Kushushikana Kwemagetsi Emwoyo

Zvemukati

• Mhando dzepfungwa dzevhavhavha yemoyo
• Mitral vharuvhu inowedzera
• Bicuspid aortic vharafu chirwere
• Valvular stenosis
• Valvular kudzoka
• Zviratidzo zvekushungurudzika kwemoyo wemagetsi
• Ndezvipi zvikonzero zvekusagadzikana kwemagetsi emagetsi?
• Matambudziko emagetsi emoyo anoonekwa sei?
• Matambudziko evhavha yemoyo anorapwa sei?
• Ndeapi maonero evanhu vane hosha yemagetsi vharuvhu?

Mhedziso

Matambudziko emagetsi emoyo anogona kukanganisa chero mavharuvhu ari mumoyo mako. Mavharuvhu ako emwoyo ane mapapiro anovhurika uye kuvhara nekurova kwega kwega kwemoyo, zvichibvumira ropa kuyerera kuburikidza nemakamuri epamusoro uye ezasi emoyo uye kune iyo yese yemuviri wako. Iwo makamuri epamusoro emoyo ndiwo atria, uye emakamuri epasi emoyo ndiwo ma ventricles.

Mwoyo wako une aya mavhavha mana:

• iyo tricuspid vharafu, iyo iri pakati peatrium yekurudyi uye kurudyi ventricle
• vharuvhu yemapapu, iyo iri pakati peyakarurama ventricle uye pulmonary arteri
• iyo mitral vharafu, iyo iri pakati pekuruboshwe atrium uye yekuruboshwe ventricle
• iyo aortic vharafu, iyo iri pakati pekuruboshwe ventricle uye aorta

Ropa rinoyerera kubva kurudyi uye kuruboshwe atria kuburikidza netricuspid uye mitral mavharuvhu, ayo anovhurika kubvumira ropa kuyerera mukati kurudyi uye kuruboshwe ma ventricles. Aya mavhavha anobva avhara kudzivirira ropa kubva kuyerera richidzokera muatria.

Kana ma ventricles azadza neropa, vanotanga kubatika, vachimanikidza pulmonary uye aortic valves kuvhura. Ropa rinozoyerera kuenda kune yemapuri arteri uye aorta. Iyo pulmonary arteri inotakura deoxygenated ropa kubva pamoyo kuenda kumapapu. Iyo aorta, inova tsinga huru yemuviri, inotakura ropa rakazara okisijeni kune imwe muviri wako wese.

Mavharuvhu emwoyo anoshanda nekuona kuti ropa rinoyerera richinanga kumberi uye haritsigire shure kana kukonzera kubuda. Kana iwe uine chirwere chevhavha yemoyo, iyo vharuvhu haigone kuita basa iri nemazvo. Izvi zvinogona kukonzereswa nekudonha kweropa, uko kunodaidzwa kuti kudzokedzana, kudzikira kwevharuvhu kuvhura, inonzi stenosis, kana mubatanidzwa wekudzokazve uye stenosis.

Vamwe vanhu vane chirwere chevhavha yemoyo vanogona kunge vasina chero zviratidzo, nepo vamwe vanogona kusangana nemamiriro akaita sekurohwa, kurohwa kwemoyo, uye kugwamba kweropa kana chirwere chevhavha yemoyo chikaenda chisina kurapwa.

Mhando dzepfungwa dzevhavhavha yemoyo

Mitral vharuvhu inowedzera

Iyo mitral vharuvhu prolapse inonzi zvakare:

• floppy vharafu chirwere
• tinya-kugunun'una chirwere
• chibharumu mitral vharafu
• Barlow's chirwere

Izvo zvinoitika kana iyo mitral vharuvhu isina kuvhara mushe, dzimwe nguva ichikonzera ropa kuyerera richidzokera kumashure kuruboshwe atrium.

Vazhinji vanhu vane mitral vharuvhu prolapse havana zviratidzo uye havadi kurapwa semhedzisiro. Zvisinei, zviratidzo zvinoratidza kuti kurapwa kunodiwa zvinosanganisira:

• kurova kwemoyo
• mweya wekufema
• kurwadziwa pachipfuva
• kuneta
• kukosora

Kurapa kunosanganisira kuvhiyiwa kugadzirisa kana kutsiva mitral vharafu.

