Reka twige ku mugozi w'umutima wawe. Reka tubiganireho mu buryo bworoshye!

Ese wigeze wibaza niba hari ibice bito, bisa n'irembo mu mutima wawe bikingura kandi bigafunga mu gihe gikwiye kugira ngo bigenzure urujya n'uruza rw'amaraso? Kimwe mu bice by'ingenzi nk'ibyo ni valve y'umutima . Uyu munsi tugiye kuvuga kuri iki gice gito ariko gifite imbaraga nyinshi mu mutima wacu. Ntugahangayike, ndagusobanurira mu buryo bworoshye cyane ushobora gusobanukirwa.

Ni ibihe bice by'umutima wacu?

Noneho, reka tubanze turebe ibyo utu turemangingo tw'umutima. Tekereza umutima wawe umeze nk'inzu ifite ibyumba bine. Ibyumba bibiri hejuru n'ibyumba bibiri hasi.

• Ibi byumba bibiri byo hejuru tubyita ' atria' .
• Ibyumba bibiri biri munsi y'umutima byitwa ventricles .

Noneho, hagati y’ibi byumba, hagati y’imitsi minini y’amaraso isohora amaraso mu mutima, hari ibice bikora nk’amarembo. Ibyo ni byo twita imitsi y’umutima . Iyi mitsi igizwe n’udupfundikizo duto twitwa 'udupapuro' cyangwa 'cusps'. Igihe cyose umutima ukubita, iyi mitsi irafunguka kandi igafunga mu gihe gikwiye. Ibi bifasha amaraso gukomeza gutembera mu cyerekezo kimwe, nk’uko imodoka ziri mu muhanda zigenda mu cyerekezo kimwe.

None se, iyi valve yitwa aortic ikora iki?

Yego, iyi valve y'umutima tuvuga ubu ni imwe muri valve enye z'ingenzi mu mutima wawe. Ni idasanzwe cyane. Uzi icyo ari cyo? Ni isano iri hagati y'icyumba kinini cyo gupompa kiri ibumoso bw'umutima wawe, ventralène y'ibumoso , n'umuyoboro munini w'amaraso utwara amaraso meza ku mubiri wawe wose, aorta .

Mu magambo make, valve y'umuyoboro w'amaraso (aortic valve) imeze nk'imbwa y'umunyabwenge irinda indwara.

1. Irafungura : yemerera amaraso arimo ogisijeni kuva muri ventilateur y'ibumoso kugera muri aorta.

2. Irafunga : Amaraso amaze kwinjira muri aorta, ihita ifunga. Kuki ifunga? Kugira ngo amaraso adasubira mu cyerekezo kitari cyo, ni ukuvuga kuva muri aorta ikajya muri ventricle y'ibumoso. Ni nko kuzimya robine y'amazi.

Iyi valve y'umuyoboro w'amaraso ni imwe mu bwoko bubiri bwa valve zitwa "valve za semilunar ." Izina rikomoka ku ishusho y'udupapuro tw'udukarito, gisa n'ukwezi kw'icyiciro cya mbere. Ntabwo ari nziza?

Ni gute valve y'umutima ikorana n'ibindi bice by'umutima?

Tekereza kuri ubu buryo: Uburyo amaraso atembera mu mubiri wacu ni nk'inzira igoye. Valve ya aorta igira uruhare runini mu gutuma iyi nzira ikomeza gukora neza. Dore uko ikora, mu buryo bunoze cyane:

• Intambwe ya mbere: Uruhande rw'iburyo rw'umutima wawe rukusanya amaraso adahumeka neza (azwi kandi ko ari "amaraso yanduye") yagiye azenguruka umubiri wose akayajyana mu bihaha.
• Intambwe ya kabiri: Hanyuma, ibihaha byawe byongera umwuka mwiza muri ayo maraso, bigahinduka "amaraso asukuye," hanyuma bigasubizwa ibumoso bw'umutima.
• Intambwe ya Gatatu: Noneho haje ingenzi yacu, valve y'imitsi.Iratangira gukora. Irakinguka, ituma amaraso mashya, afite ogisijeni yo mu ruhande rw'ibumoso rw'umutima (ni ukuvuga ventricle y'ibumoso) yinjira mu muyoboro w'amaraso.
• Intambwe ya Kane: Amaherezo, aorta yawe ipompa aya maraso akungahaye kuri ogisijeni mu mubiri wawe wose, kuva ku mutwe kugeza ku birenge. Iki ni cyo gihe buri selile mu mubiri wawe ibona ogisijeni ikeneye kugira ngo ikomeze kubaho.

Urabyumva ukuntu iyo gahunda ari nziza cyane?

Valve y'umuyoboro w'amaraso iherereye he? Iba ikora he?

Valve yawe y'umutima iherereye, nk'uko byavuzwe mbere, hagati y'umutima w'ibumoso n'umutima w'amaraso . Mu by'ukuri, iyo urebye umutima wawe neza, uba uri hagati mu mutima.

