Unoziva nezve "homwe" iyi iri mumoyo mako here? - Kuruboshwe kweAtrial Appendage

Tose tinoziva kuti moyo wedu inhengo inoshamisa. Asi hatitauri zvakawanda nezvezvimwe zvikamu zvidiki zvemoyo uyu, handiti? Nhasi tichataura nezvechikamu chidiki chaungave usina kunzwa zvakawanda nezvacho, asi chinogona kuva chakakosha zvikuru. Ichocho ndicho "Chikamu Chekuruboshwe CheAtrial" kana muchirungu `(Chikamu Chekuruboshwe CheAtrial)`, kana kuti tichachidana muchidimbu kuti `(LAA)`. Musazvidya mwoyo, ichi chinhu chiri nyore kunzwisisa.

Chii chinonzi Left Atrial Appendage iyi?

Zvichitaurwa zviri nyore, LAA ibhegi diki rine tsandanyama rinobatanidza chikamu chepamusoro chekuruboshwe chemoyo wako, atrium yekuruboshwe. Funga nezvaro sehomwe diki iri muhembe yako.

LAA inowanzo kurukurwa, kunyanya kuvanhu vane mamwe matambudziko emwoyo, akadai seAtrial Fibrillation (kurova kwemoyo kusina kurongeka, kunozivikanwawo seAfib), apo vanachiremba vanokurudzira kuvhara, kubvisa, kana kuvhara LAA kuderedza njodzi yekurohwa nestroke. Izvi zvinokonzerwa nekuti ropa rakawanda rinoumbwa mumoyo yevanhu vane Afib rinoumbwa mubhegi diki iri rinonzi LAA.

Asi chinonyanya kukosha pano ndechekuti hauna chikonzero chekutya . Nekuti iyi `(LAA)` haina kukosha kuti moyo wako uite mabasa awo ezuva nezuva nemazvo. Mwoyo unogona kushanda zvakanaka usina.

Chii chinoitika kune chikamu chekuruboshwe cheatrial (LAA)? Basa rayo nderei?

Iyi LAA diki ine basa rayo rakasiyana. Basa rayo guru nderekubatsira kudzora huwandu hweropa riri mumoyo, kana huwandu hweropa. Unozviziva sei ?

Kana huwandu hweropa huchipinda mumoyo mako huchiwedzera, uye madziro e "(LAA)" aya, anoburitsa rudzi rwakakosha rweprotein inonzi `(Natriuretic Peptides)` muropa. Funga nezvazvo senzira diki yekuzivisa muviri wedu. Aya machemical messenger anonzi `(Natriuretic Peptides)`, kana huwandu hweropa hukawedzera, anoenda kuitsvo oti, "Zvakanaka, ikozvino muviri wava nemunyu nemvura yakawandisa, ngatibudisei mimwe yacho muweti." Zvakare, izvi zvinozorodza mitsipa yeropa zvishoma, sekusunungura pombi yakamanikana zvishoma. Ipapo ropa rinogona kuyerera zviri nyore, uye BP inodererawo.

Zvino ungave uchishamisika kuti, chii chingaitika kumazinga e `(LAA)` aya kana tikaabvisa kana kuavhara nekuvhiyiwa? Kazhinji, mushure mekuita chimwe chinhu chakadai, mazinga aya e `(Peptide)` anogona kunge asina kujairika kwemwedzi mitatu. Asi anozodzokera paakajairika.

Chimwe chinhu ndechekuti kana huwandu hwe `(Natriuretic Peptides)` muropa hukawedzera zvakanyanya, dzimwe nguva zvinogona kuva chiratidzo chechirwere chakadai se `(Heart Failure)` (kwete chirwere chemwoyo, asi kushaya simba kwebasa remoyo). Nekuti ipapo muviri unoedza kubvisa mvura yakawandisa, nekuti moyo unonetseka kubata ropa rakawedzerwa.

Uyu `(LAA)` ari kupi? Akaita sei?

Zvakanaka, ngationei kuti `(LAA)` iyi iri papi chaizvo mumoyo. Iri munzvimbo diki yakaita semugero pakati peatrium yekuruboshwe (kamuri rekumusoro kuruboshwe) neventricle yekuruboshwe (kamuri rekuruboshwe repasi) yemoyo wako. Kazhinji, iri pamusoro peventricle yekuruboshwe kana pamusoro pe`(Main Pulmonary Artery)`, nzira huru inotakura ropa kubva pamoyo kuenda kumapapu. Zvakare, semamwe ose emoyo, iyi `(LAA)` iriwo mukati me`(Pericardium)`, chifukidziro chakaita sebhegi chinodzivirira chakakomberedza moyo.

