Ropa riri kudzoka kubva pasuo remoyo wako here? Ngatikurukurei nezve Aortic Regurgitation!

Wakambofunga here kuti kune magedhi madiki mukati memwoyo yedu anobvumira ropa kuyerera nenzira imwe chete? Ehe, ichokwadi. Zvisinei, dzimwe nguva magedhi aya anogona kuva nekubuda kwemvura kudiki. Ndiyo mamiriro atichataura nezvawo nhasi, anonzi `(Aortic Regurgitation). Zvichitaurwa zviri nyore, gedhi rinopomba ropa mutsinga huru yeropa yemoyo harivharike zvakanaka, uye rimwe ropa rinobuda richidzokera mumoyo. Usazvidya moyo, tichataura nezveizvi zvakadzama.

Chii chinonzi `(Aortic Regurgitation)`? Ngatizvinzwisise zviri nyore!

Fungidzira kuti pane gedhi guru mumoyo mako, ratinodaidza kuti `(Aortic Valve)`. Iri riri pakati pemoyo wako ne`(Aorta)`, tsinga yeropa yakakura kwazvo mumuviri. Nguva imwe neimwe mwoyo wako uchirova, ropa rakachena, rine oxygen rinopfuura nepakati pe`(Aorta)` kuenda kumuviri wese.

Saka, kana imba huru yekupomba yemoyo, ventricle yekuruboshwe, yagumira, vharuvhu iyi yeaortic inovhurika kuti ropa ribude. Zvadaro, kana ventricle yekuruboshwe yasununguka, vharuvhu iyi inofanira kuvharika zvakasimba. Ndipo apo ropa rinoyerera zvakananga mberi risingadzokeri mumoyo.

Zvisinei, mumunhu ane Aortic Regurgitation, Aortic Valve haivharike zvakanaka. Izvi zvinoreva kuti pese panozorora ventricle yekuruboshwe, ropa rinobuda richidzokera mukamuri iyoyo. Kunyange zvazvo izvi zvichinetsa, nerombo rakanaka, vanachiremba vane nzira dzekuzvirapa nadzo.

Kudzoreredza tsinga dzemwoyo (Aortic Regurgitation) ndeimwe yemhando dzechirwere chevharuvhu yemoyo chinowanzoonekwa. Chinogona kusiyana kubva pakuoma kusvika pakuoma . Dzimwe nguva vanachiremba vanotiwo Aortic Insufficiency.

Ndedzipi mhando huru dze `(Aortic Regurgitation)`?

Vanachiremba vanoparadzanisa Aortic Regurgitation mumhando mbiri huru:

1. Rudzi rwechirwere: Ichi chirwere chinowanzoitika kamwe kamwe.

2. Rudzi rwechirwere chechronic: Ichi chirwere chinokura zvishoma nezvishoma nekufamba kwenguva. Rudzi urwu rwechirwere chechronic runonyanya kuonekwa munyika dzakadai seUnited States.

Pamusoro pezvo, vanachiremba vanogona kuisa chirwere ichi muzvikamu zvakasiyana, zvichienderana nerudzi rwedambudziko racho. Vanopatsanurawo chirwere ichi muzvikamu A, B, C, uye D, zvichienderana nekuoma kwacho . Chikamu D ndicho chikamu chakanyanya kuoma.

Ndezvipi zviratidzo zve `(Aortic Regurgitation)`?

Tarisa kana uine chimwe chezviratidzo izvi:

• Kunzwa kurwadziwa kana kuomarara muchipfuva .
• Ndiri kukosora.
• Kunzwa kuneta nguva dzese.
• Kurova kwemoyo kunoitika kana moyo uchirova zvisina kujairika, sekunge unobhururuka.
• Dzimwe nguva unogona kurasikirwa nepfungwa (syncope).
• Unogona kunzwa kushaya mweya (dyspnea) panguva yekurovedza muviri. Gare gare, unogona kunzwa kushaya mweya paunenge wakarara pasi kana kuedza kurara.
• Makumbo netsoka zvinozvimba (edema).

Asi yeuka,Kana uine aorta isina kusimba uye isingarapiki, ungasava nezviratidzo kwenguva yakareba. Zviratidzo zvinongoerekana zvaonekwa kana mamiriro acho akawedzera kuipa.

