Pane dambudziko here neaorta yako? Ngatikurukurei nezveAorta neNirogi Lanka!

Wakambozvibvunza here kuti chii chinonzi tsinga yeropa yakakura uye inonyanya kukosha mumuviri wako? Ndiyo aorta yako—nzira huru yeropa rako. Iyi tsinga huru inomhanya kubva pamoyo wako kusvika mudumbu rako, ichishanda senzira inokosha inoendesa ropa idzva rakapfuma muokisijeni kumuviri wako wese. Nekuti yakakosha zvikuru, chero dambudziko rinokanganisa aorta yako rinogona kuva nemigumisiro yakakomba pahutano hwako hwese. KuNirogi Lanka , tinotaura nezveboka iri rezvirwere zvinokanganisa aorta seaorta .

Chii chinonzi Aorta? Ngatitsanangure zviri nyore.

Zvichitaurwa zviri nyore, aorta inoreva boka rezvirwere zvinoderedza simba kana kukuvadza madziro e aorta yako. Funga nezvazvo nenzira iyi: pese painorova mwoyo wako, unopomba ropa zvakananga mutsinga iyi hombe. Kuti ubatisise kumanikidzwa ikoko, madziro ako e aorta anofanira kunge akasimba uye akasimba. Zvisinei, kana madziro aya akashaya simba, anogona kuzvimba, kutsemuka, kana kubvaruka (kupatsanura), izvo zvinogona kuisa hupenyu panjodzi. Rudzi chairwo rwe aorta yaunayo runosarudza kuti aorta yako inokanganiswa sei.

Ndeapi marudzi makuru eAorta?

Kune mhando dzakasiyana dzeaorta. Ngatikurukurei dzinonyanya kuzivikanwa.

Aneurysm yeAortic yedumbu (AAA)

Izvi zvinoitika kana chikamu chetsinga yeropa chinopfuura nemudumbu mako chikashaya simba uye chichizvimba sebharumu. Tinoti izvi ianeurysm . Dambudziko iri rinowanzoitika kuvanhu vane makore anopfuura 65, avo vanoputa fodya, kana avo vane zvimwe zvinhu zvinokonzera njodzi yemwoyo. Njodzi yeAAA ndeyekuti inogona kungoerekana yaputika, zvichikonzera kubuda ropa mukati memuviri kunotyisidzira hupenyu.

Aneurysm yeAortic Aortic yeTsamba (TAA)

Izvi zvinosanganisira kupera simba kana kuzvimba kwechikamu chetsinga yeropa chinofamba nepachipfuva chako. Kunyange zvazvo (TAA) isingawanzoitiki pane (AAA), inowanzova nechikamu chakasimba chemajini, zvichireva kuti inogona kufamba mumhuri. Kufanana ne (AAA), njodzi huru ne (TAA) kuputika kunotyisidzira hupenyu.

Njodzi yeKupatsanurwa kweAortic

Iyi idambudziko guru. Kutsemuka kwetsinga yeropa kunoitika kana chikamu chemukati chetsinga yako yeropa chikabvaruka. Izvi zvinowanzoitika munzvimbo ine madziro asina kusimba, dzimwe nguva paine aneurysm, kunyangwe ichigona kuitika pasina imwe. Kune mhando mbiri huru: Kutsemuka kwetsinga yeropa yerudzi rweA , kunosanganisira kubvaruka muchikamu chetsinga yeropa iri pedyo nemoyo (pamberi petsinga), uye kutsemuka kwetsinga yerudzi rweB , kunoitika mushure metsinga, muchipfuva kana mudumbu. Kutsemuka kwetsinga yeropa yerudzi rweAortic itsinga yeropa yerudzi rweAortic.dambudziko rehutano rinoda kuongororwa nekurapwa nekukurumidza.

Kunzwisisa Family Aortaopathy

Familyal aorta inoreva zvirwere zveaorta zvine hukama hwemajini (nenhaka) . Vanhu vane chirwere ichi vane majini akasiyana-siyana anowedzera mukana wavo wekuwana zvirwere zveaorta. Izvi zvinowanzo kanganisa aorta yepachipfuva, kunyanya mudzi weaorta kana ascending aorta.

