Kana wakamborapwa nemwaranzi yegomarara , kana kuti kana mumwe munhu waunoziva akamborapwa, ungave wakanzwa kuti kurapwa uku kunogona kukanganisa mwoyo. Izvi zvinonetsa zvishoma. Asi usazvidya moyo, nekuti chinhu chakakosha ndechekuzviziva. Saka nhasi tichataura nezvechirwere ichi chinonzi mwaranzi yegomarara , kuti chinokura sei, ndiani ari panjodzi huru yekuchiwana, uye zvimwe zvingaitwa nacho.
Chii chinonzi Radiation Heart Disease?
Zvichitaurwa zviri nyore, chirwere chemwoyo chinonzi radiation muunganidzwa wezvirwere zvakasiyana-siyana nematambudziko zvinogona kuitika mumoyo nekuda kweradiation therapy, iyo inoshandiswa kuuraya masero ekenza. Funga nezvazvo, kana mwaranzi yemwaranzi yakananga panzvimbo yekenza, pane mukana wekuti kukuvara kungaitika kunhengo dzine hutano dziri pedyo, kunyanya moyo. Kukuvara uku kunogona kuonekwa dzimwe nguva mukati memavhiki mashoma ekugamuchira radiation therapy, kana kuti kunogona kuonekwa kunyange makore gare gare.
Dambudziko iri rinowanzoitika kuvanhu vakamborapwa nemwaranzi pachipfuva nekuda kwemhando idzi dzekenza:
Kurapwa nemwaranzi kunokanganisa sei moyo?
Kupisa kwemwaranzi kunogona kukuvadza nhengo dziri mukati nepakapoteredza moyo wako. Munguva pfupi, izvi zvinogona kukonzera kuzvimba kwemoyo. Izvi zvinoreva kuti zvikamu zvemoyo zvinozvimba, zvitsvuku, uye zvinorwadza. Nekufamba kwenguva, nhengo iyi yakakuvara inogona kukora zvishoma nezvishoma yova fibrous. Zvakafanana nevanga riri kuumbwa paronda. Zvadaro nhengo yacho haichagoni kushanda zvakanaka.
Zvikamu zvemoyo zvinonyanya kukanganiswa nemwaranzi ndeizvi:
- Mitsipa yemoyo: Idzi ndidzo tsinga dzinopa ropa kutsandanyama yemoyo . Kana dzikakuvara, kuyerera kweropa kumoyo kunogona kuderera.
- Masero anogadzira uye anotakura ma "electrical impulses" kuti arambe achimhanya uye achimhanya zvakanaka pamoyo (conduction system): Izvi zvakafanana ne "electrical wire" yemoyo. Kana izvi zvikakanganisika, kurova kwemoyo kunogona kusarongeka.
- Myocardium: Iyi ndiyo nzvimbo huru inopomba ropa mumoyo. Kana ikaneta, moyo hauzokwanisi kupomba ropa zvakanaka.
- MwoyoPericardium: Izvi zvakaita sebhegi rinodzivirira mwoyo. Rinogona kuzvimba.
- Mavharuvhu ari pakati pemakamuri emwoyo: Aya anobatsira kuti ropa rifambe nenzira imwe chete. Kana akakuvara, ropa rinogona kutanga kuyerera richidzokera shure.
Mhedzisiro yenguva pfupi
Migumisiro mikuru yenguva pfupi yekurapa nemwaranzi pamoyo iri pa pericardium. Izvi zvinosanganisira:
- Pericarditis : Uku kuzvimba kweganda rakakomberedza moyo.
- Kubuda kwemvura mumoyo: Uku kuungana kwemvura inoyerera pakati pemoyo nechikamu chemukati memoyo.
Zvirwere izvi zvinowanzoitika mukati memavhiki mashoma kusvika kumwedzi mishoma mushure mekugamuchira kurapwa nemwaranzi. Zvinowanzoitika kuvanhu vakamborapwa kenza inonzi Hodgkin lymphoma .
Matambudziko enguva refu
Mamwe matambudziko emwoyo anogona kutora makore, dzimwe nguva kusvika makore makumi maviri, kuti aitike. Matambudziko anoitika kwenguva refu anosanganisira:
- Kukundikana kwemoyo kwakavharika: Moyo haugone kupomba ropa rakakwana mumuviri.
- Chirwere chetsinga dzeropa: Kudzikira kana kuvharika kwetsinga dzinopa ropa kumoyo.
