Chii chinonzi Eisenmenger Syndrome? Zviratidzo, Zvinokonzera, & Kurapa

Eisenmenger syndrome chirwere chakakomba chemwoyo chinoitika kana gomba riri mumwoyo wako richikonzera kuti ropa riyerere munzira isiriyo. Kuyerera uku kunokuvadza ropa reropa mumapapu ako, zvichiita kuti mwoyo wako usakwanise kuburitsa ropa zvakanaka.

Chinonyanya kusiyanisa chirwere ichi ndechekuti chinotanga sechirwere chimwe chete asi chinoshongedza kuva chimwe chinhu nekufamba kwenguva. Unenge wakazvarwa une chirwere chemwoyo chinobvumira ropa rakazara oksijeni neropa risina oksijeni kusanganiswa, asi mapapu ako anotanga kubata nekuyerera kwakawanda kweropa. Zvisinei, mushure memwedzi kana makore, ropa reropa mumapapu ako anotanga kuramba kuyerera uku kusina kunaka, zvichiita kuti pave nematambudziko akawanda anoshandura mashandiro ese emusystem wako we cardiovascular.

Ndeapi zviratidzo zveEisenmenger syndrome?

Chiratidzo chinonyanya kuoneka ndechekuti ganda rako, miromo, kana misumari ine ruvara rwebhuruu, rinonzi cyanosis. Izvi zvinoitika nekuti ropa risina oksijeni riri kuyerera mumuviri wako panzvimbo yekucheneswa zvakanaka mumapapu ako kutanga.

Sezvo mwoyo wako uchishanda nesimba kuti udzorere, iwe uchaona zvimwe zviratidzo zvinogona kukanganisa mabasa ako ezuva nezuva:

• Kushaya mweya, kunyanya panguva yekurovedza muviri kana kurovedza muviri
• Kuneta kunoratidzika kunge kwakawanda pane zvawakaita
• Kurwadziwa pabvudzi kana kusagadzikana panguva yekurovedza muviri
• Kuzvambarara kana kupera simba, kunyanya kana wakamira nekukurumidza
• Kupuruzira kwemwoyo kana kurova kwemwoyo kusina kunaka
• Kutemwa kwematumbo, makumbo, kana tsoka
• Clubbing yeminwe nematsoka (magumo anova akaomarara uye akakura)

Zviratidzo izvi kazhinji zvinoitika zvishoma nezvishoma, zvinoreva kuti ungasazvionei nekukurumidza. Muviri wako une simba rakanaka rekugadzirisa, asi pakupedzisira kunetseka kunova kukuru zvokuti haukwanisi kugadzirisa zvachose.

Chii chinokonzera Eisenmenger syndrome?

Eisenmenger syndrome inogara ichitanga nechirwere chemwoyo chakazvarwa nacho, zvinoreva kuti unenge wakazvarwa une dambudziko remukati mumwoyo wako. Zvikanganiso zvinonyanya kuitika zvinoita kuti pave nekuyambuka kwakasiyana-siyana pakati pekamuri dzemwoyo wako kana ropa guru.

Aya ndiwo makanganiso emwoyo anowanzoita kuti pave neEisenmenger syndrome:

• Ventricular septal defect (VSD) - gomba riri pakati pekamuri dziri pasi dzemwoyo
• Atrial septal defect (ASD) - gomba riri pakati pekamuri dziri pamusoro dzemwoyo
• Patent ductus arteriosus (PDA) - kana ropa reropa rinofanira kuvharwa mushure mekuberekwa richiramba rakazaruka
• Atrioventricular septal defect - mahombe anokanganisa kamuri dziri pamusoro nepazasi
• Truncus arteriosus - kana ropa guru rimwe chete richibuda mumwoyo panzvimbo yerimwe riri maviri

Chinoshongedza makanganiso aya kuva Eisenmenger syndrome nguva nekunetseka. Pakutanga, ropa rinoyerera kubva kurutivi rwekuruboshwe rwemwoyo wako (kumanikidza kukuru) kuenda kurutivi rwerudyi (kumanikidza kwakaderera) kuburikidza nekuvhura uku kusina kunaka. Kuyerera uku kwakawanda kweropa kunomanikidza mapapu ako kushanda nesimba, uye pamwedzi kana makore, ropa reropa mumapapu ako rinowedzera uye rinoramba richidzivirira.

