingathe kuzilamulira, zina sizingathe.
- Matenda a nyamakazi: Matenda omwe amapezeka pamene matenda a pakhosi (strep throat) sanachiritsidwe ali mwana. Izi zitha kuwononga ma valve a mtima. Ichi ndi chifukwa chofala m'dziko lathu.
- Matenda a Mtima: Kuwonongeka kwa minofu ya mtima komwe kumachitika chifukwa cha matenda a mtima kungakhudzenso ntchito ya ma valve.
- Kuthamanga kwa magazi: Kuthamanga kwa magazi komwe sikulamuliridwa kwa nthawi yayitali kungawononge mtima.
- Mavuto obadwa nawo: Anthu ena amabadwa ndi vuto la valavu.
- Valavu ikufooka ndi ukalamba: Pamene tikukalamba, calcium deposits (calcification) m'maselo a mavavu imatha kukhuthala ndikufooketsa.
- Matenda a mtima opatsirana: Matenda a bakiteriya ochokera kwina m'thupi omwe amayenda m'magazi ndikuwononga ma valve a mtima.
- Matenda ena: Matenda ena, monga lupus ndi Marfan syndrome, amathanso kuwononga ma valve.
Zinthu zomwe zimawonjezera chiopsezo
- Kugwiritsa ntchito fodya.
- Zakudya zosapatsa thanzi.
- Osachita masewera olimbitsa thupi.
- Kukhala ndi matenda monga matenda a shuga ndi kuthamanga kwa magazi.
- Atalandira chithandizo cha khansa pogwiritsa ntchito radiation.
- Kukalamba.
Kodi dokotala amazindikira bwanji matenda a valavu?
Mukapita kukaonana ndi dokotala, adzakuyesani. Mukamvetsera chifuwa chanu pogwiritsa ntchito stethoscope, ngati mumva phokoso lachilendo kuwonjezera pa phokoso la mtima wamba, "kung'ung'udza kwa mtima," kungakhale chizindikiro cha vuto la valavu. Adzafufuzanso zinthu monga madzi m'mapapo ndi kutupa m'miyendo.
Pambuyo pake, tikulimbikitsidwa kuti tichite mayeso angapo kuti titsimikizire matendawa ndikudziwa kuopsa kwake.
| Dzina la mayeso | Kodi chikuchitika n’chiyani? |
|---|---|
| Echocardiogram | Uku ndi kusanthula mtima pogwiritsa ntchito ultrasound. Monga momwe zimakhalira posanthula mimba ya mayi wapakati, chipangizo chimayikidwa pamwamba pa chifuwa ndipo mtima umagunda, ma valve amatseguka ndi kutsekedwa, ndipo magazi amatuluka ngati kanema. |
| Trans-esophageal Echo (TEE) | Izi ndi zofanana ndi echo scan, koma chubu chaching'ono chokhala ndi chipangizo chowunikira chimayikidwa kudzera mu mmero ndikuyikidwa pafupi kwambiri ndi mtima. Izi zitha kupanga zithunzi zomveka bwino za ma valve a mtima. |
| Electrocardiogram (ECG/EKG) | Kuyesa komwe kumalemba momwe mtima umagwirira ntchito. Izi zimachitika poika zomata zazing'ono pachifuwa ndi miyendo. |
| X-ray pachifuwa | X-ray ya pachifuwa ingasonyeze ngati mtima wakula kapena mapapu adzazidwa ndi madzi. |
| Kukonza Catheterization ya Mtima | Chubu choonda kwambiri chimadutsa m'mitsempha yomwe ili m'dzanja kapena mwendo kupita kumtima, chinthu chapadera chimabayidwa, ndipo ntchito ya mitsempha ya mtima ndi ma valve a mtima imayesedwa pogwiritsa ntchito kanema wa X-ray. Izi zimatchedwanso angiogram. |
Kodi mankhwala ake ndi otani?
Chithandizo chimadalira mtundu wa matenda a valve omwe muli nawo, kuopsa kwake, zaka zanu, komanso thanzi lanu lonse.
1. Mankhwala
Mankhwala sangabwezeretse kuwonongeka kwa valavu. Komabe, angathandize kuwongolera zizindikiro, kuchepetsa kupsinjika kwa mtima, komanso kupewa mavuto monga magazi kuundana. Dokotala wanu adzakupatsani mankhwala oletsa zinthu monga kuthamanga kwa magazi, cholesterol, ndi kugunda kwa mtima kosakhazikika (arrhythmias).
2. Opaleshoni
Ngati zizindikiro zake zili zazikulu kapena ngati mtima ukuwonongeka, opaleshoni ingafunike. Pali njira ziwiri zazikulu.
