Vharuvhu yemoyo wako yakavharwa here? Ngatikurukurei nezve (Aortic Stenosis)!

Dzimwe nguva unonzwa kurwadziwa pachipfuva, kushaya mweya, kana dzungu here? Kana kuti unonzwa kupera simba kana dzungu kamwe kamwe here? Izvi zvinogona kukonzerwa nekutetepa kweimwe yemavharuvhu akakosha mumoyo mako, aortic valve. Vanachiremba vanodana chirwere ichi kuti Aortic Stenosis. Kana izvi zvikaitika, zvinova zvakaoma kuti moyo upombe ropa kuenda kumuviri wese. Muviri hauwani oxygen yakakwana. Ichi hachisi chinhu chaunogona kumirira, sezvo chinogona kukuvadza moyo, kukonzera matambudziko makuru ehutano, uye dzimwe nguva kutoisa hupenyu panjodzi.

Saka chii ichi chinonzi `(Aortic Stenosis)`?

Zvichitaurwa zviri nyore, mwoyo wedu wakaita seimba diki, une makamuri mana. Pakati pemakamuri aya, panoyerera ropa richibva mumoyo, pane zvikamu zvakaita semasuo. Tinodaidza mavharuvhu emoyo aya. Rimwe remavharuvhu aya mana rinonzi Aortic Valve. Iri ndiro gedhi rekupedzisira iro ropa rinopinda naro kubva mumoyo kuenda kumuviri wese. Kufanana nemuchengeti wegedhi, gedhi iri rinongobvumira ropa kuyerera nenzira imwe chete uye rinorimisa kuti risadzokere mumoyo. Aortic Valve iyi ine mavharuvhu matatu madiki (mapepa). Kana mavharuvhu aya asingavhurike zvakanaka uye ovharika kana kutetepa, ipapo chirwere chinonzi Aortic Stenosis chinoitika.

Funga nezvazvo sepombi yemvura inonamira pakati uye inonetseka kubuda kwemvura. Zvakajairika kuti utye zvishoma kana ukanzwa nezvedambudziko remusuwo uyu. Asi ikozvino kune nzira dzakawanda dzepamusoro dzekurapa chirwere ichi , saka hapana chikonzero chekunetseka.

Chirwere ichi (Aortic Stenosis) chakajairika zvakadii?

Chirwere ichi chinonzi `(Aortic Stenosis)` chakajairika pakati pevanhu vane makore anopfuura 65. Asi zvinosuwisa kuti vanhu vazhinji havazivi kuti vane chirwere ichi kusvika zviratidzo zvanyanya kuipa. Dzimwe nguva chinowanikwa panguva yekuongororwa kwechimwe chirwere. Zvimwe zvirwere zvinogona kukonzera chirwere ichi pazera repakati, pazera remakore makumi mana kusvika makumi mashanu. Kashoma, chirwere ichi (Aortic Valve Stenosis)` chinogonawo kuitika kuvana vadiki se "Congenital condition".

Ndezvipi zviratidzo zveizvi?

Havasi vese vane Aortic Stenosis vanozobva vaona zviratidzo ipapo ipapo. Vamwe vanhu vangasaona chero chinhu kwemakore. Asi kana chirwere chacho chanyanya kuipa, zviratidzo zvakaita seizvi zvinogona kuoneka:

