Chii chinonzi Bicuspid Aortic Valve? Zviratidzo, Zvinokonzera, & Kurapa

Bicuspid aortic valve chirwere chepfungwa umo vharuvhu yako ye aortic ine mashizha maviri panzvimbo pe matatu akajairika. Izvi zvinoita kuti ive chirwere chepfungwa chepfungwa chinowanzoitika, chinotapura vanhu vanosvika 1-2%. Kunyange vazhinji vanhu vachirarama hupenyu hunowanzoitika nechirwere ichi, dzimwe nguva chinogona kukonzera matambudziko sezvaunokura, ndosaka kunzwisisa kwakakosha kune hutano hwako.

Chii chinonzi Bicuspid Aortic Valve?

Vharuvhu yako ye aortic inoshanda senge gonhi rimwe chete pakati pekamuri huru yekupomba kwemoyo wako ne artery huru yemuviri wako. Kazhinji, vharuvhu iyi ine matatu triangular flaps anonzi leaflets anovhurwa nekuvhara nekumhanya kwemoyo. Ne bicuspid aortic valve, unoberekwa une mashizha maviri chete panzvimbo pematanhatu.

Funga nezvazvo sekunge une gonhi rine mapaneli maviri panzvimbo pematanhatu. Kunyange zvazvo ichigona kuita basa rayo rekudzora kuyerera kweropa, chimiro hachisi chakafanana nezvinoita vazhinji vanhu. Iyi musiyano muumbozha inogona kukanganisa kuti vharuvhu inoshanda zvakanaka sei nekufamba kwenguva.

Chirwere ichi chiripo kubva pakuberekwa, zvinoreva kuti chinoitika apo uri muchibereko. Vazhinji vanhu havazivi kuti vane chirwere ichi kusvikira kuongororwa kwemishonga kana apo zviratidzo zvinoonekwa gare gare muhupenyu.

Ndeapi Zviratidzo zve Bicuspid Aortic Valve?

Vazhinji vanhu vane bicuspid aortic valve havaoni chero zviratidzo, kunyanya panguva yehudiki nehudiki. Apo zviratidzo zvinoonekwa, kazhinji zvinoitika zvishoma nezvishoma sezvo vharuvhu inenge isingashandi zvakanaka nekufamba kwenguva.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Kurwadziwa pabvudzi kana kusagadzikana, kunyanya panguva yekurovedza muviri
• Kushomeka kwemhepo panguva yekurovedza muviri kana uri kurara pasi
• Kunzwa kuneta kana kushaya simba panguva yemabasa akajairika
• Kuzvizivira kana kunzwa uchida kupera simba, kunyanya nekuedza
• Kupomba kwemoyo kana kurova kwemoyo kwasingawanzoitiki
• Kutemwa mumitsipa, makumbo, kana tsoka

Zviratidzo izvi kazhinji zvinoitika apo vharuvhu inenge ichivharwa (yakamanikana) kana regurgitant (inobuda). Mashoko akanaka ndeakuti zviratidzo kazhinji zvinoitika zvishoma nezvishoma, zvichikupa iwe nachiremba wako nguva yekutarisa uye kuronga kurapwa kana zvichidiwa.

Ndeapi Marudzi e Bicuspid Aortic Valve?

Vanachiremba vanokaranga bicuspid aortic valves zvichienderana nekuti mashizha maviri akagadzirwa sei uye kuti ndeapi ma cusps akabatana pamwe chete. Rudzi rwakajairika rinosanganisira kusanganiswa kwekurudyi nekuruboshwe coronary cusps, izvo zvinoitika mune anenge 70-85% yezviitiko.

Rudzi rwechipiri rinosanganisira kusanganiswa kwekurudyi coronary cusp ne non-coronary cusp. Izvi zvinoitika mune anenge 15-30% yevanhu vane chirwere ichi. Zvishoma, ungave uine kusanganiswa kwekuruboshwe coronary ne non-coronary cusps.

Kunyangwe aya mashoko echinyorwa angaratidzika kunge akaoma, chinonyanya kukosha ndechekuti vharuvhu yako chaiyo inoshanda zvakanaka sei. Cardiologist yako inogona kuona rudzi rwako kuburikidza nekuongororwa kwemifananidzo uye tsanangura kuti zvinorevei kune mamiriro ako chaiwo.

