Ngatidzidzei nezve aortic valve iri mumoyo mako. Ngatitaurei nezvazvo zviri nyore!

Wakambozvibvunza here kana paine zvikamu zvidiki zvakaita segedhi mukati memoyo wako zvinovhurika nekuvharika panguva chaiyo yekudzora kuyerera kweropa? Chimwe chikamu chakakosha kudaro ivharuvhu yeaorta . Nhasi tichataura nezvechikamu ichi chidiki, asi chine simba guru chemoyo wedu. Usazvidya mwoyo, ndichakutsanangurira nenzira iri nyore yaunogona kunzwisisa.

Ndezvipi zvinhu zviri mumoyo medu?

Zvakanaka, ngatitangei tatarisa kuti mavharuvhu emwoyo aya chii. Fungidzira moyo wako wakaita seimba ine makamuri mana. Makamuri maviri kumusoro nemakamuri maviri pasi.

• Tinodaidza makamuri maviri epamusoro aya kuti ' atria' .
• Tinodaidza makamuri maviri ari pasi pemoyo kuti maventricles .

Zvino, pakati pemakamuri aya, pakati petsinga huru dzeropa dzinotakura ropa kubva mumoyo, pane zvikamu zvinoshanda semagedhi. Ndizvo zvatinodaidza kuti mavharuvhu emoyo . Mavharuvhu aya anoumbwa netumapepa tudiki tunonzi 'mapepa' kana kuti 'cusps'. Nguva dzese mwoyo paunorova, mavharuvhu aya anovhurika uye anovharika panguva chaiyo. Izvi zvinobatsira kuti ropa rirambe richiyerera munzira imwe chete, semota dziri mumugwagwa dzichienda nenzira imwe chete.

Saka, iyi inonzi aortic valve inoita sei?

Zvakanaka, iyi aortic valve yatiri kutaura nezvayo ikozvino ndeimwe yemavharuvhu mana makuru ari mumoyo mako. Yakakosha zvikuru. Unoziva here kuti chii? Ikubatana kuripo pakati pekamuri guru rekupomba riri kuruboshwe rwemoyo wako, ventricle yekuruboshwe , netsinga huru yeropa inotakura ropa rakachena kumuviri wako wese, aorta .

Zvichitaurwa zviri nyore, vharuvhu yeaorta yakafanana nembwa yakangwara.

1. Inovhura : ichibvumira ropa rine okisijeni kupfuura richibva kuruboshwe rweventricle kuenda kuaorta.

2. Inovhara : Kana ropa rapinda muaorta, rinovhara nekukurumidza. Sei richivhara? Kudzivirira ropa kuti risadzokere munzira isiriyo, kureva kuti, kubva muaorta kuenda kuventricle yekuruboshwe. Zvakafanana nekudzima pombi yemvura.

Vharuvhu iyi yeaortic ndeimwe yemhando mbiri dzevharuvhu dzinonzi `` semilunar valves.'' Zita racho rinobva pachimiro chemapepa evharuvhu, akafanana nemwedzi mutsvuku. Haisi yakanaka here?

Vharuvhu yeaorta inoshanda sei nedzimwe nhengo dzemoyo?

Funga nezvazvo nenzira iyi: Kuyerera kweropa mumuviri wedu kwakafanana nehurongwa hwakaoma hwemigwagwa. Vharuvhu yeaorta inoita basa guru mukuchengetedza hurongwa uhwu huchishanda zvakanaka. Heino mashandiro ahwo, nenzira yakarongeka:

• Danho rekutanga: Rutivi rwerudyi rwemwoyo wako runounganidza ropa risina mweya (rinonziwo "ropa rakasviba") iro rave richitenderera mumuviri wako wese roripomba kuenda kumapapu.
• Danho rechipiri: Zvadaro, mapapu ako anowedzera okisijeni itsva muropa iroro, orishandura kuita "ropa rakachena," uye oridzosera kuruboshwe rwemoyo.
• Danho rechitatu: Iye zvino panouya gamba redu guru, vharuvhu yeaorta.Zvinotanga kushanda. Zvinovhura, zvichiita kuti ropa idzva, rine mweya kubva kuruboshwe rwemoyo (kureva, ventricle yekuruboshwe) ripinde muaorta.
• Danho Rechina: Chekupedzisira, aorta yako inopomba ropa iri rine oxygen mumuviri wako wese, kubva kumusoro kusvika kutsoka. Apa ndipo apo sero rega rega mumuviri wako rinowana oxygen yarinoda kuti rirarame.

Unonzwisisa here kuti maitiro iwayo anoshamisa sei?

Vharuvhu yeaorta iri kupi? Inoumbwa kupi?

Vharuvhu yako yeaortic iri pakati pe ventricle yekuruboshwe ne aorta . Kutaura chokwadi, kana ukatarisa moyo wako zvakananga, uri pakati pemoyo.

