Mwana wako achangoberekwa ari kuchinja ruvara rwebhuruu here? Ari kunetseka kuyamwisa here? Ari kunetseka kufema here? Izvi dzimwe nguva zvinogona kuva zviratidzo zvechirwere chemwoyo chekuzvarwa nacho. Zvakajairika kuti amai kana baba vatye zvikuru pavanoona chimwe chinhu chakadai. Nhasi tiri kutaura nezvechirwere chemwoyo chisingawanzoitiki, asi chakakosha zvikuru chekuziva. Chirwere ichi chinonzi Double Inlet Left Ventricle.
Chii chinonzi Double Inlet Left Ventricle (DILV)?
Zvichitaurwa zviri nyore, ichi chirwere chemwoyo chisingawanzoitiki chinowanikwa pakuzvarwa. Kuti tinzwisise izvi, ngatitangei tatarisa mashandiro anoita moyo une hutano.
Fungidzira kuti mwoyo yedu yakaita seimba ine makamuri mana. Kune makamuri maviri kumusoro nemakamuri maviri pasi.
- Makamuri maviri epamusoro (Atria): Apa ndipo panopinda ropa rinobva mumuviri uye rinoungana. Kamuri rekurudyi (Right Atrium) rinowana ropa "rakasviba" rakamboshandiswa nemuviri uye rine oxygen shoma. Kamuri rekuruboshwe (Left Atrium) rinowana ropa "rakachena" rizere neoxygen kubva mumapapu.
- Makamuri maviri epasi (ventricles): Aya ndiwo mapombi maviri makuru ari mumoyo. Ventricle yekurudyi inopomba ropa risina oxygen kuenda kumapapu kuti ritore oxygen. Ventricle yekurudyi inopomba ropa rine oxygen kubva kumapapu kuenda kumuviri wese.
Zvino, tarisai zvinoitika mumoyo wemwana ane Double Inlet Left Ventricle (DILV). Muvana ava, imba imwe chete yepasi (ventricle) inoshanda zvakanaka. Ndiyo ventricle yekuruboshwe . Ventricle yekurudyi inowanzova diki zvekuti haishande.
Dambudziko guru nderekuti ropa rinobva mumakamuri maviri epamusoro (atria yekurudyi nekuruboshwe) rinoungana mukamuri repasi rinoshanda chete (Ventricle Yekuruboshwe). Izvi zvinoreva kuti ropa risina oxygen neropa rine oxygen zvinosangana pamwe chete . Zvadaro ropa iri rakasanganiswa rinopombwa kuenda mumuviri wemwana nemapapu. Ndokusaka matambudziko akawanda achiitika.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo izvi zvinowanzoonekwa mukati memazuva mashoma kana mavhiki mwana aberekwa. Seamai, zvakakosha kuti uzive zvinhu izvi.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Ganda rebhuruu nemiromo (Cyanosis) | Ganda remwana, miromo, nenzara zvinoita sebhuruu nekuda kweropa risina mweya rinotenderera mumuviri wese. Ichi ndicho chimwe chezviratidzo zvikuru. Vamwe vanhu vanomutiwo "mwana webhuruu." |
| Kusadya zvakanaka | Kana mwana achiyamwa mukaka, anonzwa kuneta uye achinetseka kufema. Saka anonwa zvishoma orega. |
| Kuoma kufema | Mwana ari kufema nekukurumidza. Zvingaita sekunge ari kupinda muchipfuva. |
| Kusawedzera uremu | Mwana haazoremi zvakanaka nekuti haakwanise kuwana simba rakakwana kubva mukunwa mukaka wakakwana. |
| Kudikitira | Kunyanya kana uchinwa mukaka, unodikitira pahuma nekuti moyo wako unofanira kushanda nesimba. |
| Kurova kwemoyo kusina kujairika | Mwoyo unogona kurova nekukurumidza kana kuti une mutinhimira usina kurongeka. Chiremba anogona kunzwa ruzha rwakawedzerwa (heart murmur) panguva yekuongororwa. |
Sei izvi zvichiitika? Chii chiri kukonzera izvi?
