Une dambudziko nevharuvhu yemapapu yemoyo wako here? Ngatikurukurei nezvazvo! (Chirwere chevharuvhu yemapapu)

Dzimwe nguva unonzwa kubatwa zvishoma muchipfuva chako, kuoma kufema, kana kutoita simba zvishoma here? Izvi zvinogona kuva zviratidzo zvedambudziko nevharuvhu yako yemapapu, iyo inoshanda segedhi diki mumoyo mako. Usazvidya mwoyo, tichataura nezvazvo zvakadzama uye zviri nyore nhasi. Kunzwisisa izvi kuchakupa zororo guru.

Chii chinonzi Pulmonary Valve Disease?

Zvichitaurwa zviri nyore, chirwere chePulmonary Valve chirwere chero chipi zvacho umo Pulmonary Valve, vharuvhu inokosha kwazvo mumoyo medu, isingashande nemazvo. Funga nezvayo semuchengeti wegedhi. Ndiyo inobvumira ropa kupfuura kubva mukamuri repasi kurudyi rwemoyo wako, Right Ventricle , kuenda kutsinga huru inotakura ropa kuenda kumapapu, Pulmonary Artery . Kana ropa rasvika mumapapu, rinotora okisijeni itsva. Zvadaro, ropa iroro rakazara okisijeni rinopararira mumuviri wese, richipa hupenyu kumasero edu.

Saka, kana paine dambudziko nevharuvhu iyi yemapapu, zvinova zvakaoma kuti ropa rako risvike kumapapu ako. Chii chinoitika ipapo? Nyama, masero, uye nhengo dzemuviri dzinowana okisijeni kunonoka. Izvi zvakafanana nepaipi yemvura inovharika uye kuyerera kwemvura kunononoka. Ndokusaka tine matambudziko akasiyana-siyana.

Ndeapi marudzi echirwere chePulmonary Valve?

Kune mhando nhatu huru dzechirwere chemapapu. Ngationei kuti chii, zviri nyore:

1. Kudzoreredza Vharuvhu Yemapapu: Apa ndipo apo vharuvhu haivhari zvakanaka, uye rimwe ropa rinobuda richidzokera kumashure. Funga nezvazvo sepombi yemvura isina kuvharwa zvakanaka uye inodonhedza madonhwe emvura nemadonhwe. Ipapo moyo unofanirwa kushanda nesimba kuti udzosere ropa iroro kumashure.

2. Pulmonary Valve Stenosis: Apa ndipo apo vharuvhu inova yakamanikana, kana kuti yakanyatsovharika. Izvi zvinoita kuti nzira yeropa ifambe zvishoma. Funga nezvazvo sekudzvanya pombi yemvura, iyo inomanikana nzira yemvura. Izvi zvinoita kuti mwoyo ushande nesimba kuti ropa rifambe mberi.

3. Pulmonary Atresia: Ichi chirwere chakakomba. Izvi zvinoitika kana mwana aberekwa aine vharuvhu isina kuumbwa kana kuti isina kukura zvakanaka . Ichi chirwere chemwoyo chekuzvarwa nacho.

Chirwere chePulmonary Valve chakajairika zvakadii?

Ngationei kuti zvirwere izvi zvakajairika sei.

Kudzoreredza ropa kubva muvharuvhu remapapu (ropa richibuda richidzokera kumashure richibuda muvharuvhu) kwakajairika.Vamwe vanhu vanozvarwa vaine chimiro chevharuvhu chakasiyana zvishoma. Vanhu vane misiyano iyi yemuviri vanowanzoita kudzoka kwevharuvhu yemapapu. Zvisinei, kazhinji, inenge iri nyore. Izvi hazvirevi kuti chinhu chekutya kana kurapa. Kune vanhu vazhinji, hazvikonzeri matambudziko makuru.

Kuoma kwevharuvhu yemapumu (pulmonary valve stenosis) kunoitika muvanhu vanosvika 7% vane chirwere chemwoyo chekuzvarwa nacho.

MuUnited States, mwana mumwe chete pavana 7,000 anozvarwa aine pulmonary atresia (kusavapo kwevharuvhu pakuzvarwa). Kunyangwe nhamba dziri munyika medu dzisiri dzechokwadi, ichi chirwere chinofanira kufungwa nezvacho.

Ndezvipi zviratidzo zvechirwere ichi?

