Wakambonzwa here chiremba achiti, "Ndinonzwa kurira kwemoyo" pavanoisa stethoscope pachipfuva chako? Pamwe wakambozvinzwa iwe pachako. Vanhu vazhinji vanotya pavanonzwa "kunyunyuta" uku. Zvakajairika kufunga kuti, "Pane chimwe chinhu chisina kumira zvakanaka pamoyo wangu here?" Asi usatya. Nhasi, tichataura nezve Holosystolic Murmur chii, nei ichiitika, uye chii chingaitwe nezvazvo.
Zvichitaurwa zviri nyore, chii chinonzi Holosystolic Murmur iyi?
Fungidzira mvura ichiyerera zvakanaka nemupombi yemvura pasina chinoivhara. Ipapo haunzwi ruzha. Asi kana paine kaburi kadiki kana kuti gomba riri mupombi, mvura painoyerera, inoita ruzha rusinganzwisisike se's...'. Ndizvo zvazviri.
Holosystolic Murmur hachisi chirwere. Chiratidzo . Kana chiremba wako akateerera mwoyo wako ne stethoscope, inzwi rekuwedzera rinonzwika pamusoro pekurira kwemoyo wako 'lub-dub', nekuti ropa harisi kufamba zvakanaka. Kutaura chokwadi, ruzha urwu runonzwika nguva dzose panguva yekurwadziwa kwemoyo (systole) uye nekudaro runonzi Holosystolic (inonzwika mukati mekurwadziwa kwemoyo wese) Murmur.
Chinhu chinonyanya kukosha ndechekuti hakusi kuvapo kwekunyunyuta uku kune njodzi, asi chirwere chiri kukonzera chirwere ichi ndicho chatinofanira kutsvaga nekurapa.
Chiremba wako angangokuudza kuti upe ruzha urwu nhamba (kubva pa1 kusvika pa6). Izvi zvinongokuudza kuti ruzha rwacho rwakanyanya sei. Nhamba yakakwira hazvirevi kuti ine njodzi. Dzimwe nguva chiremba paanoisa ruoko rwake pachipfuva chako, ruzha urwu runonzwa sekunge rwavhundutsa. Runonziwo 'mufaro'.
Ndezvipi zvikonzero zvikuru zveruzha urwu?
Unoziva kuti mwoyo yedu ine makamuri mana. Pakati pemakamuri aya pane zvinhu zvakaita semagonhi zvinobatsira kuti ropa rifambe nenzira imwe chete. Tinozviti 'mavharuvhu'. Kana mavharuvhu aya akasavhara zvakanaka, ropa rinotanga kubuda ropa. Ndipo panonzwika ruzha urwu zvakanyanya.
| Chikonzero chikuru | Zvakatsanangurwa zviri nyore |
|---|---|
| Kudzokerazve kweMitral | Apa ndipo apo vharuvhu yemitral iri kuruboshwe rwemoyo isingavharike zvakanaka, zvichiita kuti ropa ribude richidzokera shure. Vharuvhu iyi inogona kukuvara nezvirwere zvakaita serheumatic fever. |
| Kudzoreredza muviri neTricuspid | Izvi zvinoitika kana vharuvhu yetricuspid iri kurudyi rwemoyo isingavharike zvakanaka, zvichiita kuti ropa ribude richidzokera kumashure. |
| Chirema cheVentricular Septal (VSD) | Iri iburi riri pamadziro pakati pemakamuri maviri makuru (ventricles) pasi pemoyo. Iri rinowanzova dambudziko rekuzvarwa naro. Kurira kunonzwika ropa richiyerera nepaburi iri. |
Chii chinoitika neizvi?
Fungidzira, mumunhu ane Mitral Regurgitation, vharuvhu yemitral haivharike zvakanaka, zvichiita kuti ropa riyerere richidzokera kwarakabva kubva kumapapu. Izvi zvinowedzera kumanikidzwa mutsinga dzinobatanidza mapapu, uye muzviitiko zvakakomba, mapapu anogona kuzadza nemvura. Nekufamba kwenguva, izvi zvinogona kukonzera kutadza kushanda kwemoyo.