Chikonzero chaicho cheizvi hachisati chazivikanwa . Zvinowanzoitika mumavhiki ekutanga epamuviri, apo moyo wemwana uri kukura. Haisi mhosva yaamai kana baba.
Kazhinji, DILV inosangana nezvimwe zvinetso zvemwoyo, izvo zvinokanganisa kufamba kweropa.
- Kubatana kwetsinga yeropa (aorta): Kutetepa kwetsinga huru yeropa (aorta) inotakura ropa kubva pamoyo kuenda kumuviri.
- Kupera kweropa mumapapu: Vharuvhu yemapapu inotakura ropa kuenda kumapapu haina kuumbwa zvakanaka.
- Kuoma kwevharuvhu remapapu: Kutetepa kwevharuvhu rinoendesa ropa kumapapu.
Vanachiremba vanoongorora sei chirwere ichi?
Kune nzira dzakawanda dzekuongorora chirwere ichi.
Panguva yekuzvitakura
Dzimwe nguva izvi zvinogona kuonekwa mwana achiri mudumbu. Kana chiremba wako akaona kuti pane zvisina kumira zvakanaka mumoyo panguva yekuongororwa kwemoyo (ultrasound), achakutumira kune scan chaiyo. Inonzi Fetal Echocardiogram . Izvi zvinogona kupa ruzivo rwakadzama nezvemaumbirwo uye mashandiro emoyo wemwana.
Mushure mekunge mwana azvarwa
Kazhinji chirwere ichi chinoonekwa mushure mekunge mwana azvarwa.
- Kuongororwa kwePulse Oximetry: Kuongororwa uku kwava kuitwa pavacheche vachangoberekwa muzvipatara zvinenge zvese muSri Lanka. Uku kuyera huwandu hweokisijeni muropa remwana. Kana huwandu hweokisijeni hwakaderera, zvinogona kuva chiratidzo chechirwere chemwoyo.
- Kuongororwa nachiremba: Kana chiremba akanzwa ruzha rusina kujairika (kunyunyuta) paanoteerera mwoyo wemwana, kana ganda rake riri rebhuruu, anogona kunge achifungira.
Zvadaro, mimwe miedzo yakati wandei inozoitwa kuti isimbise chirwere chacho.
| Bvunzo | Unoitei neizvi? |
|---|---|
| X-ray yechipfuva | X-ray yechipfuva. Izvi zvinogona kupa pfungwa yehukuru hwemwoyo uye huwandu hweropa riri kuyerera kuenda kumapapu. |
| Kuongororwa kweElectrocardiogram (ECG) | Kuyedzwa kunoyera mashandiro emagetsi emwoyo. Kunogona kuona matambudziko ane chekuita nekurova kwemoyo. |
| Echocardiogram (Echo) | Iyi ndiyo bvunzo inonyanya kukosha. Yakafanana nekuskena. Inokwanisa kuona zvakajeka makamuri emwoyo, mavharuvhu, uye kufamba kweropa. |
| Kugadziriswa kweCatheter yemwoyo | Kuongororwa kwakaoma kunoyera kumanikidzwa uye mwero weokisijeni mukati memwoyo nekupinza chubhu yakatetepa zvikuru nepatsinga yeropa iri muhudyu hwemwana. |
Ndezvipi zvinorapwa izvi?
Dambudziko iri harigone kurapwa zvizere nemishonga. Kurapa kukuru kunoitwa nekuvhiyiwa kwakasiyana-siyana.Izvi hazviumbi makamuri maviri mumoyo wemwana. Asi, zvinoshandisa ventricle imwe chete iripo kuti ropa rifambe mumuviri wese zvinobudirira sezvinobvira.
