Kuzvimba uku kusingawanzoitiki kunokanganisa mwoyo wako here? Ngatidzidzei nezveCardiac Sarcoidosis!

Dzimwe nguva unongonzwa kuneta here? Kana kuti une kurwadziwa pachipfuva kana kufema zvakaoma here? Ungafunga kuti izvi zvinhu zvakajairika. Zvisinei, izvi zvinhu zvisingawanzoitiki zvinokanganisa mwoyo. Cardiac Sarcoidosis chimwe chezvirwere zvakadaro, icho chakaoma zvishoma, asi kana ukanyatsoziviswa, chinogona kugadziriswa. Nhasi, tichataura nezvazvo nenzira iri nyore yaunogona kunzwisisa.

Chii chinonzi Cardiac Sarcoidosis?

Zvichitaurwa zviri nyore, Sarcoidosis chirwere chisingawanzoitiki chekuzvimba chinoitika mumuviri wedu. Muizvi, masero madiki ekuzvimba anoungana oita mapundu (granulomas) munhengo dzakasiyana dzemuviri, kunyanya munzvimbo dzakadai semapapu, lymph nodes, ganda, nemaziso. Mapundu aya anogona kukanganisa mashandiro enhengo idzodzo.

Zvino, kana chirwere ichi che sarcoidosis chikakanganisa mwoyo, ndicho chatinodaidza kuti cardiac sarcoidosis . Ichi chinhu chisingawanzoitiki kunyangwe pakati pevarwere ve sarcoidosis. Zvisinei, kana mwoyo ukakanganiswa nenzira iyi, mavanga anogona kuumbwa mutsandanyama yemoyo uye munzira inofamba masaini emagetsi mumoyo. Funga nezvazvo sevanga paganda mushure mekukuvara. Mavanga aya anogona kukonzera kurova kwemoyo kusina kujairika uye matambudziko ekurova kwemoyo.

Dambudziko iri rakajairika zvakadii?

Chirwere chemwoyo chinonzi sarcoidosis hachisi chirwere chinowanzoitika. Pasi rose, vanachiremba vanowanzoona 2% kusvika 5% chete yevanhu vane sarcoidosis kune dzimwe nzvimbo mumuviri sevanhu vane chirwere ichi mumoyo. Zvisinei, dzimwe ongororo dzinoratidza kuti munyika dzakadai seUnited States, 20% kusvika 30% yevanhu vane sarcoidosis vanogona kunge vaine chirwere ichi mumoyo, asi vangasaonekwa.

Dambudziko iri rinowanzoitika munyika dzakadai seJapan, uko vanhu vanopfuura hafu vane sarcoidosis vanewo chirwere ichi mumoyo yavo. Zvisinei, sarcoidosis yemwoyo haiwanzoitiki kana tichienzanisa nesarcoidosis inokanganisa dzimwe nhengo dzemuviri.

Chimwe chinhu chakakosha chekucherechedza ndechekuti chikamu chimwe muzvitatu chevanhu vane chirwere chemwoyo chinonzi cardiac sarcoidosis havaratidzi zviratidzo zvechirwere ichi kune imwe nzvimbo mumuviri. Izvi zvinoreva kuti mwoyo wako ungangove uri nhengo yekutanga kubatwa nechirwere ichi.

Ndezvipi zviratidzo zvechirwere ichi?

Zviratidzo zveCardiac Sarcoidosis zvinogona kusiyana kubva pamunhu kuenda kune mumwe. Vamwe vanhu vanogona kunge vasina zviratidzo zvachose. Zvisinei, pane zvimwe zviratidzo zvakajairika:

• Kurwadziwa pachipfuva: Kunogona kunzwa sekunge uri kudzvanywa kana kusvinwa.
• Kushaya mweya:Unganzwa kushaya mweya, kungave kuneta zvishoma kana kuti kungozorora.
• Kufenda kana dzungu: Unogona kurasikirwa nepfungwa kamwe kamwe wodonha.
• Kuneta: Kunzwa kuneta nguva dzese, zvisinei nezvaunoita.
• Kukosora: Panogona kunge paine kukosora kwakaoma kunogara kwenguva refu.
• Kuzvimba mumakumbo: Nzvimbo dzakadai senzvimbo yegumbo dzinogona kuzvimba.
• Kurova kwemoyo zvisina kujairika / Kurova kwemoyo zvisina kujairika: Kurova kwemoyo kunogona kuwedzera kamwe kamwe, kudzikira, kana kunzwa sekunge kuri kushaya kurova.