Inorapwa sei?
Sezvandambotaura, hatirapi kunyunyuta, asi chirwere chiri kukonzera . Chiremba wako achatanga aita bvunzo (semuenzaniso, echocardiogram , inova scan yemoyo) kuti aone chiri kukonzera.
- Kana ropa richibuda kubva mumavharuvhu (Regurgitation):
- Mishonga: Mishonga yakadai semishonga inorwisa ropa kana kuti inobvisa ropa mumuviri inogona kupihwa.
- Kuvhiyiwa: Kana mishonga chete isina kukwana, kuvhiyiwa kungadiwa kugadzirisa vharuvhu yakakuvara kana kuitsiva nevharuvhu itsva zvachose.
- Kana paine buri mumoyo (VSD):
- Mishonga inogona kupihwa kudzora zviratidzo.
- Kazhinji, kuvhiyiwa kunoitwa kuti uvhare buri iri.
- Kana vharuvhu yakatetepa (Stenosis):
- Dzimwe nguva, kurira kunogonawo kukonzerwa nekutetepa kwevharuvhu. Muzviitiko zvakadaro, nzira inonzi Balloon Valvuloplasty inoshandiswa. Bharuvhu rinopfuudzwa nemutsinga kuburikidza nenzira inonzi cardiac catheterization uye rinofuridzirwa mukati mevharuvhu yakatetepa, zvichiita kuti vharuvhu iwedzere.
Ko kana vharuvhu itsva yemoyo ikaiswa?
Kune mhando mbiri dzemavharuvhu matsva.
| Rudzi rwevharuvhu | Zvekuziva |
|---|---|
| Michina | Izvi zvakagadzirwa nesimbi nepurasitiki. Zvinogara kwenguva refu. Asi unofanira kutora mishonga inorwisa ropa kweupenyu hwako hwese. |
| Bioprosthetic (yezvinhu zvipenyu) | Izvi zvinogadzirwa nenyama yenguruve kana yemombe. Zvinogara kwemakore angangoita 10-15. Asi haufanirwe kunwa mishonga inorwisa ropa kweupenyu hwako hwese. |
| Zvinhu zvekurangarira paunenge uchiisa chero yemhando mbiri idzi dzemavharuvhu: | |
| |
Ndezvipi zviratidzo zvinoda kuona chiremba?
Vamwe vanhu vanonzwa kunyunyuta asi vasina zviratidzo. Vangasatomboziva kuti vanazvo. Asi kune vamwe vanhu, chikonzero chacho chinogona kukonzera zviratidzo zvinonetsa. Kana ukaona chimwe chezviratidzo izvi, enda kuna chiremba nekukasika.
- Kuoma kufema
- Kurwadziwa pachipfuva kana kunzwa kwekusungwa
- Kunzwa sekuti moyo wako uri kurova nekukurumidza (kurova kwemoyo)
- Kushaya mweya (dyspnea)
- Kuzvimba, kunyanya mumakumbo, muzvitsitsinho, netsoka
Kana ukaenda kunoongororwa nachiremba nguva dzose, chiremba wako anogona kuona chirwere ichi nekukurumidza. Zvakanaka kuona chero chirwere chisati chanyanya kuipa.
Mharidzo Yekuenda Nayo Kumba
- Holosystolic Murmur haisi chirwere, ingori chiratidzo chekuti pane chimwe chinhu chisina kumira zvakanaka pamoyo wako.
- Zvikonzero zvikuru zveizvi iropa rinobuda richidzokera kumashure richibva mumavharuvhu emwoyo (regurgitation) kana buri riri pamadziro emwoyo (VSD).
- Kurapa hakusi kwekunyunyuta, asi kune chirwere chiri kukonzera izvi.
- Kana uine zviratidzo zvakaita sekuoma kufema, kurwadziwa pachipfuva, kana kuzvimba mumakumbo ako, usazviregeredza uye enda kuna chiremba wako nekukasika .
- Nekuongororwa nachiremba nenguva, zvirwere zvakaita seizvi zvinogona kuonekwa nekukurumidza uye kurapwa kunogona kutanga zvisati zvanyanya kuipa.
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