Kazhinji inorongwa muzvikamu zviviri:

Chii chinonzi Syndromic Aortopathy?

Kazhinji inonzi (Syndromic heritable thoracic aortic disease), izvi zvinoitika kana uine genetic syndrome inokanganisa aorta pamwe chete nezvimwe zvinhu zvemuviri. Zvimwe zvirwere zvine chekuita neaortic disease zvinosanganisira:

• Chirwere cheLoeys-Dietz
• Chirwere cheMarfan
• Turner syndrome
• Chirwere chevascular Ehlers-Danlos

Kunzwisisa Non-syndromic Aortopathy

Ichizivikanwa se (Non-syndromic heritable thoracic aortic disease), izvi zvinoitika kana usina chirwere chinonzi syndrome, asi une majini akasiyana anowedzera njodzi yako yechirwere cheaortic. Masayendisiti akaona majini anopfuura makumi mashanu ane chekuita nemamiriro aya. Mamwe eakakosha anosanganisira:

• ACTA2 (inonyanya kuwanikwa)
• FOXE3
• LOX
• MYH11
• MYLK

Yeukai, kana nhengo yemhuri yakambova neaneurysm yeaorta kana kupatsanurwa kwetsinga, taurai nachiremba wenyu nezvekuongororwa kwemajini . Kana mukaonekwa kuti mune chirwere cheaorta, hama dzenyu dzingadawo kuongororwa majini kuti dzione kana dziri panjodzi.

Chii chinonzi Bicuspid Aorta?

Izvi zvinowanzonzi (Bicuspid valve-associated aortopathy). Zvinoreva kuti pamusoro pechirwere cheaortic, une chirwere chemwoyo chekuzvarwa nacho chinonzi Bicuspid Aortic Valve (BAV) . BAV ndiyo chirwere chemwoyo chekuzvarwa nacho chinowanzoonekwa, chinobata munhu mumwe chete pavanhu makumi mashanu.

Vharuvhu yako yeaortic inoshanda semuchengeti wegedhi, ichidzora kuyerera kweropa kubva mukamuri guru rekupomba kwemoyo wako (left ventricle) kuenda kuaorta. Vharuvhu yeaortic ine hutano inowanzova nemapepa matatu; vharuvhu yebicuspid ine maviri chete. Kunyange zvazvo vanhu vazhinji vane BAV vangasaratidza zviratidzo kwemakore, zvinogona kukonzera matambudziko nekufamba kwenguva.

Kana uine bicuspid aortaopathy, vharuvhu yako yeaorta ine mapepa maviri chete, uye aorta yako inowanzova yakafara kupfuura yakajairwa (dilatation). Muvarwere (BAV), kuwedzera uku kunowanzoitika mumudzi weaorta kana muaorta inokwira—zvikamu zviri pedyo nemoyo wako.

Matambudziko eBicuspid Aortopathy

Kukura kudiki kunogona kusakonzera matambudziko ipapo ipapo. Zvisinei, kana aorta ikawedzera zvakanyanya, inogona kukura kuita aneurysm. Izvi zvinoisa kumanikidzwa kwakanyanya pamadziro e aorta, zvichiwedzera njodzi yekuputika kana kutsemuka. Vanhu vane bicuspid aortopathy vane mukana wekuti aorta itsemuke kakawanda kupfuura avo vasina chirwere ichi.

Aorta yakajairika sei?

Kupararira kwacho kunoenderana nemamiriro ezvinhu chaiwo. Abdominal Aortic Aneurysm (AAA) ndiyo inonyanya kupararira muaorta. MuUnited States chete, vanhu vanosvika 200,000 vanobatwa neAAA gore rega rega. Pasi rose, zvinofungidzirwa kuti vanhu vanosvika 47,000 vanorasikirwa nehupenyu hwavo gore rega rega nekuda kwemarudzi akasiyana-siyana eaorta.

