Une chirwere chemwoyo here? (Structural Heart Disease) - Ngatitaurei nezvazvo zviri nyore!

Dzimwe nguva unonzwa kubatwa zvishoma muchipfuva chako, kuoma kufema, kana kuneta chete? Seri kwezvinhu izvi, panogona kunge paine shanduko kana kusasimba muchimiro chemoyo, ndiko kuti, chimiro chemoyo, madziro, mavharuvhu, kana tsandanyama. Nhasi tiri kutaura nezvemamwe matambudziko muchimiro chemoyo, ayo vanachiremba vanoadaidza kuti `(Structural Heart Disease)`. Ichi chinogona kuva chimwe chinhu chinoberekwa nacho, kana kuti chinogona kukura gare gare nekukura. Kana chikasarapwa zvakanaka, mamwe matambudziko ehutano anogonawo kumuka nekufamba kwenguva.

Saka chirwere ichi chemwoyo chii?

Zvichitaurwa zviri nyore, `(Structural Heart Disease)` zvinoreva kuti pane chimwe chinhu chisina kujairika mumaumbirwo emwoyo wako, ndiko kuti, chimiro chemwoyo, madziro awo, makamuri, mavharuvhu, kana tsandanyama dzemwoyo. Iyi inyaya yakakura kwazvo. Fungidzira, kana madziro, magonhi, nemahwindo eimba yedu zvisina kurongeka, imba iyoyo haizoshande zvakanaka. Ndizvo zvakaitawo nemoyo.

Ndezvipi zvirwere zvemwoyo izvi?

Tinogona kupatsanura mamiriro ezvinhu aya muzvikamu zvikuru zvitatu. Funga nezvazvo, mwoyo wedu inhengo inoshamisa. Une zvikamu zvakasiyana, zvose zvinoda kushanda nemazvo.

• Chirwere chevharuvhu yemwoyo: Waizviziva here kuti moyo wedu une mavharuvhu mana? Aya akafanana nemagonhi anodzora kuyerera kweropa - anongobvumira ropa kuti riyerere nenzira imwe chete. Saka, kana paine dambudziko nemavharuvhu aya, semuenzaniso, vharuvhu isingavhurike zvakanaka (stenosis) kana vharuvhu isingavharike zvakanaka (valvu regurgitation), izvo zvinonzi chirwere chevharuvhu yemoyo.
• Cardiomyopathy: Apa ndipo apo tsandanyama dzemwoyo dzinopera simba, dzinokora, kana kuti dzinokura. Kana izvi zvikaitika, mwoyo haugone kupomba ropa nemazvo. Funga nezvazvo sepombi yemvura inotadza kupomba mvura.
• Chirwere chemwoyo chekuzvarwa nacho: Izvi zvikanganiso zvemoyo zvinowanikwa pakuzvarwa. Vamwe vacheche vanogona kuzvarwa vaine buri mumoyo kana dambudziko revharuvhu. Izvi zvinonzi chirwere chemwoyo chekuzvarwa nacho.

Ndiani anogona kuva nechirwere ichi chemwoyo?

Kutaura zvazviri, chirwere ichi chinonzi "Structural Heart Disease" chinogona kuitika kune chero munhu, zvisinei nekuti murume kana mukadzi here, rudzi, kana zera. Zvisinei, zvimwe zvinhu zvinogona kuwedzera njodzi yacho.

• Nhoroondo yemhuri: Kana mumwe munhu mumhuri yako aine chirwere chemwoyo cherudzi urwu, iwe unogona kunge uri panjodzi huru yekuchibatawo.
• Zvinhu zvinokanganisa amai panguva yekuzvitakura: Dzimwe nguva, zvimwe zvinhu zvinoitika kuna amai mwana ari mudumbu zvinogona kukonzera chirwere chemwoyo chemwana. Semuenzaniso:
• Kusangana naamai nezvinhu zvakaita sezvinonyungudutsa zvemumaindasitiri panguva yekuzvitakura.
• Amai vanorwara nechirwere chakaita se "Rubella" mumwedzi mitatu yekutanga yekuzvitakura.
• Kushandisa mimwe mishonga pasina kurairwa nachiremba, kunwa doro.
• Kuwanikwa kwemamwe hutachiona.
• Kukwegura: Sezvatinokura, calcium inogona kuungana munzvimbo dzakadai semavharuvhu emwoyo. Izvi zvinogonawo kukonzera chirwere chemwoyo. Kutaura zvazviri, vanhu vanopfuura 10% vane makore anopfuura 75 vane rudzi rwe "Structural Heart Disease".

