Kuchinja kwemwoyo ndiyo yegoridhe yakarapwa yevashandi vane mwoyo yakakundikana-kureva kuti hapana kurapwa kuri nani. Asi hazvina kukwana. Vanachiremba vane hanya nevarwere ava vanoramba vachitsvaka nzira dzokuvandudza kurapwa.
Mashoko akanaka ndeokuti vanhu vakawanda vanodikanwa kutsvapa mwoyo vari kuwana imwe-kwemakore mazhinji, varwere 2 000 kusvika 2,500 chete pagore vakagamuchira mwoyo mutsva.
Muna 2015, nhamba iyoyo yakawedzera kusvika 2 804. Muna 2016, yakasimuka zvakare kusvika 3191.
Zvinosuruvarisa, hazvikwanisi hutano hwemoyo hunopiwa kuti uone kuti munhu wose anoda moyo mutsva anogamuchira imwe. Vanachiremba vari kutarisa munzira dzekufungidzira zvakare sangano rekugoverwa kwenhengo kuitira kuti avo vari pangozi yakanyanya kuwedzerwa kutanga.
Chikonzero Nei Munhu Achida Mwoyo Kutema
Inofungidzirwa vanhu vanosvika mamiriyoni 5,7 muUnited States vanotambura nemoyo. Izvi zvinoreva kuti mwoyo yavo haikwanise kupomba zvakasimba sezvavanofanira, kazhinji nekuda kwekukuvadza kunokonzerwa nemwoyo, kuwedzerwa kweropa, chirwere cheshuga, valve yakaora, kana chirwere chemwoyo chinonzi cardiomyopathy. Vanhu ava vanowana zviratidzo zvinogona kusanganisira kuperevedza kwekufema kwakanyanya, kuneta, kuwedzera kwemvura kunowedzera mumakumbo nepamakumbo, uye kunetseka kufema apo pavete pasi.
Mwoyo kukanganisa varwere vanoda mishonga kuti vabatsire mwoyo yavo zvibvumirane zvakasimba, kubvisa zvinodhaka zvakanyanya, uye kuwedzera kubuda kweropa.
Iyi mishonga inogona kuderedza kufambira mberi kwemoyo kusakundikana, kuvadzivisa kunze kwechipatara, uye kuvadzivirira kubva pakufa. Asi nekufamba kwenguva, mishonga inogona kurega kushanda. Panguva ino, kuchinja mwoyo kunogona kuva ndiyo nzira chete.
Ndivanaani Vanofanira Kuwana Moyo Kuchinja
Nhungamiro kune avo vanofanirwa kuve nekutsvaga mwoyo uye kuti ndiani asingazivi.
Nzvimbo imwe neimwe yekufambisa inosarudza ivo pachavo varwere vachatora.
Pulmonary hypertension ndeimwe yezvoutano bedzi izvo zvinokonesa murwere anobva mupfungwa yepfungwa. Uyezve, nzvimbo dzakawanda hazvizoregi mwoyo mumurwere asingadi kutora mishonga yavanoda mushure mekuvhiyiwa kuitira kuti mwoyo yavo irege kurambwa. Nzvimbo dzakawanda dzinodawo kuti vagadziriswe vave vakasununguka zvezvinodhaka uye doro kwemakore maviri vasati vashandura mwoyo, pamwe chete neutsi kusina nguva.
Hakune zera cutoff nokuda kwekugadzirisa mwoyo, asi:
- Hafu yevarwere vanowana moyo mutsva vane makore makumi mashanu kusvika ku64. Vanhu vari muzera rezera iri vanowanzoita zvakanaka uye vanogona kutarisira kurarama makore 10 kusvika ku11 mushure mokunge vatora mishonga yavo yekuramba-kurashwa.
- Vakuru pazera remakore makumi manomwe vari pangozi yakakwirira, nokuti vanogona kunge vane zvimwe zvirwere.
