Funga nezvemoyo wako sepombi yemvura. Mukati mepombi iyi, mune magonhi madiki anobatsira kutumira ropa munzira imwe chete. Tinodaidza aya kuti "mavharuvhu." Dzimwe nguva rimwe remagonhi aya rinogona kusavhara zvakanaka uye rinogona kuvhurika zvishoma. Zvadaro, rimwe ropa raifanira kunge rakaenda mberi rinobuda. Saizvozvowo, gonhi riri pakati pemakamuri epamusoro neapasi kurudyi rwemwoyo wedu, 'Tricuspid Valve', harivhari zvakanaka uye ropa rinobuda zvakare, izvo zvatinodaidza kuti Tricuspid Valve Regurgitation .
Zvichitaurwa zviri nyore, izvi zvinoitika sei?
Kuti tinzwisise mamiriro ezvinhu aya zviri nani, ngatitarisei mashandiro anoita vharuvhu yetricuspid iri mumoyo medu.
Vharuvhu yetricuspid inodzora kuyerera kweropa kubva mukamuri repamusoro (Right Atrium) kurudyi kwemoyo wedu kuenda kukamuri repasi (Right Ventricle). Vharuvhu iyi ine maflaps matatu. Kana moyo wagumburwa (systole), maflaps aya anovhara zvakasimba, zvichidzivirira ropa kuti risadzokere mukamuri repamusoro. Kana moyo wazorora zvakare (diastole), maflaps aya anovhurika, zvichiita kuti ropa rifambe richipinda mukamuri repasi.
Zvisinei, mumunhu ane vharuvhu yetricuspid inobuda, kana moyo wagumburwa, maflaps aya haavharike zvachose. Pane nzvimbo diki yasara. Saka, rimwe ropa rinofanira kunge richienda kumapapu rinodonha richidzokera mukamuri repamusoro.
Chinhu chakakosha ndechekuti vanhu vazhinji vanogona kubuda ropa diki diki (Trace/Trivial Regurgitation). Izvi zvakajairika, hazvikuvadzi, uye hapana zviratidzo. Zvisinei, kana kubuda ropa uku kuri pakati nepakati kana kwakanyanya, moyo unofanirwa kushanda nesimba.
Ndeapi marudzi makuru echirwere ichi?
Kudzoreredza mavharuvhu eTricuspid kunogona kukamurwa kuita mhando nhatu huru.
| Rudzi | Zvinoreva |
|---|---|
| Yekutanga (Yekutanga/Yepanyama) | Muchiitiko ichi, dambudziko riri pavharuvhu pachayo. Vharuvhu pachayo inogona kunge yakakuvara nekuda kwehurema hwekuzvarwa nahwo (semuenzaniso, Ebstein's anomaly), hutachiona, kana chimwe chikonzero. |
| Yechipiri/Inoshanda | Pano, vharuvhu iri mumamiriro akanaka, asi nekuda kwechimwe chirwere chemwoyo, vharuvhu haisi kushanda zvakanaka. Iyi ndiyo mhando inonyanya kuwanikwa. |
| Yakaparadzaniswa | Izvi zvakafanana nerudzi rwechipiri. Zvisinei, chikonzero chikuru pano chirwere chinonzi atrial fibrillation, chinoita kuti imba yepamusoro yemoyo ikure. Dzimwe nguva izvi zvinogonawo kukonzerwa nekuiswa kwepacemaker. |
Ndezvipi zviratidzo zvechirwere ichi?
Sezvambotaurwa, kana uine dumbu risina kusimba, ungasaona zviratidzo. Zvisinei, kana chirwere chacho chikava pakati nepakati kana kuti chakakomba, unogona kuona zvimwe zviratidzo.
Zviratidzo zvaunogona kuona
- Kunzwa kushaya mweya paunenge uchirovedza muviri, uchifamba, kana uchiita basa.
- Kunzwa kuneta zvakanyanya kana kushaya simba kwemazuva akati wandei.
- Kuzvimba mudumbu, muzvitsitsinho, kana mumakumbo (edema) . Izvi zvinoitika kana moyo usingakwanise kupomba ropa nemazvo, zvichiita kuti mvura iungane mumuviri.