- Cardiomyopathy: Tsandanyama dzemwoyo dzinopera simba, dzakakora, kana kukura.
- Kusarongeka kwekurova kwemoyo (Arrhythmia): Kurova kwemoyo kusina kurongeka, kungave nekukurumidza zvakanyanya kana kunonoka zvakanyanya.
- Kuvharika kwemwoyo: Kamudzira kakakomberedza mwoyo kanova kakobvu uye kakaoma, zvichiita kuti mwoyo usakure zvakanaka.
- Chirwere chemwoyo cheValvular: Mavharuvhu emwoyo haasi kushanda zvakanaka.
Ndiani ari panjodzi huru?
Kana wakamborapwa nemwaranzi pachipfuva chako, kunyanya kuruboshwe uko mwoyo wako uri, unogona kunge uri panjodzi yechirwere ichi chemwoyo. Chikamu chekuyera mwaranzi chinonzi Gray (Gy) . Kazhinji, njodzi yechirwere chemwoyo inokwira kana huwandu hwese hwemwaranzi huchipfuura 30 Gray (Gy) pakurapwa nemwaranzi kwakasiyana-siyana.
Pamusoro pezvo, kune zvimwe zvinhu zvinowedzera njodzi iyi:
- Kurapwa pamwe chete nemimwe mishonga inouraya kenza yemwoyo , yakaita setrastuzumab kana anthracyclines.
- Kuva nechirwere chemwoyo chagara chiripo.
- Kukura uchiri mudiki panguva yekurapwa nemwaranzi.
Uyezve, mamwe mamiriro ehutano nemararamiro ehupenyu zvinogonawo kuwedzera njodzi iyi:
- Kufuta zvakanyanya.
- Chirwere cheshuga (Diabetes Mellitus).
- Kushandisa doro zvakanyanya.
- Kukwira kweropa.
- Kusaita maekisesaizi emuviri.
- Kusvuta.
- Mazinga echolesterol asina kunaka.
Dambudziko iri rakajairika zvakadii?
Kare, kwaive nekusanzwisisa njodzi yekukuvadzwa nemoyo, saka kwaive nezviitiko zvakawanda zvekukuvara kwemoyo nekuda kwemwaranzi. Asi ikozvino, vanachiremba nenyanzvi vakaita tsvakiridzo yakawanda pamusoro peizvi uye vakagadzira nzira itsva dzakachengeteka. Izvi zvakaita kuti zvikwanisike kuderedza huwandu hwemwaranzi inosvika pamoyo. Saka, nerombo rakanaka, huwandu hwevanhu vanowana chirwere chemwoyo chemwaranzi ichi hwadzikira.
Ndezvipi zviratidzo zvechirwere chemwoyo chinonzi radiation?
Zviratidzo zvechirwere chemwoyo chemwaranzi zvinogona kusiyana kubva pamunhu kuenda kune mumwe, zvichienderana nekuti zviratidzo zvinokurumidza sei kuoneka uye rudzi rwechirwere chemwoyo chinokonzerwa nemwaranzi.
Zviratidzo zvechirwere chemwoyo chemwaranzi yenguva pfupi
Chiratidzo chikuru che pericarditis ne pericardial effusion, izvo zvinokanganisa kwenguva pfupi nemwaranzi, kurwadziwa kwakanyanya kwechipfuva . Marwadzo aya:
- Zvinoderera kana wakagara pasi wokotama mberi.
- Zvinowedzera kana uchifema zvine ruzha.
Uyewo, kunetseka kufema (dyspnea) kunogona kuitika. Izvi zvinorerutswa nekukotama mberi.
Zviratidzo zvechirwere chemwoyo chinopararira kwenguva refu
Chirwere chemwoyo chinopfuta nemwaranzi chinogona kusakonzera zviratidzo kusvika chakura zvakanyanya. Zviratidzo zvaunazvo zvinoenderana nerudzi rwechirwere chemwoyo chaunacho. Zviratidzo zvinowanzoonekwa zvechirwere chemwoyo zvinosanganisira:
- Kurwadziwa pachipfuva kana kusagadzikana.
- Dzungu kana kupera simba (syncope).
- Kukosora kwakaoma.
- Kusvotwa.
- Kurova kwemoyo nekukurumidza kana kusina kurongeka (kurova kwemoyo).
- Kutadza kufema zvakanaka.
- Kuzvimba (edema) kwezvitsitsinho, makumbo, tsoka, kana dumbu.