- Varwere vanenge vasvika makore gumi nemaviri uye kutanga kwema20s vanowanzova mungozi uye vanowanzorega kutora mishonga yavo yekuramba-kuramba. Pavanoita, zvigumisiro zvinogona kuva nengozi.
- Vacheche vanoda ruzivo rwemwoyo vanoita zvakanaka sezvo varwere vavo vari pasi pekugadzirisa uye vabereki vanova nechokwadi chokuti vanotora mishonga yavo.
Kudzivirira Kurambwa
Mishonga yekuramba kurambwa inoderedza zvirwere zvemuviri, saka muviri hauoni moyo mutsva semuviri wekunze uye urirwisa.
Kwemakore, cyclosporine yakashandiswa kurega kurambwa. Nhasi, 90 muzana yevarwere vanoshandisa tacrolimus.
Nemhaka yokuti tacrolimus yakasimba uye yakawanda, zvishoma zvinodiwa kudzivirira kuramba uye kunoderedzawo migumisiro. Zvisinei, varwere vasingakwanisi kuramba mwoyo wevanopa-avo vakwegura, varume, uye / kana caucasian-kazhinji vanoita zviri nani nemishonga isina simba.
Kuisa Pump Mechanical
Nokusava nemwoyo yakakwana yekupa mavari kuenda kumativi ose, uchishandisa mechanical pampu sekugara kwemoyo kusingaperi iri kukurukurirana. Ventricular anobatsira majekiti (VADs) uye mafungiro akazara maitiro anowanzoshandiswa kwenguva pfupi kuti abatsire mwoyo usingakanganwi apo murwere ari kumirira kuwedzerwa ("bhulosi yekuisa").
Murwere mumwe nomumwe ane imwe yezvigadzirwa izvi akapinda muRegistri ye Interagency yeMagetsi Assisted Circulatory Support (INTERMACS). Nokufamba kwenguva, ruzivo rwakaunganidzwa mune databasi rino ruchabatsira vanachiremba kuti vaone kana zvigadzirwa zvokugadzira zvingave nzira yakachengeteka uye inobudirira kune mwoyo wemunhu.
Organ Donation
Kwaunogara unobata mikana yako yekugamuchira mwoyo mutsva kana kufa asati mwoyo uwanika. Chirwere chekufa paunenge uchimirira kuwedzerwa kunopesana nehurumende kubva pa3 kusvika ku22 muzana. Varwere vanogara kure nechepakati pekutsvaga kwemoyo wepakati havakwanisi kuwana moyo kune avo vanogara pedyo. Asi iyi haisi nyaya yose.
Iye zvino, kumiririra varwere vanoiswa munzvimbo dzakakura uye vanozivikanwa neropa rudzi, ukuru, uye zera. Iko kune kuwedzera kufarira mukuziva zvikonzero izvo zvinoisa murwere pane ngozi yakawanda yekufa vasati vagona kuwana moyo. Izvi zvinogona kubvumira mwoyo inowanikwa kuenda kuvarwere vanorwara kutanga, pasinei nokuti vanogara kupi.
Kunyange zvakadaro, chido chemwoyo kubva kune vanopa hutano, vaduku vanoenderera mberi vachideredza kupiwa. Iwe unogona kubatsira nekunyora kuti uve mupi wemupi pano uye uone bhokisi pane reisensi yako yekufambisa. Kunyange kana iwe wakwegura zvikuru kuti usapa mwoyo panguva yekufa kwako, maziso ako, ganda, kana dzimwe nhengo dzinogona kubatsira mumwe kana vanhu vakawanda.
Dr. Hsich ndiye nyanzvi yemapurisa anonyanya kugadziriswa mupfungwa. Ndiye Musangano Wechipatara Muchirangaridzo kuCleveland Clinic's Heart Transplant Program, uye Mutungamiriri weKirasi Yekushaya Mwoyo Kwevakadzi.