Kodi mwana wanu ali ndi chotupa mumtima mwake? Tiyeni tiphunzire za Cardiac Rhabdomyoma!

Monga mayi kapena bambo, mukamaganizira za thanzi la mwana wanu, ngakhale chinthu chaching'ono kwambiri chimamveka chachikulu, eti? Makamaka dokotala akanena kuti, "Pali chotupa chaching'ono mumtima mwa mwana wanu," zingakhale zopweteka kwambiri. Koma musadandaule . Lero tikambirana za vuto lomwe mumamva nthawi zina ngati ili, koma nthawi zambiri silili loopsa. Imeneyo ndi Cardiac Rhabdomyoma .

Kodi Cardiac Rhabdomyoma ndi chiyani?

Mwachidule, rhabdomyoma ya mtima ndi chotupa chosaopsa, chosakhala khansa chomwe chimayamba mu minofu ya mtima wa mwana wanu. Izi sizimachitika kawirikawiri. Koma, modabwitsa, ndi mtundu wofala kwambiri wa chotupa cha mtima chomwe chimayamba panthawi ya fetal, kutanthauza kuti, mwana akadali m'mimba mwa mayi ('gestation'). Nthawi zambiri, rhabdomyoma ya mtima iyi imawonekera mwana akadali m'mimba kapena mkati mwa chaka choyamba cha moyo.

Zotupa zimenezi zimachokera ku minofu ya mtima yokha. Chofunika kwambiri n’chakuti nthawi zambiri sizimawoneka zokha, koma m’magulumagulu . Ichi ndi chimene chimasiyanitsa ndi ma fibroma, mtundu wina wosavulaza wa chotupa chomwe chimayamba mumtima. Chifukwa ma fibroma nawonso amachokera ku minofu ya mtima yokha, koma amatuluka ngati chotupa chimodzi, osati m’magulumagulu.

Chofunika kwambiri ndichakuti matenda a mtima otchedwa rhabdomyomas si oopsa kapena a khansa . Izi zikutanthauza kuti safalikira ku ziwalo zina za thupi. Njira yokhayo yomwe ingakhale yoopsa ndi ngati isokoneza magwiridwe antchito a mtima wa mwana wanu. Koma izi sizichitika kawirikawiri. Nthawi zambiri, zotupazi zimachepa ndikutha zokha ndipo sizimayambitsa mavuto akulu.

Zotupa zimenezi zimatha kumera kumbali yakumanja kapena yakumanzere ya mtima wa mwana. Zimapezeka kwambiri m'zipinda zapansi pa mtima , m'chimbudzi chakumanja kapena m'chimbudzi chakumanzere . Nthawi zina zimathanso kumera m'zipinda zapamwamba za mtima, m'chimbudzi cha atria , kapena pakhoma lomwe limalekanitsa zipinda ziwirizi. Kukula kwa zotupazo kumatha kusiyana kuyambira mamilimita angapo mpaka masentimita angapo. Zimawoneka zachikasu kapena zoyera m'maso mwanu.

Cardiac rhabdomyoma ndi chotupa chosaopsa, chosakhala khansa chomwe chimapangika m'magulu a minofu ya mtima.

Ndani amene ali ndi mwayi waukulu wopeza izi?

Makanda ndi ana omwe ali ndi vuto la majini lotchedwa tuberous sclerosis ali pachiwopsezo chachikulu chotenga matenda a mtima otchedwa cardiac rhabdomyomas. Ndipotu, ana pafupifupi 8 mwa 10 omwe ali ndi matenda a mtima otchedwa cardiac rhabdomyomas alinso ndi matenda a tuberous sclerosis. Matenda a chifuwa chachikulu ndi matenda osowa kwambiri a majini. Mwachitsanzo, amakhudza pafupifupi mwana m'modzi mwa 6,000 obadwa kumene ku United States.

Kafukufuku sanapeze umboni uliwonse wosonyeza kuti jenda, fuko, kapena fuko zimakhudza kufalikira kwa vutoli.

Kodi vutoli ndi lofala bwanji?

