Ndinonzwisisa kuti zvakaoma sei kuti mubereki ataurirwe nachiremba kuti mwana wako achangoberekwa ane chirwere chemwoyo chakakomba. Panguva yakaita seiyi, paunonzwa nezve 'BTT shunt', ungangove uine mibvunzo yakawanda pamusoro pekuti chii, kuti chinoitwa sei, chichakuvadza mwana here, uye pane njodzi here. Usazvidya moyo. Nhasi, tichataura nezvazvo zvese zvakajeka uye zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi BTT Shunt iyi?
BTT shunt, kana kuti Blalock-Taussig-Thomas shunt, kuvhiyiwa kwakakosha kunoitwa kubatsira vacheche vasiri kuwana oxygen yakakwana kumiviri yavo. Dambudziko iri rinokonzerwa nechirwere chemwoyo chekuzvarwa nacho .
Funga nezvazvo, miviri yedu inowana okisijeni kubva mumhepo yatinofema ichienda mumapapu edu. Okisijeni iyi inofanira kuwedzerwa muropa uye inotakurwa mumuviri wese. Zvisinei, mune vamwe vacheche vane chirwere chemwoyo, tsinga huru yeropa inotakura ropa kubva pamwoyo kuenda kumapapu , tsinga yemapapu , haiwani ropa rakakwana. Zvadaro muviri hauwani okisijeni yakakwana.
Saka, zvinoitwa neBTT shunt kugadzira nzira itsva nekuisa chubhu diki yekugadzira (shunt kana graft) kubva mutsinga huru yeropa inotakura ropa kubva pamwoyo kuenda kumuviri kuenda kumapapu. Zvakafanana nemugwagwa mudiki unodarika mugwagwa wakabatikana. Izvi zvinowedzera huwandu hweropa rinoenda kumapapu, uye muviri unowana oxygen iri nani.
Chinhu chakakosha ndechekuti iyi inowanzova mhinduro yenguva pfupi. Kana mwana akura zvishoma uye akasimba, kuvhiyiwa kukuru kunoitwa kuti kugadzirise zvachose dambudziko rekutanga remwoyo. Munguva yekuvhiyiwa ikoko, BTT shunt inobviswa. Zvisinei, kashoma, vamwe vacheche vangada kuva neshunt iyi semhinduro yenguva refu.
Ndeapi marudzi ezvirwere zvemwoyo anoda kuvhiyiwa kweBTT Shunt?
Kuvhiyiwa uku kunobatsira pazvirwere zvemwoyo zvakawanda zvinoderedza kuyerera kweropa mumapapu.
| Matambudziko emwoyo ekuzvarwa nawo |
|---|
| Chirwere chemwoyo cheruboshwe chisina kusimba |
| Tetralogy yeFallot (TOF) |
| Truncus arteriosus |
| Dambudziko raEbstein |
| Kupera kwemapapu |
| Tricuspid atresia |
| Mamwe marudzi ekuchinja kwetsinga huru |
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Vasati vavhiyiwa, timu yevanachiremba yemwana wenyu ichaunganidza ruzivo rwese rwakakosha. Vachanyatsoongorora mwana wenyu uye vachaongorora nhoroondo yehutano hwake kubva pakuzvitakura kwenyu. Vanogonawo kuita mimwe miedzo isingakuvadzi mwana.
| Mhando dzebvunzo dzinogona kuitwa |
|---|
| Kuongororwa kwemoyo (Transthoracic echocardiogram) |
| Kuongororwa kweropa |
| X-ray yechipfuva |
| Kuongororwa kweECG (Electrocardiogram) |
| Dzimwe nguva angiogram kana CT angiogram (Coronary angiogram kana CT angiogram) |
Muchawanawo mirairo yekuti mungagezesa sei mwana wenyu musati mavhiyiwa uye kuti mungarega kudya nekuyamwisa riini.
Chii chinoitika panguva yekuvhiyiwa?
Kuvhiyiwa uku kunotora maawa akati wandei uye kunoda kungwarira zvikuru. Chiremba anovhiya anonyanya kuita zvinotevera:
- Pfupa riri pakati pechipfuva chemwanaMoyo unosvika nekucheka nepakati pe sternum .
- Kuti thymus gland ive pedyo, inobviswa zvachose.
- Sezvambotaurwa, chigadzirwa chekugadzira chakabatana pakati petsinga huru inopa ropa mumuviri (subclavian artery) netsinga yeropa inopa ropa kumapapu (pulmonary artery).
- Kubatana uku kunoongororwa nokungwarira kuti zvionekwe kana kuri kushanda nemazvo, kana paine ropa rakagwamba, kana kuti kana paine ropa rinobuda.
- Kana zvese zvakanaka, chipfuva chemwana chichavhara zvakare.
