Chii chinonzi Eisenmenger Syndrome? Totaura nezvazvo zvakadzama here?

Wakambonzwa here kuti zvimwe zvirwere zvemwoyo zvinoberekwa nazvo zvinogona kutungamira kuzvirwere zvakakomba muhupenyu hwako? Chimwe chezvirwere zvakaoma kudaro iEisenmenger syndrome. Zita iri ringave idzva kwauri, asi zvakakosha kuziva nezvazvo, kunyanya kana mumwe munhu mumhuri yako aine chirwere chemwoyo chekuzvarwa nacho. Ngatitaurei nezvazvo zvakadzama, nekuti kuziva chirwere ichi nekukurumidza uye kuziva kwacho kwakakosha zvikuru.

Chii chinonzi Eisenmenger Syndrome?

Zvichitaurwa zviri nyore, Eisenmenger Syndrome chirwere chinoitika kana ropa rakawanda richiyerera nemutsinga dzeropa (tsinga) dzinotakura ropa kubva pamoyo wako dzichienda kumapapu ako. Funga nezvazvo semvura inoyerera nemupombi nekukurumidza. Izvi zvinoguma nekukwira kweropa mutsinga dzeropa dzemapapu ako uye kurudyi kwemoyo wako, chirwere chinonzi Pulmonary Hypertension . Zvakafanana nekuedza kusunda mvura yakawanda nemupombi diki, izvo zvinogadzira kumanikidzwa kwakawanda mukati mepombi.

Pamusoro pezvo, ropa rinotanga kuyerera zvisina kunaka pakati pemativi ekuruboshwe nerudyi emwoyo ('blood shunting'). Izvi zvinoreva kuti nekuda kwekubatana kusina kujairika (senge buri riripo pakuzvarwa), ropa rinobva kuruboshwe rwemoyo (rakapfuma muokisijeni) rinoyerera richienda kurudyi (oxygen shoma). Nekufamba kwenguva, mamiriro aya anogonawo kudzoserwa shure, zvichireva kuti ropa rine okisijeni shoma rinoyerera richibva kurudyi richienda kuruboshwe.

Dambudziko iri, rinonzi Eisenmenger syndrome, rinowanzoitika kana chimwe kana kupfuura chirwere chemwoyo chakaberekwa nacho chikasarapwa kana kusaonekwa . Kana chirwere ichi chikaramba chiripo kwenguva yakareba, chinogona kukonzera kukuvara kwemapapu zvachose uye mamwe matambudziko anotyisidzira hupenyu. Ndosaka iri dambudziko rinoda kutarisirwa zvakanyanya.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Eisenmenger syndrome chirwere chinowanzoitika kuvana nevechidiki vanozvarwa vaine Ventricular Septal Defect (VSD), buri riri pakati pemakamuri maviri epasi emoyo (maventricle ekuruboshwe nerudyi).

Uyewo, Eisenmenger syndrome inogona kuitika kana zvimwe zvirwere zvemwoyo zvekuzvarwa nazvo zvikarapwa nemazvo. Heano mimwe mienzaniso mishoma:

• Kukanganisika kwemugero weAtrioventricular
• Kukanganisika kweAtrial septal
• Chirwere chemwoyo chinonzi Cyanotic (umo muviri unoshanduka kuita bhuruu)
• Patent ductus arteriosus (tsinga yeropa inofanirwa kuvharika mushure mekuzvarwa)
• Tetralogy of Fallot (musanganiswa wezvikanganiso zvina zvemwoyo)
• Truncus arteriosus `(Truncus arteriosus)`

Chimwe chinhu ndechekuti, Down syndrome.Vana vane Down syndrome vanewo mukana wakakura wekuva nechirwere chemwoyo chekuzvarwa nacho. Nekuda kweizvozvo, vanogonawo kunge vari panjodzi huru yeEisenmenger syndrome. Kutaura zvazviri, nhamba dzinoratidza kuti pakati pe25% ne50% yevanhu vakuru vane Eisenmenger syndrome vanewo Down syndrome.

Eisenmenger syndrome yakajairika zvakadii?

Nerombo rakanaka, chirwere cheEisenmenger chirwere chisingawanzoitiki . Chinobata vanhu vakuru vanozvarwa vaine chirwere chemwoyo chakakomba. Zvisinei, pasinei nekusawanzoitika kwacho, zvakakosha kuziva nezvacho nekuda kwekukomba kwacho.

