Zvakajairika kunzwa kutya uye kushamisika kana mwana wako akaudzwa nachiremba kuti ane chirwere chemwoyo chaakazvarwa nacho. Asi musazvidya mwoyo. Kana muchinyatsoziva nezvechirwere chatiri kuda kutaura nezvacho nhasi, chinonzi Coarctation of the Aorta, munogona kurarama nacho zvinobudirira. Ngationei zviri nyore kuti chii, nei chichiitika, uye chii chingaitwe.
Chii chinonzi Coarctation yeAorta (CoA)?
Zvichitaurwa zviri nyore, Coarctation yeAorta (CoA) chirwere chemwoyo chekuzvarwa nacho . Chinoitika kana chikamu cheaorta, tsinga huru yeropa inotakura ropa rine oxygen kubva mumoyo wedu ichienda kumuviri wedu wese, chikatetepa . Izwi rekuti "coarctation" rinoreva "kutetepa."
Fungidzira kuti chii chingaitika kana nzira imwe chete yemugwagwa ikangoerekana yavharwa panguva yekuzara kwemotokari mumugwagwa weColombo-Galle? Mota dzese dzaizotanga kufamba, uye paizova nekuzara kwemotokari. Ndizvo zvinoitika kana imwe yetsinga dzeropa dzakakura mumuviri wedu yavharika. Ropa harizokwanisi kufamba zvakanaka.
Kuvharika uku kunowanzoitika tsinga dzinotakura ropa kuenda kuzvikamu zvepasi zvemuviri dzisati dzapatsanuka. Izvi zvinoita kuti kumanikidzwa kweropa kubva pamwoyo kuenda kuzvikamu zvepamusoro (maoko, musoro) kuwedzere, uye kumanikidzwa kweropa kubva kuzvikamu zvepasi zvemuviri (makumbo) kuderere. Kutaura zvazviri, musiyano mukuru uyu unoratidzwa nachiremba paanoongorora kumanikidzwa kweropa mumaoko nemakumbo emwana wako ndechimwe chezviratidzo zvikuru zvekuona chirwere ichi.
Zviratidzo zvacho ndezvipi? Pane musiyano here pakati pevacheche nevana vakuru?
Zviratidzo zvinosiyana zvichienderana nekuti kuvharika kwacho kwakanyanya sei. Kana kuvharika kwacho kwakanyanya, mwana anogona kutanga kuratidza zviratidzo mukati mevhiki imwe kana maviri mushure mekuzvarwa. Zvisinei, kana kuvharika kwacho kuri kudiki kwazvo, zviratidzo zvinogona kusaonekwa kusvika pazera rekuva mwana, kana zvachose.
| Boka rezera | Zviratidzo zvinowanzoonekwa |
|---|---|
| Vacheche vachangoberekwa (Vacheche) |
|
| Vana neVakuru |
|
Vamwe vana vangasaona zviratidzo. Dzimwe nguva, kekutanga pavanoona dambudziko iri ndipo pavanoongorora BP yavo kukiriniki yenguva dzose voona kuti yakakwira.
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Kunyangwe chikonzero chaicho cheizvi chisingazivikanwi, vanachiremba vanotenda kuti chine chikamu chemajini . Izvi zvinoreva kuti dzimwe shanduko dzemajini dzinoitika mwana achiri kukura mudumbu dzinogona kudzivirira aorta kuti isaumbwe zvakanaka.
Chimwe chikonzero chikuru cheizvi kuchinja kwenzira iyo tsinga diki yeropa inonzi ductus arteriosus inovhara nayo.
Funga nezvazvo, kana mwana ari mudumbu raamai, mapapu haashande. Zvadaro pane tsinga yeropa yakakosha inobatsira mwana kuwana okisijeni. Kana mwana aberekwa otanga kufema, tsinga iyi haichadiwi, saka inovhara yega mumazuva mashoma. Asi dzimwe nguva kana yavhara, mamwe matishu ari mairi anogonawo kudhonzwa muaorta, uye aorta inogona kunamira pamwe chete.
Pamusoro pezvo, vacheche vane mamwe mamiriro ezvinhu emumajini, akadai seTurner syndrome, vari panjodzi yakakura yekuva nechirwere ichi cheCoA.
Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?
Kana chirwere ichi chikasaonekwa uye chikarapwa nekukurumidza, matambudziko akasiyana-siyana anogona kuitika nekufamba kwenguva.
- Kukwira kweropa (BP) mumuviri wese.
- Kukora kwakanyanya kwetsandanyama yemwoyo (left ventricular hypertrophy) .
- Mafuta anoiswa mutsinga dzinoendesa ropa kumoyo (chirwere chemwoyo) nguva isati yakwana.
- Kubuda kwakaita sebharumu (aneurysm) muaorta kana mutsinga yeropa muuropi.
- Chirwere chekuti moyo haugone kupomba ropa rakakwana(kukundikana kwemoyo) kunoitika.
Chinhu chakakosha ndechekuti matambudziko mazhinji aya anongoitika chete kana chirwere chisina kuongororwa uye kurapwa nekukurumidza. Saka, zvakakosha kuona chiremba nekukurumidza.
Vanachiremba vanoongorora sei chirwere ichi nemazvo?
Vanachiremba vemwoyo vevana ndivo vanowanzo ongorora chirwere ichi. Izvi zvinonyanya kuitwa nekuongorora mwana mumuviri.
- Kuongorora mutsauko weBP mumaoko nemakumbo .
