Dzimwe nguva unonzwa kuneta, kufema zvishoma, kana kungorova chipfuva chako here? Tinowanzo kanganwa nezvezvinhu izvi, tichifunga kuti zvakajairika. Asi dzimwe nguva izvi zvinogona kuva zviratidzo zvidiki zvatinopiwa nemoyo wedu. Nhasi tichataura nezvechirwere chinowanzoitika mumoyo, asi vanhu vashoma vanoziva nezvazvo. Iro vharuvhu yemoyo inobuda. Usatya, kunyangwe zita racho ringanzwika sedambudziko guru, ngatitaurei nezvazvo zviri nyore.
Zvakanaka, zvinorevei kana vharuvhu yemoyo 'ichibuda'?
Zvichitaurwa zviri nyore, iyi imhando yakajairika yechirwere chevharuvhu yemwoyo. Chirwere ichi chinoitika kana rimwe remavharuvhu mana ari mumoyo medu risingavharike zvakanaka. Fungidzira gonhi mumba mako risingakiyike zvakanaka. Zvadaro, sezvaunogona kufamba-famba uchidzokera shure, kana vharuvhu yemoyo isingavharike zvakanaka, rimwe ropa rinotanga kuyerera richidzokera munzira isiriyo. Izvi ndizvo zvatinodaidza kuti 'kubuda' kana, mumashoko ekurapa , kudzoreredza vharuvhu yemoyo .
Mavharuvhu edu emwoyo akafanana nemagonhi anongobvumira ropa kuti riyerere nenzira imwe chete. Basa rawo guru nderekuchengetedza ropa richiyerera nenzira chaiyo uye kudzivirira kuti risayerere richidzokera shure. Asi dzimwe nguva, mavharuvhu aya anogona kukuvara nekuda kwezvikanganiso zvemwoyo zvekuzvarwa nazvo kana zvirwere zvinokura gare gare muhupenyu. Ndipo panoitika mhando idzi dzekubuda kwemvura.
Kuoma kwechirwere ichi kunoenderana nekuti ropa rakawanda sei riri kubuda richidzokera kumashure. Kana ropa diki (trace amount) richibuda, ungasava nezviratidzo. Hazvizokanganisi kushanda kwemoyo zvakanyanya. Zvisinei, kana kubuda kuri pakati nepakati kana kwakanyanya, zviratidzo zvinogona kuitika uye kurapwa kunogona kudiwa kuti mwoyo usakuvara.
Vanachiremba vanoshandisa mamwe mazita pachirwere ichi:
- Kudzoreredza vharuvhu yemoyo
- Kusakwana kwevharuvhu yemoyo
- Kusagona kushanda zvakanaka kwevharuvhu yemoyo
Mazita ese matatu aya anotaura nezvemamiriro ezvinhu akafanana.
Ndeapi marudzi emavharuvhu emwoyo anogona kubuda?
Kune mavharuvhu mana makuru mumoyo medu. Saka, chero rimwe remavharuvhu aya mana rinogona kubuda mvura. Dambudziko iri rakatumidzwa zita revharuvhu yakakanganiswa. Ngatitarisei izvi kuti tinzwisise zvakajeka.
| Zita revharuvhu nemamiriro aro | Basa rayo uye zvinoitika kana ichidonhedza mvura |
|---|---|
| Kudzoreredza vharuvhu yeMitral | Iyi iri pakati peatrium yekuruboshwe neventricle yekuruboshwe yemoyo. Basa rayo nderekutumira ropa kubva kuatrium yekuruboshwe kuenda kuventricle yekuruboshwe. Kana izvi zvikabuda, rimwe ropa rinodzokera kuatrium yekuruboshwe. |
| Kudzoreredza vharuvhu yeaorta | Izvi ndizvo zvinopomba ropa kubva mu ventricle yekuruboshwe kuenda mutsinga huru yeropa inonzi aorta. Kana izvi zvikabuda, rimwe ropa rinodzokera mu ventricle yekuruboshwe. |
| Kudzoreredza vharuvhu yeTricuspid | Iyi iri pakati peatrium yekurudyi neventricle yekurudyi. Vharuvhu iyi inotumira ropa kubva kuatrium yekurudyi kuenda kuventricle yekurudyi. Kana richidonhedza ropa, rimwe ropa rinodzokera kuatrium yekurudyi. |
| Kudzoreredza vharuvhu yemapupa | Izvi zvinotumira ropa kubva mu ventricle yekurudyi kuenda ku pulmonary artery huru, iyo inotakura ropa kuenda kumapapu. Kana izvi zvikabuda, rimwe ropa rinodzokera mu ventricle yekurudyi. |
Chinonyanya kuzivikanwa pane izvi i mitral valve regurgitation.
