Dzimwe nguva unonzwa kubatwa zvishoma muchipfuva chako, sekunge uri kuhotsira here? Kana kuti unoomerwa nekufema kana uchishanda nesimba zvishoma? Dzimwe nguva izvi zvinogona kukonzerwa nematambudziko emavharuvhu ari mumoyo medu, ayo anoita semagedhi. Nhasi tichataura nezvechirwere chine chekuita neAortic Valve, rimwe re "magedhi" akakosha mumoyo. Izvi ndizvo zvatinodaidza kuti `(Aortic Valve Disease)`.
Chii chaizvo chinonzi `(Chirwere cheAortic Valve)`?
Zvichitaurwa zviri nyore, vharuvhu yeaortic inobvumira ropa kuti riyerere kubva mukamuri guru rekupomba remwoyo wako (left ventricle) kuenda kutsinga huru yeropa (aorta) inotakura ropa kuenda kumuviri wako wese. Inoshanda semusuwo mukuru wemba. Funga nezvazvo, suo iri rinofanira kuvhurwa nekuvharwa panguva chaiyo.
- Kana ichivhurika: Nguva dzese moyo paunorova, vharuvhu iyi inofanira kuvhurika zvizere, zvichiita kuti ropa rese ribude mumoyo, richipinda muaorta. Ndipo chete painozopa muviri wese okisijeni nezvinovaka muviri.
- Pakuvharwa: Kana ropa rabuda, vharuvhu iyi inofanira kuvharwa zvakasimba, ichimisa ropa kuti risadzokere mumoyo.
Kana chimwe chezvinhu izvi kana zvese zvikasashanda nemazvo, tiri kutaura nezvechirwere chinonzi `(Aortic Valve Disease)`.
Kune mhando mbiri huru dzeizvi, handiti?
Ehe, kune mhando mbiri huru dze `(Aortic Valve Disease)`. 1.
`(Aortic Stenosis)` - Kutetepa kwevharuvhu: Apa ndipo apo gonhi remoyo, kureva vharuvhu remwoyo, rinova rakatetepa uye risingakwanise kuvhurwa zvakanaka. Fungidzira kuti gonhi rakavhurika zvishoma. Ipapo hapana nzvimbo yakakwana yekuti ropa riyerere kubva mumoyo. Mwoyo unofanirwa kushanda nesimba kuti upfuure ropa nepamusuwo uyu wakamanikana. 2.
`(Aortic Regurgitation)` - Kudonha kwevharuvhu: Apa ndipo apo gonhi risingavharike zvakanaka. Kana gonhi risingavharike zvakanaka, rimwe ropa rakabuda rinodzokera mumoyo. Kungofanana nepombi yemvura isingavharike zvakanaka, mvura inodonha.
Chinhu chakakosha ndechekuti, kunyangwe uine chimwe chezvirwere izvi kana zvese, ungasatombozviziva kwenguva yakati. Izvi zvinodaro nekuti zviratidzo zvinowanzoonekwa chete kana chirwere chatanga zvishoma. Saka zvakakosha kuziva izvi.
Ndiani ane mukana mukuru wekuwana chirwere ichi?
Kunyange hazvo munhu wese achigona kuva nechirwere ichi chinonzi "Aortic Valve Disease," vamwe vanhu vari panjodzi huru. Izvi ndeizvi:
- Vanhu vane makore anopfuura makumi matanhatu: Sezvaunokura, shanduko mumavharuvhu dzinogona kuitika.
- Vanhu vanozvarwa vaine musiyano mudiki mumavharuvhu avo emwoyo: Semuenzaniso, pane chirwere chinonzi " Bicuspid Aortic Valve ". Kazhinji, vharuvhu yeaortic ine mapepa matatu. Asi vanhu ava vane mapepa maviri.
- ZvakasikwaVanhu vane chirwere chemwoyo (`(Chirwere chemwoyo chekuzvarwa nacho)`).
- Vanhu vakamborapwa nemwaranzi panzvimbo yechipfuva: Kurapwa nemwaranzi pachipfuva kunopiwa kune mamwe marudzi ekenza (semuenzaniso, Hodgkin Lymphoma). Izvi zvinogona kukanganisa mavharuvhu nekufamba kwenguva.
- Vanhu vane Rheumatic Heart Disease: Rheumatic fever, iyo inotanga sehutachiona hwepahuro, inogona kukuvadza mavharuvhu emwoyo.
