Ese amaraso atembera inyuma anyuze mu muyoboro wa tricuspid w'umutima? (Isubiramo ry'umuyoboro wa tricuspid) Reka twige kuri ibi.

Tekereza umutima wawe nk'ipompe y'amazi. Muri iyi pompe, harimo inzugi nto zifasha kohereza amaraso mu cyerekezo kimwe gusa. Izi tuzita "valve." Hari igihe imwe muri izi nzugi ishobora kudafunga neza kandi ikaba ifunguye gato. Hanyuma, amwe mu maraso yagombaga kuba yaragiye imbere asubira inyuma. Mu buryo nk'ubwo, urugi ruri hagati y'icyumba cyo hejuru n'icyo hasi ku ruhande rw'iburyo rw'umutima wacu, 'Tricuspid Valve', ntirufunga neza kandi amaraso asubira inyuma, ari byo twita Tricuspid Valve Regurgitation .

Mu magambo make, ibi bibaho bite?

Kugira ngo dusobanukirwe neza iki kibazo, reka turebe uburyo valve ya tricuspid mu mutima wacu ikora.

Valve ya tricuspid igenzura urujya n'uruza rw'amaraso ava mu cyumba cyo hejuru (Right Atrium) ku ruhande rw'iburyo rw'umutima wacu ajya mu cyumba cyo hasi (Right Ventricle). Iyi valve ifite imigozi itatu. Iyo umutima ufashe (systole), iyi migozi ifunga neza, ikabuza amaraso gusubira mu cyumba cyo hejuru. Iyo umutima wongeye kuruhuka (diastole), iyi migozi irafunguka, bigatuma amaraso atembera mu cyumba cyo hasi.

Ariko, ku muntu ufite valve ya tricuspid iva, iyo umutima ubyimbye, utwo dupfundikizo ntitwifunga burundu. Hasigaye umwanya muto. Bityo, amwe mu maraso agomba kujya mu bihaha asubira mu cyumba cyo hejuru.

Ni ubuhe bwoko bw'ingenzi bw'iyi ndwara?

Gusubiza valve ya tricuspid mu buryo bworoshye bishobora kugabanywamo ubwoko butatu bw'ingenzi.

Ni ibihe bimenyetso by'iyi ndwara?

Nkuko byavuzwe mbere, niba ufite ikibazo cyo kuruhuka mu nda, ushobora kutagira ibimenyetso na bimwe uhura na byo. Ariko, iyo indwara ibaye iri hagati cyangwa ikomeye, ushobora kugira ibimenyetso bimwe na bimwe.

Ibimenyetso ushobora kubona

• Kumva ufite umwuka ubura igihe ukora siporo, ugenda n'amaguru, cyangwa urimo gukora akazi.
• Kumva unaniwe cyane cyangwa ufite intege nke mu gihe cy'iminsi myinshi.
• Kubyimba mu nda, ku maguru, cyangwa ku birenge (edema) . Ibi bibaho iyo umutima udashobora gupompa amaraso neza, bigatuma amazi yirundanya mu mubiri.

Ibimenyetso muganga ashobora gusobanukirwa

• Umutima uvuza urusaku rudasanzwe iyo wumva umutima wawe ukoresheje stethoscope.
• Kumva impinduka mu buryo umutima wawe utera mu ijosi ryawe cyangwa mu mwijima.

Kuki ibi bibaho? Impamvu nyamukuru ni izihe?

Kenshi na kenshi, impamvu nyamukuru y’iyi ndwara ni impinduka mu miterere y’umutima ziba mu ruhande rw’iburyo rw’umutima. Muri make, iyo umuvuduko ukabije w’amaraso cyangwa amaraso menshi atembera mu ruhande rw’iburyo rw’umutima, ibyumba byo kuri urwo ruhande (atrium na ventricle) bitangira kwaguka.

Tekereza niba urugi rugiye kuba runini, urugi ntirushobora gufunga neza. Mu buryo nk'ubwo, uko ibyumba by'umutima bigenda bikura, agace k'umutima gafata udupapuro tw'imitsi na ko karakura kakagenda karushaho kuba kanini. Hanyuma udupapuro dutatu ntidushobora gufunga neza. Ibi ni byo twita gusubiramo kwa kabiri .