Kana tichitaura nezvezvikamu, LAA ine buri rinoyerera ropa, uye saga rakagadzirwa netsandanyama dzinogona kukwenya. Ropa rinoyerera richipinda nekubuda nepaburi iri.

Panyaya yehukuru, LAA inowanzo kuve yakareba mamirimita makumi mana nematanhatu (pasi pemainchi maviri). Asi vamwe vanhu vanogona kureba kusvika mamirimita makumi maviri nemanomwe kusvika makumi matanhatu. Funga nezvayo serutivi rudiki rwekadhi rako rechikwereti. Bhegi diki iri rinogona kutakura mamirimita mapfumbamwe (anenge matisipuni maviri) eropa. Muromo, kana kuti kuvhurika, kweLAA kunowanzova kwakatenderera. Asi vamwe vanhu vanogona kunge vakatenderera kana kuva nezvimwe zvimiro.

Pane mhando dzakasiyana dze `(LAA)` here? Dzine mhedzisiro here?

Ehe, zvinoshamisa kuti havasi vese vane chimiro chakafanana. Kungofanana neminwe yedu, ine maumbirwo akasiyana. Kazhinji, `(LAA)` ine zvikamu zviviri kana zvitatu zvidiki, zvinonzi `(lobes)`. Asi vamwe vanhu vanogona kunge vaine lobe imwe chete, nepo vamwe vangave neina kana kupfuura. Kune maumbirwo mashoma anozivikanwa:

• Chimiro chemapapiro ehuku: Ichi ndicho chimiro chinowanzoonekwa. Pane kukombama kudiki pakati pechikamu chikuru. Vanhu vane chimiro ichi vanonzi vane njodzi shoma yekubatwa nestroke .
• Chimiro cheCactus: Iri rine petal huru iri pakati, uye mamwe petal anoita seanobuda mariri.
• Chimiro chesokisi yewindo: Iri rine denderedzwa rimwe chete refu, guru.
• Chimiro chekoriflower: Izvi zvakaoma zvishoma. Zvinoita sekunge maruva akawanda ane saizi imwe chete akabatana. Ichi ndicho chimiro chisingawanzoonekwi, uye chinoonekwawo sechine njodzi huru yekubatwa nestroke .

Zvino wanzwisisa, handiti? Chimiro che "(LAA)" iyi chinogonawo kukanganisa hutano hwedu kusvika pamwero wakati.

Ndezvipi zvirwere nezvirwere zvinowanzo kanganisa chirwere (LAA)?

Iyi `(LAA)` dzimwe nguva inogona kukonzera matambudziko akasiyana-siyana. Semuenzaniso:

• Kukuvara kunokonzerwa netsaona:Kana ukaita tsaona yemotokari kana imwe njodzi yakakura, LAA iyi inogona kukuvara kana kubvaruka.
• Mitral Valve Stenosis: Kana vharuvhu yemitral iri mumoyo ikava diki, kuyerera kweropa kubva kuruboshwe rweatrium kunova kunonoka. Nekuda kweizvozvo, kuyerera kweropa kuburikidza neLAA kunogonawo kunonoka.
• Atrial Fibrillation (Afib): Sezvambotaurwa, chirwere ichi chinowedzera njodzi yekuumbwa kweropa rakagwamba muLAA. Kana magwamba aya akapwanyika, achifamba nemuropa, uye akapinda mutsinga muuropi, anogona kukonzera sitiroko. Iyi ndiyo njodzi huru inokonzerwa neLAA.

Maitiro ekutarisa hutano hwe `(LAA)`?

Vanachiremba vane nzira dzakasiyana-siyana dzekuyedza kuti vaone mamiriro eLAA. Nzira huru dzekuongorora mifananidzo.

