Une musiyano mudiki here muvharuvhu yemoyo wako? Ngatitaurei nezvevharuvhu yeBicuspid Aortic!

Wakambofunga nezvemasuo madiki ari mumoyo mako here? Tinogona kusatombofunga nezvekukosha kweizvi muhupenyu hwedu hwezuva nezuva. Asi, dzimwe nguva tinouya munyika ino nekuchinja kudiki mumasuo madiki aya, kureva mavharuvhu emwoyo. Nhasi tichataura nezvechimwe chirwere chemwoyo chakadai. Ichi chinonzi Bicuspid Aortic Valve Disease . Usatya, chinhu chakakosha kuziva izvi.

Chii chinonzi bicuspid aortic valve iyi? Zvichitaurwa zviri nyore...

Funga nezvemoyo wako sepombi yemvura. Pombi iyi inopomba ropa rakachena, rine mweya mumuviri wako wese. Pane gedhi rakakosha kwazvo apo ropa rinoyerera kubva pamoyo kuenda kutsinga yeropa yakakura mumuviri, aorta. Gedhi iri tinoridaidza kuti aortic valve .

Kazhinji, mumunhu ane hutano, vharuvhu yeaorta ine zvikamu zvitatu, kana kuti maflaps, semashizha matatu pamusuwo. Maflaps matatu aya anovhurika uye anovharika zvakanaka kuti ropa riyerere nenzira imwe chete - kubva pamoyo kuenda kuaorta. Maflaps aya anodzivirira ropa kuti risadzokere mumoyo.

Zvisinei, munhu ane `Bicuspid Aortic Valve` ane zvidimbu zviviri mu`Aortic Valve`. `Bi'' zvinoreva `zviviri'' uye `cuspid'' zvinoreva `kapepa''. Saka, zita racho rinobva pakuti kune zvidimbu zviviri. Ichi chirwere che'kuzvarwa nacho'' , zvichireva kuti chinowanikwa pakuzvarwa.

Zvino fungidzira, chii chingaitika kana gonhi riine mashizha maviri panzvimbo pematatu? Pamwe gonhi haringavhurike zvakanaka, kana kuti pamwe haringavharike zvakanaka. Ndizvo zvinoitika kuvharuvhu iyi.

• Kana vharuvhu ikasavhurika zvakanaka: Zvinova zvakaoma kuti ropa riyerere mberi, kureva kuti, richipinda muaorta. Izvi zvinonzi 'Aortic Stenosis' , zvinoreva kutetepa kwevharuvhu.
• Kana vharuvhu ikasavhara zvakanaka: Ropa rinodzokera mumoyo richibva muaorta. Izvi zvinonzi aortic regurgitation , zvinoreva kuti ropa rinodzoka richipfuura nemuvharuvhu.

Ungave uine chirwere ichi che'Aortic Stenosis' kana kuti 'Aortic Regurgitation' kwemakore, uye ungasaziva nezvazvo. Ungasaratidza zviratidzo. Nekuti 'Aortic Valve' yako iri kuita basa rayo nemazvo. Zvisinei, haishande zvakanaka sevharuvhu ine mapepa matatu.

Nekufamba kwenguva, vharuvhu iyi ine mitsetse miviri inoita kuti mwoyo wako ushande nesimba . Izvi zvinogona kukonzera matambudziko akakomba.Zvinogona kuitika. Kunyangwe zvingave zvakaoma kugamuchira chokwadi ichi, kudzidza nezvechirwere ichi kuchakubatsira kuchinzwisisa zviri nani.

Kuva nevharuvhu yeaortic yebicuspid kwakakomba zvakadini?

Havasi vese vane bicuspid aortic valve vanozosangana nematambudziko. Zvisinei, munhu mumwe chete pavanhu vatatu achava nematambudziko. Dzimwe nguva izvi zvinogona kuva zvakakomba uye zvinogona kutyisidzira hupenyu . Ndosaka vanhu vanoonekwa vaine chirwere chebicuspid aortic valve vachifanira kuramba vachiongororwa nachiremba uye vachiteverwa.