Zviratidzo zvePulmonary Valve Disease zvinogona kusiyana kubva pamunhu kuenda kune mumwe. Vamwe vanhu vanogona kusangana nezviratidzo izvi:

• Kurwadziwa pachipfuva: Zvinonzwa sekunge chipfuva chako chiri kudzvanywa, dzimwe nguva kunyangwe paunenge uchifema.
• Kuneta: Kungonzwa kuneta, kunzwa seusina simba zvekuti haugone kuita chero chinhu.
• Kusanzwa musoro: Kunzwa dzungu, dzimwe nguva kutopera simba.
• Kushaya mweya: Kutadza kufema, kufemereka, kunyangwe uchifamba zvishoma kana kukwira masitepisi.
• Kusagona kurovedza muviri: Handinzwi kuda kumhanya, kusvetuka, kana kurovedza muviri sezvandaiita kare, uye kunyangwe ndikadaro, ndinokurumidza kuneta.

Asi yeukai, vanhu vane stenosis iri nyore kana kuti kudzoka kwegurgitation iri nyore vanogona kunge vasina zviratidzo. Ndosaka kuongororwa kwechiremba kuchikosha.

Kana mwana aine Pulmonary Atresia, anogona kunge aine dambudziko rekufema, kunetseka kudya, anowanzova nehope, uye dzimwe nguva ane ruvara rwebhuruu paganda rake (Cyanosis). Ichi chinhu chaunofanira kunyatsoteerera. Sevabereki, kana mukaona chimwe chezviratidzo izvi, munofanira kuona chiremba nekukasika.

Ndezvipi zvikonzero zvechirwere chePulmonary Valve?

Zvikonzero zvechirwere ichi zvinosiyana zvichienderana nerudzi rwechirwere. Ngationei kuti zvinoitika sei.

• Zvikonzero zvePulmonary Stenosis: Kazhinji, zvinonetsa kuwana chikonzero chaicho cheizvi. Zvisinei, chirwere ichi chinogona kuitika nekuda kwemamwe matambudziko emajini kana kana amai vakabatwa nechirwere chakadai serubella panguva yekuzvitakura. Rubella chirwere chinogona kukanganisa mwana ari mudumbu, saka zvakakosha kungwarira panguva yekuzvitakura.
• Zvikonzero zvekudzokera kwevharuvhu yemapapu:Izvi zvinogona kunge zvichikonzera zvinhu zvakasiyana-siyana. Semuenzaniso, BP yakakwira (kunyanya BP yemapapu), endocarditis, rheumatic fever, nezvimwewo. Inogonawo kukonzerwa nezvimwe zvinetso zvemwoyo zvekuzvarwa nazvo kana kurapwa kwazvo. Dambudziko iri rinowanzoonekwa kuvanhu vane chirwere chemwoyo chinonzi Tetralogy of Fallot.
• Zvikonzero zvePulmonary Atresia: Kazhinji, chikonzero chaicho chechirwere ichi hachizivikanwe. Zvisinei, zvinofungidzirwa kuti chinokonzerwa nekuchinja kwemajini emwana ari mudumbu, kusangana nehupfu hwezvakatipoteredza panguva yekuzvitakura, kana chimwe chinhu chinotorwa naamai.

Ndezvipi zvinetso zvinogona kukonzera chirwere ichi?

Chirwere chePulmonary Valve chinoita kuti ventricle yekurudyi yemwoyo wako ishande nesimba kupomba ropa kuenda kumapapu ako. Izvi zvinogona kukuvadza moyo wako uye kuita kuti ukure. Kunyangwe zvisingawanzoitiki, kana chirwere ichi chikanyanya kuipa, chinogona kukonzera kutadza kushanda kwemoyo . Izvi zvinoreva kuti moyo wako haugone kupomba ropa rakakwana mumuviri wako.

Vana vane Pulmonary Atresia vanogona kuva nechirwere chechiropa uye mwoyo isingashande zvakanaka, saka kurapwa nekukurumidza kwakakosha.

Chirwere ichi chinoonekwa sei?

Paunoenda kunoona chiremba, kana akanzwa ruzha rusina kujairika paanoteerera mwoyo wako (ne stethoscope ) , zvinogona kuva chiratidzo chePulmonary Regurgitation kana Pulmonary Stenosis. Kugunun'una uku ruzha rusina kujairika runogadzirwa neropa richiyerera nemumavharuvhu.

Ndedzipi bvunzo dzinoitwa kuti chirwere ichi chionekwe?

