Chii chinonzi bicuspid aortic vharafu, nei ichiitika uye maitiro ekurapa

Zvemukati

• Ndezvipi zvikonzero
• Ungaziva sei
• Zvinogona kuitika
• Kurapwa kunoitwa sei
• Zvinoita here kudzidzira zviitiko zvemuviri?

Iyo bicuspid aortic vharafu chirwere chekuzvarwa nacho, icho chinomuka apo aortic vharuvhu ine mapepa maviri, pachinzvimbo che3, sezvazvinofanira, mamiriro asina kujairika, sezvazviri mune ingangoita 1 kusvika 2% yevagari.

Iyo bicuspid aortic vharafu inogona kusakonzera zviratidzo kana chero rudzi rwechinjo, zvisinei, kune vamwe vanhu inogona kushanduka nematambudziko nekufamba kwenguva, senge aortic stenosis, aortic insufficiency, aneurysm kana endocarditis inotapukira, inogona kukonzeresa dzungu, kurohwa moyo kana kushaya mweya , Semuyenzaniso.

Aya matambudziko anoitika nekuti bicuspid vharuvhu inonyanya kukanganiswa nekufamba kweropa kuyerera, izvo zvinogona kukonzera kukuvara. Naizvozvo, zvakakosha kuti kurapwa kunoitwa nekukurumidza pazvinoonekwa, nekutungamirwa kubva kuna chiremba wezvemwoyo, uyo anogona kuratidza bvunzo dzegore, kushandiswa kwemishonga kana kuvhiyiwa kutsiva vharuvhu.

Ndezvipi zvikonzero

Chero ani zvake anogona kuzvarwa aine bicuspid aortic vharuvhu, sezvo zvikonzero zvacho chaizvo zvisati zvatsanangurwa. Uku ndiko kukanganisa kwakagadzirwa panguva yekuvandudzika kwemwana mudumbu reamai, nguva umo mune kusanganiswa kwemaviri emagetsi, achiumba imwe. Izvi zvinogona kunge zvichikonzerwa nemajini, nezvimwe zviitiko zvichitorerwa nhaka kubva kuvabereki kuenda kuvana.

Uye zvakare, iyo bicuspid aortic vharafu inogona kuoneka iri yega kana inosangana nezvimwe zvakakanganiswa nemoyo, sekukwirana uye kuwedzera kweaorta, kukanganiswa kweaortic arch, interventricular septal defect, semuenzaniso weMaritima's syndrome kana Turner's syndrome.

Moyo une mavharuvhu mana, ayo anodzora kuyerera kweropa kuitira kuti moyo ugone kupomba zvese kumapapu uye nemuviri wese, kuitira kuti itevere nzira imwechete uye isadzokere munzira yakatarisana panguva yekurova kwemoyo, zvisinei, mavharuvhu aya anogona kunge akaremara panguva yekuumbwa kwenhengo iyi. Kukanganisa kwevhavhavha ndizvo zvikonzero zvikuru zvekugunun'una kwemoyo, nzwisisa kuti chii, izvo zvikonzero uye maitiro ekurapa dambudziko iri.

Ungaziva sei

Bicuspid aortic vharafu inogona kushanda zvakajairika, kwete hazvo kufambira mberi kuchirwere, saka chikamu chikuru chevanhu vane chirwere ichi havana zviratidzo. Kazhinji, muzviitiko izvi, chiremba anokwanisa kuona shanduko panguva yekuongororwa kwepanyama, uko kugunun'una nehunhu hunogona kunzwika pamwe nekurova kwemoyo, kunonzi systolic ejection tinya.

Zvisinei, mune inenge 1/3 yematambudziko, zvinokwanisika kuti bicuspid vharuvhu iratidze shanduko mukuita kwayo, kazhinji mukukura, izvo zvinoshandura kuyerera kweropa uye zvinogona kukonzera zviratidzo senge:

• Kuneta;
• Kufema kwekufema;
• Dzungu;
• Palpitation;
• Kufenda.

Zviratidzo izvi zvinogona kuitika kune zvakakura kana zvishoma, zvinoenderana nekuomarara kweshanduko yakakonzerwa uye nekukanganisa kwayo kushanda kwemoyo.

Kuti usimbise kuongororwa kwe bicuspid aortic vharuvhu, chiremba wezvemwoyo anokumbira echocardiogram, inova bvunzo inokwanisa kuzivisa zvese chimiro chemavharuvhu emoyo uye kushanda kwemoyo. Nzwisisa kuti echocardiogram inoitwa sei uye pazvinenge zvakakodzera.

