Ko atrium yekuruboshwe yemoyo wako yakakura here? (Kukura kweAtrial Yekuruboshwe) Ngationei nezveizvi!

Wakambonzwa here nezvezvikamu zvemoyo zvichikura zvishoma? Pamwe chiremba wako akakuudza chimwe chinhu chakadai. Iri ndiro dambudziko ratiri kuda kutaura nezvaro nhasi, rinonzi Left Atrial Enlargement. Usazvidya mwoyo, tichataura kuti chii, kuti sei zvichiitika, uye zvekuita nezvazvo.

Chii chinonzi Kukura Kweatrial Yekuruboshwe?

Muchidimbu, Kukura kweAtrial Yekuruboshwe kunoitika kana imwe yemakamuri ari mumoyo mako, iyo atrium yekuruboshwe, ikakura kupfuura zvakajairika. Izvi hazviitike kamwe chete, zvinoitika zvishoma nezvishoma nekufamba kwenguva. Zvakafanana nemvura painodonhera mumadziro mumba medu, inozvimba zvishoma nezvishoma.

Fungidzira kuti mwoyo wedu wakaita seimba diki ine makamuri mana. Kune makamuri maviri padhoro repamusoro (atria) nemakamuri maviri padhoro repasi (ventricles). Imba iri kuruboshwe rwekumusoro inonzi left atrium . Ropa rine oxygen yakawanda kubva mumapapu rinotanga rapinda mudhoro rekuruboshwe iri. Ropa iroro rinoenda kuventricle yekuruboshwe, uko rinopombwa kuenda kumuviri wese.

Zvino, kana paine dambudziko mune dzimwe nzvimbo dzemwoyo, semuenzaniso, kana paine BP yakakwira , kana paine dambudziko nemavharuvhu emwoyo (kunyanya vharuvhu yemitral iri pakati peatrium yekuruboshwe neventricle yekuruboshwe), panogona kuva nekumanikidzwa kwakawanda muatrium yekuruboshwe. Kana kuti ropa rakawandisa rinogona kuungana ipapo.

Zvakafanana nemukoma kana hanzvadzi mumhuri anoenda kunobatsira vamwe opedzisira ava mumatambudziko nekusimudza uremu hwakawandisa. Atrium yekuruboshwe inotatamuka zvishoma nezvishoma uye inokura painoedza kuchinjika uye kubata nekumanikidzwa uku kwakawedzera. Kutatamuka uku kunogona kukuvadza madziro eatrium uye kukonzera mavanga.

Ndiani anonyanya kukanganisa mamiriro aya? (Ndiani anonyanya kukanganisa?)

Kunyangwe chero munhu achigona kuva nechirwere ichi chinonzi left atrial enlargement, vamwe vanhu vari panjodzi huru. Ngatitarisei kuti ndivanaani:

• Kune avo vane BP yakakwira . Tese tinoziva zvinoreva "BP yakakwira".
• Kune avo vane chirwere che mitral valve . Iyi ivharuvhu inokosha kuruboshwe rwemoyo.
• Kune avo vane chirwere chevharuvhu yeaorta . Iyi ndiyo vharuvhu inobatanidza tsinga huru inotakura ropa kubva kuventricle yekuruboshwe kuenda kumuviri.
• Kune vanhu vane chirwere chemwoyo . Idzi ndidzo tsinga dzinopa ropa kumoyo pachawo.
• Kune vanhu vane mamwe marudzi ezvirwere zvetsandanyama dzemwoyo (Cardiomyopathy) .
• Kune vanhu vane chirwere chinonzi diastolic dysfunction . Izvi zvinoitika kana makamuri emoyo asingavhurike zvakanaka uye asingazadzi neropa.
• Kukwira kweropa kwe ventricular yekuruboshwe(Kukura kwekamuri repazasi rekuruboshwe remoyo).
• Kune avo vane chirwere chemwoyo chekuzvarwa nacho .

