Unoziva here nezvechiremba weCardio-Oncologist anobatsira kuchengetedza hutano hwemwoyo pamwe nekurapa kenza?

Kana uri munhu ari kurapwa kenza, kana kuti une nhengo yemhuri kana shamwari iri kurapwa, ungangove wakambozvibvunza nezvazvo. Kurapa kenza kurapwa kunoponesa hupenyu. Zvisinei, dzimwe nguva kurapwa uku kunogona kukanganisa moyo yedu. Nhasi, tichataura nezveboka renyanzvi dzinouya kuzotibatsira panguva dzakadaro.

Ndiani chiremba wezvirwere zvemwoyo uyu?

Zvichitaurwa zviri nyore, ava vanachiremba vanonyanya kutarisisa hutano hwemwoyo hwevarwere vegomarara pavanenge vachivarapa. Zvino tarisai, kune vanachiremba vemwoyo, uye kune vanachiremba vekenza. Chiremba we "cardio-oncologist" inyanzvi yemwoyo kana kuti yekenza. Zvisinei, pamusoro pehunyanzvi hwavo hwekutanga, vakagamuchira kudzidziswa kwakakosha kwekutarisira chirwere chemwoyo muvarwere vegomarara.

Unoziva, kurapwa kwegomarara, senge chemotherapy neradiation therapy , kunobatsira vanhu kurarama kwenguva yakareba. Izvo zvakanaka. Asi zvinosuwisa kuti, kurapwa uku kunogona kuva nemigumisiro yakaipa . Zvimwe zveizvi chirwere chemwoyo chitsva kana kuwedzera kwechirwere chemwoyo chiripo. Rudzi rwekukuvara kwemoyo wako uye njodzi yematambudziko zvinogona kusiyana zvakanyanya kubva pakurapwa kuenda kune kurapwa. Rudzi urwu rwekukuvara kwemoyo runonzi cardiotoxicity , kana kuti radiation heart disease.

Ndosaka kwabuda imwe nyanzvi itsva yekurapa inonzi Cardio-Oncology. Cardio-Oncology inotarisa pakuongorora, kutarisa, uye kurapa zvirwere zvemwoyo zvinokonzerwa nekurapwa kwegomarara. Chinangwa ndechekuderedza migumisiro yekurapwa kwegomarara pamwoyo.

Nyanzvi idzi dzekurapa kenza dzinokubatsira kuti uwane kurapwa kwegomarara kunoshanda zvakanyanya, pasina kukuvara kudiki pamoyo wako. Dzinoshanda nevamwe vanopa hutano kuronga kurapwa kwako kunoenderana nezvaunoda.

Rudzii rwekudzidziswa rwunogashirwa nenyanzvi idzi?

Ava vanachiremba vane ruzivo rwakakura mumabasa avo, vangava ``Cardiology`` kana ``Oncology``. Pamusoro pekudzidziswa kwavo kwehunyanzvi, vanowana rumwe ruzivo rwekudzidza zvinotevera:

• Ndezvipi migumisiro yekurapwa negomarara inokanganisa hurongwa hwemwoyo wako?
• Kukanganiswa kunoitwa kenza mumuviri wese, kunyanya hurongwa hwemwoyo.
• Maitiro ekuongorora njodzi yemwoyo usati warapwa kenza, panguva yekurapwa, uye mushure mekurapwa.
• Maitiro ekuziva nekurapa chirwere chemwoyo muvanhu vane kenza.
• Maitiro ekusarudza kuti ndeapi marapirwo echemotherapy akachengeteka pamoyo wako uye ndeapi ane njodzi huru.
• Maitiro ekutarisa tsandanyama dzemwoyo nevharuvhu dzemwoyo kuti uone migumisiro yekurapwa kwegomarara, panguva yekurapwa uye mushure mekurapwa.

Kudzidziswa uku kunowanzoitwa kuburikidza nechirongwa chekudzidziswa kwakasimba kwehunyanzvi (Fellowship) chinotora gore rinenge rimwe. Chinosanganisira:

• Kudzidzisa zvakananga kuburikidza nehurukuro.
• Kupinda misangano.
• Wana ruzivo rwekushanda nevarwere muCardio-Oncology Clinics.
• Ruzivo rwekutsvaga.

Vamwe vanachiremba vezvirwere zvemwoyo vane chitupa chebhodhi kubva kuInternational Cardio-Oncology Society, zvinoreva kuti ruzivo rwavo nehunyanzvi hwavo zvinozivikanwa pasi rose.

Sei nyanzvi idzi dzezvirwere zvemwoyo nekenza dzichikosha kudaro?

