Chii chinoitika kumavharuvhu emwoyo wako? Ngatikurukurei nezvechirwere chevharuvhu yemwoyo!

Dzimwe nguva unonzwa kuneta here? Kana kuti unoomerwa nekufema kunyangwe uchifamba zvishoma nezvishoma? Pamwe unonzwa kurova kusinganzwisisike kana kurwadziwa muchipfuva chako? Izvi zvinogona kuva zviratidzo zvedambudziko nemavharuvhu anoshanda semasuo madiki mumoyo mako. Nhasi tichataura nezvechirwere ichi chevharuvhu yemwoyo . Usazvidya moyo, zvakakosha kuziva izvi.

Chii chinonzi chirwere chemwoyo chinonzi Heart Valve Disease?

Zvichitaurwa zviri nyore, chirwere chevharuvhu yemwoyo chirwere apo rimwe kana akawanda emavharuvhu ari mumoyo mako haashande nemazvo. Mavharuvhu aya akafanana nemagonhi. Anobatsira kuti ropa rifambe nenzira imwe chete. Kana mwoyo wedu uchirova, zvikamu zvitete zvakaita seflap (zvinonzi 'mapepa') ari mumavharuvhu aya zvinovhurika uye ropa rinoyerera mberi. Zvadaro, mukati mehafu yechipiri yekurova kwemoyo, mapepa aya anovhara uye anomisa ropa kuti risafambe richidzokera kumashure.

Fungidzira kuti chii chinoitika kana mavharuvhu aya asingashande zvakanaka? Kuyerera kweropa kunogona kukanganisika, uye mwoyo unofanira kushanda nesimba. Kana ukasarapwa, chirwere ichi chinogona kuva chakakomba uye kutoisa upenyu panjodzi. Asi pane mashoko akanaka. Kazhinji, chiremba wako anogona kugadzirisa kana kutsiva mavharuvhu aya nemaitiro asina kunyanya kupindira mumuviri. Zvadaro unogona kudzokera kune zvakajairika.

Ndezvipi mavharuvhu mana ari mumoyo mako?

Kune mavharuvhu mana makuru mumoyo medu. Ndiwo:

• Vharuvhu yeMitral: Iyi iri pakati peatrium yekuruboshwe neventricle yekuruboshwe.
• Vharuvhu yeTricuspid: Iri riri pakati peatrium yekurudyi neventricle yekurudyi.
• Vharuvhu yeAortic: Iyi iri pakati peventricle yekuruboshwe neaorta.
• Vharuvhu yemapapu: Iri riri pakati peventricle yekurudyi netsinga yemapapu.

Zvakakosha kuti mavharuvhu ese aya ashande zvakanaka, kuitira kuti ropa rifambe zvakanaka mumuviri wedu wese.

Ndezvipi zvirwere zvevharuvhu yemoyo?

Kune mhando dzakasiyana-siyana dzezvirwere zvevharuvhu yemwoyo. Dzimwe nguva vharuvhu dzinopfuura imwe chete dzinogona kukanganiswa.

Stenosis

Apa ndipo panobva mapepa evharuvhu anokora uye akaomarara, zvichiita kuti gomba rinovhurwa nevharuvhu rive rakamanikana. Funga nezvazvo sepombi yemvura yakavharika, zvichiita kuti mvura isafambe zvakanaka. Kudzikira kudiki kungasava nemigumisiro yakawanda. Zvisinei, kana vharuvhu ikava diki kwazvo (ndicho chikonzero nei ichinzi `stenotic`), kushanda kwemoyo kunokanganiswa, uye unofanira kushanda nesimba kupomba ropa. Izvi zvinogona kuderedza huwandu hweropa rinosvika mumuviri wese.

Kudzoka kwegurgitation kana kubuda kwevharuvhu

Izvi zvinonziwo `kusakwana`, uye vamwe vanhu vanoti ``leaky valve.'' Chinoitika pano ndechekuti mapepa emavharuvhu haavharike zvakanaka. Ipapo ropa rinobudazve mukati. Zvakafanana kana musuwo usingavharike zvakanaka, unodzoka neparutivi rwakavharwa. Izvi zvinoita kuti moyo upime zvakasimba neropa iroro rakawedzerwa. Zvinogonawo kuderedza huwandu hweropa rinoenda kumuviri wese.

