Dzimwe nguva unonzwa sekuti chipfuva chako chiri kurova here, unonetseka kufema kunyangwe uchifamba chinhambwe chipfupi, kana kuti unongonzwa kuneta zuva rese? Kunyangwe vanhu vazhinji vachifunga kuti izvi zvinhu zvakajairika, dzimwe nguva panogona kunge paine dambudziko diki mumoyo riri shure kweizvi. Mitral Valve Prolapse chirwere chinoonekwa pakati pevanhu vazhinji, asi kazhinji hachina njodzi. Ngatitaurei nezvazvo nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Mitral Valve Prolapse (MVP)?
Funga nezvemoyo wako seimba ine makamuri mana. Kune magonhi ari pakati pemakamuri aya anobvumira ropa kuyerera richidzoka richidzoka. Magonhi aya ndiwo atinodaidza kuti "mavharuvhu" mukurapa. Akafanana nemagonhi anongovhura nzira imwe chete.
Varuvhu yeMitral isuo riri pakati pekamuri repamusoro (atrium yekuruboshwe) nekamuri repasi (ventricle yekuruboshwe) kuruboshwe rwemoyo wako. Varuvhu iyi inovhurika uye inovhara pese painorova moyo wako, ichidzora kuyerera kweropa rine oxygen yakawanda munzira kwayo.
Mitral Valve Prolapse (MVP) chirwere apo mapepa maviri evharuvhu iyi haavharike zvakanaka asi anokotama kumashure, akananga kuruboshwe. Zvakafanana negonhi risingavharike zvakanaka uye rinokotama zvishoma kumashure. Izvi zvinogona dzimwe nguva kudzivirira vharuvhu kuti isavhare zvachose.
Asi musazvidya moyo. Ichi chirwere chinowanzoitika, chinobata pakati pe2% ne3% yevanhu pasi rose. Vanhu vazhinji havatombozivi kuti vanacho nekuti havana zviratidzo. Izvi zvinodaro nekuti vharuvhu yakakombama zvishoma, asi ichiri kushanda zvakanaka.
Ndezvipi zviratidzo zvingaonekwa nemunhu ane MVP?
Kunyange hazvo vanhu vazhinji vasina zviratidzo, vamwe vanhu vanogona kusangana nezvinhu izvi. Zviratidzo izvi hazviitike nenzira imwe chete kune wese munhu.
| Chiratidzo | Manzwiro ako |
|---|---|
| Kurwadziwa kwechipfuva | Zvingasanzwike sekurwadziwa kwemoyo, asi zvinogona kunzwa sekunge kusagadzikana kana kubatwa muchipfuva. |
| Kutadza kufema zvakanaka (Dyspnea) | Kunyanya kana wakaneta, unonzwa sekunge uchadonha kana wakwira masitepisi. |
| Dzungu | Unganzwa dzungu kana wamira, uye maziso ako anganzwa sekunge ari kuchinja kuita bhuruu. |
| Kuneta | Kunzwa kuneta uye kuneta zuva rese pasina chikonzero. |
| Kurova kwemwoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza, chipfuva chako chiri "kurova," kana kuti chinorova kamwe chete chobva chamira. |
Asi yeuka izvi: Kuva nezviratidzo hazvirevi kuti chirwere chako chakakomba. Zvakare, vamwe vanhu vanogona kunge vasina zviratidzo kunyangwe chirwere chacho chakakomba. Saka, zvakakosha kutaura nachiremba wako nezvechero zvinokunetsa.
Sei chimwe chinhu chakadai chichiitika?
Chikonzero chikuru cheMVP kusasimba kwetishu yevharuvhu. Mukurapa, izvi zvinonzi "myxomatous degeneration". Zvichitaurwa zviri nyore, tishu yevharuvhu inova isina simba uye inotambanuka, sebhandi rekare rerabha. Chikonzero chaicho hachiwanikwe nguva dzose.