Zvirwere izvi zvakajairika zvakadii?

Chirwere chevharuvhu yemwoyo ndicho chinonyanya kuwanda. MuUnited States chete, vanhu vanosvika 2.5% vane chirwere ichi. Chinogona kukonzerwa ne stenosis kana valvular regurgitation. Mitral valve regurgitation uye aortic valve stenosis ndizvo zvinonyanya kuwanda.

Zvirwere zvemwoyo zvekuzvarwa nazvo ndizvo zvinonyanya kukonzera matambudziko ekuzvarwa nazvo muUnited States. Vanenge 1% yevana vanozvarwa gore rega rega, kana kuti vacheche vanosvika 40,000, vane dambudziko iri.

Cardiomyopathy (chirwere chetsandanyama dzemwoyo) inobata munhu mumwe chete pavanhu mazana mashanu muUnited States. Kune zvikonzero zvakawanda zveizvi, zvinosanganisira chirwere chetsinga dzemwoyo, migumisiro yehutachiona, zvinhu zvakaita sedoro, uye majini.

Zvirwere zvemwoyo zvinokanganisa sei muviri wangu?

Funga nezvazvo seinjini yemuviri wedu. Inopomba ropa mumuviri wese. Ndiro ropa rinopa masero edu okisijeni nezvinovaka muviri zvavanoda, uye ropa rinobvisawo tsvina kubva mumasero. Saka, kana moyo usingakwanise kupomba ropa zvakanaka nekuda kwedambudziko remaumbirwo aro, dzimwe nhengo nenyama mumuviri wedu hazvigamuchire ropa rakakwana. Izvi zvinogona kukuvadza nhengo dzakasiyana-siyana, uye zvimwe zvinetso zvehutano nezviratidzo zvinogona kumuka.

Ndezvipi zvinokonzera zvirwere zvemwoyo izvi?

Panogona kunge paine zvikonzero zvakati wandei zveizvi.

• Kuberekwa: Dzimwe nguva, shanduko dzakati wandei mumajini emuviri wedu (DNA kana majini) dzinogona kukonzera kusarongeka mukukura kwemoyo.
• Zvikonzero zvinozoitika gare gare:
• Kukwegura: Izvi zvinogona kukonzera calcium yakawanda mumavharuvhu emwoyo.
• Kupindwa muropa nedoro kana nezvinodhaka.
• Aneurysm yeropa.
• Zvirwere zve autoimmune, semuenzaniso, lupus ne rheumatic fever.
• Chirwere chemwoyo kana kurwiswa kwemoyo (Myocardial infarction).
• Zvirwere zvinokuvadza mwoyo, mienzaniso: `(Amyloidosis)`, `(Hemochromatosis)`, `(Sarcoidosis)`.
• Kutapukira kwemukati memwoyo (endocarditis).
• Zvirwere zveEndocrine gland, mienzaniso: Chirwere cheshuga nechirwere chethyroid.
• Kukwira kweropa (BP).
• Kusangana nemwaranzi yakawandisa.
• Zvirwere zvemajini zvakaita se 'Marfan syndrome'.
• Zvirwere zvine chekuita netsandanyama zvakaita se muscular dystrophy.
• Kuwanda kwemafuta mutsinga dzeropa (Atherosclerosis).

Ndezvipi zviratidzo zvechirwere ichi?

Zvinoshamisa kuti vamwe vanhu vane chirwere ichi che "Structural Heart Disease" vanogona kunge vasina zviratidzo. Zvisinei, sezvo chirwere ichi chichienderera mberi, unogona kuona zviratidzo zvakaita seizvi:

• Kurwadziwa pachipfuva, kusimba, kana kumanikidzwa.
• Dzungu, musoro mutete, kana kufenda (Syncope).
• Kunzwa kuneta zvakanyanya (Kuneta).
• Kukwira kweropa (BP).
• Kurova kwemoyo kusina kurongeka (Arrhythmia).
• Kusashanda zvakanaka kweitsvo.
• Kutadza kufema zvakanaka (Dyspnea).
• Kuzvimba kwedumbu, zvitsitsinho, kana tsoka (Edema).

