Tose tinonzwa ruzha mukati mechipfuva chedu runoti "lub-dub...lub-dub..." nguva dzese, handiti? Ndiwo ruzha rwemwoyo wedu rwunorova. Moyo uyu muchina unoshamisa unopomba ropa mumuviri wedu wese. Asi kuti muchina uyu ushande zvakanaka, mamwe magonhi madiki ari mukati mawo, kana kuti mavharuvhu, anofanira kushanda zvakanaka. Nhasi tichataura nezveimwe yemavharuvhu akakosha kwazvo, "Aortic Valve," iyo inoshanda segedhi guru rinotumira ropa mumuviri wedu.
Chii chinonzi Aortic Valve?
Zvichitaurwa zviri nyore, vharuvhu yeaorta ndeimwe yemavharuvhu mana makuru ari mumoyo medu. Funga nezvemoyo wedu seimba ine makamuri mana. Tinodaidza makamuri aya mana kuti:
- Atria: Aya ndiwo makamuri maviri epamusoro. Atrium yekurudyi neatrium yekuruboshwe.
- Maventricle: Aya ndiwo makamuri maviri epasi. Ventricle yekurudyi neyekuruboshwe.
Ropa parinoyerera richidzokera shure pakati pemakamuri aya, mavharuvhu aya aripo kuti amise ropa kuti risadzokere nenzira isiriyo. Mavharuvhu aya akafanana nemagonhi anongovhurika nedivi rimwe chete.
Vharuvhu yeaorta iri panzvimbo yakakosha zvikuru. Kureva kuti, pakati peventricle yekuruboshwe, imba huru inopomba ropa rakachena, rine okisijeni kumuviri wedu wese, uye aorta, tsinga huru yeropa inotakura ropa iroro mumuviri wese. Kutaura chokwadi, vharuvhu iyi yeaorta ndiyo gedhi guru iro ropa rinobuda naro pamoyo.
Vharuvhu yeaorta inoshanda sei? Kuyerera kweropa mumoyo...
Kuti tinzwisise izvi, ngatitarisei kuti ropa rinofamba sei mukati memoyo. Zviri nyore kwazvo.
1. Chekutanga, ropa rakashandiswa mumuviri wedu uye rine oxygen shoma rinouya kurudyi rwemoyo.
2. Rutivi rwerudyi runopomba ropa iroro kuenda kumapapu. Mapapu anodzosera mweya weropa iroro.
3. Ropa idzva, rakachena, rakazara neokisijeni, rava kuuya kuruboshwe rwemoyo.
4. Apa ndipo panotanga kushanda gamba redu guru, vharuvhu yeaorta, kana ventricle yekuruboshwe yemoyo yabatana nesimba uye ichisunda ropa, vharuvhu yeaorta inovhurika zvakanyanya .
5. Kuburikidza nevharuvhu yakavhurika, ropa rine oxygen rinopinda muaorta, uko ropa rinopararira mumuviri wedu wese kubva kumusoro kusvika kutsoka.
6. Kana ropa raburitswa, vharuvhu yeaorta inovhara ipapo ipapo . Inovhara kuti ropa rapinda muaorta risadzokere mumoyo.
Izvi zvinoitika pese painobata moyo. Kuvhurika nekuvhara kwevharuvhu yeaorta ndiko kunoita kuti pave neruzha rwekuti "lub-dub". Saka ikozvino unogona kuona kukosha kwegedhi diki iri.
Ndezvipi zvikamu zvevharuvhu yeaorta?
Muvharobhu yeaorta yakajairika uye ine hutano, mune zvidimbu zvitatu zvitete, zvakasimba zvenyama zvatinodaidza kuti "mapepa kana kuti cusps." Kana moyo uchirova, maflaps matatu aya anovhurika zvakanyanya kuti ropa ripinde, uye obva avharana zvakasimba.
Asi vamwe vanhu vanozvarwa vaine mavharuvhu maviri chete aya. Dambudziko iri rinonzi bicuspid aortic valve . Kunyangwe izvi zvisingakonzeri matambudziko kwemakore mazhinji, dzimwe nguva pane mukana mudiki wekuva nematambudziko emavharuvhu mune ramangwana.
Ndezvipi zvirwere zvinokanganisa vharuvhu yeaorta?
Nekufamba kwenguva, nekuda kwehutachiona, kana nekuda kwezvimwe zvikonzero zvekuzvarwa nazvo, vharuvhu yeaorta inogona kutadza kushanda zvakanaka. Pane matambudziko makuru akati wandei anogona kuonekwa.
