Ese uzi iki gice gito cy'umutima wawe? - Iburyo bwo kugabanya atrial

Twese tuzi ko umutima wacu ari urugingo rutangaje cyane. Ariko ushobora kuba utarabyumvise byinshi kuri bimwe mu bice bito by'uyu mutima. Rero, uyu munsi tugiye kuvuga ku gice gito cy'umutima abantu benshi batavugaho, ariko gifite uruhare runini cyane. Icyo ni igice gikwiye cy'umutima , cyangwa mu Cyongereza `(Right Atrial Appendage)`, cyangwa `(RAA)` mu magambo ahinnye. Wenda uri kumva iri zina ku nshuro ya mbere. Ariko ntugire ikibazo, reka tubiganireho mu buryo bworoshye.

Igice cy'umubiri gikwiye cyo mu gice cy'imbere cy'umutima ni iki?

Mu magambo make, "Right Atrial Appendage" cyangwa "RAA" ni igice gito cy'umutima wawe gisa n'agafuka gasohoka gato mu cyumba cyo hejuru cy'umutima wawe, cyitwa right atrium. Ushobora kuba warigeze kubyumva mbere, cyane cyane iyo muganga akubwiye gushyira "pacemaker lead" mu gikoresho gito gihuza na pacemaker, mu gikoresho cyawe cy'iburyo.

Tekereza kuri iyi `(RAA)` nk'agafuka gato mu ishati yacu. Ahantu hato hanze y'ishati nkuru. Hari impamvu yihariye ituma abaganga bakunda gushyira insinga zikora pacemaker muri iyi `(RAA)`. Imwe ni uko iyi `(RAA)` yoroshye cyane kuyigeraho. Ikindi ni uko iyi `(RAA)` iri hafi cyane ya `(SA node)`, cyangwa `(node ​​sinoatrial)`, yohereza ibimenyetso by'amashanyarazi bituma umutima wacu utera. Bityo rero ni ingenzi cyane ku buryo pacemaker ikora neza.

Iki gice cy'umutima utamenyereye rimwe na rimwe gishobora kugutera ibibazo. Ariko inkuru nziza ni uko hari uburyo bwo kuvura iki kibazo (RAA), nk'uko bimeze ku bindi bice by'umutima.

Ni iki kigenda kuri iyi RAA? (Imikorere ya RAA)

Noneho reka turebe icyo aka gakoko gato ka `(RAA)` gakora. Imwe mu nshingano zako z'ingenzi ni uko iyo ingano y'amaraso yacu yiyongera, ni ukuvuga iyo ingano y'amaraso mu mubiri yiyongera birenze uko bikenewe, inkuta z'aka gakoko zitangira kwaguka. Hanyuma, aka gakoko (RAA)` gasohora ubwoko bwihariye bwa poroteyine yitwa `natriuretic peptides` .

Iyi miti yitwa "peptides natriuretic" zigira ibintu by'ingenzi cyane:

• Imitsi yawe y'amaraso iraguka gato.
• Bifasha gukura umunyu n'amazi menshi mu mubiri wawe binyuze mu nkari.

Iyi gahunda ifasha kugabanya ingano y'amaraso yawe n'umuvuduko w'amaraso. Tekereza nk'umuyoboro muto usohora amazi arenze iyo ikigega cy'amazi mu rugo rwawe cyuzuye.

RAA iherereye he? (Aho RAA iherereye)

"Urufunguzo rw'iburyo rwa Atrial" rwawe ruri hejuru y'atrial y'iburyo y'umutima wawe. Mu by'ukuri, ruri hafi y '"superior vena cava" yawe, umuyoboro munini w'amaraso. Iki "(RAA)" ni igice kimeze nk'umuyoboro w'amaraso kizamuka hagati y'atrial y'iburyo n'atrial y'iburyo.

Ibice bya RAA ni ibihe? Bisa bite? (Imiterere n'uko RAA iteye)

Iyo urebye imiterere y'imbere y'iyi `(RAA)`, isa n'agafuka gafite umwobo wemerera amaraso kwinjira no gusohoka. Ubuso bw'imbere bwa `(RAA)` buragoye gato. Impamvu ni uko hari imitsi yitwa `terminal crest` na `musculi pectinati` . Iyi mitsi imeze nk'imitsi mito ku buso.

