Mwoyo ndiyo injini diki mumuviri wedu inoshanda isingamiri uye isingambozorori. Mwoyo uyu unoshanda nguva dzose kunyangwe patinenge takarara, tichishanda, tichimhanya, tichisvetuka. Asi chii chinoitika kana moyo ukamanikidzwa zvakanyanya? Sezvatinongoita patinosimudza mutoro unorema uye tsandanyama dziri mumaoko edu dzichikura, kana moyo waneta zvakanyanya, madziro awo, kunyanya madziro ekamuri huru (left ventricle) inopomba ropa kuenda kumuviri, anotanga kukora uye kukura. Mukurapa, tinodana chirwere ichi kuti 'Left Ventricular Hypertrophy' kana kuti LVH. Ichi chirwere chinowanzoitika pakati pedu muSri Lanka. Saka, ngatitaurei nezvazvo nhasi, nenzira yaunogona kunzwisisa.
Chii chaizvo chinonzi Left Ventricular Hypertrophy (LVH)?
Zvichitaurwa zviri nyore, LVH ndiko kukora kwemadziro emhasuru eventricle yekuruboshwe, imwe yemakamuri mana makuru emwoyo wedu. Iyi ventricle yekuruboshwe ndiyo ine basa guru remoyo wedu. Kureva, kupomba ropa rine oxygen kubva mumapapu kuenda kuaorta, tsinga yeropa yakakura kwazvo mumuviri wedu. Kubva ipapo, ropa rinopararira mumuviri wese, kubva pamusoro pemusoro kusvika pasi petsoka.
Saka, nekuda kwechimwe chikonzero, kana paine kumanikidzwa kwakanyanya kana kuvharika mukuita uku kwekupomba ropa, ventricle iyi yekuruboshwe inofanira kushanda nesimba kupfuura zvayagara ichiita. Zvakafanana nepombi yemvura inoita ruzha rwakawanda kana yavharika. Kana ukashanda nesimba nekufamba kwenguva, tsandanyama dziri mukamuri iyoyo dzinokora zvishoma nezvishoma uye dzinokura. Izvi zvinonzi LVH. Dzimwe nguva, kamuri iyi inogona kutambanudza nekukura kuti ikwanise kubata huwandu hweropa rakawedzerwa. Zvidzidzo zvinoratidza kuti munhu mumwe chete pavanhu vashanu paavhareji anogona kunge aine chirwere ichi.
Kune mhando dzeLVH here?
Ehe, vanachiremba vanoisa ventricle yako yekuruboshwe muzvikamu zvakasiyana-siyana zvichienderana nehukuru uye ukobvu hwemadziro ayo. Zvakakosha kuti uzive izvi.
| Rudzi rweLVH | Zvichitaurwa zviri nyore, izvi ndizvo zvinoitika. |
|---|---|
| Yakadzika midzi | Madziro emakamuri emwoyo anokora mukati, zvichiita kuti nzvimbo (mukati mekamuri) izare neropa iite diki. |
| Musiyano wepakati | Kamuri remoyoInotambanuka yowedzera kukura. Izvi zvinoita kuti nzvimbo (mukati mekamuri) izare neropa ikure. |
| Kugadzirisa zvinhu zvakadzika (CR) | Kunyange zvazvo madziro acho akakora, tsandanyama dzose dzacho dzakafanana. |
Ndezvipi zviratidzo zvinoonekwa nemunhu ane LVH?
Dambudziko guru pane izvi nderekuti LVH inogona kunge isina zviratidzo pakutanga kwayo . Vanhu vazhinji vanongozoona kuti vane chirwere ichi kana vakaongororwa nachiremba nekuda kwechimwe chikonzero. Asi sezvo mamiriro acho achiramba achiwedzera kuipa, uye kumanikidzwa kwemoyo kuchiwedzera, unogona kuona zviratidzo zvakaita seizvi.
| Chiratidzo | Izvi zvinonzwa sei? |
|---|---|
| Kurwadziwa kwechipfuva | Chipfuva chako chinganzwa chakaoma uye chakamanikana, kunyanya kana wakaneta kana kuti uchirovedza muviri. |
| Dzungu kana kupera simba (Syncope) | Kamwe kamwe, musoro wako unotenderera, maziso ako anoshanduka kuita bhuruu, uye dzimwe nguva ungatorasikirwa nepfungwa wodonha. |
| Kurova kwemoyo nekukurumidza kana kusina kurongeka | Kurova kwemoyo kunowedzera kamwe kamwe, kana kuti kunonzwa sekunge kuri kurova pasina mutinhimira. |
| Kurova kwemwoyo | Paunorara, kana wakanyarara, unogona kunzwa uye kunzwa ruzha rwemoyo wako ruchirova "dugged dug". |
| Kuneta | Kunyangwe ndichiita zvinhu zvidiki zvandinogara ndichiita, ndinokurumidza kuneta. Ndinonzwa sekunge handina hupenyu mumuviri wangu. |
| Kuoma kufema | Pandinofamba zvishoma, kukwira masitepisi, kana kukotama, zvinondiomera kufema, uye ndinonzwa dzungu. |
Sei chirwere ichi cheLVH chichiitika? Ndezvipi zvikonzero?
