Zvakajairika kunzwa kutya uye kushamisika kana chiremba wemwana wako akakuudza kuti pane buri mumoyo make. Ungave uchifunga kuti, "Mwari wangu, chii chakaitika kumwana wangu?" Asi musazvidya mwoyo. Dambudziko iri rakajairika mukurapa. Nhasi tichataura nezve buri iri mumoyo, iro ratinodaidza kuti `(Atrial Septal Defect - ASD)` mukurapa, uye mushonga unoshandiswa kurapa, unoti `(ASD Closure)`.
Zvichitaurwa zviri nyore, chii chinonzi ASD?
Mwoyo wedu une makamuri makuru mana. Makamuri maviri epamusoro anonzi atria. Pane rusvingo (septum) pakati pemaatria maviri aya. Chirema cheAtrial Septal (ASD) iburi risingawanzoitiki pamadziro aya.
Funga nezvazvo, mwana wese anozvarwa aine buri diki pamadziro aya. Izvozvo zvakajairika. Buri iri rinovhara roga mukati memavhiki mashoma kana mwedzi mushure mekuzvarwa kwemwana. Asi dzimwe nguva, buri iri rinogona kukura zvishoma, kana kuti harigone kuvhara roga. Ndipo patinoridaidza kuti ASD.
Ko gomba iri rinofanira kuvharwa here? Ndiani anoda kurapwa uku?
Kana buri diki kwazvo , rinogona kusakonzera matambudziko. Pamwe hapana mushonga unodiwa. Asi kana buri rakakura, rinogona kukonzera dambudziko.
Chinoitika ndechekuti nekuda kweburi iri, ropa rinobva mukamuri imwe yemoyo rinotanga kudonhera mukamuri isiriyo. Ipapo moyo nemapapu zvinofanirwa kushanda nesimba kupfuura zvazvinoita nguva dzose. Nekufamba kwenguva, izvi zvinogona kukonzera matambudziko akasiyana-siyana.
Chinhu chinonyanya kukosha ndechekurapa izvi zvisati zvaita matambudziko. Saka kana chiremba wako akakurudzira kuvhiyiwa uku, usazvitya.
Matambudziko makuru anogona kuitika nekuda kwechirwere ichi ndeaya:
- Kurira kwemwoyo kusingajairiki, kunozivikanwawo semamiriro ezvinhu ekuti `(Arrhythmia)`. Semuenzaniso, `(Atrial Fibrillation)` kana `(Atrial Flutter)`.
- Kukura kwemoyo.
- Njodzi yekukundikana kwemoyo.
- Kukwira kweropa mumapapu (Pulmonary Hypertension).
- Kutadza kufema zvakanaka.
- Njodzi yekurohwa nestroke.
Kana iwe kana mwana wako muri panjodzi yekusangana nematambudziko aya, chiremba wako anogona kukurudzira kuvhara buri (ASD Closure). Uyewo, kana uri kuvhiyiwa chimwe chirwere chemwoyo, chiremba wako anogona kusarudza kuvhara buri panguva imwe chete. Kuvhiyiwa uku kunowanzoitirwa vana vadiki kudzivirira kukuvara kwemoyo mune ramangwana.
Nzira yekuvhara gomba iri? Pane nzira mbiri huru!
Pane nzira mbiri huru dzinoshandiswa kuvhara buri iri: kuvhiyiwa kwemoyo wakavhurika uye nzira dzisingashandisi kuvhiyiwa uchishandisa catheter. Chiremba wemwoyo wako ndiye achasarudza kuti ndeipi nzira yakanakira mamiriro ako ezvinhu.
| Nzira yekurapa | Tsananguro |
|---|---|
| 1. Kuvhiyiwa kweMwoyo Wakavhurika (Kuvharwa Kwekuvhiyiwa) | Muizvi, kucheka kunoitwa munzvimbo yechipfuva, kusvika pamwoyo zvakananga uye kuvhara buri. Chigamba chekugadzira, mamwe matishu emuviri, kana masitichi zvinogona kushandiswa kuvhara buri. Izvi zvinoitwa pasi peanesthesia. |
| 2. Kuvharwa kweTranscatheter | Izvi hazvidi kuchekwa kukuru. Chubhu yakatetepa (catheter) inopfuudzwa nemutsinga yeropa iri munzvimbo yedumbu ichienda kumoyo, uye mudziyo wakakosha (mudziyo wekuvhara) unopfuudzwa nepakati payo kuti uvhare buri. Nguva yekupora ipfupi, uye hapana vanga guru rasara. |
Zvimwe zvishoma nezveTranscatheter Closure
Kana buri riri mumoyo mako riri diki uye usina mamwe matambudziko emwoyo, nzira iyi inowanzo sarudzwa. Munzira iyi, murwere anenge asina kurara zvachose. Kurapwa zvishoma kunoshandiswa. Chiremba anoshandisa catheter inopinzwa nepaburi diki mudumbu kuti atungamirire catheter kupinda mumoyo achishandisa X-ray uye echocardiogram techniques. Mudziyo unovhara buri unozoiswa panzvimbo chaiyo uye catheter inobviswa. Kupora kunokurumidza zvikuru nenzira iyi.
