Unoziva here nezvechirwere chisingawanzoitika mumoyo mako: Ebstein's Anomaly?

Mwoyo wedu inhengo inoshamisa zvechokwadi, handiti? Asi dzimwe nguva, nekuda kwekuchinja kunoitika pakuzvarwa, panogona kuva nematambudziko madiki nekushanda kwemoyo. Nhasi tichataura nezvechirwere chemwoyo chisingawanzoitiki icho vanhu vazhinji vane. Izvi zvinonzi Ebstein's Anomaly. Kunyangwe zita racho ringanzwika serinotyisa zvishoma, ngatirinzwisisei zviri nyore.

Saka chii chinonzi Ebstein's Anomaly?

Zvichitaurwa zviri nyore, Ebstein's Anomaly chirwere chemwoyo chinowanikwa pakuzvarwa . Chinonziwo "congenital," zvinoreva kuti chinowanikwa pakuzvarwa. "Anomaly" zvinoreva chimwe chinhu chisingawanzoitiki kana chisingatarisirwi. Mumamiriro ezvinhu aya , tricuspid valve, imwe yemavharuvhu mana ari mumoyo medu, inonyanya kukanganiswa.

Funga nezvazvo, kune zvinhu zvakaita semagonhi ari pakati pemakamuri emwoyo yedu zvinobatsira ropa kufamba nenzira imwe chete. Ndizvo zvatinodaidza kuti mavharuvhu. Vharuvhu yetricuspid ndeimwe yadzo. Dambudziko iri rakatanga kutsanangurwa muna 1866 nachiremba wekuGermany anonzi Wilhelm Ebstein. Ndosaka rakatumidzwa zita rake.

Chii chinoitika kuvharuvhu yetricuspid muEbstein anomaly?

Kuchinja kukuru kuviri kunogona kuonekwa muvharuvhu yetricuspid yemunhu ane chirwere ichi:

1. Vharuvhu haina kuumbwa zvakanaka (yakakanganisika): Mapepa, maflaps anovhurika nekuvharika nekurova kwega kwega kwemoyo, haana kuumbwa zvakanaka. Dzimwe nguva anogona kutonamatira pamadziro emoyo.

2. Nzvimbo yevharuvhu yakasiyana: Vharuvhu iyi iri pasi pane yainofanira kunge iri.

Matambudziko aya anoita kuti vharuvhu isavhare zvakanaka, zvichiita kuti ropa risabude zvakanaka richidzokera muatrium yepamusoro yekurudyi. Vanachiremba vanodana izvi kuti regurgitation. Sezvo ropa richiramba richiyerera richidzokera kumashure, atrium yekurudyi inokura zvishoma nezvishoma. Nekufamba kwenguva, rutivi rwerudyi rwemoyo runogona kupera simba uye zvichikonzera kutadza kwemoyo . Uku hakusi kurwara kwemoyo, asi kutadza kwemoyo kupomba ropa nemazvo.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Vanhu vazhinji vane Ebstein's Anomaly vane zvimwe zvirwere zvemwoyo. Vanhu vanosvika 94 muzana vane Ebstein's Anomaly vane buri riri pakati pemakamuri maviri epamusoro emwoyo (atria). Izvi zvinonzi Atrial Septal Defect (ASD) kana kuti Patent Foramen Ovale (PFO).

Uyewo, zvimwe zvikanganiso zvinogona kuonekwa mune mamwe mavharuvhu emwoyo nemakamuri ekuruboshwe.

Chirwere cheEbstein's Anomaly chakajairika zvakadii?

Ichi chirwere chisingawanzoitiki . Chinobata mwana mumwe chete pavana vacheche mazana maviri ezviuru. Pakati pezvirwere zvemwoyo zvekuzvarwa nazvo, chinoonekwa muvanhu vasingasviki 1%.

Ndezvipi zviratidzo zveEbstein's Anomaly?

Zviratidzo zvechirwere ichi zvinogona kusiyana kubva pamunhu kusvika pamunhu, kubva pazvishoma kusvika pazvikuru zvichienderana nekuti vharuvhu yakakanganisika sei.

Kana chirwere chacho chakanyanya kuipa, zviratidzo zvinowanzoonekwa pakuzvarwa kana mumwedzi mishoma yekutanga yehupenyu . Muvana vacheche, dzimwe nguva:

• Ganda rinogona kuita bhuruu nekuda kwekushaikwa kweokisijeni muropa (cyanosis) .
• Zviratidzo zvekutanga zvekushaya simba kwemoyo zvinogona kusanganisira:
• Kufema nekukurumidza.
• Kutadza kufema zvakanaka.
• Kuwedzera uremu chinhu chinowanzoitika.
• Kuzvimba (edema) mumakumbo, mudumbu, kana pedyo nemaziso.