- Kushaya simba kana kuneta zvakanyanya.
Zvakakosha: Chirwere chemwoyo chine mwaranzi yakanyanya chinogona kukonzera kurwara kwemwoyo kana kumira kwemoyo.
Kurwara nemoyo kana kumisa cardiac chinhu chinotyisidzira hupenyu. Kana uchifungidzira kuti iwe kana mumwe munhu wauinaye ari kurwara nemoyo, enda kuchipatara chiri pedyo kana kufonera emergency services yemuno nekukasika. Nguva inokosha. Kunyangwe kunonoka kwemaminitsi mashoma kunogona kukonzera kukuvara zvachose kana kutouraya.
Unozviziva sei izvi?
Vanachiremba vanoshandisa nzira dzakasiyana-siyana dzekuongorora chirwere chemwoyo chine mwaranzi. Nzira dzaunoshandisa dzinoenderana nezviratidzo zvako uye nhoroondo yezvekurapa. Pamusoro pekuongororwa kwemuviri uye kuongororwa ropa, chiremba wako anogona kuraira imwe kana kupfuura yeiyi bvunzo:
- Kuisa katheta mumoyo
- Kuongororwa kweCT yemwoyo
- MRI yemwoyo
- X-ray yechipfuva
- Echocardiogram
- Electrocardiogram (EKG kana ECG)
- Bvunzo reElectrophysiology
- Kuedza kushushikana kwemuviri
- Chinoongorora cheHolter
- Kuongororwa kwemoyo (endomyocardial biopsy)
Ndezvipi zviri kurapwa?
Kune nzira dzakawanda dzekurapa chirwere chemwoyo. Izvi zvinotangira pakuchinja mararamiro kusvika kumishonga, kurapwa kusingapindi mishonga yakawanda, uye kuvhiyiwa. Chiremba wako achakurukura newe kuti ndeipi nzira yekurapa yakakunakira.
Nekufambira mberi kutsva mukurapa zvirwere zvemwoyo, vanhu vava kukwanisa kurarama hupenyu hurefu uye huri nani.
Tekinoroji itsva ingaderedza sei njodzi iyi?
Nzira huru yekudzivirira chirwere chemwoyo chine mwaranzi ndeyekuderedza huwandu hwemwaranzi inogamuchira mwoyo wako.
Tekinoroji dzemazuva ano dzemwaranzi dzegomarara dzinopa huwandu hwakakodzera hwemwaranzi kugomarara, zvichideredza huwandu hwemwaranzi inosvika kunhengo dzine hutano dzakapoteredza, kunyanya moyo. Zvimwe zvacho zvinosanganisira:
- Kurapa nemwaranzi inogadziriswa simba (IMRT): Izvi zvinosanganisira kuita mapu egomarara rine mativi matatu (3D) uye kuendesa mwaranzi nenzira yakarongeka.
- Kurapa neproton: Izvi zvinoshandisa zvidimbu zvine simba rakawanda, zvine chaji yakanaka (protons) uye zvinoisa simba racho pabundu racho chete.
Uyewo, pakurapa kenza yemazamu, unogona kuderedza huwandu hwemwaranzi yaunogamuchira kumoyo wako nekuchinja nzvimbo yako. Semuenzaniso, unogona kurapwa wakarara nedumbu rako, kana kuti unogona kungowana mwaranzi kwenguva pfupi paunofema zvakadzika.
Ungaderedza sei njodzi iyi?
Kana wakamborapwa nemwaranzi pachipfuva, unogona kuderedza njodzi yako yekubatwa nechirwere chemwoyo nekugara uchirarama hupenyu hune hutano hwemwoyo. Izvi zvinoreva kuti:
- Kudzivisa kunwa doro.
- Kudya chikafu chine hutano.
- Kurovedza muviri nguva dzose.
- Kudzora BP nemazinga echolesterol.
- Kurega kusvuta zvachose.
Kana kurapwa kwegomarara kwapera, zvakakoshawo kuti munhu agare achiongororwa nguva nenguva. Izvi zvinogona kubatsira kutarisa hutano hwako. Chiremba wako anogonawo kuraira kuongororwa kwemoyo wako makore mashanu kusvika gumi ega ega.
Vaya vakamborapwa nemwaranzi vanogona kufungei nezveramangwana?
