Aortic kudzoka

Aortic kudzokororazve chirwere chevharuvhu yemoyo umo iyo aortic vharuvhu isingavhare zvakasimba. Izvi zvinobvumira ropa kuyerera kubva muaorta (iro reropa rakakura kwazvo) kuenda muvhenekeri yekuruboshwe (kamuri remoyo).

Chero mamiriro anotadzisa iyo aortic vharuvhu kuvhara zvachose inogona kukonzera dambudziko iri. Kana vharuvhu ikasavhara nzira yese, rimwe ropa rinodzoka nguva dzese dzinorova moyo.

Kana huwandu hweropa hwadzoka, moyo unofanirwa kushanda nesimba kumanikidza ropa rakaringana kusangana nezvinodiwa nemuviri. Imba yekuruboshwe yepazasi yemoyo inowedzera (inowedzera) uye moyo unorova zvine simba (kusunga kurova). Nekufamba kwenguva, moyo unenge usisakwanise kupa ropa rakakwana kumuviri.

Munguva yakapfuura, rheumatic fever ndiyo yainyanya kukonzera aortic kudzokazve. Iko kushandiswa kwemishonga inorwisa mabhakitiriya kurapa hutachiona hwehutachiona kwakaita kuti rheumatic fever isanyanya kuzivikanwa. Naizvozvo, aortic kudzoka kunowanzo kuve nekuda kwezvimwe zvikonzero. Izvi zvinosanganisira:

• Ankylosing spondylitis
• Aortic kupatsanura
• Congenital (iripo pakuberekwa) matambudziko evhavha, senge bicuspid vharafu
• Endocarditis (hutachiona hwemagetsi emoyo)
• Kuwedzera kweropa
• Marfan chirwere
• Reiter syndrome (inozivikanwawo seyakabata arthritis)
• Njovhera
• Systemic lupus erythematosus
• Kushungurudzika kuchifuva

Kusakwana kweaortic kunowanzoitika kuvarume vari pakati pemakore makumi matatu nemakumi matanhatu.

Mamiriro acho kazhinji haana zviratidzo zvemakore mazhinji. Zviratidzo zvinogona kuuya zvishoma nezvishoma kana kamwe kamwe. Zvinogona kusanganisira:

• Kuvhara kupisa
• Kurwadziwa pachifuva kwakafanana neangina (zvisingawanzoitika)
• Kufenda
• Kuneta
• Palpitations (kunzwa kwekurova kwemoyo)
• Kupfupika kwemweya nekuita kana kana wakarara pasi
• Kumuka kufema kwenguva yakati mushure mekurara
• Kuzvimba kwetsoka, makumbo, kana dumbu
• Kufanana, kumhanya, kumhanya, kurovera, kana kurova kwemhepo
• Kushaya simba kunowanzoitika nekuita

Zviratidzo zvinogona kusanganisira:

• Kugunun'una kwemoyo kunogona kunzwika kuburikidza neiyo stethoscope
• Kurova kwakasimba kwazvo kwemoyo
• Kubata musoro munguva nekurova kwemoyo
• Kuomarara kwakaomarara mumaoko nemumakumbo
• Yakadzika diastolic reropa
• Zviratidzo zvemvura mumapapu

Aortic kudzokorora kunogona kuoneka pane bvunzo dzakadai se:

• Aortic angiography
• Echocardiogram - Ultrasound kuongororwa kwemoyo
• Kuruboshwe moyo catheterization
• MRI kana CT scan yemoyo
• Transthoracic echocardiogram (TTE) kana transesophageal echocardiogram (TEE)

Bhokisi x-ray rinogona kuratidza kuzvimba kwekamuri rezasi remukati kamuri.

Lab miedzo haigone kuongorora aortic kusakwana. Nekudaro, ivo vanogona kubatsira kutonga zvimwe zvikonzero.

Iwe haugone kuda kurapwa kana iwe usina zviratidzo kana chete zvinyoro zviratidzo. Nekudaro, iwe uchafanirwa kuona mutano wezvehutano kune echinyakare maacccardiograms.

Kana yako yeropa yakakwira, ungangoda kutora mishonga yeropa kuti ubatsire kudzikira kwekuwedzera kweaortic kudzokazve.

Diuretics (mapiritsi emvura) anogona kupihwa zviratidzo zvekutadza kwemoyo.

Munguva yakapfuura, vanhu vazhinji vane matambudziko evhavha emoyo vakapihwa maantibhakitiriya pamberi pebasa rezvemazino kana nzira inoparadza, senge colonoscopy Mishonga inorwisa mabhakitiriya yakapihwa kudzivirira hutachiona hwemoyo wakakuvara. Zvisinei, mishonga inorwisa mabhakitiriya yava kushandiswa zvishoma zvishoma.

Ungangoda kudzikamisa zviitiko zvinoda basa rakawanda kubva pamoyo wako. Taura nemupi wako.

Kuvhiya kugadzirisa kana kutsiva iyo aortic vharuvhu inogadzirisa aortic kudzoka. Sarudzo yekuve neyeaortic vheji yekutsiva inoenderana nezviratidzo zvako uye mamiriro uye mashandiro emoyo wako.

Iwe unogona zvakare kuda kuvhiyiwa kugadzirisa iyo aorta kana yakawedzerwa.

Kuvhiya kunogona kupora aortic kusakwana uye kubvisa zviratidzo, kunze kwekunge iwe waita kukundikana kwemoyo kana zvimwe zvinetswa. Vanhu vane angina kana congestive moyo kutadza nekuda kwekudzoka kweaortic vanoita zvisirizvo vasina kurapwa.

Zvinetso zvinogona kusanganisira:

• Abnormal moyo mutinhimira
• Kutadza kwemoyo
• Utachiona mumoyo

Fonera mupiki wako kana:

• Iwe une zviratidzo zveaortic kudzokazve.
• Iwe une aortic insufficiency uye zviratidzo zvako zvinowedzera kana zviratidzo zvitsva zvinokura (kunyanya kurwadziwa kwepfupa, kunetseka kufema, kana kuzvimba).

Kuwedzera kweropa kudzvinyirira kwakakosha kana iwe uri panjodzi yekudzokororwa kweaortic.

Aortic vharuvhu kuwira; Kusasimba kweortic; Mwoyo vharuvhu - aortic regurgitation; Chirwere cheValvular - aortic kudzoka; AI - aortic kusakwana

• Aortic kusakwana

Carabello BA. Valvular chirwere chemoyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsamba 66.

Lindman BR, Bonow RO, Otto CM. Aortic vharafu chirwere. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 68.

Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA / ACC yakatarisa kugadzirisa kweiyo 2014 AHA / ACC nhungamiro yevatungamiriri vevarwere vane valvular chirwere chemoyo: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro. Kutenderera. 2017; 135 (25): e1159-e1195. PMID: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

Otto CM. Valvular kudzoka. Mu: Otto CM, ed. Chinyorwa cheKiriniki Echocardiography. 6th ed. Philadelphia, PA: Elsevier; 2018: chits.