Chii chinokonzera Eisenmenger syndrome?

Kuti unzwisise kuti nei izvi zvichiitika, unofanira kuziva kuti ropa rinoyerera sei mumoyo medu. Fungidzira kuti mwoyo yedu yakaita seimba ine makamuri mana.

Kutenderera kweropa mumoyo une hutano kunoitika seizvi:

1. Right atrium: Ropa remuviri rakashandiswa, risina mweya rinotanga kuuya roungana pano. Ropa iri rinozopombwa kuenda ku ventricle yekurudyi.

2. Mutsinga wekurudyi: Apa ndipo panotumirwa ropa risina oxygen kumapapu kuti rigamuchire oxygen itsva.

3. Kuruboshwe kweropa: Ropa rakachena rakaiswa oxygen mumapapu rinodzokera kumoyo pano. Ropa iri rinozotumirwa ku ventricle yekuruboshwe.

4. Ventricle yekuruboshwe: Iyi ndiyo pombi huru yemwoyo. Apa ndipo panoparadzirwa ropa rine oxygen mumuviri wese.

Zvino fungidzira kuti pane dambudziko riri mumoyo, senge buri riri pakati pe ventricles yekurudyi neyekuruboshwe (VSD). Chii chinoitika ipapo? Ropa rine oxygen yakawanda (kuruboshwe) neropa risina oxygen yakakwana (kurudyi) zvinotanga kusangana . Nekuda kweizvozvo, ropa rakawandisa rinoyerera kuenda kumapapu. Izvi ndizvo zvinokonzera BP yemapapu yataurwa pamusoro apa. Zvakare, huwandu hweropa rine oxygen yakawanda hunofanirwa kuenda kune vamwe vese hunoderera. Iri ndiro dambudziko guru reEisenmenger syndrome.

Ndezvipi zviratidzo zveEisenmenger syndrome?

Zviratidzo zveEisenmenger syndrome zvinogona kusiyana kubva pamunhu kusvika pamunhu. Zvinoenderana nerudzi rwechirwere chemwoyo uye nhengo dzemuviri dzakakanganiswa. Kazhinji, zviratidzo izvi hazvionekwi zvese panguva imwe chete. Zvinowanzotanga kuonekwa panguva yekuyaruka kana kutanga kwehudiki. Zvadaro, zviratidzo zvinowedzera zvishoma nezvishoma.

Izvi ndizvo zvimwe zvezviratidzo zvinonyanya kuonekwa:

• Kurwadziwa kwechipfuva kana kuomarara (Angina)
• Kurova kwemoyo kusina kurongeka (Arrhythmias) - Izvi zvinoreva kuti moyo unorova nenzira dzakasiyana pane imwe nzira.
• Kukura kwemagumo enzara uye kukotama kwenzara (Clubbing) - semagumo edhiramu.
• Kukosora ropa.
• Kushanduka kweruvara rwebhuruu kana grey paganda (Cyanosis) - Izvi zvinokonzerwa nekudzikira kwehuwandu hweokisijeni muropa.
• Dzungu kana kufenda.
• Kuzvimba kwemakumbo, zvitsitsinho, tsoka, kana dumbu (edema).
• Kunzwa sekuti moyo wako uri kurova nekukurumidza, kunzwa ruzha rwekurova kwechipfuva chako (heart palpitations).
• Kuneta kwakanyanya uye kushaya simba (Nethargy).
• Kushaya simba rekufema - Kutadza kufema kunyangwe kana ukashanda nesimba.

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kuti utsvage rubatsiro rwechiremba nekukasika.

Ndezvipi zvinetso zvinogona kuitika neEisenmenger syndrome?

Zvinosuwisa kuti Eisenmenger syndrome haisi chirwere chinogara panzvimbo imwe chete. Inogona kukonzera matambudziko akasiyana-siyana ehutano. Mamwe acho ndeaya:

• Kubuda ropa muuropi.
• Pundu muuropi nekuda kwehutachiona.
• Kusakwana kweropa rinoenda kuuropi (Cerebral vascular insufficiency).
• Gout.
• Kumira kurova kwemoyo.
• Kukundikana kwemoyo.
• Zvirwere zvemwoyo, semuenzaniso, endocarditis.
• Kukora kweropa (Hyperviscosity syndrome).
• Kukundikana kweitsvo.
• Matambudziko panguva yekuzvitakura (izvi zvine njodzi zvikuru).
• Kurohwa nechirwere.
• Rufu rusingatarisirwi.

