Mwoyo wako wetsinga wakazvimba here? Ngatikurukurei nezve aortitis!

Wakambofunga here kuti kunyange tsinga huru yeropa mumuviri wedu inogona kuva nematambudziko? Dzimwe nguva, kurwadziwa kwatinonzwa pasina chikonzero chakajeka, kana kusagadzikana kwatinonzwa mumuviri wedu, dzimwe nguva kunogona kuva chiratidzo chechinhu chakadai. Nhasi tichataura nezve aortitis, chirwere chinogona kuitika mu aorta, tsinga huru yeropa mumuviri wedu.

Chii chinonzi aortitis? Ngatinzwisise zviri nyore.

Zvichitaurwa zviri nyore, aortitis kuzvimba kweaorta yako . Iye zvino funga nezve aorta iyi. Ndiyo tsinga huru mumuviri wedu. Yakafanana nepombi huru yemvura inopa mvura mumba medu. Ndiyo aorta iyi inobuda ichipa ropa rakachena, rakapfuma muokisijeni kunhengo dzese dzemuviri wedu. Saka, sezvo aorta iyi iriwo tsinga yeropa, tinogona kuona chirwere ichi chinonzi aortitis sechimwe chezviratidzo zve vasculitis , kana kuzvimba kwetsinga dzeropa.

Dzimwe nguva, aortitis inogona kungogumira pa aorta. Kana kuti, inogona kuitika pamwe chete nekuzvimba kwemamwe tsinga dzeropa mumuviri (inonzi systemic vasculitis). Kune mhando dzakawanda dze systemic vasculitis. Vanachiremba vanoongorora idzi zvichibva pakuti ndedzipi tsinga dzeropa dzakakanganiswa uye zvimwe zviratidzo zvadzo.

Aortitis inogona kukonzera kuti aorta yako ikure. Tinoidaidza kuti aortic aneurysm . Kana kuti, aorta inogona kutetepa. Izvi zvinonzi aortic stenosis . Matambudziko ese aya anogona kutyisidzira hupenyu . Nekuti aorta ndiyo tsinga huru inotakura ropa rine oxygen mumuviri wedu wese. Kana paine dambudziko nayo, inokanganisa muviri wese.

Zviratidzo zvaunoona, kuti unowanikwa sei, uye nzira dzekurapa dzaunowana zvinoenderana nezvinhu zvakati wandei:

• Ndeipi chikamu cheaorta yako chinokanganiswa nechirwere ichi .
• Kana paine kuzvimba mune dzimwe tsinga dzeropa zvakare.
• Kana chiremba akaona chikonzero chaicho kana chirwere chakabatana nacho.

Aortitis chirwere che autoimmune here?

Ehe, vanachiremba vazhinji vanoona vasculitis (kuzvimba kwetsinga dzeropa) sechirwere che autoimmune . Apa ndipo apo masoja emuviri wako anorwisa nhengo dzawo, zvichikonzera kuzvimba. Zvakafanana nekupisa imba yako.

Chirwere ichi chinonzi aortitis chakajairika zvakadii?

Kuti aortitis yakajairika sei zvinoenderana nemamiriro ezvinhu aripo kana chikonzero. Kureva kuti ine chekuita nechimwe chirwere kana kuti kwete. Kazhinji, aortitis haisi chirwere chinowanzoitika .

Ndezvipi zviratidzo zveAortitis?

Zviratidzo zveaortitis zvinogona kusiyana kubva pamunhu kusvika pamunhu. Zvinoenderana nekuti zvinokonzerwa nechirwere chinonzi vasculitis here kana chimwe chirwere chinotapukira. Dzimwe nguva, vanhu vane aortitis vanogona kunge vasina zviratidzo zvachose . Ndizvo zvinoita kuti itye zvishoma.

