Wakambonzwa nezve "gomba mumoyo" here? Pamwe chiremba wako akakuudza nezvazvo. Kutaura zvazviri, tese tine buri diki rakadai mumoyo medu patinenge tiri mudumbu. Chinhu chinodiwa panguva iyoyo. Asi mushure mekuzvarwa, buri iri rinowanzo vhara roga. Asi kune vamwe vanhu, buri iri rinoramba risina kuvharwa zvachose. Mukurapa tinoridaidza kuti Patent Foramen Ovale, kana kuti `(PFO)` muchidimbu. Ichi chirwere chinowanzoitika chinowanikwa nemunhu mumwe chete pavanhu vana. Kune vanhu vazhinji, izvi hazvikonzeri matambudziko. Zvisinei, kune vamwe vanhu, zvinogona kukonzera matambudziko. Ndipo patinotaura nezvekurapa `(PFO Closure)`.
Zvichitaurwa zviri nyore, chii chinonzi PFO Closure?
Kuvhara kwePFO kuvhiyiwa kudiki kunovhara buri diki (PFO) zvachose pakati pemakamuri maviri epamusoro (atria) emwoyo wako. Zvisinei, hazvidi kuchekwa kukuru. Chiremba anoisa chubhu yakatetepa, inochinjika, inonzi "catheter", mumoyo mako kuburikidza netsinga huru yeropa kune imwe nzvimbo mumuviri wako.
Kuburikidza nechubhu iyi, mudziyo mudiki, wakagadzirwa zvakanaka unopinzwa muburi riri mumoyo wovharwa. Funga nezvemudziyo uyu seyo-yo diki, kana bhatani diki rine madenderedzwa maviri kumativi ese. Denderedzwa rimwe rinofukidza divi rimwe regomba, uye rimwe denderedzwa rinofukidza rimwe divi.
Mukati memazuva mashoma mushure mekuiswa kwemudziyo, nyama yemuviri wako inotanga kukura ichiipoteredza. Mushure memwedzi mitatu kusvika mitanhatu, mudziyo wacho unobva wafukidzwa nenyama yemoyo, wova chikamu chemadziro emwoyo.
Zvisinei, ngatitii PFO yako yakakura kupfuura mamirimita makumi maviri nemashanu. Kana zvakadaro, chiremba wako angasarudza kuita oparesheni yakavhurika panzvimbo penzira iyi ye '(Catheter)'. Zvisinei, zviitiko zvakadaro hazviwanzoitiki.
Muzviitiko zvipi kurapwa uku kunodiwa?
Vanhu vazhinji vane PFO havadi kurapwa. Zvisinei, mune dzimwe nguva, kunyanya kana ropa rakagwamba richigona kufamba nepaburi kuenda kuuropi zvokonzera matambudziko, chiremba anogona kukurudzira kurapwa uku.
| Nguva Yekurapwa Kwekuvhara PFO Ingakurudzirwa | |
|---|---|
| Kurohwa kweCryptogenic | Kunyanya kana wechidiki akamborohwa nestroke kakawanda seizvi. |
| Kurwiswa kweIschemic Kwenguva Pfupi (TIA) | Izvi zvakafanana nekurohwa nepfungwa diki. Kana izvi zvikaitika kakawanda. |
| Kuderera kwemazinga eokisijeni muropa | Mune zvimwe zviitiko, PFO inogona kukonzera kuderera kweokisijeni muropa. |
| Migraine | Pane humbowo hunoratidza kuti PFO ine chekuita nemamwe matambudziko emusoro akanyanya. |
| Kugwamba kweropa kunofamba | Kana ropa rakagwamba rapfuura nemuPFO rikaenda kune imwe nhengo yemuviri. |
Unogadzirira sei usati warapwa?
Uchafanirwa kuongororwa kakawanda usati warapwa.
- X-ray yechipfuva
- Kuongororwa kwemoyo (Echocardiogram)
- Kuongororwa kweECG (Electrocardiogram)
- Kuongororwa kweropa kwakawanda
Pamusoro pezvo, uchaudzwa kuti utange kutora mishonga yakaita seaspirin neclopidogrel kudzivirira kuumbwa kweropa. Chiremba wako achakuudza zuva chairo raunofanira kutanga kutora mishonga iyi. Panguva yekurapwa, uchapihwawo mimwe mishonga yekudzivirira kuumbwa kweropa.
Kushanda kwekurapa nhanho nhanho
Kurapa uku kunowanzotora awa imwe chete kana maviri. Hezvino zvinoitika kana kwaitwa:
1. Kusanzwa: Kutanga, mushonga wekubatsira kunzwa kurwadziwa unopihwa kuti ubvise kunzwa kurwadziwa munzvimbo iri muhudyu umo catheter ichaiswa. Dzimwe nguva, mushonga wekubatsira kunzwa kurwadziwa unogona kushandiswa kana zvichidikanwa.