Ndezvipi zvikonzero zve `(Aortic Regurgitation)`?

Pane zvikonzero zvakawanda zvinogona kunge zvichikonzera mamiriro aya. Ngationei kuti ndezvipi:

• Kuderera kwevharuvhu nekukura: Ichi ndicho chikonzero chinonyanya kuitika muAmerica nenyika dzekumadokero kweEurope.
• Chirwere cheRheumatic Heart: Ichi ndicho chinokonzera chirwere ichi munyika dzakawanda dzichiri kusimukira. Chinokonzerwa nerheumatic fever, iyo inoitika mushure mehutachiona hwepahuro husina kurapwa.
• Kukwira kweropa.
• Endocarditis: Izvi zvinowanzokonzerwa nehutachiona hunopinda muropa.
• Kukuvara pachipfuva: Semuenzaniso, chimwe chinhu chakaita setsaona yemotokari.
• Aneurysm yeAortic yeTsamba.
• Kubviswa kweAortic.
• Zvimwe zvirwere zvekuzvarwa nazvo zveAortic Valve: Semuenzaniso, chirwere chinonzi Bicuspid Aortic Valve. Izvi zvinoreva kuti vharuvhu, iyo inowanzova nema cusps matatu, ine ma cusps maviri chete.

Ndiani ari panjodzi huru yechirwere ichi?

Kumwe kuchinja muvharuvhu yako yeropa pamwe nezvimwe zvirwere zvinogona kuwedzera njodzi yako yekubatwa nechirwere ichi chinobuda ropa. Unogona kunge uri panjodzi kana:

• Kana uine `(Bicuspid Aortic Valve)` kana chimwe chikanganiso chevharuvhu yekuzvarwa nacho: Vanhu vane `(Bicuspid Aortic Valve)` vanogona kutanga kubuda ropa iri vari pakati pemakore makumi maviri nemakumi mana.
• Kuumbwa kwemapepa evharuvhu yeaortic: Vanhu vane dambudziko iri vanowanzova nemakore anopfuura makumi matanhatu, uye vanogona kunge vaine matambudziko emavharuvhu anopfuura rimwe chete.
• Kuva nechirwere chinokanganisa aorta inoenda kumoyo (Aortopathy).
• Kana wakamborwara nefivha yerheumatic kana kuti wakamboonekwa uine chirwere chemwoyo chinonzi rheumatic heart disease.
• Kana wakambotsiviwa nevharuvhu yeaortic: Dzimwe nguva vharuvhu yebioprosthetic inogona kusashanda zvakanaka nekufamba kwenguva.

Ndezvipi zvinetso zvinogona kuitika neAortic Regurgitation?

Fungidzira, kana `(Aortic Valve)` yabuda ropa rakawanda, ropa rakawanda rinodzokera mu`(Left Ventricle)` yemoyo. Zvadaro, imba yekupomba inozara neropa. Nekuda kweizvozvo, `(Left Ventricle)` inofanira kushanda nesimba kuti igadzirise ropa iri rakawanda uye kupomba ropa rinodiwa mu`(Aorta)`.

Nekufamba kwenguva, izvi zvinogona kukonzera kuti madziro emhasuru dzemutsinga wekuruboshwe akobvuke uye akure. Izvi zvinonzi Left Ventricular Hypertrophy. Izvi zvinoderedza kushanda zvakanaka kwemoyo.

Izvi zvinogona kukonzera mamwe matambudziko akadai sekushaya simba kwemoyo uye kusagadzikana kwemoyo.

Kudzoka kweropa kusingadzokeri zvakanaka kunogona kukonzera zvirwere zvakakomba zvakaita sekuputika kwemapapu uye kudzikira kwesimba remoyo.

Chirwere ichi chinoonekwa sei?

Vanachiremba vanoongorora Aortic Valve Regurgitation kuburikidza nekuongororwa kwemuviri uye bvunzo dzakasiyana-siyana.