Chirwere ichi chinokanganisa pakati pe1% ne2% yevanhu vose. Chinowanikwa kaviri muvarume pane vakadzi. Vanhu vane Turner syndrome vari panjodzi yakakura yekuva nechirwere chemwoyo chakadai, kunyanya bicuspid regurgitation.

Kazhinji, ungasaona zviratidzo kusvika chirwere chakura zvakanyanya kana kuti pave nekukurumidzira kwehutano. Zvisinei, bvunzo dzemifananidzo dzinogona kuona shanduko dzisinganzwisisike usati watomboona zviratidzo. Uye kufambira mberi mukurapa kunogona kukubatsira kurarama hupenyu hurefu uye hune hutano .

Ndezvipi zviratidzo zvechirwere ichi?

Sezvambotaurwa, ungasava nezviratidzo zvachose. Ungararama kwemakore usingatombozivi kuti une shanduko diki mumoyo mako. Asi nekufamba kwenguva, zviratidzo zvinotanga kuoneka nekuda kwe'Aortic Regurgitation' kana kuti 'Aortic Stenosis'.

Vana vadiki nevacheche:

Kana mwana wako aine bicuspid aortic valve, mune dzimwe nguva dzakakomba, zviratidzo zvinogona kuoneka nguva pfupi mushure mekuzvarwa. Asi kazhinji, zviratidzo izvi hazvionekwi kusvika pave paya.

• Ganda rakachenuruka kana kuti bhuruu (Cyanosis)
• Kusada kudya, matambudziko ekuwedzera uremu

Zviratidzo muvanhu vakuru:

• Kunzwa kuneta (ichi ndicho chiratidzo chinowanzoitika)
• Kurwadziwa pachipfuva kana kusagadzikana
• Dzungu kana kupera simba
• Kurova kwemoyo
• Kuoma kufema , kunyanya panguva yekuita basa

Vanhu vazhinji vanongozoona kuti vane bicuspid aortic valve mushure mekuongororwa nachiremba. Izvi zvinodaro nekuti zviratidzo zvinogona kushaikwa nyore nyore. Mhuri yako kana shamwari dzako dzinogona kuona mutsauko mauri usati wazviita.

Funga nezvehuwandu hwebasa raunogona kuita pazuva. Enzanisa nehuwandu hwebasa rawakaita gore rapfuura, kana kunyange mwedzi mitanhatu yapfuura. Unokurumidza kuneta here izvozvi? Unoda nguva yakawanda yekuzorora here? Kana zvakadaro, zvinogona kureva kuti moyo wako uri kushanda nesimba kuti basa riitwe.

Ndosaka zvichikosha kuti ugare wakatarisana nachiremba wako . Taura nachiremba wako nezvekuchinja kwaunoona muhupenyu hwako hwezuva nezuva.

Chii chinokonzera bicuspid aortic valve?

Vaongorori havasati vawana chikonzero chaicho chevharuvhu yeaorta ine bicuspid. Zvisinei, ndiyo inonyanya kukonzera chirwere chemwoyo chekuzvarwa nacho . Chinoitika pakutanga kwekuzvitakura .

Izvi zvinobva kuzvizvarwa nezvizvarwa here?

Zvinoita sekuti zvinogoneka, asi vaongorori havasati vanyatsonzwisisa zvakadzama.

Bicuspid Aortic Valve inogona kushanda mumhuri. Kana hama yako yepedyo (mubereki, mwana, mukoma/hanzvadzi) ine chirwere chemwoyo ichi, taura nachiremba wako. Vangakurudzira mimwe miedzo yekutarisa chimiro uye mashandiro emwoyo wako .

Kana uine bicuspid aortic valve uye uri kuronga kubata pamuviri, taura nachiremba wako. Kunyange zvazvo chirwere ichi chisingadzivisike, unogona kutarisa pamuviri wako uye kuedza kuona chero matambudziko nekukurumidza .

