Kodi mtima wanu uli kumbali yoyenera? Tiyeni tikambirane za (Dextrocardia)!

Kodi munayamba mwadzifunsapo ngati mtima wanu uli kumanja kwa thupi lanu, osati kumanzere? Zachilendo, sichoncho? Koma zitha kukhala choncho. Izi ndi zomwe timatcha `(Dextrocardia)`. Mwachidule, mtima wanu uli kumanja kwa chifuwa chanu, ukuyang'ana kumanja. Uli ngati chithunzi chagalasi cha mtima kumanzere. Nthawi zambiri, mtima wathu uli kumanzere kwa chifuwa chanu, ukuyang'ana kumanzere. Vutoli lotchedwa `(Dextrocardia)` limaonedwa kuti ndi vuto la mtima wobadwa nalo . Ndiko kuti, mumabadwa ndi kusiyana kumeneku.

Tsopano mwina mukuganiza kuti, "Mulungu wanga, kodi zimenezo n'zovuta kwambiri?" Kwenikweni, ngati muli ndi `(Dextrocardia)` yokha, zomwe zikutanthauza kuti mtima uli kumbali yoyenera, nthawi zambiri siwowopsa kwenikweni . Sizimayambitsa zizindikiro zilizonse, sizimayambitsa mavuto, ndipo sizifuna chithandizo. Komabe, nthawi zina anthu omwe ali ndi `(Dextrocardia)` amatha kubadwa ndi matenda ena. Matenda amenewo angayambitse mavuto ndipo amafunika thandizo lachipatala.

Imeneyi ndi vuto losowa kwambiri, lomwe limapezeka pafupifupi mimba imodzi mwa 12,000.

Kodi mitundu ikuluikulu ya `(Dextrocardia)` ndi iti? Kodi mtima uli kumanja kokha?

Inde, `(Dextrocardia)` iyi ikhoza kubwera m'njira zosiyanasiyana. Mwina mtima wokha ndi womwe uli kumanja, kapena ungabwere ndi kusintha kwa malo a ziwalo zina zamkati. Tiyeni tiwone mitundu ikuluikulu iyi:

• Dextrocardia Yopatukana: Izi zimachitika pamene mtima wanu umangosunthidwa kuchokera kumanzere kupita kumanja. Komabe, ziwalo zina zonse zimakhala bwino. Ngati palibe matenda ena a mtima, mtima umagwira ntchito bwino. Izi sizimabweretsa zizindikiro zilizonse .
• `Situs Inversus` yokhala ndi `(Dextrocardia)`: Mu izi, mtima wanu uli kumbali yakumanja, ngati "chithunzi chagalasi", ndipo ziwalo zina pachifuwa ndi m'mimba mwanu zilinso mbali ina. Taganizirani ngati chiwindi chili kumbali yakumanzere ndipo ndulu ili kumbali yakumanja. Matenda a `(Situs Inversu)` nthawi zina amatha kukhala chizindikiro cha matenda a majini otchedwa `(Primary Ciliary Dyskinesia)`. Matendawa angayambitse zizindikiro zosiyanasiyana kuyambira kubadwa.
• Dextrocardia yokhala ndi zilema zina za mtima wobadwa nazo: Anthu ambiri omwe ali ndi dextrocardia alinso ndi matenda ena a mtima omwe amakhudza momwe mtima umagwirira ntchito. Matenda a mtima amenewa angayambitse zizindikiro, zovuta, komanso amafunika chithandizo.
• `Heterotaxy Syndrome` yokhala ndi `(Dextrocardia)`: Pankhaniyi, mtima uli kumbali yakumanja, ngati "chithunzi chagalasi". Komanso, ziwalo zina zimakhala m'malo osazolowereka, osati pomwe ziyenera kukhala. `(Heterotaxy Syndrome)` iyi ingayambitse mavuto akulu pakugwira ntchito kwa ziwalo.

Ndi zizindikiro ziti zomwe zingachitike chifukwa cha `(Dextrocardia)`?

Monga tanenera kale, ngati mwapeza `(Dextrocardia)` zomwe zikutanthauza kuti mtima uli kumanja kokha, sipadzakhala zizindikiro . Simungadziwe ngakhale kuti mtima wanu uli kumanja, ndipo umapezeka mwangozi panthawi ya `(Kuyesa Zithunzi)` pazifukwa zina.

