Unoziva nezvechikamu chidiki ichi chemoyo wako here? - Right Atrial Appendage

Tose tinoziva kuti moyo wedu inhengo inoshamisa kwazvo. Asi mungave musina kunzwa zvakawanda nezvezvimwe zvikamu zvidiki zvemoyo uyu. Saka, nhasi tichataura nezvechikamu chidiki chemoyo icho vanhu vazhinji vasingataure nezvacho, asi chinoita basa rakakosha. Icho ndicho chikamu cheatrial chakakodzera , kana muchirungu `(Right Atrial Appendage)`, kana `(RAA)` muchidimbu. Pamwe uri kunzwa zita iri kekutanga. Asi musazvidya mwoyo, ngatitaurei nezvazvo zviri nyore.

Chii chinonzi Right Atrial Appendage?

Zvichitaurwa zviri nyore, "Right Atrial Appendage" kana kuti "RAA" chikamu chidiki chemwoyo wako chakaita sehomwe chinobuda zvishoma kubva mukamuri repamusoro remoyo wako, chinonzi right atrium. Ungave wakambonzwa nezvazvo kare, kunyanya kana chiremba akakuudza kuti uise "pacemaker lead", waya diki inobatanidza nepacemaker, muatrium yako yekurudyi.

Funga nezve `(RAA)` iyi sehomwe diki iri muhembe yedu. Nzvimbo diki iri kunze kwehembe huru. Pane chikonzero chaicho nei vanachiremba vachida kuisa waya dzepacemaker mu`(RAA)` iyi. Chimwe ndechekuti `(RAA)` iyi iri nyore kusvika. Chimwe chinhu ndechekuti `(RAA)` iyi iri pedyo zvikuru ne`(SA node)`, kana `(sinoatrial node)`, iyo inotumira zviratidzo zvemagetsi zvinoita kuti moyo wedu urove. Saka zvakakosha zvikuru kuti pacemaker ishande zvakanaka.

Chikamu ichi chemwoyo chisingazivikanwe dzimwe nguva chinogona kukonzera matambudziko. Asi mashoko akanaka ndeekuti, kune nzira dzekurapa `(RAA)` iyi, sezvakangoitawo kune dzimwe nzvimbo dzemwoyo.

Chii chinoitika neRAA iyi? (Basa reRAA)

Iye zvino ngationei kuti `(RAA)` iyi diki inoitei chaizvo. Rimwe remabasa ayo makuru nderekuti kana huwandu hweropa redu hukawedzera, ndiko kuti, kana huwandu hweropa mumuviri hukawedzera kupfuura zvinodiwa, madziro e`(RAA)` iyi anotanga kutambanudza. Zvadaro, `(RAA)` iyi inoburitsa rudzi rwakakosha rweprotein inonzi `natriuretic peptides` .

Makemikoro aya anonzi "natriuretic peptides" anoita zvinhu zvakakosha zvikuru:

• Mitsipa yeropa yako inokura zvishoma.
• Zvinobatsira kubvisa munyu nemvura yakawandisa mumuviri wako kuburikidza neweti.

Maitiro aya anobatsira kuderedza huwandu hweropa rako neBP. Funga nezvazvo sepaipi diki inoburitsa mvura yakawandisa kana tangi remvura mumba mako razara.

RAA iri kupi? (Nzvimbo yeRAA)

``Right Atrial Appendage`` yako iri pamusoro peatrium yekurudyi yemoyo wako. Kutaura chokwadi, iri pedyo ne``superior vena cava`` yako, tsinga huru yeropa. Iyi ``(RAA)`` chikamu chakaita semugero chinotambanuka kumusoro pakati peatrium yekurudyi neventricle yekurudyi.

Ndezvipi zvikamu zveRAA? Inotaridzika sei ? (RAA Anatomy and Appearance)

Kana ukatarisa chimiro chemukati che `(RAA)` iyi, inoita sebhegi rine muromo unobvumira ropa kupinda nekubuda. Pamusoro pe `(RAA)` pakaoma zvishoma. Chikonzero cheizvi ndechekuti kune mitsetse yemhasuru inonzi `terminal crest` uye `musculi pectinati` . Izvi zvakaita semitsetse midiki pamusoro.