- Kuberekwa: Dzimwe nguva kana zvikaitika mumhuri, zvinogonawo kukanganisa vana. Izvi zvinoreva kuti pane simba remajini.
- Zvimwe zvirwere: Vanhu vane mamwe matambudziko ekubatanidza nhengo dzemuviri vari panjodzi yakakura yekubatwa neMVP. Semuenzaniso, zvirwere zvakaita seMarfan syndrome neEhlers-Danlos syndrome.
- Zvimwe zvinhu zvinokonzera njodzi: Vanhu vane zvirwere zvakaita sechirwere chemwoyo chinonzi rheumatic heart disease, scoliosis, uye chirwere cheGraves vanewo njodzi yakakura zvishoma.
Izvi zvinogona kukonzera mamwe matambudziko here?
Kunyange hazvo vanhu vazhinji vasingasangani nematambudziko, vamwe vanhu, kunyanya avo vane chirwere chakakomba, vanogona kusangana nematambudziko.
Dambudziko guru chirwere chinonzi Mitral Regurgitation . Izvi zvinoitika kana vharuvhu ikasavhara zvakanaka, zvichiita kuti ropa ribude richienda nenzira isiriyo, kubva kuruboshwe kuenda kuruboshwe. Kana kubuda uku kukawedzera, moyo unofanirwa kushanda nesimba.
Kana Mitral Regurgitation ikanyanya, matambudziko anotevera anogona kuitika:
- Kukundikana kwemoyo
- Kutapukirwa kwevharuvhu (`Infective endocarditis`)
- Kurova kwemoyo kusina kurongeka, semuenzaniso `(Atrial fibrillation)`
- Kurohwa
- Kashoma, kusashanda zvakanaka kwemoyo ('Ventricular arrhythmias') kunogona kukonzera rufu rwemwoyo kamwe kamwe.
Unoona sei izvi, Chiremba?
Paunoenda kunoona chiremba, achakubvunza nezvezviratidzo zvako uye kana paine munhu mumhuri mako ane chirwere chemwoyo. Ipapo achateerera chipfuva chako ne stethoscope.
Pakuteerera mwoyo wemunhu ane MVP, chiremba anogona kunzwa ruzha rwakasiyana. Inzwi rekuti 'click', rinoteverwa nenzwi rekuti 'whoosh' (murmur) . Ndosaka vamwe vanhu vachidana chirwere ichi kuti 'click-murmur syndrome'.
Kana ukanzwa ruzha urwu, chiremba wako anokurudzira mimwe miedzo yakawanda kuti asimbise chirwere chacho uye kuona kuoma kwacho.
| Bvunzo | Unoitei neizvi? |
|---|---|
| Echocardiogram | Iyi ndiyo bvunzo inonyanya kukosha uye yakakosha. Inoita sekuongorora mwana mucheche. Inoshandisa mafungu eruzha kuti ione zvakajeka chimiro chemwoyo, mashandiro emavharuvhu, uye kana ropa riri kubuda uye kuti ngani. Kune mhando mbiri: Transthoracic (inoitwa nepachipfuva) uye Transesophageal (inoitwa nechubhu diki ichienda pahuro). |
| ECG (Electrocardiogram) | Kushanda kwemagetsi kwemoyo, kana kuti kurova kwemoyo, kunoongororwa. Izvi zvinobatsira kuona chero kusarongeka kwekurova kwemoyo. |
| X-ray yechipfuva | Unogona kutarisa kana moyo wakakura kana kuti mvura yakaungana mumapapu. |
Ndezvipi zvinorapwa izvi?
Mashoko akanaka ndeekuti vanhu vazhinji vane MVP havadi kurapwa . Chiremba wako achakuudza kuti uuye kuzoongororwa nguva nenguva. Pakushanya ikoko, achaita echocardiogram kuti aone kana mamiriro evharuvhu akachinja.
- Mishonga yezviratidzo: Kana uine zviratidzo zvakaita sedzungu nekurwadziwa pachipfuva, chiremba wako anogona kukupa mishonga yakaita se beta-blockers kuti uzvidzore.