Zvisinei, heano mamwe ezviratidzo zvakajairika:

• Kurwadziwa pachipfuva: Fungidzira kurwadziwa kamwe kamwe, kudzvanywa kana kubayiwa pachipfuva chako.
• Kurwadziwa mudumbu (kurwadziwa mudumbu): Kurwadziwa kunogona kuitika mudumbu rezasi, pachipfuva, kana mudumbu rese.
• Kurwadziwa kwemusana: Kurwadziwa, kunyanya kumusana wepamusoro.
• Musoro : Kwete semusoro wenguva dzose, asi musoro wakanyanya, unogara kwenguva refu.
• Kuchinja kwekuona: Kuona kusina kujeka kana kurasikirwa nekuona kamwe kamwe.
• Fivha: Muviri unopisa uye unopisa pasina chikonzero.
• Kushaya mweya: Zvinoita sekunge une dambudziko rekufema kunyangwe uchishanda nesimba.
• Kuzvimba kwemakumbo: Zvigunwe zvemakumbo ese zviri kuzvimba.
• Kurwadziwa kwemakumbo nemaoko (kana uchishandisa): Kurwadziwa kunoitika kana uchifambisa ruoko kana gumbo kana uchiita basa.
• Zviratidzo zvine chekuita nekuzvimba: zvinhu zvakaita sekuneta, kudzikira kwehuremu, uye kurasikirwa nechido chekudya.
• Zviratidzo zvine chekuita ne vasculitis zvinokanganisa dzimwe tsinga dzeropa.
• Zviratidzo zvine chekuita nechirwere chiripo (kana chiripo).

Ndezvipi zvimwe zvinogona kukonzera aortitis pamuviri wangu?

Kuwedzera kune zviratidzo, vanhu vane aortitis vanogona kuva nematambudziko akasiyana-siyana. Izvi zvakakomba zvikuru :

• Kukundikana kweitsvo: Izvi zvinogona kuitika kana mitsipa inopa ropa kuitsvo ikakanganiswa.
• Kurohwa: Kana paine dambudziko mutsinga dzeropa dzinoendesa ropa kuuropi.
• Kurwara nemoyo: Kana paine dambudziko mutsinga dzinopa ropa kumoyo.
• Kukundikana kwemoyo: Mwoyo haugone kushanda zvakanaka.
• Kuputika kana kubvaruka kwetsinga yeropa: Uku ndiko kune njodzi huru. Kanatsinga yeropa ikabvaruka, zvinonetsa kuponesa hupenyu hwako.

Ndezvipi zvikonzero zveAortitis?

Pane zvikonzero zvakawanda zvikuru zve aortitis. Inogona kunge iri chikamu chechirwere chinonzi systemic vasculitis (kuzvimba kunokanganisa tsinga dzeropa mumuviri wese). Kana kuti inogona kunge yakabatana nechimwe chirwere chekuzvimba. Muzviitiko izvi, chikonzero chaicho chechirwere chiripo uye aortitis inobatanidzwa nacho hachisati chazivikanwa . Zvakare, mamwe hutachionaAortitis inogonawo kukura.

Dzimwe nguva, pakuita oparesheni paaorta, aortitis inogona kuonekwa isingatarisirwi. Nenzira iyi, aortitis inogumira paaorta, isina chimwe chirwere chiripo kana kuzvimba kwemimwe tsinga dzeropa, inonzi "isolated focal aortitis."

Systemic vasculitis nezvimwe zvirwere zvinozvimba

Zvimwe zvezvirwere zvinogona kukonzera aortitis ndeizvi:

• Giant cell arteritis: Ichi chirwere chinowanzo kanganisa tsinga dzemusoro nemutsipa, kazhinji kuvanhu vane makore anopfuura makumi mashanu.
• Takayasu arteritis: Ichi chirwere chinokanganisa aorta nemapazi ayo makuru, kazhinji muvakadzi vechidiki.
• Cogan syndrome: Chirwere chisingawanzoitiki chinokanganisa maziso nenzeve uye chinogona kukonzera aortitis.
• Chirwere chaBehçet: Chirwere chinokonzera maronda mumuromo nemunhengo dzekubereka, matambudziko eganda, uye kuzvimba kwemaziso.
• Chirwere cheKawasaki: Ichi chirwere chinonyanya kubata vana vadiki . Chinokonzera kuzvimba kwetsinga dzeropa.
• Polyarteritis nodosa: Chirwere chinokanganisa tsinga dzepakati nepakati.
• Mamwe marudzi e "systemic vasculitis".
• Ankylosing spondylitis: Chirwere chinokonzera kuzvimba kwemajoini emusana.
• Rheumatoid arthritis: Chirwere chinozivikanwa chinokonzera kuzvimba kwemajoini.
• Systemic lupus erythematosus (SLE): Chirwere che autoimmune chinokanganisa nhengo dzakasiyana dzemuviri.
• Kudzokorora kwepolychondritis: Chirwere chinokanganisa nyama yekatsi.
• Sarcoidosis: Chirwere umo maronda madiki anoputika (granulomas) anoumbwa munhengo dzakasiyana dzemuviri.
• Chirwere chine chekuita neImmunoglobulin 4 (IgG4): Chirwere chine fibrous uye kuzvimba chinokanganisa nhengo dzakasiyana-siyana dzemuviri.
• Zvirwere zvemudumbu: zvakaita sechirwere cheCrohn uye ulcerative colitis.