Panyaya yehukuru, vaongorori vanoti nzvimbo yeiyi `(RAA)` inenge 3 square centimeters (iyo inenge hafu ye square inch). Kuvhura kwe`(RAA)` kwakafara 2 centimeters (zvishoma pane inch).

Chinoshamisa ndechekuti iyi `(RAA)` inogona kuva ne płatka imwe chete (lobe) kana kuti płatki dzakawanda, dzimwe nguva kusvika kumatanhatu. Izvi zvinoreva kuti havasi vese `(RAA)` vakafanana.

Ndezvipi zvimiro zvinogona kuonekwa muRAA? (RAA Maumbirwo)

Vaongorori vakaona mhando dzakasiyana dze `(RAA)`. Heano mamwe acho:

• Chimiro chesikweya (chimiro chemuromo weparrot): Ichi ndicho chimiro chinowanzoonekwa. Chinofanana nemuromo weparrot.
• Chimiro chemativi mana: Chakafanana nechimiro chemusoro webhiza.
• Chimiro cheTrapezoid: Chakafanana nechimiro cheanvil.
• Chimiro chetatu: Sechikepe chiri muchikepe chekufambisa ngarava.
• Chimiro chisina kujeka: Zvimwe zvacho zvakaoma kutsanangura nenzira chaiyo.

Kuwedzera kune aya maumbirwo makuru, vaongorori vakawana aya marudzi madiki. Hazvishamisi here kuti chikamu chidiki ichi chemwoyo yedu chinogona kuva chakasiyana-siyana kudaro?

Ndezvipi zvirwere zvinowanzo kanganisa RAA?

Kufanana nedzimwe nhengo dzemwoyo, kune zvirwere zvakawanda zvinogona kukanganisa RAA. Zvimwe zvacho ndeizvi:

• Atrial Fibrillation (Afib): Uku kurova kwemoyo kusina kurongeka. Dambudziko iri rinogona kukonzera kuti ropa riungane muRAA. Zvisinei, izvi hazviwanzoitiki kurudyi kana tichienzanisa nekuruboshwe rweatrial appendage.
• Kukuvara netsaona yemotokari: Mutsaona yakakura, RAA inogona kukuvara nekuda kwekukuvadzwa nechipfuva.
• Aneurysm: Ichi chirwere apo tsinga yeropa inokura zvakanyanya uye inoputika sebharumu. RAA inogonawo kuva nerudzi urwu rwe aneurysm.

Zvakakosha: Kuzivikanwa nekukurumidza uye kurapwa kwakakodzera kwezvirwere izvi kwakakosha zvikuru.

Ndezvipi zviratidzo zvechirwere cheRAA?

Mamiriro ezvinhu anokanganisa right atrial appendage (RAA) anogona kukonzera kuti uve nezviratidzo zvakaita se:

• Kurwadziwa kwechipfuva
• Kuneta
• Kushaya mweya kana `dyspnea`
• Dzungu

Kungova nezviratidzo izvi hazvirevi kuti une dambudziko neRAA yako. Zvinogonawo kukonzerwa nezvimwe zvirwere zvemwoyo nematambudziko ehutano. Saka, kana uine zviratidzo izvi, zvakanaka kutsvaga rubatsiro rwechiremba.

Maitiro ekutarisa mamiriro ehutano hweRAA? (Miedzo Yakajairika yeRAA Health)

Kune bvunzo dzakasiyana-siyana dzinoshandiswa navanachiremba kuti vaongorore hutano hwe right atria appendage (RAA):

• Transesophageal Echocardiogram (TEE): Iyi imhando yakasarudzika ye echocardiogram. Mukuedzwa uku, chubhu diki ine kamera (transducer probe) inopinzwa nepahuro muguropu yako kuti itore mifananidzo yakajeka yemoyo wako. Izvi zvinoita kuti uone RAA zvakanaka.
• Kuongororwa kwemwoyo neCT (Cardiac Computed Tomography): Izvi zvinoshandisa X-rays nekombiyuta kuti zvigadzire mifananidzo yemoyo.
• Transthoracic Echocardiogram (TTE): Iyi ndiyo nzira inonyanya kushandiswa ye echocardiogram. Pano, transducer inoiswa pachipfuva chako kuti itore mifananidzo yemoyo wako.