Chikonzero chikuru uye chinowanzo konzera LVH iBP yakakwira, inozivikanwawo seBP. Kana BP yako ikawedzera, BP iri mukati metsinga dzako dzeropa inowedzera. Saka moyo wako unofanirwa kushanda nesimba kupfuura zvawagara uchiita kuti ropa rirwisane neBP iyi yakawedzera. Paunoshanda nesimba kwemakore, tsandanyama dzemwoyo dzinoita kuti dzikure.
Asi hazvisi zvekumanikidzwa chete, kune zvimwe zvikonzero zvakawanda zvinogona kukanganisa izvi.
- Chirwere chevharuvhu yemwoyo: Mavharuvhu ari mumoyo akafanana nemagonhi. Anochengetedza ropa richiyerera nenzira imwe chete uye anoridzivirira kuti risadzokere shure. Kana mavharuvhu aya akava matete (stenosis) kana kuti akadonha (regurgitation), moyo unofanirwa kushanda nesimba kuti upombe ropa.
- Chirwere cheshuga: Chirwere cheshuga chisingadzoreki chinokonzera kuwanda kweshuga muropa. Izvi zvinogona kukuvadza moyo nekufamba kwenguva.
- Cardiomyopathy: Nekuda kwezvimwe zvikonzero zvemajini kana zvimwe, tsandanyama yemwoyo inogona kungokora kana kupera simba.
- Kubatana kwetsinga dzeropa: Ichi chirwere chinowanikwa pakuzvarwa. Mutsinga mukuru weropa unotakura ropa mumuviri unochekwa panzvimbo imwe chete. Saka moyo unofanirwa kushanda nesimba kuti upombe ropa nepanzvimbo iyoyo yakachekwa.
- Zvimwe zvirwere: Cardiac amyloidosis (kuiswa kwemapuroteni mumoyo), renal artery stenosis (kutetepa kwetsinga dzeropa dzinoendesa ropa kuitsvo), uye ventricular septal defect (VSD) (buri riri pakati pemakamuri emwoyo) zvinogonawo kukonzera LVH.
- Kudzidzira kwakasimba kwemitambo: Vatambi vanoita maekisesaizi uye vanorovedza muviri zvakanyanya vanogona kunge vaine moyo wakakura zvishoma. Zvisinei, ichi hachisi chirwere. Mwoyo yavo inoshanda zvakanaka.
Chinhu chakakosha ndechekuti kunyangwe uine chimwe chezvirwere izvi kana zvakawanda, hazvirevi kuti uchava neLVH. Asi njodzi yacho yakakura. Saka, zvakakosha kudzora zvirwere izvi nemazvo.
Ndiani ari panjodzi huru yekubatwa neLVH?
Vamwe vanhu vari panjodzi huru yekubatwa nechirwere ichi kupfuura vamwe.
- Kufuta: Kana uine huremu hwakawandisa, mwoyo wako unofanirwa kushanda nesimba kuti upombe ropa mumuviri wako wese. Njodzi yako inowedzera kana BMI yako iri pamusoro pe30.
- Chirwere cheitsvo chisingaperi: Kana itsvo dzikatadza kushanda, huwandu hwemvura nemunyu mumuviri hunowedzera, izvo zvinogona kukonzera BP yakakwira.
- Kusagona kufema zvakanaka panguva yekurara: Dambudziko iri, apo kufema kunowanzomira panguva yekurara, rinoisa kumanikidzwa kwakanyanya pamoyo.
- Zvikanganiso zvemararamiro: Zvinhu zvakaita sekushandisa fodya, kuwedzera munyu wakawandisa pakudya kwako, uye kusaita maekisesaizi zvinowedzerawo njodzi.
Chii chinoitika kana LVH ikasiyiwa isina kurapwa?
Apa ndipo patinofanira kutarisa tese. LVH chiratidzo chekuti mwoyo uri kukumbira rubatsiro. Kana tikasateerera, nekufamba kwenguva, kugona kwemoyo kupomba kunogona kupera simba uye matambudziko akakomba anogona kuitika.
- Kusashanda zvakanaka kwemoyo `(Arrhythmia)`
- Kumira kurova kwemoyo
- Kusungwa kwemwoyo
- Chirwere chemwoyo `(Kukundikana kwemoyo)`
- Kurohwa
- Dementia
Njodzi yekubatwa nezvirwere zvakakomba izvi inowedzera kana munhu abatwa nechirwere chemwoyo (LVH), saka zvakakosha kuti munhu aongorore chirwere ichi uye atange kurapwa nekukurumidza.
Chiremba anowana sei izvi?
Kunyangwe kana usina zviratidzo, chiremba wako anogona kufungidzira izvi paunoongororwa nguva dzose. Kuongororwa kwakati wandei kuchaitwa kuti kusimbiswe kuvapo kweLVH uye kuwana chikonzero.