2. Kuchekwa kudiki: Kuchekwa kudiki kwazvo kunoitirwa munzvimbo yehudyu.
3. Kuisa catheter: Catheter inopinzwa mutsinga huru yeropa kuburikidza nekucheka.
4. Kufamba uchienda kumoyo: Zvadaro, catheter inofambiswa zvakanaka kuenda kumoyo.
5. Kufungidzira: Dhayi yakakosha inopinzwa mumoyo kuti inyatsoonekwa uye mifananidzo yeX-ray inotorwa (Angiography). Zvakare, scan yemukati memoyo (Ultrasound) inoshandiswa kuyera saizi chaiyo yePFO.
6. Yera gomba:Katheta ine bharumu rakakosha inoiswa, yofuridzirwa, uye saizi chaiyo yegomba inoyerwa.
7. Kuisa mudziyo: Iye zvino mudziyo wekuvharira wePFO unopfuudzwa nepacatheter uchipinda mumoyo wobva wasungirirwa kumativi kuti uvhare buri.
8. Kusimbisa nzvimbo yacho: Kuongororwazve (Transthoracic Echocardiogram) kunoitirwa kuti vaone kana mudziyo wacho uripo.
9. Kupera: Kana zvese zvakanaka, catheter inobviswa nokungwarira.
Chii chinoitika mushure mekurapwa?
Mushure mekurapwa, uchafanira kuzorora pamubhedha kwemaawa angangoita matanhatu. Pamwe uchakwanisa kudzokera kumba manheru iwayo kana mangwanani anotevera. Heano zvimwe zvinhu zvekuchengeta mupfungwa mushure mekuenda kumba:
- Unogona kufamba, asi usafamba nekukurumidza.
- Usatyaira motokari kwemazuva maviri.
- Usasimudza uremu hunopfuura mapaundi gumi (anenge 4.5 kg) kwevhiki.
- Usaite maekisesaizi anorema kwemwedzi wese.
- Kazhinji unogona kudzokera kumabasa ako emazuva ese mukati mevhiki imwe chete. Zvisinei , zvakakosha kukurukura zvese izvi nachiremba wako uye kutevedzera mirairo yake.
Uchanyorerwa mishonga yekushandisa kumba. Uchafanirwa kutora aspirin kana mimwe mishonga inobvisa ropa zuva nezuva kwemwedzi mitanhatu kana kupfuura. Uchaudzwa kuti utore mishonga inorwisa mabhakitiriya usati watanga kurapwa, senge kuchenesa mazino. Chiremba wako achakutsanangurira zvese izvi.
Ndezvipi zvakanakira uye njodzi dzeizvi?
Mabhenefiti
- Zvinogona kudzivirira sitiroko mune ramangwana risingawanikwe chikonzero charo.
- Hauzonzwi mudziyo uyu pamuviri wako.
- Hazvizosiyi vanga guru.
- Zvinhu zvinogadzirwa nemudziyo uyu zvagara zvichiratidzwa kuti zvakachengeteka zvikuru.
Njodzi
Kurapa uku kwakachengeteka zvikuru kana kuchiitwa nachiremba ane ruzivo, asi sezvinoitwa chero nzira ipi zvayo yekurapa, kune dzimwe njodzi.
- Kurova kwemwoyo kusina kujairika (Atrial Fibrillation).
- Kugwamba kweropa.
- Kubuda ropa kana hutachiona panzvimbo yecatheter.
- Chishandiso ichi chinotama kubva panzvimbo yacho yachakaiswa (izvi hazviwanzoitika).
- Vanhu vane makore anopfuura makumi matanhatu vane mukana wekuti vabatwe nematambudziko.
Kana ukaona zviratidzo zvisingawanzoitiki, zvakaita sekuzvimba, kurwadziwa zvakanyanya, kubuda ropa, kana fivha panzvimbo ye catheter, unofanira kuzivisa chiremba wako nekukasika .
Mharidzo Yekuenda Nayo Kumba
- PFO iburi diki riri mumoyo iro vanhu vazhinji vanaro uye rinowanzova risina njodzi.
- Kurapa uku kwePFO Closure kunoitirwa chete kudzivirira njodzi dzakadai sestroke.
- Iyi inzira yakachengeteka yekurapa isingade kucheka kukuru uye inowanzoitwa kuburikidza necatheter.
- Mushure mekurapwa, zvakakosha zvikuru kutora mushonga wakanyorerwa nachiremba nenguva, nenzira yakatarwa, uye kutevedzera mirairo yake.
- Usati wasarudza kana kurapwa uku kwakakunakira, taura nachiremba wako nokungwarira, nzwisisa zvakanakira nezvakaipira, uye ita sarudzo yamunobvumirana mese.
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