Mwana wako anowanzova nepahuro panorwadza here kana kuti mhino yake inoyerera? Kana kuti unoyeuka here pawaiva mudiki, waimbova nepahuro panorwadza nefivha? Kazhinji, hatifungi nezvezvirwere izvi sezvirwere zvakajairika, handiti? Asi waiziva here kuti kana zvikasarapwa zvakanaka, hutachiona hwepahuro hwakadai sehuhu hunogona kutungamira kuchirwere chakakomba chinogona kukuvadza moyo wako mune ramangwana? Ndizvo zvatinodaidza kuti chirwere chemwoyo chinonzi rheumatic heart disease, kana kuti `(Rheumatic Heart Disease)`. Nhasi, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Chii chaizvo chinonzi Rheumatic Heart Disease?
Zvichitaurwa zviri nyore, chirwere chemwoyo chinonzi 'Rheumatic Fever' chinokonzera kukuvara kwechigarire kwemavharuvhu emwoyo. Iye zvino ungangove uchibvunza kuti, "Saka chii chinonzi rheumatic fever?"
Fungidzira kuti muviri wedu unowana utachiona hwebhakitiriya. Kunyanya zvirwere zvakaita se strep throat kana scarlet fever, zvinokonzerwa nebhakitiriya rinonzi Group A Streptococcal (GAS). Kana mabhakitiriya aya apinda mumuviri, dziviriro yemuviri wedu, dziviriro yemuviri, inotanga kurwisana nawo. Asi dzimwe nguva kurwisa uku kunopera simba. Dziviriro yedu inosanganiswa nemabhakitiriya nemasero edu ane hutano.
Panguva iyi, masoja emuviri, pamwe nekurwisa mabhakitiriya, anotanga kurwisa nhengo dzemuviri wedu, kunyanya moyo, majoini, ganda, nehuropi. Izvi zvinokonzera kuzvimba mumuviri wese. Izvi ndizvo zvatinodaidza kuti rheumatic fever .
Kuzvimba uku kunogona kukuvadza mavharuvhu akapfava ari mumoyo. Mavharuvhu emoyo akafanana nemagonhi. Anovhurika uye anovhara zvakanaka kuti ropa rifambe nenzira imwe chete. Rheumatic fiver inogona kukonzera mavharuvhu aya kuva nemavanga, kutetepa (stenosis) kana kusavhara zvakanaka, zvichiita kuti ropa ridonhe kumashure (regurgitation). Apa ndipo apo mavharuvhu emoyo anokuvadzwa zvachose, uye tinoadaidza kuti Rheumatic Heart Disease .
Chinhu chakakosha ndechekuti kukuvara uku hakuitike panguva imwe chete. Zvinongoitika chete kana chirwere chehuro chatanga uye fivha yerheumatic yatanga, makore mazhinji gare gare, zvichida makore gumi kana makumi maviri gare gare, apo zviratidzo zvemoyo zvinotanga kuoneka.
Ndezvipi zviratidzo zvechirwere ichi?
Sezvambotaurwa, vanhu vazhinji vanotanga zviratidzo zvishoma nezvishoma. Zvinongoonekwa chete mushure menguva yakati rebei mushure mekutanga kwefivha yerheumatic. Zviratidzo izvi zvinowanzoonekwa muhudiki.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kuoma kufema | Zvinova zvakaoma kufema paunenge uchirovedza muviri, uchizorora, kana kuti wakarara pasi. Izvi zvinoitika nekuti mapapu anokanganiswa kana moyo usingakwanise kupomba ropa zvakanaka. |
| Kurwadziwa kwechipfuva | Unganzwa kuomeswa kana kurwadziwa muchipfuva chako nekuti moyo wako unofanira kushanda nesimba. |
| Kurova kwemwoyo | Mwoyo unonzwa sekunge uri kurova nekukurumidza kana kuti zvisina kurongeka. Unonzwa sekunge pane chiri kubhururuka muchipfuva. Dzimwe nguva, chirwere chekurova kwemoyo chisina kurongeka chakadai seatrial fibrillation chinogona kuitika. |
| Kuzvimba kwemuviri | Dumbu, makumbo, zvitsitsinho, uye maoko zvinogona kuzvimba. Izvi zvinokonzerwa nekuungana kwemvura mumuviri kana kushanda kwemoyo kuchinge kwadzikira. |
| Kuneta kakawanda | Nekuti nhengo dzemuviri hadzigamuchire ropa rakakwana reoxygen, unogara uchinzwa kuneta uye usingakwanise kuita chero chinhu. |
| Manzwiro asina kujairika emwoyo (Heart Murmur) | Kana chiremba achiongorora ne stethoscope, anogona kunzwa ruzha rusina kujairika runokonzerwa neropa richiyerera nepavharuvhu yakakuvara. |
| Kukosora ropa | Ichi chiratidzo chakakomba. Chinogona kuitika kana kumanikidzwa kwemoyo kukawedzera uye kuchikanganisa mapapu. |
Chirwere ichi chinotapuriranwa here? Ndiani ari panjodzi huru yekubatwa nacho?