Ndezvipi zviratidzo zveAorta? Usazvifuratira!

Kazhinji, aortaopathy haina zviratidzo , ndizvo zvinoita kuti ive nengozi. Ndosaka kuongororwa nachiremba nguva dzose kuchikosha kana uine zvimwe zvinhu zvinokonzera njodzi.

Sezvo aneurysm yeropa rayo yava pedyo nekuputika, unogona kuona zviratidzo zvinonyevera:

• Kunzwa kuguta mudumbu mushure mekudya zvishoma chete.
• Kurwadziwa kunogara kuripo kumusana, kumagaro, muhudyu, mumakumbo, kana mudumbu.
• Kunzwa kurira kana kurova pedyo neguvhu rako, kwakafanana nekurova kwemoyo.
• Kushaya mweya.

Kuputika kwetsinga yeropa (aortic aneurysm) uye kupatsanurwa kwetsinga yeropa (aortic dissection) zvinhu zvinotyisidzira hupenyu! Kana ukasangana nezvinotevera, fonera 911 kana masevhisi ekukurumidzira emunharaunda yako nekukasika, kana kuenda kuchipatara chiri pedyo newe:

• Kurwadziwa kwemudumbu kwakakomba kamwe kamwe.
• Kurwadziwa kwakakomba, kwakakomba, uye kamwe kamwe muchipfuva chako kana kumusana wekumusoro. Izvi zvinogona kuita sekunge kubvarura, kubaya, kana kubvarura.
• Ganda rakapfava kana kuti kudikitira zvakanyanya.
• Kuvhiringidzika.
• Dzungu kana kufenda.
• Kurova kwemoyo nekukurumidza.
• Kusvotwa nekurutsa.
• Kutadza kufema zvakanaka.
• Kuoma kutaura.
• Kurasikirwa nekuona kamwe kamwe.
• Kushaya simba kana kuoma mitezo kune rumwe rutivi rwemuviri.

Chii chinokonzera aorta?

Kuora kwetsinga dzeropa kunogona kukonzerwa nezvikonzero zvakasiyana-siyana, zvimwe zvinobva pakuzvarwa (kuzvarwa) uye zvimwe zvinokura pakukura kwehupenyu.

• Mageneti: Mageneti syndromes uye kusiyana kwemageneti zvinogona kukonzera kuti utange chirwere cheaorta. Familyal Aortopathy inowanzo gara nhaka nenzira inonzi 'autosomal dominant', zvichireva kuti kana mumwe mubereki ane gene iri, pane mukana we50% wekuipfuudza kuvana vavo.
• Chirwere chemwoyo chekuzvarwa nacho: Izvi zvinowanzobatanidzwa neaorticopathy. Mienzaniso inosanganisira `Bicuspid aortic valve`, `Coarctation of the aorta`, `Pulmonary atresia ine ventricular septal defect (VSD)`, `Tetralogy of Fallot`, `d-Transposition of the great arteries`, uye `Truncus arteriosus`. Kugadziriswa kwekuvhiya, kwakadai se`Arterial switch (ASO)`, `Atrial baffle (Mustard/Senning)`, kana `staged Norwood, Glenn, uye Fontan surgeries`, kunogonawo kusanganiswa nekukura kweaorticopathy gare gare.
• Kuora kweropa muropa:Kuunganidzwa kweplaque mutsinga dzeropa, zvichiita kuti dzitete, ndicho chikonzero chikuru che aortaopathy inokura gare gare muhupenyu.

Ndiani ari panjodzi huru yeAorta?