Uchitarisa matambudziko aya, unogona kuona kuti mamiriro ezvinhu aya akakomba sei, handiti? Ndosaka tichifanira kunyatsoteerera izvi.

Chirwere cheEisenmenger chinoonekwa sei?

Chiremba anowanzo tarisa zviratidzo zveEisenmenger syndrome panguva yekuongororwa kwemuviri. Semuenzaniso, kana ganda rako riri rebhuruu, kana minwe yako yakarova, uye kana uchinzwa ruzha rusina kujairika paunenge uchiteerera moyo wako.

Zvadaro, chiremba anogona kuraira imwe kana kupfuura yemiedzo inotevera kuti asimbise chirwere ichi:

• Kuongorora mwero weokisijeni muropa.
• Kuisa catheter mumoyo: Izvi zvinosanganisira kuisa chubhu diki mumoyo kuti uedze kumanikidzwa uye kuona chimiro chayo.
• X-ray yechipfuva.
• Kuverengwa kweropa rakazara (CBC).
• Echocardiogram (Echocardiogram - echo): Iyi iultrasound scan yemoyo. Inokwanisa kutarisa makamuri emoyo, mavharuvhu, uye kuti ropa rinoyerera sei.
• Electrocardiogram (EKG/ECG): Izvi zvinoedza mashandiro emagetsi emwoyo.
• Kuongororwa kweMRI yemoyo.
• Kuongororwa kwebasa remapapu.

Chiremba anogona kunyatsoongorora chirwere ichi zvichibva paruzivo rwakawanikwa kubva muongororo idzi.

Chirwere cheEisenmenger chinorapwa sei?

Chinangwa chikuru chekurapa chirwere cheEisenmenger ndechekudzora zviratidzo uye kudzivirira kukuvara kwakanyanya kumwoyo kana mapapu.

Zvinotevera zvinogona kushandiswa senzira yekurapa:

• Mishonga inorwisa mabhakitiriya: Inodzivirira hutachiona hwemabhakitiriya mumoyo nemumapapu.
• Mishonga Inorwisa Kubuda Kweropa: Inoderedza kuumbwa kweropa rakagwamba mutsinga dzeropa.
• Mishonga inobvisa mvura mumuviri (Diuretics): Deredza huwandu hwemvura inoungana mumuviri.
• Mishonga inodzivirira miviri ye endothelin receptor: Iyi imhando yemishonga inopiwa kuderedza BP mumapapu.
• Mishonga yesimbi: Kurapa anemia inokonzerwa nekushomeka kwesimbi.
• Okisijeni yekuwedzera: Inoita kuti kufema kuve nyore uye inowedzera mwero weokisijeni muropa.

Chinhu chakakosha ndechekuti kana chirwere cheEisenmenger changotanga, kazhinji kacho zvinenge zvanonoka kugadzirisa dambudziko remwoyo rawakazvarwa naro, nekuti panguva iyoyo kukuvara kwemapapu kwatoitika.

Zvisinei, vamwe vanhu vane zviratidzo zvakakomba uye nhengo dzakakuvara zvakanyanya vangada kuisirwa moyo kana mapapu. Asi izvozvo zvakare inzira yakaoma uye ine njodzi.

Eisenmenger syndrome inogona kudzivirirwa here?

Ehe, nzira chete yekudzivirira Eisenmenger syndrome ndeyekuziva matambudziko emwoyo anokonzerwa nawo nekukasika, pakutanga kwehupenyu, uye kuarapa nemazvo, uye kana zvichidikanwa, kuvhiyiwa. Kana matambudziko aya akaonekwa uye akarapwa muhudiki, pane mukana mukuru wekudzivirira chirwere chakakomba seEisenmenger syndrome.

Vanhu vane Eisenmenger syndrome vanotarisirwa kurarama hupenyu hwakaita sei?

Vanhu vane Eisenmenger syndrome vanogona kurarama kwenguva pfupi kupfuura vanhuwo zvavo. Izvi zvinokonzerwa nematambudziko anokonzerwa nechirwere ichi. Zvisinei, vamwe vanhu vanorarama kusvika pazera repakati nepakati. Nguva yavanogona kurarama inoenderana nezvinhu zvakaita sekuoma kwezviratidzo zvavo, rudzi rwechirwere chemwoyo chavanoberekwa nacho, uye kuti vanopindura sei kurapwa. Saka, zvakakosha kutevedzera zano rachiremba wako uye kutarisira hutano hwako.