Iyi valve igizwe n'ibice bitatu bikozwe mu bikoresho bikomeye ariko byoroshye byitwa kolajeni . Ibi kandi byitwa udupapuro cyangwa cusps. Mu mutima muzima, utu dupapuro dutatu dukorana neza:

• Ifungura neza iyo ikeneye kuva amaraso.
• Ifunga neza iyo bibaye ngombwa kugira ngo amaraso adasubira inyuma.

Valve ya Bicuspid Aortic ni iki?

Ubusanzwe, buri wese agira imiyoboro itatu mu muyoboro we w’amaraso. Ariko, hari abantu bavuka bafite imiyoboro ibiri gusa aho kuba itatu. Ibyo ni byo twita umuyoboro wa kabiri w’amaraso . Ijambo 'bi' risobanura ibiri. Kugira imiyoboro ibiri gusa rimwe na rimwe bishobora kongera ibyago byo kugira ibibazo by’amaraso n’ibindi bibazo by’umutima. Ariko si buri wese ubikora.

Ni ibihe bintu bigira ingaruka ku muyoboro w'amaraso ufunganye (aortic valve)?

Ikibabaje ni uko hari indwara zimwe na zimwe z’umutima zishobora kugira ingaruka ku muyoboro wacu w’amaraso ufunganye. Zimwe ziba zivukanwa, bivuze ko ziba zihari igihe zivuka. Izindi zishobora kumera nyuma, haba bitewe n’ubwandu, kwangirika k’umutima, nk’indwara y’umutima , cyangwa impinduka zibaho uko umuntu agenda akura.

Dore zimwe mu ngingo z'ingenzi nk'izi:

• Gusubirana kwa valve y'imitsi : Iki ni igihe valve idafunga neza, bigatuma amaraso amwe yinjizwa muri aorta asubira mu gice cy'ibumoso cy'umutima. Ni nk'iyo urugi rudafunga neza, ikintu cyasunitswe gisubiramo. Ibi bituma umutima ukora cyane.
• Gucika intege kw'imitsi y'amaraso mu mitsi : Ibi bibaho iyo imitsi y'amaraso mu mitsi ifunganye cyangwa ikagira ubugari. Imitsi y'amaraso mu mitsi idafunguka neza, ibyo bigatuma amaraso ashobora gutemberamo agabanuka. Tekereza nk'umuyoboro w'amazi ufunga hagati, bigagabanya amazi ashobora gutemberamo. Ibi kandi bitera umutima umuvuduko mwinshi.
• Valve ya Bicuspid aortic(`Valve ya Bicuspid aortic`): Nkuko byavuzwe mbere, hari valve ebyiri gusa. Iyi ndwara ishobora gutera `stenosis` cyangwa `regurgitation` uko igihe kigenda gihita.
• Endocarditis : Iyi ni indwara ikomeye cyane. Muri iyi ndwara, igice cy'umutima n'ibyumba by'umutima (cyitwa endocardium ) kirabyimba, bivuze ko kibyimba kikandura. Iyo ibi bidavuwe vuba, imvange zishobora kwangirika.

Iyi Transcatheter Aortic Valve Replacement (TAVR) ni iki?

Noneho, reba, rimwe na rimwe iyo valve ya aortic yangiritse cyane, cyangwa ikaba ikomeye nka stenosis, valve igomba gusimbuzwa. Mu bihe byashize, ibi byari kubagwa cyane, kubagwa ku mugaragaro. Ibyo ni ikibazo gikomeye.

Ariko ubu, bitewe n’iterambere ry’ubumenyi bw’ubuvuzi, hari uburyo bwitwa Transcatheter Aortic Valve Replacement (TAVR). Hari igihe bwitwa Transcatheter Aortic Valve Implantation (TAVI). Iri ni iterambere ritangaje cyane.

Ibi bisaba gusimbuza valve unyuze mu mwobo muto, udakoze incision nini. Ubu bushobora kuba uburyo bwiza bwo kuvura niba ufite stenosis ya aortic valve , cyane cyane niba ugeze mu za bukuru cyangwa udashobora kwihanganira kubagwa bikomeye.

Dore uko wabikora, mu magambo make:

• Muganga ashyira catheter (umuyoboro muto, woroshye kandi urimo ubusa) mu mitsi y'amaraso (imitsi cyangwa imitsi) iri mu kuguru kwawe (ubusanzwe mu gituza cyawe) cyangwa mu gituza.
• Mu gihe ureba imashini zidasanzwe za X-ray, catheter iyoborwa neza kuri valve ya aorta y'umutima.
• Valve nshya y’ubukorano (iyi ni valve y’inyama ishyizwe ku gitereko cyihariye cy’icyuma) yinjizwa mu mutima binyuze muri iyo catheter hanyuma igashyirwa mu mwanya wayo imbere muri valve ishaje kandi irwaye.
• Hari igihe agapira gato gakoreshwa mu gutera iyi vali nshya, cyangwa hari vali zimwe na zimwe zagenewe gutera iyi vali.
• Iyo valve nshya imaze gushyirwaho, catheter irakurwaho.