• Kunzwa kuneta zvakanyanya: Unganzwa kuneta zvekuti haugone kuita mabasa ako emazuva ese.
• Kurova kwemoyo: Unogona kunzwa moyo wako uchirova, kana kuti unganzwa uchirova nekukurumidza, kana kuti chipfuva chako chinganzwa sekunge chiri kurova. Tinozvidaidza kuti "Kurova kwemoyo".
• Kuzvimba kwemakumbo netsoka: Zvikamu zvepasi zvemakumbo nepamativi etsoka zvinogona kuzvimba.
• Kurwadziwa pachipfuva: Izvi ndizvo zvinonzi `(Angina)`. Zvinogona kunzwa sekudzvanywa, kusimba, kana kurema muchipfuva. Dzimwe nguva kurwadziwa uku kunogona kupararira kumutsipa, shaya, ruoko rweruboshwe, kana kunyange kurutivi rwedumbu.
• Kuoma kwekufema: Ungave nedambudziko rekufema, kunyanya kana wakaneta zvishoma, kana kunyangwe paunenge wakazorora.
• Dzungu, kupera simba: Unganzwa dzungu, maziso ako anogona kuita bhuruu, uye ungatopera simba.

Yeuka, kungoti une zviratidzo izvi hazvirevi kuti une Aortic Stenosis. Asi kana ukaramba uine zviratidzo izvi, unofanira kuona chiremba . Chiremba wako anogona kukutumira kuna chiremba wemwoyo.

Chirwere ichi chinogona kukura nekukurumidza zvakadii?

Izvi zvakasiyana kune wese munhu. Kune vamwe vanhu, `(Aortic Valve Stenosis)` iyi inokura zvishoma nezvishoma, nekufamba kwemakore. Kune vamwe, inogona kukura nekukurumidza, kunyangwe mumwedzi mishoma. Chinhu chakakosha ndechekuti, kana ukanonoka kurapwa, ungasakwanisa kugadzirisa kukuvara kwemoyo wako. Kana uine `(Aortic Stenosis)` yakakomba, pane njodzi yekufa kamwe kamwe kwemoyo. Ndosaka chiremba wako achikuudza kuti usanonoka kurapwa kana uine zviratidzo.

Sei `(Aortic Stenosis)` iyi ichiitika? Ndezvipi zvikonzero?

Pane zvikonzero zvitatu zvikuru nei vanhu vakuru vachikura neAortic Stenosis:

1. Kuora kwemuviri kunokonzerwa nekukwegura: Ichi ndicho chikonzero chinowanzoitika. Nekufamba kwenguva, sezvakaita limescale mumapombi emvura, calcium inogona kuungana muvharuvhu yeaortic yemoyo wako. Izvi zvinoita kuti vharuvhu ikure uye ivharwe, zvichiita kuti isavhurike uye ivharwe zvakanaka. Izvi zvinowanzoitika mushure memakore makumi matanhatu nemashanu.

2. Kukuvadzwa nehutachiona: Kana mamwe hutachiona hwebhakitiriya hukasarapwa zvakanaka, mabhakitiriya anogona kupinda muropa oenda kumavharuvhu emwoyo. Masoja edu emuviri anogona kukanganisa mavharuvhu aya. Semuenzaniso, kana hutachiona hwepahuro (Strep throat) kana Scarlet fever hukasarapwa zvakanaka, chirwere chinonzi Rheumatic fever chinogona kukura nekukuvadza mavharuvhu emwoyo. Kukuvadzwa uku kunogona kutora makore, dzimwe nguva makumi emakore, kuti kuonekwe. Izvi zvinowanzobata vanhu vanopfuura makore makumi mashanu.

3. Zvimwe zvirwere zvinogara nhaka kana kuti zvisingaperi: Zvirwere zvisingawanzoitiki zvakaita se `(Chirwere chePaget chepfupa)` (chirwere chine chekuita nemapfupa), kutadza kushanda kweitsvo (`Kukundikana kweitsvo`) uye `(Familial hypercholesterolemia)` (chirwere checholesterol yakakwira inogarwa nhaka) zvinogonawo kukonzera `(Aortic Valve Stenosis). Zvakare, njodzi iyi yakanyanya muvanhu vane zvirwere zve autoimmune zvakaita se `(Lupus)` uye `(Rheumatoid arthritis)`.

Pane zvimwe zvinhu zvinokonzera izvi here?