- Kukonza Ma Valuvu:Nthawi iliyonse ikatheka, chisankho choyamba cha madokotala ndi kukonza ndikumanganso valavu yanu chifukwa imachepetsa chiopsezo cha matenda, imachotsa kufunikira kwa mankhwala ochepetsa magazi kwa moyo wonse, komanso imasunga ntchito ya mtima.
- Kusintha ma valavu: Ngati valavu yawonongeka kwambiri, imachotsedwa ndipo valavu yatsopano imayikidwa. Pali mitundu iwiri ya ma valavu atsopanowa:
- Ma Valves a Makina: Awa ndi okhazikika, koma akangoyikidwa, muyenera kumwa mankhwala ochepetsa magazi kwa moyo wanu wonse.
- Ma Valves a Zamoyo/Minofu: Izi zimapangidwa kuchokera ku minofu ya mtima ya nyama (nkhumba kapena ng'ombe). Sizifuna mankhwala ochepetsa magazi kwa nthawi yayitali, koma zimatha kuwonongeka pakatha zaka 10-15, zomwe zimafuna opaleshoni yobwerezabwereza.
Masiku ano, opaleshoniyi ikhoza kuchitika kudzera mu kudula pang'ono (opaleshoni yocheperako) popanda kuchotsa bere lonse. Dokotala wanu adzakufotokozerani njira yomwe ili yoyenera kwa inu.
Zinthu Zofunika Kuziganizira Mukakhala ndi Matenda a Valve
Kukhala ndi matenda a valve kumatanthauza kuti muyenera kusamalira thanzi lanu pang'ono.
- Pitani kwa dokotala nthawi zonse: Ngakhale mutakhala kuti mulibe zizindikiro zilizonse, pitani kukayezetsa monga momwe dokotala wanu wakonzera. Ndikofunikira kuyang'anira momwe valavu imagwirira ntchito ngati pali kusintha kulikonse.
- Dzitetezeni ku matenda: Chiwopsezo chanu chachikulu ndi matenda a mtima otchedwa infective endocarditis . Pewani izi mwa:
- Samalani mano anu ndi chiseyeye chanu bwino. Tsukani mano anu bwino tsiku lililonse.
- Uzani dokotala wanu wa mano ndi dokotala wina aliyense kuti muli ndi matenda a mtima.
- Funsani dokotala wanu wa mtima ngati mukufuna kumwa mankhwala opha tizilombo musanachotse dzino kapena opaleshoni ina yaying'ono.
- Moyo wathanzi: Pewani kusuta fodya, idyani zakudya zopatsa thanzi, ndipo chita masewera olimbitsa thupi monga momwe dokotala wanu walangizira.
Kodi ndiyenera kupita kwa dokotala nthawi yanji mwamsanga?
Ngati zizindikiro zanu (malungo, kupweteka pachifuwa, kutupa kwa miyendo) zikuipiraipira kapena zikuchitika pafupipafupi, pitani kwa dokotala nthawi yomweyo.
Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?
Ngati zizindikirozi zichitika, makamaka mutachita opaleshoni ya valavu, pitani ku ETU (Emergency Treatment Unit) nthawi yomweyo kapena imbani 1990.
- Kutaya mwadzidzidzi chidziwitso.
- Kupweteka kwambiri pachifuwa.
- Kupuma movutikira kwambiri komwe sikutha ngakhale mutapumula.
- Kugunda kwa mtima kumawonjezeka kuposa kugunda 150 pamphindi.
- Malungo kapena kuzizira.
- Kutsokomola magazi.
Uthenga Wopita Nawo Kunyumba
- Musanyalanyaze zizindikiro monga kutopa, kutopa kosazolowereka, ndi kupweteka pachifuwa monga mwachizolowezi. Zingakhale chizindikiro cha matenda a valvular.
- Matenda a mtima ndi vuto lomwe lingachiritsidwe bwino masiku ano. Palibe chifukwa choopa.
- Pitani kukayezetsa ndi kuyesedwa nthawi zonse monga momwe dokotala wanu wanenera. Imeneyo ndiyo njira yabwino kwambiri yotetezera mtima wanu.
- Kusintha pang'ono kwa moyo (zakudya zabwino, kuchita masewera olimbitsa thupi, kusiya kusuta fodya) kungapangitse kusiyana kwakukulu pa thanzi la mtima wanu.
- Ngati muli ndi matenda a valvular, uzani madokotala anu onse, kuphatikizapo dokotala wa mano, za vutoli. Ndikofunikira kwambiri kupewa matenda.











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