Kana uine chimwe chezviratidzo izvi kana kupfuura, usazviregeredza. Zvakanaka kutsvaga rubatsiro kubva kuna chiremba.

Sei Cardiac Sarcoidosis ichiitika?

Kutaura zvazviri, vanachiremba havasati vawana chikonzero chaicho chechirwere ichi. Zvisinei, vaongorori vanotenda kuti majini evamwe vanhu uye zvinhu zviri munharaunda zvinogona kuita basa racho. Kureva kuti, miviri yevamwe vanhu inogona kupindura kune chimwe chinhu chiri munharaunda (semuenzaniso, bhakitiriya, hutachiona, kana guruva) chinokonzera chirwere ichi chekuzvimba. Zvisinei, izvi zvichiri muchikamu chekutsvagisa.

Chirwere ichi chinoonekwa sei?

Kana uchifungidzira kuti une chirwere chemwoyo chinonzi cardiac sarcoidosis, chiremba wako anotanga akuongorora muviri wako. Zvadaro vachakubvunza nezvenhoroondo yako yezveutano . Izvi zvinoreva zvinhu zvakaita sezvirwere zvako zvekare uye kana paine mumwe munhu mumhuri mako akambova nematambudziko akafanana.

Pamusoro pezvo, bvunzo dzakasiyana-siyana dzicharairwa kuti dziongorore kurova kwemoyo kusina kurongeka. Chiremba achaongorora zviratidzo zve sarcoidosis kune imwe nzvimbo mumuviri wako, uye humbowo hwezviratidzo zvakafanana mumoyo mako.

Ndezvipi zviedzo zvekuongorora chirwere?

Kune nzira dzakawanda dzekuongorora chirwere ichi nemazvo:

• Electrocardiogram (EKG/ECG): Iyi inorekodha mashandiro emagetsi emwoyo wako senzira. Inogona kuona chero kusarongeka kwemoyo wako.
• Echocardiogram: Izvi zvakafanana nekuongororwa kwemoyo. Inoshandisa mafungu eruzha kuti ione chimiro nehukuru hwemoyo, mashandiro ari kuita makamuri nemavharuvhu emwoyo, nezvimwewo. Dzimwe nguva echo inotorwa kuburikidza nedumbu.
• Holter monitor: Ichi chishandiso chidiki chaunopfeka kwemaawa makumi maviri nemana kusvika makumi mana nemasere. Chinobatsira kunyora nguva dzose mashandiro emoyo wako paunenge uchiita mabasa ako ezuva nezuva.
• Positron Emission Tomography (PET scan):Iyi i scan yakakosha. Inobatsira zvikuru pakuona nzvimbo dzine kuzvimba uye mavanga mumoyo.
• MRI yemwoyo (Cardiac Magnetic Resonance Imaging): Izvi zvinoshandisa magineti nemasaisai eredhiyo kugadzira mifananidzo yakadzama yemoyo. Izvi zvinogonawo kubatsira kuona zvakajeka kukuvara nemavanga patsandanyama yemwoyo.

Sarcoidosis inowanzoonekwa mune dzimwe nhengo dzemuviri nekutora biopsy (sampuli diki yenyama woiongorora pasi pemaikorosikopu). Zvisinei, izvi hazviwanzoitika mumoyo, sezvo zvakaoma kuwana sampuro kubva kunzvimbo chaiyo yemoyo ine dambudziko.

Kuongororwa uku kwemifananidzo kunobatsirawo vanachiremba kuona matanho echirwere chemwoyo chinonzi cardiac sarcoidosis. Chinogona kubva padanho repasi kusvika kune rakakomba. Chinogona kufambira mberi kuburikidza nematanho ekutanga, matanho anofambira mberi, uye matanho anoshanda, zvichikonzera kusashanda zvakanaka kwemoyo uye fibrosis.

Ndezvipi zviri kurapwa?