Ehe, kune zvimwe zvinhu zvakawanda zvinowedzera njodzi yekubatwa ne `(Aortic Valve Stenosis):`

• Kuva murume.
• Kuva nemakore anopfuura makumi matanhatu nemashanu ekuberekwa.
• Kuwedzera kwemafuta emuviri muropa (hyperlipidemia).
• Kuva neBP yakakwira.
• Kushandisa zvigadzirwa zvefodya (senge fodya, beedis).

Ndezvipi zvinetso zvinogona kuitika nekuda kwe `(Aortic Stenosis)` iyi?

Kana uine `(Aortic Stenosis)`, moyo unofanirwa kushanda nesimba kuti upfuure ropa nepaburi rakamanikana. Zvakafanana nekuedza kuvhura gonhi rakanamira. Kana moyo ukashanda nesimba nenzira iyi, unogona kupera simba nekufamba kwenguva. Ichi ndicho chikonzero:

• Kumira kurova kwemoyo
• Kutadza kushanda kwemoyo ( kutadza kwemoyo kupomba ropa rakakwana mumuviri)
• Kufa kamwe kamwe kwemwoyo
• Kukwira kweropa zvakanyanya mumapapu
• Kubuda ropa zvakanyanya
• Utachiona hwemukati memwoyo (`Infective endocarditis`)

Matambudziko akakomba anogona kuitika.

Vanachiremba vanoziva sei izvi?

Kana uchifungidzira kuti une Aortic Stenosis, chiremba wemwoyo achakuongorora. Chirwere ichi chinowanzoonekwa zvichienderana nezviratidzo zvako (kana zviripo) uye imwe kana kupfuura yebvunzo dzinotevera:

• Kuongororwa kwemuviri: Chiremba achaongorora makumbo ako netsoka kuti haana kuzvimba here, ozoteerera mwoyo wako ne stethoscope. Kana uine aortic stenosis, kugomera kwemoyo chiratidzo chinowanzoitika.
• Kuongororwa kweECG (`Electrocardiogram - ECG kana EKG`): Izvi zvinoyera mashandiro emagetsi emwoyo.
• X-ray yechipfuva, Angiography, kana Cardiac CT scan: Zvese izvi zvinoshandisa X-ray kana dzimwe nzira dzekutarisa mukati memuviri, kunyanya moyo nemapapu.
• Echocardiogram: Iyi ndiyo nzira huru inoshandiswa kuongorora aortic stenosis. Inoshandisa mafungu e ultrasound kuti ione zvakajeka kuti mavharuvhu emwoyo ari kushanda sei, kana akavharika, uye kuti ropa riri kuyerera sei.
• Kuyedzwa kwekumanikidzwa kwekurovedza muviri: Kunoyera zvinhu zvakaita sekushanda kwemoyo wako uye shanduko muECG yako paunenge uchimhanya patreadmill kana kutasva bhasikoro.
• Kuisa catheter mumoyo: Mukuita uku, chiremba anoisa chubhu diki, yakatetepa (catheter) mutsinga iri muruoko rwako kana gumbo woipinza mumoyo mako kuti aone kumanikidzwa kuri mumavharuvhu ako uye kuti aone kuti akasimba sei.
• MRI yemwoyo (Magnetic Resonance Imaging): Simba remagineti rakasimba rinogona kushandiswa kutora mifananidzo yemoyo yakadzama.

Mushure mekuongororwa uku, chiremba wako acharonga mamiriro ako zvichienderana nezviratidzo zvako uye kuti vharuvhu yako yeaortic yakadzikira zvakadii. Kazhinji pane matanho mana: A, B, C, uye D, D ndiyo yakanyanya kuoma.

Ndeipi mishonga yekurapa `(Aortic Stenosis)`?