Matenda a mtima otchedwa rhabdomyomas ndi mtundu wofala kwambiri wa chotupa cha mtima mwa makanda ndi ana aang'ono. Komabe, kawirikawiri, zotupa za mtima ndizosowa kwambiri kotero kuti matenda a mtima otchedwa rhabdomyomas amaonedwa kuti ndi osowa . Zotupa zomwe zimayambira mumtima (zotchedwa 'zotupa za mtima zoyambirira') zimakhudza anthu osakwana m'modzi pa anthu 2,000 aliwonse.

Nchifukwa chiyani rhabdomyoma ya mtima imayamba?

Akuti matenda a mtima otchedwa cardiac rhabdomyomas amayamba chifukwa cha kusintha kwa majini komwe kumachitika mwana asanabadwe . Kusintha kwa majini kumeneku kumabweretsanso vuto lotchedwa tuberous sclerosis. Anthu omwe ali ndi tuberous sclerosis ali ndi kusintha kwa majini a `TSC1` kapena `TSC2`. Ntchito yayikulu ya majini awiriwa ndikuwongolera kupangika kwa zotupa m'thupi. Chifukwa chake, ana ambiri omwe ali ndi matenda a mtima otchedwa cardiac rhabdomyomas nawonso ali ndi tuberous sclerosis.

Komabe, ana ena amatha kukhala ndi matenda a mtima otchedwa rhabdomyoma popanda tuberous sclerosis. Pazochitika zotere, chifukwa chenicheni cha chotupachi sichinapezekebe .

Kodi ichi ndi chinthu chomwe chimachokera pa kubadwa? Kodi ndi cholowa?

Matenda a mtima nthawi zambiri amakhala obadwa nawo . Chifukwa chake, amaonedwa kuti ndi obadwa nawo. Komabe, si ofanana ndi obadwa nawo . Ngati vuto ndi lobadwa nawo, limatha kufalikira kudzera m'majini a m'banja.

Matenda a mtima otchedwa rhabdomyoma amatha kukhala obadwa nawo, koma si ofala kwambiri. Izi zili choncho chifukwa matenda a majini otchedwa tuberous sclerosis, omwe amagwirizanitsidwa ndi chotupachi, nthawi zambiri amapezeka mwadzidzidzi, popanda cholowa chilichonse.

Kholo lomwe lili ndi chifuwa chachikulu cha matenda a impso (tuberous sclerosis) lili ndi mwayi wa 50% wopatsira mwana wawo matendawa. Komabe, "cholowa" ichi chimapezeka mwa pafupifupi gawo limodzi mwa magawo atatu a odwala chifuwa chachikulu cha impso. Nthawi zambiri, kusintha kwa majini kumachitika koyamba mwa mwana yemwe wangopezeka kumene matenda, wopanda mbiri ya banja. Izi zikutanthauza kuti nthawi zina rhabdomyoma ya mtima imatha kuwoneka momwe imayembekezeredwa, ndipo nthawi zina ngati chochitika chosayembekezereka popanda zizindikiro zilizonse zochenjeza.

Izi zingamveke zovuta, koma kumbukirani kuti majini ndi gawo chabe la nkhaniyi. Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi matenda a mtima otchedwa rhabdomyoma kapena tuberous sclerosis, onetsetsani kuti mwalankhula ndi dokotala wanu . Kambiranani mbiri ya banja lanu ndi momwe ingakhudzire inu kapena mwana wanu.

Kodi zizindikiro za izi ndi ziti?

Nthawi zambiri, matenda a mtima otchedwa rhabdomyoma sayambitsa zizindikiro zilizonse.Komabe, nthawi zambiri, ngati chotupa kapena gulu la zotupa likukula, lingayambitse mavuto mkati mwa mtima wa mwana ndikuwonetsa zizindikiro. Mwachitsanzo, zotupa zazikulu zimatha kuletsa kuyenda kwa magazi kapena kusokoneza kayendedwe ka mtima. Ngati izi zimachitika panthawi ya mimba, zimatha kuvulaza kwambiri mwana wosabadwayo. Zingayambitse kulephera kwa mtima kapena matenda oopsa otchedwa hydrops .

Dokotala wanu nthawi zambiri amafufuza mavuto amtunduwu panthawi ya mimba pogwiritsa ntchito mayeso ojambulira zithunzi.