Zvinhu zvakasiyana-siyana zvinokonzera njodzi zvinobatsira pakukura kweaorta:

• Kusvuta nekushandisa fodya: Izvi zvinotyisa zvikuru . Ruzhinji rwe aortic aneurysms runoitika muvanhu vanosvuta parizvino kana kuti vane nhoroondo yekusvuta.
• Kukwira kweropa (Hypertension): Nekufamba kwenguva, izvi zvinogona kunetesa madziro etsinga yako yeropa.
• Zera: Njodzi yekuve neaneurysm yeaorta inowedzera zvakanyanya mushure memakore makumi matanhatu nemashanu.
• Nhoroondo yemhuri: Kana nhengo yemhuri yako chaiyo yakambova neaneurysm kana kutsemuka kwetsinga, njodzi yako yakakura.
• Cholesterol yakakwira kana kuti triglycerides: Kuwanda kwemafuta mumuviri kunowedzera mukana wekuti plaque iungane mutsinga dzako.
• Zvirwere zve autoimmune: Zvirwere zvakaita se 'Giant cell arteritis' uye 'Takayasu arteritis' zvinogona kukonzera kuzvimba, zvichideredza simba remadziro e aorta.
• Utachiona: Kashoma, hutachiona hwakaita se'syphilis' kana hutachiona hwebhakitiriya mumadziro emoyo hunogona kukonzera kusasimba kwechimiro.

Aorta inoonekwa sei?

Nekuti zvirwere izvi zvinowanzoshaya zviratidzo zvekunyevera kusvika paitika dambudziko guru, tinovimba nekuongororwa kwemuviri kana uine zvinhu zvinokukonzera njodzi. Chiremba wako kuNirogi Lanka achaongorora hutano hwetsinga yako yeropa kana vachifungidzira kuti pane dambudziko.

Nzira dzinozivikanwa dzekuongorora chirwere dzinosanganisira:

• Kuongororwa kwemuviri: Chiremba wako achaita ongororo yakakwana yehutano hwako, oongorora zvinhu zvinokonzera njodzi dzemwoyo, oongorora nhoroondo yako yezvekurapa, mararamiro ako, uye nhoroondo yemhuri yako.
• Kuongororwa kwemajini: Chiremba wako anogona kukurudzira kuongororwa kwemajini kuti aongorore shanduko dzakati dzakabatana nechirwere cheaorta.
• Kuongororwa kwemifananidzo: Kuti vaongorore hukuru uye hutano hweaorta yako, vanachiremba vanoshandisa mifananidzo yakasarudzika. Miedzo iyi inoyera dhayamita yeaorta kuti vaone kana yakawedzera kupfuura mwero wenguva dzose.

Aorta inoonekwa sei?

• Kuongororwa kweCT nekombiyuta
• Kufungidzira kwemagnetic resonance (MRI)
• Transthoracic echocardiogram (TTE) (ultrasound yemoyo isingapindi muropa)
• Kuongororwa kwemoyo kuburikidza ne transesophageal echocardiogram (TEE) (ultrasound inoitwa kuburikidza ne esophagus)
• Ultrasound yemudumbu

Bvunzo yega yega yekuongorora ine mabhenefiti ayo akasiyana uye zvipingamupinyi zvinogona kuitika. Chiremba wako achatsanangura kuti ndeapi mabvunzo anodiwa pamamiriro ako ezvinhu uye kuti nei. Vanogona kushandisa imwe kana kupfuura yebvunzo idzi kuti vatarise aorta yako nekufamba kwenguva. Ungangoda kuedzwa uku kwemifananidzo nguva nenguva (semuenzaniso, kamwe chete pagore). Kuwanda kwekuongororwa uku kunoenderana zvachose nezvinhu zvako zvepamoyo uye mamiriro ehutano hweaorta yako pari zvino.

Ndezvipi zvirongwa zvekurapa aorta?

Chirongwa chenyu chekurapa chakagadzirirwa mamiriro enyu chaiwo uye huwandu hwenjodzi yekusangana nematambudziko. KuNirogi Lanka, chiremba wenyu achagadzira chirongwa chekuchengeta chinoenderana nezvamunoda, izvo zvinogona kusanganisira kugadzirisa mararamiro enyu, mishonga, nzira dzekurapa dzakagadzirwa, kana kuvhiyiwa.