Zviratidzo zvinogona kunzwisiswa nachiremba
- Kugunun'una kwemoyo inzwi risinganzwisisike rinonzwika kana uchiteerera moyo wako uchishandisa stethoscope.
- Kunzwa shanduko mukurova kwemoyo wako mumutsipa kana munzvimbo yechiropa.
Sei izvi zviri kuitika? Ndezvipi zvikonzero zvikuru?
Kazhinji, chikonzero chikuru chechirwere ichi kuchinja kwemaumbirwo kunoitika kurudyi kwemoyo. Zvichitaurwa zviri nyore, kana paine kumanikidzwa kwakanyanya kana ropa rakawanda richiyerera kurudyi kwemoyo, makamuri ari kurutivi irworwo (atrium neventricle) anotanga kukura.
Fungidzira kana kuvhura kwemusuwo kukakura, gonhi rikasagona kuvharika zvakanaka. Saizvozvowo, sezvo makamuri emoyo achikura, annulus inobata mapepa evharuvhu panzvimbo inotambanukawo uye ikawedzera kukura. Ipapo mapepa matatu haagone kuvharika zvakanaka. Izvi ndizvo zvatinodaidza kuti secondary regurgitation.
Zvikonzero zvekukura kwerutivi rwerudyi rwemoyo:
- Kupera kweAtrial
- Cardiomyopathy - kushaya simba kwetsandanyama yemwoyo
- Chirwere chetsinga yeropa
- Kusashanda zvakanaka kwerutivi rweruboshwe rwemoyo (Kukundikana kweVentricle Yekuruboshwe)
- Kukwira Kweropa Kwemapapu
- Matambudziko akakomba nemavharuvhu emitral kana aortic emwoyo
Kashoma, kubuda uku kunogonawo kukonzerwa nekukuvara kwemudzi wevharuvhu pachayo. Izvi ndizvo zvatinodaidza kutiKubuda kwemvura kwakakosha .
Zvikonzero zvinogona kukonzera kukuvara kwetsinde yevharuvhu:
- Chirwere cheRheumatic Heart
- Utachiona hwemwoyo (Infective Endocarditis)
- Zvirwere zvekuzvarwa nazvo (semuenzaniso Ebstein's Anomaly)
- Matambudziko emidziyo yekuisa zvinhu zvakaita se pacemakers
- Kurapa nemwaranzi pachipfuva
- Kukuvara zvakanyanya pachipfuva nekuda kwetsaona huru
- Mimwe mishonga
Ndezvipi zvinetso zvinogona kukonzera izvi?
Kana chirwere ichi chikasarapwa uye chikanyanya kuipa, chinogona kukanganisa dzimwe nhengo dzemuviri.
- Kukundikana kweitsvo
- Kukundikana kwechiropa
- Kukundikana kweMwoyo Kurudyi
Chiremba anoongorora sei chirwere ichi chaizvo?
Chiremba wako achatanga akuongorora. Achateerera mwoyo wako ne stethoscope uye achaongorora kurova kwemoyo wako mumutsipa nemudumbu.
Zvadaro, bvunzo huru yekusimbisa chirwere ndeye echocardiography test. Izvi zvakafanana nekuongororwa kwemoyo. Izvi zvinogona kuona zvinhu zvakawanda nemazvo, zvakaita sehuwandu hwekubuda kwevharuvhu, kana paine shanduko muchimiro chevharuvhu, uye kana makamuri emoyo akakura.
Uye zvakare, bvunzo dzinotevera dzinogona kuitwa kuti uwane chikonzero:
- Kuongororwa kweRopa
- X-ray yechipfuva
- Kuongororwa kweECG
- MRI yemwoyo
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana nekuoma kwechirwere chako uye chikonzero chacho. Chiremba wako achakupa hurongwa hwakakodzera hwekurapa.
1. Kudzora zviratidzo nekushandisa mishonga: Semuenzaniso, mishonga inobvisa mvura mumuviri inogona kupiwa kuderedza kuchengetwa kwemvura mumuviri.
2. Kurapa chikonzero chiripo: Kana chikonzero chekubuda kwemvura iri kukwira kweropa, rapa, nezvimwewo. Kana chikonzero chiri chirwere chemwoyo, rapa.
3. Kugadziriswa kana kutsiviwa kwevharuvhu: Kana dambudziko racho rakakomba, kuvhiyiwa kungadiwa kuti vharuvhu igadziriswe kana kuitsiva nevharuvhu itsva yekugadzira.