Ndezvipi zvinetso zvechirwere ichi?

Kana chirwere cheBicuspid Aortic Valve chikasarapwa, chinogona kukonzera matambudziko akakomba. Mamwe acho anosanganisira:

• Kukundikana kwemoyo: Kana paine aortic stenosis, iyo inova apo vharuvhu inova diki, moyo unofanirwa kushanda nesimba kuti upombe ropa. Kamuri guru rekupomba remoyo, ventricle yekuruboshwe, rinokora uye rinokura . Harigone kupomba ropa nemazvo. Nekufamba kwenguva, izvi zvinogona kukonzera kutadza kwemoyo. Maitiro aya anogona kukurumidzirwa kana paine zvimwe zvinhu zvine njodzi, zvakaita sekusvuta fodya uye cholesterol yakakwira.
• Kuparara kweAortic Aneurysm uye Kupatsanurwa kweAortic:Munhu mumwe chete pavanhu vatatu vane bicuspid aortic valve anogona kunge aine aorta yakakurisa, kana kuti yakakura, pamusoro pevharuvhu. Aorta painokura, madziro ayo anorasikirwa nesimba uye anochinja chimiro. Pakupedzisira, izvi zvinogona kutungamira kune aortic aneurysm, bundu rakaita sebharumu mumadziro eaorta. Kana aneurysm iyi ikava yakakura kwazvo, inogona kuputika kana kubvarura madziro (aortic dissection) . Aya ndiwo mamiriro ekunze anotyisidzira hupenyu .

Varuvhu yeBicuspid Aortic inoonekwa sei?

Dzimwe nguva, chiremba anogona kuona chirwere ichi panguva yekuongorora cardiac prenatal ultrasound panguva yekuzvitakura. Dzimwe nguva, bicuspid aortic valve inowanikwa panguva yekuongororwa kunoitwa kana mwana achinge aine zviratidzo zvechimwe chirwere chemwoyo.

Zvisinei, vanhu vazhinji vanopedza makore vasingazivi kuti vane chirwere ichi. Chiratidzo chekutanga chingave kurira kwemoyo , ruzha rusina kujairika mumoyo rwunonzwiwa nachiremba wako ne stethoscope. Zvadaro, chiremba wako anogona kuita bvunzo dzemifananidzo kuti aone chimiro uye mashandiro emoyo.

Ndedzipi bvunzo dzinoitwa kuti dzionekwe sedziri kuitika?

Chiremba wako anogona kuongorora moyo wako uye kuita bvunzo idzi kuti aone kana uine bicuspid aortic valve:

• Echocardiogram (Echocardiogram - echo) : Izvi zvinokubvumira kuona mifananidzo yemoyo mhenyu.
• Kuongororwa kweCT (Computed Tomography scans) : Izvi zvinotora mifananidzo yemoyo muzvikamu zvakasiyana.
• `MRI yemwoyo` (Magnetic Resonance Imaging) : Izvi zvinogonawo kuwana mifananidzo yakadzama yemoyo.

Vanogonawo kukutumira kuti unoongororwa majini .

Varuvhu yeBicuspid Aortic inorapwa sei?

Mishonga yakaita se beta-blockers uye diuretics inogona kubatsira kudzora zviratidzo. Asi hairapi chirwere chacho zvizere . Vanhu vana pavanhu vashanu vane Bicuspid Aortic Valve Disease vachada kuvhiyiwa kuti varapwe. Chiremba wako achagadzirisa aortic valve yako kana kuisa vharuvhu itsva . Vanogonawo kugadzirisa mamwe matambudziko, akadai se aneurysm, panguva yekuvhiyiwa kumwe chete.

Chiremba wako achaongorora mamiriro ako ezvinhu, oita bvunzo, uye okurukura newe nzira dzekurapa. Kurapwa kwauchawana kunoenderana nemamiriro evharuvhu yako yeaorta neaorta. Vachafungawo nezvehutano hwemwoyo wako, zera, nezvimwe zvirwere.

