Hatizivi nezvenhengo dzese dziri mumuviri wedu, handiti? Kunyangwe moyo wakadaro. Wakambonzwa nezve 'Left Atrial Appendage' here? Pamwe hauna kuziva nezvazvo kusvika chiremba wako akuudza nezvazvo. Kunyanya kune munhu ane kurova kwemoyo kusina kurongeka senge Atrial Fibrillation (Afib), kuziva nezvechikamu chidiki ichi chemoyo kunogona kukosha zvikuru.
Chii chinonzi Left Atrial Appendage (LAA)?
Zvichitaurwa zviri nyore, iyi itsandanyama diki, yakaita sebhegi inobuda kubva kuruboshwe rwemoyo wako. Inowanzo taurwa kana chiremba achida kuivhara.
Zvino ungave uchifunga kuti, "Sei vaizoivhara?" Chikonzero ndechekuti ropa rakawanda rinoita kuti vanhu vane chirwere chemwoyo chinonzi Atrial Fibrillation (Afib) vaungane muLAA. Asi usazvidya moyo, moyo wako uchiri kugona kushanda zvakanaka pasina chikamu chidiki ichi.
Saka chii chaizvo chinoitika neLAA?
Basa rayo guru nderekubatsira kudzora huwandu hweropa mumoyo. Fungidzira, kana huwandu hweropa huchipinda mumoyo huchiwedzera uye madziro eLAA akatambanuka, inoburitsa puroteni inonzi natriuretic peptides muropa.
Mapeptide aya anoita zvinhu zvinoshamisa mumiviri yedu:
- Zvinopa itsvo dzedu chiratidzo chekuti dzibudise munyu nemvura yakawanda kuburikidza neweti.
- Zvinosunungurawo mitsipa yeropa redu zvishoma.
Maitiro aya anobatsira kuderedza BP yedu.
Zvino ungave uchishamisika kuti chii chinoitika kumapeptide aya kana LAA ikabviswa nekuvhiyiwa. Chinhu chinoshamisa ndechekuti mwedzi mitatu mushure mekuvhiyiwa, muviri unogadzirisa uye huwandu hwepeptide hunodzokera kune zvakajairika.
Chimiro uye chitarisiko cheLAA ndechei?
Kazhinji inenge yakareba masendimita maviri, saizi yakafanana nekadhi rechikwereti. Inogona kutakura zvipunu zviviri zveropa (zvinenge mamirita mapfumbamwe).
Asi LAA yemunhu wese haina kufanana. Kune maumbirwo akasiyana. Zvichienderana nechimiro ichi, njodzi yekubatwa nestroke inogona kutosiyana. Ngationei kuti ndeapi marudzi makuru emaumbirwo.
| Zita rechitarisiko | Tsananguro nenjodzi |
|---|---|
| Bapiro rehuku (rakaita sebapiro rehuku) | Rudzi urwu ndirwo rwakajairika. Pane kukotama kudiki pakati. Rudzi urwu runoonekwa serune njodzi shoma yekubatwa nestroke. |
| Cactus (yakaumbwa secactus) | Pane chikamu chikuru pakati, nezvimwe zvikamu zvinoita sezviri kubva pachiri. |
| Windsock (yakaita sebhegi remhepo) | Izvi zvine chikamu chimwe chete chakareba, chikuru. |
| Koliflower (chimiro chekoliflower) | Izvi zvakaoma zvikuru, nezvikamu zvakawanda zvakafanana. Izvi hazviwanzoitiki. Iyi ndiyo mhando ine njodzi huru yekubatwa nestroke . |
Ndezvipi zvinhu zvinokanganisa LAA?
Kune zvinhu zvakakosha zvakawanda zvinokanganisa LAA:
- Tsaona: Zvinhu zvakaita setsaona dzemotokari zvinogona kukuvadza kana kuparadza LAA.
- Kuoma kwe mitral valve: Kutetepa kwe mitral valve mumoyo kunononotsa kufamba kweropa kuburikidza ne LAA. Izvi zvinogona kuwedzera njodzi yekugwamba kweropa.
- Atrial fibrillation (Afib): Iyi ndiyo yatinofanira kunyatsoitarisa. NeAfib, atria yemoyo haigadzikane zvakanaka, asi inodedera. Izvi zvinogona kukonzera kuti ropa riungane muLAA uye kuwedzera njodzi yekuumbwa kweropa rakagwamba.
