Kuruboshwe Kuwedzera Kweatrial: Chii Chinokonzera Icho uye Chinobatwa Sei?

Zvemukati

• Ndezvipi zviratidzo zveizvi?
• Inoonekwa sei?
• Chii chinokonzera izvi?
• Hypertension (yakakwira BP)
• Kusashanda kwemitral vharafu
• Kusashanda kweiyo ventricle yekuruboshwe
• Atrial fibrillation
• Matambudziko eichi chiitiko
• Zvinorapwa sei?
• Matipi ekudzivirira
• Matipi
  
• Ndeapi maonero?

Mhedziso

Iyo yekuruboshwe atrium imwe yemakamuri mana emoyo. Inowanikwa muchikamu chepamusoro chemoyo uye kuruboshwe kwemuviri wako.

Iyo yekuruboshwe atrium inogamuchira ichangobva oxygenated ropa kubva mumapapu ako. Inozo pomba ropa iri mu ventricle yekuruboshwe kuburikidza nemitral vharuvhu. Kubva pane ventricle yekuruboshwe, iro-oxygen-rakapfuma ropa rinosvinirwa kunze kuburikidza neaortic vharuvhu kuti igovaniswe kumatishu emuviri wako kuburikidza neyako circulatory system

Mune zvimwe zviitiko, iyo atrium yekuruboshwe inogona kuwedzerwa. Verenga pamusoro kuti uone kuti sei izvi zvichiitika uye kuti ndezvipi zvingangoita matambudziko.

Ndezvipi zviratidzo zveizvi?

Vamwe vanhu vane yakawedzera kuruboshwe atrium vangasazowana chero zviratidzo. Kana iwe ukaona zviratidzo, zvinogona kusanganisira:

• mweya wekufema
• arrhythmia (isina kujairika kurova kwemoyo)
• kuzvimba
• kurwadziwa pachipfuva
• kufenda

Inoonekwa sei?

Chiremba wako anogona kuongorora kuwedzerwa kweatrium yekuruboshwe uchishandisa nzira yekufungidzira inonzi echocardiography. Echocardiogram inoshandisa mafungu ekurira kutora mifananidzo yechimiro chemoyo wako.

Munguva ye echocardiogram, unovata patafura apo chiremba achiisa maelekodhi madiki pachipfuva chako. Chiremba anobva apfuudza ongororo pachipfuva chako. Probe inoburitsa mafungu eruzha ayo anodonha kubva pamoyo wako ozodzokera kuchirongwa. Ruzivo rwacho rwakadzoserwa kuongororo rwobva rwashandurwa kuita mifananidzo inoratidzwa pachiratidziro mukamuri.

CT uye MRI scans inogona zvakare kushandiswa kuongororwa kwekukura kwekuwedzera kweatrial.

Chii chinokonzera izvi?

Izvi zvinotevera zvinhu zvinogona kukanganisa saizi yeruboshwe atrium:

• Zera. Izvo zvakakosha kuti uzive kuti zvakajairika kukwegura pachako hachisi chikonzero. Pane kudaro, shanduko dzinoitika kumuviri wako paunenge uchikura dzinogona kukanganisa saizi yeruboshwe atrium.
• Gender. Varume kazhinji vane yakakura kuruboshwe atrium kupfuura vakadzi.
• Saizi yemuviri. Hukuru hweatrium yekuruboshwe inowedzera nehukuru hwemuviri.

Aya anotevera mamiriro anogona kutungamira kukudzwa kweiyo atrium yekuruboshwe:

Hypertension (yakakwira BP)

Kuwedzera kwekuwedzera kweatrial kunowanzo kuve kune vanhu vane yakakwira BP. Kuongororwa kwezvidzidzo gumi neshanu mumakore gumi nemaviri apfuura kwakaona kuti kuwedzera kwekuwedzera kweropa kuripo mu16 kusvika 83 muzana yevanhu vane kurapwa kana kusarapwa kwakawanda kweropa. Edza kuisa izvi zvekudya mune chako chikafu kana uine hypertension.

Kusashanda kwemitral vharafu

Mamiriro mashoma anosanganisa iyo mitral vharuvhu inogona kutungamira kune yekuruboshwe atrial kuwedzera. Iyo mitral vharuvhu inobatanidza iyo yekuruboshwe atrium kune yekuruboshwe ventricle.

Mune mitral stenosis, iyo mitral vharuvhu inoderedzwa. Izvi zvinoita kuti zviome kuti ventricle yekuruboshwe izadzwe.

Mune mitral kudzokerazve, ropa rinodonha kubva muvhenekeri yekuruboshwe uye ichidzokera kumashure kuruboshwe atrium. Aya mamiriro anogona kukonzerwa neakarongeka kana mashandiro nyaya neiyo mitral vharafu kana yekuruboshwe ventricle.

Mune ese maviri mitral stenosis uye mitral kudzokazve, zvinonyanya kuomesa kuruboshwe atrium yekupompa ropa muvhenekeri yekuruboshwe. Izvi zvinogona kutungamira mukuwedzera kwekumanikidza mune yekuruboshwe atrium, iyo inotungamira mukuwedzera.

