Mwoyo uye masevhisi masevhisi

Muviri wemwoyo, kana kutenderera kweropa, unogadzirwa nemoyo, ropa, uye tsinga dzeropa (tsinga netsinga).

Mwoyo uye masevhisi masevhisi zvinoreva kubazi remishonga rinotarisa pane yemoyo system.

Basa guru remwoyo kupomba ropa rine oxygen mumuviri mushure mekupomba ropa risina mweya mumapapu. Inowanzoita izvi makumi matanhatu kusvika zana nguva paminiti, maawa makumi maviri nemana pazuva.

Moyo wakagadzirwa nemakamuri mana:

• Iyo chaiyo atrium inogamuchira oxygen-isina ropa ropa kubva mumuviri. Ropa iro rinobva razoyerera richipinda mumhepo yakanaka, inoipomba ichienda kumapapu.
• Iyo yekuruboshwe atrium inogamuchira oxygen-yakazara ropa kubva mumapapu. Kubva ipapo, ropa rinoyerera richipinda mukati mevhenekeri yekuruboshwe, iyo inopomba ropa kubva mumoyo kuenda kune iro rese muviri.

Pamwe chete, arteri uye tsinga dzinonzi seyetsinga system. Muzhinji, tsinga dzinotakura ropa kubva pamoyo uye tsinga dzinotakura ropa kudzokera kumoyo.

Iyo yemoyo system inounza okisijeni, zvinovaka muviri, mahormone, uye zvimwe zvinhu zvakakosha kumasero nenhengo mumuviri. Inoita basa rakakosha mukubatsira muviri kusangana nezvinodiwa zvechiitiko, kurovedza muviri, uye kushushikana. Inobatsirawo kuchengetedza tembiricha yemuviri, pakati pezvimwe zvinhu.

MHEDZISO YEMAHARA

Mishonga yemwoyo inoreva kubazi rezvehutano iro rinonyanya kugadzirisa kurapwa kwezvirwere kana mamiriro anobata nemoyo uye masisitimu masisitimu.

Zvinetso zvakajairika zvinosanganisira:

• Abdominal aortic aneurysm
• Kuberekwa kwemoyo kukanganisa
• Coronary arteri chirwere, kusanganisira angina uye chirwere chemwoyo
• Kutadza kwemoyo
• Matambudziko emagetsi emoyo
• Kuwedzera kweropa uye cholesterol yakawanda
• Isingawanzo mwoyo moyo mutserendende (arrhythmias)
• Peripheral artery chirwere (PAD)
• Kurohwa

Vanachiremba vane chekuita nekurapa kweropa kana chirwere chevascular zvinosanganisira:

• Cardiologists - Vanachiremba vakagamuchira mamwe maitirwo ekurapa moyo uye vascular kusagadzikana
• Vascular surgeon - Vanachiremba vakawana kosi yekuwedzera mukuvhiya ropa remidziyo
• Vanachiremba vanovhiya moyo - Vanachiremba vakawana kosi yekuwedzera mukuvhiya kwakanangana nemoyo
• Vanachiremba vekutanga

Vamwe vatapi vezvehutano vanobatanidzwa mukurapa kwezvirwere zvekutenderera kana zvevascular zvinosanganisira:

• Mukoti varapi (NPs) kana vabatsiri vezvechiremba (PAs), vanoisa pfungwa pazvirwere zvemwoyo uye zvevascular
• Nutritionists kana vezvekudya
• Vanamukoti vanowana kudzidziswa kwakakosha mukutungamira kwevarwere vane matambudziko aya

Kufungidzira bvunzo dzinogona kuitwa kuongorora, kuongorora kana kurapa hosha dzekutenderera uye vascular system inosanganisira:

• Mwoyo CT
• Cardiac MRI
• Coronary angiography
• CT angiography (CTA) uye magnetic resonance angiography (MRA)
• Echocardiogram
• PET kuongorora kwemoyo
• Stress bvunzo (dzakawanda dzakasiyana mhando dzekunetseka bvunzo dziripo)
• Vascular ultrasound, yakadai secarotid ultrasound
• Venous Ultrasound yemaoko nemakumbo

Kuvhiya uye KUPINDA

Maitiro mashoma ekupinda anogona kuitwa kuti uongorore, kuongorora kana kurapa zvirwere zvemoyo uye vascular system.

Mune mazhinji eaya marudzi enzira, catheter inoiswa kuburikidza neganda mumudziyo mukuru weropa. Muzviitiko zvakawanda, maitiro akadaro haadi general anesthesia. Varwere kazhinji havadi kugara muchipatara usiku hwese. Ivo vanopora mu1 kusvika kumazuva matatu uye vanogona kazhinji kudzoka kumabasa avo akajairwa mukati mevhiki.

Maitiro akadaro anosanganisira:

• Ablation kurapa kurapa yemoyo arrhythmias
• Angiogram (uchishandisa x-rays uye jekiseni kusiyanisa dhayi kuongorora mitezo yeropa)
• Angioplasty (uchishandisa chibharumu chidiki kuvhura kudzikira muropa reropa) iine kana isina stent kuiswa
• Catheterization yemoyo (kuyera kumanikidza mukati uye kutenderedza moyo)

Kuvhiyiwa kwemoyo kunogona kudikanwa kurapa mamwe moyo kana dambudziko reropa reropa. Izvi zvinogona kusanganisira:

• Kuisa moyo
• Kuisirwa pacemaker kana defibrillators
• Vhura uye zvishoma zvinokanganisa artery coronary yekupfuura kuvhiya
• Kugadzirisa kana kutsiviwa kwemoyo mavharuvhu
• Kuvhiya kurapwa kwekuzvarwa kwemoyo hurema

Kuvhiya kweVascular kunoreva maitiro ekuvhiya ayo anoshandiswa kurapa kana kuongorora matambudziko mumudziyo weropa, sekuvhara kana kuputika. Maitiro akadaro anosanganisira:

• Arterial yekupfuura kumisikidza
• Endarterectomies
• Kugadziriswa kweaneurysms (yakawedzera / akawedzera zvikamu) zveaorta nematavi awo

Maitiro anogona zvakare kushandiswa kurapa tsinga dzinopa huropi, itsvo, ura, maoko nemakumbo.

KUDZIVIRIRA KWEMAHARA NEMAHARA NEMAHARA

Kugadziriswa kwemoyo kurapa kunoshandiswa kudzivirira chirwere chemwoyo kubva pakuwedzera. Inowanzo kukurudzirwa mushure mezviitiko zvikuru zvine chekuita nemoyo senge chirwere chemwoyo kana chirwere chemoyo. Inogona kusanganisira:

• Maitiro emoyo mungozi kuongororwa
• Hutano kuongororwa uye hukama bvunzo
• Kudya zvinovaka muviri uye kuraira nezvehupenyu, kusanganisira kurega kuputa uye dzidzo yeshuga
• Kutarisirwa kurovedza muviri

Circulatory system; Vascular system; Mwoyo system

Enda MR, Starr JE, Satiani B. Kubudirira uye mashandiro e multispecialty yemoyo nzvimbo. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chits. 197.

Mills NL, Japp AG, Robson J. Iyo yemoyo system. Mune: Innes JA, Dover A, Fairhurst K, eds. Macleod's Clinical Kuongorora. 14th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2018: chits. 4.