Utachiona

Zvimwe zvirwere zvakakomba zvinogona kukonzera aortitis. Mimwe mienzaniso inosanganisira:

• Salmonella: Bakiteriya inokonzera chepfu muchikafu.
• Syphilis: Chirwere chinotapuriranwa pabonde.
• Staphylococcus: Bakiteriya inokonzera hutachiona hweganda nezvimwe zvirwere zvakakomba.
• Fivha ine mapopoma muRocky Mountain: Chirwere chinotapukirwa nezvikwekwe.
• Utachiona hweGonococcal: Gonorrhea.
• Chifuva: Utachiona hunokonzera hutachiona hunonyanya kukanganisa mapapu.
• Hepatitis B neC: Utachiona hwemavhairasi hunokanganisa chiropa.
• Mavhairasi eHerpes:
• Utachiona hwefungus:

Aortitis inoonekwa sei?

Kuti uzive zvechokwadi kana uine aortitis, chiremba wako achatevera matanho aya:

• Vachataura nezvenhoroondo yako yezvekurapa: vachakubvunza nezvezvirwere zvako zvekare, zvirwere zvemhuri yako, uye mishonga yaunotora.
• Kuongororwa kwemuviri kuchaitwa: Muviri wako uchaongororwa.
• Miedzo yemifananidzo inorongwa: miedzo inogona kuona zviri nani aorta yako nematavi ayo makuru.
• Kuongororwa kweropa kunorayirwa: Izvi zvinogona kuongorora huwandu hwekuzvimba mumuviri wako.
• Kana wakambovhiyiwa neaorta, sampuli yenyama inotorwa panguva iyoyo ichaongororwa uchishandisa maikorosikopu.

Ndezvipi zvidzidzo zvinoshandiswa kuongorora aortitis?

Miedzo yemifananidzo:

• Echocardiogram: Muedzo wekutarisa mashandiro uye chimiro chemwoyo.
• Transesophageal echocardiogram: Iyi zvakare bvunzo ye echo, asi mudziyo mudiki unopfuudzwa nepagurokuro kuti uone mwoyo neaorta zvakajeka.
• Ultrasound yedumbu: Ona aorta iri mudumbu.
• Kuongororwa kweCT nekombiyuta: Kuongororwa kweCT kunotora mifananidzo yemuviri uye kunopa maonero akadzama eaorta nematishu akaipoteredza.
• Magnetic resonance imaging (MRI): Inoshandisa magineti nemasaisai eredhiyo kugadzira mifananidzo yakadzama.
• Kuongororwa kwePositron emission tomography (PET): Kunobatsira kuona nzvimbo dzine kuzvimba mumuviri.

Kuongororwa kweropa:

• Mwero weErythrocyte sedimentation (ESR): Muedzo unoratidza kuzvimba mumuviri.
• C-reactive protein (CRP): Iyi imwe bvunzo inokosha inoratidza kuzvimba.
• Kuverengwa kweropa rose: Izvi zvinoyera mhando dzemasero ari muropa uye huwandu hwawo.
• Makemikari anoedza mashandiro eitsvo nechiropa:
• Kana zvichidikanwa, kuongororwa kweropa kwakanyatsogadzirwa kuti kuonekwe ropa rinobuda mumuviri, zvimwe zvirwere zvinozvimba, kana hutachiona.