Ngati zotupa izi mwa makanda ndi ana aang'ono sizitha zokha ndipo zimapitirira, kapena ngati zikukulirakulira, zingayambitse kulephera kwa mtima kapena kugunda kwa mtima kosasinthasintha (arrhythmias). Izi ndizosowa kwambiri. Koma dokotala wa mwana wanu adzayang'anira vutoli kuti awone ngati pali vuto lililonse.

Ngati mwana wanu akusonyeza zizindikiro zotsatirazi, imbani 1990 nthawi yomweyo, kapena mupite naye kuchipatala chapafupi:

• Kusintha kwa kayimbidwe ka mtima.
• Kugunda kwa mtima mwachangu ( tachycardia ).
• Kuvuta kupuma kapena kupuma movutikira, makamaka mukagona pansi ( dyspnea ).
• Kupweteka pachifuwa kapena kupsinjika komwe kumachepa chifukwa chokhala pansi.
• Chifuwa.
• Chizungulire kapena kukomoka.
• Kumva kutopa kapena kufooka.
• Kutupa kwa miyendo, akakolo, kapena mimba.

Kodi mumazindikira bwanji izi?

Matenda a mtima otchedwa rhabdomyoma amapezeka kudzera mu zithunzi . Mayesowa amatha kuchitika panthawi ya mimba kapena mwana akabadwa.

Mayeso ozindikira matenda a mtima otchedwa rhabdomyoma

Chotupachi nthawi zambiri chimapezeka koyamba panthawi ya ultrasound ya prenatal panthawi ya mimba. Chotupachi chimayamba kuoneka pa ultrasound pakati pa milungu 20 ndi 30 ya mimba. Chingathenso kupezeka ndi scan yapadera yotchedwa fetal echocardiogram . Iyi ndi mtundu wa ultrasound, koma imayang'ana makamaka mavuto aliwonse a mtima pamene mwana wosabadwayo akukula m'mimba.

Mayeso omwe amagwiritsidwa ntchito pozindikira ndikuwunika matenda a mtima pambuyo poti mwana wabadwa ndi awa:

• Electrocardiogram (EKG/ECG)
• Echocardiogram (kubwerezabwereza)
• Chithunzi cha Magnetic Resonance (MRI)

Mwana wanu angafunike kuyesedwa pafupipafupi, monga EKG kapena echo. Dokotala adzayang'anira ma cysts kuti awone ngati akuchepa okha . Ma cysts aliwonse omwe satha okha ayenera kuthandizidwa.

Matenda a mtima otchedwa rhabdomyoma nthawi zambiri amasokonezedwa ndi tuberous sclerosis.Ikhoza kukhala chizindikiro choyamba cha matendawa. Chifukwa chake, mayeso ena angafunike kuti aone ngati mwanayo ali ndi zizindikiro za chifuwa chachikulu m'mbali zina za thupi.

Ngati mwana wanu wapezeka ndi matenda a tuberous sclerosis, lankhulani ndi dokotala wanu za kuyezetsa majini . Nthawi zina makolo angakhale ndi vutoli pang'ono koma osapezeka nalo. Chifukwa chake, dokotala wanu angafune kuona ngati inu kapena mnzanu muli ndi kusintha kwa majini komwe kumayambitsa matendawa.

Kodi mankhwala ake ndi otani?

Nkhani yabwino ndi yakuti matenda a mtima otchedwa rhabdomyomas nthawi zambiri amachepa ndi kutha okha , kotero palibe chithandizo chofunikira . Nthawi zambiri, zotupazi zimakhala zitafika pamlingo wapamwamba kwambiri pofika nthawi yomwe mwana amabadwa. Pambuyo pake, zotupazo zimachepa zokha , popanda kuyambitsa mavuto.

Komabe, nthawi zambiri, zotupazi zimasokoneza kugwira ntchito kwa mtima ndipo zimafuna chithandizo. Nthawi zina izi zimatha kuchitika panthawi ya mimba. Pazochitika zotere, mayi angafunike kumwa mankhwala ochepetsa chotupacho.

Nthawi zina mavuto angabuke mwana akabadwa. Ngati chotupa kapena chotupa sichichoka chokha , kapena chikakula, chingasokoneze ntchito ya mtima wa mwana. Izi zingayambitse kulephera kwa mtima kapena kugunda kwa mtima kosakhazikika (arrhythmia).