Bicuspid aortic vharafu chirwere

Bicuspid aortic vharafu chirwere chinoitika kana munhu akazvarwa aine aortic vharuvhu ine mapapiro maviri pachinzvimbo cheyakajairwa matatu. Muzviitiko zvakakomba kwazvo, zviratidzo zverudzi urwu rwechirwere zviripo pakuzvarwa. Nekudaro, vamwe vanhu vanogona kuenda makumi emakore vasingazive kuti vane rudzi urwu rwechirwere. Iyo vharafu inowanzo kwanisa kushanda kwemakore pasina kukonzera zviratidzo, saka vanhu vazhinji vane bicuspid aortic vharafu chirwere hachionekwe kusvika vakura.

Zviratidzo zvinogona kusanganisira:

• kupfupika kwemweya nekuedza
• kurwadziwa pachipfuva
• dzungu
• kufenda

Vazhinji vanhu vanokwanisa kuve neavortic vharuvhu yavo inogadziriswa zvinobudirira nekuvhiya.

Sekureva kweCleveland Clinic, makumi masere muzana evanhu vane rudzi urwu rwemoyo vharuvhu dambudziko rinoda kuvhiyiwa kugadzirisa kana kutsiva vharuvhu. Izvi zvinowanzoitika kana vava nemakore makumi matatu kana makumi mana.

Valvular stenosis

Valvular stenosis inoitika kana vharafu isingakwanise kuvhura zvakakwana, zvinoreva kuti ropa rakakwana harikwanisi kuyerera kuburikidza nevhavha. Izvi zvinogona kuitika mune ese emavharuvhu emoyo uye zvinogona kukonzerwa nevhavha yemoyo kuomesa kana kuomesa.

Zviratidzo zvinogona kusanganisira:

• kurwadziwa pachipfuva
• mweya wekufema
• kuneta
• dzungu
• kufenda

Vamwe vanhu havadi kurapwa kwe valvular stenosis. Vamwe vanhu vangangoda kuvhiyiwa kutsiva kana kugadzirisa vharuvhu. Zvichienderana nekuomarara kweiyo stenosis yako uye nezera rako, valvuloplasty, iyo inoshandisa chibharumu kuwedzera vharafu, inogona kunge iri sarudzo.

Valvular kudzoka

Valvular kudzoka zvakare kunogona kunzi "leaky vharafu." Zvinoitika kana imwe yemavharuvhu emwoyo ikasavhara zvakanaka, zvichikonzera ropa kuyerera richidzokera kumashure. Zviratidzo zvinogona kusanganisira:

• mweya wekufema
• kukosora
• kuneta
• kurova kwemoyo
• musoro wakareruka
• kuzvimba kwetsoka nemakumbo

Mhedzisiro ye valvular kudzoka inosiyana zvichienderana nemunhu. Vamwe vanhu vanongoda kuti mamiriro avo atariswe. Vamwe vangangoda kuve nemishonga yekudzivirira kuwanda kwemvura, nepo vamwe vachida kugadziriswa kwevhavha kana kutsiva.

Zviratidzo zvekushungurudzika kwemoyo wemagetsi

Zviratidzo zvezvinetso zvemagetsi emagetsi zvinosiyana zvichienderana nekukura kwechirwere. Kazhinji kuvepo kwezviratidzo kunoratidza kuti kusagadzikana kuri kukanganisa kuyerera kweropa. Vanhu vazhinji vane hunyoro kana zvine mwero mwoyo vharuvhu yemoyo havaoni chero zviratidzo. Nekudaro, zviratidzo nezviratidzo zvinogona kusanganisira:

• mweya wekufema
• kurova kwemoyo
• kuneta
• kurwadziwa pachipfuva
• dzungu
• kufenda
• kutemwa nemusoro
• kukosora
• kuchengetedza mvura, izvo zvinogona kukonzera kuzvimba munzvimbo dzepazasi uye mudumbu
• pulmonary edema, iyo inokonzerwa nekuwandisa kwemvura mumapapu

Ndezvipi zvikonzero zvekusagadzikana kwemagetsi emagetsi?

Pane zvikonzero zvinoverengeka zvezvakasiyana zvevhavhavha yemoyo. Zvinokonzera zvinogona kusanganisira:

• kuremara kwekuzvarwa
• infective endocarditis, kuzvimba kwemoyo tishu
• rheumatic fever, chirwere chinoputika chinounzwa nehutachiona neboka A Streptococcus mabhakitiriya
• shanduko dzine chekuita nezera, senge calcium dhipoziti
• chirwere chemwoyo
• coronary arteri chirwere, kudzikira uye kuomarara kwetsinga dzinopa moyo
• cardiomyopathy, iyo inosanganisira kushanduka kunochinja mumutsipa wemwoyo
• syphilis, hutachiona husingawanzoitwe zvepabonde
• neBP, kana kukwira kweropa
• aortic aneurysm, kuzvimba zvisina kujairika kana kuputika kweaorta
• atherosclerosis, kuomarara kwetsinga
• myxomatous degeneration, kushomeka kwezvibatanidza matissue mune mitral vharafu
• lupus, chirwere chisingagumi autoimmune

Matambudziko emagetsi emoyo anoonekwa sei?

