Fungidzira kuti wava nefivha kwemazuva akati wandei, waneta zvikuru, uye wava kunzwa seusina hupenyu... Tinowanzo funga kuti iyi ingangove fivha inotapukira. Asi dzimwe nguva, kuseri kwezviratidzo zvakadaro, panogona kunge paine nyaya yakakomba zvikuru yakavanzwa. Kureva kuti, hutachiona hwakakomba hunokanganisa mwoyo pachawo. Nhasi, tichataura nezvechirwere chakakomba uye chinotyisidzira hupenyu se'Infective Endocarditis' uye kana chichida kuvhiyiwa. Kunyangwe iyi iri nyaya yakaoma zvishoma, ndichakutsanangurira nenzira iri nyore, kuitira kuti uinzwisise.
Zvichitaurwa zviri nyore, chii chinonzi Infective Endocarditis?
Zita iri rinonzwika serinotyisa zvishoma, handiti? Asi ngatirambei tichiri nyore. Ropa redu rinofamba nemiviri yedu yese kuburikidza netsinga dzedu. Dzimwe nguva utachiona hwakadai semabhakitiriya kana fungi hunogona kupinda muropa iri. Kazhinji, masoja emuviri wedu anorwisa mabhakitiriya aya uye anoaparadza.
Asi dzimwe nguva utachiona uhu, huchifamba nemuropa, hunosvika pamavharuvhu emwoyo, kwahunonamatira uye hunomera midzi, zvichikonzera hutachiona hukuru. Ndizvo zvatinodaidza kuti ``Infective Endocarditis''.
Funga nezvemavharuvhu ari mumoyo medu semagedhi. Anofanira kuvhurwa nekuvharwa zvakanaka kuitira kuti ropa rifambe nenzira imwe chete. Vharuvhu yemoyo ine hutano yakatsetseka, saka utachiona hahugoni kunamira pairi nyore nyore. Asi kana vharuvhu yemoyo yemunhu isina simba kubva pakuzvarwa kana kuti yakakuvadzwa nechimwe chirwere, pamusoro payo pakaoma. Semadziro ekare. Mavara iwayo akaomarara anogona kubata utachiona muropa.
Utachiona hunogona kupinda mumiviri yedu panguva yekuvhiyiwa kwemazino nguva dzose, sekubviswa kwezino, kuvhiyiwa kwemazino, uye endoscopy. Kunyange zvazvo izvi zvingave zvisiri dambudziko guru kumunhu ane hutano hwakanaka, zvinogona kuva nengozi kune munhu ane matambudziko evharuvhu yemwoyo.
Mamiriro ezvinhu aya anokanganisa sei hutano hwako?
Kana utachiona hwapinda muvharuvhu yemwoyo, hahungogari ipapo chete. Utachiona hunopatsanuka, hunowanda, uye hunoita mapoka makuru. Mukurapa, tinodana izvi kuti mapoka eutachiona kuti zvirimwa .
Idzi '(zvirimwa)' dziri kuita basa rine njodzi zvikuru.
1. Kukuvadzwa kwemavharuvhu: Mabhakitiriya aya anoburitsa makemikari, akafanana nema enzyme anoshandiswa kugaya chikafu. Aya akasimba zvikuru. Anonyunguduka zvishoma nezvishoma odya nyama yakapfava yevharuvhu yemoyo. Ipapo vharuvhu haivhari zvakanaka, zvinoreva kuti inotanga kubuda mvura. Tinoidaidza kuti vharuvhu regurgitation.
2. Kukundikana kwemoyo: Kana vharuvhu ichibuda ropa, moyo unofanirwa kushanda nesimba kupfuura zvawagara uchiita kuti ropa riende mumuviri. Zvakafanana nekupomba mvura kubva mubhaketi rinobuda ropa. Kana ukashanda nesimba uchitakura mutoro uyu nekufamba kwenguva, moyo unogona kushaya simba uye pakupedzisira woita kutadza kwemoyo.
3.Magaro eropa anotsemuka uye anovhara: Dzimwe nguva, zvidimbu zvidiki zvehutachiona zvinonzi zvinomera zvinotsemuka zvofamba mumuviri wese neropa. Tinodana chidimbu ichi chakatsemuka kuti embolus. Izvi zvakafanana nechidimbu chemoss chinotsemuka kubva murwizi choyangarara mumvura. Kana ganda iri reropa ritsemuka ronamatira mutsinga yeropa muuropi, rinogona kukonzera sitiroko. Kana rikanyeka mutsinga mumapapu, rinogona kukonzera chirwere chine njodzi chinonzi pulmonary embolism. Uyewo, tsinga yeropa inoenda kunhengo iri mudumbu kana paruoko kana pagumbo inogona kuvharika, zvichiita kuti chikamu ichocho chisave neropa (ischemia).
Unonzwisisa here kuti mamiriro ezvinhu aya akakomba sei? Ndosaka zvichikosha kuziva izvi.