Chiremba anogona kuita bvunzo dzinotevera kuti asimbise chirwere che pulmonary valve:

• Kuongororwa kwemoyo kwemwana asati aberekwa: Izvi zvinobatsira kuona zvirwere zvakaita sePulmonary Atresia.
• Echocardiogram (Echo): Izvi zvinogona kutarisa zvinhu zvakawanda, zvakaita sekushanda kwemoyo uye mamiriro emavharuvhu. Inoshandiswa kuona `Atresia`, `Stenosis` kana `Regurgitation`. Zvakafanana nekutora mufananidzo wemoyo uchishandisa ruzha.
• Pulse Oximetry: Iyi inoshandiswa kutarisa huwandu hweokisijeni muropa kana paine `atresia`. Iyi bvunzo iri nyore inoitirwa nekuisa clip pamunwe.
• Kucheneswa kwemoyo: Izvi zvinoitwa kana paine `Atresia` kana `Stenosis`. Nzira iyo chubhu diki inopfuudzwa nepatsinga yeropa ichipinda mumoyo kuti ione kumanikidzwa uye, kana zvichidikanwa, kuirapwa.
• Electrocardiogram (EKG/ECG): Izvi zvinoitirwa kutarisa mashandiro emagetsi emwoyo kana paine `Atresia` kana `Regurgitation`.
• MRI yemoyo (Magnetic Resonance Imaging): Izvi zvinobatsira kutora mifananidzo yakadzama yemoyo kana paine `Stenosis` kana `Regurgitation`.
• X-ray yechipfuva: Izvi zvinobatsira kuona hukuru hwemwoyo nemamiriro emapapu kana paine `regurgitation`.

Chirwere chePulmonary Valve chinorapwa sei?

Kurapwa kweizvi kunosiyana zvichienderana nechirwere chaunacho. Dzimwe nguva zvinogona kudzorwa nemishonga, dzimwe nguva zvinogona kutosanganisira kuvhiyiwa.

Mishonga chaiyo uye marapirwo

Kune nzira dzakasiyana-siyana dzekurapa chirwere chemapapu:

• Kuvhara mabharumu: Izvi zvinoitirwa kuwedzera vharumu yemapapu yakamanikana. Izvi zvinoitwa nekuisa chinhu chidiki chakaita sebharumu muvharumu woiputira.
• Mishonga kana kuiswa kwestent (ye "Atresia"): Izvi zvinoitirwa kuchengetedza "Ductus Arteriosus" yakavhurika, tsinga yeropa inovhara nekukurumidza mushure mekuzvarwa kwemwana. Kuchengeta chubhu iyi yakavhurika kunobatsira kuti ropa rifambe richienda kumapapu.
• Mishonga inobvisa mvura mumuviri: Mishonga iyi inopihwa kudzivirira kuchengetwa kwemvura mumuviri nekuda kwekushaya simba kwemoyo kunokonzerwa nekubuda kweropa kubva mumavharuvhu. Inoita kuti muviri ubudise mvura yakawandisa kuburikidza neweti.
• Mishonga yePulmonary Hypertension (BP yakakwira mumapapu) kana Endocarditis (hutachiona hwemwoyo) (yeRegurgitation): Mishonga inopiwa kudzora zvirwere izvi.
• Maitiro eTranscatheter kana kuvhiyiwa kwemoyo: Maitiro aya anoshandiswa kugadzirisa vharuvhu iri kubuda kana kuisa vharuvhu itsva.

Matambudziko/migumisiro yekurapwa

Vamwe vacheche vanogona kunetseka nekudya mushure mekuvhiyiwa, uye vangada kupiwa chikafu kuburikidza nechubhu diki kuburikidza nemhino dzavo (chubhu yekudyisa).

Mushure mekuchinjwa vharuvhu, mwana wako achafanira kutora mishonga inorwisa mabhakitiriya kana achinge avhiyiwa mazino. Mishonga iyi inoderedza njodzi yekubatwa nechirwere chemwoyo chinonzi endocarditis.

Kana vharuvhu yemapapu yagadziriswa, inogona kudonha zvakare, uye chiremba angafanira kuiwedzera kana kuitsiva.

Sekunge kune chero kuvhiyiwa kupi zvako, pane mukana mudiki wekutapukirwa kana kubuda ropa, asi vanachiremba vanongwarira zvikuru nezvazvo.

Zvinotora nguva yakareba sei kuti munhu apore kubva pakurapwa?

Mushure mekuvhiyiwa kwe `Pulmonary Atresia`, mwana wenyu achava muchipatara kweinenge vhiki imwe kana maviri. Mushure mekuvhiyiwa kwe `Pulmonary Valve Regurgitation`, kupora kunogona kutora mavhiki, kunyange mwedzi. Mushure mekuvhiyiwa kwe `Valvuloplasty` ye `Pulmonary Stenosis`, muchafanira kudzivirira mabasa anorema kweinenge vhiki.

Chii chaungatarisira kana uine chirwere chePulmonary Valve?

Zvawakasangana nazvo nechirwere ichi zvinogona kusiyana nezvawakasangana nazvo nemumwe munhu. Vamwe vanhu vane zviratidzo zvishoma uye vangasada kuvhiyiwa. Vamwe vangada kuvhiyiwa kanopfuura kamwe chete kwevharuvhu yemapapu muhupenyu hwavo.