Panguva yekuongororwa kwemuviri, chiremba wako acha:

• Taura nezvenhoroondo yako yezvekurapa.
• Zviratidzo zvakakosha zvinoongororwa, zvakaita seBP yako.
• Chiremba wako achateerera mwoyo wako achishandisa stethoscope uye achaongorora ruzha rwakasiyana runonzi aortic regurgitation murmur. Ruzha urwu runokonzerwa neropa richidzokera mu ventricle yekuruboshwe.

Pakuyera BP, kana paine mukaha mukuru (unopfuura 40 mmHg) pakati pezvikamu zvepamusoro nepazasi, izvozvo zvinoratidzawo kuti vharuvhu yeaortic inogona kunge ichidonhedza mvura.

Ndedzipi bvunzo dzinoitwa kuti paonekwe `(Aortic Regurgitation)`?

Bvunzo huru inoshandiswa kuongorora chirwere ichi uye inoonekwa se "yepamusoro-soro" ndiyo ``Echocardiogram'' kana ``Echo'' bvunzo. Iyi bvunzo inoshandisa mafungu enzwi ane frequency ``Ultrasound'' kutora mifananidzo yemoyo. Chiremba anogona kushandisa nzira dzakasiyana-siyana, dzakadai se``Doppler Ultrasound'', kuti aongorore mashandiro emavharuvhu ako. ``Doppler Ultrasound'' inoratidza kumhanya uye gwara rekuyerera kweropa mumoyo.

Mimwe miedzo ingangodiwa kuti chirwere ichi chionekwe kana kuronga kurapwa ndeiyi:

• X-ray yechipfuva
• Electrocardiogram (ECG/EKG)
• Kuongororwa kweMRI yemoyo
• Angiogram yeCoronary
• Kuongororwa kweCT yemoyo
• Kuedza Kushushikana Kwemuviri

Kudzokororwa kweAortic Regurgitation kunorapwa sei ?

Kudzoka kwetsinga dzeropa kunogona kurapwa nemishonga kana kuvhiyiwa . Kana uine chirwere chakakomba, unoda kurapwa nekukasika.

Zvichienderana nekuoma kwechirwere chako, ungangoda kuvhiyiwa kuti ugadzirise kana kutsiva zvachose vharuvhu yako yetsinga yeropa. Chiremba wako achakuongorora uye osarudza kana kuvhiyiwa kuchikosha. Vachakutsanangurirawo mabhenefiti nenjodzi dzekuvhiyiwa. Zvinhu zvakaita sekushandisa fodya nezvimwe zvirwere zvisingadzoreki zvinogona kuwedzera njodzi dzekuvhiyiwa uye kuita kuti kupora kuve kwakaoma.

Chinhu chinonyanya kukosha ndechekukurukura nachiremba wako kana kuvhiyiwa kwakakunakira iwe uye kuti njodzi dziripo ndedzipi.

Kana kuvhiyiwa kwevharuvhu kusiri sarudzo yako, chiremba wako anogona kukupa mishonga yekubatsira kudzora kutadza kwemoyo wako uye kuvandudza hupenyu hwako. Mimwe mishonga inogona kuderedza njodzi yekugwamba kweropa uye sitiroko. Asi yeuka, kunyange zvazvo mishonga ichigona kudzora zviratidzo, haigone kumisa kana kurapa kudzoka kwetsinga yeropa zvakanyanya.

Ndezvipi zvinetso kana migumisiro yekurapwa?

Vanhu vakagadziriswa kana kutsiviwa vharuvhu yeaortic vangada kuvhiyiwa zvakare mune ramangwana. Kunewo njodzi dzakadai sedzinotevera:

• Kurohwa
• Kumira kurova kwemoyo
• Kubuda ropa
• Utachiona
• Kusashanda zvakanaka kwemoyo `(Arrhythmia)`

Mushure mekutsiva aortic valve, uchafanirwa kutora mishonga inodzikisa ropa (anticoagulants) kudzivirira kuungana kweropa. Izvi zvinogona kutorwa kwemwedzi yakati wandei (yemavharuvhu e bioprosthetic akagadzirwa nenguruve, mombe, kana nyama yemunhu) kana kweupenyu hwese (yema mechanical valves). Mune zvimwe zviitiko, vharuvhu yakatsiviwa inogona kufamba kana kudonha.