Komabe, ngati vuto la `(Dextrocardia)` likuphatikizidwa ndi zilema zina za mtima kapena matenda a majini, ndiye kuti zizindikiro zina zingawonekere. Izi nthawi zambiri zimawonekera ali mwana. Yang'anani zizindikiro izi:

• Kumva kutopa kwambiri.
• Matenda opatsirana m'mapapo pafupipafupi kapena matenda a sinus.
• Kumva kutopa kwambiri komanso kuvutika kupuma panthawi yochita masewera olimbitsa thupi.
• Kugunda kwa mtima kosakhazikika.
• Khungu limaoneka labuluu (izi zimatchedwa ``Cyanosis'', zomwe zikutanthauza kuti mpweya m'magazi mulibe).
• Khungu limawoneka lofiirira.
• Khungu ndi maso zimakhala zachikasu (monga chikasu cha m'mimba).
• Kuvuta kupuma kapena kupuma mofulumira.
• Kulemera ndi mavuto a kukula (makamaka kwa ana aang'ono).
• Chifuwa chokhala ndi mamina.

Chofunika: Ngati mwana wanu ali ndi zizindikiro izi, ndikofunikira kuonana ndi dokotala nthawi yomweyo kuti mudziwe chomwe chikuyambitsa. Ngakhale kuti zizindikirozi sizimayambitsidwa ndi `(Dextrocardia)` yokha, mayeso amathanso kuzindikira vuto `(Dextrocardia).`

N’chifukwa chiyani `(Dextrocardia)` imeneyi imachitika? Kodi zimayambitsa chiyani?

Chifukwa chachikulu cha `(Dextrocardia)` ichi ndi kusintha kwa majini komwe kumachitika kumayambiriro kwa mimba . Majini opitilira 60 amathandizira kudziwa momwe ziwalo za thupi lathu ziyenera kukhalira. Ofufuza akadali kufunafuna jini yeniyeni yomwe imakhudza `(Dextrocardia)`.

Pafupifupi munthu m'modzi mwa anayi aliwonse omwe ali ndi `(Dextrocardia)` alinso ndi vuto la majini lotchedwa `(Primary Ciliary Dyskinesia)`. Vutoli la majini limatha kuchitika chifukwa cha kusintha kwa majini m'majini opitilira 30, monga `DNAI1` ndi `DNAH5`. Anthu ena amatha kukhala ndi kusintha kwa majini m'majini awa koma osawonetsa zizindikiro ndipo ndi `(Onyamula)`.

Kodi madokotala amazindikira bwanji vutoli?

Nthawi zina, madokotala amatha kuzindikira `(Dextrocardia)` pamene mwana wosabadwayo akukula . Amagwiritsa ntchito mayeso a `(Prenatal Ultrasound)` kuti achite izi. Izi zitha kuwona momwe mtima wa mwana wosabadwayo ndi ziwalo zina zikukula. `(Mayeso Ojambula)` awa amatha kuwonetsa `(Dextrocardia)` kapena zolakwika zina mu mwana wosabadwayo. Mayeso otchedwa `(Fetal Echocardiogram)` amachitidwanso kuti ayang'ane mtima mwatsatanetsatane.

Komabe, ngati mayeso omwe amachitika panthawi ya mimba sakusonyeza vuto lililonse, matendawa angadziwike atangobadwa. Ana ena amasonyeza zizindikiro za matenda a mtima obadwa nawo atangobadwa kumene. Kenako madokotala amachita mayeso kuti apeze vutoli.

Komabe, ngati pali `(Dextrocardia)` yokha, palibe zizindikiro, kotero ana omwe alibe mavuto akuluakulu a mtima kapena matenda a majini sangadziwe za izi kwa zaka zambiri.

Madokotala amachita mayeso akuthupi ndi mayeso ena kuti adziwe matenda a dextrocardia mwa makanda, ana, ndi akuluakulu. Pa nthawi yoyezetsa thupi, dokotalayo adzamvetsera mtima wanu ndi stethoscope. Ngati kugunda kwa mtima kumamveka bwino mbali yakumanja ya chifuwa chanu, kungakhale chizindikiro cha dextrocardia.

Ngati akukayikira kuti dextrocardia ndi yoopsa, madokotala angachite mayeso ena, monga:

• X -ray pachifuwa
• Kujambula kwa CT
• Echocardiogram (Echo) (Izi zimatenga chithunzi cha mtima)
• Mayeso a Electrocardiogram (ECG/EKG) (Izi zimayesa ntchito yamagetsi ya mtima)
• Kuyesa Majini
• MRI ya Mtima

Matenda a mtima otchedwa Isolated `(Dextrocardia)` amatha kupezeka mwangozi pa mayeso awa, makamaka pa `(ECG/EKG)`. Izi zikutanthauza kuti, nthawi zambiri amapezeka dokotala akafuna china chake.

Ndi matenda ena ati a mtima omwe angagwirizane ndi `(Dextrocardia)`?