Kana uine `(Aortic Stenosis)` asi usina zviratidzo, zvichireva kuti chirwere chacho hachina kunyanya kuipa, chiremba wako achakuudza kuti uuye kuzoongororwa nguva dzose uye uongororwe `(Echocardiogram)`. Asi kana ukaona zviratidzo, unofanira kurapwa. Kune nzira dzakawanda dzekurapa:

• Mishonga: Kana chirwere chisina kunyanya kuoma, vanachiremba vanogona kunyora mishonga yekudzivirira zviratidzo. Izvi zvinogona kusanganisira mishonga inobvisa ropa, mishonga inobvisa mvura mumuviri, uye mishonga yezvirwere zvemwoyo, BP, uye kutadza kushanda kwemoyo. Asi yeuka, mishonga inongodzora zviratidzo chete; haigone kumisa vharuvhu kuti isanyanya kuipa.
• Kugadziriswa kwevharuvhu: Izvi zvinogona kuitwa kuburikidza nekuvhiyiwa kana nzira inonzi balloon valvuloplasty.
• Kugadziriswa kwekuvhiyiwa (`Aortic valve surgery`): Chiremba anochekwa pachipfuva chako oenda zvakananga kuvharuvhu yemoyo, obvisa kuvharika kwacho, obva agadzirisa.
• Kuvhiyiwa kwevharuvhuroplasty yemabharumu: Mukuita uku, bharumu rine chubhu diki (catheter) rinopinzwa mumoyo rinofuridzirwa mukati mevharuvhu yakamanikana, zvichiita kuti vharuvhu iwedzere kukura. Izvi zvinogona kuderedza zviratidzo kwenguva pfupi. Kazhinji zvinoitirwa vanhu vasingakwanise kuvhiyiwa panzvimbo pevharuvhu, kana senzira yekuzorora kwenguva pfupi vasati vavhiyiwa.
• Kutsiva vharuvhu: Kana vharuvhu yakakuvara zvakanyanya zvekuti haigone kugadziriswa, inofanira kutsiviwa. Kune nzira dzakasiyana siyana dzekuita izvi:
• Kuvhiyiwa kwekutsiva vharuvhu yetsinga yeropa: Vharuvhu yakakuvara inobviswa yotsiviwa nevharuvhu itsva. Vharuvhu itsva iyi inogona kuva yemunhu anopa ropa (kazhinji anenge afa), vharuvhu yebioprosthetic (kazhinji mombe kana nguruve), kana vharuvhu yakagadzirwa nesimbi.
• Maitiro aRoss: Uku kuvhiyiwa kwakakosha. Mukuita izvi, vharuvhu yako yemapapu inotorwa yoiswa panzvimbo yaimbova nevharuvhu yeaortic. Zvadaro, vharuvhu inobva kune anoiisa panzvimbo yaimbova nevharuvhu yemapapu.
• Kutsiva Vharuvhu yeAortic yeTranscatheter (TAVR kana TAVI): Uku ndiko kuvhiyiwa kutsva uye kwakafambira mberi. Kuvhiyiwa kukuru, zvichireva kuti vharuvhu inogona kutsiviwa pasina kuvhura chipfuva. Chubhu diki (catheter) inopinzwa nepatsinga huru mugumbo kana ruoko, uye vharuvhu yakapetwa inopfuudzwa nepakati payo ichienda kumoyo, uko inosungirirwa mukati mevharuvhu yeaortic yakavharika. Izvi zvinowanzoitirwa vanhu vakuru vasingakwanise kushivirira kuvhiyiwa kukuru.

Zvinotora nguva yakareba sei kuti munhu apore mushure mekurapwa uku?

Izvi zvinosiyana zvichienderana nenzira yekurapa inoshandiswa.