Kana uine vharuvhu itsva, chiremba wako anogona kukukurudzira kuti utore mishonga inorwisa mabhakitiriya usati waenda kuna chiremba wemazino. Izvi zvinogona kubatsira kudzivirira kukura kwehutachiona mumoyo (endocarditis).

Kudzoreredzwa kweAortic Regurgitation kunogona kudzivirirwa here?

Chirwere chevharuvhu yemwoyo hachigone kudzivirirwa nguva dzose. Zvisinei, unogona kuita zvinhu izvi kuderedza njodzi yako:

• Dzivisa kushandisa zvigadzirwa zvefodya.
• Dzivisa kushandisa zvinodhaka.
• Ita maekisesaizi emuviri sezvakakurudzirwa nachiremba wako.
• Kana ukarwara kana kuti ukawana hutachiona, enda kuna chiremba nekukasika.
• Inwa mishonga yako yese nemazvo, kusanganisira iya yeBP yakakwira.
• Kana aorta yako yakakura, deredza kusimudza zvinorema.

Munhu ane `(Aortic Regurgitation)` angatarisira remangwana rerudzii?

Unogona kuva nechirwere che aorta chisingaperi kwemakore pasina zviratidzo. Zvisinei, chinogona kuipa nekufamba kwenguva. Unogona kuzviona kana ukatanga kunetseka kufema kana kurwadziwa muchipfuva.

Maonero ako anoenderana nezvinhu zvakawanda, zvimwe zvacho ndeizvi:

• Nguva yawakatanga kuva nezviratidzo.
• Kuti chirwere ichi chafambira mberi kusvika papi.
• Kana uine chirwere chemwoyo.
• Nguva yawakagamuchira kurapwa.
• Hutano hwako hwese.

Ongororo yakaratidza kuti vanhu vanovhiyiwa vharuvhu vasati vatanga kurwara nemoyo vane tarisiro yakanaka yenguva refu, kunyangwe kana mamiriro avo akaoma. Kune vanhu vane kutadza kwemoyo, tarisiro yavo inogona kunge iri shoma zvishoma.

Vanhu vane aorta regurgitation iri pakati nepakati vanopora zvakanaka mushure mekurapwa. Mwero wavo wekurarama kwemakore gumi uri pakati pe80% ne95%.

Chinhu chinonyanya kukosha kutaura nachiremba wako nezveramangwana rako. Chiremba wako anokuziva zvakanyanya iwe nenhoroondo yako yezvekurapa, saka vanogona kushandisa ruzivo irworwo kuti vakupe pfungwa yezvaunotarisira.

Ndinozvitarisira sei?

Tevedzera mirairo yachiremba wako yekuzvitarisira, kusanganisira mishonga uye shanduko dzemararamiro. Kazhinji, zvakakosha kutora mishonga yako yese sezvakarairwa uye panguva imwe chete zuva nezuva . Chiremba wako anogonawo kukurudzira shanduko dzemararamiro, kusanganisira:

• Kudya chikafu chine hutano pamoyo: Semuenzaniso, Mediterranean Diet. Chiremba wako anogonawo kukuudza kuti uderedze huwandu hwemunyu waunodya.
• Gara uchirovedza muviri: Bvunza chiremba wako kuti unogona kurovedza muviri kwakawanda sei uye kuti ndeapi marudzi ekurovedza muviri akachengeteka.
• Dzivisa kusvuta kana kushandisa zvimwe zvigadzirwa zvefodya: Kumbira rubatsiro kuti urege.
• Dzivisa kushandisa mishonga: Kunyanya mishonga inopinzwa mutsinga (mishonga yemutsinga), sezvo ichiwedzera njodzi ye endocarditis.
• Chengetedza mazino ako nematadza zvakanaka kudzivirira hutachiona hwemavharuvhu emwoyo (endocarditis): Izvi zvinosanganisira kuenda kuna chiremba wemazino mwedzi mitanhatu yega yega.

Ndinofanira kuona chiremba wangu rini?

Kana uine Aortic Regurgitation, zvakakosha kuti ugare wakaronga nguva yako kuitira kuti chiremba wako akwanise kutarisa mamiriro ako. Chiremba wako achakuudza kuti unofanira kuuya kangani.