Chinhu chinonyanya kukosha ndechekuvhiyiwa nekukurumidza, mwoyo usati wakuvara zvachose. Kunyangwe kana usina zviratidzo, chiremba wako angangoda kurapa dambudziko iri izvozvi kudzivirira matambudziko mune ramangwana. Nguva yakanakisa yakasiyana kune wese munhu. Chikwata chako chekurapa chichakurukura newe sarudzo dzako.

Tekinoroji itsva yavandudza mhedzisiro uye yaderedza matambudziko. Vanhu vazhinji vava kukwanisa kushandisa nzira dzisinganyanyi kupindira panzvimbo pekuvhiyiwa kwemoyo kwechinyakare.

Musiyano uripo pakati pekuvhiyiwa kwevharuvhu yeaorta yechinyakare nekuvhiyiwa kusingapindi zvakanyanya

• Kuvhiyiwa kwevharuvhu yeaortic yechinyakare (yakavhurika mwoyo): Izvi zvinosanganisira kuchekwa kwemasendimita 1.5-1.5 pakati pechipfuva, pamwe nesternum. Chiremba anopatsanura sternum kuita maviri kuti asvike pamoyo zvakananga.
• Kuvhiyiwa kwevharuvhu yeaortic isinganyanyi kukuvadza: Izvi zvinosanganisira kugadzira kucheka kudiki, kwakaita se "J" kwakareba masendimita 2-4. Kucheka uku kunogona kuitwa pamusoro pepfupa rechipfuva kana pakati pembabvu. Chiremba haafanire kuvhura chipfuva chose. Nzira iyi inoderedza kubuda ropa, inobvumira kugara muchipatara nekukurumidza, uye inogona kupfupisa nguva yekupora.

Kugadziriswa kweAortic Valve kana Kutsiviwa kweAortic Valve?

• Kugadzirisa Aortic Valve: Iyi inzira yekugadzirisa vharuvhu yako isina kuitsiva. Iyi inzira yakanaka kune vanhu vane aortic regurgitation (ropa riri kubuda kubva muvharuvhu). Zvisinei, haigone kurapa aortic stenosis (kutetepa kwevharuvhu). Vanachiremba vanogona kazhinji kuita nzira iyi isinganyanyi kupindira kuburikidza nekucheka "J". Chiremba anogadzirisa tumapepa twevharuvhu yako yeaortic kuti avabatsire kuvhura nekuvharika zvakanaka.

• Kutsiva Aortic Valve: Izvi zvinosanganisira kubvisa vharuvhu yako isingagadzirisiki woitsiva neimwe itsva. Vanachiremba vanogona kutsiva vharuvhu yako kuburikidza nekuvhiya kwakavhurika kwechinyakare kana kuburikidza nenzira isingapindi zvakanyanya inonzi Transcatheter Aortic Valve Replacement (TAVR) .

Vharuvhu itsva yauchaiswa inogona kunge iri 'vharuvhu yemhuka' kana kuti 'vharuvhu yemakanika' .

• `Vharuvhu yebhayoloji`:Vanachiremba vanoshandisa rudzi urwu rwevharuvhu 80% yenguva. Vharuvhu iyi inogadzirwa nenyama yenguruve kana mombe. Yakachengeteka uye inogara kwenguva yakareba. Zvisinei, mushure memakore angangoita gumi, ungangoda kuvhiyiwazve kuti utsive vharuvhu.
• Vharuvhu yemuchina: Vharuvhu iyi yekugadzira yakasimba uye inogona kugara hupenyu hwako hwese. Zvisinei, kuti ishande zvakanaka, uchafanirwa kutora mishonga yekuderedza ropa kwehupenyu hwako hwese .

Vanhu vazhinji vanosarudza vharuvhu yemuviri nekuti havafanirwe kutora mishonga inobvisa ropa. Asi zvinoenderana nezera rako, mamwe matambudziko ehutano, uye zvaunofarira iwe pachako. Chiremba wako achataura newe nezvesarudzo idzi uye achakubatsira kusarudza zvakakunakira.