Mashoko akanaka ndeekuti kune mishonga yekurapa chirwere chemwoyo chinonzi cardiac sarcoidosis. Chiremba wako ndiye achasarudza mishonga yakakodzera chirwere chako. Heano mamwe emishonga inonyanya kushandiswa:

• Mishonga yeCorticosteroid: Iyi inoshanda nekuderedza kuzvimba mumuviri. Prednisolone mushonga unowanzo nyorwa neboka iri.
• Mimwe mishonga inodzvinyirira masoja emuviri: Dzimwe nguva, kana mishonga yecorticosteroid chete isina kukwana, kana kuti migumisiro yayo yakanyanya kuipa, mimwe mishonga inogona kupihwa kudzora masoja emuviri kuti asanyanya kushanda.
• Mishonga yekurwisa kurova kwemoyo: Kana kurova kwemoyo kusina kurongeka, kune mishonga yakakosha yekudzora kurova kwemoyo.
• Muchina wekubatsira kufema: Kana moyo ukarova nekukurumidza, mudziyo uyu mudiki unoiswa mumoyo kuti urambe uchishanda zvakanaka nguva dzose.
• Mushonga wekudzikisa mwoyo (ICD) unoiswa muchimiro cheICD kana paine njodzi yekurohwa kwemoyo nepfungwa. Panguva dzakadaro, unokonzeresa kuvhunduka kudiki kwemoyo kuti mwoyo udzorere kushanda zvakanaka.
• Kubviswa kweCatheter: Uku kurapawo kurova kwemoyo kusina kurongeka. Nzvimbo dziri mumoyo dzinokonzera masaini emagetsi asina kurongeka dzinowanikwa dzoparadzwa uchishandisa catheter.

Kashoma, kana chirwere chikanyanya zvekuti chinoita kuti mwoyo usashande zvakanaka , kuisirwa moyo kunogona kudiwa.

Ndeipi mishonga nekurapa zvinonyanya kushandiswa?

Vanachiremba vanowanzotanga nemushonga we corticosteroid wakawanda unonzi prednisone (mazita emhando anosanganisira Sterapred® kana Rayos®). Uyu mushonga unotorwa kwemwedzi yakati wandei. Mushonga wacho unodzikiswa zvishoma nezvishoma. Kana chirwere chikaonekwa uye chikarapwa nekukurumidza, mishonga iyi inogona kudzora zviratidzo zvikuru.

Pane migumisiro yakaipa here yekurapwa kwacho?

Mishonga yeCorticosteroid yakaita sePrednisone inogona kukonzera mamwe matambudziko kana ikashandiswa kwenguva yakareba. Ndosaka chiremba wako achigara achikutarisa. Matambudziko anowanzoitika ndeaya:

• Osteoporosis: Kupera simba kwemapfupa.
• Utachiona: Njodzi yekubatwa nezvirwere inogona kuwedzera sezvo dziviriro yemuviri ichiderera.
• Kukwira kweropa.
• Shuga yeropa yakakwira.
• Kuchinja-chinja kwemanzwiro.
• Kushaya hope.

Kunyange hazvo kurapwa ne catheter ablation kuchibudirira pakutanga, vamwe vanhu, kunyanya avo vane ventricular tachycardia (kurova kwemoyo nekukurumidza kunotanga mumakamuri epasi emwoyo), vanogona kudzokazve mune anosvika 86% ezviitiko.

Njodzi yekurwara nemoyo inonzi cardiac sarcoidosis inodzoka mushure mekuisirwa moyo isingasviki 10%.

Cardiac Sarcoidosis chirwere chakakomba here?

Izvi zvinosiyana zvichienderana nemamiriro ako ezvinhu. Mhedzisiro yakanaka inowanikwa kana chirwere chikaonekwa nekukurumidza uye kurapwa kukatanga nekukurumidza. Kana kurapwa kukanyanya kunonoka, mamiriro acho anogona kutowedzera kuipa.

Kana uine zvirwere zvakaita se pulmonary BP ( kumanikidzwa kwakanyanya mutsinga dzinotakura ropa kuenda kumapapu) kana ventricular aneurysm (kusasimba kwemadziro eimwe yemakamuri epasi emwoyo anoputika sebharumu), fungidziro yacho ingasave yakanaka.

Ungararama kwenguva yakareba sei nechirwere ichi?

Kana kurapwa kukatanga kare, vanhu vazhinji vanorarama zvakanaka.