Sezvo vanhu vakawanda vari kurarama nekenza uye vachirarama kwenguva yakareba, kunzwisisa kwedu migumisiro yenguva refu yekurapwa kuri kuwedzera. Kana ukararama kwenguva yakareba mushure mekurapwa nekenza, njodzi yako yekubata chirwere chemwoyo inowedzera. Zvisinei, njodzi iyi yava kudzikira nekuda kwetekinoroji itsva dzinoderedza kuratidzwa kwemwaranzi pamwoyo.
Maonero ako ega ega anoenderana nezvinhu izvi:
- Huwandu hwemwaranzi yawakagamuchira mwoyo wako.
- Zera rako pawakagamuchira kurapwa nemwaranzi.
- Zvinhu zvinokonzera njodzi yemwoyo neropa. Izvi zvinoreva kudya kwako, kurovedza muviri, nezvimwe zvirwere zvehutano zvaunazvo.
Unofanira kuona chiremba rini?
Kana ukaona zviratidzo zvechirwere chemwoyo, fonera chiremba wako nekukasika. Zviratidzo izvi zvinosanganisira kurwadziwa muchipfuva kana kusagadzikana, kushaya mweya, kana kurova kwemoyo kusina kurongeka.
Kana uchifungidzira kuti une chirwere chemwoyo kana kuti cardiac arrest, tsvaga rubatsiro rwekukurumidzira nekukasika.
Vanhu vakamborapwa nemwaranzi yegomarara muchipfuva vanogona kurwara nechirwere chemwoyo chinokonzerwa nemwaranzi makore akazotevera. Zvisinei, kufambira mberi kwakaitwa muhunyanzvi hwemwaranzi munguva pfupi yapfuura kwakaderedza huwandu hwevanhu vanorwara nechirwere chemwoyo nekuda kwemwaranzi. Kurapwa kwechirwere chemwoyo kwakavandudzikawo, zvichiita kuti hupenyu huve nani. Kana wakamborapwa nemwaranzi munguva yakapfuura uye uine zviratidzo zvechirwere chemwoyo, iva nechokwadi chekuudza chiremba wako.
Pfupiso (Mharidzo Yekuenda Nayo Kumba)
Zvakanaka, tataura zvakawanda nezve Radiation Heart Disease nhasi. Heano mamwe ematambudziko akakosha ekurangarira:
- Kurapwa nemwaranzi pachipfuva chegomarara kunogona kukuvadza moyo.
- Mhedzisiro iyi inogona kuitika munguva pfupi kana kwenguva refu (mushure memakore).
- Njodzi iyi yadzikira zvikuru nekuda kwetekinoroji itsva dzemwaranzi.
- Kana wakamborapwa nemwaranzi, zvakakosha kuti urambe uine hutano hwemoyo uye ugare uchiongororwa nachiremba.
- Kana ukaona zviratidzo zvakaita sekurwadziwa pachipfuva uye kufema zvakaoma , usavhunduka uye tsvaga rubatsiro rwechiremba nekukurumidza.
Hapana chekutya, kuziva nekutarisira ndizvo zvinhu zvinonyanya kukosha. Kana uine mimwe mibvunzo nezveizvi, taura nachiremba wako.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi chirwere chemwoyo chemwaranzi chinokonzerwa nekurapwa nemwaranzi nekenza?
Ichi chirwere chekuti, kana mwaranzi ikapihwa pachipfuva nekuda kwekenza yemazamu kana kenza yemapapu, mwaranzi iyi inorova tsandanyama dzemwoyo netsinga, zvichiita kuti mavharuvhu emoyo netsinga dziome nekufamba kwenguva.
💬 Ndezvipi zviratidzo zvinoonekwa nemurwere kana chirwere ichi chikaitika?
Unotanga kunetseka kufema, unonzwa kuneta zvekuti haugone kukwira masitepisi, makumbo ako anozvimba, uye unotanga kunzwa kurwadziwa kwakanyanya muchipfuva chako.
💬 Dambudziko iri rinoitika here mushure mekurapwa nemwaranzi?
Kwete! Kazhinji, chirwere ichi chemwoyo chinongoonekwa makore mashoma mushure mekurapwa nemwaranzi (makore mashanu kusvika gumi). Ndosaka uchifanira kuramba uchiongororwa moyo wako kunyangwe kenza yapera.
` Chirwere chemwoyo chemwaranzi, kurapwa nekenza, chirwere chemwoyo, kurapwa nemwaranzi, mwaranzi yechipfuva, kurwara nemoyo, zviratidzo zvechirwere chemwoyo
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