4. Kurapa neTranscatheter: Idzi inzira dzemazuva ano dzinogadzirisa vharuvhu pasina kuvhiyiwa, nekupinda mumoyo nepachubhu inopinzwa nepagumbo kana ruoko.
Chii chatingaita kuti tideredze njodzi iyi?
Kunyange hazvo chirwere ichi chisingagone kudzivirirwa nguva dzose, kuchengetedza hutano hwakanaka hwemwoyo kunogona kuderedza zvikuru njodzi yacho.
- Kudya kwakanaka pamoyoTevedzera. (Muenzaniso: Kudya kweMediterranean)
- Ita maekisesaizi ane mwero kweinenge maminetsi zana nemakumi mashanu pasvondo.
- Rega kushandisa zvigadzirwa zvefodya zvachose.
- Rega kana kuderedza kushandiswa kwedoro .
- Enda kuna chiremba kanenge kamwe chete pagore kuti unoongororwa nachiremba .
Unofanira kuona chiremba rini?
Tevedzera mirairo yachiremba wako nemazvo uye enda kumakiriniki nenguva. Uyewo, ziva zvinotevera:
| Mukana | Zvekuita |
|---|---|
| Fonera chiremba wako: | |
| Kana zviratidzo zvitsva zvikaonekwa kana zviratidzo zviripo zvikawedzera. | Semuenzaniso, kana uchinetseka kufema kana kuzvimba mumakumbo ako kunowedzera. |
| Kana zviratidzo zvako zvichikanganisa mabasa ako ezuva nezuva. | Kana uchinzwa kuneta kunyangwe mushure mekufamba zvishoma, kana kuti kana zvichikuomera kukwira masitepisi. |
| Enda kuEmergency Treatment Unit (ETU) nekukasika: | |
| Kana ukaona zviratidzo zvechirwere chemwoyo kana sitiroko. | Zvinoreva, kurwadziwa pachipfuva kamwe kamwe, kuoma kukuru kufema, uye kurasikirwa nepfungwa kune rumwe rutivi rwemuviri. |
| Kana ukadonha (kunyanya kana ukarova musoro wako) uchitora mishonga inobvisa ropa. | Pane mukana wakawedzerwa wekubuda ropa mukati memuviri kana uchitora mushonga werudzi urwu. |
| Mushure mekuvhiyiwa kwemoyo, kana ronda rekuvhiyiwa rinoratidza zviratidzo zvehutachiona. | Kureva kuti, ronda rinogona kuzvimba, kutsvuka, kana kunzwa kupisa kana rikabatwa. |
Mukupedzisa, kudzoreredzwa kwevharuvhu yetricuspid kunogona kuva dambudziko diki kune vamwe vanhu, uye rinogona kuisa hupenyu panjodzi kune vamwe. Chinhu chakakosha ndechekuwana mazano akakodzera ekurapa. Chiremba wako achanyatsoongorora hutano hwemwoyo wako. Saka, kana paine dambudziko, rinogona kuonekwa uye kurapwa risati rasvika pakukura.
Mharidzo Yekuenda Nayo Kumba
- Kudzoreredza vharuvhu yetricuspid kunoitika kana gonhi riri mumoyo risingavharike zvakanaka, zvichiita kuti ropa riyerere richidzokera kumashure.
- Kubuda kwemvura kudiki (kunenge kwakapfava/kushoma) uko vanhu vazhinji vanowana hakuwanzo kuva nengozi. Hazvidi kurapwa, asi zvakakosha kuti uve pasi pekutarisirwa nachiremba.
- Kana ukaona zviratidzo zvakaita sekuoma kufema uye kuzvimba kwemakumbo ako, zvinogona kunge zviri pakati nepakati kana zvakanyanya. Saka enda kuna chiremba nekukasika.
- Izvi zvinowanzokonzerwa nechimwe chirwere chemwoyo, saka zvakakosha kurapa chikonzero ichocho.
- Nekufambira mberi kwemishonga yemazuva ano, chirwere ichi chinogona kudzorwa zvakanaka kuburikidza nemishonga, kuvhiyiwa, nedzimwe nzira. Saka musatya, ingoteverai mazano akakodzera ekurapa.
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