Ngatitangei nekuchinja mararamiro!

Kuchinja mararamiro kunogona kubatsira kuderedza kufambira mberi kwechirwere chemwoyo uye kuderedza njodzi yekuputika kweaneurysm. Kana wakaonekwa uine chirwere chemoyo, zvakakosha kuti:

• Dzivisa kunwa doro.
• Rega kusvuta uye rega kushandisa zvese zvinogadzirwa nefodya.
• Tora kudya kunovaka muviri.
• Ita maekisesaizi nguva dzose (sekutungamirirwa nachiremba wako).
• Ramba uine huremu hwakanaka.
• Gadzirisa zvinhu zvine njodzi dzechirwere chemwoyo zvakaita seBP yakakwira uye cholesterol yakakwira.

Mishonga inogona kuita basa rakakosha

Chiremba wako anogona kukupa mishonga yekubatsira kuderedza BP yako. Nekuderedza BP, unoderedza kushushikana kuri pamadziro etsinga dzako, izvo zvinoderedza njodzi yekuputika kweaneurysm yeropa kana kuva nekutsemuka kwetsinga. Mishonga inowanzo shandiswa inosanganisira:

• Zvinodzora enzyme inoshandura angiotensin (ACE)
• Angiotensin receptor blockers (ARBs)
• Beta-blockers
• Zvinodzivirira calcium channel
• Diuretics (mapiritsi emvura)

Kuvhiya uye nzira dzekurapa

Vamwe vanhu vane aorta yeropa vangada kurapwa kana kuvhiyiwa. Izvi zvinosanganisira:

• Kuvhiyiwa kweAneurysm (kuvhiyiwa kwepachivande kwechinyakare)
• Kuvhiyiwa kwekutsiva midzi yeAortic
• Kugadziriswa kweEndovascular aneurysm (EVAR) - nzira isinganyanyi kukuvadza muviri uchishandisa kucheka kudiki uye catheter.
• Kugadzirisa aneurysm yechipfuva (TEVAR) - nzira yakafanana neiyi yekurapa aorta yechipfuva.

Ungaderedza sei njodzi yako yeAorta?

Kutevedzera mararamiro ane hutano hwemwoyo ndiyo nzira yakanakisisa yekudzivirira kubva pakuva neaorta. Heano mamwe matipi:

• Dzivisa zvinhu zvinokuvadza: Fodya, zvinodhaka, uye doro rakawandisa zvinokuvadza mwoyo wako netsinga dzeropa. Tinokurudzira zvikuru kurega fodya nezvinodhaka zvachose. Nezvedoro, edza kuramba uri mukati memiganhu inokurudzirwa - kazhinji usapfuure chinwiwa chimwe chete pazuva kuvakadzi uye zviviri kuvarume.
• Idya chikafu chine hutano pamoyo: Tarisa pakudya zvine mafuta akawandisa, mafuta e trans, sodium, uye shuga yakawedzerwa. Deredza makabhohaidhiretsi akacheneswa sechingwa chichena uye sarudza zviyo zvakakwana. Ramba uchifunga kuti kudya kwako kunokanganisa sei huwandu hwecholesterol yako.
• Ramba uchiita maekisesaizi: Kurovedza muviri kwakasiyana kune wese munhu. Tsvaga chiitiko chaunofarira uye tevera zano rachiremba wako pamusoro pehuwandu hwesimba rakachengeteka. Kazhinji, ronga kuita maminetsi zana nemakumi mashanu ekuita maekisesaizi ane mwero pasvondo, akadai sekufamba nekukurumidza, kuchovha bhasikoro, kana kushambira.
• Gadzirisa kushushikana:Kunyange hazvo zviri nyore kutaura pane kuzviita, kudzidza nzira dzekugadzirisa kushushikana kwakakosha. Goverana matambudziko aya neshamwari dzako nemhuri yako.

Chii chinoitika kana uine Aorta?