- Kutarisa kurova kwemoyo mumutsipa nemuzvidya.
- Kugunun'una kwemoyo (heart murray) ruzha rwakasiyana rwunonzwika kana stethoscope yaiswa pachipfuva nemusana.
Pamusoro pezvo, Echocardiogram (echo) , scan yemoyo, inoitirwa kusimbisa kuongororwa uye kuona kuti mwoyo wacho wavharika zvakadii. Dzimwe nguva, CT kana MRI scans dzinogonawo kudiwa.
Zvimwe zvirwere zvemoyo zvinogona kuitika neizvi
Vanenge 45% kusvika 75% yevana vane CoA vanewo chirwere chinonzi bicuspid aortic valve . Izvi zvinoreva kuti vharuvhu inotakura ropa kubva pamoyo kuenda kuaorta ine cusps mbiri chete panzvimbo petatu. Pamusoro pezvo, mamiriro akadai semaburi mumoyo (atrial septal defect kana ventricular septal defect) anogonawo kuonekwa nechirwere ichi.
Ndezvipi zvingasarudzwa pakurapa?
Kurapwa kunobva pazera remwana, kukura kweaortic stenosis, uye kana paine zvimwe zvirwere zvemwoyo.
Kuvhiya
Kurapa kwakanakisa kwevacheche nevana vadiki kuvhiyiwa.
- Kubviswa kweganda nekubvisa ganda kubva paganda kusvika paganda: Izvi zvinosanganisira kucheka chidimbu chidiki chakavharika uye kubatanidza zvikamu zviviri zvine hutano.
- Kuvhiyiwa kwekubvisa tsinga nekubvisa tsinga kubva pamucheto kusvika pamucheto: Kana paine kuvharika kwetsinga yeropa, kuvhiyiwa uku kwakaoma kunoitwa.
Vacheche vane zviratidzo zvakakomba pakuzvarwa kwavo vangangoda kupihwa mishonga yakaita seprostaglandin (PGE-1) kuti vagadzikane mamiriro emwana vasati vavhiyiwa.
Kugadziriswa kweCatheter yemwoyo
Iyi inzira iri nyore pane kuvhiyiwa. Nzira iyi inoshandiswa kana kuvharika kuri kudiki, kana kuvharika kwacho kukadzoka mushure mekuvhiyiwa.
- Angioplasty yebharumu: Mudziyo mudiki wakaita sebharumu unoiswa mutsinga yeropa wofuridzirwa kuti nzvimbo yakavharika iwedzere.
- Kuvhiyiwa kwetsinga dzebharumu nekuisa stent: Tsinga yakavharika inowedzerwa nebharumu, uye chubhu diki yakaita semesh (stent) inoiswa mukati kuti isavharwe zvakare.
Remangwana remwana wangu richave rakaita sei?
Nenzira dzemazuva ano dzekuongorora chirwere ichi uye marapirwo azvino, mwana ane CoA anogona kurarama hupenyu hwakanaka uye hwakajairika. Kunyange zvazvo kare avhareji yehupenyu hwevarwere ava yaive makore angangoita makumi matatu nemashanu, ikozvino vanogona kurarama hupenyu hwakanaka kwemakore makumi matanhatu kana kupfuura.
Chinhu chinonyanya kukosha ndechekuti, kunyangwe mushure mekurapwa, unofanira kuenda kukiriniki yechiremba wemwoyo kweupenyu hwako hwese.
Zvadaro, Chiremba,
- Kukwira kweropa remwana kunoongororwa nguva nenguva.
- Kuongororwa kwakafanana nekuongororwa kunoitwa kuti kuonekwe kushanda kwemoyo.
- Anopa mazano ekudya zvine hutano uye maekisesaizi.
- Anonyorera mishonga kana zvichidikanwa.
Kana ukaona kuti mwana wako ane chirwere ichi, ungave nemibvunzo yakawanda. Ungashamisika kuti sei izvi zvakaitika. Gara uchiyeuka, iyi haisi mhosva yako. Chiremba wako nechikwata chekurapa vachaita zvese zvavanogona kuti vakubatsire iwe nemwana wako. Usazeza kuvabvunza mibvunzo uye kutaura nezvekutya kwako.
Mharidzo Yekuenda Nayo Kumba
- Kubatana kweAorta (CoA) chirwere chemwoyo chekuzvarwa nacho umo tsinga huru yeropa mumuviri inovharika.
- Vana vacheche vanogona kuratidza zviratidzo zvakaita sekuomerwa nekudya, kurara zvakanyanya, uye kuoma kufema.
- Chiratidzo chikuru chechirwere ichi musiyano mukuru mukumanikidzwa kweropa pakati pemaoko nemakumbo.
- Iyi haisi mhosva yako. Usazvidya moyo, enda kuna chiremba.
- Dambudziko iri rinogona kurapwa zvinobudirira nekuvhiyiwa uye mamwe marapirwo emazuva ano.
- Kunyangwe mwana achigona kurarama hupenyu hwakanaka uye hwakanaka mushure mekurapwa, kushanya kumakiriniki ekurapa kwehupenyu hwese kunosungirwa.
Kubatana kweAorta Sinhala, Kubatana kweAorta, Chirwere chemwoyo chekuzvarwa nacho, Chirwere chemwoyo chemwana, Chirwere chemwoyo chevana, Kukwira kweropa, Kukanganisika kwemoyo kwekuzvarwa nacho Sinhala
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