- Mishonga yekudzivirira kuumbwa kweropa: Kana uine chirwere chakadai seatrial fibrillation kana kuti wakambova nestroke, uchapihwa mishonga inonzi anticoagulants yekudzivirira kuumbwa kweropa.
- Kuvhiyiwa: Kana kudzoserwa kwegumbeze kwakanyanya uye kuchikanganisa moyo, kuvhiyiwa kungadiwa.
- Kugadzirisa mavharuvhu eMitral: Pose pazvinogoneka, vanachiremba vanoedza kugadzirisa vharuvhu yako. Iyi ndiyo sarudzo yakanakisisa.
- Kutsiva vharuvhu yeMitral: Kana vharuvhu yakakuvara zvakanyanya zvekuti haigone kugadziriswa, sarudzo ndeyekuitsiva nevharuvhu itsva (yemakanika kana yebhayoloji).
Neruzivo rwemazuva ano rwepamusoro-soro, kuvhiyiwa uku kunogona kuitwa kuburikidza nekucheka kudiki (kuvhiyiwa kushoma kunokuvadza) pasina kuvhura chipfuva chose.
Ndingaziva sei kana ndichazodawo kuvhiyiwa?
Havasi vese vane MVP vanoda kuvhiyiwa. Munhu mumwe chete pavanhu gumi achada kuvhiyiwa. Ungangoda kuvhiyiwa kana:
- Kana zviratidzo zvako zvikawedzera nekufamba kwenguva .
- Kana vharuvhu iri kubuda ropa (regurgitation) padanho rakanyanya .
- Kana scans dzichiratidza kuti moyo wakakura (`left ventricular uye/kana left atrial dilation`).
- Kana uine kurova kwemoyo kusina kurongeka (arrhythmia).
- Kana moyo usingakwanise kupomba ropa rakakwana mumuviri (chikamu chekubuda kweropa chinoderedzwa).
Ndirini pandinofanira kutsvaga rubatsiro rwechiremba nekukurumidza?
Iva nechokwadi chekuenda kunoongororwa nguva nenguva sezvakarairwa nachiremba wako. Zvisinei, kana zviratidzo zvinotevera zvikaonekwa kamwe kamwe, enda kuchipatara cheEmergency Department (ETU) nekukasika .
- Kurwadziwa kwechipfuva kwakakomba kamwe kamwe.
- Kurasikirwa nepfungwa, dzungu rakanyanya, kana kushaya simba zvakanyanya.
- Kufema kamwe kamwe, zvakaoma zvikuru.
- Kana uri kutora mishonga inodzivirira kuumbwa kweropa uye ukaita tsaona yakadai sekudonha , enda kuna chiremba nekukasika, kunyangwe pasina kukuvara kunooneka kunze, sezvo paine njodzi yekubuda ropa mukati memuviri.
Mharidzo Yekuenda Nayo Kumba
- Mitral Valve Prolapse (MVP) chirwere chinowanzoitika uye hachiwanzokuvadzi, saka usavhunduke kana ukaona kuti unacho.
- Usaregeredza zviratidzo zvakaita sekuoma kwechipfuva uye kushaya mweya. Taura nachiremba wako nezvazvo.
- Sezvakataurwa nachiremba, zvakakosha kuti ugare uchiongororwa uye uchiita ultrasound. Nenzira iyi, unogona kuziva pachine nguva kana mamiriro acho ari kuipa.
- Kana kurapwa kuchidikanwa, kunyanya kuvhiyiwa kwekugadzirisa mavharuvhu, kwava kubudirira zvikuru. Nekurapwa kwakakodzera, unogona kurarama hupenyu hune hutano hwakakwana.
- Kutevera mararamiro ane hutano hwemwoyo (kudya zvakanaka, kurovedza muviri, uye kurega kusvuta) zvinogara zvichibatsira hutano hwemwoyo wako.
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