Ongororo yakaitwa muItaly yakawana kuti mumakore gumi, vanhu vakuru vanosvika 12% vakava nedambudziko iri rekukura kweatrium yeruboshwe. Izvi zvinoreva kuti hazvisi zvisinganyanyi kuitika. Muongororo iyoyo, vanhu vanonyanya kubatwa nechirwere ichi vaiva mumakore avo ekuma40 ne50.

Zviratidzo zvacho ndezvipi?

Heino chinhu chakakosha. Hapana zviratidzo chaizvo zvekukura kweatrial yekuruboshwe. Zvisinei, unogona kuona zviratidzo zvechirwere chakakonzera izvi. Ngationei kuti chii:

• Kufenda
• Kunzwa kuneta nguva dzese
• Kurova kwemoyo - Kunzwa sekunge ngoma dziri kurova mukati mechipfuva.
• Kuwedzera uremu kamwe kamwe
• Kutadza kufema - Kunzwa sekunge uchafenda kunyangwe ukashanda nesimba zvishoma.
• Kuzvimba mumaoko ako kana makumbo

Pamusoro pezvo, kukura kweatrial yekuruboshwe kunogona kukonzera kusagadzikana kwemutinhimira wemoyo, kana kuti arrhythmias . Zviratidzo izvi zvinogona kusanganisira:

• Kurova kwemoyo nekukurumidza kana kusina kurongeka (palpitations)
• Chipfuva chichibhururuka
• Kurwadziwa kwechipfuva
• Kufenda

Chii chinokonzera kukura kweatrial kuruboshwe? (Chii chinokonzera LAE?)

Pane zvikonzero zvakawanda zvinogona kukonzera izvi. Zvimwe zvinoberekwa nazvo, nepo zvimwe zvichikura nekufamba kwenguva. Ngatitarisei zvimwe zvezvikonzero zvikuru:

• Kukwira kweropa - Ichi ndicho chikonzero chinowanzoitika.
• Kuoma kwetsinga dzeropa - Kana vharuvhu iyi ikasavhurika zvakanaka, zvinova zvakaoma kuti ropa riyerere mberi.
• Kuoma kwetsinga yeropa (Mitral valve stenosis) - Izvi zvinoitawo kuti ropa risabude kubva kuruboshwe kuenda kuruboshwe.
• Kudzoreredza vharuvhu yeMitral - Vharuvhu haivharike zvakanaka, zvichiita kuti ropa riyerere richidzokera muatrium.
• Kuva nebundu kana kuti gomarara mu atrium yekuruboshwe.
• Arteriovenous fistulas - Apa ndipo apo ropa rinoyerera zvakananga kubva mutsinga kuenda kutsinga, pasina kushandisa nzira dzepakati nepakati (capillaries).
• Mwoyo wemutambi - Hukuru hwemwoyo hweavo vanodzidzira nesimba nguva dzose hunogona kunge hwakakura zvishoma pane zvakajairwa.
• Kusashanda zvakanaka kwe diastolic ye ventricle yekuruboshwe.
• Kukundikana kwetsinga yekuruboshwe .
• Zvikanganiso zvemwoyo zvekuzvarwa nazvo:
• Buri riri pakati pemaventricles (Ventricular septal defect - VSD)
• Patent ductus arteriosus (PDA) - Iri idambudziko rekuzvarwa naro remwoyo.

Izvi zvinoonekwa sei?

Muedzo mukuru unogona kushandiswa nachiremba wako kuongorora chirwere ichi iECG (electrocardiogram) . Tose tinoziva kuti chii chinonzi ECG.

Chiratidzo chakasiyana chekuwedzera kweatrial yekuruboshwe paECG i "P wave" yakareba zvisingawanzoitiki. Iyi P wave inoratidza kudzikira kweatria mbiri dzemoyo. Kazhinji, izvi zvinofanira kunge zviri pasi pemamirisekonzi zana nemakumi maviri. Kana zvakaenzana kana kupfuura izvozvo, zvinofungidzirwa kuti atrium yekuruboshwe inogona kunge yakakurisa.

