Dzimwe nguva unonzwa kuneta here kana kuneta? Kana kuti wakamboona chiremba achiisa stethoscope pachipfuva chako obva ati, "Mmm... ndinonzwa ruzha rusinganzwisisike (kunyunyuta) ruchibva mumoyo mako"? Chikonzero cheizvi chingave shanduko diki mumoyo mako yawakazvarwa nayo. Usazvidya moyo, nhasi tiri kutaura nezvechirwere chinowanzo zivikanwa chinonzi Bicuspid Aortic Valve.
Zvichitaurwa zviri nyore, chii chinonzi Bicuspid Aortic Valve iyi?
Zvakanaka, ngatinzwisise izvi nenzira iyi. Kune mavharuvhu mana makuru mumoyo medu. Aya akafanana nemagedhi anovhurika nenzira imwe chete. Paaya, rimwe rinotumira ropa kuaorta, tsinga huru yeropa inotakura ropa rakawanda kubva pamoyo kuenda kumuviri wese, rinonzi aortic valve. Kazhinji, mumunhu ane hutano, aortic valve iyi ine maflaps matatu madiki (cusps kana mapepa). Maflaps matatu aya anovhurika uye anovhara nenzira yakarongeka kuti adzore kuyerera kweropa. Zvisinei, mumunhu ane chirwere chinonzi
bicuspid aortic valve, vharuvhu iyi
ine maflaps maviri panzvimbo pematatu . Ichi chirwere chekuzvarwa nacho. Saka, sezvo paine maflaps maviri chete, vharuvhu iyi inogona kuoma kuvhura nekuvhara zvakanaka. Izvi zvinogona kutungamira kumatambudziko maviri makuru: 1.
Aortic Stenosis (kutetepa kwevharuvhu): Nekuti vharuvhu haivhurike zvakanaka, pane nzvimbo diki yekuti moyo upombe ropa mumuviri. Izvi zvinoita kuti moyo ushande nesimba. 2.
Kudzoreredza ropa mutsinga dzeropa (kubuda kweropa): Nekuti vharuvhu harivharike zvakanaka, rimwe ropa rinopombwa mumuviri rinodzokera mumoyo. Ungasava nezviratidzo kwemakore. Asi nekufamba kwenguva, kuwedzera uku kunogona kukonzera matambudziko pamoyo wako.
Mamiriro ezvinhu aya akakomba zvakadini?
Havasi vese vane Bicuspid Aortic Valve vanozosangana nematambudziko makuru. Asi munhu mumwe chete pavanhu vatatu achava nematambudziko nekufamba kwenguva. Ndosaka
zvichikosha kugara uchiongororwa uye kuongororwa nachiremba kana chiremba wako akakuudza kuti une chirwere ichi. Hazviwanzoitiki sezvaungafunga. Zvinokanganisa 1% kusvika 2% yevanhu pasi rose. Zvinowanikwawo kaviri muvarume kupfuura vakadzi. Vanhu vane mamwe majini, akadai seTurner syndrome, variwo panjodzi huru. Chinhu chakanakisa ndechekuti nehunyanzvi hwemazuva ano hwekurapa, unogona kuona chirwere ichi nekuchinja kwacho kudiki usati watomboona zviratidzo. Uye nekurapwa kwakakodzera, unogona kurarama hupenyu hwakazara, hune hutano, uye hurefu.
Ndezvipi zviratidzo zveizvi?
Vanhu vazhinji havana zviratidzo kwemakore akawanda. Zvisinei, sezvo kushanda kwevharuvhu kuchiderera, zviratidzo zvinotanga kuoneka. Muvana vadiki nevacheche, kana chirwere chacho chakanyanya, zviratidzo zvakaita seruvara rwebhuruu/rwekuchenuruka rweganda (`
cyanosis` ) uye kuoma kudya kana kuwedzera huremu zvinogona kuoneka nguva pfupi mushure mekuzvarwa. Zviratidzo zvinonyanya kuonekwa muvanhu vakuru ndeizvi:
| Chiratidzo | Tsananguro |
|---|
| Kuneta | Ichi ndicho chiratidzo chinowanzoitika: kunzwa kuneta zvakanyanya kunyangwe mushure mekuita basa diki. |
| Kurwadziwa pachipfuva kana kusagadzikana | Kunzwa kumanikidzwa kunokonzerwa nemoyo uchishanda nesimba. |
| Dzungu kana kufenda . | Zvinogona kuitika kana uropi husingawani ropa rakakwana. |
| Kurova kwemoyo (kunzwa sekuti moyo wako uri kurova nekukurumidza) | Kurova kwemoyo kusingaite zvakanaka kana kuti nekukurumidza. |
| Kushaya mweya | Kushaya mweya wekufema, kunyanya kana uchiita maekisesaizi kana kufamba. |
Unogona kuedza chimwe chinhu chidiki. Enzanisa huwandu hwebasa raunogona kuita pazuva ranhasi nehuwandu hwebasa rawakaita mwedzi mitanhatu yapfuura. Wava kunzwa kuneta nekukurumidza here iye zvino? Unoda nguva yakawanda yekuzorora here? Kana zvakadaro, izvozvo zvinogona kuva chiratidzo chekuti moyo wako uri kushanda nesimba. Taura nachiremba wako nezve chero shanduko dzakadai.