Ongororo dzakawana kuti pakati pe83% ne93% yevanhu vanorarama nechirwere chemwoyo chinonzi cardiac sarcoidosis vachiri vapenyu mushure memakore gumi.

Mwero wekurarama mushure mekuisirwa moyo uri 80% kana kupfuura pagore rimwe chete kana mashanu.

Yeuka, kunyange zvazvo nhamba idzi dzichiratidza mamiriro ezvinhu akajairika, mamiriro ako ega ega anogona kusiyana. Saka taura nachiremba wako kuti unzwisise mamiriro ako ezvinhu zvakajeka.

Ko Cardiac Sarcoidosis inogona kuuraya here?

Ehe, chirwere chemwoyo chinonzi cardiac sarcoidosis chinogona kuuraya vamwe vanhu. Njodzi yekufa yakakura, kunyanya kana ventricle yekuruboshwe yemoyo wako isiri kupomba ropa nemazvo.

Kufa kwemwoyo kamwe kamwe kunowanzokonzerwa ne ventricular arrhythmias (kurova kwemoyo kusingawanzoitiki mumakamuri epasi emwoyo). Kana uri panjodzi, chiremba wako anogona kukurudzira kuti uiswe mudziyo weICD.

Ndinofanira kuzvitarisira sei?

Nekuti chirwere ichi chinogona kutowedzera kuipa munguva pfupi, zvakakosha kutora mushonga sezvakarairwa nachiremba wako. Ungangoda kutora mushonga wakaita sePrednisone kwegore rose. Kana ukasangana nematambudziko kubva pamushonga, udza chiremba wako. Asi usarega kutora mushonga usina kupiwa mazano nachiremba.

Ndinofanira kuona chiremba rini?

Uchafanira kuongororwa mifananidzo zvakare mwedzi mumwe chete kana mwedzi mitanhatu mushure mekunge watanga kutora mishonga yemasteroid (semuenzaniso, prednisone). Izvi zvinobatsira chiremba wako kuona kuti mushonga wacho uri kushanda zvakanaka sei uye kuti unofanira kutorwa nepi.

Kunyangwe mushure mekunge mishonga yesteroid yamiswa kana kuti yaderedzwa, unofanira kuramba uchiongororwa nachiremba wako kweanenge makore matatu. Izvi zvinodaro nekuti cardiac sarcoidosis inogona kudzoka. Vanhu vanosvika 40% vachadzokazve nechirwere ichi nenzira iyi.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana ukasangana nechimwe chezviratidzo izvi kamwe kamwe , enda kuchipatara chiri pedyo nekukurumidza kana kufonera 1990:

• Kurwadziwa pachipfuva nekuoma kufema
• Kurova kwemwoyo kwenguva refu
• Dzungu uye/kana kupera simba

Izvi zvinogona kuva zviratidzo zvechirwere chemwoyo chine njodzi.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Usakanganwa kubvunza mibvunzo iyi kana waona chiremba:

• Ndinogona here kudzora dambudziko iri nemishonga chete?
• Maonero angu ndeapi, kunyanya tichifunga nezvemamiriro angu ezvinhu pari zvino?
• Ventricular yangu yekuruboshwe iri kushanda zvakanaka sei?
• Ndinofanira kutora mushonga kwenguva yakareba sei?
• Ndezvipi zvandingashandura mararamiro angu?

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Cardiac Sarcoidosis izwi rinotyisa zvishoma, asi zvakakosha kuti uzive nezvaro.

Mhedzisiro yakanaka inogona kuwanikwa kana chirwere ichi chikaonekwa nekukurumidza uye kurapwa kukatanga nekukurumidza.

Saka, kana uine zviratidzo izvi, usazviregeredza uye tsvaga mazano echiremba. Inwa mushonga wawakanyorerwa nachiremba wako panguva chaiyo. Taura nachiremba wako nezvemigumisiro. Enda kunoongororwa nachiremba nenguva. Kana ukaita zvinhu izvi nemazvo, unogona kurarama zvakanaka nechirwere ichi. Hausi wega, uye vanachiremba varipo kuti vakubatsire.

Chirwere chemwoyo , sarcoidosis, kuzvimba kwemoyo, kufema kushoma, kurwadziwa pachipfuva, kurova kwemoyo kusina kurongeka, corticosteroids