Tsinga yeropa yemwoyo yakavharwa zvachose here? Ngatikurukurei nezve (Chronic Total Occlusion - CTO)!

Wakambonzwa here nezvekuvharika kwetsinga yeropa inotakura ropa kuenda kumoyo? Dzimwe nguva izvi zvinogona kugara kwemwedzi yakati wandei. Iyi ndiyo yatinodaidza kuti chronic total occlusion (CTO) mukurapa. Iyi inyaya yakakomba, asi usazvidya moyo, nekuti zvakakosha kuti uizive.

Chii chinonzi Chronic Total Occlusion (CTO)? Ngatizvinzwisise zviri nyore.

Zvichitaurwa zviri nyore, `(Chronic Total Occlusion)` kana `(CTO)` zvinoreva kuti imwe kana kupfuura yetsinga dzemwoyo dzinopa ropa kumoyo wako dzakavharika zvachose, kana 100%, kana kuti dzakavharika. Tinowedzera izwi rekuti `(Chronic)` pane izvi kana kuvharika uku kwave kwemwedzi mitatu kana kupfuura. Funga nezvazvo sepombi yemvura yavharika zvachose nechimwe chinhu. Izvi zvinoderedza okisijeni nezvinovaka muviri zvinodiwa netsandanyama dzemwoyo. Izvi zvinogona kukonzera zviratidzo zvakaita sekurwadziwa kwechipfuva, kufema zvishoma, `(Dyspnea)` uye dzimwe nguva kunyange kurwara nemoyo. Dambudziko iri rinogona kuva rakakomba.

Ndiani ari panjodzi huru yekukura nechirwere ichi (CTO)?

Kutaura zvazviri, chirwere ichi chinonzi `(Chronic Total Occlusion)` chinonyanya kuonekwa muvanhu vane Coronary Artery Disease (CAD) . Sekureva kwezvimwe zvidzidzo, vanhu vanosvika mumwe chete pavanhu vatatu vane `(CAD)` vanogona kunge vaine `(CTO)`.

Zvino, zvinhu zvinokonzera njodzi dzekukura kwe `(CTO)` zvakafanana zvikuru neizvo zve `(CAD)`. Kana uri munhu anoputa fodya, kana kuti kana uinewo zvinhu zvinotevera zvinokonzera njodzi, une mukana mukuru wekukura kwe `(CTO)`:

• Chiyero chehuremu hwemuviri (BMI) che30 kana kupfuura (zvinoreva kufuta).
• Chirwere cheshuga (Diabetes Mellitus) .
• Kana mumwe munhu mumhuri aine chirwere chemwoyo (nhaka).
• Kukwira kweropa (BP) .
• Kuwanda kwemafuta muropa (hyperlipidemia) .
• Kana wakambobatwa nechirwere chemwoyo kana kuvhiyiwa kweropa uchishandisa nzira yekuvhara ropa .
• Kana uchirarama hupenyu husina chekuita nekurovedza muviri (ndiko kuti, kusaita maekisesaizi).

Fungai nezvasekuru vedu Sunil. Vanoputa fodya yakawanda, vane shuga yakawandisa, uye vane BP yakakwira. Havaite maekisesaizi nemazvo. Vanhu vakadaro ndivo vari panjodzi huru yekubatwa nechirwere ichi chinonzi ``(CTO)''.

(CTO) Chirwere ichi chakajairika zvakadii?

Dambudziko iri, rinonzi ``(CTO)``, rinowanzoonekwa nevanhu nekukura. Zvichienderana nehuwandu:

• Vanhu vanosvika 37% vari pasi pemakore 65.
• Vanhu vanosvika 40% vari pakati pemakore 65 ne79.
• Vanhu vanosvika 41% vane makore anopfuura 85.

Aya ndiwo mashandiro azvinoita. Zvisinei, chirwere chinonzi `(CTO)` chingave chakanyanya kuwanda munharaunda kupfuura zvinofungidzirwa nenyanzvi. Nekuti vamwe `(CTO)` havaratidzi zviratidzo. Saka, vamwe vanhu vangasatomboziva kuti vane `(CTO)`. Kureva kuti, vasina kuongororwa zviri pamutemo.

Ndezvipi zviratidzo zve (Chronic Total Occlusion)?