Anthu omwe amapezeka ndi ``Dextrocardia`` nthawi zambiri amapezeka kuti ali ndi matenda ena a mtima obadwa nawo. Ena mwa awa ndi awa:

• `Double Inlet Left Ventricle` (ili ndi njira ziwiri zomwe magazi amalowera mu ventricle yakumanzere ya mtima)
• `Double Outlet Right Ventricle` (mitsempha yonse ikuluikulu yamagazi imayambira ku ventricle yakumanja ya mtima)
• "Dzenje mumtima" (`Atrial Septal Defect`, `Ventricular Septal Defect` kapena `Atrioventricular Septal Defect`)
• Pulmonary Atresia (valavu ya mtsempha wa m'mapapo sikukula bwino kapena yatsekedwa kwathunthu)
• Kuchepa kwa valavu ya mtsempha wa m'mapapo (pulmonary stenosis)
• Tetralogy of Fallot (kuphatikiza kwa zilema zinayi za mtima)
• Kusintha kwa Mitsempha Yaikulu
• `Tricuspid Atresia` (kulephera kwa valavu ya tricuspid kukula bwino)

Izi zingamveke zovuta pang'ono, koma madokotala adzakufotokozerani.

Kodi `(Dextrocardia)` imachiritsidwa bwanji?

Mwachidule, vuto la dextrocardia lokhalokha silifuna chithandizo chilichonse . Komabe, ndikofunikira kuuza dokotala aliyense amene akukuthandizani kuti muli ndi vutoli. Izi zili choncho chifukwa zimathandiza kuti adziwe kusintha kwa kapangidwe ka thupi lanu akamachita mayeso enaake kapena kuchita zinthu monga opaleshoni.

Komabe, ngati muli ndi matenda ena a mtima kapena matenda a majini pamodzi ndi ``(Dextrocardia)``, dokotala wanu adzasankha chithandizo chofunikira pa matenda amenewo. Pa chithandizo chimenechoIzi zingaphatikizepo mankhwala, njira zochiritsira, kapena opaleshoni.

Matenda oopsa a mtima nthawi zambiri amachiritsidwa ali mwana. Ndikumvetsa kuti ngati mwana wanu akufunika chinthu chonga ichi, chingakhale chovutitsa kwambiri kwa inu. Komabe, gulu lachipatala lomwe limathandiza mwana wanu lidzakupatsani chithandizo ndi malangizo omwe mukufuna. Adzakufotokozerani zonse, kuphatikizapo zomwe mwana wanu amafunikira komanso momwe angamusamalire kunyumba.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mwana wanu ali ndi `(Dextrocardia)` lankhulani ndi dokotala wawo za zomwe angayembekezere mtsogolo komanso zizindikiro zomwe ayenera kuyang'anira (makamaka zomwe zimagwirizana ndi matenda ena a mtima kapena matenda ena).

Ngati muli ndi `(Dextrocardia)` lankhulani ndi dokotala wanu kuti mudziwe momwe matenda ena angakhudzire thupi lanu, zizindikiro zomwe muyenera kuzisamala, komanso momwe mungathanirane nazo.

Kodi munthu amene ali ndi `(Dextrocardia)` angakhale ndi moyo kwa nthawi yayitali bwanji?

Munthu amene ali ndi `(Dextrocardia)` nthawi zambiri amakhala ndi moyo wautali . Komabe, zimatengera matenda ena. Makanda obadwa ndi `(Dextrocardia)` yokha (kutanthauza kuti, opanda matenda ena a mtima kapena matenda ena a mtima) amakhala ndi moyo wabwinobwino. Komabe, makanda obadwa ndi matenda a mtima obadwa nawo kapena matenda a majini angafunike chithandizo kapena opaleshoni kuti athetse mavuto amenewo. Chifukwa chake, ndi bwino kulankhula ndi dokotala wanu za zomwe mungayembekezere komanso zomwe zidzachitike kwa nthawi yayitali.

Matenda a dextrocardia ndi matenda osowa kwambiri, koma taphunzira zambiri za matendawa kwa zaka zambiri. Taganizirani izi, asayansi akhala akuzidziwa kuyambira m'ma 1600! Izi zikutanthauza kuti anali amodzi mwa matenda oyamba a mtima obadwa nawo kuzindikirika. Masiku ano, tikudziwa kuti amatha kuchitika okha kapena ngati chizindikiro cha matenda enaake a majini. Ndizachilendonso kuti makanda omwe ali ndi dextrocardia akhale ndi matenda ena a mtima obadwa nawo.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ngati inu kapena mwana wanu ali ndi `(Dextrocardia)`, musachite mantha . Pezani malangizo ofunikira kuchokera kwa dokotala wanu. Adzakufotokozerani ngati pali mavuto ena omwe akufunika chithandizo.

Chofunika kwambiri ndi kudziwitsa dokotala aliyense kapena katswiri wa zaumoyo amene amakusamalirani za malo enieni omwe ali mumtima mwanu. Zingakhale zofunika kwambiri kuti adziwe izi akamakusamalirani.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Dextrocardia , mtima kumbali yakumanja, Situs Inversus, Congenital Heart Defect, matenda a mtima, matenda a majini, matenda obadwa nawo