Chii Chinokonzera Bicuspid Aortic Valve?

Bicuspid aortic valve chirwere chepfungwa, zvinoreva kuti chinoitika panguva yekukura kwe fetus muchibereko. Chikonzero chaicho hachizivisike zvizere, asi vatsvakurudzi vanofunga kuti chinova mugumisiro wekuwirirana kwakaoma pakati pezvinhu zvemajini nezvakatipoteredza.

Genetics inotamba basa rinokosha muchirwere ichi. Kana uine bicuspid aortic valve, pane mukana we 10% wekuti hama dzako dzepedyo (vabereki, vanin'ina, kana vana) dzinogonawo kuve nadzo. Izvi zvakanyanya kupfuura njodzi yevanhu yakajairika ye 1-2%.

Zvimwe zvirwere zvemajini zvinobatanidzwa ne bicuspid aortic valve, kusanganisira Turner syndrome, Marfan syndrome, nezvimwe zvirwere zve connective tissue. Nekudaro, vazhinji vanhu vane bicuspid aortic valve havafaniri izvi zvimwe zvirwere.

Zvinhu zvakatipoteredza panguva yekuzvitakura zvinogona zvakare kuita basa, kunyange zvazvo zvinokonzera zvakajeka hazvina kuzivikanwa. Chinokosha kunzwisisa ndechekuti hapana chawakaita iwe kana vabereki vako chakakonzera chirwere ichi - inzira iyo moyo wako wakakura nayo usati waberekwa.

Rini Unoona Chiremba we Bicuspid Aortic Valve?

Unofanira kuona chiremba kana ukaona chero zviratidzo zvinogona kuratidza matambudziko emoyo, kunyangwe zvichiita zvishoma pakutanga. Kuonekwa kwenguva uye kutarisa kunogona kuita musiyano mukuru mukugadzirisa chirwere ichi zvinobudirira.

Taura nachiremba wako kana ukaona kurwadziwa pabvudzi, kushomeka kwemhepo, kuneta kwasingawanzoitiki, kuzvidza, kana kupomba kwemoyo. Aya maratidzo anoda kuongororwa, kunyanya kana achiitika panguva yekurovedza muviri kana achionekwa achiwedzera nekufamba kwenguva.

Kana uine nhoroondo yemhuri ye bicuspid aortic valve kana zvimwe zvirwere zvepfungwa zvepfungwa, taura izvi nachiremba wako panguva yekutarisa kwenguva dzose. Vanogona kukurudzira bvunzo dzekuongorora senge echocardiogram kuongorora chimiro nebasa remoyo wako.

Kune avo vakatoongororwa vane bicuspid aortic valve, misangano yekutevera nguva dzose inokosha. Cardiologist yako ichaona kuti kazhinji unoda kutarisa zvichienderana nekuti vharuvhu yako inoshanda zvakanaka sei.

Ndeapi Njodzi dze Bicuspid Aortic Valve?

Sezvo bicuspid aortic valve iri chirwere chepfungwa, njodzi dzakajairika senge kusarudza mararamiro hazvishande nenzira imwechete sezvinoita kune zvimwe zvirwere zvepfungwa. Nekudaro, zvinhu zvimwe zvinogona kuwedzera mukana wako wekuva nechirwere ichi kana kukura matambudziko.

Njodzi yakasimba ndeyekuve nenhoroondo yemhuri ye bicuspid aortic valve kana zvimwe zvirwere zvepfungwa zvepfungwa. Varume vanowanzova nechirwere ichi kupfuura vakadzi, nehuwandu hwe 3: 1.

Zvimwe zvirwere zvemajini zvinoita kuti njodzi yako iwedzere, kusanganisira Turner syndrome, Marfan syndrome, uye Ehlers-Danlos syndrome. Kana uine chero chimwe chezvirwere izvi, chiremba wako anogona kukutarisa kuti une bicuspid aortic valve.

Zera rinova njodzi yematambudziko panzvimbo pekuva nechirwere icho pachacho. Sezvaunokura, chimiro chisina kujairika chevharuvhu chinogona kukonzera matambudziko senge stenosis kana regurgitation, kazhinji chinoonekwa zvakanyanya mumakore ako emakumi mana, makumi mashanu, kana makumi matanhatu.