Kupera kweropa

Izvi zvinonyanya kuitika nezve mitral valve. Apa ndipo apo mapepa emavharuvhu anochinjika zvakanyanya, zvichiita kuti adonhedze mvura mu left atrium kana moyo uchirova. Kazhinji, izvi hazvina njodzi, asi kune vamwe vanhu, zvinogona kukonzera kudzoka kwegurgitation.

Atresia

Valvular atresia chirwere chinokonzerwa nekuti vharuvhu yemoyo haigadzike kana kuti haivhurike pakuzvarwa. Vanachiremba vanowanzoona izvi vachiri vadiki, panguva yekuzvarwa.

Chirwere chevharuvhu yemwoyo chakajairika zvakadii?

MuUnited States, vanhu vanosvika 2.5%, kureva vanhu vakuru vakawanda, vane zvirwere zvemwoyo. Zvinonzi vanhu vanosvika 27,000 vanofa nekuda kweizvi gore rega rega. Kupararira kweMitral valve ndechimwe chezvirwere izvi zvakanyanya. Chirwere ichi chiri kuonekwawo kakawanda muSri Lanka.

Ndezvipi zviratidzo zvekutanga zvechirwere chevharuvhu yemoyo?

Vanhu vazhinji vane chirwere chevharuvhu yemwoyo havaratidzi zviratidzo pakutanga. Asi sezvo mamiriro acho achiwedzera nekufamba kwenguva, zviratidzo zvinotanga kuoneka sezvo moyo uchifanira kushanda nesimba.

Ona kana uine chimwe chezvizvi:

• Kuneta: Ichi chingangove chiratidzo chekutanga chauchanzwa.
• Kuwedzera kwekushaya mweya: Kunyanya kana uchiita chero chiito chemuviri, sekufamba kana kukwira masitepisi.
• Kurova kwemoyo nepfungwa: Kurova muchipfuva, kunzwa sekunge moyo wamira kamwe kamwe worova.
• Kuzvimba (Edema): Kuzvimba kwezvitsitsinho, makumbo, kana dumbu.
• Kushaya simba kana dzungu.
• Kuwedzera uremu kamwe kamwe.
• Kurwadziwa pachipfuva: Kunyanya kana wakaneta.

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakanaka kutsvaga rubatsiro kubva kuna chiremba.

Ndezvipi zvinokonzera chirwere chevharuvhu yemoyo?

Kune zvikonzero zvakasiyana-siyana zvinogona kukonzera chirwere chevharuvhu yemwoyo. Heano zvimwe zvezvikonzero zvikuru:

• Rheumatic fever: Chirwere chinokonzerwa nekusabatwa zvakanaka kwehuro.
• Kukuvara kwemoyo kunokonzerwa nechirwere chemwoyo .
• Kukwira kweropa ( kana kwanyanya kukwira).
• Matambudziko ekuzvarwa nawo: Semuenzaniso, vharuvhu yemapapu kana aorta isiri kukura zvakanaka.
• Nekufamba kwenguva, jira revharuvhu rinopera simba kana kuti rinova risingashande zvakanaka nekuda kwecalcium deposits (calcification).
• Kuora kwetsinga yeropa pachipfuva: Uku kukura kwetsinga yeropa. Mapepa evharuvhu yeropa anogona kutapudzwa uye kubuda ropa.
• Kukundikana kwemoyo.
• Utachiona hwemwoyo, semuenzaniso infective endocarditis.
• Zvirwere zve autoimmune zvakaita se lupus .
• Zvirwere zvemajini zvakaita seMarfan syndrome .

Ndezvipi zvinhu zvinokonzera njodzi?

Kune zvimwe zvinhu zvinowedzera njodzi yekubatwa nechirwere chemwoyo. Izvi ndeizvi:

• Kushandisa zvigadzirwa zvefodya (kusvuta).
• Kudya chikafu chisina hutano.
• Kusaita mabasa emuviri.
• Kuva nezvirwere zvakaita sechirwere cheshuga kana BP.
• Mushure mekurapwa nemwaranzi yekenza.
• Kuva nechinhu chinogadzirisa mweya (pacemaker) kana kuti chinodzikisa mweya (defibrillator) (ICD).
• Kuva murume (varume vari panjodzi yakakura zvishoma kupfuura vakadzi).
• Kukwegura.

Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?

Kana chirwere chevharuvhu chikasarapwa nemazvo, matambudziko akadai seaya anogona kukura nekufamba kwenguva:

• Kukundikana kwemoyo.
• Kusashanda zvakanaka kwemoyo (Arrhythmia).
• Kugwamba kweropa.
• Kukwira kweropa mutsinga dzemapapu (pulmonary hypertension).
• Kurohwa nechirwere.
• Kufa kamwe kamwe nekuda kwechirwere chemwoyo (Cardiac arrest).

Ndosaka zvichikosha kuti uone chiremba nekukasika kana uine zviratidzo uye wotanga kurapwa kwakakodzera.

Chirwere chevharuvhu yemwoyo chinoonekwa sei?

Paunoenda kunoona chiremba, dzimwe nguva vanogona kuona zviratidzo zvechirwere chevharuvhu yemwoyo panguva yekuongororwa kwemuviri. Semuenzaniso:

• Vanotarisa kana paine mvura yakawanda mumapapu.
• Tarisa kuti uone kana moyo wakakura.
• Kugunun'una kwemoyo ruzha rusingawanzonzwikwa ne stethoscope. Runogona kuratidza ropa richiyerera nepavharuvhu yakamanikana kana kuti inobuda.
• Makumbo anoita seakazvimba.

Pamusoro pezvo, kune bvunzo dzakasiyana-siyana dzekurapa dzinogona kushandiswa kuona kana uine chirwere chevharuvhu yemwoyo. Nekudzokorora bvunzo idzi nekufamba kwenguva, chiremba wako anogona kuona kuti mamiriro ako ari kuchinja sei uye oita sarudzo nezvekurapa. Nekuti chirwere chevharuvhu chinogona kuipa nekufamba kwenguva, vanachiremba dzimwe nguva vanochipa danho. Chinotanga naA uye chinopera naD. D ndiyo danho rakanyanya kuoma.

Miedzo ipi iri kuitwa?

Heano mimwe yemiedzo mikuru inoshandiswa kuongorora chirwere chevharuvhu yemwoyo:

• Echocardiogram (Echocardiogram - ultrasound yemoyo):Izvi zvinosanganisira kuisa mudziyo wekubata nemaoko ('tsvimbo') pamusoro pechipfuva uye kushandisa mafungu eruzha kutora mufananidzo wemoyo unofamba. Zvakafanana nekuongororwa kwemwana neultrasound.
• Transesophageal echocardiogram (TEE): Iyi iongororo yemoyo yeultrasound. Zvisinei, izvi zvinosanganisira kuisa kamuchina kadiki kakaita sekamera ('probe ine transducer') pasi pegurokuro rako wokaongorora kubva pedyo nemoyo wako.
• Echocardiogram yekumanikidzwa kwekurovedza muviri: Mubvunzo uyu, unokumbirwa kufamba patreadmill kana kutasva bhasikoro, uye mavharuvhu ako nemoyo zvinoongororwa kuti zvinoshanda here.
• X-ray yechipfuva: Iyi i X-ray yechipfuva inoongororwa nekukurumidza.
• Kuongororwa kwemoyo ne catheterization (angiogram): Izvi zvinosanganisira kutora mifananidzo yeX-ray yetsinga dzemwoyo, makamuri emwoyo, uye mavharuvhu.
• Electrocardiogram (EKG kana ECG): Zvidimbu zvidiki zveelectrode zvinonamirwa paganda uye zvinonyora mashandiro emagetsi emwoyo.
• Magnetic resonance imaging (MRI): Musanganiswa wemafungu eredhiyo nemagneti unoburitsa mifananidzo yakajeka yemoyo.

Zvirwere zvevharuvhu yemwoyo zvinorapwa sei?

Kurapwa kwechirwere chevharuvhu yemwoyo kunoenderana nechikonzero chechirwere pamwe nezvimwe zvinhu zvakawanda. Marapirwo makuru anosanganisira:

• Kudzivirira vharuvhu yako kubva pakukuvadzwa kwakawedzerwa.
• Kupa mishonga.
• Kana zvichidikanwa, ita oparesheni kana mamwe maitiro asingakuvadzi muviri.
• Enda kuna chiremba wemwoyo wako nguva nenguva kuti akupe mazano.