• Kana uri kuvhiyiwa:Zvinotora nguva kuti upore. Kazhinji unofanira kugara muchipatara kwemazuva mashoma. Kunyangwe waenda kumba, zvinogona kutora mavhiki mashoma, pamwe mwedzi mumwe kana miviri, usati wapora zvakakwana uye wotangazve mabasa ako emazuva ese.
• Kana wakamboitwa maoparesheni akaita seBalloon valvuloplasty kana TAVR: Maoparesheni aya anoda nguva pfupi yekupora. Dzimwe nguva unogona kuenda kumba zuva rimwe chete kana zuva rinotevera mushure mekuvhiyiwa. Unogona kudzokera kuhupenyu hwako hwemazuva ese mukati memazuva mashoma.

Pane nzira yekudzivirira kukura kwe `(Aortic Stenosis)` iyi here?

Aortic Stenosis inogona kudzivirirwa nekuda kwezvikonzero zvakasiyana. Zvikurukuru, zvakakosha kurapa hutachiona hwebhakitiriya nekukurumidza uye nemazvo. Semuenzaniso, kana uine hutachiona hwe strep throat, unofanirwa kutora mishonga inorwisa mabhakitiriya sezvakarairwa nachiremba wako. Hazvina kunaka kurega kuitora nekuti marwadzo aderera. Kuita izvi kunogona kudzivirira rheumatic fever kuti isakure uye ikuvadze mavharuvhu emwoyo.

Zvisinei, zvinowanzova zvakaoma kudzivirira "Aortic Valve Stenosis", iyo inogona kukonzerwa nekukwegura, zvirwere zvenhaka, kana zvimwe zvirwere zvisingaperi. Zvisinei, kutevedzera mararamiro ane hutano hwemwoyo (kudya zvakanaka, kurovedza muviri, uye kudzivisa kusvuta) kunogona kubatsira kudzora kuipa kwechirwere ichi.

Kana ndine `(Aortic Stenosis)`, chii chandinofanira kutarisira?

Remangwana rechirwere chako cheAortic Stenosis, kureva kuti, zvichaitika sei, zvichaenderana nekuti unokurumidza uye zvakanaka sei kurapwa.

• Kana ikasarapwa: Aortic Stenosis, kunyanya kana yakanyanya kuipa, inogona kuisa hupenyu panjodzi. Vanhu vazhinji havararame kwemakore anopfuura mashoma vasina kurapwa.
• Kurapwa Kunonoka: Kana kurapwa kukanonoka, mhedzisiro yacho inosanganiswa. Zvinoenderana nekuti mwoyo wakakuvara zvachose here. Kana ukakuvara zvakanyanya, ndipo pachanyanya kuipa. Uchapora kusvika pamwero wakati, asi zvakaoma kutarisira kupora zvachose.
• Kana ukarapwa nekukurumidza kana nekukurumidza: Kana ukarapwa nekukurumidza uye nemazvo, tarisiro ye `(Aortic Stenosis)` yakanaka kwazvo. Uchafanirwa kuenda kunoongororwa nguva dzose uchitarisirwa nachiremba kwehupenyu hwako hwese, asi zvikasadaro unogona kutangazve mabasa ako ese enguva dzose worarama hupenyu hwakanaka.

Ndinozvitarisira sei?

• Kana aortic stenosis yako iri diki uye usina zviratidzo, chaunongofanira kuita kungoongororwa moyo nguva dzose uye kuona chiremba wako.
• Kana uine Aortic Valve Stenosis iri pakati nepakati, ungangoda kutarisa zviratidzo zvako, kuongororwa kwemoyo nguva nenguva, kuderedza mabasa ako (sekurairwa nachiremba wako), uye kunwa mimwe mishonga.
• Kana uine aortic valve stenosis yakanyanya, unofanira kuramba uchienda kuna chiremba wako kunyangwe mushure mekugadzirisa kana kutsiva vharuvhu. Mimwe mishonga ingangoda kutorwa kweupenyu hwako hwese.
• Padanho rega rega, chiremba wako achakuudza kuti udye chikafu chine munyu nemafuta mashoma, uye kuti urovedze muviri nguva dzose. Asi unofanira kubvunza chiremba wako kuti ndeapi maekisesaizi akakunakira.

