Wakambonzwa here nezvemunhu wechidiki, ane hutano hwakanaka, ane mitambo anongoerekana afa nechirwere chemwoyo? Zvinosuwisa zvechokwadi. Kazhinji, tinofunga nezvechirwere chemwoyo sechinhu chinoitika nekukura. Asi dzimwe nguva, chikonzero chezviitiko izvi zvisingafungidzike chirwere chisingawanzoitiki chatisingazive nezvacho. Nhasi, tichataura nezvechimwe chirwere chemwoyo chinogona kukanganisa vechidiki zvakanyanya. Ichi ndicho chirwere cheARVC.
Chii chaizvo chinonzi ARVC?
Zvichitaurwa zviri nyore, ARVC chirwere chemwoyo chisingawanzoitiki chinogara nhaka , zvichireva kuti chinogona kupfuudzwa nezvizvarwa. Chinoitika ndechekuti tsandanyama dziri mumoyo medu dzinokuvara.
Funga nezvemwoyo wedu sepombi ine simba yakagadzirwa nemakamuri mana. Izvi ndizvo zvinopomba ropa mumuviri wese. Pamakamuri mana aya, iri kurutivi rwezasi rwerudyi inonzi Right Ventricle. MuAVRC, masero emhasuru dzemwoyo ane hutano ari mu ventricle iyi yekurudyi anofa uye anotsiviwa nemafuta ne fibrous tissue (mavanga) .
Zvakafanana nechidhinha chinodonha kubva pamadziro akanaka uye mipata ichizara nematope. Chii chinoitika? Madziro ekamuri remoyo iroro anotetepa, asina simba, uye anotambanudzwa. Ipapo haakwanise kupwanya zvakanaka uye kupomba ropa. Izvi zvinogona kukonzera zvinhu zvakaita sekushaya mweya uye kupera simba.
Chinonyanya kuipa ndechekuti mafuta nenyama yemavanga zvinokanganisa mashandiro emagetsi mumoyo. Izvi zvinoita kuti mwoyo urove zvisina kurongeka. Tinoti izvi arrhythmia . Ichi ndicho chirwere chine njodzi zvikuru muchirwere ichi. Nekuti chinogona kukonzera kumisa kwemwoyo kamwe kamwe uye kunyange rufu.
Chirwere ichi chinonziwo ARVC, Arrhythmogenic Right Ventricular Dysplasia (ARVD). Dzimwe nguva chinonziwo Arrhythmogenic Cardiomyopathy (ACM) nekuti chinokanganisawo ventricle yekuruboshwe.
Ndezvipi zviratidzo zvechirwere ichi?
Dambudziko rimwe chete nechirwere ichi nderekuti chinogona kunge chisina zviratidzo pakutanga. Zviratidzo zvinowanzotanga kuoneka vasati vasvitsa makore makumi mana, dzimwe nguva kunyange muhudiki.
Chinhu chinotyisa ndechekuti kune vamwe vanhu, chiratidzo chekutanga uye chega chinovazivisa kuti vane chirwere ichi kufa kamwe kamwe kwemoyo.
Saka, zvakakosha zvikuru kuziva zviratidzo zvinotevera.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kusarongeka kwekurova kwemoyo (Arrhythmias) | Kuchinja kusingawanzoitika pakurova kwemoyo. Kunogona kunzwa sekunge munhu ari kubhururuka kana kudzvanywa muchipfuva. Kunyanya mumamiriro ezvinhu akadai se (Atrial Fibrillation) . |
| Dzungu kana kupera simba | Zvakafanana nekurasikirwa nepfungwa nekuti uropi hauwani ropa rakakwana. |
| Kuneta | Kugara ndichinzwa kuneta zvakanyanya nekuti muviri hausi kupomba ropa nemazvo. |
| Kurwadziwa kwechipfuva | Kurwadziwa pachipfuva nekuda kwekumanikidzwa kwemoyo. |
| Kuoma kufema | Kushaya mweya wekufema kunokonzerwa nekushaya ropa rakawanda mumapapu. |
| Kuzvimba kwemuviri | Kuzvimba mumakumbo, muzvitsitsinho, mutsoka, kana mudumbu. |
| Kukundikana kweMwoyo | Nekufamba kwenguva, kugona kwemoyo kupomba kunopera simba zvachose. |
Zvikonzero uye nhaka yeARVC
Kazhinji, ARVC inokonzerwa nekuchinja kwemajini . Ichi chikanganiso chidiki mu blueprint, kana majini, anoumba masero emuviri wedu. Izvi zvinoitika kana paine zvikanganiso mumajini anokanganisa mapuroteni anobatsira kuchengetedza masero emhasuru dzemwoyo akabatana.