Ndezvipi zviratidzo zvechirwere ichi?
Sezvandambotaura, kana kubuda kwemvura kwacho kuri kudiki, ungasava nezviratidzo. Vanhu vazhinji havatombozivi kuti vane chirwere ichi, uye chinowanikwa netsaona panguva yekuongororwa kwakaitwa nechimwe chikonzero. Zvisinei, kana kubuda kwemvura kwacho kuri pakati nepakati kana kwakanyanya, zviratidzo zvinotevera zvinogona kuitika.
- Kurwadziwa pachipfuva kana kuti kuoma: Kunzwa sekunge mumwe munhu ari kukudzvanya pachipfuva.
- Kukosora: Kukosora kwakaoma, kunyanya kana munhu achikosora.
- Kunzwa kuneta kana kushaya simba nekukurumidza: Kunzwa kuneta zvakanyanya kunyangwe mushure mekuita basa diki.
- Kurova kwemoyo: Kunzwa kuti moyo uri kurova zvine ruzha, nekukurumidza, kana kuti zvisina kurongeka.
- Kutadza kufema panguva yekurovedza muviri: Kunzwa kushaya mweya paunenge uchifamba chinhambwe chipfupi kana kukwira masitepisi.
- Kuzvimba kwemakumbo netsoka (Edema):Nekuti moyo haupombi ropa nemazvo, mvura inoungana mumuviri uye inokonzera kuzvimba mumakumbo nemuzviziso.
Kana uine chimwe chezviratidzo izvi kana kupfuura, hazvirevi kuti une dambudziko revharuvhu yemwoyo. Zvisinei, zvakanaka kusafuratira zviratidzo izvi. Zvakanaka kuona chiremba wako kuti akupe mazano.
Sei mavharuvhu achibuda ropa seizvi? Ndezvipi zvikonzero?
Pane zvikonzero zvakawanda zvinoita kuti mavharuvhu emwoyo abude ropa. Zvimwe zvinokonzerwa nekukwegura, nepo zvimwe zvinokonzerwa nezvimwe zvirwere. Heano zvimwe zvezvikonzero zvikuru:
- Kuora kwemapfupa: Ichi chirwere chinowanzoitika kana munhu akwegura. Simba uye kuchinjika kwemavharuvhu kunoderera.
- Cardiomyopathy: Sezvo tsandanyama yemwoyo ichipera simba uye mwoyo uchikura, mavharuvhu akabatana nayo anogona kutambanudzwa uye kusavhara zvakanaka.
- Chirwere chemwoyo chekuzvarwa nacho: Vamwe vanhu vanozvarwa vaine dambudziko mumoyo yavo kana mumidziyo yeropa.
- Endocarditis: Utachiona hwemukati memwoyo nemavharuvhu ayo, hunokonzerwa nehutachiona hwakadai semabhakitiriya. Izvi zvinogona kukonzera kukuvara kwechigarire kumavharuvhu.
- Kukuvadzwa kwakakonzerwa nechirwere chemwoyo chakamboitika: Kana ropa richiyerera richienda kuchikamu chemwoyo nekuda kwechirwere chemwoyo, tsandanyama dziri muchikamu ichocho dzinokuvadzwa. Izvi zvinogona kukanganisa mashandiro emavharuvhu.
- Matumbu emwoyo: Aya haawanzoitiki, asi anogona kukanganisa mashandiro emavharuvhu.
- Chirwere chemwoyo chine manyoka: Chirwere cheRheumatic fever, chinoitika kana strep throat isingarapwe zvakanaka pahudiki, chinogona kukuvadza mavharuvhu emwoyo. Chirwere ichi hachiwanzoitiki munyika medu.
- Kuzvimba kwetsinga huru yeropa inobva pamoyo kunogona kukanganisa vharuvhu yeropa.
Ndezvipi zvinetso zvinogona kuitika kana vharuvhu ichidonhedza mvura?
Fungidzira kuti uri kupomba mvura uchishandisa pombi yemvura, asi pane buri mupombi. Ipapo imwe mvura inodzokera shure. Pombi inofanira kushanda nesimba kuti isvike kwatinoida, handiti? Ndizvo zvazviri.
Kana vharuvhu ikadonha, kushanda kwemoyo kunoderera. Nekuti rimwe ropa riri kufamba nenzira isiriyo, moyo unofanirwa kushanda nesimba kuti upombe huwandu hweropa rinodiwa nemuviri. Kuwedzerwa uku kunogona kukonzera matambudziko akasiyana-siyana nekufamba kwenguva.
