Wakambofunga here nezvekushamisa uye kuoma kwakaita uropi hwedu? Iyi nhengo diki inodzora pfungwa dzedu dzese, kufamba kwese, uye ndangariro dzese. Saka, uropi hunoda kuyerera kweropa kusingadzoreki kunopa okisijeni nezvinovaka muviri. Asi fungidzira kuti chii chinoitika kana tsinga huru dzinotakura ropa kuenda kuuropi dzikavharika? Nhasi tichataura nezvechimwe chirwere chisingawanzoitiki, asi chakakosha kwazvo chekuziva. Icho chirwere cheMoyamoya.
Zvichitaurwa zviri nyore, chii chinonzi Moyamoya?
Stroke chirwere chinokanganisa mitsipa yeropa iri muuropi hwedu. Panyaya dzezvekurapa, chirwere chetsinga dzeropa. Kune mitsipa miviri mikuru yeropa iri mumutsipa wedu inotakura ropa kuenda kuuropi, inonzi carotid arteries. Pakurohwa, imwe kana dzimwe nguva mitsipa mikuru iyi inotetepa zvishoma nezvishoma uye inovharika. Inogonawo kukanganisa imwe tsinga inokosha muuropi, mitsipa yetsinga dzeuropi. Iyi ndiyo mitsipa mikuru yeropa inopa ropa kunhengo dzepamberi dzeuropi hwedu.
Fungidzira kuti pombi huru yemvura inouyisa mvura mumba mako yakavharwa. Chii chinoitika ipapo? Hapana mvura. Saka, inoedza kuwana mvura kubva mumapombi madiki ari mumba. Uropi hwedu hwakafanana. Kana tsinga huru yeropa yakavharwa, uropi hunogadzira mitsinga midiki mizhinji mitsva, yakatetepa kuti igadzirise kushomeka kwayo. Izvi zvakafanana nemigwagwa yemumativi. Asi dambudziko nderekuti, mitsinga mitsva iyi haina simba uye yakatetepa. Saka, haigone kupihwa ropa pamwe chete netsinga huru. Mitsinga iyi isina simba dzimwe nguva inogona kuputika. Muzviitiko zvakadaro, Chirwere cheMoyamoya chinogonawo kukonzera kubuda ropa mukati meuropi (Brain hemorrhage). Zvakare, mamiriro akakomba akadai sestroke anogona kuitika nekuti uropi hauwani ropa rakakwana.
Sei izvi zvichinzi "Moyamoya"?
"Moyamoya" izwi rechiJapan. Rinoreva "kunge utsi." Vanachiremba vekuJapan vakatanga kuwana chirwere ichi pavakaongorora mitsipa yeropa muuropi, vakaona kuti network yemitsipa midiki yeropa yakanga yakabatana seutsi. Ndosaka chirwere ichi chakatumidzwa zita rekuti "Moyamoya."
Ndezvipi zviratidzo zvechirwere chemoyoyamoya?
Zviratidzo zvikuru zvechirwere ichi zvinokonzerwa nekudzikira kweropa rinoenda kuuropi. Dzimwe nguva chirwere ichi chinotanga kuonekwa mushure mekurwara nestroke kana kurwiswa kweischemic kwenguva pfupi (TIAs). Kurwara kudiki uku dzimwe nguva kunonzi "mini-stroke." Izvi zvinoreva kuti zviratidzo zvestroke zvinouya zvopera kwenguva yakati.
Ngatitarisei zvimwe zvezviratidzo zvinowanzoonekwa muchirwere ichi.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kurohwa nestroke kana kuti mini-stroke (TIAs) | Zviratidzo zvakaita sekuoma kwemuviri, kuoma kutaura, uye kurereka kwerutivi rumwe rwechiso. Zviratidzo izvi zvinowanzopera mushure menguva pfupi muTIAs. |
| Kubuda ropa muuropi | Kubuda ropa muuropi kunoitika kana tsinga diki yeropa isina simba ikaputika. Izvi zvinogona kukonzera musoro wakakomba. |
| Musoro | Kurwadziwa nemusoro kakawanda, dzimwe nguva kwakanyanya. |
| Kubatwa nepfari | Kuvapo kwemamiriro ezvinhu akafanana neakakodzera. |
| Kufamba kusingadzoreki | Nhengo dzemuviri, dzakadai semakumbo nemakumbo, dzinofamba zvisingadzoreki. |
| Kunonoka kwekukura | Kana chirwere ichi chikabata vana vadiki, vanogona kunonoka kukura kwavo nekudzidza. |
| Matambudziko ekunzwa | Matambudziko ekuona, kunzwa, kunhuwidza, kubata, kana kuravira. |
Chii chinokonzera chirwere cheMoyamoya?