Zvakanaka, ngationei zviratidzo zvaungaona kana uine `(CTO)`. Zviratidzo izvi dzimwe nguva zvinogona kuwedzera kana wakaneta, paunenge uchirovedza muviri, uye zvichiderera paunenge wakazorora. Zvisinei, vamwe vanhu vanogona kuona zviratidzo izvi kunyangwe pavanenge vakazorora. Zvakakoshawo kuyeuka kuti dzimwe nguva haugone kuva nezviratidzo zvachose.

Zviratidzo zvikuru zvinogona kuonekwa ndezvi:

• Kurwadziwa pachipfuva, kusimba, kana kumanikidzwa , sekunge mumwe munhu ari kukudzvanya pachipfuva.
• Kunzwa dzungu .
• Kuneta kwakanyanya . Kunzwa kuneta kunyangwe mushure mekuita chinhu chidiki.
• Kurova kwemoyo kusina kurongeka .
• Kusvotwa .
• Kumhanya kana kurova kwemoyo nekukurumidza .
• Kutadza kufema zvakanaka (Dyspnea) . Unonzwa kushaya mweya kunyangwe mushure mekufamba kwenguva pfupi.
• Marwadzo anobva pafudzi kusvika paruoko .

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakanaka kuti uone chiremba kuti akupe mazano, sezvo izvi zvingava zviratidzo zvechirwere chemwoyo.

Chii chinonyanya kukonzera kuumbwa kwe (CTO)?

Zvichitaurwa zviri nyore, chikonzero chikuru che `(Chronic Total Occlusion)` ndiko kuiswa kwechinhu chine mafuta muimwe kana kupfuura yetsinga dzako dzemoyo. Tinodaidza kuti `plaque` . Nekuda kwekuiswa kweplaque iyi, madziro etsinga anotetepa zvishoma nezvishoma uye anooma. Maitiro aya anonzi `(Atherosclerosis)` mukurapa. Kana mamiriro aya e`(Atherosclerosis)` akaitika mutsinga dzako dzemoyo, tinoadaidza kuti Coronary Artery Disease (CAD) . Nekufamba kwenguva, plaque iyi inoungana uye pakupedzisira tsinga inovharika zvachose (100%). Ndipo panoumbwa `(CTO)`.

Vanachiremba vanoongorora sei chirwere cheChronic Total Occlusion? (Kuongororwa)

Vanachiremba vanowanzo shandisa bvunzo inonzi coronary angiogram kuti vaone kana paine chronic total occlusion. Izvi zvinosanganisira kubaya dhayi chaiyo (contrast dye) mutsinga yeropa iri paruoko rwako kana pagumbo. Dhayi iyi inoita kuti tsinga dzako dzeropa dzionekwe zvakajeka paX-ray. Chiremba anogona kuona kuti ropa riri kufamba sei mutsinga dzako dzemwoyo uye kana paine closure.

Pamusoro pezvo, chiremba anogonawo kuita mimwe miedzo yakati wandei. Mimwe yacho inosanganisira:

• MRI yemwoyo: Izvi zvinokubatsira kuona chimiro chemwoyo uye kutenderera kweropa.
• Kuongororwa Kwepfungwa Dzemwoyo : Kuongororwa uku kunoitwa kuti uone kuti mwoyo wako unoita sei kana uchiita maekisesaizi, sekumhanya uri patreadmill.
• Echocardiogram (Echocardiogram - echo) : Izvi zvinogona kuongorora madziro emwoyo, mavharuvhu, uye kuti ropa rinoyerera sei mumoyo.
• Electrocardiogram (EKG) : Izvi zvinogona kutarisa zviratidzo zvemagetsi zvemoyo uye mutinhimira wemoyo.

Chiremba anozosvika pamhedziso chaiyo nezve "(CTO)" mushure mekuita bvunzo idzi dzese.

Ko (CTO) inorapwa sei?

Pane zvinangwa zvikuru zviviri pakurapa munhu ne `(CTO)`. Chimwe ndechekuderedza zviratidzo . Chimwe ndechekuderedza njodzi yechiitiko chine chekuita nemoyo, senge kurwara nemoyo . Rudzi rwekurapwa kwaunoda runoenderana nekuti zviratidzo zvako zvakakomba sei uye kana uri kutorapwa `(CAD)`.