Kana ndine Eisenmenger syndrome, ndinogona here kubata pamuviri?

Uyu mubvunzo unokosha zvikuru. Kubata pamuviri kune njodzi huru kune munhu ane Eisenmenger syndrome. Kunogona kukonzera njodzi dzakakomba dzakadai sekushaya simba kwemoyo, kuvharika kweropa, uye kufa kamwe kamwe. Kana uine chirwere ichi uye uri kufunga nezvekuva nepamuviri, unofanira kuona nyanzvi yezvirwere zvemwoyo zvekuzvarwa nazvo zvevanhu vakuru (`(nyanzvi yezvirwere zvemwoyo zvekuzvarwa nazvo zvevanhu vakuru)`) kuti vakurukure nezvenjodzi idzi. Iye ndiye anogona kukupa mazano akanakisa.

Ndingazvitarisira sei neEisenmenger syndrome?

Kana uine Eisenmenger syndrome, pane zvinhu zvakati wandei zvaunogona kuita kuti uderedze njodzi yekusangana nematambudziko. Kutevera matanho aya kuchakubatsira kuvandudza hupenyu hwako uye kunaka kwehupenyu hwako.

Zvinhu zvekuita:

• Idya chikafu chine sodium inodzorwa: Kudya munyu wakawandisa kunogona kukonzera kuchengetwa kwemvura mumuviri uye kuwedzera BP.
• Wana majekiseni akakodzera: Zvidzivirire kubva kuzvirwere zvakaita sepneumonia nefuruwenza.
• Inwa mvura yakawanda uye usarega muviri wako uchishaya mvura mumuviri (`(Kuramba uine mvura yakakwana mumuviri)`) : Asi chete kana yataurwa nachiremba wako.
• Tevedzera mishonga yese nemimwe mishonga yawakanyorerwa nachiremba wemwoyo nemazvo. Usapotsa kana imwe chete yemishonga iyi.
• Tora mishonga inorwisa mabhakitiriya usati warapwa kana kuvhiyiwa mazino: Izvi zvinogona kubatsira kudzivirira hutachiona hwemwoyo. Bvunza chiremba wako nezvazvo.

Zvinhu zvisingafaniri kuitwa:

• Dzivisa kuenda kunzvimbo dzakakwirira kwazvo pamusoro pegungwa (`(High altitudes)`): Kutadza kufema zvakanaka kunogona kuwedzera nekuda kwekushaikwa kweoxygen panzvimbo dzakakwirira.
• Dzivisa kushandisa sauna, makamuri ane utsi, kana machubhu anodziya: Izvi zvinogona kukonzera kudzikira kweBP kamwe kamwe.
• Dzivisa kusvuta kana kushandisa fodya zvachose.
• Dzivisa maekisesaizi anorema: Ita maekisesaizi akareruka chete padanho rakatenderwa nachiremba wako.

Mharidzo Yekuenda Nayo Kumba

Eisenmenger syndrome chirwere chinokonzerwa nekukwira kweropa mutsinga dzeropa dzemapapu nerutivi rwerudyi rwemwoyo. Chinowanzo kukonzerwa nekusakwana kwemoyo kwakaberekwa nako. Zviratidzo zvinowanzotanga kuonekwa mukuyaruka kana mukukura kwevachiri kuyaruka. Zviratidzo zvinosanganisira ganda rebhuruu (cyanosis), kushaya mweya panguva yekurovedza muviri, uye kurova kwemoyo kusina kurongeka.

Kurapa chirwere ichi kwakanangana nekuderedza zviratidzo uye kuderedza kukuvara kwemoyo nemapapu. Zvave kunonoka kurapa chirwere ichi nekuvhiyiwa. Saka, zvakanaka kuongorora nekurapa matambudziko emwoyo akaberekerwa nawo nekukurumidza sezvinobvira.

Kana muine mimwe mibvunzo nezvenyaya iyi, musatya kutaura nachiremba wenyu. Vachakubatsirai.

Eisenmenger syndrome, chirwere chemwoyo, BP yemapapu, cyanosis, zvikanganiso zvemwoyo zvekuzvarwa nazvo, matambudziko ekufema, hutano hwemwoyo