Ku bijyanye n'ingano, abashakashatsi bavuga ko ubuso bw'iyi '(RAA)' bungana na santimetero kare 3 (ni ukuvuga hafi igice cya santimetero kare). Umwanya wa '(RAA)' ufite ubugari bwa santimetero 2 (ni munsi gato ya santimetero imwe).

Igitangaje cyane ni uko iyi `(RAA)` ishobora kugira płatka imwe (lobe) cyangwa płatki nyinshi, rimwe na rimwe ikagera kuri esheshatu. Ibyo bivuze ko `(RAA)` ya buri wese atari imwe.

Ni izihe shusho zishobora kugaragara muri RAA? (Ishusho za RAA)

Abashakashatsi bagaragaje ubwoko butandukanye bwa `(RAA)`. Dore bumwe muri bwo:

• Imiterere y'impande (imiterere y'umunwa w'ikigina): Iyi ni yo miterere ikunze kugaragara cyane. Isa n'umunwa w'ikigina.
• Imiterere y'ifarashi ifite impande enye: Isa n'ishusho y'umutwe wayo.
• Imiterere ya Trapezoid: Isa n'imiterere y'icyuma gikingira.
• Imiterere y'impandeshatu: Nk'ubwato buri ku bwato.
• Imiterere idasobanutse: Zimwe muri zo ziragoye kuzisobanura neza.

Uretse izi miterere y'ingenzi, abashakashatsi bavumbuye izi nkomoko. Ese ntibitangaje kubona aka gace gato k'umutima wacu gashobora kuba gatandukanye cyane?

Ni izihe ndwara n'indwara bikunze kwibasira RAA?

Kimwe n'ibindi bice by'umutima, hari indwara nyinshi zishobora kugira ingaruka kuri RAA. Zimwe muri zo ni izi:

• Gutera imitsi mu gice cy'umutima (Afib): Iyi ni indwara y'umutima idakora neza. Iyi ndwara ishobora gutuma amaraso afungana muri RAA. Ariko, ibi ntibikunze kugaragara cyane mu ruhande rw'iburyo ugereranije n'igice cy'ibumoso cy'umutima.
• Ibikomere byatewe n'impanuka y'imodoka: Mu mpanuka ikomeye, RAA ishobora kwangirika bitewe no gukomereka ku gituza.
• Aneurysm: Iyi ni indwara aho imitsi ikura cyane ikabyimba nk'ibaluni. RAA ishobora no kugira ubwo bwoko bwa aneurysm.

Icy'ingenzi: Kumenya hakiri kare no kuvura neza izi ndwara ni ingenzi cyane.

Ni ibihe bimenyetso by'indwara za RAA?

Ibintu bigira ingaruka ku gice cyo hasi cy’iburyo cy’umutima (RAA) bishobora gutuma ugira ibimenyetso nk'ibi:

• Kubabara mu gatuza
• Umunaniro
• Guhumeka nabi cyangwa 'dyspnea'
• Kuzungera

Kuba ufite ibi bimenyetso ntibivuze ko ufite ikibazo cya RAA. Bishobora no guterwa n'izindi ndwara z'umutima n'ibibazo by'ubuzima muri rusange. Kubwibyo, niba ufite ibi bimenyetso, ni byiza gushaka inama kwa muganga.

Ni gute wasuzuma uko ubuzima bwa RAA buhagaze? (Ibipimo bisanzwe ku buzima bwa RAA)

Hari ibizamini byinshi abaganga bakoresha kugira ngo barebe ubuzima bw'agace k'iburyo k'umutima wawe (RAA):

• Echocardiogram ya Transesophageal Echocardiogram (TEE): Ubu ni ubwoko bwihariye bwa echocardiogram. Muri iki kizamini, agakoresho gato gafite kamera (transducer probe) gashyirwa mu muhogo wawe kanyuze mu muhogo wawe kugira ngo gafate amashusho meza y'umutima wawe. Ibi bituma ubona neza cyane RAA.
• Isuzuma rya Cardiac CT (Cardiac Computed Tomography): Rikoresha imirasire ya X na mudasobwa kugira ngo rikore amashusho y'umutima mu bice bitandukanye.
• Echocardiogram ya Transthoracic (TTE): Ubu ni bwo bwoko bukunze gukoreshwa cyane bwa echocardiogram. Aha, transducer ishyirwa ku gituza cyawe kugira ngo ifate amashusho y'umutima wawe.