Chiremba wako anogona kukupa mazano ekurapa aya:

• Kupindira kweropa muropa (PCI) : Izvi zvinowanzonzi angioplasty uye stenting . Mukuita uku, chiremba wako anoisa chubhu diki, isina chinhu (catheter) kuburikidza neruoko rwako kana ruoko rwako mutsinga yeropa iri mumoyo mako. Zvadaro, bharumu diki rinofuridzirwa nepacatheter kuti risundire plaque yakavharika parutivi. Zvadaro, chubhu diki (stent) inoiswa mutsinga kuti isatsvedze zvakare. Izvi zvinodzorera kuyerera kweropa.

• Kuvhiyiwa kweCoronary Artery Bypass Graft (CABG) : Uku kuvhiyiwa kwemoyo kwakavhurika. Mukuita uku, chiremba anotora tsinga ine hutano kana tsinga kubva kune imwe nhengo yemuviri wako (kazhinji gumbo kana chipfuva) ogadzira nzira itsva (nzira yekupinda nayo) inotenderedza tsinga yemoyo yakavharika. Zvakafanana nekutora imwe nzira kana paine kuvharika mumugwagwa.

Yeuka, marapirwo ese aya anogona kurapa chirwere `(CTO)`. Chiremba wako achakubatsira kusarudza marapirwo akakunakira.

Ndeipi tarisiro yeramangwana nechinzvimbo che (CTO)?

Chirwere cheChronic Total Occlusion chirwere chakakomba, asi musazvidya mwoyo, chirwere ichi chinogona kurapwa zvakanaka nekurapwa kwakakodzera.

Zvimwe zvidzidzo zvakaratidza kuti PCI inogona kurapa CTO zvinobudirira muvarwere vanosvika 86% , nepo zvimwe zvidzidzo zvakaratidza kuti CABG inogona kurapa varwere vanosvika 60% .

Saka, nekurapwa kwakakodzera uye shanduko dzemararamiro, unogona kurarama hupenyu hune hutano.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana uine `(Chronic Total Occlusion)`, kana kuti uchifunga kuti ungave uine chirwere ichi, zvakakosha kubvunza chiremba wako mibvunzo yakaita seiyi:

• Ndezvipi zviratidzo zvekutanga zve `(CTO)`?
• Ndedzipi bvunzo dzandinofanira kuita kuti ndione kana ndine `(CTO)`?
• Ndezvipi zvandingashandura mararamiro angu kuti ndideredze njodzi yangu yekurwara nepfungwa (CTO)? (semuenzaniso kudya, kurovedza muviri)
• Ndedzipi nzira dzekurapa `(CTO)`? Ndeipi yakanakira ini?
• Ndeipi mukana wekuti CTO itangezve mushure mekurapwa? Chii chingaitwe kudzivirira izvi?

Bvunza mibvunzo iyi kuti unzwisise zviri nani mamiriro ako ezvinhu. Zvadaro unogona kutsigira zviri nani kurapwa kwako.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, saka, muchidimbu, izvi ndizvo zvinhu zvakakosha zvekurangarira nezve `(Chronic Total Occlusion - CTO)` yatakataura nezvayo.

Kuvharika kwetsinga dzemwoyo (CTO) chirwere chinoitika apo tsinga yemoyo inoendesa ropa kumoyo wako inenge yavharika zvachose kwemwedzi inopfuura mitatu. Izvi zvinogona kuderedza kuyerera kweropa kuenda kumoyo uye kutungamira kumatambudziko akakomba, akadai sechirwere chemwoyo.

Zvisinei, kana munhu akaongororwa uye akarapwa zvakanaka, zviratidzo zvinogona kudzorwa uye hupenyu hwakanaka hunogona kuraramwa. Percutaneous Coronary Intervention (PCI) neCoronary Artery Bypass Graft (CABG) zvinoshandiswa kurapa CTO zvinobudirira.

Kana uine kusava nechokwadi kana mibvunzo nezveizvi, kuchenjera kutsvaga rubatsiro rwechiremba nekukasika . Chengetedza moyo wako!

Chirwere chemwoyo , tsinga yemoyo, tsinga yakavharika, CTO, kurwara kwemoyo, angioplasty, kuvhiyiwa kwebypass