| Mamiriro | Zvichitaurwa zviri nyore, izvi ndizvo zvinoitika. |
|---|---|
| Kudzoreredza vharuvhu yeaorta | Vharuvhu harivharike zvakanaka. Funga nezvazvo sekiyi yemusuwo yakatyoka. Izvi zvinoita kuti rimwe ropa rakapinda muaorta ridonhe richidzokera muventricle yekuruboshwe yemoyo. Izvi zvinoita kuti moyo ushande nesimba. |
| Stenosis yevharuvhu yeaorta | Mavharuvhu anokora, akaomarara, uye haavhurike zvakanaka. Sevharuvhu yabuda nengura. Izvi zvinoita kuti nzvimbo yeropa ibude mumoyo ipfupi. Panyaya iyi, moyo unofanirwa kushanda nesimba kuti upfuure ropa. |
| Vharuvhu yeBicuspid aortic | Ichi chirwere chinowanikwa pakuzvarwa. Pane mavharuvhu maviri chete panzvimbo pematatu akajairika. Kunyange hazvo vanhu vazhinji vasina matambudziko, vamwe vanhu vanowanzova nekudzikira kana kubuda ropa pavanenge vachikura. |
| Kutapukira kwemwoyo | Uku hutachiona hwemukati memwoyo nemavharuvhu ayo. Dambudziko iri rinogona kuitika kana mabhakitiriya akapinda muropa okuvadza vharuvhu yemoyo. |
Pane mushonga wedambudziko revharuvhu here?
Ehe, zvechokwadi. Marapirwo anoitwa anoenderana nemhando uye kuoma kwechirwere, pamwe nehutano hwemurwere. Mune zvimwe zviitiko zvisina kunyanya kuoma, chiremba wako anogona kukupa mishonga, kukukurudzira kuti uchinje mararamiro ako, uye kugara uchikutarisa.
Zvisinei, kana vharuvhu yakakuvara zvakanyanya, kuvhiyiwa kunogona kudiwa. Nhasi, kune nzira dzakawanda dzepamusoro dzekuita izvi.
Nzira itsva inonzi TAVR
Imwe yenzira idzi dzakakosha ndeyeTranscatheter Aortic Valve Replacement (TAVR) .
Izvi zvinosanganisira nzira diki diki, pane kuvhiyiwa kukuru kunosanganisira kuvhura chipfuva.
- Chiremba achaisa catheter , chubhu yakatetepa, inochinjika, kuburikidza netsinga yeropa iri mugumbo kana pachipfuva kusvika pamoyo wako.
- Mukati mechubhu iyi, vharuvhu itsva yekugadzira inotumirwa kumoyo.
- Vharuvhu itsva inoiswa panzvimbo imwe chete nevharuvhu yekare, yakakuvara. Dzimwe nguva, inofuridzwa nechinhu chakaita sebharumu diki yoiswa panzvimbo yayo.
- Zvadaro chubhu inobviswa.
Nzira iyi haina njodzi yakawanda uye inopora nekukurumidza kupfuura kuvhiyiwa kwemoyo kwechinyakare. Zvisinei, haina kukodzera munhu wese. Chiremba wako ndiye achasarudza kuti ndeipi nzira yekurapa yakakunakira.
Ndingachengetedza sei vharuvhu yangu yeaorta nemoyo wangu zvine hutano?
Mwoyo yedu chinhu chatinofanira kutarisira zvakanaka. Kutevedzera mararamiro ane hutano kunogona kuchengetedza kwete chete mavharuvhu emwoyo, asiwo moyo wese une hutano.
- Ramba uine huremu hwakanaka: Edza kuchengetedza huremu hwakanaka hwemuviri hunoenderana nehurefu hwako nezera rako.
- Idya chikafu chine hutano mumoyo: Idya munyu mushoma, mafuta, uye shuga shoma, uye wedzera mimwe miriwo, michero, miriwo, uye zviyo zvakakwana zvine fibrous mukudya kwako.
- Kurovedza muviri: Ita mamwe maekisesaizi anokuita kuti udikitire, kanenge mazuva mashanu pasvondo, kwemaminitsi makumi matatu pazuva. Kufamba, kumhanya, kana kushambira isarudzo dzakanaka.
- Dzorera kushushikana: Zorodza pfungwa dzako kuburikidza nezvinhu zvakaita sekufungisisa, yoga, kutaura neshamwari, uye kuita chimwe chinhu chinokuvaraidza.
- Dzivisa kusvuta zvachose: Kusvuta ndeimwe yevavengi vakuru vemwoyo. Siya tsika iyi nhasi.
Kana uine fungidziro yekuti une chirwere chemwoyo, kurwadziwa pachipfuva, kana zviratidzo zvakaita sekuoma kwekufema, usanonoka wobva waona chiremba wako nekukasika. Iye achaita bvunzo dzinodiwa uye achakupa mazano anodiwa.
Mharidzo Yekuenda Nayo Kumba
- Vharuvhu yeaorta inokosha zvikuru inodzivirira ropa kuti risayerere richidzokera shure sezvo moyo uchipomba ropa mumuviri wese.
- Vharuvhu iyi inogona kutetepa (stenosis) kana kubuda ropa (regurgitation) nekuda kwekukwegura, hutachiona, kana kutadza kuberekwa.
- Chenjerera kana uine zviratidzo zvakaita sekuoma kufema, kurwadziwa muchipfuva, kana kupera simba.
- Nhasi, kune mishonga inoshanda yekurapa zvirwere zvevharuvhu, kubva kumishonga kusvika pakuvhiyiwa kwepamusoro-soro seTAVR.
- Maitiro akanaka emararamiro, akadai sekudya zvine hutano, kurovedza muviri nguva dzose , uye kusasvuta, zvinogona kuchengetedza moyo wako nemavharuvhu awo zvine hutano kwenguva yakareba.
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