Imwe nzira yekutsiva mavharuvhu inzira yeRoss (inozivikanwawo senzira yekuchinja) . Izvi zvinosanganisira kutora vharuvhu yako yemapapu woitsiva nevharuvhu yako yeaortic. Iyi ingava sarudzo yakanaka kana uri pasi pemakore makumi mashanu uye uchida kudzivirira kutora mishonga inobvisa ropa kwenguva yakareba.

Matambudziko ekurapwa

Kazhinji, njodzi yematambudziko anobva pakuvhiyiwa kwevharuvhu yakaderera. Zvisinei, njodzi dzinogona kunge dziripo dzinosanganisira:

• Utachiona
• Kubuda ropa
• Kugwamba kweropa
• Kurohwa
• Kumira kurova kwemoyo
• Kusashanda zvakanaka kwemoyo `(Arrhythmia)` (kwenguva pfupi)
• Kusashanda zvakanaka kweitsvo (kwenguva pfupi)

Zvinotora nguva yakareba sei kuti munhu apore kubva mukurapwa uku?

Kuvhiyiwa kwekutsiva Aortic Valve kunogona kutora mwedzi miviri kusvika mitatu kuti kuporeswe zvizere. Kuvhiyiwa kweAortic Valve yekugadzirisa kunogona kutora mwedzi mumwe kusvika miviri kuti kuporeswe zvizere.

Vharuvhu yeaortic yebicuspid inogona kudzivirirwa here?

Hapana nzira yekudzivirira bicuspid aortic valve. Ipfungwa yekuzvarwa nayo , zvichireva kuti unozvarwa nayo. Zvisinei, unogona kuchinja mararamiro ako izvo zvinogona kuderedza njodzi yako yekubatwa nezvimwe zvirwere zvemwoyo, zvakaita se atherosclerosis uye chirwere chemwoyo. Kana uine bicuspid aortic valve, taura nachiremba wako nezvekutarisira zvinhu zvinokonzera chirwere chemwoyo. Izvi zvinosanganisira:

• Kukwira kweropa (BP)
• Cholesterol yakakwira `(Hyperlipidemia)`
• Chirwere cheshuga
• Zvinhu zvakaita sefodya nekushandisa doro

Kana ndine bicuspid aortic valve, chii chandinofanira kutarisira?

Vanhu vanosvika 98% vanovhiyiwa vharuvhu vanorarama vasina kana chavanochinja pahupenyu hwavo. Kana uine vharuvhu yeaortic ine bicuspid, unogona kurarama kwenguva yakareba seyemunhu asina chirwere ichi.Zvisinei, muchada kuteverwa nguva nenguva uye kuongororwa nachiremba wenyu. Chiremba wenyu achaongorora vharuvhu yenyu uye ova nechokwadi chekuti mawana kurapwa kana zvichidikanwa. Kurapwa kwakakosha kudzivirira matambudziko.

Ndinozvitarisira sei?

Nevharuvhu yeaortic ine bicuspid, unogona kuita zvinhu zvakawanda zvaunoda. Uchafanira kuchinja mararamiro ako kuti uchengetedze hutano hwemoyo wako uye kuderedza kushushikana pamoyo wako. Izvi zvinosanganisira:

• Kudya chikafu chine hutano mumoyo.
• Kuderedza zvakanyanya huwandu hwemunyu (sodium) waunodya.
• Kudzivisa kuita maekisesaizi akawandisa.

Uchada kugara uchisangana nachiremba wako kuti utarise kushanda kwemoyo wako. Kana wakambovhiyiwa, uchaongororwazve mushure memavhiki maviri, mwedzi mitatu, uye mwedzi mitanhatu. Mushure meizvozvo, uchava nemusangano wegore rega rega. Kusangana uku kwakakosha kuti ugare uine hutano hwakanaka uye kuti utarise mavharuvhu ako kuti aone matambudziko asati anyanya kuipa.