Munyika dzakadai seAmerica neEurope, chirwere ichi chinoonekwa sechinonyanya kuipa uye chine njodzi pazvirwere zvevharuvhu yemwoyo. Zvinonzi vanhu vatanhatu pagumi vanofa nekuda kwezvirwere zvevharuvhu yemwoyo vanokonzerwa neizvi. Izvi zvinoreva kuti kana ukabatanidza zvimwe zvirwere zvese zvevharuvhu (mitral, pulmonary, tricuspid) pamwe chete, huwandu hwevanofa hunowanda.
Ndezvipi zviratidzo zveizvi?
Sezvatakambotaura,
panogona kunge pasina zviratidzo zvachose pakutanga. Zvisinei, sezvo chirwere ichi chichienderera mberi, unogona kutanga kusangana nezvinhu zvakaita se:
- Kurwadziwa kwechipfuva kana kuoma: Zvinogona kuita sekuti mumwe munhu ari kukudzvanya chipfuva.
- Kusaziva: Kurasikirwa nepfungwa kamwe kamwe.
- Kurova kwemoyo: Unganzwa sekuti moyo wako uri kurova nekukurumidza, kana kuti unganzwa ruzha rwekuti "kurova" muchipfuva chako.
- Kushaya simba: Kutadza kufema zvakanaka , kunyanya pakuita chimwe chinhu, kurovedza muviri, kurara pasi, kana kurara husiku.
- Kuzvimba kwemakumbo netsoka: Kuzvimba kwemakumbo epasi.
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Panogona kuva nezvikonzero zvakasiyana-siyana zvinoita kuti `(Chirwere cheAortic Valve)` chiitike.
- Vharuvhu inopera nekukura: Ichi ndicho chikonzero chikuru. Sezvinongoita zvikamu zvemuchina zvinopera nekushandiswa.
- Chirwere cheRheumatic Heart: Sezvambotaurwa, rheumatic fiver inokonzera kukuvara kwemavharuvhu.
- Chirwere chemwoyo chekuzvarwa nacho: Semuenzaniso, kuva nevharuvhu yeaortic yebicuspid.
- Kukwira Kweropa : Kuva neBP yakakwira kwenguva yakareba kunogonawo kukanganisa mavharuvhu.
- Kutapukirwa nevharuvhu yemoyo (endocarditis): Kukuvadzwa kwemavharuvhu kunokonzerwa nehutachiona hwebhakitiriya.
- Kukuvara pachipfuva netsaona.
- Kuzvimba kweAorta yeChipfuva: Kuzvimba kweaorta.
- Kutsemuka kweAorta: Kubvaruka pamadziro eaorta.
- Kurapwa nemwaranzi pachipfuva (kune zvinhu zvakaita sekenza).
Ndezvipi zvinhu zvinokonzera njodzi?
Pane njodzi yakakura yekubatwa nechirwere ichi kana paine zvinhu zvakaita seizvi:
- Kana une makore anopfuura makumi matanhatu.
- Kana paine kukora uye calcium deposits muvharuvhu (Aortic Valve Sclerosis) (muchiitiko ichi, vharuvhu haisati yatetepa, asi inogona kuva chiratidzo chekutanga chechirwere).
- Kana uine dambudziko revharuvhu rekuzvarwa naro, kunyanya `(Bicuspid Aortic Valve)`.
- Kana wakamborwara nefivha yerheumatic munguva yakapfuura.
- Kana wakambova nezvirwere zvemwoyo (endocarditis).
- Kana uine zvimwe zvirwere (semuenzaniso, Marfan Syndrome, Ehlers-Danlos Syndrome, Lupus).
Pane matanho echirwere ichi here?
Ehe, chirwere ichi chinokura zvishoma nezvishoma. Vanachiremba vanoshandisa matanho mana kutsanangura kuoma kwacho:
- Danho A (Panjodzi / Danho A): Vharuvhu yako yeropa iri kushanda zvakanaka panguva ino, asi une chinhu chimwe chete chinogona kukonzera chirwere ichi.
- Danho B (Rinofambira Mberi): Ichi chirwere cheAortic Valve chisina kunyanya kuipa. Pane shanduko diki mumashandiro evharuvhu, asi hausati wava nezviratidzo.
- Danho C (Asymptomatic Severe / Danho C): Ichi chirwere cheAortic Valve Disease chakakomba. Ungasava nezviratidzo paunenge uchiita mabasa ako emazuva ese. Zvisinei, unogona kuona zviratidzo panguva yekuedzwa kwekumanikidzwa kwemuviri.
- C1: Moyo uchiri kukwanisa kupomba ropa rakakwana mumuviri.