Kwete. Chirwere chemwoyo chinonzi rheumatic hachiparadzirwi zvakananga kubva kumunhu kuenda kune mumwe. Zvisinei, hutachiona hwepahuro hunokonzeresa chirwere ichi hunokonzerwa nestreptococcal. Utachiona uhwu hunogona kupararira nemhepo kana uchihotsira kana kukosora.
Saka, ndiani ari panjodzi huru yekubata chirwere ichi?
- Kune avo vanowanzo batwa nezvirwere zvepahuro uye vasingatore mishonga inorwisa mabhakitiriya nemazvo: kunyanya panguva yehudiki.
- Kune avo vanogara munzvimbo dzisina nzvimbo dzehutano dzakakwana: Avo vasina mukana wekuonana nachiremba uye vanowana mishonga vari panjodzi huru.
- Kune avo vanogara munzvimbo dzine vanhu vakawanda uye dzisina hutsanana: Utachiona hunowanzo pararira munzvimbo dzakadaro.
Munyika dzakabudirira dzakadai seAmerica, uko mishonga inorwisa mabhakitiriya inopihwa mushure mekurwara ne strep throat, rheumatic fever uye chirwere chemwoyo che rheumatic hazvichawanikwe zvakanyanya. Zvisinei, munyika dzakaita sedzedu, kunyanya kumaruwa nenzvimbo dzine vanhu vakawanda, chirwere ichi chichiri dambudziko guru rehutano.
Ndezvipi migumisiro yenguva refu yechirwere chemwoyo chinonzi rheumatic heart disease?
Nekufamba kwenguva, kukuvara kwemavharuvhu emwoyo kunogona kuwedzera, zvichikonzera matambudziko akasiyana-siyana.
- Kukundikana kwemoyo: Chirwere chekuti moyo haugone kupomba ropa rakakwana mumuviri.
- Kurova kwemoyo kusingajairiki (Arrhythmia): Kurova kwemoyo kusingajairiki kunokonzerwa nemamiriro akaita se'Atrial Fibrillation'.
- Infective Endocarditis: Ichi chirwere chine njodzi zvikuru apo utachiona hunobva muropa hunopinda mumavharuvhu akatokuvara uye hunokonzera hutachiona.
- Pulmonary Hypertension: Kuwedzera kwesimba mutsinga dzeropa dzinotakura ropa kubva pamoyo kuenda kumapapu.
- Kurohwa uye kuungana kweropa: Kurova kwemoyo kusingaenderane kunogona kukonzera kuungana kweropa mukati memoyo, izvo zvinogona kufamba kuenda kuuropi zvichikonzera kuungana kweropa.
Zvine njodzi zvikuru kuvakadzi vane pamuviri vane chirwere chemwoyo chinonzi rheumatic heart disease. Munguva yekuzvitakura, huwandu hweropa remuviri hunowedzera, zvichiita kuti mwoyo ushande nesimba. Mwoyo une mavharuvhu akakuvara ungaomerwa nekubata mutoro uyu wakawedzerwa. Izvi zvinogona kukonzera matambudziko makuru ehutano kuna amai nemwana.
Chiremba anoongorora sei chirwere ichi?
Kana ukaudza chiremba wako nezvezviratidzo zvako, achakunyatsoongorora. Zvikuru sei, vachateerera mwoyo wako ne stethoscope uye vachatarisa chero ruzha rusina kujairika (kunyunyuta). Pamusoro pezvo, vachakubvunza kana wakamborwadziwa pahuro kana fivha pawaiva mwana.
Kuongororwa kwakawanda kunogona kuitwa kuti kusimbiswe chirwere ichi:
- Kuongororwa kweropa: Tarisa kana paine kuzvimba mumuviri kana shanduko mukushanda kwemasoja emuviri.
- X-ray yechipfuva: Tarisa kana moyo wakakura kana kuti paine zviratidzo zvekurwara nemoyo.
- Echocardiogram: Iyi ndiyo bvunzo inonyanya kukosha. Inoita se ultrasound scan yemoyo. Inokwanisa kuona zvakajeka kuti mavharuvhu emwoyo akakuvara, akatetepa, kana kuti ari kubuda ropa zvakadii.