Impamvu zitera kwaguka k'uruhande rw'iburyo rw'umutima:

• Indwara ya Atrial Fibrillation
• Indwara y'umutima - intege nke z'imitsi y'umutima
• Indwara y'imitsi itera umutima
• Kugabanuka k'imikorere y'uruhande rw'ibumoso rw'umutima (Kunanirwa kw'ibumoso bw'imitsi)
• Umuvuduko ukabije w'amaraso mu bihaha
• Ibibazo bikomeye ku mitsi y'umutima ifata imiyoboro ya mitral cyangwa aorta

Ni gake cyane, uku gusohoka kw'amazi gushobora guterwa no kwangirika kw'umugozi w'ingufu ubwawo. Ibi nibyo twitaGutemba kw'ibanze .

Impamvu zishobora gutuma igiti cy'umugozi cyangirika:

• Indwara y'Umutima ya Rumatike
• Umutima urwaye indwara yandura (Infectious Endocarditis)
• Ubusembwa bw'impinja (urugero: Ebstein's Anomaly)
• Ingorane zo gutera ibikoresho nk'ibikoresho bifasha mu gutera umutima gutera imbere (pacemakers)
• Ubuvuzi bw'imirasire mu gituza
• Ibikomere bikomeye byo mu gituza byatewe n'impanuka ikomeye
• Imiti imwe n'imwe

Ni izihe ngorane ibi bishobora gutera?

Iyo iyi ndwara itavuwe kandi ikaba ikomeye, ishobora kugira ingaruka ku zindi ngingo.

• Kunanirwa kw'impyiko
• Kunanirwa k'umwijima
• Umutima udafite ubushobozi bwo kuvura uruhande rw'iburyo

Ni gute muganga asuzuma iyi ndwara neza?

Muganga wawe azabanza kugusuzuma. Azatega amatwi umutima wawe akoresheje stethoscope kandi arebe uko umutima wawe utera mu ijosi no mu nda.

Hanyuma, ikizamini nyamukuru cyo kwemeza indwara ni ikizamini cya echocardiography . Ibi ni nko gusuzuma umutima. Ibi bishobora kumenya neza ibintu byinshi, nko kuba valve yavuye, niba hari impinduka mu miterere y'valve, ndetse niba icyumba cy'umutima cyaragutse.

Byongeye kandi, ibizamini bikurikira bishobora gukorwa kugira ngo hamenyekane impamvu:

• Ibipimo by'amaraso
• X-ray yo mu gituza
• Ikizamini cya ECG
• MRI y'umutima

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura buterwa n'uburemere bw'indwara yawe n'impamvu yayo. Muganga wawe azaguha gahunda yo kuvura ikubereye.

1. Kurwanya ibimenyetso hakoreshejwe imiti: Urugero, imiti igabanya ububabare ishobora gutangwa kugira ngo igabanye amazi mu mubiri.

2. Kuvura impamvu nyamukuru: Niba impamvu y'ivumbirwa ry'amaraso ari umuvuduko ukabije w'amaraso, vura, n'ibindi. Niba impamvu ari indwara y'umutima, vura.

3. Kubaga cyangwa gusimbuza valve: Iyo ikibazo gikomeye, hashobora kuba ngombwa kubaga valve kugira ngo isanwe cyangwa ikoreshwe valve nshya y’ubukorano.

4. Uburyo bwo kuvura hakoreshejwe transcatheter: Ubu ni uburyo bugezweho bwo gusana valve nta kubagwa, bukinjira mu mutima bunyuze mu muyoboro winjijwe mu kaguru cyangwa mu kuboko.

Ni iki twakora kugira ngo tugabanye ibyago?

Nubwo iki kibazo kidashobora kwirindwa buri gihe, kugira ubuzima bwiza bw'umutima bishobora kugabanya cyane ibyago.

• Indyo nziza ku mutimaKurikira. (Urugero: Indyo yo mu nyanja ya Mediterane)
• Kora imyitozo ngororamubiri iringaniye nibura iminota 150 buri cyumweru.
• Hagarika burundu gukoresha ibikomoka ku itabi.
• Hagarika cyangwa ugabanyirize ikoreshwa ry'inzoga .
• Jyana na muganga nibura rimwe mu mwaka kugira ngo agusuzumishe .

Ni ryari ukwiye kujya kwa muganga?

Kurikiza amabwiriza ya muganga wawe neza kandi ujye kwa muganga ku gihe. Nanone, menya ibi bikurikira:

Muri make, gusubirana kw'imitsi ya tricuspid valve bishobora kuba ikibazo gito kuri bamwe, ndetse no gushyira ubuzima mu kaga ku bandi. Ikintu cy'ingenzi ni ukubona inama zikwiye kwa muganga. Muganga wawe azaba akurikiranira hafi ubuzima bw'umutima wawe. Rero, niba hari ikibazo, gishobora kumenyekana no kuvurwa mbere yuko kiba gikomeye.