Ndeapi Matambudziko Anogona Kuitika e Bicuspid Aortic Valve?

Kunyangwe vazhinji vanhu vane bicuspid aortic valve vachirarama hupenyu hunowanzoitika, chirwere ichi chinogona kukonzera matambudziko nekufamba kwenguva. Kunzwisisa aya mikana kunokubatsira kuramba uine ruzivo uye kushanda nesangano rako rezvehutano kudzivirira kana kugadzirisa zvinobudirira.

Matambudziko akajairika anosanganisira:

• Aortic stenosis - vharuvhu inomanikana uye inodzivisa kuyerera kweropa
• Aortic regurgitation - vharuvhu inobuda uye ropa rinoyerera kumashure
• Aortic root dilation - artery huru inobva pamoyo wako inowedzera kukura
• Endocarditis - hutachiona hwevharuvhu yemoyo
• Kukundikana kwemoyo - apo moyo wako usingakwanisi kupomba ropa zvinobudirira
• Arrhythmias - kurova kwemoyo kwasingawanzoitiki

Aortic root dilation inoda hanya yakakosha nekuti inogona kuitika kunyangwe vharuvhu pachayo ichishanda zvakanaka. Kuwedzera uku kwe aorta kunogona kukonzera matambudziko akakomba senge aortic dissection, kunyange izvi zvisingawanzoitiki.

Mashoko akanaka ndeakuti kutarisa nguva dzose kunogona kubatsira kuona aya matambudziko pakutanga, apo ari kurapika zvikuru. Vazhinji vematambudziko anokura zvishoma nezvishoma kwemakore kana makumi emakore, zvichikupa iwe nesangano rako rezvechiremba nguva yekuronga zviyero zvakakodzera.

Bicuspid Aortic Valve Inooongororwa Sei?

Kuongorora bicuspid aortic valve kazhinji kunotanga nachiremba wako achiteerera moyo wako ne stethoscope. Vazhinji vanhu vane chirwere ichi vane heart murmur - inzwi riri pamusoro rinouya apo ropa rinoyerera kuburikidza nevharuvhu isina kujairika.

Kana chiremba wako akakurukura nezvematambudziko evharuvhu yemoyo, vanogona kukukurudzira kuti uite echocardiogram. Iyi bvunzo isina kurwadza ye ultrasound inogadzira mifananidzo yakadzama yemoyo wako uye inoratidza kuti vharuvhu yako inoita sei uye inoshanda sei. Ndiyo bvunzo inokosha yekuongorora bicuspid aortic valve.

Bvunzo dzimwe dzinogona kusanganisira electrocardiogram (ECG) kuongorora basa remagetsi remoyo wako, kana X-ray yechipfuva kuona saizi nechimiro chemoyo wako. Muzviitiko zvimwe, chiremba wako anogona kukurudzira mifananidzo yakakwirira senge cardiac MRI kana CT scans.

Kana uine bicuspid aortic valve, chiremba wako achaonawo kuti ane aortic dilation. Izvi kazhinji zvinosanganisira kuona aorta yese kuongorora chero kuwedzera kunogona kuda kutarisa kana kurapwa.

Kurapa kwe Bicuspid Aortic Valve Chii?

Kurapa kwe bicuspid aortic valve kunoenderana nekuti vharuvhu yako inoshanda zvakanaka sei uye kana uri kuona zviratidzo. Vazhinji vanhu vane vharuvhu dzinoshanda zvakanaka vanongoda kutarisa nguva dzose pasina kurapwa chero kupi.

Kune avo vane matambudziko maduku evharuvhu uye pasina zviratidzo, chiremba wako anogona kukurudzira nzira yekumirira. Izvi zvinoreva kuongororwa nguva dzose uye echocardiograms kuona kuti vharuvhu yako iri kushanda sei nekufamba kwenguva.

Apo zviratidzo zvinoonekwa kana basa revharuvhu richikanganisika zvakanyanya, sarudzo dzekurapa dzinosanganisira:

• Mishonga yekugadzirisa zviratidzo uye kudzivirira moyo wako
• Balloon valvuloplasty - nzira yekuvhura vharuvhu yakamanikana
• Kuita kuvhiya kwevharuvhu kana zvichibvira
• Kuita kuvhiya kwevharuvhu nekushandisa michina kana vharuvhu dze biological
• Transcatheter aortic valve replacement (TAVR) mumamiriro ezvinhu akasarudzwa

Cardiologist yako ichaita newe kuti uone nzira yakanakisa yekurapa zvichienderana nemamiriro ako chaiwo, zera, hutano hwese, uye zvaunoda. Chinangwa chaicho ndechekubatsira kuchengetedza hupenyu hwakanaka sezvinobvira.