Zvakakosha: Kana uine chimwe chezviratidzo izvi kana kupfuura, enda kuna chiremba nekukasika. Izvi zvinogonawo kukonzerwa nezvimwe zvirwere, saka zvakakosha kuwana chikonzero chaicho.

Chirwere ichi chinoonekwa sei ?

Munguva yekuzvitakura, vanachiremba vanogona kutarisa kana paine zvisina kumira zvakanaka mumoyo wemwana nebvunzo inonzi ``fetal echocardiogram.'' Iyi bvunzo inoshandisa mafungu eruzha kutora mifananidzo yemoyo wemwana.

Kune vana nevakuru, kana chiremba wako akateerera mwoyo wako achishandisa stethoscope, anogona kunzwa ruzha rwemwoyo rusina kujairika (heart murmur). Kana izvi zvikaitika, chiremba wako achakutumira kuna chiremba wemwoyo. Vanogona kuita bvunzo dzakadai sedzinotevera:

• Kuisa catheter mumoyo: Mukuita uku, chubhu diki inopinzwa mumoyo kuburikidza netsinga iri muhudyu kana muruoko kuti ione kumanikidzwa kuri mumakamuri emwoyo. Inogonawo kutora mifananidzo yakajeka yemoyo netsinga dzeropa.
• Coronary angiogram: Izvi zvinoitwawo panguva imwe chete necardiac catheterization. Dhayi yakakosha inopinzwa mutsinga dzeropa uye X-ray inoshandiswa kuona kuti ropa rinoyerera sei mumoyo, mutsinga dzeropa, uye muvharuvhu.
• Echocardiogram (Echo): Iyi bvunzo inoshandisawo mafungu eruzha kugadzira mifananidzo yemakamuri emoyo nemavharuvhu. Inogona kuratidza kuti moyo uri kupomba ropa sei.
• Electrocardiogram (ECG kana EKG): Iyi inoyera mashandiro emagetsi emwoyo. Ungave wakaona bvunzo iyi ichiitwa nekunamira zvinamira pachipfuva chako.
• Kuyedzwa kwekumanikidzwa kwekurovedza muviri: Muyedzo uyu, unokumbirwa kumhanya kana kufamba patreadmill uye kurova kwemoyo wako kunotariswa.
• Holter monitor: Ichi chishandiso chidiki chinopfekwa mumuviri wako kwemaawa makumi maviri nemana kusvika makumi mana nemasere uye chinorekodha mashandiro emagetsi emwoyo wako paunenge uchiita mabasa ako ezuva nezuva.
• Mimwe miedzo yekufungidzira: Miedzo yakaita se X-ray yechipfuva, CT scan, kana cardiac MRI inogona kuona matambudziko ari mukati mechipfuva.

Pamiedzo iyi, miviri inonyanya kushandiswa pakuongorora chirwere chemwoyo cheStructural iECG neEchocardiogram.

Chirwere ichi chinorapwa sei?

Mamwe marudzi e `(Structural Heart Disease)` angasade kurapwa kwakakosha. Zvisinei, uchafanira kuramba uchitarisa mamiriro ako pasi pekutarisirwa kwachiremba.

Kune mamwe marudzi echirwere, chiremba anogona kukurudzira kurapwa kwakadai se:

• Mishonga: Mishonga inogona kupihwa kudzora zviratidzo, kuvandudza mashandiro emwoyo, kana kudzivirira kuumbwa kweropa.
• Maitiro ekurapa mwoyo asinganyanyi kupindira: Izvi zvinosanganisira kuisa zvishandiso nepaburi diki shoma, pasina kuchekwa kukuru, kugadzirisa vharuvhu isina kunaka kana kuitsiva neimwe itsva.
• Kuvhiyiwa kwemoyo wakavhurika: Mukuita izvi, chiremba anovhura chipfuva uye anosvika pamoyo kuti aite zvinhu zvakaita sekutsiva mavharuvhu, kana dzimwe nguva kuisirwa moyo.

Ndingaderedza sei njodzi yangu yekubatwa nechirwere ichi?