Kuongororwa kwetsinga dzeropa:

Kana uri kuvhiyiwa aneurysm yeaortic aneurysm , chiremba wako anogona kutora sampuli yenyama panguva yekuvhiyiwa kuti aone kana paine kuzvimba. Vamwe vanhu vanoonekwa vaine aortitis panguva yekuvhiyiwa kwerudzi urwu, vasina kana zviratidzo zvekare.

Aortitis inorapwa sei?

Aortitis inogona kurapwa nemishonga uye/kana kuvhiyiwa . Vanachiremba vachasarudza kurapwa zvichienderana nezvinhu zvinotevera:

• Ndeipi chikamu cheaorta yako chinokanganiswa ?
• Kungave kune aneurysm kana kutetepa kwakaitika nekuda kweaortitis, uye kuti zvakakomba sei .
• Ingave paine chirwere chinokonzerwa nacho kana chimwe chikonzero chiripo .
• Kana zvichikanganisawo mimwe mitsipa yeropa .

Chinhu chakakosha ndechekuti kana uine "isolated focal aortitis" (zvichireva kuti inongogumira pa aorta, pasina chimwe chikonzero) uye wakavhiyiwa kuti ibviswe zvachose, uye pasina chirwere chiripo, ungasada kurapwa zvakare. Zvisinei, zvakakosha kuti urambe uchitariswa nachiremba wako . Kana paine zviratidzo zvitsva zvikaitika, ungangoda kurapwa zvakasiyana.

Ndeipi mishonga inoshandiswa pakurapa Aortitis?

Kana chiremba wako akaona chirwere chevasculitis chiri kushanda, chimwe chirwere chekuzvimba, kana hutachiona, anogona kunyora mishonga yakaita se:

• Mishonga inoderedza kuzvimba kana yekudzvinyirira immune system: Yekurapa vasculitis yemuviri kana zvimwe zvirwere zvinokonzeresa kuzvimba. Mishonga iyi inoshanda nekudzvinyirira immune system yemuviri.
• Mishonga inorwisa mabhakitiriya: Kana aortitis yatanga nekuda kwehutachiona.

Pane migumisiro yakaipa here pakurapa uku?

Ehe, kunyanya mishonga inoderedza simba remuviri inogona kuderedza kugona kwemuviri wako kurwisa hutachiona. Nokudaro, chiremba wako achakutsanangurira njodzi nemabhenefiti ekurapa kwega kwega. Achataurawo newe nezvenzira dzekuderedza njodzi idzi. Usatya, taura nachiremba wako uye unzwisise zvese.

Kuvhiyiwa kweaortitis kunodiwa rini?

Ungada kuvhiyiwa mune izvi zviitiko:

• Kana uine aneurysm yeaorta, kana ichiita seyakakura zvekusvika pakuputika, kana kana aneurysm iri kukanganisa mashandiro emoyo.
• Kana aorta yako iri kutetepa, zvichikonzera kudzikira kwakanyanya kweropa rinoenda kunhengo dzinokosha.

Ndingaderedza sei njodzi iyi?

Kazhinji, aortitis inonetsa kudzivirira nekuti inogona kusanganiswa nesystemic vasculitis, chirwere chekuzvimba, maitiro ekuzvimba kamwe chete, kana hutachiona.

Zvisinei, kune vanhu vane aortitis, zvakakosha kuderedza zvimwe zvinhu zvinogona kukonzera kukuvara kwetsinga dzeropa . Izvi zvinosanganisira:

• Kudzora BP yakakwira.
• Kuderedza huwandu hwecholesterol mumuviri.
• Kurega zvachose kushandiswa kwefodya.
• Kurovedza muviri nguva dzose.
• Kuchengetedza huremu hwakanaka kwauri.

Kana ndine aortitis, ndiani anofanira kunge ari muchikwata changu chehutano?

Nekuti aortitis inogona kuoneka nenzira dzakasiyana uye inoda kurapwa kwakasiyana, ungangoda vanachiremba vakati wandei kuti vakubatsire. Semuenzaniso:

• Mupi wehutano hwepakutanga: Munhu anotarisira hutano hwako hwese.
• Chiremba wemwoyo: Nyanzvi yezvemoyo netsinga dzeropa.
• Chiremba weRheumatologist: Nyanzvi muzvirwere zvemajoini, tsandanyama, uye zve autoimmune, sezvo zvirwere zvakawanda zvevasculitis zviri muchikamu ichi.
• Nyanzvi yezvirwere zvinotapukira: Kana paine fungidziro yekuti pane chirwere.
• Chiremba wemwoyo kana wetsinga dzeropa: Kana zvichidikanwa kuvhiyiwa.