Inorapwa sei? Kuvhiyiwa kunodiwa here?
Kurapwa kunoenderana nerudzi rwehutachiona hwakakonzera chirwere ichi uye kuti chirwere chacho chakakomba zvakadii.
- Mishonga inorwisa mabhakitiriya: Kana chirwere chikaonekwa nekukurumidza, pane dzimwe nguva apo hutachiona hunogona kurapwa zvachose nekungopihwa mishonga inorwisa mabhakitiriya yakasimba mutsinga kwemavhiki akati wandei.
- Kuvhiyiwa: Zvisinei, kana uine zvinomera pavharuvhu yako yemwoyo, kana vharuvhu yakakuvara zvakanyanya, kana uine vharuvhu yekugadzira yakamboiswa, mishonga inorwisa mabhakitiriya chete inogona kunge isina kukwana. Muzviitiko zvakadaro, kuvhiyiwa kunogona kudiwa.
Kuvhiyiwa uku kunofanira kuitwa nguva yakareba sei?
Nguva yekuvhiyiwa inoenderana nekuti chirwere chako chakakomba zvakadii. Vamwe varwere vangada kuvhiyiwa mukati memazuva mashoma mushure mekuonekwa kuti vane chirwere ichi. Uku kuvhiyiwa kwekukurumidzira. Ngatitarisei tafura iri pazasi kuti tione kuti kuvhiyiwa kwekukurumidzira kunodiwa riini.
| Zvikonzero nei kuvhiyiwa kwekukurumidzira kungadiwa | Tsananguro iri nyore |
|---|---|
| Kuumbwa kwedumbu rakatenderedza vharuvhu | Utachiona hwapararira kubva pavharuvhu kuenda kunze, uye hurwa hwaungana. Izvi zvine njodzi huru. |
| Kuvapo kwezvinomera zvikuru | Pane njodzi huru yekuti zvidimbu izvi zviputsike zvigonamira munzvimbo dzakadai seuropi. |
| Kukundikana kweMwoyo | Kukuvadzwa kwevharuvhu kwaita kuti mwoyo usashande zvakanaka. Kana kuvhiyiwa kukasaitwa nekukurumidza, zvinoisa upenyu panjodzi. |
| Kuputika kwevharuvhu yechordae | Zvikamu zvakapfava zvakaita seshinda zvinobata vharuvhu panzvimbo zvinobvaruka nekuda kwehutachiona, izvo zvinowedzera njodzi yekuti vharuvhu ibude. |
| Utachiona hwakaoma kurapa | Mamwe marudzi efungus kana mabhakitiriya akaoma kudzora nemishonga inorwisa mabhakitiriya, saka nzvimbo ine utachiona inofanira kuchekwa yobviswa. |
Pane dzimwe nguva here apo kuvhiyiwa kunononoka?
Ehe, dzimwe nguva vanachiremba vanosarudza kunonotsa kuvhiyiwa zvishoma. Pane zvikonzero zviviri zvikuru zvinoita kuti zvidaro.
1. Matambudziko ane chekuita nehuropi: Kana chidimbu chehutachiona chatyoka chikavhara tsinga yeropa muuropi (ischemic stroke) kana kana paine kubuda ropa muuropi (intracranial hemorrhage), zvine njodzi kuita oparesheni huru yemoyo nekukasika. Izvi zvinodaro nekuti mishonga inobvisa ropa inopiwa panguva yekuvhiyiwa inogona kuwedzera kubuda ropa muuropi. Saka, kuvhiyiwa kunoitwa chete mushure mekunge uropi hwagadzikana.
2. Dambudziko racho harisi rakakomba zvakanyanya: Kana hutachiona husina kunyanya kuipa uye njodzi yematambudziko iri shoma, chiremba achatanga akupa mushonga wemishonga inorwisa mabhakitiriya. Zvadaro, hutachiona hunenge hwapera zvachose, uye unogona kuenda kuvhiyiwa uine muviri wakachena. Izvi zvichakupawo nguva yakakwana yekuronga kuvhiyiwa.
Vanachiremba vanosarudza sei kana ndichida kuvhiyiwa?
Ichi hachisi chisarudzo chinoitwa nachiremba mumwe chete. Vanachiremba vemwoyo nevanoita zvemwoyo vanobatana voita sarudzo iyi zvichibva pamitemo yepasi rose. Vanoita bvunzo dzakasiyana-siyana dzeizvozvo.
- Kuongororwa kweropa: Kuti uzive kuti mabhakitiriya kana fungus chii chiri kukonzera hutachiona.
- Echocardiogram: Kuongororwa kwemoyo:Uku kuongorora moyo. Kunotarisa mavharuvhu emwoyo uye kunogona kuona kana paine zvinomera, kuti zvakakura sei, uye kuti mavharuvhu akakuvara zvakadii. Kuongororwa pamusoro pechipfuva kunonzi transthoracic echocardiogram (TTE). Dzimwe nguva, kuti kuonekwe zviri nani, transesophageal echocardiogram (TEE) inoitiswa nemuromo.