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, mwana wako achaiswa muchikamu chevarwere vane chirwere chakanyanya (ICU) .
Usavhunduke neizvi. Unganzwa kusagadzikana zvishoma paunoona mwana wako mushure mekuvhiyiwa. Mwana wacho achava nemachubhu akawanda newaya dzakabatanidzwa paari. Asi yeuka, zvese izvi zviripo kuti zvibatsire mwana kupora nekukurumidza. Saka ramba wakasimba.
Mwana anopiwa mushonga wekuderedza ropa, wakaita seheparin, kudzivirira kuumbwa kweropa. Vanotangawo aspirin . Mwana anofanira kutora aspirin iyi kweupenyu hwake hwese. Kashoma, vamwe vacheche vangada rubatsiro rwemuchina wekutsigira hupenyu kwenguva pfupi, wakaita seECMO .
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Chinhu chikuru chakanakira:
Kubatsira kukuru kwekuvhiyiwa uku ndekwekuti kunowedzera huwandu hweokisijeni hunosvika kumasero emuviri wemwana. Izvi zvinoderedza ruvara rwebhuruu (cyanosis) runoonekwa paganda revamwe vacheche, miromo, nenzara nekuda kwekushaikwa kweokisijeni. Iri izambuko rakanaka rekuti mwana arambe akasimba uye ane hutano kusvika pakuvhiyiwa kukuru kunotevera.
Njodzi nematambudziko:
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi. Chiremba wako achakutsanangurira izvi zvakadzama. Mamwe ematambudziko anogona kuitika anosanganisira:
- Ropa rakawanda rinoyerera nepamuchina we shunt kuenda kumapapu kupfuura zvinodiwa (pulmonary overcirculation).
- Kugwamba kweropa.
- Kukuvadzwa kwetsinga iri pedyo nenzvimbo yekuvhiyiwa (kunyanya tsinga inokanganisa kudzama kwenzwi remwana).
- Kusashanda zvakanaka kwemoyo (Arrhythmia).
- Kusungwa kwemwoyo.
Njodzi idzi dzakaderera zvikuru, uye timu yezvekurapa iri kuita zvese zvainogona kudzivirira zvinhu zvakaita seizvi.
Zvinotora nguva yakareba sei kuti ndipore uye ndinofanira kuona chiremba riini?
Mwana anowanzogara muchipatara kwemavhiki maviri. Vhiki yekutanga kana kupfuura ichapedzerwa mukamuri rekuchengetwa kwakanyanya (ICU). Kunyangwe mushure mekuenda kumba, uchafanirwa kuendesa mwana wako kunoongororwa nguva nenguva. Kushanya kwekutanga kunowanzoitwa mukati mevhiki imwe kana maviri mushure mekuenda kumba.
Kana wadzokera kumba, kana ukaona zviratidzo zvinotevera, unofanira kufonera chiremba wako nekukasika.
| Zviratidzo zvekunyevera zvekutarisira |
|---|
| Kuzvimba panzvimbo yekuvhiyiwa kana kune imwe nzvimbo mumuviri |
| Kutsvuka kwakakomberedza ronda rekuvhiyiwa |
| Kana ganda nemiromo zvikaita sebhuruu zvakare |
| Kana mwana achiratidzika kunge aneta zvakanyanya kana kuti aneta |
| Kana uine fivha |
| Kana mvura iri kubuda kubva paronda rekuvhiyiwa |
Semubereki, tinoziva kuti munoda kupa mwana wenyu zvakanakisisa zvamunogona. Chinhu chakanakisisa chamungaita panguva ino kubvunza timu yezvekurapa mibvunzo yese yamunayo. Taurai zvakajeka nezvemamiriro emwana wenyu, kuvhiyiwa, uye remangwana. Kusarudza chipatara navanachiremba vane ruzivo rwakakura mukuvhiyiwa kwakadaro kuchakuunziraiwo rugare rukuru rwepfungwa.
Mharidzo Yekuenda Nayo Kumba
- BTT Shunt kuvhiyiwa kunoitwa pavana vacheche vane chirwere chemwoyo chekuzvarwa nacho kuti ropa riwedzere kuyerera richienda kumapapu uye kupa oxygen mumuviri.
- Izvi zvinowanzova mhinduro yenguva pfupi. Kana mwana akura, panofanira kuvhiyiwazve kuti pagadziriswe dambudziko remwoyo riripo.
- Mushure mekuvhiyiwa, mwana achada kurapwa kwakanyanya uye angangoda kunwa mishonga yakaita seaspirin kweupenyu hwake hwese.
- Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi. Taura pachena nachiremba wako nezvazvo.
- Kana maenda kumba, nyatsoteerera maitiro emwana wenyu, ruvara rweganda, fivha, nezvimwewo. Kana mukaona shanduko, tsvagai rubatsiro rwechiremba nekukasika.
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