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchiona zviratidzo zvevharuvhu yemoyo, chiremba wako anotanga nekuteerera kumoyo wako ne stethoscope. Ivo vanozoteerera kune chero emoyo kurovera zvisina kujairika izvo zvinogona kuratidza dambudziko neako moyo mavharuvhu. Chiremba wako anogona zvakare kuteerera kumapapu ako kuti aone kana paine fluid buildup uye ongorora muviri wako kuti uwane zviratidzo zvekuchengetwa kwemvura. Izvi zvese zviri zviviri zviratidzo zvematambudziko emagetsi emoyo.

Mimwe bvunzo inogona kushandiswa kuongorora kusagadzikana kwemagetsi emoyo inosanganisira zvinotevera:

• Electrococardiogram bvunzo inoratidza mashandiro emagetsi emoyo. Uyu muedzo unoshandiswa kutarisa zvisina kujairika moyo mutinhimira.
• Echocardiogram inoshandisa masaisai enzwi kugadzira pikicha yemavharuvhu emwoyo nedzimba.
• Catheterization yemoyo imwe bvunzo inoshandiswa kuongorora kusagadzikana kwevhavha. Muedzo uyu unoshandisa chubhu chena kana catheter ine kamera kutora mifananidzo yemoyo wako nemidziyo yeropa. Izvi zvinogona kubatsira chiremba wako kuona mhando uye kuomarara kwevhavha yako kusagadzikana.
• X-ray yechipfuva inogona kurairwa kutora mufananidzo wemoyo wako. Izvi zvinogona kutaurira chiremba wako kana moyo wako wawedzerwa.
• Iyo MRI scan inogona kupa yakadzama mufananidzo wemoyo wako. Izvi zvinogona kubatsira kusimbisa kuongororwa uye kubvumira chiremba wako kuti aone maitiro ekurapa kwako vharuvhu kusagadzikana.
• Bvunzo yekushushikana inogona kushandiswa kuona kuti zviratidzo zvako zvinokanganiswa sei nekuedza. Ruzivo kubva kuongororo yekushushikana runogona kuzivisa chiremba wako kuti wakanyanya sei mamiriro ako.

Matambudziko evhavha yemoyo anorapwa sei?

Kurapa kwekushungurudzika kwemoyo wemagetsi kunoenderana nekuoma kwechirwere uye zviratidzo. Vazhinji vanachiremba vanokurudzira kutanga nemishonga inochengetedza. Izvi zvinosanganisira:

• kuwana kutarisisa kwekurapa
• kurega kusvuta kana uchisvuta
• kutevera chikafu chine hutano

Mishonga inowanzo gadzirirwa ndeiyi:

• beta-blockers uye calcium chiteshi blockers, iyo inobatsira kudzora kurova kwemoyo uye kuyerera kweropa
• diuretics yekudzora kuchengetedza kwemvura
• vasodilators, inova mishonga inovhura kana kurerutsa tsinga dzeropa

Iwe ungangoda kuvhiyiwa kana zviratidzo zvako zvikawedzera mukuomarara. Izvi zvinogona kusanganisira kugadzirisa moyo vharuvhu uchishandisa imwe yeanotevera:

• nyama yako
• vharuvhu yemhuka kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirota naye payo pacho yevhavha?
• vharuvhu yakapihwa kubva kune mumwe munhu
• chimakanika, kana chakagadzirwa, vharuvhu

Valvuloplasty inogona zvakare kushandiswa kurapa stenosis. Munguva yevalvuloplasty, chiremba wako anoisa chibharumu chidiki mumoyo mako uko chakaputirwa zvishoma. Iko inflation inowedzera saizi yekuvhura muvhavha, uyezve iro chibharumu rinobviswa.

Ndeapi maonero evanhu vane hosha yemagetsi vharuvhu?

Maonero ako anoenderana nechero vharuvhu yemoyo yauinayo uye kuti yakanyanya sei. Zvimwe zvinetso zvemagetsi zvemoyo zvinongoda kutarisisa, asi zvimwe zvinoda kuvhiyiwa.

Taura nachiremba wako nezve chero zviratidzo zvaunazvo zvaunonetsekana nazvo, uye ita shuwa kuti unoronga kugara uchiongorora nachiremba wako. Izvi zvichaita kuti zvive nyore kuti chiremba wako awane chero mamiriro ezvinhu angave akakomba mumatanho ekutanga.