• Transesophageal Echo (TEE): Iyi iechocardiogram zvakare, asi muchiitiko ichi, kamuchina kadiki kakaita sekamera kanoiswa pasi pehuro uye moyo unoonekwa uri kumashure. LAA inogona kuonekwa zvakajeka.
• Ultrasound kuburikidza necatheter: Dzimwe nguva, LAA inoongororwa nekutumira mafungu e ultrasound kuburikidza nechubhu diki (catheter) inopinzwa mumuviri.
• MRI yemoyo (Magnetic Resonance Imaging): Muedzo unoshandisa simba remagineti nemasaisai eredhiyo kugadzira mifananidzo yakadzama yemoyo.
• Kuongororwa kweCT yemwoyo (Cardiac CT - Computed Tomography): Izvi zvinoshandisa X-rays kuti zviwane mifananidzo yemwoyo.

Kuongororwa uku kunogona kuratidza zvinhu zvakawanda, zvakaita sehukuru nechimiro cheLAA, uye kana paine mabundu eropa mukati mayo kana kuti kwete.

Ndeapi marapirwo ematambudziko ane chekuita ne `(LAA)`?

Kana paine dambudziko neLAA, kune nzira dzakasiyana-siyana dzekurapa dzinogona kuitwa. Izvi zvinogona kusanganisira kuvhiyiwa, kana kuti zvingava nzira dzisinganyanyi kukuvadza murwere.

• Kana `(LAA)` ikakuvara, inogona kugadziriswa .
• Mitral Valve Stenosis inogona kurapwa .
• LAA inogona kuvharwa, kubviswa, kana kuvharwa kudzivirira kuumbwa kweropa . Izvi zvinonyanya kuitika kune vanhu vane Afib vari panjodzi huru yekubatwa nestroke. Midziyo yakasiyana-siyana inoshandiswa pakuita izvi.

Ndingachengetedza sei `(LAA)` yangu (kureva, moyo wangu wese) uine hutano?

Kutaura zvazviri, hapana chinhu chakakosha chaunogona kuitira `(LAA)` uri wega. Zvisinei, kana ukaramba uine hutano hwemwoyo wako wese, `(LAA)` icharamba iine hutano hwakanaka. Saka, hezvino zvimwe zvinhu zvaunogona kuita kuti mwoyo wako ugare uine hutano:

• Iva nemuviri unoshanda kwemaminitsi angangoita 150 pasvondo.Izvi zvinoreva kufamba netsoka, kumhanya, kana kuchovha bhasikoro kwemaminitsi angangoita makumi matatu pazuva.
• Idya chikafu chine hutano mumoyo. Isa miriwo, michero, nyemba, chikafu chine fiber yakawanda, uye nyama isina mafuta akawanda nehove mukudya kwako. Deredza kudya zvinotapira, munyu, uye chikafu chine mafuta zvakanyanya sezvinobvira.
• Rega kushandisa zvigadzirwa zvefodya (fodya, beedis, nezvimwewo) zvachose.
• Dzora kushushikana muhupenyu hwako hwezuva nezuva. Zvinhu zvakaita sekufungisisa, yoga, uye kuita zvinhu zvinokuvaraidza zvinogona kubatsira.
• Kana uine zvirwere zvakaita seBP kana chirwere cheshuga, zvidzore zvakanaka. Tevedzera mirairo yachiremba wako nokungwarira.

Chekupedzisira, zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Vanhu vazhinji vanogona kunge vasina kana kumbonzwa nezvezita rekuti `(Left Atrial Appendage)`. Asi ikozvino wava kuziva kuti rinewo kabasa kadiki mukati memoyo. Zvisinei, kana uri panjodzi yekubatwa nestroke nekuda kweizvi `(LAA)`, yeuka kuti unogona kurarama hupenyu hwakanaka kunyangwe usina .

Zvakajairika kuti munhu anzwe kutya uye kutya kana chimwe chinhu chaitwa pamoyo, senge kuvhiyiwa. Zvisinei, kune munhu ane `(Afib)`, kuvharira `(LAA)` iyi kunogona kumubvumira kuti asade kushandisa mishonga yekudzivirira ropa kwenguva refu kuti adzivise sitiroko.

Saka, taura nachiremba wako pachena kuti chii chakanakira chirwere chako uye kuti ndeipi nzira yakakodzera yekurapa. Vachakutsanangurira zvese. Usatya kubvunza mibvunzo. Ndiwe unoita sarudzo nezvehutano hwako, saka zvakakosha kuziva zvese.

Moyo , Chidimbu cheAtrial Yekuruboshwe, Chidimbu cheAtrial Yekuruboshwe, LAA, Stroke, Atrial Fibrillation, Afib, Mavharo Eropa, Hutano hweMwoyo, Chirwere cheMwoyo