Ngati ndi choncho, mwana wanu angafunike mankhwala monga awa:

• Zoletsa za angiotensin-converting enzyme (ACE)
• Mankhwala ochepetsa mphamvu ya thupi (awa ndi mankhwala omwe amachotsa madzi ochulukirapo m'thupi)
• Mankhwala oletsa arrhythmic

Dokotala wanu adzakambirana nanu njira zochiritsira ndi kukuthandizani kusankha njira yoyenera kwa mwana wanu. Opaleshoni siifunikira kawirikawiri .

Kodi chiyembekezo cha anthu omwe ali ndi vutoli ndi chotani? (Outlook)

Anthu ambiri omwe ali ndi matenda a mtima safunika chithandizo . Komabe, ngati ali ndi matenda ena, monga chifuwa chachikulu, zingakhudze thanzi lawo lamtsogolo.

Ngati mwana wanu ali ndi chifuwa chachikulu cha tuberous sclerosis, amafunika kupimidwa ndi kuyesedwa nthawi zonse ndi dokotala . Kwa anthu ena, vutoli ndi lochepa kwambiri, ndipo silingadziwike. Kwa ena, lingayambitse mavuto aakulu ndikukhudza kwambiri moyo wa mwana wanu. Dokotala wanu adzakulankhulani za zosowa zachipatala za mwana wanu komanso zomwe zingachitike. Pamodzi, mutha kupanga dongosolo labwino kwambiri losamalira mwana wanu.

Kodi ndifunse dokotala chiyani?

Lankhulani ndi dokotala wanu za matenda a mwana wanu komanso momwe akuonekera. Ngati mwapezeka ndi matenda a mtima (cardiac rhabdomyoma) panthawi ya mimba, simungadziwe komwe mungayambire. Dokotala wanu mwina angakuuzeni zinthu zambiri musanafunse mafunso. Komabe, zingakhale zothandiza kufunsa mafunso ngati awa kuti mudziwe zambiri:

• Kodi tingayang'anire bwanji rhabdomyoma ya mwana wanga?
• Kodi mwana wanga adzafunika mankhwala kapena opaleshoni?
• Kodi mwana wanga ali ndi chifuwa chachikulu cha m'mimba (tuberous sclerosis)?
• Kodi chifuwa chachikulu cha m'mimba chidzakhudza bwanji mwana wanga?
• Kodi ndiyenera kuyesedwa majini kuti ndione ngati ndili ndi chifuwa chachikulu cha matenda a sclerosis?
• Kodi mungandilumikize ndi gulu lothandizira lomwe limathandiza anthu omwe ali ndi chifuwa chachikulu cha m'mimba?

Kupeza kuti mwana wanu ali ndi vuto la matenda kungakhale koopsa kwambiri kuposa kukhala nalo nokha. Koma ndi chidziwitso ndi zinthu zoyenera, mutha kuthandiza mwana wanu kuthana ndi vutoli ndikuchira . Ngati mwana wanu ali ndi vuto la mtima, lankhulani ndi dokotala wanu kuti mudziwe zambiri. Dokotala wanu angakulangizeni njira yotchedwa "watcherful waiting," yomwe imaphatikizapo kuyang'anira zotupa ndikuwona ngati zichoka zokha . Nthawi zambiri, njira iyi ndiyo yokhayo yofunikira. Komabe, ngati chithandizo chikufunika, dokotala wanu adzakudziwitsani.

Chidule (Uthenga Wopita Nawo Kunyumba)

Okondedwa Amayi ndi Abambo, Ngakhale dzina lakuti Cardiac Rhabdomyoma lingamveke loopsa, kumbukirani kuti nthawi zambiri ndi chotupa chosaopsa, chosakhala khansa . Chimafala kwambiri mwa makanda, ndipo nthawi zambiri chimatha chokha popanda chithandizo chilichonse .

Chofunika kwambiri ndikukhala chete, kutsatira malangizo a dokotala, ndikulankhulana ndi dokotala nthawi zonse za matenda a mwana wanu. Dziwani matenda ena okhudzana ndi matendawa monga chifuwa chachikulu, ndipo fufuzani mayeso ofunikira ndikutsatira malangizo.

Ndikufunira mwana wanu kuchira mwachangu!

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