- C2: Mwoyo haugone kupomba ropa rakawanda kudaro (Chikamu Chekubuda Kwemaventricular Ejection Fraction - `(Chikamu Chekubuda Kwemaventricular Eyection Fraction)` chiri pasi pe50%.
- Danho D (Zviratidzo Zvakanyanya): Une chirwere chakakomba che aortic valve chinokonzera zviratidzo muhupenyu hwako hwezuva nezuva. Pakutanga, zviratidzo zvinogona kungoitika panguva yekurovedza muviri, asi gare gare, zviratidzo zvinogona kuitika kunyangwe usiri kurovedza muviri.
Ndezvipi zvinetso zvinogona kukonzera izvi?
Ichi chirwere chakakomba, uye kana chikarapwa nemazvo, chinogona kukonzera matambudziko akakomba.
Dambudziko rinowanzoitika uye rine njodzi kushaya simba kwemoyo . Izvi zvinoreva kuti moyo wako haugone kupomba ropa rakakwana mumuviri wako. Izvi zvinogona kukonzera kurasikirwa nekushanda kwemuviri wako wese. Mamwe matambudziko anosanganisira:
- Kurova kwemoyo kusina kurongeka (`(Arrhythmia)`).
- Kumira kurova kwemoyo.
- Kusungwa Kwemwoyo Kamwe Kamwe (`(Kusungwa Kwemwoyo Kamwe Kamwe)`).
- Kurohwa neSiroko (`(Siroko)`).
Unozviziva sei izvi? Vanachiremba vanoshandisa bvunzo dzipi?
Vanachiremba vanoongorora chirwere ichi nekukuongorora uye kuita mimwe miedzo yakasiyana-siyana. Panguva yekuongororwa, chiremba achaita zvinotevera:
- Vanobvunza nezvezvirwere zvako, zvakaita sekuti pane mumwe munhu mumhuri mako ane chirwere chemwoyo here.
- Zviratidzo zvako zvinokosha (BP, kurova kwemoyo, nezvimwewo) zviri kuongororwa.
- Moyo unoteererwa ne stethoscope (`(Auscultation)`). Kana ukanzwa ruzha rwemwoyo rusina kujairika (runonzi `(Murmur)`), zvinogona kunge zviri chiratidzo che `(Aortic Valve Disease)`.
- Kuongororwa kweECG (electrocardiogram) kunoongororwa mashandiro emagetsi emwoyo.
Pamusoro pezvo,
`(Echocardiogram)` (Echocardiogram) ndiyo nzira huru uye yakanakisisa yekuongorora `(Aortic Valve Disease)`. Izvi zvinoshandisa mafungu eruzha ane frequency yakakwira (`(Ultrasound)`) kutora mifananidzo yemoyo nemavharuvhu mhenyu. Izvi zvinogona kuratidza zvese kubva pavharuvhu iri kuvhurika nekuvharika zvakanaka kusvika paropa riri kuyerera richidzokera kumashure. Mimwe miedzo yaungave nayo:
- Kugadziriswa kweCatheter yemwoyo (`(Kugadziriswa kweCatheter yemwoyo)`).
- Kuongororwa kwemoyo neCT scan.
- X-ray yechipfuva.
- Kuongororwa kwemoyo (coronary angiogram) (`(Coronary Angiogram)`).
- Bvunzo yeKushushikana Kwekurovedza Muviri (`(Bvunzo yeKushushikana Kwekurovedza Muviri)`).
- MRI yemoyo.
Kurapwa kwacho chii?
Kurapwa kunoenderana nezvinhu zvakati wandei, kusanganisira rudzi rweAortic Valve Disease yaunayo (stenosis, regurgitation, kana zvese), kuti yafambira mberi
sei (danho), uye kuoma kwezviratidzo zvako. Chiremba wako achaongorora mamiriro ako uye achakurudzira hurongwa hwakanakisa hwekurapa. Sarudzo dzekurapa dzingasanganisira:
- Mishonga: Mishonga haigone kurapa dambudziko rako revharuvhu zvizere. Asi inogona kubatsira kudzora zviratidzo, kuderedza kushushikana pamoyo wako, uye kuderedza njodzi yematambudziko. Chiremba anogona kunyora mishonga yekudzivirira kurova kwemoyo kusina kurongeka, kuderedza BP, kudzora cholesterol, kana kurapa kutadza kushanda kwemoyo.