Chiremba ndiye achasarudza zvekuita nemiedzo iyi zvichienderana nemamiriro ako ezvinhu.

Ndeapi marapirwo eizvi? (Marapirwo Akajairika)

Kana paine dambudziko ne right atria apparatus (RAA), pane nzira dzakasiyana siyana dzekurapa:

• Mishonga Inodzivisa Kugwamba Kweropa: Kana RAA yako ichiwanzoita maronda eropa, uchapihwa mishonga iyi yekudzivirira kugwamba kweropa.
• Kurapa kweAblation: Kana kurova kwemoyo kusina kurongeka, senge atrial fibrillation, kukatanga neRAA, kurapwa kunonzi ablation kunogona kuitwa kuparadza nyama isina kurongeka.
• Kuvhiyiwa: Kana matishu eRAA akakuvara mutsaona, kuvhiyiwa kungadiwa kugadzirisa kana kubvisa zvikamu zvakakuvara.

Kusarudza kuti ndeipi mishonga yakakunakira zvinoenderana nezvinhu zvakawanda, kusanganisira mamiriro ako ehutano, zera, uye hutano hwako hwese.

Ndingachengetedza sei chikamu changu chekurudyi cheatrial (RAA) chine hutano? (Ndingachengetedza sei RAA yako)

Hapana chaunogona kuita zvakananga kune yako `(Right Atrial Appendage)`. Zvinhu zvakafanana zvaunoita kuti mwoyo wako wese ugare wakagwinya zvakanakawo kune yako `(RAA)`. Kuti moyo wako ugare wakagwinya, chengeta zvinhu izvi:

• Iva nemaekisesaizi emuviri kwemaminitsi angangoita 150 pasvondo: ita maekisesaizi akadai sekufamba, kumhanya, kana kushambira.
• Idya chikafu chine hutano pamoyo: Idya miriwo yakawanda, michero, nyemba, zviyo, nyama dzisina mafuta akawanda, nehove. Deredza mafuta, munyu, neshuga.
• Dzivisa kushandisa fodya: Kusvuta kunokanganisa mwoyo zvikuru.
• Dzora kushushikana kwako:Ita zvinhu zvakaita seyoga, kufungisisa, nezvimwewo. Zorora.
• Dzora zvirwere zvakaita seBP nechirwere cheshuga: Inwa mishonga sezvawakarairwa nachiremba wako.

Nekutevera matanho aya ari nyore, unogona kuchengetedza hurongwa hwako hwese hwemwoyo hune hutano.

Chekupedzisira, chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)

Vanhu vazhinji havasati vambonzwa nezvezwi rekuti `Right Atrial Appendage'' kana `RAA'' kare. Avo vane `Afib'' vanogona kunge vakambonzwa nezveLeft Atrial Appendage, asi iri kurudyi harinyanyi kutaurwa nezvaro.

Kana uri kuverenga chinyorwa chino nekuti uchaisirwa pacemaker, chinhu chimwe chaunofanira kuziva ndechekuti vanachiremba vanosarudza RAA senzvimbo yakanakisa yekuisa pacemaker lead. Tatokurukura zvikonzero zveizvi.

Saka, kana muine mimwe mibvunzo nezve `(RAA)` iyi, musazeza kutaura nachiremba wenyu. Iye anogona kukupai mhinduro dzakajeka kumibvunzo yenyu yese. Yeukai, nhengo diki yega yega yemuviri wedu ine basa rinokosha, saka zvakakosha kuti muzive nezvazvo.

Moyo , Chidimbu cheAtrial Yerudyi, RAA, Chirwere chemwoyo, Pacemaker, Atrial Fibrillation, Hutano hwemwoyo, Chidimbu cheAtrial Yerudyi