Chii chinokonzera izvi? Zvinogara nhaka here?
Chikonzero chaicho che'Aortic valve' iyi hachisati chawanikwa. Izvi zvinoitika kana moyo wemwana ari mudumbu uchikura pakutanga kwekuzvitakura. Dambudziko iri
rinogona kuitika mumhuri kusvika pamwero wakati (wenhaka) . Kureva kuti, kana mumwe munhu mumhuri yako yepedyo (amai, baba, munin'ina, mwana) aine dambudziko iri, unogonawo kuva nenjodzi. Saka, kana mumwe munhu mumhuri yako aine chirwere cherudzi urwu chemwoyo, zvakakosha kuudza chiremba wako nezvazvo. Zvadaro, kana achida, unogona kuongororwawo.
Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?
Kana ikasarapwa nenguva, matambudziko makuru anogona kuitika.
- Kukundikana kwemoyo: Kutetepa kwevharuvhu (stenosis) kunoita kuti mwoyo ushande nesimba. Izvi zvinogona kukonzera kuti tsandanyama dzemwoyo dzikure uye dzikure, zvichiita kuti usakwanise kupomba ropa zvakanaka. Zvinhu zvakaita sekusvuta fodya uye cholesterol yakawandisa zvinogona kukurumidzisa maitiro aya.
- Kuputika nekutsemuka kwetsinga dzeropa : Munhu mumwe chete pavanhu vatatu vane vharuvhu yetsinga yeropa ine bicuspid ari panjodzi yekuva neaorta, tsinga huru iri pamusoro pevharuvhu, inokura. Sekunge bharumu riri kuzara zvakanyanya, madziro etsinga iyi yeropa anoneta otanga kuzvimba. Izvi zvinonzi aortic aneurysm. Kana ikakura zvakanyanya, inogona kuputika kamwe kamwe (kuputika) kana kubvaruka (kutsemuka). Iyi injodzi inotyisidzira hupenyu inoda kurapwa nekukurumidza .
Chirwere ichi chinoonekwa sei?
Kazhinji, chiremba anotanga afungidzira kuti pane kurira kwemoyo pavanonzwa ruzha rusina kujairika ('kurira kwemoyo') pavanenge vachiteerera chipfuva chako vachishandisa stethoscope. Mushure meizvozvo, chiremba wako acharaira bvunzo dzinoverengeka dzekutarisa chimiro uye mashandiro emwoyo wako. Miedzo mikuru ndeiyi:
- Echocardiogram (echo): Uku kuongorora kwemoyo ne ultrasound. Kunogona kuona huwandu hwemapepa ari muvharuvhu, mashandiro awo, uye kana paine kubuda kweropa kana kutetepa.
- Kuongororwa kweCT (Computed Tomography scan): Izvi zvinogona kugadzira mifananidzo yemoyo neaorta ine mativi matatu.
- MRI yemoyo (Magnetic Resonance Imaging): Bvunzo iyi inoshandiswa kuwana mifananidzo yakadzama yemoyo nemavharuvhu.
Ndezvipi zvingasarudzwa pakurapa?
Kunyange hazvo mimwe mishonga, yakaita se beta-blockers, ichigona kubatsira kudzora zviratidzo zvechirwere, haigone kurapa zvachose dambudziko revharuvhu. Vanhu vanosvika vana pavashanu vane Bicuspid Aortic Valve vachada kuvhiyiwa pane imwe nguva muhupenyu hwavo. Kuvhiyiwa kunogona
kugadzirisa vharuvhu yako kana
kuitsiva neimwe itsva. Chikwata chenyu chekurapa chichakurukura nemi marapirwo akanakira imi, zvichienderana nemamiriro enyu ezvinhu, zera, uye hutano hwese.