Vharuvhu iyi yakagadzirwa nezvikamu zvitatu zvakagadzirwa nezvinhu zvakasimba asi zvinochinjika zvinonzi collagen . Izvi zvinonziwo mapepa kana kuti cusps. Mumoyo une hutano, mapepa aya matatu anoshanda pamwe chete zvakakwana:

• Inovhurika zvakanaka kana ichida kubuda ropa.
• Inovhara zvakasimba kana zvichidikanwa kudzivirira ropa kuti risadzokere shure.

Chii chinonzi Bicuspid Aortic Valve?

Kazhinji, munhu wese ane ma cusps matatu mu aortic valve yake. Zvisinei, vamwe vanhu vanozvarwa vaine ma cusps maviri chete panzvimbo pematatu. Ndizvo zvatinodaidza kuti bicuspid aortic valve . Izwi rekuti 'bi' rinoreva maviri. Kuva nema cusps maviri chete dzimwe nguva kunogona kuwedzera njodzi yematambudziko ekuyerera kweropa nezvimwe zvinetso zvemoyo. Asi havasi vese vanozvarwa.

Ndezvipi zvirwere zvinokanganisa vharuvhu yeaorta?

Zvinosuwisa kuti mamwe matambudziko emwoyo anogona kukanganisa vharuvhu yedu yeaorta inokosha. Mamwe acho anowanikwa pakuzvarwa, zvichireva kuti anovapo pakuzvarwa. Mamwe anogona kukura gare gare, kungave nekuda kwehutachiona, kukuvara kwemoyo, senge kurwara nemoyo , kana shanduko dzinoitika nekukura.

Heano mamwe emamiriro ezvinhu makuru akadaro:

• Kudzoreredza vharuvhu yeAortic : Apa ndipo apo vharuvhu isingavharike zvakanaka, zvichiita kuti rimwe ropa rinopombwa muaorta ridonhe richidzokera mu ventricle yekuruboshwe. Zvakafanana kana gonhi rikasavharwa zvakanaka, chimwe chinhu chakasundirwa kunze chinodzokera mukati. Izvi zvinoita kuti moyo ushande nesimba.
• Kuoma kwetsinga yeropa : Apa ndipo apo vharuvhu yeropa inova yakatetepa kana kuti yakakora. Vharuvhu haivhurike zvakanaka, izvo zvinoderedza huwandu hweropa rinogona kuyerera nepakati payo. Funga nezvayo sepombi yemvura iri kuvharika pakati, zvichideredza huwandu hwemvura inogona kuyerera nepakati. Izvi zvinoisawo kumanikidzwa kwakanyanya pamoyo.
• Vharuvhu yeBicuspid aortic(`Bicuspid aortic valve`): Sezvambotaurwa, kune mavharuvhu maviri chete. Dambudziko iri rinowanzo kukonzera `stenosis` kana `regurgitation` nekufamba kwenguva.
• Endocarditis : Utachiona hwakanyanya kuipa. Muizvi, jira remukati remavharuvhu emwoyo nemakamuri (rinonzi endocardium ) rinozvimba, zvichireva kuti rinozvimba uye rinobatwa nehutachiona. Kana izvi zvikarapwa nekukurumidza, mavharuvhu anogona kukuvara.

Chii chinonzi Transcatheter Aortic Valve Replacement (TAVR)?

Zvino, tarisa, dzimwe nguva kana vharuvhu yeaortic ikakuvara zvekusagona kugadziriswa, kana ikanyanya se stenosis, vharuvhu inofanira kutsiviwa. Kare, iyi yaizova kuvhiyiwa kukuru, kuvhiyiwa kwakavhurika. Inyaya huru iyoyo.

Asi ikozvino, nekufambira mberi kwesainzi yezvekurapa, kune nzira inonzi Transcatheter Aortic Valve Replacement (TAVR). Dzimwe nguva inonziwo Transcatheter Aortic Valve Implantation (TAVI). Uku kufambira mberi kunoshamisa zvechokwadi.

Izvi zvinosanganisira kutsiva vharuvhu nepaburi diki, pasina kuchekwa kukuru. Iyi ingava sarudzo yakanaka yekurapa kana uine aortic valve stenosis , kunyanya kana wakura kana kuti usingakwanise kutsungirira kuvhiyiwa kukuru.

Heino maitiro ekuita izvi, zviri nyore:

• Chiremba anoisa catheter (chubhu yakatetepa, inochinjika, isina chinhu) mutsinga yeropa (tsinga kana tsinga) iri mugumbo rako (kazhinji muhudyu mako) kana pachipfuva.
• Paunenge uchitarisa michina yeX-ray, catheter inotungamirwa zvakanaka kuenda kuvharuvhu yemoyo.
• Vharuvhu itsva yekugadzira (iyi ivharuvhu yetishu yakaiswa pafuremu yesimbi yakakosha) inopinzwa mumoyo kuburikidza necatheter iyoyo yoiswa panzvimbo yayo mukati mevharuvhu yekare, ine chirwere.
• Dzimwe nguva bharumu diki rinoshandiswa kuputira vharuvhu idzva iri, kana kuti mamwe mavharuvhu akagadzirwa kuti azviputire ega.
• Kana vharuvhu itsva yavapo, catheter inobviswa.

