Zvakajairika kunzwa kutya kukuru uye kuzvidya mwoyo paunonzwa nezvechirwere chemwoyo, kungave kuri kwauri kana kumwana wako. Kunyanya kana ukanzwa zita rakadai seEisenmenger Syndrome, ungangove uchishamisika kuti, "Chii ichi?" Asi usazvidya mwoyo. Tichataura nezvechirwere ichi, zviratidzo zvacho, uye kurapwa kwacho nenzira iri nyore yaunogona kunzwisisa.
Mamiriro ezvinhu aya anoitika sei?
Zvichitaurwa zviri nyore, chirwere cheEisenmenger chirwere chinokonzerwa kwenguva refu nekushaya simba kwemoyo kwatinozvarwa nako . Kuti tinzwisise izvi, ngatitangei tatarisa mashandiro anoita mwoyo yedu.
Funga nezvemwoyo wedu sepombi diki asi ine simba guru ine makamuri mana. Kune zvikamu zvina: makamuri maviri epamusoro (atria) uye makamuri maviri epasi (ventricles). Kazhinji, iyi ndiyo nzira yainoshanda nayo:
1. Ropa risina okisijeni, iro rinofamba mumuviri wese, rinopinda mukamuri repamusoro kurudyi.
2. Kubva ipapo, ropa rinoenda kukamuri repasi kurudyi robva rapombwa kuenda kumapapu.
3. Mumapapu, ropa iri rine oxygen yakakwana.
4. Ropa iri rakachena, rine okisijeni rinodzokera mukamuri repamusoro kuruboshwe rwemoyo.
5. Kubva ipapo, enda mukamuri repasi kuruboshwe wopomba muviri wako wese.
Zvisinei, kune vamwe vanhu vane chirwere chemwoyo chekuzvarwa nacho, panogona kunge paine buri diki pakati pemakamuri aya emwoyo, kunyanya pakati pemakamuri maviri epasi (ventricles) . Izvi ndizvo zvinoitika:
- Rimwe ropa rakachena rine oxygen yakawanda riri kuruboshwe rinopfuura nepaburi iroro kuenda kurudyi rodzokera kumapapu.
- Kana ropa iri rikaramba richiyerera zvisina kufanira mumapapu, BP iri mumapapu inokwira zvakanyanya . Tinoidaidza kuti "pulmonary hypertension".
- Nekufamba kwenguva, nekuda kwekumanikidzwa kwakanyanya mumapapu, kuyerera kweropa kunodzokera shure. Kureva kuti, ropa risina oxygen, risina kuchena riri kurudyi rinoyerera nepaburi iroro kuenda kuruboshwe uye rinotanga kutenderera mumuviri wese.
Izvi ndizvo zvinonyanya kukonzera Eisenmenger syndrome. Kureva kuti, muviri haugamuchire okisijeni inodiwa. Dambudziko iri rinoitika kana chirwere chemwoyo chiripo pakuzvarwa chikasaonekwa uye chikarapwa nekukurumidza.
Ndezvipi zviratidzo zvikuru zveizvi?
Kazhinji, zviratidzo izvi zvinotanga kuoneka vanhu vasati vasvika pazera rekuyaruka. Dzimwe nguva, zvinogona kutoonekwa vachiri vacheche. Heano mamwe ezviratidzo zviri nyore kuona.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kuchinja kweruvara rwebhuruu rweganda (Cyanosis) | Miromo, nzara, uye ganda zvinotaridzika sebhuruu/pepuru nekuda kwekushaikwa kweokisijeni mumuviri. |
| Kutamba mumakirabhu | Migumo yeminwe nezvigunwe zvinoita seyakatenderera uye nzara dzinoita sedzakazvimba. |
| Kuoma kufema | Kunzwa kuneta uye kuneta, kunyanya kana uchiedza nesimba. |
| Kuzvimba kwemuviri (Edema) | Kuzvimba, kunyanya munzvimbo dzakadai semakumbo, zvitsitsinho, uye mudumbu. |
| Kurova kwemoyo kusina kujairika | Kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti kurova kwemoyo wako hakuna kurongeka. |
| Dzungu nemusoro | Dambudziko rinogona kukonzerwa nekushaikwa kweokisijeni. |
| Kurwadziwa kwechipfuva | Kuoma kwechipfuva kana kurwadziwa nekuda kwekumanikidzwa kwemoyo. |
Pamusoro pezvo, chirwere ichi chinogona kukanganisa kugadzirwa kwemasero matsvuku eropa mumuviri, kuumbwa kweropa, kana kubuda ropa rakawanda.
Chiremba anoongorora sei izvi? (Kuongororwa)
Kana mwana wenyu aine zviratidzo izvi, chiremba wenyu achatanga akutumirai kuna chiremba wemwoyo wevana. Anogona kuita bvunzo dzakawanda kuti asimbise chirwere chacho.
- Kuongororwa kwemuviri: Chinhu chekutanga chekutarisa ruvara rwebhuruu rweganda, shanduko muminwe, uye kuteerera mwoyo.