Muganga ni we uzagena icyo gukora kuri ibi bipimo bitewe n'uko urwaye.

Ni ubuhe buryo bwo kuvura ibi? (Ubuvuzi Busanzwe)

Niba hari ikibazo ku gikoresho gikwiye cyo mu nda (RAA), hari uburyo butandukanye bwo kuvura:

• Imiti igabanya amaraso: Niba RAA yawe ikunze kurwara amaraso, uzahabwa iyi miti kugira ngo ikurinde kuvura amaraso.
• Uburyo bwo kuvura indwara yo gucika kw'umutima: Iyo umutima utera nabi, urugero nka atrial fibrillation, bitangiye na RAA, uburyo bwo kuvura bushobora gukorwa kugira ngo hasenywe ingingo zidasanzwe.
• Kubagwa: Iyo ingingo za RAA zangiritse mu mpanuka, hashobora kuba ngombwa kubagwa kugira ngo hakosorwe cyangwa havanwe ibice byangiritse.

Kumenya uburyo bwo kuvura bukubereye biterwa n'ibintu byinshi, harimo uburwayi bwawe, imyaka yawe, n'ubuzima bwawe muri rusange.

Nigute nakomeza kugira ubuzima bwiza ku gice cy'iburyo cy'umutima wanjye (RAA)? (Nigute wakwita ku ndwara ya RAA yawe)

Mu by’ukuri nta kintu na kimwe ushobora gukora ku bw’umwihariko `(Right Atrial Appendage)` yawe. Ibyo ukora kugira ngo umutima wawe wose ugire ubuzima bwiza ni na byo byiza kuri `(RAA)` yawe. Kugira ngo umutima wawe ugire ubuzima bwiza, komeza witondere ibi bintu:

• Gira imyitozo ngororamubiri nibura iminota 150 mu cyumweru: kora imyitozo ngororamubiri nko kugenda, kwiruka, cyangwa koga.
• Kurya indyo yuzuye umutima: Kurya imboga nyinshi, imbuto, ibinyamisogwe, ibinyampeke, inyama zitarimo ibinure n'amafi. Gabanya amavuta, umunyu n'isukari.
• Irinde gukoresha ibikomoka ku itabi: Kunywa itabi byangiza cyane umutima.
• Genzura imihangayiko yawe:Kora ibintu nka yoga, gutekereza cyane, nibindi. Humura.
• Kugenzura indwara nk'umuvuduko ukabije w'amaraso na diyabete: Fata imiti nk'uko muganga yabigutegetse.

Ukurikije izi ntambwe zoroshye, ushobora gutuma sisitemu yawe yose y'imitsi n'amaraso ikomeza kugira ubuzima bwiza.

Amaherezo, ikintu cy'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Abantu benshi ntibigeze bumva ijambo "Right Atrial Appendage" cyangwa "RAA" mbere. Abafite "Afib" bashobora kuba barumvise ibijyanye na Left Atrial Appendage, ariko iri iburyo ntabwo rivugwaho cyane.

Niba urimo gusoma iyi nkuru kubera ko ugiye guterwa pacemaker, ikintu kimwe ugomba kumenya ni uko abaganga bahitamo RAA nk'ahantu heza ho gushyira pacemaker. Twamaze kuganira ku mpamvu z'ibi.

Niba ufite ibindi bibazo kuri iyi '(RAA)', ntutindiganye kuvugana na muganga wawe. Ashobora kuguha ibisubizo bisobanutse neza ku bibazo byawe byose. Wibuke ko buri gice gito cy'umubiri wacu gifite uruhare rw'ingenzi, bityo ni ngombwa kubimenya.

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