Kunyange zvazvo kukuvara kwevharuvhu yemwoyo kusingagone kugadziriswa zvachose, dambudziko racho rinogona kurapwa. Kana rikarapwa nemishonga, kugadziriswa kwekuvhiyiwa, kana vharuvhu itsva zvinosarudzwa zvichibva pane zvinhu zvakati wandei. Izvi ndeizvi:

• Rudzi rwechirwere chevharuvhu.
• Kukuvadzwa kwakanyanya.
• zera rako.
• Zvimwe zvirwere zvako uye nhoroondo yehutano hwako.

Kana uine pamuviri uye uine chirwere chevharuvhu yemwoyo, ungangoda kuzorora zvakanyanya uye/kana kutora mimwe mishonga yakachengeteka kumwana wako. Kana uchiziva nezvechirwere chevharuvhu yako usati wabata pamuviri, zvakanaka kutaura nachiremba wako usati waedza kubata pamuviri, kuongororwa kana zvichidikanwa, uye kuona chiremba wemwoyo. Nenzira iyi, unogona kuwana kurapwa kwakakodzera usati wabata pamuviri uye panguva yekuzvitakura. Kana uine dambudziko guru revharuvhu, chiremba wako anogona kukurudzira kuti vharuvhu yako igadziriswe kana kutsiviwa usati wabata pamuviri.

Mishonga

Mishonga haigone kurapa chirwere chevharuvhu yemwoyo zvachose. Zvisinei, mishonga uye mararamiro ane hutano zvinogona kubatsira kudzora zviratidzo uye kuderedza njodzi yekurohwa nesitiroko kana kumira kwemoyo. Mimwe mishonga inogona kumiswa mushure mekuvhiyiwa kwevharuvhu, asi mimwe mishonga inofanira kutorwa kweupenyu hwese.

Chiremba wako anogona kukupa mishonga yezvinhu zvakaita se:

• Dzivisa kusarongeka kwemoyo (arrhythmias) kana kuumbwa kweropa.
• Deredza BP yako kana cholesterol yako.
• Rapa chirwere chemwoyo kana chirwere chemwoyo.

Kugadziriswa kana kutsiva kwekuvhiyiwa

Chirwere chevharuvhu yemwoyo idambudziko rine chekuita nekuvhurwa kana kuvharwa kwevharuvhu, uye ungangoda kuvhiyiwa kuti ugadzirise kana kutsiva vharuvhu yako. Vamwe vacheche vane matambudziko evharuvhu yekuzvarwa nayo vanoda kuvhiyiwa vachiri vadiki.

Kazhinji, chiremba wepfungwa nechiremba wemwoyo vanoziva nzira yakanakisisa yekurapa zuva rekuvhiyiwa risati rasvika. Asi dzimwe nguva, chiremba ndiye anoita sarudzo panguva yekuvhiyiwa, mushure mekuona vharuvhu chaiyo.

Kazhinji, vanachiremba vanoita kuvhiya kwevharuvhu pamwe chete nekumwe kuvhiya (semuenzaniso, kuvhiya kwe bypass kana kuvhiya kwe atrial fibrillation) kurapa chirwere chemwoyo zvizere.

Kugadziriswa kwemavharuvhu emwoyo kunobvumira chiremba wako kugadzirisa vharuvhu yako isina kunaka, kazhinji pasina kushandisa zvikamu zvekugadzira. Mune zvimwe zviitiko, semuenzaniso, kana vharuvhu yako yemitral yakatetepa, chiremba wako anogona kushandisa bharumu riri pacatheter kuti awedzere vharuvhu ( valvuloplasty ). Kana kuti vanogona kuita chimwe chinhu chinonzi annuloplasty kugadzirisa kana kusimbisa rin'i yakatenderedza vharuvhu kuitira kuti vharuvhu ikwanise kuvhara zvakanaka.

Zvakanakira kugadzirisa mavharuvhu:

• Njodzi yekubatwa nechirwere ishoma.
• Hapana chikonzero chidiki chekutora mishonga inobvisa ropa mumuviri kweupenyu hwese.
• Simba uye mashandiro emhasuru yemwoyo zvinochengetedzwa.