Kusashanda kweiyo ventricle yekuruboshwe

Kana paine dambudziko ne ventricle yako yekuruboshwe, kumanikidza kuri kuruboshwe atrium kuchawedzera kuitira kuti ugone kuzadza ventricle yekuruboshwe nemazvo. Uku kuwedzera kwekumanikidza kunogona kutungamira mukuwedzeredzwa kweatrium yekuruboshwe. Muchiitiko ichi, huwandu hwekuwedzera mune yekuruboshwe atrium inogona kuratidza padanho rekusagadzikana kweiyo kuruboshwe ventricle.

Atrial fibrillation

Iyi arrhythmia (isina kujairika kurova kwemoyo) iyo inowedzera njodzi yekurohwa uye kutadza kwemoyo. Mune mamiriro aya, makamuri maviri epamusoro emoyo wako, kana atria, anorohwa kunze kwekuyanana nemakamuri maviri epazasi, kana ma ventricles. Atrial fibrillation inogona kuitika pano neapo, kana inogona kusingaperi.

Hazvina kujeka kana atrial fibrillation iri chikonzero kana kuomarara kwekuruboshwe atrial kuwedzera.

Matambudziko eichi chiitiko

Kuwedzera kweatrium yekuruboshwe kwakabatana nemhedzisiro yakaipa yeanotevera mamiriro emwoyo:

• Atrial fibrillation. Izvi zvinosanganisirwa nekuwedzera kwekufa uye zvakanyorwa sezvose zviri zviviri chikonzero uye kuomarara kwekuwedzera kwekuraramisa atrial. Mumwe akawana kuti mashanu-millimeter kuwedzera muboshwe atrium dhayamita kwakawedzera njodzi yekuvandudza hutachiona hwemazana ne39 muzana.
• Kurohwa. Mune yevakuru vanhu, kuwedzera kwekuruboshwe atrium saizi kwakawanikwa kuve kwakazvimiririra kufungidzira kwekutanga ischemic sitiroko. Iyo njodzi yekurohwa inowedzera kana munhu ainewo atrial fibrillation.
• Kuunganidzwa kwemoyo kukundikana. A wevakuru vanhu vakaona kuti kuruboshwe atrium saizi yaive yekufungidzira kweye congestive moyo kutadza.

Zvinorapwa sei?

Pane imwe nguva kuruboshwe kwekuwedzera kwekuwedzera kwaitika, kurapwa kunotenderera kugadzirisa zvinhu zvakakonzera.

Kuwedzera kweropa kunogona kurapwa nenzira dzinotevera:

• kutora mishonga, senge beta-blockers, calcium chiteshi blockers, alpha-beta-blockers, uye diuretics
• kudya kudya kunovaka moyo
• kudzikamisa munyu
• kuve wakasimba panyama uye nekuchengetedza huremu hune hutano
• kudzikisira doro
• kugadzirisa kushungurudzika

Kurapa kwemitral stenosis kunogona kusanganisira:

• mutinhimira uye chiyero chekudzivirira mishonga
• diuretics
• anticoagulant mishonga yekudzivirira kuwanda kweropa
• kupindira kwekuvhiya kana mitral vharuvhu kutsiva mumatambudziko akakomba

Chiremba wako anogona kukurudzira kuvhiyiwa kana uine mitral kudzokazve nezviratidzo. Iwe unogona zvakare kurairwa kuvhiyiwa kana iwe usina zviratidzo asi pane humbowo hwekushomeka kwe ventricle dysfunction.

Kune akawanda marapirwo anogona kuitika eatrial fibrillation. Zvimwe zveizvi zvinogona kusanganisira:

• mutinhimira uye chiyero chekudzivirira mishonga
• anticoagulant mishonga yekudzora njodzi yekugwamba kweropa
• nzira yemagetsi yekuchinja moyo kugadzirisa magetsi nemagetsi kana mishonga isiri kushanda
• pulmonary vein ablation maitiro kana mishonga isingabvumirwe kana kushanda
• pacemaker kudyara kweinononoka kurova kwemoyo

Matipi ekudzivirira

Kune nzira dzekudzora njodzi yako yekukudziridza kuruboshwe atrial kuwedzera uye kunetseka kwayo.

Matipi

• Chengetedza kuwedzera kweropa uye cholesterol yakawanda iri pasi pesimba.
• Idya zvekudya zvine hutano pamoyo.
• Dzivisa kushandisa doro uye zvigadzirwa zvefodya.
• Chengetedza mararamiro anoshanda.
• Edza kudzikisa huremu kana iwe wakanyanya kufuta.
• Deredza kushushikana, nekuti izvi zvinogona kutungamira kumatambudziko nekurova kwemoyo.
• Rega chiremba wako azive kana iwe uine nhoroondo yemhuri yemoyo kana yemoyo mamiriro.

Ndeapi maonero?

Kune akawanda marapirwo ezve mamiriro ayo anokonzera kuruboshwe atrial kuwedzera. Izvi zvinobva pamishonga uye mararamiro ehupenyu anochinja kuita zvekuvhiya. Zvakakosha kuyeuka kuti kurapwa kwechiitiko ichi kunoenderana nekurapa mamiriro akonzeresa.

Kana uchinge waonekwa uine kuruboshwe kwekuwedzera arterial, unogona kuve panjodzi yekuwedzera matambudziko emwoyo kana ukasatora matanho ekuchengetedza mamiriro akaita senge BP uye arrhythmias in control.

Kana iwe uine nhoroondo yemhuri yechirwere chemoyo kana mamiriro emoyo, ita shuwa kuti chiremba wako azive kuitira kuti vagone kuongorora hutano hwako hwemwoyo.