Fungidzira, kana mwana achangoberekwa akaramba achichinja ruvara rwebhuruu uye achinetseka kufema, vanachiremba vangasava nechokwadi nezvedambudziko rakadaro.

Kana chirwere chacho chiri chinyoro, ungasava nezviratidzo zvachose, kana kuti zviratidzo zvinogona kuonekwa kana wakura. Kana zviratidzo zvikaonekwa kana wakura, unogona kuona zvinhu zvakaita se:

• Kuchinja ruvara rwebhuruu rweganda (kunyanya miromo nenzara).
• Kusarongeka kwemoyo (arrhythmia).
• Kana mwoyo ukakundikana kushanda zvakanaka:
• Kurwadziwa kwechipfuva.
• Dzungu kana kufenda.
• Kunzwa kuneta nguva dzese.
• Kutadza kufema zvakanaka, kunyanya kana uchirovedza muviri.
• Kuzvimba kwemakumbo kana dumbu.

Chii chinokonzera Ebstein's Anomaly?

Kutaura chokwadi, vanachiremba havasati vakwanisa kutaura kuti sei chirwere ichi chichiitika . Zvinofungidzirwa kuti chinokonzerwa nekusanganiswa kwemajini (kureva nhaka) nezvinhu zvakatikomberedza. Asi kuti zvinhu izvozvo chii hazvisati zvanyatsozivikanwa.

Chirwere ichi chinoonekwa sei? (Kuongororwa)

Kana ukaona chiremba, vanokubvunza nezvezviratidzo zvako uye vanoongorora kurova kwemoyo wako uye BP yako. Vanogonawo kuita mimwe miedzo kuti vaone kuti mwoyo wako uri kushanda zvakanaka sei, yakaita se:

• Mifananidzo yemwoyo:
• X-ray yechipfuva: Izvi zvinogona kutarisa kana moyo wakakura.
• Cardiac MRI: Izvi zvinogona kuburitsa mifananidzo yakajeka uye yakadzama yemavharuvhu nemakamuri emwoyo.
• Echocardiogram: Izvi zvakafanana neultrasound yemoyo. Zvinobvumira chiremba kuona chimiro chemavharuvhu nemakamuri emoyo, uye mashandiro azvo. Zvinogona kuratidza zvakajeka kusarongeka kwemavharuvhu muEbstein anomaly.
• Electrocardiogram (ECG): Iyi inoyera mashandiro emagetsi emwoyo. Inogona kuona chero kurova kwemoyo kusina kurongeka (arrhythmias).
• Kuedza kushushikana kwekurovedza muviri:Muizvi, uchaiswa patreadmill kana bhasikoro uye uchatorwa ECG. Izvi zvinoitirwa kuona kuti moyo wako unoshanda sei kana uine stress.
• Holter monitor: Ichi chishandiso chidiki chaunopfeka kwemaawa makumi maviri nemana kusvika makumi mana nemasere. Munguva iyi, chinorekodha kurova kwemoyo kwega kwega. Izvi zvinogona kupa chiremba wako pfungwa yakanaka yekuti kurova kwemoyo wako uye mutinhimira zvinochinja sei mukati mezuva.

Chirwere cheEbstein's Anomaly chinorapwa sei?

Kurapwa kunoenderana nekuti zviratidzo zvako zvakakomba sei.

• Kana zviratidzo zviri zvishoma kana kuti zvisipo: Chiremba wako achagara achiongorora moyo wako kuti aone kana paine shanduko. Ungasada kurapwa.
• Kana uine zviratidzo zvekushaya simba kwemoyo kana kurova kwemoyo kusina kurongeka (arrhythmia):
• Mishonga inogona kupihwa kudzora mamiriro iwayo.
• Kana mwoyo wako wakakura kana kuti uine nhoroondo yekurova kwemoyo kusina kurongeka, ungakumbirwa kuti uderedze kurovedza muviri . Unofanira kutevedzera mirairo yachiremba wako nemazvo.

