Nzira Yakaitwa Nenzira Yakashata Inogona Kukonzera Kuora Kwemwoyo
Rheumatic heart disease chirwere chakakomba che rheumatic fever . Inoreva kukanganisa kwemwoyo yevhavhavha inogona kuwedzera makore mushure mekunge uine rheumatic fever, kazhinji inotungamirira kukundikana kwemoyo kana usina kusiya.
Rheumatic fever chirwere chinokonzera kuzvirwisa chinogona kukura semugumisiro wekusafanira kutarisirwa strep throat kana scarlet fever .
Kana izvi zvikaitika, maitiro ezvirwere zvezvirwere zvezvirwere anotarisa zvisina kufanira nekuputika kusingaperi uye kuiswa zvishoma kwekristamu mumakristuru mukati uye kumativi ose mavhapiti emwoyo.
Rheumatic fever inowanzoonekwa nevana nevechiri kuyaruka. Kunyange ruzivo rwemitsipa rwakakurumbira muUnited States, rheumatic fever inofungidzirwa ishoma ndeye dzimwe nyika dzakabudirira.
Chikonzero cheRheumatic Heart Disease
Rheumatic fever ine simba inogona kukonzera kupisa kwemwoyo, zvichida pamusoro pemwoyo ( pericarditis ), mukati memwoyo ( endocarditis ), kana kuti inosanganisira moyo wemisvo pachayo ( myocarditis ).
Mune vanhu vane endocarditis, kupindura kwezvokuvhiringidza kunogona kukonzera kukanganisa kunopfuurira kune imwe kana kupfuura emakumbo mana emwoyo . Kana imwe yerudzi urwu rwukuvadza, inowanzova yakaipa kupfuura nguva.
Chirwere chepfungwa chinonzi Rheumatic Heart chinokanganisa hafu yevanhu vose vane chirwere chinonzi rheumatic fever. Kazhinji zviitiko zvinowanikwa makore 10 kusvika ku20 mushure mekuitika kwechirwere.
Vaya vakave nemagetsi akawanda vari pangozi huru.
Zviratidzo zveRheumatic Heart Disease
Chirwere chepfungwa cheRheumatic chinogona kuratidza nematambudziko akasiyana zvichienderana nevhavha yei iyo inobatwa uye nenzira iyo iyo valve yakanganisa.
Pakati pemhando dzakawanda dzerheumatic heart disease:
- Mitral valve chirwere chinoreva kuwedzerwa kwemari ye calcium pane mitral valve. The mitral valve ivhavha inobvumira ropa richiyerera kubva kuruboshwe kuruboshwe kuruboshwe. Kuunganidzwa kwe calcium kunogona kudzivirira muvharo kubva pakuzarura zvachose ( mitral stenosis ) kana kuvhura zvachose. Izvi pakupedzisira zvinotungamirira kuvhavha inoputika, inowanzonzi mitral regurgitation .
- Chirwere cheAortic valve imwe iyo inowedzera calcium deposits inokanganisa aortic valve iri kuparadzanisa kuruboshwe rwemhepo kubva ku-aorta. Izvi zvinogona kutungamirira pakuvandudzwa kwe aortic stenosis , aortic kudzoka , kana zvose.
- Kunyanya kusununguka kudzoka kunosanganisira tricuspid valve inoparadzanisa atrium yakarurama kubva kuruboshwe rworuboshwe. Mamiriro acho anowanzoendesa aortic uye / kana mitral valve chirwere.
- Atrial fibrillation , iyo isina kukwana uye kazhinji inomhanya yemwoyo inokonzerwa nekuderera kweropa, inowanzobatanidzwa nemitral stenosis.
Kurapa Rheumatic Heart Disease
Zviri pachena, nzira yakanakisisa yekugadzirisa nayo mamiriro akaita chirwere chinonzi rheumatic heart kuti chidzivise. Izvi zvinoda kushandiswa kwechisimba kwemishonga inorwisa mabhakitiriya kuti irarame ruzivo rwehuro kana ruvara rutsvuku, zvose zviri zviviri zvinokonzerwa neboka reA streptococcal bacteria.
Kamwe kana munhu aine rheumatic fever, zvakakosha kudzivirira zvikamu zvenguva yemberi. Kune vanhu vane uchapupu hwehutachiona hwemwoyo, chirwere chinoramba chichirapa chinogona kushandiswa sechimiro cheprophylactic (kudzivirira) therapy . Kuti kuderedza kuputika, aspirin, steroid, kana kuti kwete-steroidal kuvhiringidza madhiragi (NSAIDs) inogona kuiswa.
Vanhu vane ruzivo rwakaoma rheumatic fever vanofanira kuongorora gore negore kuti vaongorore kunetseka kwomwoyo kunong'un'una kana chero humwe husaipa hwemoyo.
Kana uchitarirwa nerheumatic heart disease, zvakakosha kuva nemamiriro ako akaongororwa nguva dzose ne echocardiogram uye zvimwe zvidzidzo zvekuongorora. Sezvo matambudziko emagetsi emwoyo anowedzera kuwedzera kudarika nguva, izvi zvidzidzo zvese zvinogona kubatsira kuziva kana kana uye kana chirwere chinoshandiswa chevhavha chinoda.
Nguva yekuvhiyiwa inoshandiswa inokosha pakuti iwe unoda kuda kuita basa musati wero hwehupenyu hwomunhu huri kuderera zvakanyanya asi kwete kutanga pangozi munhu anogara kwenguva yakareba upenyu hwevhavha yega yega.
> Sources:
> Rothenbühler, M .; O'Sullivan, C .; Stortecky, S. et al. "Kuongororwa Kuongororwa kweRheumatic Heart Disease muDharaunda Dzose: Ongororo Yakarongeka uye Meta-Kuongororwa kwekupararira pakati pevana nevana vaduku." Lancet Glob Health. 2014; 2: e717. DOI: 10.1016 / S2214-109X (14) 70310-9.
> Watkins, D .; Johnson, C.; Colquhoun, S. et al. "Global, Regional, uye National Burden of Rheumatic Heart Disease, 1990-2015." N Engl J Med . 2017; 377: 713. DOI: 10.1056 / NEJMoa1603693.
> Zühlke, L .; Engel, M .; Karthikeyan, G. et al. "Maitiro, Matambudziko, uye Mavhinga Mukupupurira-Kubatsira Mukurumbira muRheumatic Heart Disease: Global Rheumatic Heart Disease Registry (REMEDY kudzidza)." Eur Heart J. 2015; 36: 1115. DOI: 10.1093 / eurheartj / ehu449.