Kana kubatana uku kukaderera, masero emhasuru dzemwoyo anotanga kuparadzana uye kufa. Izvi zvinogona kuitika kunyanya panguva yekushushikana pamoyo, senge panguva yekurovedza muviri.
Vanenge hafu yevarwere vane ARVC vane nhoroondo yemhuri yechirwere ichi. Izvi zvinoreva kuti pane nhoroondo yemajini .
Saka, kana mumwe munhu mumhuri yako akaonekwa aine chirwere cheARVC, zvakakosha kuti hama dzepedyo dzemunhu iyeye (vabereki, vanun'una, vana, vazukuru, vanasekuru, vanatete, vazukuru, vazukuru) vaongororwe nachiremba. Kunyangwe pasina zviratidzo, kunyangwe avo vari vadiki vanofanira kuona chiremba votaura nezvazvo.
Kune nzira mbiri huru dzekutumira ARVC kuburikidza nezvizvarwa:
- Autosomal Dominant: Iyi ndiyo mhando inonyanya kuwanikwa. Izvi zvinoreva kuti mumwe wevabereki ane gene mutation. Ipapo mwana wavo ane mukana we50% wekugara nhaka chirwere ichi. Zvisinei, zviratidzo nezera rekutanga kwechirwere zvinogona kusiyana pakati pemhuri.
- Autosomal Recessive: Izvi hazviwanzoitiki. Pano, vabereki vese vane gene mutation, asi havana zviratidzo. Mwana wavo ane mukana we25% wekuwana chirwere ichi. Chimwe chirwere chine chekuita neizvi chirwere cheNaxos , chinogona kukonzera kukora kweganda pazvanza netsoka uye kukura kwebvudzi gobvu rakaita semvere.
Nzira yekuziva sei chirwere ichi?
Chiremba anogona kuongorora chirwere cheARVC zvichienderana nezviratidzo zvako, nhoroondo yemhuri yako, uye bvunzo shoma dzekurapa. Kune nzira dzakasiyana siyana dzekuongorora chirwere cheARVC. Vanachiremba vanoongorora kuti ungasangana nei.
Pfungwa huru dzinotariswa navanachiremba:
- Kutarisa mashandiro asina kunaka e ventricular yekurudyi ( Echocardiogram kana MRI bvunzo dzinoshandiswa pakuita izvi).
- Kuti uone kana paine mafuta kana mavanga mutsandanyama yemwoyo ( MRI inokosha zvikuru pakuita izvi).
- Kutarisa kana paine zvinhu zvisina kumira zvakanaka paECG test ( Electrocardiogram - ECG/EKG ).
- Kusashanda zvakanaka kwemoyo, kunyanya panguva yekurovedza muviri.
- Kana paine munhu mumhuri ane ARVC.
Zvichibva pazvinhu izvi, chiremba ndiye achasarudza kana "zvirokwazvo" uine chirwere chacho, "zvichida" uine, kana kuti "zvichida" uine. Vanogonawo kukutumira kunoongororwa majini kana zvichidikanwa.
Mimwe miedzo yakashandiswa:
- Kuongororwa kwemoyo neComputed Tomography (CT )
- Kuongororwa kweECG panguva yekurovedza muviri ( Kuongororwa Kwepfungwa )
- Kudzidza mashandiro emagetsi emwoyo ( Electrophysiology Testing )
- Kutora tsandanyama yemoyo kuti iongororwe ( Biopsy )
Ndeipi mishonga yeARVC?