Kana vharuvhu risingakwanise kugadziriswa, vanachiremba vanozofanira kuritsiva. Kutsiva vharuvhu remoyo wako zvinoreva kubvisa vharuvhu rako rekare wobva wasona idzva panzvimbo pevharuvhu rekare. Vharuvhu idzva rinogona kunge riri remakanika kana rebhayoloji (rakagadzirwa nenyama yemunhu, yemombe, kana yenguruve). Kana kugadzirisa kwacho kusingagoneke, mavharuvhu matsva aya anogona kuita basa racho. Zvisinei, zvichienderana nerudzi rwevharuvhu yaunayo, ungangoda kutora mishonga yekudzivirira kugwinha kweropa kana kuiswa vharuvhu idzva makore gumi kusvika gumi nemashanu ega ega.

Zvichienderana nerudzi rwedambudziko revharuvhu nezvimwe zvirwere zvako, unogonaZvinogonawo kuitika kugadzirisa kana kutsiva vharuvhu isinganyanyi kupindira zvakanyanya.

Matambudziko ekurapwa

Vanhu vakwegura neavo vane matambudziko ehutano aripo vari panjodzi huru yekusangana nematambudziko kubva pakuvhiyiwa kwekutsiva mavharuvhu.

Matambudziko aya, kunyange hazvo asingawanzo kuuraya, haawanzo kuuraya.

• Utachiona.
• Kupera kweropa mumoyo kana kumwe kumira kwemoyo kusina kujairika.
• Kubuda ropa.
• Kugwamba kweropa.
• Kukundikana kweitsvo.
• Kurwiswa kwechirwere chemwoyo kana chirwere chemwoyo chinopera kwenguva pfupi (TIA).

Zvinotora nguva yakareba sei kuti munhu apore mushure mekuvhiyiwa kwevharuvhu yemoyo?

Mushure mekuvhiyiwa kwevharuvhu yemwoyo, uchafanira kugara muchipatara kwemazuva angangoita mashanu kusvika manomwe. Mushure meizvozvo, zvinogona kutora mavhiki mana kusvika masere kuti unyatsopora. Chiremba wako anogona kukutumira kuchipatara chekurapa mwoyo , chirongwa chinoongororwa zvakanyanya chinokubatsira kupora.

Nzira yekuderedza sei njodzi yechirwere chevharuvhu yemwoyo?

Kunyange hazvo zvimwe zvinhu zvinokonzera njodzi, sekukwegura, zvisingachinjike, pane zvinhu zvaunogona kuita kuderedza njodzi yako yechirwere chemwoyo. Izvi zvinosanganisira:

• Rapa hutachiona nekukurumidza.
• Kushanda nesimba mumuviri.
• Kudya chikafu chine hutano mumoyo.
• Kuchengetedza huremu hwakanaka kwauri.
• Kana uine BP yakakwira uye/kana cholesterol yakakwira, ramba uchitora mishonga yawakanyorerwa.
• Kusashandisa zvigadzirwa zvefodya.
• Kudzivisa kushandisa zvinodhaka zvekuzvivaraidza, kunyanya mishonga inopinzwa mutsinga (mishonga yemutsinga), iyo inowedzera njodzi yehutachiona hwevharuvhu yemwoyo.

Ungadzivirira sei vharuvhu yako kubva pakukuvadzwa zvakare?

Kana uine chirwere chevharuvhu yemwoyo, bvunza chiremba wako nezvenjodzi yako yekuwedzera yekubatwa nechirwere chinonzi infective endocarditis . Utachiona uhwu hunogona kukuvadza kana kuparadza mavharuvhu emwoyo wako, uye hunogona kuuraya. Njodzi iyi iripo kunyangwe wakavhiyiwa kugadzirisa kana kutsiva vharuvhu yako. Heano mamwe maitiro aunogona kuita kudzivirira infective endocarditis:

• Udza vanachiremba vako navanachiremba vemazino kuti une chirwere chevharuvhu.
• Fonera chiremba wako kana uine zviratidzo zvehutachiona.
• Chengetedza mazino ako nematadza zvakanaka.
• Bvunza chiremba wemwoyo wako kana uchida kutora mishonga inorwisa mabhakitiriya usati wapihwa mushonga wemazino, kuvhiyiwa kukuru kana kudiki, kana kuongororwa kwemazino.