- Valvuloplasty: Iyi inzira diki isingade kuchekwa kukuru. Chubhu diki inopinzwa nepagumbo kana ruoko rwako, uye bharumu riri kumagumo rinoshandiswa kuwedzera vharuvhu yako yeaortic yakamanikana. Kana uine aortic stenosis, izvi zvinogona kuvandudza kufamba kweropa nepavharuvhu. Zvisinei, iyi inowanzova mhinduro yenguva pfupi.
- Kuvhiyiwa kweVharuvhu yeMwoyo: Mukuita uku, chiremba anovhiya anogona kugadzirisa vharuvhu yako yeaortic kana kuitsiva neimwe itsva. Vharuvhu itsva inogona kunge iri vharuvhu yetishu kana vharuvhu yemoyo yakagadzirwa nechinhu chakaita sesimbi. Dzimwe nguva, vanachiremba vanoita kuvhiyiwa kwevharuvhu pamwe chete ne coronary artery bypass grafting (CABG) kana kumwe kuvhiyiwa kwemoyo.
- Kutsiva Vharuvhu yeAortic yeTranscatheter (TAVR): TAVR inzira itsva, isinganyanyi kukuvadza pane kuvhiyiwa kwemoyo kwechinyakare. Panzvimbo pekucheka kukuru pachipfuva, chubhu diki inopinzwa nepatsinga yeropa iri mugumbo kuti iise vharuvhu itsva yeaortic mumoyo, uye vharuvhu yekare inosimbiswa mukati.
- Maitiro aRoss: Iyi inzira inoda vharuvhu itsva yeaortic, kunyanya kuvanhu vari pasi pemakore makumi matanhatu. Chiremba anotsiva vharuvhu yako yeaortic nevharuvhu yako yemapapu (vharuvhu inotakura ropa kubva pamwoyo kuenda kumapapu), uye ozotsiva vharuvhu yemapapu yakabviswa nevharuvhu yemapapu yemupi. Iyi inzira yakaoma zvishoma.
Pane nzira dzekudzivirira izvi here?
Chirwere cheAortic Valve hachisi nyore kudzivirira nguva dzose. Chinowanzo kukonzerwa nekukwegura, chirwere chemwoyo chawakazvarwa nacho, kana zvirwere zvenguva refu zvakaoma kudzora. Zvisinei, unogona kuita zvinotevera kuderedza njodzi yako uye kuchengetedza mavharuvhu emwoyo wako ari muhutano hwakanaka sezvinobvira:
- Dzivisa fodya nezvinodhaka zvekuzorora zvachose. Izvi zvakaipa zvikuru pamoyo.
- Edza kurovedza muviri kwemaminitsi makumi matatu mazuva ese evhiki. Kunyangwe chinhu chiri nyore sekufamba netsoka kana kutasva bhasikoro chakanaka.
- Kana ukarwara, kunyanya kana uine utachiona hwebhakitiriya hwakaita se strep throat, enda kuna chiremba nekukasika. Kana hukasarapwa, hunogona kuchinja kuita rheumatic fever uye kukuvadza mavharuvhu emwoyo.
- Inwa mishonga yawakanyorerwa nachiremba wako (semuenzaniso, mishonga yeBP yakakwira kana cholesterol) nemazvo uye nenguva.
- Kana ukatanga chirwere chevharuvhu, enda kuna chiremba wako nguva nenguva kuti ugoongororwa kuitira kuti chirapwe nekukurumidza. Kana chikaonekwa nekukurumidza, kurapwa kwacho kunobudirira zvikuru.
Chii chaunofanira kuziva kana uchirarama nechirwere ichi?
Kana wangoonekwa uine Aortic Valve Disease, kuti ichakukanganisa sei zvinoenderana nezvinhu zvakawanda. Izvi zvinosanganisira nguva yawakaongororwa nayo,
kuti chirwere chacho chakura sei , uye hutano hwako hwese. Zvakakosha kutaura pachena nachiremba wako nezveramangwana rako. Vanogona kukupa pfungwa yakajeka yekuti uchaita sei kana warapwa uye zvaunotarisira. Chiremba wako achakupa mazano ekuchinja mararamiro uye kuti ungazvitarisira sei zuva nezuva. Tevedzera mirairo iyi nokungwarira, uye bvunza chero mibvunzo yauinayo. Chiremba wako anogona kukurudzira zvinhu zvakaita se:
- Tora kudya kunovaka muviri (seMediterranean Diet): Idya miriwo yakawanda, michero, nyemba, hove, uye chikafu chine fiber yakawanda. Deredza munyu, shuga, nemafuta.