Nzira Yekuzvichengeta Sei ne Bicuspid Aortic Valve?

Kurarama zvakanaka ne bicuspid aortic valve kunosanganisira kuramba uine ruzivo nezvemamiriro ako uye kutevera zano rachiremba wako. Vazhinji vanhu vanogona kuchengetedza mararamiro ane hutano, ane hutano nekutarisirwa kwakakodzera uye kutarisa.

Rambai muchiita misangano yekutarisira moyo nguva dzose, kunyangwe muchinzwa zvakanaka. Aya misangano anobatsira chiremba wako kutevera chero shanduko mubasa revharuvhu yako uye kubata matambudziko anogona kuitika pakutanga. Usasiye misangano nekuti uri kunzwa zvakanaka.

Chengetera kuchena kwemeno kwakanaka uye taura nedenti yako nezvemamiriro emoyo wako. Kunyangwe maitiro ekurapa mazino akajairika ari kuchengeteka, chiremba wako anogona kukurudzira mishonga usati waita kurapwa kwemeno kudzivirira hutachiona.

Rambai muchirovedza muviri mukati memiganho inokurudzirwa ne cardiologist yako. Kurovedza muviri nguva dzose kunobatsira kune hutano hwemoyo, asi ungada kudzivisa mabasa ane simba zvikuru kana mitambo yekukwikwidzana zvichienderana nebasa revharuvhu yako.

Rarama hupenyu hune hutano hwemoyo nekudya zvokudya zvine utano, kuchengetedza uremu hwakanaka, kusafuta, uye kudzora kushushikana. Aya maitiro anobatsira munhu wese asi anonyanya kukosha kana uine chirwere chemwoyo.

Ungagadzirira Sei Kune Misangano Yako Yechiremba?

Kuagadzirira musangano wako we cardiologist kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva kumushumo wako. Tanga nekunyora chero zviratidzo zvawaona, kunyangwe zvichiita zvishoma kana zvisingabatani nemoyo wako.

Uyai ne rondedzero yemishonga yese yauri kutora, kusanganisira mishonga yekutengesa uye zvinowedzerwa. Uyewo,unganidza chero migumisiro yekuedzwa yapfuura kana rekodhi rezvechiremba zvine chekuita nemamiriro emoyo wako kana uri kuona chiremba mutsva.

Gadzirira mibvunzo nezvemamiriro ako, sarudzo dzekurapa, miganho yekurovedza muviri, uye zvaunofanira kutarisira mune ramangwana. Usazengurire kubvunza nezve chero chinhu chinokunetsa - chiremba wako anoda kukubatsira kunzwisisa mamiriro ako.

Funga nezvekutora nhengo yemhuri kana shamwari kumisangano inokosha. Vanogona kukubatsira kuyeuka ruzivo uye kupa rutsigiro panguva yekukurukura nezvesarudzo dzekurapa.

Chii Chinonyanya Kukosha Nezve Bicuspid Aortic Valve?

Bicuspid aortic valve chirwere chinogona kugadziriswa icho vazhinji vanhu vanorarama nacho zvinobudirira muhupenyu hwavo hwese. Kunyange zvazvo zvichida kutarisirwa kwemishonga nguva dzose, vazhinji vanhu vane chirwere ichi vanogona kufarikanya mararamiro akajairika, ane simba nekutarisirwa kwakakodzera uye kutarisa.

Chinhu chinonyanya kukosha chaunogona kuita ndechekuchengetedza kutevera nguva dzose ne cardiologist anzwisisa mamiriro ako. Kuonekwa kwenguva yechando chero shanduko mubasa revharuvhu kunobvumira kuita zviyero zvakakodzera kana zvichidiwa.

