Mwoyo wedu muchina unoshamisa zvechokwadi, handiti? Mavharuvhu mana ari mairi anoshanda semagonhi anovhurika akananga kumwe chete. Rimwe remagonhi aya akakosha iMitral Valve. Ndiyo vharuvhu iyi inobvumira ropa rakachena, rine oxygen yakawanda kuti ripfuure kubva mukamuri rimwe remoyo kuenda kune rimwe. Asi fungidzira kuti chii chinoitika kana chimwe chinhu chikakanganisika nevharuvhu iyi? Kureva kuti, kana ropa rikasavhara zvakanaka robuda mvura richidzokera kumashure, kana kuti rikasavhurika zvakanaka rovharika, ipapo mwoyo unonzwa kumanikidzwa kukuru. Ndipo apo vanachiremba vanosarudza kubvisa vharuvhu iyi voitsiva, kana isingagone kugadziriswa.
Zvichitaurwa zviri nyore, chii chinonzi kutsiva valvu yemitral?
Kutsiva vharuvhu reMitral kuvhiyiwa kwemoyo kwakavhurika . Kunosanganisira kubvisa vharuvhu remitral rako rine chirwere uye risingashande zvakanaka woritsiva nevharuvhu itsva. Vharuvhu idzva iri rinogona kuuya mumhando mbiri.
- Mavharuvhu emakanika: Aya mavharuvhu ekugadzira akagadzirwa nesimbi dzakadai sekabhoni nesimbi.
- Mavharuvhu emuviri/ekugadzira: Aya mavharuvhu akagadzirwa nenyama yemwoyo kubva kunguruve, mombe, uye dzimwe nguva (kashoma) nyama yevanhu.
Kunyangwe kuvhiyiwa uku kuri nzira huru, kana chiremba wako akakurudzira, zvinoreva kuti vharuvhu yako iri kuwedzera kuipa uye inogona kukonzera matambudziko akakomba kana ukasavhiyiwa. Zvinorevawo kuti haichagadzirisiki.
Sei uchida kuvhiyiwa uku?
Ropa rine mweya wakawanda kubva mumapapu edu rinopinda mu atrium yekuruboshwe yemoyo, uye kubva ipapo rinopfuura nepakati pe mitral valve kuenda ku ventricle yekuruboshwe. Iyi ventricle yekuruboshwe ndiyo inofambisa ropa mumuviri wese. Zvino, kana uine chirwere che mitral valve, vharuvhu iyi haivhurike kana kuvhara zvakanaka. Izvi zvinogona kukonzera matambudziko maviri makuru.
1. Kudzoreredza vharuvhu yeMitral: Ropa rinobuda richidzokera kumashure nekuti vharuvhu harivharike zvakanaka.
2. Mitral Valve Stenosis: Vharuvhu haivhurike zvakanaka, zvichitadzisa kufamba kweropa.
Zvinhu izvi zvose zvinoisa simba guru kuruboshwe rwemoyo. Nekufamba kwenguva, izvi zvinogona kukuvadza moyo nemapapu.
Vanachiremba vanovhiya vanowanzoedza kugadzirisa vharuvhu pese pazvinogoneka, pane kuitsiva. Zvisinei, mune dzimwe nguva, izvi hazvigoneke.
Panogona kunge paine zvikonzero zvakawanda nei kugadzirisa kusingagone kuitwa:
- Endocarditis kana chirwere chemwoyo chinonzi rheumatic heart disease) yakakonzera kukuvara kukuru kwevharuvhu.
- Kuwanda kwecalcium kana mavanga pavharuvhu.
- Kukuvadzwa kwakanyanya kwetsandanyama dzepapillary kana chordae dzinotsigira vharuvhu.
Saka, zvakakosha zvikuru kukurukura mamiriro ako ezvinhu nachiremba wako uye kudzidza nezvesarudzo dzako.
Tinosarudza rudzii rwevharuvhu?