- CT scan: Kuongororwa uku kunobatsira kuona kana hutachiona hwacho hwakonzera matambudziko mune dzimwe nhengo dzemuviri.
Chii chinoitika panguva yekuvhiyiwa?
Rudzi rwekuvhiyiwa kunoitwa zvinoenderana nekuti vharuvhu yemoyo wako yakakuvara sei. Chiremba anogona kuita chimwe kana kupfuura chezvinotevera:
- Kubvisa tsvina: Danho rekutanga kuchenesa nekubvisa nyama yese ine utachiona neyakafa.
- Kugadziriswa kwevharuvhu: Kana kukuvara kwacho kusina kunyanya kuipa, pachaedzwa kugadzirisa vharuvhu iripo.
- Kugadziriswazve kwevharuvhu: Dzimwe nguva, chikamu chevharuvhu chinobviswa uye chidimbu cheganda rakakomberedza moyo (pericardium) chinotorwa choiswa panzvimbo yacho kuti chigadziriswezve vharuvhu.
- Kutsiva vharuvhu: Kana kukuvara kwevharuvhu kwakanyanya zvekuti hakugone kugadziriswa, vharuvhu inobviswa zvachose uye vharuvhu yekugadzira inoiswa panzvimbo yayo.
Chii chinoitika mushure mekuvhiyiwa? Pane njodzi here?
Kufanana nekuvhiyiwa kupi zvako kukuru, kuvhiyiwa uku kune njodzi dzakasiyana. Kune njodzi dzakadai sekubuda ropa, kurova kwemoyo zvisina kurongeka (arrhythmia), kuvhara ropa, kuoma mitezo, uye hutachiona hwevharuvhu ichangobva kuiswa. Asi kana chiremba akasarudza kuti unoda kuvhiyiwa, zvinoreva kuti mabhenefiti ekuvhiyiwa akakura kupfuura kusaitwa.
Mushure mekuvhiyiwa, muchafanira kugara muchikamu chevarwere vane chirwere chakanyanya (ICU) kwemazuva mashoma. Zvadaro muchaendeswa kuchipatara chemazuva ese. Muchafanirwa kunwa mishonga inorwisa mabhakitiriya netsinga kana mapiritsi kwemavhiki akati wandei kuti mubvise zvachose utachiona hwasara mumuviri wenyu. Muchafanirawo kuwana zororo rakawanda mushure mekudzokera kumba. Zvakajairika kunzwa kuneta uye kurwadziwa. Zvinogona kutora mwedzi yakati wandei kuti mupore zvizere.
Ndinofanira kuona chiremba nguvai mushure mekuvhiyiwa?
Unofanira kunyatsotarisira muviri wako mushure mekunge waenda kumba. Zvakakosha kuziva chero matambudziko nekukurumidza. Kana ukaona chimwe chezviratidzo zviri pazasi, unofanira kuonana nachiremba wako nekukasika .
| Zviratidzo zvekuchenjerera | Izvi zvinogona kureva chii? |
|---|---|
| Fivha kana kutonhora | Zvinogona kuva chiratidzo chekuti munhu abatwazve nechirwere ichi. |
| Kutsvuka, kuzvimba, kudziya, kana kuti urwa hunobuda kubva paronda rekuvhiyiwa | Chiratidzo chehutachiona hwemaronda. |
| Kurwadziwa pachipfuva kana kunzwa kuzara muchipfuva | Inogona kunge iri chiratidzo chechirwere chinonzi pericardial effusion. |
| Kutadza kufema, kunzwa sekunge moyo wako uri kurova nekukurumidza | Panogona kunge paine dambudziko nekushanda kwemoyo. |
| Kubuda ropa kusingawanzoitiki kubva paronda kana kuti kutaridzika kwakakuvara zvakanyanya | Panogona kunge paine dambudziko nehurongwa hwekugwamba kweropa. |
Mharidzo Yekuenda Nayo Kumba
- Infective endocarditis chirwere chakakomba chinokonzerwa nehutachiona hunopinda mumavharuvhu emwoyo.
- Kana mavharuvhu akakuvara, miti yakakura yaumbwa, kana kuti mwoyo wakundikana, kuvhiyiwa kunogona kudiwa.
- Kuvhiyiwa uku kunogona kudzora hutachiona uye kudzivirira kukuvara kukuru kuhupenyu.
- Kana chirwere chikaonekwa nekukurumidza uye kana kuvhiyiwa kwacho kuchiitwa nekukurumidza, mhedzisiro yacho inova nani.
- Zvakakosha kuti unyatso pora kuti utevedzere mirairo yachiremba wako mushure mekuvhiyiwa uye kuti uzive zviratidzo zvengozi.
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