Yeuka kuti kuva ne bicuspid aortic valve hakusi kusimbisa hupenyu hwako kana kudzora kurota kwako. Nezvikwaniso zvemazuva ano zve mishonga uye sarudzo dzekurapa, vanhu vane chirwere ichi vanogona kutarisira migumisiro yakanaka uye hupenyu hwakanaka pavanoshanda pedyo nesangano ravo rezvehutano.

Mibvunzo Inowanzo Kubvunzwa Nezve Bicuspid Aortic Valve

Ndingarovedza muviri here ndine bicuspid aortic valve?

Vazhinji vanhu vane bicuspid aortic valve vanogona kurovedza muviri zvakachengeteka, asi simba uye rudzi rwekurovedza muviri zvinoenderana nekuti vharuvhu yako inoshanda zvakanaka sei. Kana vharuvhu yako ichishanda zvakanaka uye hauna zviratidzo, unogona zvichida kuita zviitiko zvizhinji. Nekudaro, kana uine matambudziko makuru evharuvhu, chiremba wako anogona kukurudzira kudzivisa mitambo ine simba kana yekukwikwidzana. Gara uchikurukura nezvirongwa zvako zve kurovedza muviri ne cardiologist yako kuti uwane mazano akakodzera zvichienderana nemamiriro ako chaiwo.

Ndichada kuvhiya here kuti ndive ne bicuspid aortic valve?

Haasi munhu wese ane bicuspid aortic valve anoda kuvhiya. Vazhinji vanhu vanorarama hupenyu hwavo hwese nekutarisa chete. Kuvhiya kunodiwa apo vharuvhu inokonzera zviratidzo zvakanyanya, inodzivisa kuyerera kweropa zvakanyanya, kana kubvumira ropa rakawanda kuti riyerere kumashure. Chiremba wako achaongorora basa revharuvhu yako, zviratidzo, uye hutano hwese kuti aone kana uye rini kuvhiya kunogona kuva kunobatsira. Sarudzo yacho inogara ichisiyana zvichienderana nemamiriro ako chaiwo.

Bicuspid aortic valve inogona kupfuudzwa kuvana vangu here?

Hongu, bicuspid aortic valve inogona kumhanya mumhuri. Kana uine chirwere ichi, mumwe nemumwe wevana vako ane mukana we 10% wekuva nacho zvakare, izvo zvakanyanya kupfuura njodzi yevanhu yakajairika. Nekudaro, izvi zvinorevawo kuti pane mukana we 90% wekuti havazove nacho. Chiremba wako anogona kukurudzira kuti hama dzako dzepedyo (vana, vanin'ina, vabereki) vaite echocardiograms dzekuongorora kuti vaone chirwere ichi, kunyanya kana vakawana chero zviratidzo zvine chekuita nemoyo.

Chii chiri musiyano pakati pe bicuspid aortic valve nezvimwe zvirwere zvevharuvhu yemoyo?

Bicuspid aortic valve ndiko kusiyana kwechimiro chaunoberekwa nacho, nepo zvimwe zvirwere zvevharuvhu kazhinji zvinoitika nekufamba kwenguva nekukura, hutachiona, kana zvimwe zvinokonzera. Vharuvhu ye bicuspid ine mashizha maviri panzvimbo pematanhatu, izvo zvinoita kuti ive nyore kuita matambudziko sezvaunokura. Zvimwe zvirwere zvevharuvhu zvinogona kusanganisira vharuvhu dzine mashizha matatu dzakakanganisika kana dzakashata. Nzira dzekurapa dzinogona kunge dzakafanana, asi chikonzero chacho uye kufambira mberi zvinogona kusiyana.

Kazhinji ndinoda misangano yekutevera here?

Kuwanda kwemishumo yekutevera kunoenderana nekuti vharuvhu yako inoshanda zvakanaka sei. Kana vharuvhu yako ye bicuspid aortic valve ichishanda zvakanaka, ungada kuongororwa makore maviri kusvika matatu. Kana paine zviratidzo zvematambudziko evharuvhu ari kukura, chiremba wako anogona kuda kukuona gore rega rega kana kunyange kazhinji. Avo vane kusagadzikana kwakanyanya kwevharuvhu vanogona kuda kutarisa mwedzi mitanhatu yega yega. Cardiologist yako ichagadzira purogiramu yekutevera yakakodzera zvichienderana nebasa rako revharuvhu uye chero matambudziko akabatana senge aortic dilation.