Chii Chinonzi Pulmonary Valve Disease? Zviratidzo, Zvinokonzera, & Kurapa

Pulmonary valve disease inoitika kana valve iri pakati pe right ventricle yemoyo wako ne pulmonary artery isingashande zvakanaka. Iyi valve inoshanda senge gonhi rinobvumira ropa kuti riyerere kubva mwoyo wako kuenda ku mapapu asi richidzivirira kuti rirege kudzoka shure.

Kana iyi valve ikava yakamanikana (stenosis) kana kuti yakasviba (regurgitation), moyo wako unofanira kushanda nesimba kuti upompe ropa zvakanaka. Mashoko akanaka ndeakuti vanhu vakawanda vane pulmonary valve disease yakapfava vanorarama hupenyu hunowanzoitika, uye kurapwa kwakanaka kuripo kana zvichidiwa.

Ndeapi zviratidzo zve pulmonary valve disease?

Vanhu vakawanda vane pulmonary valve disease yakapfava havaoni chero zviratidzo. Moyo wako unokwanisa kugadzirisa zvinhu uye kazhinji unogona kugadzirisa matambudziko maduku e valve usina kuona.

Kana zviratidzo zvikaonekwa, kazhinji zvinoitika zvishoma nezvishoma sezvo dambudziko re valve richikura. Heano mamwe mazano aunogona kuona:

• Kushaya mweya, kunyanya panguva yekurovedza muviri kana kuita zvemitambo
• Kuneta kana kunzwa kuneta zvisina kujairika panguva yekuita mabasa ezuva nezuva
• Kurwadziwa pabvudzi kana kusagadzikana, kunyanya kana uchiita zvemitambo
• Kuzviziva kana kunzwa musoro kana kumira nekukurumidza
• Kutemwa kwematumbu, tsoka, kana makumbo
• Kupuruzira kwemoyo kana kunzwa kwemoyo usingaenzani
• Kuora mwoyo, kunyange zvazvo izvi zvisingawanzoitika

Mumazviitiko mashoma, pulmonary valve disease yakakomba inogona kukonzera zviratidzo zvakakomba zvakadai sekukosora kwenguva refu, kuwedzera uremu nekukurumidza kubva pakuchengetedza mvura, kana kuoma kwemweya kunyange uri kuzorora. Izvi zviratidzo zvinoda kutarisirwa kwemishonga nekukurumidza.

Ndeapi marudzi e pulmonary valve disease?

Pulmonary valve disease ine mafomu maviri makuru, imwe neimwe inokanganisa kuti ropa rinoyerera sei mwoyo wako. Kunzwisisa marudzi aya kunogona kukubatsira kunzwisisa zviri kuitika munzvimbo yako chaiyo.

Pulmonary stenosis inoitika kana valve yako ikava yakamanikana kana yakaoma, zvichiita kuti zviome kuti ropa riyerere kubva mwoyo wako kuenda ku mapapu. Funga nezvazvo sekunyanya kumanikidza mvura kuburikidza ne tapu yakavharwa - moyo wako unofanira kupomba nesimba kuti uise ropa kuburikidza nekuvhura kwakamanikana.

Pulmonary regurgitation inoitika kana valve yako isingavhari zvakanaka, ichibvumira ropa kuti riyerere shure mumoyo wako. Izvi zvinoreva kuti ropa raifanira kuenda ku mapapu rinoyerera shure mukamuri yemoyo wako, richimanikidza kuti rishande nesimba kuti richengetedze kuyerera kwakakodzera.

Vanhu vamwe vanogona kuva nemamiriro maviri panguva imwe chete, izvo zvinonzi mixed valve disease. Chiremba wako achaona kuti ndeupi rudzi rwaunaro kuburikidza nekutarisa kwakanyatsojeka uye bvunzo.

Chii chinokonzera pulmonary valve disease?

Pulmonary valve disease inogona kukura kubva pakukanganisika kwekuzvarwa kana kuwana nekufamba kwenguva nekuda kwezvinhu zvakasiyana-siyana. Kazhinji kazhinji zvinokonzerwa ne congenital heart defects, zvinoreva kuti valve haina kuumbwa zvakanaka paunenge uchikura mudumbu.

Heano zvikonzero zvikuru zvicharehwa nachiremba wako newe:

• Congenital heart defects, kusanganisira bicuspid pulmonary valve kana tetralogy of Fallot
• Rheumatic heart disease kubva pakusagadziriswa kwe strep throat infections
• Carcinoid syndrome, mamiriro asingawanzoitika anobatanidza zvimwe zvinokonzera hormone-producing tumors
• Infective endocarditis, hutachiona hwekunze kwemoyo
• Matambudziko ekurapa kwemoyo kare
• Pulmonary hypertension inokanganisa valve
• Radiation therapy kune chest area

Zvisingawanzoitika, mishonga yakati, autoimmune conditions, kana kukuvara kwepurasitiki kunogona kukuvadza pulmonary valve nekufamba kwenguva. Kucheuka kwezera hakufanirwe kuitika ne iyi valve, zvakasiyana nemamwe ma valve emoyo.

Rini unofanira kuona chiremba nekuda kwe pulmonary valve disease?

Unofanira kubata nehutano hwako kana ukaona zviratidzo zvinogara zvichikanganisa mabasa ako ezuva nezuva. Usamirire kana uri kuona kushaya mweya kuri kuwedzera, kunyanya kana kuri kuwedzera nekufamba kwenguva.

Rongedza nguva nekukurumidza kana uri kurwadziwa pabvudzi nekuita zvemitambo, kuzvivaraidza kazhinji, kana kutemwa kwematumbu kunoshanduka nekuzorora nekumira. Izvi zviratidzo zvinoratidza kuti moyo wako ungave uchishanda zvakanyanya kupfuura zvaunofanira.

Tsvaga rubatsiro rwemishonga nekukurumidza kana ukaona kuora mwoyo, kurwadziwa kwakanyanya pabvudzi, kana kuoma kwemweya nekukurumidza. Kunyange zvazvo izvi zvisingawanzoitika ne pulmonary valve disease, zvinoda kuongororwa nekukurumidza kuti uve nechokwadi chekuchengetedzwa kwako.

Ndeapi njodzi dze pulmonary valve disease?

Zvinhu zvakati zvinogona kuwedzera mukana wako wekuwana pulmonary valve disease, kunyange zvazvo kuva nenjodzi hazvirevi kuti uchawana mamiriro acho. Kunzwisisa izvi zvinhu zvinokubatsira iwe nechikura wako kuti mutarise hutano hwako hwemoyo zvakanyanya.

Njodzi huru dzinosanganisira:

• Nhoroondo yemhuri ye congenital heart defects
• Rheumatic fever kare kana strep infections dzisingarapwi
• Nhoroondo yemamwe congenital heart conditions
• Kurapwa kwemoyo kare, kunyanya kubatanidza pulmonary valve
• Carcinoid tumors kana carcinoid syndrome
• Chronic kidney disease inoda dialysis
• Zvimwe zvirwere zve genetic zvinokanganisa kukura kwemoyo

Zvimwe zvinhu zvemararamiro nezvakatipoteredza zvinogonawo kutamba basa, kusanganisira kuiswa kwemishonga yakati, chest radiation, kana intravenous drug use. Zvisinei, vanhu vakawanda vane izvi njodzi havawanzoona matambudziko e valve, uye vamwe vanhu vasina njodzi vanowana mamiriro acho.

Ndeapi matambudziko anogona kuitika e pulmonary valve disease?

Vanhu vakawanda vane pulmonary valve disease yakapfava havaoni matambudziko akakomba, kunyanya nekutarisa kwakakodzera nekutarisirwa. Zvisinei, kunzwisisa matambudziko anogona kuitika kunokubatsira kuziva kana uchida kutarisirwa kwemishonga yakawanda.

Kana valve disease ikakura kana isingarapwi, aya matambudziko anogona kuitika:

• Right heart failure, apo moyo wako usingakwanisi kupomba ropa zvakanaka
• Kusagadzikana kwemoyo (arrhythmias) kunogona kukonzera kupuruzira kwemoyo
• Kuumbwa kwe ropa mumoyo
• Stroke kubva kweropa rinofamba kuenda kuuropi
• Kufa kwemoyo nekukurumidza, kunyange zvazvo izvi zvisingawanzoitika
• Infective endocarditis, kunyanya kana uine zvikamu zve valve zvakagadzirwa
• Pulmonary hypertension inowedzera nekufamba kwenguva

Mashoko akanaka ndeakuti kutarisirwa nguva dzose nekurapwa kwenguva kunogona kudzivirira akawanda ematambudziko aya. Timu yako yekutarisira hutano ichaita newe kuti uongorore njodzi yako uye uite chirongwa chekuchengetedza moyo wako uchitambanudza.

Pulmonary valve disease inogona kudzivirirwa sei?

Sezvo yakawanda pulmonary valve disease inokonzerwa ne congenital heart defects, kudzivirira kwakakwana hakugoneki nguva dzose. Zvisinei, unogona kutora matanho anokosha ekuchengetedza hutano hwako hwemoyo uye kudzivirira matambudziko.

Chinhu chakakosha chekudzivirira ndechekurapa strep throat infections nekukurumidza nemishonga kuti udzivise rheumatic fever. Iyi nhanho imwe chete inogona kuderedza njodzi yako yekuwana rheumatic heart disease gare gare muhupenyu.

Kuchengetedza hutano hwakanaka hwemeno uye kuwana kutarisirwa kwemeno nguva dzose kunobatsira kudzivirira infective endocarditis, kunyanya kana uine matambudziko e valve kare. Dentist yako ne cardiologist vanogona kukurudzira antibiotic prophylaxis usati waita mamwe mabasa ezino.

Kurarama hupenyu hunotsigira hutano hwako hwemoyo hwose. Izvi zvinosanganisira kudya zvokudya zvakakwana, kurovedza muviri nguva dzose sezvakabvumirwa nachiremba wako, kudzivisa kusvuta, uye kutonga mamiriro akadai sedayabeti uye kuwedzera kweropa.

Pulmonary valve disease inoziviswa sei?

Kuziva pulmonary valve disease kazhinji kunotanga nachiremba wako achiteerera moyo wako ne stethoscope. Matambudziko mazhinji e valve anoita heart murmurs chaiyo iyo vanachiremba vane ruzivo vanogona kuona panguva yekuongorora nguva dzose.

Kana chiremba wako akakufungira kuti une valve disease, vanogona kukupa echocardiogram kutanga. Iyi bvunzo isina marwadzo ye ultrasound inoumba mifananidzo yakajeka yemoyo wako, ichiratidza kuti valves dzako dzinokwanisa kuvhura nekuvhara zvakanaka uye kuti ropa rakawanda riri kuyerera kuburikidza nadzo.

Bvunzo dzakawedzerwa dzinogona kusanganisira electrocardiogram (ECG) kuongorora rhythm yemoyo wako, chest X-rays kuona saizi yemoyo wako ne mamiriro emapapu ako, uye kurovedza muviri kuona kuti moyo wako unoshanda sei panguva yekurovedza muviri. Dzimwe nguva, bvunzo dzakakosha zvakadai se cardiac MRI kana heart catheterization dzinounza ruzivo rwakawanda.

Chiremba wako achaongororawo nhoroondo yako yekurapa nezviratidzo zvako zvakanyatsonaka, sezvo ruzivo urwu ruchivabatsira kunzwisisa kuti valve disease iri kukanganisa sei hupenyu hwako hwezuva nezuva nehutano hwako hwose.

Kurapa kwe pulmonary valve disease chii?

Kurapa kwe pulmonary valve disease kunoenderana nehukuru hwemiriro yako uye kuti inokanganisa sei hupenyu hwako hwezuva nezuva. Vanhu vakawanda vane chirwere chakapfava vanongoda kutarisirwa nguva dzose pasina kuita chimwe chinhu pakarepo.

Kune zviitiko zvakapfava, chiremba wako anogona kukurudzira "watchful waiting" nekuongororwa nguva dzose ne echocardiograms kuti aone chero shanduko. Nzira iyi inoshanda zvakanaka nekuti vanhu vakawanda vane valve disease yakapfava vanoramba vakadzikama kwemakore vasina kurapwa.

Kana zviratidzo zvikaonekwa kana valve disease ikava yakakomba, sarudzo dzako dzekurapa dzinosanganisira:

• Mishonga yekubatsira moyo wako kupomba zvakanyanya kana kudzora zviratidzo
• Balloon valvuloplasty, apo bhora diki rinotanga valve yakamanikana
• Transcatheter pulmonary valve replacement uchishandisa nzira yekatheter
• Open-heart surgery yekugadzirisa kana kutsiva pulmonary valve
• Hybrid procedures inosanganisa matekinoroji akasiyana

Cardiologist yako ichaita newe kuti uone nzira yakanakisa zvichienderana nemamiriro ako chaiwo, hutano hwako hwose, zera, uye zvaunoda pachako. Chinangwa nguva dzose ndechekuvandudza hupenyu hwako hwezuva nezuva uchideredza njodzi.

Maitiro ekutarisira pulmonary valve disease pamba?

Kutarisira pulmonary valve disease pamba kunotarisa pakutsigira hutano hwako hwemoyo uye kuziva kana uchida kutarisirwa kwemishonga. Kazhinji kutarisira kwezuva nezuva kunosanganisira sarudzo dzekupenyu dzinoshanda kune moyo wako wose.

Ramba uchiita zvemitambo mukati mekukwanisa kwako, asi teerera muviri wako. Kuita zvemitambo kwakapfava kusvika pakati-pakati sekufamba, kushambira, kana kukwira bhasikoro kunogona kusimbisa moyo wako, asi dzivisa kuzvipinza kusvika pakushaya mweya kwakanyanya kana kurwadziwa pabvudzi.

Tarisa zviratidzo zvako nguva dzose uye chengeta bhuku rako rekuti unonzwa sei. Cherechedza chero shanduko muzinga rako re simba, mweya, kana kutemwa, sezvo ruzivo urwu ruchibatsira timu yako yekutarisira hutano kuti iite sarudzo dzakakodzera nezve kutarisirwa kwako.

Tevedza kudya kwemoyo kwakanaka kwakazara nemiriwo, miriwo, uye zviyo zvizere uchideredza munyu kana uri kutemwa. Tora mishonga yose yakanyorwa sezvakarayirwa, uye usasiye zvikamu kunyange kana uchinzwa zvakanaka.

Ita kuchengetedza kwakanaka kwemeno uye udza vanachiremba vese nezve mamiriro ako e valve, sezvo ungada antibiotic prophylaxis usati waita mamwe mabasa. Ramba uchizadzisa majekiseni, kunyanya majekiseni echirwere chepfu, kudzivirira hutachiona hunogona kunetsa moyo wako.

Ungagadzirira sei kuona chiremba wako?

Kuagadzirira kuona kwako kunobatsira kuve nechokwadi chekuti unowana ruzivo rwakakosha uye mazano kubva pakushanya kwako. Tanga nekanyora zviratidzo zvako zvose, kusanganisira kana zvinoitika uye chii chinozviita zvakanaka kana zvakanyanya kuipa.

Uyisa runyora rwakakwana remishonga yose, zvinowedzerwa, uye mavhitamini auri kutora, kusanganisira zvikamu. Gadzirawo runyora remibvunzo yaunoda kubvunza chiremba wako, sezvo zviri nyore kukanganwa zvinhu zvakakosha panguva yekuona.

Unganidza chero bvunzo dzawakaita kare, kunyanya echocardiograms kana mamwe bvunzo dzemoyo kubva kune vamwe vanachiremba. Kana uri kuona nyanzvi kekutanga, uyisa pfupiso yenhoroondo yako yekurapa nechero nhoroondo yemhuri yerwere hwemoyo.

Funga nezvekuuya nemhuri yakavimbika kana shamwari kuti ikubatsire kuyeuka ruzivo rwakakurukurwa panguva yekuona. Usanetseka kubvunza chiremba wako kuti adzokorore kana kujeka chero chinhu chisinganzwisisiki kwauri zvizere.

Chii chinonyanya kukosha nezve pulmonary valve disease?

Pulmonary valve disease mamiriro anogona kutarisirwa anokanganisa vanhu zvakasiyana zvichienderana nehukuru hwayo. Vanhu vakawanda vane chirwere chakapfava vanorarama hupenyu hunowanzoitika nekuongororwa nguva dzose nekutarisirwa kwakakodzera kana zvichidiwa.

Chinhu chakakosha chokurangarira ndechekuti kuziva kare nekutarisira kwakakodzera kunoita musiyano mukuru mumagumisiro. Kuongororwa nguva dzose kunobvumira timu yako yekutarisira hutano kuti ione chero shanduko uye iite zvakakodzera kana mamiriro ako akakura.

Kurapa kwazvino kwakanyanya kushanda, kubva kumishonga kusvika kune nzira dzisingakuvadzi kusvika kune sarudzo dzekurapa kana zvichidiwa. Chinhu chikuru ndechekubatana ne timu yako yekutarisira hutano kuti uite chirongwa chakagadzirirwa chakakodzera zvaunoda uye mararamiro ako.

Rangarira kuti kuva ne valve disease hakusi kukusimbisa kana kudzora kukwanisa kwako kurarama hupenyu hunogutsa. Nekutarisirwa kwakakodzera nekutarisirwa, vanhu vakawanda vane pulmonary valve disease vanoramba vachifarira mabasa avo ezuva nezuva uye kuchengetedza hupenyu hwakanaka.

Mibvunzo inowanzo bvunzwa nezve pulmonary valve disease

Ndingaita zvemitambo here ndine pulmonary valve disease?

Vanhu vakawanda vane pulmonary valve disease yakapfava kusvika pakati vanogona kuita zvemitambo zvakanaka uye vanofanira kuramba vachiita zvemitambo kuti hutano hwavo hwemoyo huve hwakanaka. Chiremba wako achapa mazano chaiwo zvichienderana nehukuru hwemiriro yako nezviratidzo. Kazhinji, mabasa akapfava kusvika pakati-pakati sekufamba, kushambira, kana kukwira bhasikoro zvinobatsira, nepo mitambo yakakomba inogona kuda mvumo kubva kune cardiologist yako.

Ndichada kurapwa here nekuda kwe pulmonary valve disease yangu?

Kurapwa hakukoshi kune munhu wese ane pulmonary valve disease. Vanhu vakawanda vane chirwere chakapfava vanongoda kutarisirwa nguva dzose, nepo vamwe vangabatsirwa nenhanho dzisingakuvadzi senge balloon valvuloplasty. Chiremba wako achakurudzira kurapwa chete kana zviratidzo zvako zvichikanganisa hupenyu hwako hwezuva nezuva kana kana bvunzo dzikaratidza kuti moyo wako uri kushanda zvakanyanya nekuda kwematambudziko e valve.

Pulmonary valve disease inogona kuwira here?

Mamwe mafomu e pulmonary valve disease, kunyanya ayo ane chekuita ne congenital heart defects, anogona kuva ne genetic component. Kana uine nhoroondo yemhuri yerwere hwemoyo, vana vako vangave nenjodzi yakakwira zvishoma. Zvisinei, zviitiko zvakawanda zvinoitika pasina nhoroondo yemhuri, uye kuva nemamiriro acho hazvivimbiswi kuti vana vako vachawana.

Ndingawana sei nguva dzekutarisa?

Kuwanikwa kwenguva kunotsamira pahukuru hwemiriro yako ye valve nezviratidzo. Vanhu vane chirwere chakapfava kazhinji vanoda kuongororwa gore rimwe chete kana maviri, nepo avo vane chirwere chakakomba vangada kuonana nemwedzi mitanhatu kusvika pagore. Kana uine chirwere chakakomba kana uine valve procedures, ungada kutarisirwa kwakawanda. Chiremba wako achaita chirongwa chakagadzirirwa zvichienderana nemamiriro ako chaiwo.

Pulmonary valve disease inogona kuipa here nekufamba kwenguva?

Pulmonary valve disease inogona kukura nekufamba kwenguva, asi izvi zvinoitika zvishoma nezvishoma mune kazhinji kazhinji. Vanhu vakawanda vanoramba vakadzikama kwemakore vasina shanduko huru, nepo vamwe vangave vane kukura kwakapfava. Kutarisirwa nguva dzose kunobatsira timu yako yekutarisira hutano kuti ione chero shanduko nekukurumidza uye igadzirise chirongwa chako chekurapa zvakakodzera. Kuwedzera kunochinja zvikuru pakati pevanhu uye kunoenderana nechinokonzera chirwere chako che valve.