Ubu buryo busobanura ko umuntu aguma mu bitaro gake, igihe cyo gukira kigabanutse, kandi nta nkovu zikomeye afite. Iki ni ikintu cyiza cyane, sibyo?

Ni gute twakomeza kubungabunga umuyoboro wacu w’amaraso utera aorta?

Hari ibintu byinshi dushobora gukora kugira ngo umutima wacu wose ukomeze kugira ubuzima bwiza, atari imitsi y'umutima gusa. Ibi ni ibintu byoroshye, ariko by'ingenzi cyane dushobora gushyira mu buzima bwacu bwa buri munsi:

• Komeza kugira ibiro bikwiranye n'imiterere y'umubiri wawe, igitsina, n'imyaka yawe. Kubyibuha cyane ni umutwaro ku mutima.
• Kurya indyo yuzuye umutima. Bivuze ko:
• Gabanya umunyu (sodium).
• Gabanya ibiryo birimo isukari nyinshi n'ibinure byinshi.
• Shyiramo imbuto nshya, imboga, n'ibinyampeke byuzuye (nk'umuceri w'umukara, buckwheat, na oats) mu ndyo yawe.
• Kurya amafi (cyane cyane amafi afite amavuta nka salmon na mackerel) kabiri cyangwa gatatu mu cyumweru.
• Imyitozo ngororamubiri. Imyitozo ngororamubiri nibura iminota 30 ku munsi, iminsi itanu kugeza kuri irindwi mu cyumweru. Ushobora gukora ibintu nko kugenda n'amaguru, kwiruka, koga, cyangwa kugendera ku igare. Hitamo ikintu ukunda.
• Gucunga imihangayiko. Imihangayiko myinshi si myiza ku mutima. Gabanya imihangayiko mu buryo bwiza, nko gutekereza cyane, gukora yoga, gukora ibintu wishimira, no kumarana umwanya n'inshuti n'umuryango.
• Niba unywa itabi, rekeraho uyu munsi. Kunywa itabi ni umwe mu banzi bakomeye b'umutima.
• Gabanya kunywa inzoga.
• Niba ufite indwara nka diyabete, umuvuduko ukabije w'amaraso, cyangwa cholesterol, genzura neza. Kurikiza amabwiriza ya muganga witonze.

Ni iki nabaza muganga wanjye ku bijyanye n'agace k'amaraso gafunga imiyoboro y'amaraso (aortic valve)?

Niba ufite impungenge cyangwa ibibazo ku mutima wawe, cyane cyane umuyoboro w'amaraso ufunganye, cyangwa niba ufite ibimenyetso nko kubabara mu gatuza, kubura umwuka, cyangwa umunaniro uhoraho, ugomba kureba muganga wawe ukaganira kuri ibyo. Dore bimwe mu bibazo ushobora kubaza muganga wawe:

• Namenya nte ko imiyoboro y'umutima wanjye ikora neza? Ni ibihe bipimo byakorwa kugira ngo bigenzurwe?
• Niba mbona mfite ikibazo kuri valve yanjye ya aorta, ni iyihe mpamvu ishobora kuba itera?
• Ukurikije ibimenyetso byanjye, ni ubuhe buryo bwo kuvura mfite?
• Ese nkeneye kubagwa valve y'imitsi cyangwa ikindi kintu nk'icya TAVR?
• Ni izihe mpinduka ngomba gukora ku mibereho yanjye kugira ngo nongere ubuzima bw'umutima wanjye?
• Niba hari umuntu wo mu muryango wanjye warwaye indwara y'umutima, nanjye ndi mu kaga?

Witinya, baza ikibazo icyo ari cyo cyose ufite. Muganga ari hano kugufasha.

Amaherezo, ibintu byo kwibuka

Sawa, rero, ukurikije ibyo twaganiriyeho uyu munsi, ndizera ko wasobanukiwe neza na valve ya aorta.

Wibuke ko umuyoboro w'amaraso ufunganye (aortic valve) ari igice cy'ingenzi cyane cy'umutima wawe. Igihe cyose ukora neza, amaraso atanga ubuzima atembera neza mu mubiri wawe.

Ni ukuri ko hari indwara zimwe na zimwe z’umutima zishobora kugira ingaruka ku muyoboro w’amaraso ufunganye. Ariko, hamwe n’ubuvuzi bugezweho bwo muri iki gihe, nyinshi muri izi ndwara zishobora kuvurwa neza. Niba ibimenyetso byawe bikomeye, muganga wawe ashobora kukugira inama yo kubagwa kugira ngo usanwe cyangwa usimbuzwe umuyoboro w’amaraso ufunganye, cyangwa uburyo nka TAVR.

Ariko, ni ingenzi cyane gukurikiza ubuzima bwiza kugira ngo urusheho kugira ubuzima bwiza bw'umutima wawe. Niba ufite ikibazo ku buzima bw'umutima wawe, ntutinye kuvugana na muganga wawe, sibyo? Kwita ku mutima wawe ni imwe mu mpano nziza ushobora kwiha!

` Valve y'umutima, valve y'umutima, umutima, gutembera kw'amaraso, indwara z'umutima, TAVR, ubuzima bw'umutima