Nzira iyi inoreva kuti munhu agare muchipatara kwenguva shoma, nguva shoma yekupora, uye pasina mavanga makuru. Ichi chinhu chakanaka kwazvo, handiti?

Tingachengetedza sei vharuvhu yedu yeaortic iine hutano?

Kune zvinhu zvakawanda zvatinogona kuita kuti mwoyo yedu yese ive neutano hwakanaka, kwete chete mavharuvhu emwoyo yedu. Izvi zvinhu zviri nyore, asi zvakakosha zvikuru zvatinogona kuisa muhupenyu hwedu hwezuva nezuva:

• Ramba uine huremu hwakanaka zvichienderana nerudzi rwemuviri wako, murume kana mukadzi, uye zera rako. Kufuta muviri mutoro pamoyo.
• Idya chikafu chine hutano pamoyo. Izvi zvinoreva kuti:
• Deredza munyu (sodium).
• Deredza kudya zvine shuga yakawanda nemafuta akawanda.
• Wedzera mimwe michero mitsva, miriwo, uye zviyo zvese (zvakaita semupunga webrown, buckwheat, uye oats) mukudya kwako.
• Idya hove (kunyanya hove dzine mafuta dzakadai sesalmon ne mackerel) kaviri kusvika katatu pasvondo.
• Maekisesaizi. Maekisesaizi kwemaminitsi makumi matatu pazuva, mazuva mashanu kusvika manomwe pasvondo. Unogona kuita zvinhu zvakaita sekufamba nekukurumidza, kumhanya, kushambira, kana kutasva bhasikoro. Sarudza chimwe chinhu chaunofarira.
• Dzora kushushikana. Kushushikana kwakanyanya hakuna kunaka pamoyo. Deredza kushushikana nenzira dzakanaka, dzakadai sekufungisisa, kuita yoga, kuita chimwe chinhu chaunofarira, uye kupedza nguva neshamwari nemhuri.
• Kana uchisvuta, rega nhasi. Kusvuta ndeimwe yevavengi vakuru vemwoyo.
• Deredza kunwa doro.
• Kana uine chero zvirwere zvakaita sechirwere cheshuga, BP, kana cholesterol, zvidzore zvakanaka. Tevedzera mirairo yachiremba wako nokungwarira.

Chii chandinofanira kubvunza chiremba wangu nezvevharuvhu yangu yeaortic?

Kana uine zvinokunetsa kana matambudziko nemoyo wako, kunyanya aortic valve yako, kana uine zviratidzo zvakaita sekurwadziwa muchipfuva, kushaya mweya, kana kuneta nguva nenguva, unofanira kuona chiremba wako wotaura nezvazvo. Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Ndingaziva sei kana mavharuvhu emwoyo wangu ari kushanda nemazvo? Ndedzipi bvunzo dzingaitwe kuti dziongororwe?
• Kana ndichifunga kuti ndine dambudziko nevharuvhu yangu yeaortic, chii chingangove chikonzero chikuru?
• Zvichienderana nezviratidzo zvangu, ndedzipi nzira dzekurapa dzandinadzo?
• Ndichafanira kuvhiyiwa vharuvhu yeaortic here kana chimwe chinhu chakafanana neTAVR?
• Ndezvipi zvandinofanira kuchinja pamararamiro angu kuti ndivandudze hutano hwemwoyo wangu?
• Kana mumwe munhu mumhuri mangu akamborwara nechirwere chemwoyo, ini ndiri panjodziwo here?

Usatya, bvunza chero mibvunzo yaunayo. Chiremba aripo kuti akubatsire.

Pakupedzisira, zvinhu zvekurangarira

Zvakanaka, saka, kubva pane zvatakurukura nhasi, ndinovimba wanzwisisa zviri nani nezve aortic valve.

Yeuka, vharuvhu yeaorta chikamu chakakosha chemwoyo wako. Chero bedzi ichishanda nemazvo, kufamba kweropa kunopa hupenyu mumuviri wako wese kwakanaka.

Ichokwadi kuti mamwe matambudziko emwoyo anogona kukanganisa vharuvhu yeaortic. Zvisinei, nekurapwa kwazvino uno, akawanda ematambudziko aya anogona kurapwa zvinobudirira. Kana zviratidzo zvako zvakakomba, chiremba wako anogona kukurudzira kuvhiyiwa kuti ugadzirise kana kutsiva vharuvhu yeaortic, kana nzira yakaita seTAVR.

Zvisinei, zvakakosha zvikuru kutevedzera mararamiro ane hutano kuti uvandudze hutano hwemwoyo wako. Kana uine mibvunzo nezvehutano hwemwoyo wako, usatya kutaura nachiremba wako, zvakanaka here? Kutarisira moyo wako chimwe chezvipo zvikuru zvaunogona kuzvipa iwe pachako!

Vharuvhu yeAortic , vharuvhu yemoyo, moyo, kutenderera kweropa, chirwere chemwoyo, TAVR, hutano hwemoyo