Dzimwe nguva unonzwa kuneta kana kuti dzungu here paunokwira masitepisi? Tinowanzo funga kuti izvi zvinhu zvakajairika zvinoitika patinokura kana kuti nekuti tinoshanda nesimba zvakanyanya. Asi dzimwe nguva, kuseri kwezviratidzo zvidiki izvi, panogona kunge paine dambudziko rehutano ratinofanira kutarisisa. Rimwe dambudziko rakadaro chirwere chevharuvhu yemwoyo. Usazvidya moyo, tichataura nezveizvi zvese nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi chirwere chemwoyo chinonzi Heart Valve Disease?
Zvichitaurwa zviri nyore, iyi inyaya yekuti rimwe kana akawanda emavharuvhu ari mumoyo medu haashande nemazvo. Funga nezvemoyo wedu seimba diki ine makamuri mana. Pakati pemakamuri aya pane magonhi mana anobatsira kuti ropa rirambe richiyerera nenzira imwe chete. Magonhi iwayo anonzi mavharuvhu .
Kana moyo uchirova, vharuvhu iyi inovhurika uye inovhara, semusuwo.
- Vharuvhu iyi inovhurika kana ropa richida kuyerera mberi.
- Izvi zvinovhara kana ropa richida kumira kuyerera richidzokera kumashure.
Kana maitiro aya asingashande nemazvo, moyo unofanirwa kushanda nesimba kuti upombe ropa. Kana rikasarapwa, chirwere ichi chinogona kukura nekufamba kwenguva. Asi mashoko akanaka ndeekuti kune mishonga yakawanda yakanaka iripo nhasi. Mavharuvhu aya anogona kugadziriswa nekuvhiyiwa kana dzimwe nzira dzemazuva ano, kana kuti imwe itsva inogona kuiswa.
Kune mavharuvhu mana makuru mumoyo medu:
- Vharuvhu yeMitral: Pakati peatrium yekuruboshwe neventricle yekuruboshwe.
- Vharuvhu yeTricuspid: Iri pakati peatrium yekurudyi neventricle yekurudyi.
- Vharuvhu yeAortic: Pakati peventricle yekuruboshwe neaorta.
- Vharuvhu yemapapu: Iri pakati peventricle yekurudyi netsinga yemapapu.
Ndeapi marudzi makuru ezvirwere zvevharuvhu?
Matambudziko emavharuvhu anogona kukamurwa kuita mhando huru dzakasiyana-siyana. Dzimwe nguva munhu mumwe chete anogona kuva nematambudziko akawanda emhando iyi. Ngationei kuti ndeapi.
| Zita remamiriro ezvinhu | Zvichitaurwa zviri nyore, chii chinoitika? |
|---|---|
| Stenosis | Mapepa evharuvhu anokora, akaomarara, uye haavhurike zvakanaka. Semusuwo une ngura. Izvi zvinoita kuti pave neburi rinoyerera ropa. Mwoyo unofanirwa kushanda nesimba kuti ufambise ropa mberi. |
| Kudzokera kumwedzi | Mavharuvhu haavhare zvakanaka, zvichiita kuti ropa ribude richidzokera kumashure. Izvi zvinonziwo "vharuvhu inobuda." Zvakafanana nemhepo inopinda nemusuwo usina kuvharwa, uye ropa riri kubuda richidzokera kumashure. Izvi zvinoita kuti moyo ushande nesimba rakapetwa kaviri. |
| Kupera kweropa | Izvi zvinonyanya kukanganisa vharuvhu yemitral. Nekuti mapepa emavharuvhu akatambanudzwa zvakanyanya, anopetwa kumashure, akananga kuruboshwe rwe atrium, kana moyo uchirova. Izvi hazvikuvadzi vanhu vazhinji, asi kune vamwe zvinogona kukonzera kudzoka kwegurgitation. |
| Atresia | Ichi chirwere chekuzvarwa nacho. Vharuvhu yemoyo inoumbwa isina buri mwana achiri mudumbu. Izvi zvinowanzoonekwa navanachiremba pakuzvarwa. |
Ndezvipi zviratidzo zvechirwere chevharuvhu?
Vanhu vazhinji vane chirwere chevharuvhu havaratidzi zviratidzo pakutanga. Zvisinei, sezvo chirwere ichi chichiwedzera kuipa nekufamba kwenguva, zviratidzo zvinotanga kuoneka sezvo moyo uchifanira kushanda nesimba.
Chinhu chakakosha ndechekuti kazhinji, chirwere ichi chinogona kuvapo mumuviri pasina zviratidzo. Saka, kuongororwa nguva dzose kwechiremba kwakakosha zvikuru.
Zviratidzo zvikuru zvinoonekwa ndeizvi:
- Kuneta: Ichi chingave chiratidzo chekutanga chaunoona. Unganzwa kuneta kunyangwe mushure mekuita basa diki.
- Kushaya mweya (dyspnea): Kushaya mweya kunowedzera, kunyanya pakurovedza muviri, kukwira masitepisi, kana kuita chero chiito chinorema.