Kutaura chokwadi, chikonzero chaicho chechirwere ichi hachisati chawanikwa.Asi vaongorori vanotenda kuti pane kubatana kwemajini neizvi. Kureva kuti, zvinogona kupfuudzwa nezvizvarwa. Sezvo chirwere ichi chakajairika pakati pevanhu vekuJapan, zvakaonekwa kuti pane kubatana mumajini avo. Iye zvino zvaonekwa kuti shanduko mumajini anonzi `RNF213` dzinogona kukonzera izvi.
Dzimwe nguva, chiitiko ichi cheMoyamoya chinogona kuitika pamwe chete nezvimwe zvirwere. Zvadaro tinochidana kuti Moyamoya syndrome. Semuenzaniso:
- Down syndrome
- Chirwere cheMakuva
- Neurofibromatosis rudzi 1
- Chirwere cheSickle cell
- Kuora kweropa muropa
Munhu ane zvirwere zvakaita seizvi ari panjodzi yekubatwa nechirwere chinonzi Moyamoya.
Ndiani ane mukana mukuru wekuwana chirwere ichi?
Moyamoya chirwere chisingawanzoitiki . Hachiwanzo kutaurwa nezvacho munyika dzakadai seSri Lanka. Asi zvakakosha kuziva nezvechirwere ichi.
- Chirwere ichi chinogona kuitika chero pazera ripi zvaro, asi chinonyanya kuitika kuvana vari pakati pemakore mashanu negumi uye vakuru vari pakati pemakore makumi matatu nemakumi mashanu .
- Kunyangwe chikonzero chaicho chisingazivikanwi, vakadzi vane mukana wakapetwa kaviri wekubata chirwere ichi kupfuura varume.
- Chirwere ichi chinowanzoonekwa pakati pevanhu muJapan nedzimwe nyika dzeEast Asia.
Ungaongorora sei chirwere ichi nemazvo?
Kana uine zviratidzo zvatakambotaura nezvazvo, chiremba wako achatanga akuongorora uye obvunza nezvezviratidzo zvako. Zvadaro, kana paine fungidziro yekuti une chirwere chemweyamoya, vachakurudzira bvunzo dzakakosha kuti dzisimbiswe.
| Bvunzo | Unoitei neizvi? |
|---|---|
| Kuongororwa kwetsinga dzeuropi | Iyi ndiyo nzira yakanakisisa yekuongorora chirwere ichi. Muongororo iyi, chubhu diki (catheter) inopinzwa mutsinga iri paruoko kana pagumbo, uye dhayi yakakosha inopinzwa mutsinga dzeropa kuburikidza nayo. Mifananidzo yeX-ray inotorwa kuti ione kuti tsinga dzeropa dzakatetepa sei uye kuti ropa riri kuyerera zvakanaka sei. |
| Kuskena kweMRA (Magnetic Resonance Angiography) | Iyi bvunzo isingarwadzi inoshandisa simba remagineti nemasaisai eredhiyo kutora mifananidzo yakadzama yetsinga dzeropa dziri muuropi. |
| Kuongororwa kweMRI (Magnetic Resonance Imaging) | Imwe nzira yakafanana neMRA inoshandiswa kuongorora mamiriro etsinga dzeuropi. Izvi zvinogona kubatsira kuona kana paine kukuvara kuuropi nekuda kwekudzikira kweropa. |
Pane mushonga wekurapa chirwere chemweyamoya here?
Ehe, kune mishonga yekurapa chirwere ichi. Kune zvinangwa zviviri zvikuru zvekurapa. Chimwe ndechekudzora zviratidzo. Chimwe ndechekuvandudza kuyerera kweropa kuenda kuuropi uye kuderedza njodzi yezvirwere zvakakomba zvakaita sestroke.
1. Kurapa nemishonga
Chiremba anogona kunyora mishonga yakasiyana-siyana zvichienderana nemamiriro emurwere.
- Aspirin: Mushonga uyu unobatsira kudzivirira kuumbwa kweropa uye kuita kuti ropa rifambe zvakanaka mutsinga diki dzeropa.
- Mishonga yekudzivirira pfari: Kana chirwere ichi chichikonzera pfari, mishonga iyi inopihwa kuti idzorerwe.
- Mishonga Inorwisa Kubuda Kweropa: Kunyange zvazvo izvi zvichibatsira kudzivirira kuumbwa kweropa, vanachiremba vanokurudzira izvi chete muzviitiko zvakakosha nekuda kwengozi yekubuda ropa.