Pakupedzisira, kumanikidza mumapapu ako kunowedzera zvokuti kunopfuura kumanikidza kurutivi rwekuruboshwe rwemwoyo. Kana izvi zvikaitika, kuyerera kweropa kunodzokera kumashure, uye ropa risina oksijeni rinotanga kusanganiswa neropa rakazara oksijeni mumuviri wako wese.

Rini unofanira kuona chiremba nekuda kweEisenmenger syndrome?

Unofanira kutsvaga rubatsiro rwekurapa nekukurumidza kana ukaona kushaya mweya kamwe kamwe, kurwadziwa pabvudzi, kana kupera simba. Zviratidzo izvi zvinogona kuratidza kuti mamiriro ako ari kuipa kana kuti uri kuwana matambudziko anoda kurapwa nekukurumidza.

Zvakakoshawo kuona chiremba wako nguva dzose kana ukaona kuchinja zvishoma nezvishoma mumamiriro ako emuviri kana kuti unokwanisa kurovedza muviri. Kunyange kuchinja kwakaderera mukunzwa kwako panguva yebasa rezuva nezuva kunogona kupa ruzivo rwakakosha pamusoro pekuti mwoyo wako nemapapu zviri kushanda sei.

Kana uine chirwere chemwoyo chaunoziva kubva pakuzvarwa, kuchengetedza nguva dzose yekutarisa kunokosha kunyange kana uchinge uchifara. Kuonekwa kwenguva isati yakwana kwekuwedzera kwekumanikidza mumapapu kunogona dzimwe nguva kudzivirira kukura kwakazara kweEisenmenger syndrome kuburikidza nekurapwa kwenguva nekukurumidza kwekuvhiya.

Ndeapi njodzi dzeEisenmenger syndrome?

Njodzi huru ndeyekuzvarwa une marudzi akati wandei ekukanganisa kwemwoyo, kunyanya izvo zvinoita kuti pave nekuyambuka kwakasiyana-siyana pakati pechikamu chakasiyana-siyana che cardiovascular system yako. Zvisinei, kwete munhu wese ane makanganiso aya achaita Eisenmenger syndrome.

Zvinhu zvakati wandei zvinogona kukanganisa kana chirwere chemwoyo chichienda kuEisenmenger syndrome:

• Saizi nenzvimbo yekukanganisa kwemwoyo - makanganiso makuru anobvumira kuyerera kwakawanda kweropa kusina kunaka
• Zera apo kukanganisa kunowanikwa uye kurapwa - kugadziriswa kwenguva isati yakwana kazhinji kunodzivirira kukura
• Hutano hwese panguva yehudiki nehudiki
• Kuvapo kwezvimwe zvikanganiso zvemoyo zvinoita kuti zvinhu zvive zvakaoma
• Kurarama munzvimbo yakakwirira, uko kuwanda kwakaderera kweoksijeni kunowedzera kunetseka pamwoyo nemapapu

Genetics inogonawo kutamba basa, sezvo mhuri dzakati wandei dzine huwandu hwakawanda hwezvikanganiso zvemoyo zvakazvarwa nazvo. Uyezve, mamiriro akati wandei panguva yekuzvitakura, senge chirwere cheshuga cheamai kana kuiswa kune mishonga yakati wandei, inogona kuwedzera mukana wezvikanganiso zvemoyo muvana.

Ndeapi matambudziko anogona kuitika eEisenmenger syndrome?

Eisenmenger syndrome inogona kukanganisa masystem akawanda emuviri nekuti muviri wako wese hauna ropa rakazara oksijeni. Kunzwisisa matambudziko aya anogona kuitika kunokubatsira kuziva zviratidzo zvechigadzirwa uye kushanda nechikwata chako chehutano kudzivirira kana kutonga zvakakodzera.

Matambudziko anowanzoitika anosanganisira:

• Kukanganisa kwemwoyo (arrhythmias) kunogona kukonzera kupuruzira kwemwoyo kana zviitiko zvekukurumidza zvemoyo
• Kukundikana kwemwoyo sezvo tsandanyama yemwoyo yako ichisimba kubva kumakore ekushanda zvakanyanya
• Ropa rinogona kuenda kumapapu ako, uropi, kana mamwe matunhu emuviri
• Stroke, kunyanya muvakuru vaduku vane chirwere ichi
• Matambudziko etsinga nekuda kwekuyerera kwakaderera kweropa uye kuunzwa kweoksijeni
• Gout kubva pakukwira kwe uric acid levels
• Gallstones, izvo zvinoitika kazhinji muvanhu vane zvirwere zvekusingaperi zvemoyo

Mamwe matambudziko asingawanzoitika asi akakomba anosanganisira matambudziko eropa nekuda kwezvinhu zvisina kunaka zvekuita ropa, uye kuzara kwemavalves emwoyo (endocarditis). Pamuviri unoisa njodzi huru kune vakadzi vane Eisenmenger syndrome uye unoda kutarisirwa kwakasarudzika kubva muchikwata chezviridzi.

Kunyangwe runyorwa urwu runogona kuita serwakawanda, vanhu vakawanda vane Eisenmenger syndrome vanorarama hupenyu hunogutsa nekushanda pedyo nechikwata chavo chekurapa uye kuita kugadzirisa kwakakodzera kwemararamiro.

Eisenmenger syndrome inozwiwa sei?

Kuziva kazhinji kunotanga nekuti chiremba wako anoteerera mwoyo wako nemapapu, achitsvaka kurira kwakati uye achiongorora ruvara rweganda rako nemisumari. Vachabvunzwawo mibvunzo yakadzama nezviratidzo zvako uye chero nhoroondo yematambudziko emwoyo kubva pakuzvarwa.

Kuongororwa kwakati wandei kunobatsira kusimbisa kuziva uye kuona kuti mamiriro ako akaoma sei. Echocardiogram inoshandisa mafungu ekuita mifananidzo inofamba yemwoyo wako, ichiratidza chimiro nemabasa ekamuri dzemwoyo yako nemavalves. Kuongororwa uku kunogona kuratidza kukanganisa kwemwoyo kwakakonzera uye kuyeresa kumanikidza mukati memwoyo wako.

Chiremba wako achaita bvunzo dzakawanda kuti awane mufananidzo wakazara wehutano hwako hwe cardiovascular. Electrocardiogram (ECG) inotora basa remagetsi remwoyo wako uye inogona kuona matambudziko erhythm kana zviratidzo zvekunetseka. Chest X-rays inoratidza saizi nechimiro chemwoyo wako nemapapu, nepo bvunzo dzeropa dzichiyera mazinga eoksijeni uye dzichitsvaga mamwe matambudziko.

Muitiro wakati wandei, bvunzo dzakasarudzika senge cardiac catheterization inogona kudiwa. Maitiro aya anosanganisira kuisa chubhu chidiki kuburikidza neropa rako kuti uyerese kumanikidza mumwoyo wako nemapapu, uchipa kuongororwa kwakanyanya kwemariro ako.

Kurapa kweEisenmenger syndrome ndechii?

Kurapa kunotarisa pakutonga zviratidzo uye kudzivirira matambudziko panzvimbo yekurapa chirwere chacho. Kana Eisenmenger syndrome yakakura zvachose, kuchinja muropa reropa mumapapu ako kazhinji kunogara kwenguva refu, zvichiita kuti kugadziriswa kwekuvhiya kwechirwere chemwoyo chakakonzera kuve kunotyisa.

Chikwata chako chekurapa chichapa mishonga inobatsira mwoyo wako kushanda zvakanaka uye kuderedza zviratidzo. Izvi zvinogona kusanganisira mishonga inosunungura ropa reropa mumapapu ako, inobatsira mwoyo wako kurova zvakanaka, kana kudzivirira ropa kubva pakugadzira.