Zvinogona kuitika

Izvo zvinonetsa izvo munhu ane bicuspid aortic vharafu anogona kuunza ndeaya:

• Arortic stenosis;
• Kusasimba kweortic;
• Kutsemuka kweaortic kana kupatsanura;
• Inotapukira endocarditis.

Kunyangwe ichionekwa mune mashoma mashoma kesi, shanduko idzi dzinogona kuitika kune chero munhu ane mamiriro aya, nekuti mamishini kushushikana panguva yekufamba kweropa kwakakura kune avo vane bicuspid vharafu. Iko mukana wezvinetso wakakura kupfuura makore, uye wakakura muvanhu vanopfuura makore makumi mana.

Kurapwa kunoitwa sei

Kazhinji, munhu ane bicuspid aortic vharafu anogona kutungamira hupenyu hwakajairika, sezvo shanduko iyi isingawanzo kukonzera zviratidzo kana mhedzisiro pane kugona kwemunhu. Muzviitiko izvi, kunoteedzerwa kwegore negore neye cardiologist kunodiwa, ndiani anokumbira echocardiogram, chipfuva X-ray, ECG, holter uye kumwe bvunzo dzinogona kuona shanduko kana kuwedzera mamiriro acho, kana paine.

Mhedzisiro yekurapa inoitwa nekuvhiya, uye maitiro anosanganisira kudzika, madiki ekugadzirisa kana kunyangwe vharuvhu kutsiva kuvhiya kunogona kuratidzwa, uko kunoitwa kuongororwa kwakasimba kwechimiro chevhavha, shanduko uye kuzvipira kwayo kuita kunodiwa. Kushanda kwemoyo , yakakosha kwazvo kuona mhando yakanaka yekuvhiya, iyo inofanirwa kuve yakasarudzika, nekuongororwa kwenjodzi nezvirwere zvine munhu mumwe nemumwe.

Iyo vharuvhu inogona kuchinjwa neyakagadziriswa kana yevhavhavhavhavhavhavha, iyo inoratidzirwa nachiremba wemoyo uye chiremba wemoyo. Kudzoreredza kubva pakuvhiya kunotora nguva, kunoda nguva yekurarama kweinenge 1 kusvika kumavhiki maviri, pamusoro pekuzorora uye chikafu chakaringana. Tarisa uone kuti kupora kunoratidzika sei mushure mekuvhiya kweaortic vharuvhu.

Mune zvimwe zviitiko, chiremba anogona zvakare kukurudzira kushandiswa kwemishonga, senge antihypertensive zvinodhaka, beta-blockers kana ACE inhibitors, kana statins, semuenzaniso, senzira yekudzora zviratidzo kana kunonoka kuwedzera kwekuchinja kwemoyo, kuputa fodya, BP uye cholesterol kuzvidzora zvinokurudzirwawo.

Uye zvakare, vanhu vane bicuspid vharafu vangangoda antibiotic prophylaxis, vachishandisa nguva nenguva maantibhakitiki kudzivirira hutachiona nemabhakitiriya anokonzera kutapukira endocarditis. Nzwisisa kuti chii uye maitiro ekurapa endocarditis.

Zvinoita here kudzidzira zviitiko zvemuviri?

Muzviitiko zvakawanda, munhu ane bicuspid aortic vharuvhu anogona kudzidzira zviitiko zvemuviri uye kurarama hupenyu hwakajairika, uye panogona kuve nezvirambidzo chete muzviitiko apo murwere anofambira mberi nematambudziko, sekuderedzwa kana kuderera kwevhavha, kana nekuchinja mukati mashandiro emoyo.

Nekudaro, zvakakosha kwazvo kuti murapi wekurovedza muviri neichi chinjo anoita ongororo dzenguva nenguva neye cardiologist uye echocardiogram bvunzo, kuitira kuongorora mashandiro evhavha uye kana paine shanduko kune chero kuomarara.

Uye zvakare, vatambi vepamusorosoro, nekuda kwekuedza kukuru kwakaitwa, vanogona kukudziridza "moyo wemutambi", umo munhu ane shanduko yemuviri inoshanduka mumoyo, pamwe nekwaniso yekuwedzera kweiyo ventricle mhango nekusimba kwemoyo. wall. Shanduko idzi hadziwanzo kufambira mberi kuchirwere chemwoyo, uye dzinowanzo dzoserwa nekumiswa kwekurovedza muviri. Nekudaro, panofanirwa kuve nekutarisisa kwakasimba kune idzi shanduko mukuongororwa kwenguva nenguva neye cardiologist.