Ndinofanira kuona chiremba wangu rini?

Ungave wakasarudza kusatsvaga kurapwa kana kuti usati wawana kurapwa, unofanira kutaura nachiremba wako nekukasika kana chimwe chezvinotevera chikaitika:

• Kana chiratidzo chitsva che `(Aortic Stenosis)` chikaonekwa, kana kana zviratidzo zviripo zvikawedzera kamwe kamwe.
• Kana zviratidzo zvako zvatanga kukanganisa hupenyu hwako hwezuva nezuva.

Ndinofanira kuenda kuchipatara panguva ipi (ER)?

Mushure mekutanga mushonga mutsva, enda kuchipatara kana chimwe chezvinotevera chikaitika:

• Kana ukasangana nemigumisiro isingatarisirwi uye yakakomba kubva pamushonga (chiremba wako achakuudza kuti ndeapi migumisiro inoda kurapwa nekukurumidza).
• Kana ukafenda kana kurasikirwa nehope nekuda kwechikonzero chipi zvacho, hazvina dambudziko.
• Kana ukatora mishonga inobvisa ropa wobva wadonha, unenge uri panjodzi huru yekubuda ropa mukati memuviri - kunyanya mushure mekudonha kana kukuvara kumwe.

Ingava mushure mekuvhiyiwa kana kuvhiyiwa necatheter, enda kuchipatara kana paine chimwe chezvinotevera:

• Kana ganda rako rakatsvuka, rakazvimba, kana kuti richipisa kana ukangoribata, izvi zviratidzo zvehutachiona hunoda kurapwa nekukasika.
• Kana uine zviratidzo zvakakomba zveAortic Stenosis, zvakaita sekuoma kufema, kurwadziwa pachipfuva, kurova kwemoyo nekukurumidza, kana kufenda.
• Kana ukatora mishonga inobvisa ropa wobva wadonha, imhaka imwecheteyo yataurwa pamusoro apa.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Paunoenda kunoona chiremba, usazeza kubvunza mibvunzo yakaita seiyi:

• Chiremba, munofunga kuti zviratidzo zvangu zvichawedzera kuipa here?
• Ndichafanira kutsiva vharuvhu here?
• Ndeipi vharuvhu yakanakira kuti nditsive?
• Ndeipi nguva yakanakisisa yekuti ndivhiyiwe?
• Ndeapi marapirwo azvino eizvi?

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, saka ikozvino wava kunzwisisa zviri nani chirwere chatakataura nezvacho chinonzi `(Aortic Stenosis)`. Ehe, zvinotyisa chaizvo kuva nechikamu chemwoyo wako, kureva gedhi rakakosha kwazvo, risingashande zvakanaka. Zvisinei, chinhu chakakosha ndechekusatya uye kutsvaga mazano echiremba nekukurumidza.

Kana uine chimwe chezviratidzo izvi, kana kuti kana mumwe munhu mumhuri mako aine chirwere chemwoyo, iva nechokwadi chekuona chiremba uye kuongororwa moyo wako.

Kunyange zvazvo `(Aortic Stenosis)` iri chirwere chakaoma, mishonga yafambira mberi zvakanyanya mazuva ano. Nekuvhiyiwa uye mishonga mitsva yakavakirwa pacatheter yakaita se`(TAVR)` yatakataura nezvayo, kugona kwayo kurapa hakuna kumbova nani. Saka usatya. Kana ukaona chirwere ichi nekukurumidza uye ukawana kurapwa kwakakodzera, unogona kurarama hupenyu hwakanaka uye hunofadza zvakare. Chengetedza moyo wako, zvakanaka here?

` Aortic Stenosis, Valvu yeMwoyo, Chirwere cheMwoyo, Marwadzo eChipfuva, Kuoma Kwekufema, Kuvhiyiwa kweMwoyo, TAVR