- Miedzo yakakosha: Miedzo iyi inoitwa kuti isimbise chirwere chaicho.
| Bvunzo | Chii chaunoona pane izvi? |
|---|---|
| Kuskena kweEcho (Echocardiogram) | Uku kuongorora mwoyo. Kunogona kuona zvakajeka chimiro chemwoyo, kana paine maburi pakati pemakamuri, uye kuti ropa rinoyerera sei. |
| ECG (Electrocardiogram) | Izvi zvinobatsira kutarisa mashandiro emagetsi emwoyo, kureva kuti, mutinhimira wekurova kwemoyo. |
| Kuongororwa kweRopa | Kuwanda kwemasero matsvuku eropa mumuviri (anogona kuwedzera nekuda kwekushaikwa kweokisijeni) nezvimwe zvinhu zviri kutariswa. |
| Kugadziriswa kweCatheter yemwoyo | Iyi bvunzo yakakosha. Chubhu diki (catheter) inopfuudzwa nemutsinga yeropa ichipinda mumoyo, zvichiita kuti kumanikidzwa kuri mukati memakamuri emwoyo netsinga dzinoenda kumapapu kuyerwe zvakananga. |
Inorapwa sei?
Kana chirwere cheEisenmenger changotanga, buri riri mumoyo rakakonzera chirwere ichi harigone kuvharwa nekuvhiyiwa nekuti kumanikidzwa mumapapu kwatowedzera zvakanyanya. Saka, chinangwa chikuru chekurapa ndechekudzora zviratidzo uye kuvandudza hupenyu.
Chirongwa chekurapa chinogona kusanganisira:
- Mhando dzemishonga:
- Mishonga inotambanudza mitsipa yeropa mumapapu uye inoderedza BP.
- Mushonga wekuchengetedza mutinhimira wakakodzera wekurova kwemoyo.
- Mishonga inodzivirira kuumbwa kweropa (inodzikisa ropa).
- Kudzivirira hutachiona (mishonga inorwisa mabhakitiriya).
- Dzimwe nguva mapiritsi ane iron.
- Kubviswa kweropa: Kana huwandu hwemasero matsvuku eropa rako hwakanyanya uye ropa rako rakakora, dzimwe nguva zvingava zvakakosha kubvisa rimwe ropa mumuviri wako (phlebotomy).
- Kuisirwa moyo nemapapu:Izvi zvinongoitwa chete kana moyo nemapapu zvakundikana. Uku kuvhiyiwa kwakaoma uye kwakakura.
Ndingararama sei nemamiriro ezvinhu aya?
Ichokwadi kuti chirwere ichi chinogara kwenguva refu, asi kana munhu achitarisirwa zvakanaka uye achitevera mazano echiremba, vanhu vazhinji vanogona kurarama hupenyu hwakafanana nehwemazuva ese.
Chinhu chinonyanya kukosha ndechekugara uchionana nachiremba wako uye kutevedzera mirairo yake nemazvo.
Dzimwe tsika dzakakosha dzekushandisa muhupenyu hwako:
- Dzivisa kuenda kunzvimbo dzakakwirira uye kushaya mvura mumuviri.
- Kurovedza muviri kwakaoma uye mitambo hazvikurudzirwi, asi bvunza chiremba wako kuti rudzii rwekurovedza muviri rwaunogona kuita.
- Idya chikafu chisina munyu mushoma . Dzivisa kusvuta zvachose.
- Usatore mishonga inotengwa nechiremba, kunyangwe yaunotora yekurwadziwa nemusoro, usati watanga wabvunza chiremba wako.
- Wana majekiseni ako nenguva. Chenesa maronda madiki zvakakwana kuti uzvidzivirire kubva kuhutachiona.
- Usashandise machubhu anodziya kana sauna. Zvinogona kukonzera kudzikira kweBP kamwe kamwe.
- Kana uri kuda kuvhiyiwa kumwe kana chimwe chinhu chakadai sekubviswa kwezino, iva nechokwadi chekubvunza chiremba wemwoyo wako kana uchida kutora mishonga inorwisa mabhakitiriya usati watanga.
Kuziva kwakakosha nezvepamuviri
Kana uri mukadzi ane chirwere ichi, pamuviri une njodzi huru kuhupenyu hwako nehwemwana wako . Nekuti pamuviri unorema mwoyo zvakanyanya, vanachiremba havawanzokurudzira. Zvakakosha kutaura pachena nachiremba wako nezveizvi.
Kurarama nechirwere ichi kunogona kunetsa mupfungwa. Bvunza chiremba wako nezvemazano ekupa mazano kana mapoka ekutsigira anogona kukubatsira iwe nemhuri yako.
Mharidzo Yekuenda Nayo Kumba
- Eisenmenger syndrome chirwere chakakomba chinokonzerwa nechirwere chemwoyo chakaberekwa nacho, asi chinogona kurapwa nemazvo.
- Dambudziko iri rinogona kudzivirirwa nekuziva nekurapa dambudziko remwoyo riripo vachiri vadiki.
- Zvakakosha kutevedzera hurongwa hwekurapa hwawakapihwa nachiremba wako. Usatange kana kurega chero mushonga wega.
- Kuchinja mararamiro (kudya kusingadyi zvakawanda, kurega kusvuta, kurovedza muviri kwakakodzera) zvinobatsira zvikuru mukuderedza zviratidzo.
- Kubata pamuviri kune njodzi huru kumukadzi ane chirwere ichi, saka zvakakosha kutaura nezvazvo pachena nachiremba wako.
- Hausi wega parwendo urwu. Usatya kukumbira rubatsiro kubva kuna vanachiremba, mhuri, uye, kana zvichidikanwa, kune mupi wezano.
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