- Kurovedza Muviri: Zvisinei, zvichienderana nekuoma kwechirwere chako cheAortic Valve, unogona kunge uine zvirambidzo zvekurovedza muviri. Zvakakosha kubvunza chiremba wako chaizvo zvaunofanira kuita nezvausingafaniri kuita.
- Rega zvachose kusvuta kana kushandisa zvimwe zvigadzirwa zvefodya.
- Kuti udzivise hutachiona hwemavharuvhu emwoyo (endocarditis), zvakakosha kuti utarisire mazino ako nematadza zvakanaka: Kukwesha mazino ako zuva nezuva uye kuona chiremba wemazino nguva dzose kwakakosha.
Ndinofanira kuona chiremba rini?
Chiremba wako achakuudza kuti unofanira kuona chiremba wako kangani.
Zvakakosha kuti ugare wakagadzirira nguva yako yese. Chiremba wako achaita bvunzo nguva dzose, dzakadai se echocardiogram, kuti aongorore mashandiro emwoyo wako nevharuvhu. Kuongororwa uku kunogona kubatsira
chiremba wako kukurudzira kurapwa kwakakodzera uye kuderedza njodzi yematambudziko mune ramangwana.
Fonera chiremba wako nekukasika kana:- Kana zviratidzo zvako (zvakadai sekurwadziwa pachipfuva, kushaya mweya) zvikawedzera.
- Kana ukatanga zviratidzo zvitsva.
- Kana uine migumisiro yakaipa kubva pamushonga wako.
Unofanira kuenda kuchipatara riini?
Kana chimwe chinhu chakadai chikaitika kwauri
, enda kuchipatara chiri pedyo nekukurumidza, kana kufonera 1990:- Hazvina kuipa kana ukafenda kana kurasikirwa nepfungwa.
- Kana ukadonha uchinwa mishonga inobvisa ropa mumuviri (semuenzaniso Warfarin, Aspirin). Mishonga iyi inowedzera njodzi yekubuda ropa mukati memuviri kana ukadonha kana kukuvara.
- Kana uine zviratidzo zvehutachiona muronda rako (kutsvuka, kuzvimba, fivha, hurwa hunonhuwa) mushure mekuvhiyiwa kana kuvhiyiwa.
- Kana uine zviratidzo zvechirwere chemwoyo (`(Zviratidzo zvechirwere chemwoyo)`): kurwadziwa kwakanyanya pachipfuva, kunetseka kufema, kurwadziwa kunobva kuruoko rweruboshwe, mutsipa, shaya, kudikitira, kuda kurutsa, kurutsa.
- Kana ukangoerekana wava nedambudziko guru rekufema.
- Zviratidzo zvestroke zvinosanganisira: kusanzwa kana kushaya simba kune rumwe rutivi rwemuviri, kutaura kusina kunyatsojeka, kurereka kwerutivi rumwe rwechiso, kuchinja kwekuona kamwe kamwe, uye musoro wakakomba.
Kuziva kuti une Aortic Valve Disease kunogona kutyisa uye kunetsa. Izvozvo zvakajairika. Asi mashoko akanaka ndeekuti nekurapwa kwazvino uno, unogona kuderedza zviratidzo zvako zvakanyanya, kuderedza njodzi yekusangana nematambudziko, uye kurarama hupenyu hune hutano uye hune simba. Kana uchinzwa kunetseka kana kunetseka nezveramangwana, kutaura nevamwe vanhu vane chirwere chemwoyo uye kujoina mapoka ekutsigirana kunogona kubatsira. Bvunza chiremba wako nezvazvo.
Saka, ndezvipi zvinhu zvakakosha zvatinofanira kuyeuka kubva munyaya iyi?
Chirwere cheAortic Valve chirwere chinokanganisa vharuvhu inokosha mumoyo medu uye chinogona kuva chakakomba zvikuru. Asi
musakanganwa kuti kana chikaonekwa nekukurumidza, chikateverwa nezano rakakodzera rechiremba, uye chikarapwa nemazvo, chinogona kudzorwa zvakanaka. Kana muine zviratidzo, kunyanya kurwadziwa muchipfuva, kushaya mweya, kuneta, kana kupera simba, musazviregeredza muchifunga kuti "chinongova chimwe chinhu."
Endai kwachiremba nekukasika mowana mazano. Yeukai, kutarisira moyo wenyu ndiyo rubatsiro rukuru rwamunogona kuzviitira! Mwoyo une hutano zvinoreva hupenyu hwakanaka.
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