• Kana zviratidzo zvikanyanya: Kuvhiyiwa kwevharuvhu yetricuspid ndiyo sarudzo yakanakisisa. Izvi zvinogona kuvandudza mashandiro evharuvhu kwenguva refu.
• Kuedza kuigadzirisa uchishandisa vharuvhu yako ndiyo nzira yakakodzera yekurapa.
• Kana kukuvara kwacho kwakanyanya zvekuti hazvigone kugadziriswa, vharuvhu yacho ingangoda kutsiviwa . Izvi zvinogona kuitwa nevharuvhu yemuchina kana vharuvhu yemuviri. Zvisinei, kana vharuvhu yemuchina ikaiswa, uchafanira kutora mushonga wekuderedza ropa kweupenyu hwako hwese.

Dzimwe nguva mamwe maoparesheni emwoyo anogona kuitwa panguva imwe chete nekuvhiyiwa kwevharuvhu yetricuspid. Semuenzaniso, kuvhara buri riri pakati pemakamuri epamusoro emoyo (kugadzirisa ASD) kana kurapa kurova kwemoyo kusina kurongeka (kurapa arrhythmia). Kurapa kurova kwemoyo kusina kurongeka kunosanganisira kubvisa catheter kana kuisa pacemaker.

Kashoma, kuisirwa moyo pamwe chete kunogona kudiwa kana mamwe marapirwo ese akakundikana.

Dambudziko reEbstein's Anomaly rinogona kudzivirirwa here?

Nekuti vanachiremba havazivi kuti chirwere ichi chinoitika sei chaizvo, pari zvino hapana nzira yekudzivirira .

Hupenyu huchaenderera mberi sei nemamiriro ezvinhu aya? (Outlook)

Maonero evanhu vane Ebstein's Anomaly anosiyana zvikuru kubva pamunhu kusvika pamunhu.Vamwe vacheche havararame chirwere ichi. Zvisinei, vamwe vanorarama hupenyu hurefu, hwakajairika vasina kurapwa. Kazhinji, tarisiro yacho iri nani kune avo vane mamiriro asina kunyanya kuoma echirwere ichi.

Kunyangwe mushure mekuvhiyiwa, mamwe matambudziko emwoyo anogona kuramba aripo. Ongororo dzakaratidza kuti makore ekurarama anogona kudzikira zvishoma mushure mekuvhiyiwa. Imwe ongororo (yakatarisa vanhu vakavhiyiwa pakati pa1972 na2006) yakaratidza kuti makore makumi maviri mushure mekuvhiyiwa, 65% yevanhu vakamboiswa muchipatara nekuda kwechirwere chemwoyo kanenge kamwe chete, uye 76% vachiri vapenyu.

Asi izvi zvakakosha: Nehunyanzvi hwepamusoro hwekuvhiya uye kurapwa kwekutevera kuripo nhasi, mhedzisiro yeavo vanovhiyiwa nhasi ingangove iri nani zvikuru.

Ndinofanira kuona chiremba rini?

Kana uine Ebstein's Anomaly, unofanira kuudza chiremba wako nekukurumidza kana zviratidzo zvako zvikawedzera kana kuti ukava nezvimwe zviratidzo . Ngwarira zvinhu izvi:

• Kana ganda rikawedzera kusviba.
• Kana uchinzwa sekuti muviri wako uri kurasikirwa nesimba.
• Kana uchinzwa sekuti muviri wako uri kuzara nemvura (kuzvimba).
• Kana kurova kwemoyo kuchikurumidza.

Shoko rakakosha kupfuura ose rekuenda naro kumba

Ebstein's Anomaly chirwere chemwoyo chisingawanzoitiki, chinozvarwa nacho. Migumisiro yechirwere ichi inosiyana zvikuru kubva pamunhu nemunhu. Kana chikaonekwa chiri mucheche, chirwere ichi chinowanzova chisina kusimba. Avo vanorarama kusvika vakura vanowanzova nechirwere chisina kusimba. Zvisinei, vanogonawo kuva nematambudziko akadai sekurova kwemoyo zvisina kurongeka (arrhythmia) uye kutadza kushanda kwemoyo nekufamba kwenguva. Kana izvi zvikaitika, kuvhiyiwa kungadiwa kugadzirisa kana kutsiva tricuspid valve, pamwe nekurapa mamwe matambudziko emwoyo ane chekuita nazvo.

Chinhu chinonyanya kukosha ndechekugara uchiongororwa kuti uone kana paine shanduko mukushanda kwemoyo wako uye kuti uwane kurapwa kunoshanda nekukurumidza kana zvichidikanwa. Usazvidya moyo, vanachiremba varipo kuti vakubatsire.