Fungidzira kuti mumwe wevanhu vedu ane kenza uye anoporeswa nekurapwa kwaanoitwa navanachiremba. Izvozvo zvakanaka sei! Asi dzimwe nguva, nekuda kwemamwe marapirwo anopiwa kurapa kenza iyoyo, mamwe matambudziko emwoyo anogona kumuka mushure mechinguva. Sei izvozvo zvichiitika? Waizviziva here kuti kune chiremba ane hunyanzvi anoongorora hukama uhwu pakati pekenza nemoyo uye anobatsira varwere? Ndiyo nyanzvi yatichataura nezvayo nhasi.
Zvichitaurwa zviri nyore, ndiani chiremba weCardio-Oncologist uyu?
Kunyange zvazvo zita iri ringanzwika serakaoma zvishoma, zvarinoreva zviri nyore kwazvo. Cardio zvinoreva zvine chekuita nemoyo. Oncologist zvinoreva chiremba ane hunyanzvi mukurapa kenza. Cardio-Oncologist chiremba akadzidza zvakanyanya mune zvese zviri zviviri.
Zvichitaurwa zviri nyore, vanhu ava vangava vanachiremba vemwoyo kana kuti vekenza. Asi pamusoro pebasa ravo guru, vakagamuchira kudzidziswa kwakakosha mukurapa chirwere chemwoyo muvarwere vegomarara.
Tinoziva kuti kurapwa negomarara, kwakadai se chemotherapy ne radiation therapy, kunogona kuwedzera hupenyu hwevarwere. Zvisinei, sezvimwe zvese, kurapwa uku kunogona kuva nemigumisiro yakaipa. Chinonyanya kukosha pane izvi kukuvara kwemoyo netsinga dzeropa. Mamwe marapirwo anogona kukonzera chirwere chemwoyo chitsva kana kuwedzera chirwere chemwoyo chiripo. Mukurapa, tinodana chirwere ichi kuti cardiotoxicity .
Ichi ndicho chikonzero chakaita kuti nzvimbo iyi yekurapa inonzi Cardio-Oncology iberekwe. Chinangwa chikuru cheizvi ndechekuona, kutarisa, uye kurapa migumisiro yekurapa kenza pamoyo pachine nguva. Kuburikidza neizvi, vanachiremba ava vane hunyanzvi vanobatsira kuderedza kukuvara kwemoyo uku vachipa kurapa kwakanakisisa kwekenza.
Sei chiremba ane hunyanzvi akadaro achikosha kwatiri?
Mazuva ano, sezvo nzira dzekurapa kenza dzave nani, huwandu hwevanhu vari kupora kubva kukenza huri kuwedzera zuva nezuva. Izvi zvinofadza zvikuru. Zvisinei, kuwedzera kwehuwandu hwevanhu vari kupora kubva kukenza zvinorevawo kuti huwandu hwevanhu vari kutarisana nemigumisiro yekurapwa huri kuwedzerawo.
Vanhu vazhinji vanopora kubva kugomarara vane makore anopfuura 65. Njodzi yematambudziko emwoyo inowanzo wedzera nekukwegura. Pamusoro pezvo, migumisiro yekurapwa kwegomarara inogona kuwedzera njodzi iyoyo zvakanyanya.
Ndosaka basa rechiremba weCardio-Oncologist richikosha zvikuru. Vanogona kubatanidza zvese, kusanganisira kenza, kurapwa kwayo, zera, uye mararamiro, kuti vasarudze zvakanakisisa nezvehutano hwemwoyo wako.
Chii chaizvo chinoitwa naCardio-Oncologist?
Nyanzvi idzi dzinoongorora nekurapa chirwere chemwoyo muvarwere vegomarara. Chimwe chezvinetso zvavo zvikuru ndechekuenzanisa zvinangwa zviviri zvinombopesana:
- Kurapa kenza yako.
- Kudzivirira moyo wako.
Zvakafanana nekufamba netambo yakasimba. Kana ukawedzera uremu kune rumwe rutivi, zvinogona kuva dambudziko. Saka, vanoshanda nachiremba wekenza yako nevamwe vanachiremba kuti vagadzire hurongwa hwakanakisa hwekurapa kwako.