Ndirini pandinofanira kunetseka nezve bicuspid aortic valve?

Unofanira kunetseka nezvevharuvhu yeaortic yebicuspid painotanga kukanganisa mashandiro emoyo wako. Chirwere chevharuvhu yeaortic yebicuspid chinogona kukonzera aortic stenosis uye kudzoka kweropa. Nekufamba kwenguva, matambudziko aya anogona kukonzera kukuvara kwemoyo zvachose.

Ndinofanira kuona chiremba wangu rini?

Chiremba wako achakuudza kuti unofanira kuuya kangani kuzosangana nemurwere. Kana wakambovhiyiwa, pachava nekuongororwa kakawanda mukati megore rekutanga uye rimwe chete gore rega rega mushure meizvozvo.

Kana mumwe munhu mumhuri yako aine matambudziko evharuvhu yemwoyo, asi iwe usati waonekwa kuti une chirwere ichi, chiremba wako anogona kukutumira kuna chiremba wemwoyo . Chiremba wako wemwoyo anogona kukuongorora chirwere chemwoyo uye kukupa mazano.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uine zviratidzo zvekuputika kweaneurysm kana kutsemuka kwetsinga , fonera 911 (kana nhamba yako yekukurumidzira yemunzvimbo yako) nekukasika :

• Kurwadziwa kamwe kamwe, kwakapinza, uye kunobaya muchipfuva kana kumusana
• Ganda rinonzwa richinamira uye richidikitira
• Dzungu
• Dzungu
• Kurova kwemoyo
• Kusvotwa nekurutsa
• Kuoma kufema

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana iwe kana mwana wako akaonekwa kuti ane bicuspid aortic valve, taura nachiremba wako nezvedambudziko remwoyo wako uye kana uchida kurapwa. Mimwe mibvunzo yekubvunza inosanganisira:

• Kuvhiyiwa kunodiwa here?
• Unogona kukurudzira shanduko dzemararamiro ane hutano hwemwoyo here?
• Pane zviratidzo zvekubuda ropa kana kuti kutetepa kweaorta here?
• Kuporeswa kuchave sei?
• Ndezvipi zviratidzo kana matambudziko andinofanira kutarisa kumba?
• Ndezvipi zvinhu zvinogona kuva nengozi?
• Ndingaderedza sei njodzi yemwana wangu yechirwere chemwoyo mune ramangwana?
• Une zvinhu zvingandibatsira kutsanangura chirwere ichi kumwana wangu here?

Kubata nevharuvhu yeaortic yebicuspid kunogona kunetsa uye kunogona kumutsa mibvunzo yakawanda. Yeuka, vanachiremba nevarapi varipo kuti vakubatsire iwe kana mwana wako kuti urambe uine hutano uye wakasimba. Kana iwe kana mwana wako makawanikwa muine chirwere ichi munguva pfupi yapfuura, tora nguva yekudzidza zvakawanda nezvechirwere ichi. Taura nachiremba wako uwane ruzivo rwaunoda kuti unzwe zviri nani nezvekugadzirisa chirwere ichi. Uyewo, yeuka kuti vane tekinoroji yekubata nekurapa matambudziko nekukurumidza.

Pakupedzisira, zvinhu zvekurangarira

Vharuvhu yeaortic yebicuspid chirwere chekuzvarwa nacho chinogona kugadziriswa. Usavhunduke, asi chenjera.

Chinhu chakakosha kutevedzera mazano ekurapa akakodzera, kuongororwa nenguva, uye kurarama hupenyu hune hutano. Hausi wega, kune vanachiremba vanogona kukubatsira. Tinovimba kuti ruzivo urwu rwakubatsira kunzwisisa zviri nani chirwere ichi.

Vharuvhu yemwoyo yeBicuspid , vharuvhu yeaorta, chirwere chemwoyo, zvikanganiso zvemwoyo zvekuzvarwa nazvo, kuvhiyiwa kwemoyo, aorta stenosis, aorta regurgitation