- Kuchinja kwekurova kwemoyo wako (kurova kwemoyo): Unganzwa sekuti moyo wako uri kurova nekukurumidza, uchinzwa "kurova" muchipfuva chako, kana kuti unganzwa sekuti uri kurova kamwe chete wobva wamira.
- Kuzvimba kwemuviri (Edema): Kuzvimba muzvitsitsinho, makumbo, kana mudumbu.
- Kushaya simba kana dzungu: Unganzwa dzungu, sekunge wangoerekana wasimuka.
- Kuwedzera kamwe kamwe kwehuremu hwemuviri.
- Kurwadziwa pachipfuva: Unogona kunzwa kuomarara muchipfuva chako, kunyanya kana uchiita basa rakaoma.
Sei zvirwere zvemavharuvhu zvakadai zvichiitika? Ndezvipi zvinokonzera?
Pane zvikonzero zvakawanda zvinoita kuti mavharuvhu emwoyo akwanise kukuvara. Zvimwe zvinhu zvatinogona kudzora, zvimwe hazvisizvo.
- Rheumatic fivha: Chirwere chinoitika kana chirwere chehuro (strep throat) chikasarapwa pahudiki. Izvi zvinogona kukuvadza mavharuvhu emwoyo. Ichi chikonzero chinowanzoitika munyika medu.
- Kurwara nemoyo: Kukuvadzwa kwetsandanyama yemoyo kunokonzerwa nekurwadziwa kwemoyo kunogonawo kukanganisa mashandiro emavharuvhu.
- Kukwira kweropa: Kukwira kweropa kusingadzoreki kwenguva yakareba kunogona kukuvadza moyo.
- Matambudziko ekuzvarwa nawo: Vamwe vanhu vanozvarwa vaine dambudziko revharuvhu.
- Kupera simba kwevharuvhu nekukura: Sezvatinokura, calcium deposits (calcification) mumatishu emavharuvhu inogona kukora uye kuita kuti asashande zvakanaka.
- Infective endocarditis: Utachiona hunobva kune dzimwe nzvimbo mumuviri hunofamba nemuropa uye huchikuvadza mavharuvhu emwoyo.
- Zvimwe zvirwere: Zvimwe zvirwere, zvakaita se lupus neMarfan syndrome, zvinogonawo kukuvadza mavharuvhu.
Zvinhu zvinowedzera njodzi
- Kusvuta fodya.
- Kudya kusina kunaka.
- Kusaita maekisesaizi.
- Kuva nezvirwere zvakaita sechirwere cheshuga neBP.
- Mushure mekurapwa nemwaranzi yekenza.
- Kukwegura.
Chiremba anoongorora sei chirwere chevharuvhu?
Paunoenda kunoona chiremba, iye achakuongorora. Kana uchiteerera chipfuva chako uchishandisa stethoscope, kana ukanzwa ruzha rusina kujairika pamusoro pemanzwi emwoyo akajairika, "kugunun'una kwemoyo," zvinogona kuva chiratidzo chedambudziko revharuvhu. Vachatsvagawo zvinhu zvakaita semvura mumapapu uye kuzvimba mumakumbo.
Mushure meizvozvo, zvinokurudzirwa kuti uedze kakawanda kuti usimbise chirwere chacho uye uone kuoma kwacho.
| Zita rebvunzo | Chii chiri kungoitika? |
|---|---|
| Echocardiogram | Uku kuskena kwemoyo ne ultrasound. Kungofanana nekuskena dumbu raamai vane pamuviri, mudziyo unoiswa pamusoro pechipfuva uye moyo unorova, mavharuvhu anovhurika nekuvharika, uye ropa rinoyerera sevhidhiyo. |
| Trans-esophageal Echo (TEE) | Izvi zvakafanana ne echo scan, asi chubhu diki ine mudziyo wekuskena inopinzwa nepagurokuro yoiswa pedyo nemoyo. Izvi zvinogona kuburitsa mifananidzo yakajeka yemavharuvhu emoyo. |
| Electrocardiogram (ECG/EKG) | Kuongororwa kunonyora mashandiro emagetsi emwoyo. Izvi zvinoitwa nekuisa zvinamatidzwa zvidiki pachipfuva nemakumbo. |
| X-ray yechipfuva | X-ray yechipfuva inogona kuratidza kana moyo wakakura kana kuti mapapu azere nemvura. |
| Kugadziriswa kweCatheter yemwoyo | Chubhu yakatetepa zvikuru inopfuudzwa nemutsinga iri muruoko kana gumbo ichienda kumoyo, chinhu chakakosha chinobayiwa, uye mashandiro etsinga dzemoyo nemavharuvhu anoongororwa uchishandisa vhidhiyo yeX-ray. Izvi zvinonziwo angiogram. |
Ndezvipi zviri kurapwa?
Kurapwa kunoenderana nerudzi rwechirwere chevharuvhu chaunacho, kuoma kwacho, zera rako, uye hutano hwako hwese.