Pamusoro pezvo, kune mimwe miedzo yekusimbisa chirwere ichi:

• Transthoracic echocardiogram (TTE) - Izvi zvinowanzonzi "Echo scan". Izvi zvinotibvumira kuona mukati memoyo.
• Kuongororwa kweCT yemwoyo `(CT yemwoyo - computed tomography)`
• Kuongororwa kweMRI yemoyo

Inorapwa sei?

Heino chimwe chinhu chekunzwisisa. Hapana mushonga chaiwo wekuwedzera kweatrial yekuruboshwe. Zvakare, kana chirwere ichi chavepo kweanopfuura vhiki, zvakaoma kuchichinja.

Asi musazvidya moyo! Vanachiremba vari kurapa chirwere chakakonzera izvi. Kurapa chikonzero chacho kunogona kudzivirira kuti atrium yekuruboshwe isakure.

Zvinotevera zvinogona kuitwa sekurapa:

• Kurovedza muviri nguva nenguva.
• Rega kushandisa zvigadzirwa zvefodya.
• Kudya chikafu chisina munyu mushoma.
• Kuderedza kunwa doro.
• Kutora mishonga yekudzora BP.
• Kuvhiyiwa kana dzimwe nzira dzekugadzirisa matambudziko ane mavharuvhu emwoyo .
• Kutora mushonga wekuderedza zviratidzo zvinokonzerwa nematambudziko evharuvhu.
• Kutora mishonga inodzikisa ropa (anticoagulants) kudzivirira sitiroko .
• Kutora mishonga yekudzivirira kushaya simba kwemoyo .

Pane migumisiro yekurapwa here? (Matambudziko/migumisiro yekurapwa here?)

Shanduko dzakanaka dzaunoita mumararamiro ako (kurovedza muviri, kudya zvakanaka) dzichakuitira zvakanaka, kwete zvakaipa. Zvisinei, mishonga yaunotora inogona kuva nemigumisiro yakaipa.

Migumisiro inogona kuitika yemishonga inotorwa kurapa chikonzero chekukura kweatrial yekuruboshwe:

• Dzungu
• Kufenda
• Mazinga asina kujairika e electrolyte mumuviri

Panguva yekuvhiyiwa, pane njodzi yekubuda ropa kana kutapukirwa nehutachiona. Kugadziriswa kana kutsiva mavharuvhu kunogona kuva nenjodzi dzinotevera:

• Kumira kurova kwemoyo
• Kurohwa
• Kukundikana kweitsvo
• Kurira kwemoyo kusina kujairika

Mamwe ematambudziko aya anogona kutokonzera njodzi kuhupenyu. Ndosaka uchifanira kukurukura zvese izvi nachiremba wako usati waita chero sarudzo.

Zvinotora nguva yakareba sei kuti munhu apore? (Nguva yekupora?)

Kana paine kugadziriswa kana kutsiva vharuvhu, uchafanira kugara muchipatara kwemazuva mashoma kusvika pavhiki. Zvichienderana nerudzi rwekuvhiyiwa, zvinogona kutora mwedzi miviri kusvika mitatu kuti unyatsopora.

Ndingadzivirira kukura kweatrial yekuruboshwe here? (Ndingadzivirira sei LAE?)

Ehe, zvinogoneka! Chinhu chakanakisa chekuita ndechekuchengetedza moyo wako uine hutano uye kuzvidzivirira kubva kuzvirwere zvemwoyo zvinokonzera kukura kweatrial yekuruboshwe.

Imwe ongororo yakawana kuti kuita zvinhu izvi kunogona kubatsira kudzivirira kukura kweatrial yekuruboshwe:

• Chengeta BP yako iri yakajairika.
• Chengetedza huremu hwemuviri wako padanho rakanaka.
• Dzivirira hypertrophy ye ventricular yekuruboshwe.
• Rega kusvuta.
• Dzora doro rako (kana uchidaro, inwa zvishoma).