Tarisa tafura iri pazasi kuti uone zvimwe zvezvinhu zvikuru zvavanoita.
| Basa riri kuitwa | Tsananguro iri nyore |
|---|---|
| Kuongororwa kwengozi usati warapwa | Usati watanga kurapwa kenza, chirwere chemwoyo wako chinoongororwa kuti uone kuti njodzi yako yeramangwana ndeyei. |
| Kuitisa bvunzo dzechangobva kuitika | Kuongororwa kwemazuva ano nedzimwe bvunzo, dzakadai se echocardiogram, kunoitwa kuti kuonekwe matambudziko aripo pamwoyo kana patsinga dzeropa. |
| Kugadzira hurongwa hwakanakisa hwekurapa | Vanokubatsira kusarudza mushonga unoshanda zvakanyanya pakurapa kenza yako uye vanoderedza kukuvara kwemoyo wako. |
| Kuongororwa panguva yekurapwa | Mashandiro emoyo wako achagara achiongororwa panguva yese yekurapwa kwako kenza, kuitira kuti chero matambudziko api zvawo aonekwe nekukurumidza. |
| Kutarisirwa mushure mekurapwa | Kunyangwe kurapwa kwegomarara kwapera, hutano hwemwoyo hunoramba huchiongororwa kwenguva refu, sezvo mamwe matambudziko anogona kumuka makore anotevera. |
Vanobata zvirwere zvemoyo zvipi?
Chiremba weCardio-Oncologist anonyanya kutarisa matambudziko emwoyo anotevera:
- Matambudziko emwoyo (arrhythmias) , semuenzaniso (Atrial Fibrillation)
- Chirwere chetsinga yeropa
- Kukundikana kweMwoyo
- Chirwere cheVharuvhu yeMwoyo
- Kukwira kweropa (BP)
- Cardiomyopathy (kushaya simba kwetsandanyama dzemwoyo)
Ndiani anofanira kuona chiremba weCardio-Oncologist?
Chiremba wako anokurapa (chiremba wemhuri yako kana chiremba wekenza) anoziva izvi zvakanyanya. Kazhinji, uchaona chiremba weCardio-Oncologist zvichibva pane zvawakapihwa nachiremba iyeye.
Mumwe munhu ari mumapoka anotevera angangoda rubatsiro rwenyanzvi iyi:
- Vanhu vava kuda kutanga kurapwa kenza, pamwe chete nevaya vane njodzi yezvirwere zvemwoyo: Semuenzaniso, kana vaine zvirwere zvakaita sekufutisa, chirwere cheshuga, kana BP.
- Vanhu vane chirwere chemwoyo vatova kuda kutanga kurapwa kenza.
- Vanhu vanova nezviratidzo zvemwoyo pavanenge vachirapwa chemotherapy kana nemwaranzi: semuenzaniso, zviratidzo zvakaita sekuzvimba kwemakumbo, kurwadziwa pachipfuva, kupererwa nemweya, kuneta kwakanyanya, uye kurova kwemoyo nekukurumidza.
- Vanhu vakamborapwa kenza kare (kunyangwe pavaiva vadiki) uye vava kusangana nematambudziko matsva emwoyo.
- Vanhu vane bundu remwoyo.
Chinhu chimwe chete chakanaka pakurwisa kenza ndechekuti unoikunda. Saka panguva yakadaro, paunenge uchifanira kufunga nezvechimwe chirwere chemwoyo, unogona kunzwa kuneta uye kusuruvara. Izvozvo zvine musoro. Asi chinonyanya kukosha ndechekuti hausi wega parwendo urwu. Kune vanachiremba vane hunyanzvi vakaita seCardio-Oncologists varipo kuti vakubatsire uye vakutungamirire mukutarisira moyo wako paunenge uchirapa kenza yako.
Saka, kana uine kenza uye uine kusava nechokwadi kana kunetseka nezvehutano hwemwoyo wako, usatya kutaura nachiremba wako ari kukurapa nezvazvo. Iye anogona kusarudza kana uchida rubatsiro rwechiremba weCardio-Oncologist uye kukutumira tsamba yakakodzera.
Mharidzo Yekuenda Nayo Kumba
- Mimwe mishonga ine simba yekurapa kenza (yakadai se chemotherapy ne radiation therapy) inogona kukanganisa mwoyo wako.
- Chiremba weCardio-Oncologist chiremba ane hunyanzvi akawana kudzidziswa kwakakosha muhutano hwemwoyo hwevarwere vegomarara.
- Basa ravo guru nderekuderedza kukuvara kwemoyo uku vachipa mushonga wakanakisisa wekenza.
- Kana uchitova nechirwere chemwoyo kana zvinhu zvinogona kukonzera chirwere ichi uye wava kuda kutanga kurapwa kenza, zvakakosha kuti utsvage rubatsiro kubva kuna chiremba uyu.
- Kana ukaona zviratidzo zvine chekuita nemoyo panguva yekurapwa kwegomarara kana mushure mekurapwa, zivisa chiremba wako nekukasika.
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