Moyo unogunun'una

Kugunun'una kwemoyo kupopota, kurira, kana kurira kwezwi kunonzwika panguva yekurova kwemoyo. Inzwi rinokonzerwa nekusanzwisisika (rough) kuyerera kweropa kuburikidza nemavheji emoyo kana padyo nemoyo.

Moyo une makamuri mana:

• Makamuri maviri epamusoro (atria)
• Makamuri maviri ezasi (ventricles)

Moyo une mavharuvhu ayo anovhara nekurova kwega kwega kwemoyo, zvichikonzera ropa kuyerera munzira imwechete. Mavharuvhu ari pakati pemakamuri.

Kugunun'una kunogona kuitika nekuda kwezvikonzero zvakawanda, zvakadai se:

• Kana vharafu ikasavhara zvine simba uye ropa richidonha kumashure (kudzokazve)
• Kana ropa richiyerera kuburikidza neakaonda kana akaomarara moyo vharuvhu (stenosis)

Pane nzira dzinoverengeka umo mupi wehutano waanogona kutsanangura kugunun'una:

• Vanogunun'una vanosarudzwa ("graded") zvichienderana nekugunun'una kunonzwika ne stethoscope. Iko kuiswa kuri pachiyero. Giredhi handigone kunzwikwa. Muenzaniso wekutsutsumwa ndeye "grade II / VI kugunun'una." (Izvi zvinoreva kuti kugunun'una igiredhi 2 pachiyero che1 kusvika 6).
• Uye zvakare, kugunun'una kunotsanangurwa nedanho rekurova kwemoyo kana iko kugunun'una kuchinzwika. Kugunun'una kwemoyo kunogona kutsanangurwa se systolic kana diastolic. (Systole ndipo moyo paunenge uchisvina ropa uye diastole ndipo painenge ichizadza neropa.)

Kana kugunun'una kuchinyatso kuoneka, mupi anogona kukwanisa kuzvinzwa nechanza choruoko pamusoro pemoyo. Izvi zvinonzi "kunakidzwa".

Zvinhu izvo mupi achazotarisa pabvunzo zvinosanganisira:

• Kugunun'una kunoitika kana moyo uchizorora kana uchibvumirana?
• Zvinogara mukurova kwemoyo kwese here?
• Zvinochinja paunofamba here?
• Inogona kunzwika mune zvimwe zvikamu zvechipfuva, kumusana, kana muhuro?
• Ndekupi iko kugunun'una kunonzwika zvakanyanya?

Kugunun'una kwemoyo kwakawanda hakukuvadzi. Mhando idzi dzekugunun'una dzinonzi kusagunun'una kusina mhosva. Izvo hazvizokonzere chero zviratidzo kana matambudziko. Kugunun'una kusina mhosva HAUDI kurapwa.

Kumwe kugunun'una kwemoyo kunogona kuratidza kusanzwisisika mumoyo. Uku kugunun'una kusingaite kunogona kukonzerwa ne:

• Zvinetso zveaortic vharuvhu (aortic kudzokorora, aortic stenosis)
• Matambudziko eiyo mitral vharafu (isingaperi kana yakaoma mitral kudzokazve, mitral stenosis)
• Hypertrophic cardiomyopathy
• Pulmonary regurgitation (backflow yeropa muye kurudyi ventricle, inokonzerwa nekundikana kwepulmonary vharuvha kuvhara zvachose)
• Pulmonary vharafu stenosis
• Matambudziko eiyo tricuspid vharafu (tricuspid kudzokazve, tricuspid stenosis)

Kugunun'una kwakakosha muvana kunowanzo konzerwa ne:

• Anomalous pulmonary venous kudzoka (iyo isina kujairika kuumbwa kwemapapu emapapu)
• Atrial septal chirema (ASD)
• Kubatana kweaorta
• Patent ductus arteriosus (PDA)
• Ventricular septal chirema (VSD)

Kugunun'una kwakawanda kunogona kukonzerwa nekubatanidzwa kwematambudziko emwoyo.

Vana vanowanzo gunun'una sechikamu chakajairika chebudiriro. Uku kugunun'una HAPANA kuda kurapwa. Zvinogona kusanganisira:

• Pulmonary kuyerera kun'un'una
• Zvakadaro kugunun'una
• Venous hum

Anopa anogona kuteerera kune moyo wako manzwi nekuisa stethoscope pachipfuva chako. Iwe uchabvunzwa mibvunzo nezve yako nhoroondo yezvokurapa uye zviratidzo, senge:

• Kune dzimwe nhengo dzemhuri dzakambogunun'una kana mamwe manzwiro emoyo zvisina kujairika?
• Iwe une nhoroondo yemhuri yematambudziko emoyo here?
• Une kurwadziwa kwepfupa, kufenda, kufema, kana mamwe matambudziko ekufema?
• Wakambove nekuzvimba, kurema kuwedzera, kana kuputika mutsinga mumutsipa?
• Ganda rako rine bhuruu here?

Iye mupi anogona kukubvunza kuti squat, kumira, kana kubata mweya wako uchinge wakatsikitsira pasi kana kubata chimwe chinhu nemaoko ako kuti uteerere kumoyo wako.

Iyi bvunzo inotevera inogona kuitwa:

• Chest x-ray
• Electrocardiogram (ECG)
• Echocardiography

Chest ruzha - kugunun'una; Mheremhere yemoyo - isina kujairika; Kugunun'una - asina mhosva; Kugunun'una kusina mhosva; Systolic moyo kugunun'una; Diastolic moyo kugunun'una

• Mwoyo - chikamu kuburikidza nepakati
• Mavharuvhu emwoyo

Fang JC, O'Gara PT. Nhoroondo uye kuongorora kwemuviri: humbowo-hwakavakirwa nzira. 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: chits.

Goldman L. Kusvika kumurwere pamwe neanogona chirwere chemwoyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsama 45.

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

Swartz MH. Mwoyo. Mune: Swartz MH, ed. Chinyorwa chePanyama Kuongorora: Nhoroondo uye Ongororo. 8th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 14.