Chii chandingatarisira kana ndine chirwere ichi?

Vaongorori vakaona kuti kana atrium yekuruboshwe ikawedzerwa, njodzi yekubatwa nechirwere chemwoyo mune ramangwana inenge yakakwira:

• Kukundikana kwemoyo
• Atrial fibrillation (kurova kwemoyo kusina kurongeka muatria)
• Chirwere chemwoyo chinokwira neBP (chirwere chemwoyo chinokonzerwa neBP yakakwira)
• Kurohwa

Kana wangoziva izvi, unogona kushanda nachiremba wako kuti vagadzire hurongwa hwekuvandudza hutano hwemwoyo wako kutanga izvozvi. Tora izvi seyambiro woita chimwe chinhu nezvazvo.

LAE yakakomba zvakadii?

Kukura kweatrial yekuruboshwe hakusi dambudziko guru rega. Zvisinei, rinogona kuva chiratidzo cheimwe dambudziko guru riripo. Zvakafanana nekubuda kwemvura mumba. Kubuda kwemvura hakusi dambudziko, asi chiratidzo chekuti pane buri guru padenga.

Saka kana uine chirwere ichi, zvakakosha kuti uwane chikonzero chacho wochirapa. Kana chikonzero chacho chikasarapwa, zvinogona kukonzera matambudziko mune ramangwana.

Munhu ane atrium yekuruboshwe yakakura anogona kurarama hupenyu hwakajairika here? (Unogona kugara neLAE here?)

Ehe, zvinogoneka. Asi, unofanira kuziva kuti chii chinokonzera. Kana wangoziva chikonzero chacho, unofanira kuwana mushonga wakakodzera.

Ndinofanira kuona chiremba wangu rini?

Kunyangwe kana usina zviratidzo, chiremba wako achadaZviongorore gore rega rega uye ongorora zvinhu zvakaita se echo scan. Izvi zvinogona kukubatsira kunzwisisa mamiriro emwoyo wako.

Kana ukangoerekana waona zviratidzo zvestroke (kurereka kurutivi rumwe rwechiso, kuoma kutaura, kurasikirwa nekushanda kweruoko) kana zviratidzo zvechirwere chemwoyo (kurwadziwa kwechipfuva kwakanyanya, kuoma kufema), fonera 911 nekukasika kana kuenda kuchipatara chiri pedyo.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana chiremba wako akakuudza kuti atrium yako yekuruboshwe yakakura, usakanganwa kubvunza mibvunzo iyi:

• Chii chiri kukonzera kuti atrium yangu yekuruboshwe ikure?
• Ndeipi nzira yakanakisisa yekurapa?
• Vamwe vese vemhuri yangu vanofanira kuongororwa izvi here?

Chekupedzisira, chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)

Kana chiremba akakuudza kuti une Left Atrial Enlargement, funga izvozvo sechiratidzo chekunyevera . Zvinoreva kuti inguva yekuteerera chimwe chinhu chiri mumoyo mako.

Tsvaga chikonzero chacho uye shanda nachiremba wako kuti mugadzire hurongwa hwekurapa. Kuchengetedza moyo wako chinhu chakanaka nguva dzose. Hazvifanirwe kunge chiri chinhu chikuru. Kunyangwe zvinhu zvidiki zvakaita sekupaka mota kure nechitoro nekufamba zvishoma, kana kudya lettuce panzvimbo pekudya zvine mafuta nemupunga wako, zvinogona kuita mutsauko mukuru. Chiremba wako anogona kukupa mushonga wekudzora BP yako. Kudzora BP yako ndeimwe yematanho makuru aunogona kutora kuti uvandudze hutano hwako.

Saka, chengetedza moyo wako. Nekuti ndiwo unokuchengetedza uri mupenyu!

Chirwere chemwoyo , Kukura kweAtrial Yekuruboshwe, Matambudziko emwoyo, Kukwira kweropa, Chirwere chevharuvhu yemoyo, ECG, Echo