Zvakakosha zvikuru kuvhiyiwa panguva chaiyo usati wakuvara zvachose mumoyo. Kunyangwe kana usina zviratidzo, chiremba wako anogona kukukurudzira kuvhiyiwa kudzivirira matambudziko mune ramangwana.
Mhando dzekuvhiya
Kugadzirisa Mavharuvhu eAortic
| Rudzi rwekuvhiyiwa | Tsananguro |
|---|
| Maitiro | Pasina kubvisa vharuvhu yako, unogona kuigadzira patsva woigadzirisa kuitira kuti jira rivhare zvakanaka. Izvi zvinowanzo shandiswa mumamiriro ezvinhu apo ropa rinobuda (`regurgitation`). |
| Maitiro | Vharuvhu yakakuvara zvekuti haichagadzirisiki inobviswa yotsiviwa nevharuvhu itsva. |
| Mhando itsva dzevharuvhu | - Mavharuvhu emuviri: Aya mavharuvhu akagadzirwa nenyama yenguruve kana yemombe. Anogara kwemakore angangoita 10-15. Kuvhiyiwazve kungadiwa. Hapana chikonzero chekuramba uchitora mishonga inobvisa ropa .
- Vharuvhu yemuchina: Aya mavharuvhu esimbi akagadzirwa. Anogara kweupenyu hwese. Zvisinei, uchafanira kutora mushonga wekuderedza ropa kwehupenyu hwako hwese kudzivirira kuumbwa kweropa.
|
Mazuva ano, panzvimbo pekuvhiyiwa kwemoyo kwechinyakare, kune nzira dzemazuva ano dzakadai sekuvhiyiwa kushoma uye TAVR (Transcatheter Aortic Valve Replacement), iyo inotsiva vharuvhu inopinda nemutsinga yeropa. Nzira idzi dzine nguva pfupi yekupora.
Kupora uye ramangwana zvakamira sei?
Vanhu 98% vanovhiyiwa vharuvhu vanopora zvinobudirira, uye hupenyu hwavo hahukanganiswi. Izvi zvinoreva kuti
kunyangwe uine chirwere cheBicuspid Aortic Valve, kana ukarapwa zvakanaka uye uchitarisirwa nachiremba, unogona kurarama hupenyu hurefu, hune hutano sevamwe vese. Chinhu chakakosha ndechekuenda kumisangano yako yekutevera nachiremba wako nguva dzose. Mushure mekuvhiyiwa, unowanzo fanirwa kuenda kunoongororwa kanenge kamwe chete pagore.
Ndirini paunofanira kuendeswa kuchipatara nekukurumidza? (Ndirini paunofanira kuenda kuETU)
Zviratidzo zvekuputika kweaneurysm zvine njodzi zvikuru. Kana ukaona chimwe chezviratidzo izvi kana kupfuura,
fonera 911 nekukasika kuti utore amburenzi kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).- Kurwadziwa kunorwadza kamwe kamwe, kunorwadza, uye kunorwadza muchipfuva kana kumusana.
- Ganda rinonamira, rinoita ziya.
- Dzungu.
- Kufenda.
- Kurova kwemoyo.
- Kusvotwa nekurutsa.
- Kunetseka zvakanyanya kufema.
Mharidzo Yekuenda Nayo Kumba
- Bicuspid Aortic Valve chirwere chemwoyo chekuzvarwa nacho chisingawanzoitiki sezvaungafunga. Muchiitiko ichi, vharuvhu huru yemoyo ine mapepa maviri panzvimbo pematatu.
- Vanhu vazhinji havaone zviratidzo kwemakore akawanda. Zviratidzo zvinogona kusanganisira kuneta, kuda kurutsa, uye kurwadziwa muchipfuva.
- Dambudziko iri rinogona kukonzera kutetepa kwevharuvhu (stenosis) kana kubuda kweropa (regurgitation).
- Kuongororwa nachiremba nguva dzose (kunyanya echocardiogram) kwakakosha. Izvi zvinogona kubatsira kuona matambudziko asati akonzera kukuvara kwemoyo.
- Kune nzira dzekurapa dzinobudirira. Nekurapwa kwakakodzera, unogona kurarama hupenyu hune hutano hwakakwana uye hurefu.
- Kana paine munhu mumhuri yako ane chirwere ichi, zivisa chiremba wako nezvazvo.
Bicuspid Aortic Valve, Chirwere cheVharuvhu yeMwoyo, Aortic Stenosis, Aortic Regurgitation, Kuvhiyiwa kweMwoyo, Marwadzo eChipfuva, Kushaya Mweya
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