Sezvo kurapwa kwegomarara kuri kuvandudzika zuva nezuva, kukosha kwevanachiremba ava ve `(Cardio-Oncologist)` kwakawedzera zvakanyanya. Chikonzero cheizvi ndechekuti huwandu hwevanhu vari kuporesa gomarara huri kuramba huchiwedzera. Ingofungai, muna 2016, kwaive nevanhu vanopfuura mamiriyoni gumi nemashanu vakapona gomarara muUnited States chete. Vaongorori vanofanotaura kuti huwandu uhwu huchawedzera kusvika mamiriyoni makumi maviri nematanhatu panosvika 2040! Saka, sezvo huwandu hwevanhu vari kuporesa gomarara huchiwedzera, huwandu hwevanhu vari kutambudzika nekurapwa hunowedzerawo, handiti?

Vanhu vanomwe pavanhu gumi vakapona kenza vanodarika makore makumi matanhatu nemashanu ekuberekwa. Sezvo vanhu ava vakapona kenza vachikura, vanogona kusangana nenjodzi dzezvirwere zvemwoyo nekuda kwekurapwa kwavo kenza. Pamusoro pezvo, njodzi inowedzera nekukura, mararamiro, nezvimwe zvirwere zvine chekuita nazvo. Saka, zvakakosha kuti uvarape uchifunga nezvezvinhu izvi zvese .

Nyanzvi idzi dzezvirwere zvemwoyo nekenza dzine ruzivo rwakakosha pakutsigira huwandu hwevanhu huri kukura.

Chii chaizvo chinoitwa nenyanzvi iyi yezvirwere zvemwoyo?

Vanhu ava vanoongorora nekurapa matambudziko emwoyo neropa muvarwere vegomarara. Chinhu chekutanga chavanofanira kuita ndechekuwana chikonzero chaicho chedambudziko iri. Semuenzaniso, hazvisi pachena nguva dzose kana chirwere chakadai sekukundikana kwemoyo chichikonzerwa nekurapwa kwegomarara. Kazhinji, vanhu vane gomarara vane zvimwe zvirwere.Panogona kunge paine zvinhu zvinokonzera chirwere chemwoyo . Saka, vanachiremba ava ve "Cardio-Oncologists" vanofanira kutsvaga chikonzero chaicho pakati pezvikonzero zvakasiyana-siyana zvechirwere chemwoyo.

Uyewo, vanofanira kuyera zvinangwa zviviri zvinogona kupesana dzimwe nguva:

• Kudiwa kwekurapwa kwegomarara rako.
• Kudiwa kwekuchengetedza moyo wako.

Apa ndipo panonyanya kukosha kushanda pamwe chete muzvipatara zvakasiyana-siyana . Vanachiremba veCardio-Oncologists vanoshanda nedzimwe nyanzvi kuti vasarudze nzira yakanakisisa yekurapa munhu mumwe nemumwe.

Heano mamwe emabasa anoitwa nenyanzvi yemwoyo sechikamu chemabasa avo:

• Usati watanga kurapwa kenza, ongororo yakadzama yenjodzi yemwoyo yako inoitwa.
• Kuongororwa kwemifananidzo yemazuva ano uye kuongororwa kwekuongorora kunoitwa kuti paonekwe kana paine matambudziko pamwoyo kana patsinga dzeropa.
• Chirongwa chekurapa chakagadzirwa kuti chibatsire kurwisa kenza yako nenzira isingakanganisi moyo wako zvakanyanya sezvinobvira.
• Uchatariswa panguva yese yekurapwa kwako kenza uye matambudziko emwoyo achaonekwa nekukurumidza.
• Kutarisirwa kwekutevera kunopiwa kunyangwe mushure mekunge kurapwa kwegomarara kwapera.
• Kuvhiyiwa nedzimwe nzira dzekurapa dzinokurudzirwa pazvirwere zvemwoyo zvinokonzerwa nekurapwa kwegomarara.

Ava "Vanachiremba veCardio-Oncologist" vanobatsira pakurapa zvirwere zvakasiyana-siyana zvemwoyo. Heano mimwe mienzaniso:

• Kusarongeka kwerhythm yemoyo (Arrhythmias), senge Atrial Fibrillation uye Torsade de Pointes.
• Chirwere chemwoyo.
• Kukundikana kwemoyo.
• Chirwere cheVharuvhu yeMoyo.
• Kukwira kweropa (BP).
• Kudzora Cardiomyopathy.

Ndiani anorapwa nenyanzvi dzezvirwere zvemwoyo nekenza?

Vanachiremba ava vanotarisira vanhu vane kenza vane chirwere chemwoyo kana zvinhu zvinokonzera chirwere chemwoyo. Vanorapawo vanhu vanorwara nechirwere chemwoyo mushure mekurapwa nekenza. Zvimwe zvirwere zvemwoyo zvinoonekwa ipapo ipapo. Asi zvimwe zvinoonekwa makore mushure mekurapwa nekenza (zvichida makore gumi kana kupfuura). Izvozvo zvinonzwika zvinotyisa, handiti? Asi musazvidya mwoyo, kune mhinduro dzeizvozvo zvakare.