- Mishonga inovhara calcium channel: Izvi zvinogona kubatsira kuderedza zviratidzo zvakaita semusoro. Zvisinei, zvinogonawo kuderedza BP, izvo zvinogona kuwedzera njodzi yekurohwa nestroke, saka zvinofanira kushandiswa nekungwarira.
Chinhu chakakosha ndechekuti mishonga haigone kumisa kutetepa kwetsinga dzeropa , saka chirwere chinogona kuwedzera zvishoma nezvishoma.
2. Kurapwa kwekuvhiyiwa (Kuvhiyiwa kweBypass)
Kana chirwere ichi chisingagoni kudzorwa nemishonga, uye chikawedzera zvishoma nezvishoma, chiremba anogona kukurudzira kuvhiyiwa. Izvi zvinonzi kuvhiyiwa kwe bypass.
Zvichitaurwa zviri nyore, izvi zvinosanganisira kugadzira nzira itsva yekuti ropa riyerere kuenda kuuropi, uchipfuura tsinga yeropa yakavharika. Izvi zvinosanganisira kutora tsinga ine hutano inowanzo endesa ropa kuganda remusoro woibatanidza netsinga yeropa iri muuropi. Zvakafanana nekuvaka mugwagwa mutsva unobhururuka kuti upfuure mugwagwa wakabatikana. Kuvhiyiwa uku kunogona kuwedzera huwandu hweropa rinosvika kuuropi, zvichideredza zvikuru njodzi yekurohwa nestroke.
Chiremba wako achakutsanangurira zvakadzama kuti ndeipi nzira yekuvhiya yakakunakira, uye zvakanakira nezvayakaipira.
Ndirini pandinofanira kutsvaga rubatsiro rwekurapa nekukurumidza? Zviratidzo zvestroke (ZVINOKASIRA KUBVISA)
Zvakakosha zvikuru kuti munhu ane chirwere cheMoyamoya azive zviratidzo zvestroke . Kana kurapwa kukakurumidza, kukuvara kweuropi hakuzonyanyi kudzivirirwa. Izwi rekuti FAST rinoshandiswa kukubatsira kurangarira zviratidzo zvestroke.
| Zviratidzo zveSiroko (ZVINOKASIRA) - Ita Chiito Nokukurumidza! | |
|---|---|
| F - Chiso | Rutivi rumwe rwechiso chako runonzwa kusanzwa here? Rutivi rumwe rwechiso chako runonyemwerera here paunonyemwerera? |
| A - Maoko | Unogona kusimudza maoko ese ari maviri here? Ruoko rumwe chete runodonha pasi here? |
| S - Kutaura | Hurukuro yacho inovhiringidza here? Unogunun'una here? Zvakaoma here kutaura mutsetse mupfupi? |
| T - Nguva | Kana uine chimwe chezviratidzo izvi, usanonoka. Enda kuchipatara cheEmergency Department (ETU) nekukasika kana kufonera amburenzi. Nguva ndiyo inokosha! |
Kuwedzera kune izvi, zviratidzo zvakaita sekuvhiringidzika kamwe kamwe, kusanzwa kunzwa kune rumwe rutivi rwemuviri, matambudziko ekuona, kunetseka kufamba, kana musoro wakaoma usingatsungiririki zvinogonawo kuva zviratidzo zvestroke.
Kana uchirarama nechirwere ichi, kana chirwere chikaonekwa nekukurumidza uye chikarapwa nemazvo, vanhu vazhinji vanogona kurarama hupenyu hwakajairika. Kana chikasarapwa, chirwere ichi chinogona kuva chakanyanya uye chinotouraya. Saka, zvakakosha kuziva zviratidzo uye kutevedzera mirairo yachiremba nemazvo.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheMoyamoya chirwere chisingawanzoitiki apo tsinga huru inoendesa ropa kuuropi inodzikira zvishoma nezvishoma yovharika.
- Izvi zvinogona kukonzera kudzikira kweropa rinoenda kuuropi, zvichikonzera zvirwere zvakakomba zvakaita sestroke kana kubuda ropa muuropi.
- Zviratidzo zvikuru zvinosanganisira zviratidzo zvakaita sestroke, musoro, uye pfari.
- Chirwere ichi chinogona kurapwa zvinobudirira nekuchiwana nekukurumidza uye kurapwa nemishonga kana kuvhiyiwa.
- Kana iwe kana mumwe munhu waunoziva ari kuona zviratidzo zvestroke (FAST), unofanira kuenda kuchipatara kuEmergency Department (ETU) nekukasika. Kupedza nguva kunogona kuwedzera kukuvara kweuropi.
- Kana muine kusava nechokwadi kana mibvunzo nezvenyaya iyi, taurai nachiremba wenyu kuti akupei mazano.
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