- Echocardiogram (Echo): Iyi ndiyo bvunzo inonyanya kukosha. Yakafanana nekuongororwa kwemwana mucheche. Inokwanisa kuona zvakajeka saizi yemakamuri emwoyo, ukobvu hwemadziro, mashandiro emavharuvhu, uye kuti moyo unopomba sei ropa.
- Electrocardiogram (ECG kana EKG): Iyi inoongorora mashandiro emagetsi emwoyo. Kana moyo wakakura, shanduko dzinogona kuonekwa paECG.
- MRI Scan: Mune zvimwe zviitiko, MRI scan ingangodiwa kuti udzidze chimiro chemwoyo zvakajeka.
- Kuongororwa kweropa: Kuongororwa kweropa kunoitwa kuti kuongororwe zvimwe zvirwere, zvakaita sechirwere cheshuga nechirwere cheitsvo.
Ndezvipi zvinorapwa izvi?
Chinangwa chikuru chekurapa LVH ndechekurapa chinokonzera chirwere ichi. Izvi zvinoderedza kushushikana pamoyo uye zvinomisa kana kuderedza kufambira mberi kweLVH.
| Nzira yekurapa | Chii chinoitika neizvi? |
|---|---|
| Kuchinja mararamiro | Kudzvinyirirwa kweropa kunogona kudzorwa nekudya chikafu chine munyu mushoma, chine hutano, kurovedza muviri zuva nezuva, kudzora huremu, uye kusaputa fodya. Iyi ndiyo hwaro hwekurapa. |
| Mishonga yeBP | Zvakakosha kutora mishonga yeBP yawakanyorerwa nachiremba wako panguva chaiyo uye nemazvo. Mishonga iyi inoderedza kumanikidzwa kwemoyo uye inodzivirira LVH kuti isanyanya kuipa. |
| Mimwe mishonga | Mimwe mishonga yechirwere cheshuga (yakadai seSGLT2 inhibitors) yakawanikwa ichibatsira kudzora LVH. |
| Kuvhiyiwa kwevharuvhu yemoyo | Kana LVH ichikonzerwa nekutetepa kwevharuvhu yemoyo, kutsiva kana kugadzirisa vharuvhu iyoyo nekuvhiyiwa kunogona kuderedza kumanikidzwa kwemoyo. |
| Kuvhiya kuderedza huremu (Bariatric surgery) | Kana kufuta kwakanyanya kusingagone kudzorwa, dzimwe nguva kuvhiyiwa kwakadai kunogona kukubatsira kuderedza huremu uye kudzora BP yako. |
Ndinofanira kuona chiremba rini?
Kana ukaona chimwe chezviratidzo izvi, usazviregeredza.
Kana uchinzwa kurwadziwa kwakanyanya pachipfuva, kuoma kufema zvakanyanya, zviratidzo zvestroke (kurereka kurutivi rumwe rwechiso, kusanzwa simba muruoko, kuoma kutaura), kana kurova kwemoyo nekukurumidza kana kusina kurongeka, enda kuchipatara cheEmergency Department (ETU) nekukasika.**
Uyezve, kana chiremba wako akakuudza kuti une LVH, zivisa chiremba wako nezvekuchinja kupi zvako kana kuwedzera kwezviratidzo zvako.
Ko LVH inogona kudzoserwa kumashure here?
Aya ndiwo mashoko akanaka. Ehe, mune dzimwe nguva, LVH inogona kudzorwa, kudzorwa, uye kutodzorwa zvachose!Ongororo dzakaratidza kuti kana BP ikadzorwa zvakanaka, tsandanyama dzemwoyo dzakakora dzinogona kupora kusvika pamwero wakati.
Asi izvi zvinoenderana nekuoma kwechirwere chako, kuti wava nenguva yakareba sei uine BP yakakwira, uye kana uine zvimwe zvirwere zvakaita sekufutisa. Saka chinhu chakanakisa chaunogona kuita kutevedzera mirairo yachiremba wako nemazvo. Zvakakosha kutora mishonga yako, kuchinja mararamiro ako, uye kuenda kukiriniki nenguva.
Mharidzo Yekuenda Nayo Kumba
- Kukwidza Kweropa Kwekuruboshwe (LVH) ndiko kukora kwemadziro ekamuri huru inopomba mweya. Chikonzero chikuru cheizvi iBP yakakwira.
- Panogona kunge pasina zviratidzo pakutanga, saka gara uchiongororwa BP yako uye ongororwa nachiremba.
- Nzira yakanakisisa yekudzora LVH ndeyekurapa chirwere chiripo (kunyanya BP) chiri kukonzera chirwere ichi nemazvo.
- Mararamiro ane hutano (kudya zvakanaka, kurovedza muviri, kudzora huremu) zvinogona kubatsira zvikuru kudzora chirwere ichi.
- Kana muine mibvunzo kana zvinokunetsai nezvenyaya iyi, musatya kutaura pachena nachiremba wenyu. Kana mukaiwana nekukurumidza uye mukaiwana kurapwa kwakakodzera, munogona kurarama hupenyu hwakanaka.
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