Zvinosuwisa kuti hapana mushonga weARVC. Zvisinei, kune nzira dzakawanda dzinoshanda dzinogona kukubatsira kudzora zviratidzo zvako, kudzivirira matambudziko ane njodzi, uye kurarama hupenyu hwakajairika. Chinangwa chikuru chachiremba wako ndechekugadzirisa rhythm yemwoyo nemamiriro emwoyo.
| Nzira yekurapa | Chii chinoitika? |
|---|---|
| Mishonga | Mishonga inoderedza kusagadzikana kwemoyo , beta-blockers , uye anticoagulants inopiwa kudzivirira kusagadzikana kwemoyo. |
| Kubviswa kweCatheter | Kana uine kurova kwemoyo kusina kurongeka kusingagone kudzorwa nemishonga, nzira inopisa nzvimbo dzemwoyo dzinogadzirwa masaini emagetsi asina kujairika. |
| Chishandiso cheICD (Implantable Cardioverter-Defibrillator) | Iyi ndeimwe yenzira dzakakosha dzekurapa. Kune vanhu vari panjodzi huru yekufa nekumira kwemwoyo kamwe kamwe, mudziyo mudiki unoiswa pasi peganda rechipfuva. Kana paine chirwere chemwoyo chine njodzi, mudziyo uyu unokonzera kuvhunduka kwemagetsi kuti mwoyo udzokere pakare. |
| Kuisirwa Mwoyo | Zvinoonekwa senzira yekupedzisira kana mimwe mishonga yese ikatadza, asi vanhu vazhinji vane ARVC havafanirwe kusvika apa. |
Zvinhu zvekufunga nezvazvo kana uchirarama neARVC
Kana wangoonekwa uine ARVC, uchafanira kuchinja mararamiro ako. Zvinhu izvi zvinogona kubatsira kuderedza kushushikana pamoyo wako.
- Deredza kurovedza muviri: ARVC inogona kuwedzerwa kuipa nekurovedza muviri. Saka, ungangoda kudzivisa mitambo yemakwikwi zvachose. Iva nechokwadi chekutaura nachiremba wako nezvehuwandu uye rudzi rwekurovedza muviri kwaunogona kuita zuva rega rega.
- Mararamiro ane hutano: Zvakakosha kuderedza kunwa doro, kurega kusvuta, kudya chikafu chinovaka muviri, uye kuderedza zvinwiwa zvine caffeine (kofi, tii).
- Tora mishonga yako sezvawakarairwa: Usambofa wakarega kutora mishonga yawakanyorerwa nachiremba wako.
- Kuongororwa nachiremba nguva dzose: Uchafanira kuona chiremba wako kweupenyu hwako hwese. Kana uine ICD, uchafanirwa kuongororwa nguva nenguva .
Kuziva kuti une chirwere chemwoyo kunogona kuva chinhu chakaoma zvikuru kubata nacho, kunyanya uchiri mudiki. Kana uri mutambi, zvinogona kusuwisa kusiya hunhu ihwohwo. Asi yeuka, hupenyu hwako hunokosha zvikuru. Nekurapwa kwakakodzera uye mararamiro, unogona kurarama hupenyu hwakanaka.
Mharidzo Yekuenda Nayo Kumba
- ARVC chirwere chisingawanzoitiki, chinogara nhaka chinonyanya kukanganisa divi rekurudyi remoyo.
- Chinhu chine njodzi huru pamusoro pechirwere ichi injodzi yekumira kwemwoyo kamwe kamwe uye kufa pasina zviratidzo.
- Kana ukaona zviratidzo zvakaita sekuoma kwechipfuva, dzungu, kana kuoma kufema, enda kuna chiremba nekukasika.
- Kana mumwe munhu mumhuri mako aine ARVC, unofanira kuongororwa nachiremba.
- Kunyangwe chirwere ichi chisingarapike zvachose, chinogona kudzorwa zvinobudirira uye kurarama zvakanaka nemishonga, zvishandiso zveICD, uye shanduko dzemararamiro.
- Zvakakosha zvikuru kuti varwere ava vasaite maekisesaizi anorema uye anokwikwidzana.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga