Chii chinonzi Kugadziriswa nekutsiviwa kwePulmonary Valve? Chinangwa, Maitiro & Mhedzisiro

Kugadziriswa nekutsiviwa kwePulmonary valve ndiko kuvhiyiwa kwemoyo kunogadzirisa matambudziko ane vharuvhu riri pakati pekamuri rekurudyi remoyo wako uye tsinga yeropa ye pulmonary. Vharuvhu iri rinowanzo vhura nekupfiga kudzora kuyerera kweropa kubva mumoyo wako kuenda kumapapu ako, asi dzimwe nguva harishande zvakanaka nekuda kwekukanganiswa kubva pakuzvarwa, zvirwere, kana kupfeka nekufamba kwenguva.

Kana vharuvhu rako re pulmonary risingashande zvakanaka, moyo wako unofanirwa kushanda nesimba kuti upombe ropa kumapapu ako kuti uwane okisijeni. Maitiro aya anogona kudzorera kuyerera kweropa kwakajairika uye kubatsira moyo wako kushanda zvakanyatsonaka, kazhinji zvichivandudza zvakanyanya hupenyu hwako.

Chii chinonzi kugadziriswa nekutsiviwa kwe pulmonary valve?

Kugadziriswa kwePulmonary valve zvinoreva kuti chiremba anogadzirisa vharuvhu rako riripo kuti ribatsire kushanda zviri nani. Izvi zvinogona kusanganisira kugadzirisa mapepa evharuvhu, kubvisa tishu ine mavanga, kana kuwedzera kuvhurika kwakamanikana. Kugadzirisa kunowanzo sarudzwa kana zvichibvira nekuti unochengeta tishu yako yekutanga yevharuvhu.

Kutsiviwa kwePulmonary valve kunosanganisira kubvisa vharuvhu rako rakakuvadzwa uye kuisa itsva. Vharuvhu rekutsiva rinogona kuva remuchina (rakagadzirwa kubva kuzvinhu zvinogara) kana biological (rakagadzirwa kubva kumhuka kana tishu yemunhu). Chiremba wako achakurudzira sarudzo yakanakisisa zvichienderana nezera rako, mararamiro, uye mamiriro emoyo chaiwo.

Maitiro ese ari maviri anovavarira kudzorera kuyerera kweropa kwakajairika pakati pemoyo wako nemapapu. Sarudzo pakati pekugadzirisa nekutsiva inoenderana nekuti vharuvhu rako rakakuvadzwa sei uye kana richigona kugadziriswa zvakanaka.

Nei kugadziriswa nekutsiviwa kwe pulmonary valve zvichiitwa?

Kuvhiyiwa uku kunoitwa kana vharuvhu rako re pulmonary risingavhure kana kuvhara zvakanaka, zvichikonzera kuti moyo wako ushande nesimba kupfuura zvaunofanira. Zvikonzero zvakajairika zvinosanganisira kukanganiswa kwemoyo kubva pakuzvarwa kwaakazvarwa nawo, zvirwere zvakakuvadza vharuvhu, kana matambudziko kubva pakuvhiyiwa kwemoyo kwakapfuura.

Unogona kuda kuvhiyiwa uku kana uine pulmonary stenosis, uko vharuvhu rakamanikana zvakanyanya uye rinodzivirira kuyerera kweropa kumapapu ako. Chimwe chikonzero chakajairika ndeye pulmonary regurgitation, uko vharuvhu harivharwi zvakakwana uye ropa rinobuda kumashure mumoyo mako.

Chiremba wako anowanzo kuraira kuvhiyiwa kana zviratidzo zvakaita sekupera mweya, kuneta, kana kurwadziwa muchipfuva zvatanga kukanganisa mabasa ako ezuva nezuva. Vanogonawo kuzvikurudzira kana bvunzo dzichiratidza kuti moyo wako uri kuwedzera kana kupera simba, kunyangwe usina zviratidzo zvinooneka.

Ndeipi nzira yekugadzirisa uye kutsiva vharuvhu yepulmonary?

Nzira iyi inowanzoitika mukamuri rekuvhiya muchipatara pasi peanesthesia yakajairika, zvinoreva kuti uchavata zvachose panguva yekuvhiyiwa. Chikwata chako chekuvhiya chichatarisa moyo wako, kufema, uye zvimwe zviratidzo zvakakosha nguva dzose panguva yekuvhiya.

Kuvhiyiwa kwakawanda kwevharuvhu yepulmonary kunoitwa kuburikidza nekuvhiya kwemoyo wakavhurika, uko chiremba wako anocheka muchipfuva chako kuti awane moyo wako zvakananga. Hezvino zvinoitika panguva yacho:

1. Chiremba wako anovhura chipfuva chako kuburikidza nepfupa rezamu
2. Moyo wako unomiswa kwenguva pfupi uye muchina wemoyo-mapapu unotora kutenderera
3. Vharuvhu yepulmonary inowanikwa uye inogadziriswa kana kutsiviwa
4. Zvese zvinobatanidza zvinoyedzwa kuti zvivimbise kushanda kwakakodzera
5. Moyo wako unotangwazve uye chipfuva chinovharwa

Vamwe varwere vanogona kunge vari vakwikwidzi ve nzira dzisina kupinda zvakanyanya, senge transcatheter pulmonary valve replacement, uko vharuvhu idzva rinisirwa kuburikidza ne catheter mugumbo rako. Sarudzo iyi inowanzoitika kune vanhu vakambovhiyiwa moyo uye vanosangana nezvimwe zviyero.

Nzira yese inowanzo tora maawa matatu kusvika ku5, zvichienderana nekuoma kwenyaya yako uye kana zvimwe zvekugadzirisa moyo zvichidikanwa panguva imwechete.

Maitiro ekugadzirira kugadzirisa uye kutsiva vharuvhu yepulmonary yako?

Kugadzirira kwenyu kuchatanga mavhiki akati wandei vasati vaita kuvhiyiwa nekuedzwa kwakadzama kuti muve nechokwadi chekuti makagadzirira maitiro acho. Izvi zvinowanzo sanganisira bvunzo dzeropa, X-rays yechipfuva, electrocardiogram, uye mifananidzo yakadzama yemoyo kuti ibatsire chiremba wako kuronga nzira yakanakisa.

Chikwata chenyu chekurapa chichaongorora mishonga yenyu yese iripo uye chingakukumbira kuti mumise mamwe, kunyanya zvinoderedza ropa, svondo rimwe vasati vaita kuvhiyiwa. Muchasanganawo nemuongorori wenyu weanesthesiologist kuti mukurukure nhoroondo yenyu yekurapa uye chero zvinonetsa nezve anesthesia.

Mumazuva anotungamira kuvhiyiwa, muchada kutevera mirairo chaiyo kuderedza njodzi yekutapukirwa:

• Geza nesipo inorwisa mabhakitiriya husiku hwekutanga uye mangwanani ekuvhiyiwa
• Usadya kana kunwa chero chinhu mushure mepakati pousiku usati waita maitiro ako
• Rongera mumwe munhu kuti akutyairire kuchipatara uye agare newe mushure
• Paka mbatya dzakanaka uye zvinhu zvako zvaunofarira zvekuvharirwa muchipatara

Chikwata chenyu chehutano chichakurukurawo zvekutarisira panguva yekupora uye kuronga chero masevhisi ekutsigira aunogona kuda kumba. Kugadzirira uku kunobatsira kuona ruzivo rwakatsetseka uye kupora.

Maitiro ekuverenga mhedzisiro yebvunzo yako yepulmonary valve?

Pamberi uye mushure mekuvhiyiwa, vanachiremba vanoshandisa bvunzo dzakawanda kuti vaone kuti valve yako yepulmonary iri kushanda sei. Echocardiogram ndiyo bvunzo inowanzoitwa, ichishandisa masaisai eruzha kugadzira mifananidzo inofamba yemoyo wako uye kuyera kuyerera kweropa kuburikidza nevalve.

Mhedzisiro yako ye echo icharatidza gradient ye valve, iyo inoyera mutsauko wekumanikidza pamusoro pevalve yako. Ma gradients akajairika ekumanikidza anowanzoita asingasviki 25 mmHg, nepo ma gradients anopfuura 50 mmHg anowanzo kuratidza kudzikira kwakakosha kungada kurapwa.

Muedzo uyu unoyerawo regurgitation, kana kuti ropa rakawanda sei rinobuda kumashure kuburikidza nevhuru. Izvi zvinowanzo tsanangurwa sekuti hapana, diki, nyoro, yepakati, kana yakakomba. Chiremba wako achatsanangura zvinoreva zviyero izvi kune mamiriro ako chaiwo uye hutano hwemoyo hwese.

Zvimwe zviyero zvakakosha zvinosanganisira saizi uye basa reventricle yako yekurudyi, sezvo matambudziko e chronic valve anogona kukonzera kuti divi rekurudyi remoyo riwedzere kana kupera simba nekufamba kwenguva. Chiremba wako achatevera zviyero izvi kuti aone nguva yakanakisa yekuvhiyiwa uye kuongorora kufambira mberi kwako mushure meizvozvo.

Ungaita sei kuti utarisire hutano hwako mushure mekuvhiyiwa kwe pulmonary valve?

Mushure mekuvhiyiwa kwako, kutarisira hutano hwako kunosanganisira kutevera mirairo yachiremba wako zvakanyatsonaka uye kupinda misangano yese yekutevera. Kupora kwako kuchave zvishoma nezvishoma, nevakawanda vachidzokera kuzviitwa zvakajairika mukati memavhiki matanhatu kusvika masere, kunyangwe munhu wese achipora pamwero wavo.

Kana iwe wakagamuchira mechanical valve, iwe uchada kutora mushonga wekurerutsa ropa kwehupenyu hwese kudzivirira ropa. Izvi zvinoda bvunzo dzeropa dzenguva dzose kuti uve nechokwadi chekuti mwero wemushonga wakakwana. Biological valves kazhinji haadi ma blood thinners enguva refu.

Iwe uchadawo kuongororwa nguva dzose nachiremba wako wemoyo kuti aongorore kuti valve yako yakagadziriswa kana kutsiviwa iri kushanda sei. Kushanya uku kunowanzo sanganisira echocardiograms uye kunogona kuve kushoma nekufamba kwenguva kana zvese zviri kufamba zvakanaka.

Kuchengetedza mararamiro ane hutano hwemoyo kunogona kubatsira valve yako itsva kana yakagadziriswa kuti igare kwenguva refu sezvinobvira. Izvi zvinosanganisira kudya chikafu chakaringana, kugara uchishingaira sezvinokurudzirwa nachiremba wako, uye kudzivirira kusvuta.

Ndezvipi zvinhu zvinoisa njodzi yematambudziko e pulmonary valve?

Matambudziko mazhinji e pulmonary valve aripo kubva pakuzvarwa sekukanganisa kwemoyo kubva pakuzvarwa, zvinoreva kuti wakazvarwa nawo. Zvikanganiso izvi zvinoitika panguva yekukura kwe fetal uye hazvikonzerwe nechero chinhu chakaitwa nevabereki kana kusaitwa panguva yekuzvitakura.

Asi, zvimwe zvinhu zvinogona kuwedzera njodzi yako yekuvandudza matambudziko e pulmonary valve gare gare muhupenyu. Zvirwere zvemoyo zvakapfuura, kunyanya rheumatic fever kana endocarditis, zvinogona kukuvadza tishu ye valve uye kukanganisa mashandiro ayo nekufamba kwenguva.

Vanhu vakambovhiyiwa moyo, kunyanya vana, vanogona kuvandudza matambudziko e pulmonary valve sezvavanokura. Izvi zvinowanzoitika muvanhu vakaberekwa vane matambudziko emoyo akasiyana-siyana ekuzvarwa akada kuvhiyiwa kwakawanda.

Kazhinji, mamiriro ezvinhu emishonga akadai se carcinoid syndrome kana dzimwe autoimmune zvirwere zvinogona kukanganisa pulmonary valve. Radiation therapy kunzvimbo yechipfuva inogonawo dzimwe nguva kukuvadza mavharuvhu emoyo makore mushure mekurapa.

Zviri nani here kugadzirisa kana kutsiva pulmonary valve?

Kugadzirisa kunowanzo kufarirwa kana zvichibvira nekuti unochengeta tishu yako yekutanga ye valve, iyo inowanzo gara kwenguva refu uye kushanda zvakanyanya kupfuura mavharuvhu ekugadzira. Mavharuvhu akagadziriswa haadiwo mushonga wekudzivirira ropa kwenguva refu muzviitiko zvakawanda.

Zvisinei, kugadzirisa hakugoneki nguva dzose kana valve yakakuvadzwa zvakanyanya kana kusashanda zvakanaka. Muzviitiko izvi, kutsiva kunova kwakakosha kuti udzore basa remoyo rakanaka. Chiremba wako achanyatsoongorora mamiriro ako chaiwo kuti aone kuti ndeipi sarudzo inokupa mhedzisiro yakanaka kwenguva refu.

Sarudzo inoenderanawo nezera rako, mararamiro, uye zvimwe zvinhu zvehutano. Varwere vadiki vanogona kubatsirwa zvakanyanya nekugadzirisa kana zvichibvira, nepo varwere vakuru vangaita zvakanaka nesarudzo imwe neimwe zvichienderana nemamiriro avo.

Chikwata chako chekuvhiya chichakurukura zvakanakira nezvakaipira nzira imwe neimwe zvichibva pamhosva yako yega yega. Maitiro ese ari maviri ane mitengo yakabudirira kwazvo kana achiitwa nevachiremba vemoyo vane ruzivo.

Ndezvipi zvingaitika zvematambudziko e pulmonary valve?

Kana matambudziko e pulmonary valve asingarapwi, anogona kukonzera matambudziko akakomba nekufamba kwenguva. Dambudziko rinowanzoitika nderekukundikana kwemoyo wekurudyi, uko rutivi rwerudyi rwemoyo wako runokura uye runopera simba nekushanda zvakanyanya kupomba ropa kuburikidza ne valve isina kunaka.

Unogonawo kuita rhythm yemoyo isina kujairika inonzi arrhythmias, iyo inogona kukonzera palpitations, dzungu, kana kufenda. Matambudziko aya erhythm anoitika nekuti tsandanyama yemoyo inova yakamanikidzwa uye sisitimu yemagetsi inokanganiswa.

Zvimwe zvingaitika zvinosanganisira:

• Kusashivirira kwekurovedza muviri uye kuneta kwakanyanya
• Kuunganidzwa kwemvura mumakumbo ako, dumbu, kana mapapu
• Maviri eropa anoumba mumakamuri emoyo akakura
• Rufu rwemoyo kamwe kamwe muzviitiko zvisingawanzoitiki, zvakanyanya

Mashoko akanaka ndewekuti matambudziko aya anowanzo dzivirirwa kana kudzorwa nekukurumidza kurapwa. Kuongororwa nguva dzose nachiremba wako wemoyo kunobatsira kubata matambudziko kare apo anonyanya kurapika.

Ndezvipi zvingaitika zvekuvhiyiwa kwe pulmonary valve?

Kufanana nekumwe kuvhiyiwa kukuru, maitiro e pulmonary valve anotakura njodzi, kunyangwe matambudziko akakomba asingawanzoitiki kana achiitwa nevavhiyi vane ruzivo. Njodzi dzinokurumidza dzinosanganisira kubuda ropa, hutachiona, uye maitiro eanesthesia.

Vamwe vanhu vanogona kusangana ne rhythm yemoyo isina kujairika mushure mekuvhiyiwa, iyo inowanzo gadzirisa sezvo moyo unopora. Kune zvakare njodzi diki yekurova kana kurwisa kwemoyo, kunyanya muvanhu vane mamwe mamiriro emoyo kana zvinhu zvine njodzi.

Matambudziko enguva refu anogona kusanganisira:

• Kukuvadzwa kwe valve nekufamba kwenguva, kunyanya nemavharuvhu ebiological
• Maviri eropa ane mechanical valves kana zvinoderedza ropa zvisingatungamirirwi zvakanaka
• Hutachiona hwe valve yekugadzira, inonzi endocarditis
• Kudiwa kwekuvhiyiwa kwakawedzerwa mune ramangwana

Chikwata chako chekuvhiya chichakurukura njodzi idzi newe zvakadzama uye chichatsanangura kuti dzinoshanda sei mumamiriro ako chaiwo. Vanhu vazhinji vanofamba zvakanaka zvikuru pashure pokuvhiwa uye vanowana kuvandudzwa kukuru muzviratidzo zvavo uye unhu hwoupenyu.

Ndingatarisirwa kuona chiremba rini nokuda kwematambudziko e pulmonary valve?

Unofanira kuona chiremba kana uine zviratidzo zvingaratidza matambudziko e pulmonary valve, kunyanya kana une chirwere chemwoyo chakazvarwa nacho kana nhoroondo yekuvhiwa kwemwoyo. Zviratidzo zvakajairika zvinosanganisira kufema zvishoma panguva yezviitiko zvenguva dzose, kuneta kusinganzwisisiki, kana kurwadziwa muchipfuva.

Zvimwe zviratidzo zvekuyambira zvinosanganisira kupfeka kana zviitiko zvakaita sekupfeka, kunyanya panguva yekurovedza muviri kana chiitiko chemuviri. Kuzvimba mumakumbo ako, zvitsitsinho, kana dumbu kunogonawo kuratidza kuti mwoyo wako hausi kupomba zvakanaka uye unoda kuongororwa.

Kana uine dambudziko re pulmonary valve rinozivikanwa, unofanira kutsvaga rubatsiro rwekurapa nekukasira kana ukaona:

• Kufema zvakanyanya kana kuoma kufema
• Kurwadziwa muchipfuva kusingaperi nekuzorora
• Kusagadzikana kana kukurumidza kwemoyo
• Zviratidzo zveutachiona senge fivha, kunyanya kana uine vharuvhu yekugadzira

Vanhu vane zvirwere zve mwoyo zvakazvarwa nazvo vanofanira kuchengetedza kutevera nguva dzose nachiremba wemwoyo kunyange kana vachinzwa zvakanaka, sezvo matambudziko anogona kukura zvishoma nezvishoma nekufamba kwenguva. Kuonekwa nekukurumidza uye kurapwa kunotungamirira kumigumisiro yakanakisisa.

Mibvunzo inowanzo bvunzwa pamusoro pekugadzirisa uye kutsiva pulmonary valve

Mubvunzo 1. Kuvhiwa kwe pulmonary valve kwakanaka here pakushivirira kwekurovedza muviri?

Hongu, kuvhiwa kwe pulmonary valve kazhinji kunovandudza zvakanyanya kushivirira kwekurovedza muviri uye mazinga esimba rose. Vanhu vazhinji vanowana kuti vanogona kudzokera kuzviitiko zvavasina kukwanisa kuita kwemakore, kusanganisira mitambo uye kurovedza muviri.

Mushure mekuvhiyiwa kwakabudirira, moyo wako unogona kupomba ropa kumapapu ako zvakanyanya, izvo zvinoreva kuti muviri wako unowana okisijeni yaunoda panguva yekurovedza muviri. Vanhu vazhinji vanoona kuvandudzwa mukugona kwavo kurovedza muviri mukati memwedzi mishoma yekuvhiyiwa sezvo moyo wavo uchipora uye uchigadzirisa kushanda kwevhavha kwakavandudzwa.

Mubvunzo 2. Kuita kuti vhavha yemumapapu idzokere shure kunokonzera kukundikana kwemoyo kurudyi here?

Hongu, kuita kuti vhavha yemumapapu idzokere shure zvakanyanya kunogona kutungamira kukundikana kwemoyo kurudyi nekufamba kwenguva kana kusina kurapwa. Kana vhavha isingavharwi zvakanaka, ropa rinobuda richidzokera kumashure muchikamu chekurudyi chemoyo, zvichikonzera kuti ishande zvakanyanya uye pakupedzisira ikure uye isina simba.

Zvisinei, maitiro aya anowanzo tora makore kuti aende mberi, uye kuvhiyiwa kazhinji kunogona kudzivirira kana kushandura matambudziko emoyo kurudyi kana akaitwa panguva yakakodzera. Ichi ndicho chikonzero nei kuongorora nguva dzose neechocardiograms kwakakosha kune vanhu vane pulmonary valve regurgitation.

Mubvunzo 3. Kugadziriswa kwevhavha yemumapapu kunogara kwenguva yakareba sei?

Hupenyu hwekuvhiyiwa kwevhavha yemumapapu hunoenderana nerudzi rwevhavha rinoshandiswa. Mavhavha emuchina anogona kugara makore makumi maviri kusvika makumi matatu kana kupfuura, nepo mavhavha ebiological anowanzo gara makore gumi kusvika makumi maviri, kunyange izvi zvichisiyana zvakanyanya pakati pevanhu.

Varwere vadiki vanogona kuda kuvhiyiwa kwakawanda kwevhavha muhupenyu hwavo hwese, nepo varwere vakuru vangangoda kuvhiyiwa kumwe chete. Chiremba wako achakurukura hupenyu hunotarisirwa zvichienderana nezera rako uye rudzi rwevhavha inokurudzirwa nemamiriro ako ezvinhu.

Mubvunzo 4. Ndingave nevana mushure mekuvhiyiwa kwevhavha yemumapapu here?

Vakadzi vazhinji vanogona kuva nevana zvakachengeteka mushure mekuvhiyiwa kwevhavha yemumapapu, kunyangwe pamuviri uchida kuongororwa zvakanyanya nachiremba wako wemoyo uye chiremba wevana. Zvinhu zvikuru zvinofanira kufungwa ndezvekuti vhavha yako iri kushanda zvakanaka sei uye kana uri kutora mushonga wekutapudza ropa.

Kana uine vharuvhu remuchina uye uchitora mishonga yekutapudza ropa, manejimendi emishonga anova akaoma panguva yekuzvitakura. Chikwata chako chekuchengetwa kwehutano chichashanda pamwe chete kuti chive nechokwadi chekuti iwe nemwana wako munoramba muri vapenyu panguva yekuzvitakura nekuzvara.

Q.5 Ndezvipi zviitiko zvandinofanira kudzivisa mushure mekuvhiyiwa kwevharuvhu yepulmonary?

Mushure mekupora, vanhu vazhinji vanogona kudzokera kuzviitiko zvavo zvenguva dzose, kusanganisira maekisesa ekuenzanisa uye mitambo. Zvisinei, kana uine vharuvhu remuchina, unofanira kudzivisa zviitiko zvine njodzi huru yekukuvara zvinogona kukonzera kubuda ropa kwakanyanya, zvakadai semitambo yekubatana kana zviitiko zvine njodzi huru yekuwa.

Chiremba wako achapa nhungamiro dzakatarwa zvichienderana nemamiriro ako ega uye rudzi rwevharuvhu. Vanhu vazhinji vanoshamiswa nekuti vane zvishoma zvekudzivirira kana vapora zvizere kubva mukuvhiyiwa.