Vanachiremba veCardio-Oncologist vanobatsira vanhu vakaita se:

• Vanhu vava kuda kutanga kurapwa kenza uye vane chimwe kana zvimwe zvinhu zvinogona kukonzera chirwere chemwoyo. Mienzaniso yeizvi inyaya yekufutisa , chirwere cheshuga, uye BP .
• Avo vava kuda kutanga kurapwa kenza, pamwe chete neavo vatova nechirwere chemwoyo.
• Vanhu vanova nezviratidzo zvemwoyo pavanenge vachirapwa nechemotherapy kana nemwaranzi. Mienzaniso yeizvi kuzvimba (edema) , kuneta , kurwadziwa pachipfuva, uye kurova kwemoyo kusina kurongeka (arrhythmia).
• Vanhu vakamborapwa kenza uye vava kusangana nematambudziko matsva emwoyo.
• Vanhu vane matambudziko emwoyo nekuda kwekurapwa kenza uye vanoda kuvhiyiwa kwemoyo kana mamwe marapirwo.
• Vanhu vane bundu remwoyo.

Ndinofanirawo kuona chiremba wemwoyo here?

Munhu akakodzera kubvunza nezvezvinodiwa nerubatsiro rwenyu ndiye mupi wenyu wehutano hwepamusoro kana chiremba ari kurapa kenza yenyu (oncologist). Kuti muone chiremba wemwoyo, muchada tsamba kubva kuna chiremba wenyu.

Kana uri mune chimwe chezvikamu izvi, ungangodawo kuona nyanzvi:

• Kana uine chirwere chemwoyo uye wakawanikwa uine kenza munguva pfupi yapfuura.
• Kana wakamborapwa kenza kare, kunyangwe pawaiva mudiki.
• Kana uri kurapwa kenza parizvino.

Ndinofanira kuona chiremba wemwoyo rini?

Nguva yaunoda kuona chiremba wemwoyo inosiyana zvikuru kubva pamunhu nemunhu. Unogona kutanga kurapwa usati watanga kurapwa kenza wobva wawana nguva yekutevera kwemakore. Unofanira kutevedzera mirairo yechikwata chako chekurapa nezvekuti unofanira kushanyira kangani.

Kuongororwa kwemifananidzo yemwoyo, senge echocardiograms , chikamu chakakosha chekurapa kenza yemwoyo. Izvi ndezvechokwadi kunyangwe kurapwa kenza kwapera. Kuongororwa uku kunogona kuratidza zviratidzo zvechirwere chemwoyo pakutanga. Saka, zvakakosha kuti ugare wakatarisana nachiremba nguva dzese .

Kubuda mukurapwa kwegomarara idanho guru. Zvadaro, kuziva kuti une matambudziko emwoyo uye unoda kurapwa kunogona kukuomera. Zvinogona kuita sekunge wapedza marathon wobva wangoerekana wafanira kumhanya rimwe. Asi yeuka, hausi wega parwendo urwu . Vanachiremba veCardio-oncologist inyanzvi dzinogona kukubatsira kudzora chirwere chemwoyo, kungave uri panjodzi kana kuti wakamboonekwa kuti unacho. Taura nachiremba wemhuri yako kana chiremba wekenza kuti udzidze zvakawanda nezvekuti chiremba wecardio-oncologist angakubatsira sei.

Zvinhu zvakakosha zvekurangarira kubva pane zvatakurukura (Mharidzo Yekuenda Kumba)

Zvakanaka, saka, tingangokuyeuchidzai here zvimwe zvezvinhu zvakakosha zvekurangarira kubva pane zvatataura nezvazvo?

• (N'anga yezvirwere zvemwoyo nekenza)Izvi zvinoreva chiremba anonyanya kutarisisa hutano hwemwoyo hwevarwere vegomarara paanenge achivarapa.
• Kurapa kenza (semuenzaniso, `(Chemotherapy)`, `(Radiation Therapy)`) kunogona kukonzera migumisiro yakaipa pamoyo. Izvi zvinonzi `(Cardiotoxicity)` .
• Nyanzvi idzi dzinobatsira kuderedza kukuvara kwemoyo uku dzichipa mushonga wakanakisa wegomarara.
• Kana uine chirwere chemwoyo chine kenza, kana uine zvinhu zvinokonzera chirwere chemwoyo, kana kuti uine zviratidzo zvemwoyo mushure mekurapwa kenza, taura nachiremba wako nezvekuona chiremba wemwoyo.
• Zvakakosha kuti ugare uchitarisa mwoyo wako usati warapwa kenza, panguva yekurapwa, uye mushure mekurapwa kwayo.

Yeuka, zvinogona kuoma kufunga nezvehutano hwemwoyo wako paunenge uchirwisa kenza. Asi, kune nyanzvi dziripo kuti dzikubatsire uye dzikutarisire. Saka usatya!

Chiremba wezvirwere zvemwoyo, kurapwa kwegomarara, chirwere chemwoyo, migumisiro yaro, chemotherapy, kurapwa nemwaranzi, hutano hwemwoyo