Chiremba wako ndiye munhu akakodzera kukurukura nezveramangwana rako. Vachafunga nezvezvinhu zvakati wandei, zvinosanganisira:

• Kuongororwa kwako chaiko.
• Mwero wekufambira mberi kwechirwere.
• Zera rako uye murume kana mukadzi.
• Zvinhu zvinokonzeresa njodzi dzemwoyo.
• Nhoroondo yezveutano hwemhuri yako.
• Nhoroondo yako yese yezvekurapa.

Ndapota inzwai simba rekutaura pachena nemupi wehutano wenyu nezvezvamunotarisira mune ramangwana.

Ndinofanira kuzvitarisira sei kana ndine Aorta?

Chiremba wako achakupa gwara rekuzvitarisira. Tevedzera mirairo iyi nokungwarira, uye usambozeza kutaura nemibvunzo. Unogona kukurudzirwa kuti:

• Dzivisa kurovedza muviri kunorema kana kuita mitambo yakaoma.
• Deredza kana kurega kunwa doro.
• Gadzirisa zvekudya.
• Rega kushandisa fodya zvachose.
• Inwa mishonga yako yawakanyorerwa nguva dzose.

Kubata pamuviri uye Aorta

Kana uine aorta, pamuviri unogona kukonzera njodzi huru. Usati waronga kubata pamuviri, ndapota taura nachiremba wako kuti uone kana zvakachengeteka kwauri. Kuti uderedze njodzi yematambudziko, ungangoda rubatsiro rwakakosha rwepamuviri, senge kuongororwa kwemifananidzo nguva nenguva. Chiremba wako angangodawo kugadzirisa mishonga yako kuti uve nechokwadi chekuti wadzivisa chero mishonga isina kuchengetedzeka panguva yekuzvitakura.

Unofanira kuona chiremba wako rini?

Iva nechokwadi chekuti unoenda kunoongororwa nachiremba kwegore negore uye chengeta nguva dzese dzekuongororwa. Chiremba wako achakuudza nguva dzinodiwa dzekuongororwa kwako.

Kana wakamboonekwa uine chirwere chemwoyo chawakazvarwa nacho uchiri mudiki, pamwe waive nachiremba wemwoyo wevana achitarisa hutano hwako. Zvisinei, mushure mekusvitsa makore gumi nemasere, ungangove usina kuwana rubatsiro kubva kunyanzvi itsva. Tsvagiridzo inoratidza kuti vanhu vazhinji vanonetseka nekuchinja kubva pakurapwa kwevana kuenda kuvakuru. Kana wakarapwa chirwere chemwoyo chawakazvarwa nacho uchiri mudiki, zvakakosha kuti urambe uchishanda nachiremba wemwoyo wevakuru. Izvi zvinoramba zviri zvechokwadi kunyangwe uchinzwa uine hutano hwakakwana.Chiremba wemwoyo wako achakupa gwara pamusoro penjodzi dze aorta uye zvimwe zvirwere sezvaunokura.

Mharidzo Yakakosha Yokuenda Nayo Kumba

Aortaphritis chirwere chakakomba chinogona kuisa upenyu panjodzi kana chikasaonekwa uye chisina kurapwa. Kana paine munhu mumhuri yako akambova neaneurysm kana kupatsanurwa kwetsinga yeropa, ndapota taura nachiremba wako kuti unzwisise njodzi yako. Vamwe vanhu vari panjodzi huru nekuda kwezvirwere zvemajini, zvikanganiso zvemwoyo zvekuzvarwa nazvo, kana zvinhu zvakaita sekusvuta. Kuramba uine mararamiro ane hutano hwemoyo kunogona kubatsira kuderedza njodzi yako yeaortaphritis uye kusimbisa muviri wako wese. Chengetedza moyo wako—ndiwo kurova kwehupenyu hwako!

Mashoko Akakosha: Nirogi Lanka, Aorta, Aorta, Chirwere chemwoyo, Aneurysm, Aortic dissection, Matambudziko eGenetic, Marwadzo echipfuva, Kukwira kweropa, Kusvuta, Hutano hwemoyo