Kuti utarise mashandiro emavharuvhu ako nemoyo, unofanirwa kuongororwa "Echocardiogram" nguva nenguva (mwedzi mitanhatu kusvika makore mashanu ega ega). Kushanya kwachiremba nguva dzose kwakakosha kuti uone zviratidzo zvekuipa kwe "Aortic Regurgitation". Nenzira iyi, unogona kuwana kurapwa nenguva uye kudzivirira kukuvara kwemoyo wako zvachose.

Kana wakambovhiyiwa vharuvhu yemwoyo, nyatsotevera purogiramu yekutevera yachiremba wako. Chiremba wako achakutarisa zvakanyanya kuti ave nechokwadi chekuti moyo wako uri kushanda zvakanaka uye kuti hausi kutanga kukundikana kwemoyo kana mamwe matambudziko.

Kana ukatanga zviratidzo zvitsva, kana zviratidzo zviripo zvikawedzera, kana kana uine mibvunzo nezvechirwere chako, fonera chiremba wako chero nguva.

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Kana uine zviratidzo zvechirwere chemwoyo kana sitiroko, fonera 911 kana nhamba yako yekukurumidzira yemunharaunda nekukasika. Aya ndiwo mamiriro ekunze anotyisidzira hupenyu uye anoda kurapwa nekukurumidza.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kurarama nechirwere chevharuvhu yemwoyo kunogona kunetsa. Ungave nemibvunzo yakawanda nezvechirwere chako, asi ungasaziva pekutangira. Heano mimwe mibvunzo yaunogona kubvunza chiremba wako kuti azive zvakawanda:

• Dambudziko rangu rekuti `(Aortic Regurgitation)` rakakomba zvakadini?
• Ndine mamwe matambudziko evharuvhu yemoyo here?
• Ndinoda kurapwa here? Kana zvakadaro, rini?
• Kurapa kunosanganisirei?
• Ndinofanira kuuya kakawanda sei kuzosangana nevamwe?
• Ndezvipi zvandinofanira kuchinja mararamiro angu kuti nditsigire hutano hwemwoyo wangu?

Dambudziko diki rinonzi `(Aortic Regurgitation)` rinogara richitowedzera kuipa here?

Vanhu vanopfuura 25% vane dambudziko re ventricular yekuruboshwe vanotanga zviratidzo mukati megore. Zvisinei, muongororo yakaitwa kuvanhu vane aorta regurgitation iri pakati nepakati kusvika pakati nepakati, vanhu vazhinji havana kuona kuipa kwechirwere chavo. Chidzidzo ichi chakavatevera kwemakore angangoita mashanu. Saka, havasi vese vanorwara zvakanyanya, asi zvakakosha kuti vaongororwe nguva nenguva.

Kudzoserwa kweAortic Regurgitation Kunotyisidzira Upenyu Here?

Kana chirwere chacho chakanyanya kuipa uye chikaitika kamwe kamwe, chinogona kuisa hupenyu panjodzi. Chinogona kukonzera kutadza kushanda kwemoyo, ischemia yemwoyo, kana kutofa kamwe kamwe. Kana uine zviratidzo zvine chekuita nekudzokera kweropa zvakanyanya, unofanira kuvhiyiwa nekukasika.

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Kuziva kuti une aortic valve inobuda kunogona kutyisa uye ungashamisika kuti ramangwana rako richange rakaita sei. Zvisinei, mashoko akanaka ndeekuti nekufambira mberi kwesainzi yekurapa, vanhu vazhinji vane aortic regurgitation vanogona kubatsirwa.

Chinhu chinonyanya kukosha ndechekuti usatye kana kunetseka, asi taura nachiremba wako nezvesarudzo dzako dzekurapa uye kurukura kuti ndeipi yakakunakira. Nekuwana kurapwa nenguva uye kutevedzera zano rachiremba wako, unogona kurarama hupenyu hwakanaka. Chengetedza moyo wako!

` kudzokororwa kwetsinga yeropa, chirwere chevharuvhu yemwoyo, chirwere chemwoyo, kupererwa nemhepo, kurwadziwa pachipfuva, echocardiogram, kuvhiyiwa kwemoyo