Kune vanhu vane zviratidzo zvakakomba, kurapwa kwakakwirira kunogona kufungwa:

• Oxygen therapy kuwedzera huwandu hweoksijeni muropa rako
• Mishonga yakagadzirirwa kurapa pulmonary hypertension
• Maitiro ekubvisa ropa rakawanda kana muviri wako uchigadzira zvakawanda
• Kusimudzwa kwemwoyo-mapapu mumamiriro ezvinhu akasarudzwa nekungwarira

Kuongororwa nguva dzose kunokosha nekuti mamiriro ako anogona kuchinja nekufamba kwenguva. Chikwata chako chehutano chichagadzirisa kurapwa zvichienderana nemanzwiro ako uye zvinoratidzwa nebvunzo dzako, zvichigara zvichitarisa kukubatsira kuchengetedza hupenyu hwakanaka sezvinobvira.

Maitiro ekutonga Eisenmenger syndrome kumba?

Kurarama zvakanaka neEisenmenger syndrome kunosanganisira kuita sarudzo dzakafunga nezvemabasa ako ezuva nezuva uchigara uchishanda sezvinobvira. Kiyi ndeyekuwana huwandu hwakakodzera pakati pekuchengetedza hutano hwako uye kudzivirira kunetseka kunogona kuipa zviratidzo zvako.

Kurovedza muviri kunofanira kuva kwakapfava uye zvichienderana nemanzwiro ako zuva rega rega. Kufamba, kushambira kwakapfava, kana kutambanudza kwakapfava kunogona kubatsira kuchengetedza simba rako pasina kuisa kunetseka kwakawanda pamwoyo wako nemapapu. Chenjerera zviratidzo zvemuviri wako uye zorora kana uchinge uchishaya mweya kana kuneta.

Zviito zvako zvezuva nezuva zvinogona kuita musiyano mukuru mukunzwa kwako. Gara wakanyorova asi usatora mvura yakawanda kana chiremba wako akakurudzira miganho. Idya chikafu chakaenzana chakazara ne iron, sezvo muviri wako ungada rutsigiro rwakawanda kuti uite masero eropa ane hutano. Zorora zvakakwana, sezvo kuneta kuri nyore nechirwere ichi.

Zvakakosha kuzvidzivirira kubva kune zvirwere, kunyanya zvirwere zvekufema zvinogona kuwedzera kunetseka pamwoyo wako nemapapu. Geza maoko ako kazhinji, gara uchizvipa majekiseni, uye dzivisa nzvimbo dzakazara panguva yemwaka wemafuru kana zvichibvira.

Unofanira kugadzirira sei kuenda kuchiremba?

Usati waenda kuchiremba, tenga nguva yekutevera zviratidzo zvako nemamiriro emuviri kwemazuva mashoma kana mavhiki. Cherechedza kuti mabasa api anoita kuti ushaye mweya, kana iwe uchinge uine kurwadziwa pabvudzi, uye kuti unhu hwako hwekutandara hwave sei. Ruzivo urwu runobatsira chiremba wako kunzwisisa kuti mamiriro ako ari kukanganisa sei hupenyu hwako hwezuva nezuva.

Uya nerunyorwa rwakazara remishonga yese yaunotora, kusanganisira mishonga yekutengesa uye zvinowedzerwa. Mishonga yakati wandei inogona kukanganisa zvirwere zvemoyo kana kukanganisa kurapwa, saka chiremba wako anoda kuziva zvese zvaunotora.

Nyora mibvunzo yaunoda kubvunza usati wazvikanganwa panguva iyoyo. Funga kubvunza nezvezviratidzo zvitsva zvawaona, kana kuti chimiro chako chekuita chinokodzera, uye kuti zviratidzo zvipi zvinofanira kukukurudzira kufona nekukurumidza. Usanetseka kubvunza kuti ujekese kana mazwi ekurapa kana sarudzo dzekurapa zvichiita sekusanzwisisika.

Kana zvichibvira, uya nemumwe wemhuri kana shamwari yako kuenda kuchiremba. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwepfungwa panguva yekukurukura nezvechirongwa chako chekurapa.

Chii chinonyanya kukosha nezveEisenmenger syndrome?