Kana uine pamuviri, unogona kuita zvinhu izvi kuderedza njodzi yekuti mwana wako awane chirwere chemwoyo chekuzvarwa nacho:

• Kana uine chirwere chisingaperi sechirwere cheshuga kana chirwere chakadai sepfari, taura nachiremba wako nezvemishonga yaunofanira kunwa.
• Kana uchisvuta, rega. Dzivisa kushandisa zvigadzirwa zvefodya.
• Rega kunwa doro.
• Kana ukashandisa zvinodhaka kuti unakirwe, rega kuzvishandisa zvachose.
• Inwa 400 micrograms ye folate (folic acid) zuva rega rega (zvakanakisisa kunwa izvi usati wabata pamuviri).

Tevedzera maitiro aya ehutano kuti uderedze njodzi yako yekubatwa nechirwere chevharuvhu yemwoyo uye mamwe marudzi echirwere chetsandanyama dzemwoyo (cardiomyopathy):

• Ramba uine huremu hwakakodzera hwemuviri.
• Idya chikafu chine hutano mumoyo (chisina mafuta akawanda, munyu, uye shuga shoma, uye chine michero nemiriwo yakawanda).
• Rovedza muviri nguva dzose.
• Deredza kunwa doro uye usashandise zvinodhaka kuti unakirwe.
• Kana uine zvimwe zvirwere zvakaita seBP, chirwere cheshuga, kana chirwere chethyroid, tevera zano rachiremba wako uye uzvidzore.
• Deredza kushushikana.

Kana ndine (Structural Heart Disease), ramangwana rangu richave rakaita sei?

Izvi zvinoenderana nezvinhu zvishoma:

• Wava nenguva yakareba sei uine chirwere ichi?
• Kuoma kwechirwere.
• Rudzii rwe "Structural Heart Disease" rwaunarwo?
• Zvimwe zvinetso zvehutano zvaunazvo.

Asi musazvidya mwoyo! Vanhu vazhinji vane Structural Heart Disease vanorarama hupenyu hurefu uye hunofadza. Zvisinei, munogona kunge muri panjodzi yekuwedzera hutachiona hwemwoyo. Saka taurai nachiremba wenyu nezvekutora mishonga inorwisa mabhakitiriya kudzivirira hutachiona kana muchivhiyiwa mazino kana mamwe maoparesheni. Izvi zvinogona kuderedza njodzi yezvirwere zvakaita se endocarditis.

Ndine chirwere chemwoyo (Structural Heart Disease), ndinozvitarisira sei?

Unogona kuita zvinhu izvi kuti mwoyo wako ugare wakasimba uye kuderedza matambudziko:

• Zivisa vanachiremba vese vanokurapa nezvechirwere chemwoyo wako nemishonga yauri kutora.
• Kana uchironga kubata pamuviri, taura navanachiremba vako nguva isati yakwana. Vanogona kuongorora njodzi dzako uye kukubatsira kuwana nzira yakanakisisa yekugadzirisa dambudziko rako panguva yekuzvitakura.
• Enda kuna chiremba wemwoyo nguva nenguva kuti akuongorore. Usamborega kutora mishonga yawakanyorerwa kana kupotsa nguva yawakapihwa nachiremba wako.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Chirwere chemwoyo cheStructural Heart Disease idambudziko rine chimiro chemwoyo wako, zvinoreva chimiro, madziro, mavharuvhu, kana tsandanyama. Chinogona kuvapo pakuzvarwa kana kukura muhupenyu hwako. Mhando huru ndedze cardiomyopathy, chirwere chemwoyo chekuzvarwa nacho, uye chirwere chevharuvhu yemwoyo.

Ungasada kurapwa, kana kuti chiremba wako angakurudzira mishonga kana kuvhiyiwa. Chinhu chakakosha ndechekutevedzera mararamiro ane hutano uye kugara uchiona chiremba wemwoyo. Ipapo iwewo unogona kurarama hupenyu hunofadza uye hwakazara. Kana uine mimwe mibvunzo nezveizvi, usazeza kutaura nachiremba wako.

Chirwere chemwoyo , chimiro chemwoyo, chirwere chemwoyo chechimiro, chirwere chevharuvhu yemoyo, chirwere chemwoyo chekuzvarwa nacho, Cardiomyopathy, zviratidzo zvechirwere chemwoyo, bvunzo dzechirwere chemwoyo, kurapwa kwechirwere chemwoyo