Chikonzero chikuru chestroke kumunhu ane atrial fibrillation (Afib) magwamba eropa anoumbwa muLAA. Stroke inoitika kana magwamba aya akasununguka ogara mutsinga yeropa iri muuropi.
Maitiro ekuongorora hutano hweLAA?
Kana chiremba wako achida kutarisa mamiriro eLAA, kune bvunzo dzakasiyana siyana dzekuongorora izvozvo.
- Transesophageal echo (TEE): Iyi inzira inoshandisa chubhu diki inoiswa pahuro kuti itore mifananidzo yakajeka yemoyo. Iyi inzira yakajairika inoshandiswa kuona LAA.
- Kuongororwa kwemoyo neMRI (Magnetic Resonance Imaging) uye Cardiac CT (Computed Tomography):Izvi zvinogona kupa mifananidzo yakadzama ye3D yemoyo neLAA.
Ndeapi marapirwo eLAA?
Kurapwa kweLAA kunoenderana nemamiriro emurwere.
- Kana paine kukuvara, kunogadziriswa nekuvhiyiwa .
- Kana paine dambudziko revharuvhu, rakadai se `mitral valve stenosis`, rinorapwa .
- Kana paine njodzi yekurohwa nestroke nekuda kweAfib, LAA inovharwa, inobviswa, kana kuvharwa kudzivirira kuumbwa kweropa. Uku ndiko kurapa kunobudirira zvikuru. Izvi zvinogona kuderedza njodzi yekurohwa nestroke.
Ndingachengetedza sei moyo wangu zvakanaka?
Zvakakosha kuchengetedza moyo wako wese uine hutano, kwete LAA yako chete. Kuti uite izvozvo, wedzera zvinhu zviri nyore izvi muhupenyu hwako.
- Edza kurovedza muviri kwemaminitsi angangoita 150 pasvondo. Kunyangwe kufamba nekukurumidza zvakakwana.
- Idya chikafu chine hutano pamoyo. Isa michero, miriwo, miriwo, nyama isina mafuta akawanda nehove mukudya kwako.
- Rega kushandisa fodya zvachose .
- Tsvaga nzira dzekugadzirisa kushushikana muhupenyu hwako hwezuva nezuva. Kunyangwe chimwe chinhu chakadai sekufungisisa, kuteerera mimhanzi, kana kutaura neshamwari chinogona kubatsira.
- Kana uine zvirwere zvakaita seBP yakakwira kana chirwere cheshuga , tevera mirairo yachiremba wako uye uzvidzore zvakanaka.
Kunyange hazvo vanhu vazhinji vasati vambonzwa nezvazvo, LAA ine basa diki mumiviri yedu. Zvisinei, kana ikakuisa panjodzi yekurohwa nestroke, zvakachengeteka kurarama usina. Zvakajairika kunzwa kutya zvishoma paunenge uchifunga nezvekuvhiyiwa kwemoyo. Asi kune munhu ane Afib, kuvharira LAA, kuzvisunungura kubva kumishonga inobvisa ropa mumuviri wese, uye kurarama usina njodzi yekurohwa nestroke inzira yakanaka yekurarama. Zvakanakisisa kutaura nachiremba wako nezvezvakanakira iwe.
Mharidzo Yekuenda Nayo Kumba
- Chikamu chidiki chemoyo chakaita sebhegi chakabatana neatrium yekuruboshwe. Hazvina kukosha pakushanda kwemoyo.
- Njodzi huru yeizvi ndeyekuti muvanhu vane Atrial Fibrillation (Afib), mavhandi eropa anogona kuumbwa mukati memoyo oenda kuuropi, zvichikonzera sitiroko.
- Njodzi yekubatwa nestroke inosiyana zvichienderana nechimiro cheLAA. Chimiro che'cauliflower' ndicho chine njodzi huru.
- Kuvhara, kubvisa, kana kuvharira LAA inzira inoshanda yekuderedza njodzi yekurohwa nesitiroko.
- Kana uine Afib, taura nachiremba wako pachena nezvenyaya iyi uye marapirwo akakunakira.
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