Eisenmenger syndrome chirwere chakaoma chinoitika nekufamba kwenguva kubva pakukanganisa kwemwoyo kwakakonzera, asi nekutarisirwa kwakakodzera kwemishonga uye kugadzirisa kwemararamiro, vanhu vakawanda vanorarama hupenyu hunoremekedzwa uye hunoshanda. Chinhu chakakosha chokurangarira ndechekuti hausi wega mukugadzirisa chirwere ichi.

Kuonekwa kwenguva isati yakwana uye kutarisirwa kwemishonga nguva dzose kunoita musiyano mukuru mumagumisiro. Kana uine chirwere chemwoyo chaunoziva kana ukaona zviratidzo senge kushaya mweya kwenguva refu kana kuchinja kwemavara eganda, usakurumidza kutsvaga kuongororwa kwemishonga. Kurapwa kwazvino uno kunogona kuvandudza zvakanyanya hupenyu uye kubatsira kudzivirira matambudziko.

Kunyangwe Eisenmenger syndrome ichida kutarisirwa kwenguva refu, kufambira mberi mukunzwisisa nekurapa kuri kuramba richipesana netariro. Shandisa pedyo nechikwata chako chehutano, gara uchiziva nezvemamiriro ako, uye usazeza kuzvidzivirira kana uine zvinetso kana mibvunzo.

Mibvunzo inobvunzwa kazhinji nezveEisenmenger syndrome

Eisenmenger syndrome inogona kudzivirirwa here?

Eisenmenger syndrome inogona kazhinji kudzivirirwa nekugadzirisa kukanganisa kwemwoyo kwakakonzera pakutanga muhupenyu, kazhinji panguva yehucheche kana kutanga kwehudiki. Kana uine mwana ane kukanganisa kwemwoyo, kutevera mazano echiremba wako we pediatric cardiologist ekugadzirisa kuvhiya kunokosha. Kana syndrome yakakura zvachose, zvisinei, kuchinja muropa reropa mumapapu kazhinji kunogara kwenguva refu.

Eisenmenger syndrome inogara mumadzinza here?

Kukanganisa kwemwoyo kwakakonzera Eisenmenger syndrome kunogona dzimwe nguva kuenda mumhuri, asi kazhinji zviitiko zvinoitika pasina muenzaniso wakajeka we genetic. Kana uine Eisenmenger syndrome kana kukanganisa kwemwoyo kwakazvarwa nacho, genetic counseling inogona kukubatsira kunzwisisa njodzi dzevana vekare uye kukurukura sarudzo dzekuronga mhuri.

Vanhu vane Eisenmenger syndrome vanogona kuva nevana here?

Pamberi unoisa njodzi huru kune vakadzi vane Eisenmenger syndrome uye kazhinji haina kukurudzirwa nekuda kwehuwandu hwakawanda hwezvinetso zveamai nevacheche. Zvisinei, mamiriro ese ari ega, uye kana uri kufunga nezvepamberi, zvakakosha kukurukura izvi zvakakwana nechikwata chezviridzi kusanganisira chiremba wemwoyo uye nyanzvi yekurapa vanaamai.

Vanhu vane Eisenmenger syndrome vanorarama kwenguva yakareba sei?

Upenyu hunosiyana zvikuru zvichienderana nekuoma kwemamiriro acho, hutano hwese, uye mukana wekurapwa kwakakodzera. Vanhu vakawanda vane Eisenmenger syndrome vanorarama kusvika kumakore makumi matatu, makumi mana, uye kupfuura, kunyanya nekurapwa kwazvino uno. Kutarisirwa kwemishonga nguva dzose uye kugadzirisa kwemararamiro kunogona kuvandudza zvakanyanya hupenyu uye hurefu.

Kune mabasa api anofanira kudziviswa zvachose?

Mabasa ekumusoro-kumusoro, kurovedza muviri kwakanyanya, uye mabasa ane njodzi yekushaya mvura anofanira kudziviswa zvachose. Kuenda ne ndege kazhinji kunogoneka asi kunogona kuda kuchengetedzwa kwakasarudzika senge oksijeni yakawedzerwa. Chiremba wako anogona kupa mazano chaiwo zvichienderana nemamiriro ako ega uye kukubatsira kuona mazinga ekushanda akachengeteka anochengeta hutano hwako uchikubvumira kunakidzwa nehupenyu.