Marfan syndrome ndiyo inowanzobatwa nehutano hwehutachiona hunowanzobatana, hunoita kuti skeletal system, mwoyo, mishonga yemaziso uye maziso zvioneke. Vanhu vane Marfan syndrome vanowanzove vakareba uye vakaonda, uye maoko avo nemakumbo zviri nguva refu kudarika. Vanowanzova neminwe yakareba (chirwere chinonzi vanachiremba arachnodactyly), chikafu chisina kujairika chepamusoro ( kyphoscoliosis ), uye kuparadzaniswa kweruva reziso .
Zvinetso zvinotyisa zvikuru zveupenyu zveMarfan syndrome zvakabatana nemwoyo nemidziyo yeropa; kunyanya, kuti aneurysm yeaorta . An aneirysm iri kuwedzera (kubvongodza-kunze) kworusvingo rweropa remudziyo. Izvi zvinowedzera simba pamadziro e-aorta, uye inoita kuti zvive nyore kuitika kamwe-kamwe (chirwere icho vanachiremba vanodudza dissection). Aortic dissection chirwere chekukurumidzira, uye chinogona kutungamirira kurufu kamwe kamwe kune vanhu vane Marfan syndrome.
Sezvo dambudziko iri rinowanzoitika panguva dzese apo mwoyo yemagetsi iri kusimbiswa, kurovedza muviri, kunyanya, kunogona kukonzera aortic dissection mumunhu ane Marfan syndrome. Nokuda kwechikonzero ichi, vechidiki vane marfan syndrome vanofanira kugara vachigadzirisa kuita kwavo mumitambo.
Hazvombovi nyore kune vechidiki kuti vanzwe kuti basa ravo rekunyama rinofanira kunge risingakwanisi. Nenzira yakanaka, vanhu vakawanda vane Marfan syndrome vanogona kugara vakashanda, asi nemigodhi.
Zvakakosha kuti vatambi vechidiki ava vazive nezvemiganhu yavo.
Zvose Nyaya Yokudzidzira Kudzidzisa Kune Vechidiki Vechiduku NaMarfan Syndrome
Zvakarongwa mazano pamusoro pekuita mumakwikwi emakwikwi emakwikwi evatambi vane Marfan syndrome zvakabudiswa neBethesda Conference ya2005 pamusoro peEgligility Recommendations yeKunyanzvi Vakatambira neCardiovascular Abnormalities.
Heino chidimbu cheavo mazano:
Vatambi vane Marfan syndrome vanofanira kunge vane echocardiograms mwedzi mitanhatu yekutsvaga kutsvaga mudzi weaorta.
Kana pasina mhando yeaortic inoputika kana zvimwe zvakakomba zvemwoyo, uye hapana mhuri yehutano hwemahara, vanogona kutora chikamu mune izvo zvinonzi kuderera uye kuenzanisa, masimba emitambo yemabasa - izvo zvinhu izvo zvisingawanzodi "bursts" yepamusoro zvikuru -kuwedzera simba. Mienzaniso yemabasa akakodzera anosanganisira gorofu, bowling, hikingl, uye tafura tennis.
Kana pane uchapupu hweaortic root dilation, kana kuti nhoroondo yemhuri yeaortic dissection, ipapo kungoita zvakaderera zvikuru, zvakadai segorofu kana bowling, zvakakodzera.
Vanhu vane Marfan syndrome vanokurudzirwa kuti varege kuita zvinhu zvinokuvadza-kutarisana nemitambo nemabasa anoda maitiro ekugadzirwa kwemashoko anoita kuti Valsalva awedzere (kufanana nekusimudza masero).
Vamwe vanhu vane Marfan syndrome vanogona kubviswa pamwe chete navanachiremba (kana ngozi yavo inonzi yakadzika kwazvo), kuti vabatanidzwe mumitambo yepakati pengozi yakadai se basketball, baseball, touch soccer, uye bhasikoro.
Zvinonzwisisika, Mhemberero yeBhetesda yakanyatsotaurira vanhu vari kurongeka mune zvigadziriswe, makwikwi emitambo.
Kunyanya, yakaisa mirayiridzo yezvikoro nemamwe masangano ayo vatambi vane Marfan syndrome vangave vachitarisa kuti vatore muzvirongwa zvavo. Yakanga isingatauri zvakananga kumutambo wokuvaraidza.
Zvisinei, mazano aBethesda anogona kugona kupa mazano kune vanoita zvekuvaraidza nevarapi vavo. Kune ani naani ane Marfan syndrome anoda kupinda mune zvemitambo, periodic echocardiograms inogona kushandiswa kutungamirira mukana wakakodzera wekuita basa.
Shoko Rinobva
Vanhu vane Marfan syndrome vane upenyu hwehupenyu hwose hunowedzera hutano hwezviitiko zvakakomba zvepfungwa, uye vanoda nguva dzose kurapwa kwechiremba.
Zviito zvekudzidzira muviri zvinorayirwa kune ani zvake ane Marfan syndrome. Zvisinei, chiyero chekudziviswa chichasiyana kubva kumunhu kusvika kune mumwe munhu, uye vazhinji vanogona (uye vanokurudzirwa) kufarira maitiro ehupenyu hunoshanda nekuchengetedza kwakakodzera.
> Sources:
> Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF / AHA / AATS / ACR / ASA / SCA / SCAI / SIR / STS / SVM Zvinyorwa Zvokuziva uye Kurapa Kwevarwere Vane Thoracic Aortic Disease: mushumo weAmerican College of Cardiology Foundation / American Heart Association Task Force on Practice Mirayiridzo, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, uye Society for Vascular Medicine. Circulation 2010; 121: e266.
> Maron, BJ, Ackerman, MJ, Nishimura, RA, et al. Task Force 4: HCM uye Dzimwe Cardiomyopathies, Mitral Valve Prolapse, Myocarditis, uye Marfan Syndrome. J Am Coll Cardiol 2005; 45: 1340