- Kuputika kwemoyo: Makamuri epamusoro emoyo (atria) anotanga kurova zvisina kurongeka uye nekukurumidza zvikuru.
- Mwoyo wakakura (Cardiomegaly):Tsandanyama dzemoyo dzinokura nekuti dzinoramba dzichishanda nesimba. Sezvinongoita tsandanyama dzinokura paunorovedza muviri. Asi izvi hazvina kunaka kumoyo.
- Kukundikana kwemoyo: Chirwere chekuti moyo haugone kupomba ropa rakakwana mumuviri nekuda kwekutadza kutakura mutoro wakawedzerwa kwenguva yakareba.
- Pulmonary hypertension: Kuwedzera kwesimba mutsinga dzeropa dzinotakura ropa kuenda kumapapu.
- Kumira kwemwoyo kamwe kamwe: Kumira kushanda kwemoyo kamwe kamwe. Ichi chirwere chakakomba uye chisingawanzoitiki.
Vanachiremba vanoongorora sei chirwere ichi?
Paunoenda kuna chiremba kunomuudza nezvezviratidzo zvako, chinhu chekutanga chaanoita ndechekukuongorora zvakakwana.
- Vachakubvunza nezvezviratidzo zvako uye ruzivo rwakadzama nezvezvimwe zvirwere zvako.
- Vanoongorora zvinhu zvakaita seBP yako uye kurova kwemoyo.
- Vachabata nzvimbo dzakadai semakumbo nedumbu kuti vaone kana paine kuzvimba.
- Chinhu chinonyanya kukosha kuisa stethoscope pachipfuva woteerera manzwi emwoyo. Kana paine kubuda kwemvura muvharuvhu, unogona kunzwa ruzha rusina kujairika (heart murmur) rwakaita sekuti "hr...r...r" pamwe chete nemanzwi emwoyo akajairika.
Mushure mekuongororwa kwekutanga uku, mimwe miedzo yakati wandei ichaitwa kuti isimbise chirwere ichi uye kuona kuti mvura yacho yakadonha zvakanyanya sei.
Miedzo mikuru yekuongorora chirwere
Kuyedzwa kukuru uye kwakakosha kwekuona kubuda kwevharuvhu i echocardiogram. Tinowanzoidaidza kuti "Echo test."
Izvi zvakafanana nekuongorora moyo. Mafungu eruzha ane ruzha rwakanyanya (ultrasound) anoshandiswa kugadzira vhidhiyo inofamba yemukati memoyo. Izvi zvinoita kuti chiremba aone chimiro chaicho chemakamuri emoyo, mavharuvhu, mashandiro awo, mafambiro eropa, uye huwandu hwemvura iri kubuda.
Pamusoro pebvunzo ye echo, bvunzo idzi dzingadiwawo:
- Kuongororwa kweropa: Tarisa zvimwe zvirwere zvinokanganisa mwoyo.
- Kuisa catheter mumoyo: Kuongororwa kweropa remwoyo kuti harina kuvharika here.
- X-ray yechipfuva: Kutarisa kana mwoyo wakakura uye mvura yakaungana mumapapu.
- Electrocardiogram (EKG/ECG): Inoongorora mashandiro emagetsi emwoyo kuti ione kana paine zvisina kumira zvakanaka pakurova kwemoyo.
- MRI yemoyo: Wana mifananidzo yakadzama yemoyo nemavharuvhu.
Ndeapi marapirwo ekubvisa mavharuvhu?
Kurapwa kunoenderana nemamiriro ako ezvinhu. Kana kubuda kwemvura kuri kudiki uye usina zviratidzo, ungasada kurapwa. Chiremba wako achakuudza kuti udzoke kuzoongororwa nguva nenguva. Izvi zvinonzi "monitoring."
Zvisinei, kana paine zviratidzo kana kuti kubuda kweropa kuri kukonzera kushushikana kwemoyo, kurapwa kunodiwa. Pane nzira nhatu huru dzekurapa.
1. Mishonga: Mishonga haigone kugadzirisa vharuvhu inobuda. Zvisinei, mishonga inogona kubatsira kudzora zviratidzo, kudzivirira matambudziko, uye kuderedza basa remwoyo. Semuenzaniso, mishonga inogona kupihwa kubvisa mvura yakawandisa mumuviri, kudzora BP, uye kudzora kurova kwemoyo.
2. Kuvhiyiwa kwevharuvhu yemoyo: Kuvhiyiwa kunoitwa kugadzirisa kana kutsiva vharuvhu yakakuvara. Pose pazvinogoneka, vanachiremba vanoedza kugadzirisa vharuvhu yako wega. Kana izvozvo zvisingaite, vharuvhu yekugadzira (vharuvhu yemakanika kana yematishu) inoiswa. Iye zvino, kune nzira dzisinganyanyi kukuvadza dzisingade kucheka kukuru pachipfuva sekare.