Zera rako, mararamiro ako, nezvimwe zvirwere zvichave chikamu chakakosha pakusarudza rudzi rwevharuvhu raunoda kuisa. Ngatitarisei musiyano uripo pakati pemhando mbiri idzi.
| Rudzi rwevharuvhu | Tsananguro uye zvakanakira/zvakaipa |
|---|---|
| Mavharuvhu eMichina |
|
| Mavharuvhu Ezvinhu Zvakaita Semhuka |
Kana uri pakati pemakore makumi mashanu kusvika makumi matanhatu nemashanu ekuberekwa, chiremba wako achakukurudzira imwe yemhando mbiri idzi zvichienderana nemamiriro ako ezvinhu. Chinhu chakakosha ndechekutaura nezvazvo zvakakwana uye kusarudza inokukodzera zvakanyanya.
Tinogadzirira sei tisati tavhiyiwa?
Chikwata chenyu chezvekurapa chichakupai mirayiridzo yakajeka yekuti mungagadzirira sei kuvhiyiwa. Kazhinji, muchafanira kugadzirira zvinhu izvi.
- Mimwe mishonga (kunyanya mishonga inobvisa ropa) inonyorerwa nachiremba wako ingangoda kumira mavhiki mashoma kuvhiyiwa kusati kwaitwa.
- Kusvuta fodya nekushandisa fodya zvinofanirwa kumira zvachose.
- Husiku husati hwasvika pakuvhiyiwa, uchaudzwa kuti ugeze muviri wako nesipo inouraya utachiona .
- Husiku husati hwaitwa oparesheni, uchafanira kurega kudya nekunwa zvachose, kazhinji mushure me12 pakati pehusiku .
- Ingotora mishonga yakanyorwa mangwanani ekuvhiyiwa chete.
Zvakakoshawo kugadzirisa mamiriro epamba pako kuitira kuti unzwe wakasununguka paunodzokera kumba mushure mekuvhiyiwa. Semuenzaniso, zano rakanaka kuronga pachine nguva, zvakaita sekuchengeta zvinhu zvaunoda zviri pedyo uye kuronga kuti mumwe munhu akutore nemota kuenda kumba kubva kuchipatara.
Chii chinoitika panguva yekuvhiyiwa?
Kuvhiyiwa uku inzira yakaoma inowanzotora maawa maviri kusvika mana. Asi hapana chekunetseka nacho. Chikwata chevanachiremba chine ruzivo chichakutarisira zvakanaka. Heino gwara rezvinoitika panguva yekuvhiyiwa.
1. Anesthesia: Kutanga, ucharara zvachose. Saka hauzonzwi chero chinhu nezve kuvhiyiwa uye hauzozviyeuki paunomuka.
2. Zvinobatanidzwa: Uchabatanidzwa nevanoongorora kuti vaongorore kurova kwemoyo wako nekufema kwako. Uchapihwa mishonga inorwisa mabhakitiriya kuburikidza netsinga kudzivirira hutachiona.
3. Muchina weCardiopulmonary Bypass: Tevere, uchabatanidzwa nemuchina wakakosha. Muchina uyu unotora basa remoyo nemapapu kwenguva pfupi panguva yekuvhiyiwa. Mwoyo wako hauzorove panguva iyi.
4. Kuchekwa: Chiremba anochekwa pachipfuva chako kuti asvike pamoyo wako. Izvi zvinowanzoitwa kuburikidza ne sternotomy (kucheka pakati pepfupa rechipfuva chako).
5. Kutsiva vharuvhu: Kuchekwa kunoitwa kuruboshwe rwemoyo kuti kusvike pavharuvhu yemitral. Zvadaro, zvikamu zvakakuvara zvevharuvhu zvinobviswa nokungwarira, uye vharuvhu itsva inoiswa panzvimbo yayo yosonerwa zvakasimba.
6. Kuedza: Tarisa kana vharuvhu itsva iri kushanda nemazvo uye kana magonhi ayo achivhurika nekuvharika nemazvo.
7. Kupera kwekuvhiyiwa: Kana zvese zvangonaka, kukuvara kuri mumoyo mako kuchavharwa uye uchabviswa zvishoma nezvishoma kubva mumuchina wemoyo nemapapu.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako, kune zvakanakira nenjodzi, uye zvakakosha kuziva izvi.
| Mabhenefiti | Njodzi/Matambudziko |
|---|---|
|
Usatya njodzi idzi. Chikwata chako chezvekurapa chakadzidziswa zvakanyanya kuderedza mukana wekuti zvirwere izvi zviitike uye kuzvigadzirisa kana zvikaitika.
