Pamberi pemokisijeni-inogadziridzwa ropa inopinda mubhokisi riri kuruboshwe uye inomanikidzwa mu-aorta uye denderedzwa reropa guru, chirwere chemhepo chinopinda muatrium. Icho chikwata chemwoyo chinosangana ne ventricle kuburikidza nevhavha. Kurwiswa kweiyo kuruboshwe kwerutivi ndiko kuwedzera kwevhesi yekamuri yakapiwa (kutambanudza) pasina kuwedzera kwemasvingo aro. Chirwere chechipatara hachina kuonekwa sechirwere chakazvimirira, sezvo chiri chiratidzo chekuzvarwa kana kuwanikwa zvirwere.
Zvinokonzera kuputika kweatrium yakasara
Chinhu chinonyanya kukanganisa kufambisa kwechinetso chakatsanangurwa ndechokuderedza mitral valve ichibatanidza nechokupedzisira ye ventricle uye atrium. Nemhaka yegomba duku, ropa haritombomaniki uye rinogona kudzokera kukamuri (regurgitation). Kuwedzeresa kwakadaro kunotungamirira kuhuwandu hwezvematongerwo enyika.
Zvimwe zvikonzero zvinokonzerwa nekuwedzera kwekamuri yemwoyo yakasara:
- kuwedzera kwakasimba mukudzvinyirira mumutsara mukuru weropa;
- basa rakakura kana rakaperedzera muviri;
- aortic stenosis ;
- frictionary atrial yemarudzi akasiyana;
- cardiomyopathy.
Sezviri pachena, chirwere chinotaridzirwa chinogara chichiratidza zvirwere zvepfungwa zvakakomba.
Zviratidzo zvekutsvaira kwemajeri ezveruboshwe
Zviratidzo zvakananga zvechirwere ichi hazvipo. Sezvo mutemo, munhu ane hanya nezvekliniki zviratidzo zvezvikonzero zvinokonzera kukura kwekamuri yakasara remwoyo, uye zviratidzo zvemoyo kusakundikana.
Panewo mamiriro ezvinhu apo hutachiona hunowanzove hunoita kuti muviri uwedzere (idiopathic dilatation). Mumamiriro ezvinhu akadaro zvakakosha kunyatsoongorora uye zvisinei nekuwana zvikonzero izvo zvakakonzera kuwedzerwa kwerutivi rweteri. Kazhinji, cardiologists dzinotanga kunze kwekushandisa doro zvisina kufanira, sezvo kunwa doro kune zvinodhaka kunowirirana nehuwandu hwekuwedzera kweropa. Kana panguva yekudzidza izvo zvinokonzera kuputika zvisingazivikanwi, zvinokurudzirwa kungoongorora nguva dzose uye chimiro chekamuri remwoyo.
Kurapa kwekucheneswa kweatrium yakasara
Tichifunga kuti kuwedzera kwemukati uyu kunomirira kliniki kuratidzwa, pane chirwere, kurapwa kunobva pakubvisa kukanganisa kwakakonzera dambudziko. Kunze kweizvi izvi zvinokwanisika kupfuurira mberi nekurapa kwechirwere chinorondedzerwa, kana ichiri kudiwa. Apo kukodzera kweropa kunodzosera, ropa rega rega rinogadzirisa uye mabasa ehurumende inovandudza, dutu rekamuri remwoyo rinodzokera kune zvakajairika. Kuoma kwemasvingo aro kunoramba kuripo.
Kudonhedzwa kwemashoma kweatrium kuruboshwe kakawanda haisi pasi pekurapa, sezvinowanikwa nemhando yeidiopathic yechirwere, mumamiriro ezvinhu aya, kuongororwa kwekuongorora nekunyora kwehuwandu hwemuviri wemwoyo unoitwa.
Nekunyatsorodzwa kweatrium yakasara ye 1-2 degree pamusana pekuziva kwechirwere chemapurisa, mishonga yakasiyana-siyana inogona kurongerwa:
- vanopikisa aldosterone;
- diuretics ;
- antiarrhythmic drugs;
- cardiac glycosides;
- beta-blockers;
- antiaggregants;
- ACE inhibitors.
Kubudirira kwekushandiswa, kuyerwa uye nguva yekutambira kunogadzirirwa nachiremba wemunhu mumwe nomumwe.
Mukuwedzera kune remaprojeni remishonga, kusina-pharmacological treatment inodiwa. Inowanikwa mune zvinotevera zvinokurudzirwa:
- Kunyatsobvisa zvinwiwa zvinodhaka kubva mukudya.
- Deredza kudhakwa kwedoro rinodhaka nezuva.
- Sarudza mukana unogamuchirwa wekuita basa.
- Chiremera kushandiswa kwezvokudya zvinoita kuti ropa rive neruzhinji.
- Ona kuwedzera kweropa.