1. Mishonga
Mishonga haigone kudzora kukuvara kwevharuvhu. Zvisinei, inogona kubatsira kudzora zviratidzo, kuderedza kushushikana pamoyo, uye kudzivirira matambudziko akadai sekugwamba kweropa. Chiremba wako achakupa mishonga yekudzora zvinhu zvakaita seBP yakakwira, cholesterol, uye kurova kwemoyo zvisina kurongeka (arrhythmias).
2. Kuvhiyiwa
Kana zviratidzo zvakanyanya kana kuti mwoyo uri kukuvara, kuvhiyiwa kungave kwakakosha. Pane nzira mbiri huru.
- Kugadziriswa kweVharuvhu:Pose pazvinogoneka, sarudzo yekutanga yavanachiremba ndeyekugadzirisa nekuvakazve vharuvhu yako nekuti inoderedza njodzi yekutapukirwa, inobvisa kudiwa kwemishonga inochengetedza ropa kwehupenyu hwese, uye inochengetedza kushanda kwemoyo.
- Kutsiva Vharuvhu: Kana vharuvhu ikakuvara zvekusagona kugadziriswa, inobviswa uye vharuvhu itsva inoiswa. Kune mhando mbiri dzevharuvhu itsva idzi:
- Mavharuvhu eMechanical: Aya anogara kwenguva refu, asi kana angoiswa, uchafanira kutora mishonga inobvisa ropa kwenguva yese.
- Mavharuvhu eBiological/Tissue: Aya anogadzirwa nenyama yemwoyo yemhuka (yenguruve kana yemombe). Haadi mishonga inochengetedza ropa kwenguva refu, asi anogona kuora mushure memakore gumi kusvika gumi nemashanu, zvichireva kuti anofanira kuvhiyiwa zvakare.
Mazuva ano, kuvhiyiwa uku kunogona kuitwa kuburikidza nekucheka diki (kuvhiyiwa kusingapindi zvakanyanya) pasina kubvisa zamu zvachose. Chiremba wako achakutsanangurira nzira yakakunakira.
Zvinhu zvekufunga nezvazvo kana uchirarama nechirwere chevharuvhu
Kuva nechirwere chevharuvhu zvinoreva kuti unofanira kutarisira hutano hwako zvakanyanya.
- Ona chiremba wako nguva dzose: Kunyangwe usina zviratidzo, enda kunoongororwa nachiremba wako sezvakarongwa. Zvakakosha kutarisa mamiriro evharuvhu kuti uone kana paine shanduko.
- Zvidzivirire kubva kuzvirwere: Njodzi yako huru chirwere chemwoyo chinonzi infective endocarditis . Dzivisa izvi ne:
- Chengetedza mazino ako zvakanaka uye hutano hwemazino ako. Shamba mazino ako zvakanaka zuva nezuva.
- Udza chiremba wemazino wako uye chero mumwe chiremba kuti une chirwere chemwoyo.
- Bvunza chiremba wemwoyo wako kana uchida kutora mishonga inorwisa mabhakitiriya usati wabviswa zino kana kumwe kuvhiyiwa kudiki.
- Mararamiro ane hutano: Dzivisa kusvuta, idya chikafu chakakwana, uye kurovedza muviri sezvakarairwa nachiremba wako.
Ndinofanira kuona chiremba rini nekukurumidza sezvinobvira?
Kana zviratidzo zvako (fivha, kurwadziwa pachipfuva, kuzvimba kwemakumbo) zvikawedzera kana kuti zvikaitika kakawanda, enda kuna chiremba wako nekukasika.
Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?
Kana zviratidzo izvi zvikaitika, kunyanya mushure mekuvhiyiwa kwevharuvhu, enda kuETU (Emergency Treatment Unit) nekukasika kana kufonera 1990.
- Kurasikirwa nepfungwa kamwe kamwe.
- Kurwadziwa kwakanyanya pachipfuva.
- Kushaya mweya zvakanyanya kusingaderere kunyangwe kana wazorora.
- Kurova kwemoyo kunowedzera kupfuura kurova kwemoyo kwe150 paminiti.
- Fivha kana kutonhora.
- Kukosora ropa.
Mharidzo Yekuenda Nayo Kumba
- Usaregeredza zviratidzo zvakaita sekuneta, kuneta kusingawanzoitiki, uye kurwadziwa pachipfuva sezvakajairika. Izvi zvinogona kuva chiratidzo chechirwere chevharuvhu.
- Chirwere chevharuvhu yemwoyo chirwere chinogona kurapwa zvinobudirira mazuva ano. Hapana chikonzero chekutya.
- Enda kunoongororwa nguva dzose uye kuongororwa sezvakarairwa nachiremba wako. Ndiyo nzira yakanakisisa yekudzivirira mwoyo wako.
- Kuchinja mararamiro ako zvishoma (kudya zvakanaka, kurovedza muviri, kurega kusvuta) kunogona kuita mutsauko mukuru pahutano hwemwoyo wako.
- Kana uine chirwere che valvular, udza vanachiremba vako vese, kusanganisira chiremba wemazino, nezvazvo. Zvakakosha kudzivirira hutachiona.
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