Chii chinoitika mushure mekuvhiyiwa? Zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekuvhiyiwa, unowanzofanira kugara muchipatara kweinenge vhiki.
- Kwezuva rekutanga kana maviri, uchachengetwa muchikamu chevarwere vane chirwere chakanyanya (ICU) uye mamiriro ako ezvinhu achatariswa zvakanyanya.
- Zvadaro uchaendeswa kuchipatara chenguva dzose.
- Zvinowanzoitika kuti mwoyo urove zvisina kurongeka mushure mekuvhiyiwa, uye ungangoda mushonga kana kuti pacemaker yenguva pfupi kuti izvi zviitike.
- Mishonga inoomesa ropa ichatanga kuderedza njodzi yekugwamba kweropa.
- Uchaziviswa nezvechirongwa chekugadzirisa kukuvara kwemoyo chichakubatsira kupora nekukurumidza.
Zvinowanzo tora pakati pemavhiki mana kusvika masere kuti munhu apore zvizere. Zvisinei, nguva ino inosiyana kubva pamunhu kusvika pamunhu. Izvi zvinokanganiswa nezvinhu zvakaita sehutano hwako usati wavhiyiwa uye kuoma kwechirwere chako.
Chinhu chinonyanya kukosha ndechekuti usakurumidzire kupora kwako. Havasi vanhu vese vakafanana. Ipa muviri wako nguva yaunoda kuti upore, uye gamuchira rubatsiro kubva kune vamwe.
Chiremba wako achakuudza kuti ungatangazve riini mabasa akadai sekutyaira mota nekusimudza masimbi. Zvakakoshawo kuti kudya chikafu chine hutano pamoyo, kusasvuta fodya nedoro, kuchengetedza huremu hwakanaka, uye kuramba uchirovedza muviri chikamu chemararamiro ako.
Ndezvipi zviratidzo zvinoda kutarisirwa nekukurumidza?
Zvakakosha zvikuru kutarisira muviri wako panguva yekupora kwako. Kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo newe.
| Zviratidzo zvengozi - tsvaga rubatsiro rwechiremba nekukasika! | |
|---|---|
| - Kurwadziwa kwechipfuva | - Musoro wakanyanya |
| - Zviratidzo zvehutachiona zvakaita sefivha, dzihwa, uye urwa hunobuda kubva pakucheka | - Kurova kwemoyo kusina kurongeka (kumhanya zvakanyanya kana kunonoka zvakanyanya) |
| - Kukosora nemukaka weyero kana wegirini | - Marwadzo, kutsvuka, kana kuzvimba kwegumbo rezasi |
| - Dzungu kana kusuruvara | - Kuomerwa nekufema |
| - Zviratidzo zvestroke zvakaita sekuoma kutaura, kutaura kusina kunyatsojeka | - Kusvotwa nekurutsa |
Usazvifuratira, uchifunga kuti, "Ichi chingave chinhu chidiki." Kunyangwe chiratidzo chinoita sechidiki chingave chiratidzo chechimwe chinhu chakakomba. Saka kana uine kusava nechokwadi, usazeza kutaura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwekutsiva mavharuvhu eMitral inzira huru inoponesa hupenyu iyo yava kuitwa nevakawanda, saka usatye zvisina kufanira.
- Kusarudza rudzi rwevharuvhu rwakakodzera iwe, ingave yemakanika kana yemuviri, zvinoenderana nezera rako uye mararamiro ako. Kurukura izvi nachiremba wako usati waita sarudzo.
- Zvinotora nguva kuti unyatsopora kubva pakuvhiyiwa. Teerera muviri wako uye iva nemoyo murefu.
- Kutora mishonga yawakanyorerwa nachiremba wako (kunyanya mishonga inobvisa ropa rakawanda) nenguva uye kurarama hupenyu hune hutano kwakakosha kuti ugare zvakanaka kwenguva refu.
- Gara uchiziva zviratidzo zvengozi. Kana usina chokwadi, tsvaga rubatsiro rwechiremba nekukasika.
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