Chii chaungatarisira kana uchirarama nechirwere chevharuvhu yemwoyo?

Kana uine chirwere chevharuvhu yemwoyo, chicharamba chiripo kweupenyu hwako hwese. Asi kuti unosangana sei nechirwere ichi zvinoenderana nekuti ivharuvhu ipi iri kukanganiswa uye kuoma kwedambudziko racho.

Vamwe vanhu vanogona kunge vaine chirwere chevharuvhu asi vasina kana zviratidzo. Vamwe vanogona kunge vaine zviratidzo zvakawanda uye vangada kugadziriswa kana kutsiviwa vharuvhu yavo. Kunyangwe chiremba wako akagadzirisa kana kutsiva vharuvhu yako, ungangoda kuramba uchitora mishonga uye pamwe kuiswa vharuvhu itsva zvakare mumakore gumi kusvika gumi nemashanu anotevera.

Chinhu chinonyanya kukosha ndechekuona chiremba nguva nenguva kuti utarise kufambira mberi kwechirwere chevharuvhu yako nekufamba kwenguva.

Ndinozvitarisira sei?

Ramba uchitora mishonga yese yawakanyorerwa nachiremba wako. Uye enda kune dzimwe nguva dzekuonana nachiremba. Zvakakoshawo kuchengetedza mararamiro ane hutano.

Ndinofanira kuona chiremba rini?

Uchafanira kuona chiremba wemwoyo wako nguva nenguva kuti uve nechokwadi chekuti mavharuvhu emwoyo wako ari kushanda zvakanaka. Bvunza chiremba wako kuti unofanira kuita izvi kangani. Ungangodawo kuongororwa, senge echocardiogram, zvakare.

Kana zviratidzo zvako zvikawedzera kana kuti zvikaitika kakawanda, tanga waona chiremba wako. Unofanirawo kuudza chiremba wako kana uine chirwere chemwoyo chinotapukira.

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uine chimwe chezviratidzo izvi mushure mekuvhiyiwa kwevharuvhu yemoyo, unofanirwa kufonera 911 kana nhamba yako yekukurumidzira yemuno:

• Kusaziva - kurasikirwa nepfungwa.
• Fivha kana kutonhora.
• Kushungurudzika kwedumbu kana manyoka.
• Kurwadziwa kwechipfuva.
• Kurova kwemoyo kunopfuura kurova kwemoyo kwe150 paminiti.
• Musoro wakanyanya, kushaya simba, kana kuti kusanzwa zvakanaka paruoko kana gumbo pasina yambiro.
• Kuoma kufema kusingaderere kunyangwe kana wazorora.
• Kukosora ropa (kutsvuka zvishoma).
• Tsvina nhema nhema kana ropa dzvuku rakajeka rine tsvina.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Kuchinja mararamiro angu kuchandibatsira here?
• Ndezvipi zviitiko zvemuviri zvakachengeteka kuti ndiite?
• Ndingatanga kushanda nesimba kwenguva yakareba sei mushure mekuvhiyiwa?

Pakupedzisira, yeuka

Zvingangokubatsirawo kuziva kuti kuneta kwako uye kushaya mweya zvakanaka hazvisi zvinhu zvinongoitika pakukwegura chete, asi zvinogona kuva dambudziko nevharuvhu yako yemoyo. Mashoko akanaka nezvematambudziko evharuvhu yemoyo ndeekuti anogona kugadziriswa nemishonga uye/kana kuvhiyiwa. Chiremba wako achataura newe nezvesarudzo dzakanakisa kwauri. Pasinei nekurapwa kwaunokurudzirwa nachiremba wako, unogona kuzvibatsira nekugara uchiita muviri, kudya chikafu chine hutano hwemoyo, uye kudzivisa fodya. Iva nechokwadi chekutora mishonga yako yese yawakanyorerwa uye kuchengeta nguva yako yese. Hausi wega, uye kune vanachiremba nevadikanwi vanogona kukubatsira parwendo urwu.

'Chirwere chevharuvhu yemoyo, mavharuvhu emwoyo, zviratidzo zvechirwere chemwoyo, kuvhiyiwa kwemoyo, hutano hwemwoyo, kugadziriswa kwevharuvhu, kutsiva mavharuvhu