Maonero echirwere chevharuvhu remapapu

Maonero evana vane valvuloplasty ye pulmonary valve stenosis akanaka kwazvo . Kazhinji havadi chimwe chinhu kunze kwekungoongororwa nguva dzose nachiremba wemwoyo wevana. Vamwe vanhu vangangoda kuti valvu yavo iwedzere zvakare mushure memakore angangoita gumi nemashanu.

Kurwara kwemapapu kunogona kuuraya kana kukasarapwa, asi vana vazhinji vanorarama kusvika vakura mushure mekuvhiyiwa.

Maonero evanhu vane chirwere chemapapu chisina kunyanya kuoma kana kuti chiri pakati nepakati akanaka. Kune vanhu vane chirwere chakakomba, tarisiro yacho inoenderana nekuti vanokurumidza sei kurapwa.

Ndingaderedza sei njodzi yacho?

Haugone kuderedza njodzi yekuti mwana wako awane chirwere chePulmonary Valve Disease, chirwere chinoitika pasina chikonzero chinozivikanwa. Asi kana uchironga kubata pamuviri, iva nechokwadi chekuti wawana mushonga weRubella Vaccine.

Unogona kuderedza njodzi yako yekurwara nePulmonary Valve Regurgitation nekudzivisa zvirwere zvinokonzera izvi, zvakaita sePulmonary Hypertension, Endocarditis, uye Rheumatic Fever.

Ndinozvitarisira sei?

Ronga zvinhu zvaunogona kudzora uye chengetedza moyo wako uine hutano.

• Dzora BP yako nemazinga echolesterol.
• Dzivisa zvigadzirwa zvefodya zvachose.
• Kurovedza muviri nguva dzose. Kunyangwe kungofamba kwemaminitsi makumi matatu pazuva kwakanaka.
• Idya michero, miriwo, uye chikafu chine mafuta mashoma kana kuti chisina mafuta akawanda. Kudya kwedu kwemuno kwakakodzera zvikuru pane izvi.

Ndinofanira kuona chiremba wangu rini?

Musapotsa nguva yenyu yekutevera nguva yenyu nachiremba wemwoyo. Anogona kutarisa kana vharuvhu yenyu ichiri kushanda zvakanaka. Angangodawo kudzokorora mimwe yemiedzo yakashandiswa pakukuongororai pakutanga. Semuenzaniso:

• Echocardiogram (Echo)
• Kuongororwa kweCT (Computed Tomography - CT scan)
• MRI yemoyo
• EKG (Electrocardiogram - EKG)

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Kana uine chimwe chezviratidzo izvi, enda kuchipatara nekukurumidza:

• Kufenda nguva nenguva.
• Kunetseka zvakanyanya kufema.
• Kunzwa sekuti moyo wako uri kurova nekukurumidza (Heart Palpitations).
• Zviratidzo zvehutachiona kana kubuda ropa, zvakaita sefivha neropa mutsvina, mushure mekuvhiyiwa.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba mibvunzo yakaita seiyi:

• Ndeipi nzira yakanakisisa yekurapa ini (kana mwana wangu)?
• Unoziva here chikonzero chechirwere changu (kana chemwana wangu) chePulmonary Valve Disease?
• Kangani ini (kana mwana wangu) pandinofanira kuuya kuzokuonai?
• Kune mapoka ekutsigira vabereki vane vana vane chirwere chemwoyo here?

Pakupedzisira, meseji yekudzokera nayo kumba

Zvakajairika kunzwa kusagadzikana zvishoma paunoziva kuti mwana wako (kana moyo wako) ane chirwere chePulmonary Valve Disease. Asi usazvidya mwoyo. Vanachiremba vemwoyo vanosangana nematambudziko akadai evharuvhu nguva dzese. Vanogona kushandisa ruzivo rwavo kuti vasarudze kurapwa kwakanakira iwe kana mwana wako.

Usatya kubvunza mibvunzo nezvechero chausinganzwisisi. Enda kunoongororwa zvese zvakarairwa nachiremba wako, uye tora mishonga yese yaunopihwa nenguva. Hausi wega, uye kune vanachiremba, vanamukoti, nemhuri yako kuti vakubatsire parwendo urwu. Kuramba uine tariro kwakakoshawo kuti upore nekukurumidza.

` Chirwere cheVharuvhu reMapumha, Vharuvhu reMwoyo, Chirwere cheMwoyo, Kunetseka Kufema, Marwadzo eChipfuva, Chirwere cheMwoyo cheKuberekwa, Matambudziko eVharuvhu reMwoyo, Kupera kweMapumha, Kudzoserwa kweMapumha, Kupera kweMapumha