Chii chinoitika mushure mekurapwa? Zvinotora nguva yakareba sei kuti munhu apore?
Zvichienderana nekurapwa kwaunowana, ungangoda kugara muchipatara kwezuva rimwe chete kana kupfuura. Chikwata chekurapa chichakutarisa zvakanyanya.
- Kana wakambovhiyiwa pachena , unofanira kudzivisa mabasa anorema akadai sekusimudza zvinhu zvinorema kwemavhiki mashoma.
- Kana wakambovhiyiwa catheter , unogona kudzokera kumabasa ako emazuva ese mukati mevhiki imwe chete.
Mushure mekurapwa, mushonga wekudzivirira kuumbwa kweropa kwemwedzi inosvika mitanhatuUchafanira kuitora. Zvakare, kunyanya kana uri kurapwa mazino, chiremba wako achakukurudzira kuti utore mishonga inorwisa mabhakitiriya kudzivirira hutachiona.
Chinhu chinonyanya kukosha ndechekuona kuti waenda kuna chiremba pamazuva akarongwa. Uchafanirwa kuongororwa kakawanda, senge "Echocardiogram" uye "Electrocardiogram - ECG", kuti uone kana kurapwa kwacho kwabudirira.
Pane njodzi dziripo here pakurapwa uku?
Sekune mamwe marapirwo ekurapa, kune dzimwe njodzi diki. Zvisinei, kazhinji mushonga wakachengeteka uye unoshanda. Njodzi dzingangoitika ndeidzi:
- Kurwara nezvinhu zvinoshandiswa pakurapa.
- Kusashanda zvakanaka kwemoyo (Arrhythmia).
- Kubuda ropa.
- Kukuvadzwa kwetsinga dzemwoyo kana dzeropa (izvi hazviwanzoitiki).
- Utachiona hwakatenderedza nzvimbo yakachekwa kana chinhu chakavhara buri.
- Kurwiswa kweSiroko kana Kurwiswa kweIschemic Kwenguva Pfupi.
Chiremba wako achataura newe nezvenjodzi idzi. Hapana chekunetseka nacho, kazhinji zvinhu izvi hazviitike.
Mumamiriro ezvinhu api aunofanira kuona chiremba nekukasika?
Kana ukaona zviratidzo zvekunyevera mushure mekurapwa kwako, unofanira kufonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
| Zviratidzo zvekunyevera zvekutarisira | |
|---|---|
| - Ropa, hurwa, kana chimwe chinhu chinobuda kubva pakachekwa. | - Kurwadziwa kwechipfuva. |
| - Kurasikirwa nepfungwa kana kuvhiringidzika. | - Kupindwa nechando. |
| - Marwadzo haawedzeri kana kuderera kunyangwe atora mishonga inoderedza marwadzo. | - Kutadza kufema zvakanaka. |
| - Kuchinja kwemoyo (kunzwa sekunge kurova kwemoyo muchipfuva). | |
Mukupedzisa, ASD Closure mushonga unokosha zvikuru unodzivirira hutano hwemwoyo nemapapu, zvichikubatsira iwe kana mwana wako kurarama hupenyu hurefu uye hune hutano.
Mharidzo Yekuenda Nayo Kumba
- Chirema cheatrial septal (ASD) iburi riri pamadziro pakati pemakamuri maviri epamusoro emoyo.
- Nekuti maburi makuru anorema zvakanyanya pamoyo nemapapu, zvakakosha kuavhara kudzivirira matambudziko mune ramangwana.
- Kune nzira dzekuvhiya mwoyo usingashande uchishandisa catheter kuvhara izvi. Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira.
- Mushure mekurapwa, zvakakosha zvikuru kutevedzera mirairo yachiremba nemazvo uye kuenda kumakiriniki pamazuva akarongwa.
- Kurapa uku kunowedzera nguva yekurarama uye kunobatsira zvikuru pakurarama hupenyu hune hutano.
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