- Electrocardiogram (ECG): Inonyora mashandiro emagetsi emwoyo uye inoongorora kurova kwemoyo kusina kurongeka.
Ndezvipi zvingasarudzwa pakurapa?
Vanhu vazhinji vanoshamisika kana chirwere ichi chingarapwa zvachose. Chokwadi ndechekuti, kukuvara kwemavharuvhu emwoyo kunokonzerwa nechirwere chemwoyo cherheumatic hakugone kuchinjwa. Izvi zvinoreva kuti chirwere chisingaperi . Zvisinei, nekurapwa kwakanaka, unogona kudzora zviratidzo, kudzivirira chirwere kuti chisawedzere kuipa, uye kurarama hupenyu hwakajairika.
Nzira dzekurapa dzinogona kukamurwa kuita zvikamu zvikuru zvakasiyana.
| Nzira yekurapa | Uri kuitei? |
|---|---|
| Mishonga | Mishonga inopiwa kudzora kutadza kushanda kwemoyo, kudzora kurova kwemoyo kusina kurongeka, uye kubvisa mvura yakawandisa mumuviri. Kana paine njodzi yekugwamba kweropa, mishonga inodzikisa ropa (anticoagulants) inogona kupihwa. |
| Maitiro Asingapindi Zvishoma | Kana vharuvhu yemwoyo ye mitral yakatetepa, pane nzira yekuwedzera vharuvhu pasina kuvhiyiwa, uchishandisa chubhu tete inopinzwa nepagumbo, senge bharumu. Izvi zvinonzi Valvuloplasty . |
| Kuvhiyiwa kweVharuvhu yeMwoyo | Kana chirwere chacho chakanyanya kuipa, vharuvhu yakakuvara ingada kugadziriswa kana kubviswa zvachose uye vharuvhu yekugadzira kana vharuvhu yetishu ingada kuiswa. |
Chinonyanya kukosha: Ungadzivirira sei chirwere ichi?
Ehe, ichi ndicho chikamu chakakosha chechinyorwa chino. Chirwere chemwoyo chinonzi rheumatic chirwere chinogona kudzivirirwa zvachose. Pane chinhu chimwe chete chiri nyore chaunogona kuita kuti uchidzivirire.
Kuwana mushonga wemishonga inorwisa mabhakitiriya panguva yekutanga kwechirwere che streptococcal pahuro.
Kana iwe kana mwana wako muine chimwe chezviratidzo zviri pazasi, ndapota musangogara pamba muchifunga kuti zviri nyore. Endai kunoona chiremba nekukasika.
- Fivha yakanyanya
- Huro inorwadza
- Tonsillitis
- Kurwadziwa kwemajoini
- Kurwadziwa kwetsandanyama
- Mapundu kana maronda paganda
- Kuzunungusa makumbo kana musoro zvisina kudzorwa (Chorea)
Kana chiremba akaongorora uye akasimbisa kuti chirwere ichi chine hutachiona hwebhakitiriya, achanyora mishonga inorwisa mabhakitiriya kwemazuva mashoma. Zvakakosha kutora mushonga wacho panguva yakatarwa. Usamira pakati pekurapwa nekuti marwadzo aderera. Kuita izvi hakuzourayi hutachiona zvachose uye kuchawedzera njodzi yekubatwa nechirwere cherheumatic fiver.
Kana uchitova nechirwere chemwoyo chinonzi rheumatic heart, hutachiona hwepahuro hunodzokororwa hunogona kuwedzera kukuvara kwemoyo wako. Nokudaro, chiremba wako anogona kukukurudzira kuti utore jekiseni repenicillin mwedzi wega wega kwenguva yakareba, pamwe kwehupenyu hwako hwese, kudzivirira hutachiona.
Mharidzo Yekuenda Nayo Kumba
- Chirwere chemwoyo chinonzi rheumatic chinokonzerwa nehutachiona hwepahuro husina kurapwa hunoitika pahudiki.
- Chirwere ichi chinokonzera kukuvara kwemwoyo zvachose. Kukuvara uku hakugone kudzoserwa shure.
- Zviratidzo zvakaita sekushaya mweya, kurwadziwa pachipfuva, kuneta, uye kuzvimba kwemakumbo zvinoonekwa makore akawanda mushure mekunge chirwere ichi chatanga.
- Usaregeredza pahuro kana fivha, kunyanya kuvana. Enda kuna chiremba nekukasika uye, kana zvichidikanwa, tora mishonga inorwisa mabhakitiriya kwenguva yakazara yawakanyorerwa.
- Kana uine chirwere chemwoyo chinonzi rheumatic heart disease, tevera mirairo yachiremba wako uye kurapwa kwacho nemazvo. Enda kunoongororwa nachiremba nguva dzose.
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