3. Maitiro ekushandisa catheter: Iyi nzira iri nyore kupfuura kuvhiyiwa. Chubhu diki (catheter) inopinzwa mutsinga yeropa mugumbo kana ruoko yopinzwa mumoyo kuti itsive vharuvhu kana kugadzirisa vharuvhu iripo. Maitiro aya haana kukodzera munhu wese, uye anosarudzwa nachiremba wako.
Chiremba wako achakurukura newe kuti ndeapi marapirwo akakunakira uye achatsanangura zvakanakira nezvakaipira zvesarudzo imwe neimwe asati asarudza.
Tinogona kudzivirira mamiriro ezvinhu aya here?
Hatigoni kudzivirira zvimwe zvinokonzera, zvakaita sekuremara kwekuzvarwa kana kukwegura. Zvisinei, pane zvakawanda zvatinogona kuita kuti mwoyo yedu nemavharuvhu zvirambe zvakanaka.
- Usasvuta zvachose. Kusvuta kunokuvadza mwoyo netsinga dzeropa zvikuru.
- Maekisesaizi nguva dzose. Kunyangwe chimwe chinhu chiri nyore sekufamba nekukurumidza kwemaminitsi makumi matatu pazuva, mazuva mashanu pasvondo.
- Tevedzera kudya kunovaka muviri. Deredza kudya zvine munyu, shuga, uye mafuta akawanda. Idya michero yakawanda, miriwo, nyemba, uye zviyo zvakakwana.
- Ramba uine huremu hwakanaka. Kufuta mutoro mukuru pamoyo.
- Usaregeredza kurwadziwa kwepahuro senge strep throat, asi enda kuna chiremba nekukasika wobva watora mishonga inorwisa mabhakitiriya. Izvi zvinogona kubatsira kudzivirira matambudziko akaita serheumatic fever.
Mibvunzo yaunofanira kubvunza chiremba wako
Kana ukaona kuti une chirwere ichi, zvakajairika kuva nemibvunzo yakawanda mupfungwa dzako. Usatya kana kutya, asi bvunza chiremba wako nezvezvinhu izvi zvakajeka.
- "Chiremba, ndeipi vharuvhu iri mumoyo mangu iri kubuda?"
- "Kubuda kwemvura uku kwakakomba zvakadii? (kudiki, kuri pakati nepakati, kana kwakanyanya?)"
- "Ndeipi nzira yakanakisisa yekurapwa nayo?"
- "Ndezvipi zvandinofanira kuchinja muhupenyu hwangu?"
- "Ndinofanira kudzoka kangani kuzoongororwa?"
Kurapwa kwekukurumidzira kunodiwa rini?
Vharuvhu yemwoyo inobuda kazhinji haisi dambudziko re emergency. Zvisinei, kana ukaona zviratidzo zvechirwere chemwoyo kana sitiroko , zvinogona kuisa hupenyu panjodzi. Fonera 911 nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
Zviratidzo zvechirwere chemwoyo: Kurwadziwa kwakanyanya kana kumanikidzwa pakati pechipfuva (kurwadziwa uku kunogona kupararira mumaoko, pamapfudzi, pashaya, kana kumusana), kudikitira zvakanyanya, kuoma kufema, uye kupera simba.
Zviratidzo zvestroke: kurembera kwerutivi rumwe rwechiso, kusanzwa simba kweruoko rumwe kana gumbo, kuoma kutaura.
Mharidzo Yekuenda Nayo Kumba
- Vharuvhu yemwoyo inobuda zvinoreva kuti vharuvhu yemoyo haivharike zvakanaka, zvichiita kuti ropa riyerere richidzokera kumashure.
- Kubuda kwemvura kudiki kunowanzoitika uye kazhinji hakukonzeri zviratidzo kana matambudziko akakomba.
- Kana ukaona zviratidzo zvakaita sekushaya mweya, kuneta, kurwadziwa muchipfuva, kana kuzvimba kwemakumbo ako, zvakakosha kuti uone chiremba.
- Muedzo mukuru unoshandiswa kuongorora chirwere nemazvo i echocardiogram (Echo test).
- Zvichienderana nemamiriro ako ezvinhu, kune nzira dzinoshanda dzekurapa, dzakadai semishonga, kugadzirisa mavharuvhu kana kuvhiyiwa kwekutsiva. Usatya.
- Nekutaura nachiremba wako, kunzwisisa mamiriro ako ezvinhu, uye kutevera mazano anopiwa, unogona kurarama hupenyu hurefu uye hune hutano.
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