Ndeipi tarisiro yeaortitis?

Maitiro aunoita aortitis zvinoenderana nezvinhu zvakati wandei:

• Chikamu chipi cheaorta yako chakanganiswa uye chakakomba sei .
• Kana aortitis ichikonzera matambudziko .
• Ingave paine chirwere chinokonzerwa nacho kana chimwe chikonzero chiripo .
• Mhinduro yekurapwa (kana kuchidiwa kurapwa) uye kana kurapwa kwacho kuchikonzera migumisiro yakaipa .

Ndinozvitarisira sei?

Chinhu chinonyanya kukosha ndechekuenda kumisangano yese yekutevera nachiremba wako, kunwa mishonga yako sezvawakarairwa, uye kuzivisa chiremba wako nekukasika kana ukaona zviratidzo zvitsva kana kusagadzikana. Usavhunduke, chinhu chakakosha ndechekuteerera muviri wako.

Ndinofanira kuona chiremba wangu rini?

Chiremba wako achakuudza kuti unofanira kuona chiremba wako kangani kana kuongororwa. Kana ukatanga zviratidzo zvitsva kana zviratidzo zvekare zvikadzoka, taura nachiremba wako nekukasika.

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Dambudziko guru re aortic aneurysm kuputika kwayo kana kuputika kwayo. Ichi chirwere chakakomba zvikuru, nekuti aorta yako ndiyo tsinga huru inotakura ropa rakawanda mumuviri wako. Kana uine chimwe chezviratidzo izvi, chinogona kunge chiri aorta yakaputika:

* Kana ukangoerekana wanzwa kurwadziwa kwakanyanya muchipfuva, musana, kana mudumbu (dumbu) pasina yambiro.

* Kana kurova kwemoyo kuchikurumidza.

* Kana uchinzwa dzungu.

* Kana uchinzwa kushaya simba kana kusanzwa kumeso, ruoko, kana gumbo, kana kuoma kutaura kana kuona.

Kana uri kutora mishonga inodzvinyirira immune system ye aortitis, kana kana uine systemic vasculitis kana chirwere chekuzvimba, unogona kutanga mamwe matambudziko akakomba anoda kurapwa nekukurumidza. Chiremba wako achakutsanangurira kuti ndeapi zviratidzo zvinoda kuti uende kuchipatara, zvichienderana nehurongwa hwako hwekuongorora chirwere uye hurongwa hwekurapa.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana ukaona chiremba wako, usazeza kubvunza mibvunzo yakaita seiyi:

• Pane chirwere kana chikonzero che aortitis yangu chingawanikwa here?
• Ndeipi nzira yakanakisisa yekurapa chirwere changu?
• Chiremba anoongorora sei mamiriro angu ezvinhu?
• Ndinofanira kuona vamwe nyanzvi here?
• Ndezvipi zviratidzo zvandinofanira kutarisa?

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Nekuti aortitis inogona kuva chirwere chinotyisidzira hupenyu, zvakakosha kuramba uchitsvaga kurapwa kubva kune nyanzvi yehutano ine ruzivo nezve aortitis nezvikonzero zvayo . Uchada kuongororwa nachiremba nguva nenguva kuti utarise aorta yako. Izvi zvinogona kusanganisira kushanya kwachiremba, kuongororwa ropa, uye kuongororwa kwemifananidzo.

Kunzwisisa matambudziko ako e aortitis, kuziva zviratidzo zvematambudziko akakomba, uye kuziva kwekuenda kunotsvaga rubatsiro kana uchida rubatsiro kuchakubatsira kugadzirisa mamiriro ako e aortitis. Tarisana neizvi neushingi uye usingatyi. Hausi wega.

` Aorta, Aorta, Kuzvimba, Chirwere chemwoyo, Mitsipa yeropa, Marwadzo echipfuva, Aortic Aneurysm, Vasculitis