Uku hakusi kuvhiyiwa kamwe chete. Kuvhiyiwa uku kunoitwa muzvikamu zvakasiyana-siyana, zvichienderana nezera remwana.
| Matanho ekuvhiyiwa | Zera (rinenge) | Chii chinoitika mushure mekuvhiyiwa? |
|---|---|---|
| Danho rekutanga: Blalock-Taussig (BT) Shunt | Mumazuva mashoma ekutanga kana mavhiki mushure mekuzvarwa | Kana ropa risina kuyerera zvakakwana mumapapu, kuvhiyiwa uku kunosanganisira kuisa chubhu diki (shunt) kuti ropa rienderere mumapapu zvakakwana. |
| Danho rechipiri: Maitiro eGlenn Shunt | Mwedzi 4 - 6 | Ropa risingakwanise kuokisijeni rinobva pamusoro pemuviri wemwana rinonanga zvakananga kumapapu, richipfuura mwoyo. Izvi zvinoderedza basa remwoyo. |
| Danho rechitatu: Maitiro eFontan | Makore maviri kusvika matatu | Uku ndiko kuvhiyiwa kwekupedzisira. Ropa risina mweya kubva pasi pemuviri rinobatanidzwawo zvakananga nemapapu. Mushure mekuvhiyiwa uku, kusanganiswa kweropa risina mweya neropa rine mweya kunenge kwamira zvachose. |
Pamusoro pekuvhiyiwa, chiremba anogonawo kunyora mimwe mishonga yemwana.
- Digoxin: Simbisa kusimba kwemoyo.
- ACE inhibitors: Kuderedza BP.
- Mishonga Inorwisa Kugwamba Kweropa: Inodzivirira kugayiwa kweropa.
- Zvinodhaka: Bvisa mvura isingadiwi mumuviri.
Muzviitiko zvakakomba, kana kuvhiyiwa uku kusingagoneke, kuisirwa moyo kunogona kufungwa nezvako.
Remangwana richange rakaita sei? Tinogona kuva netariro here?
Zvinonzwisisika kuti utye kana ukanzwa nezvechirwere chakadai. Asi chinhu chakakosha chaunofanira kuziva ndechekuti nekufambira mberi kwesainzi yezvekurapa, vacheche ava vava nemukana wekurarama hupenyu huri nani . Huwandu hwekurarama kwemakore gumi mushure mekuvhiyiwa hwakakwira kusvika 70% - 80%. Vana vazhinji vanotosvika pakukura.
Asi vana ava vanoda kutarisirwa kweupenyu hwavo hwese nachiremba wemwoyo . Zvakakosha kuenda kumakiriniki uye kuongororwa nenguva. Mamwe matambudziko anogona kuitika.
- Nzara dzezvigunwe dzakakura mukati uye minwe yakakurisa (kudhonza).
- Zvirwere zvemapapu zvinowanzo itika zvakaita sepneumonia.
- Matambudziko emoyo.
Uyewo, vana ava vanogona kunge vaine zvimwe zvavasingakwanisi kuita pakumhanya, kusvetuka, uye kutamba mitambo sevamwe vana. Zvese izvi zvinofanira kukurukurwa uye kusarudzwa nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Double Inlet Left Ventricle (DILV) chirwere chemwoyo chisingawanzoitiki, chakakomba, asi chinorapika, uye chinoberekwa nacho.
- Kana ganda remwana wako achangoberekwa rikashanduka kuita bhuruu (cyanosis), richinetseka nekudya, kana kuti richinetseka nekufema, usanonoka wobva waona chiremba nekukasika.
- Kurapa kwacho kunosanganisira kuvhiyiwa kwakaomarara kunoitwa muzvikamu zvakasiyana-siyana zvichienderana nezera remwana.
- Kunyange zvazvo rwendo urwu rwakaoma, nekuda kwekufambira mberi mune zvehutano, vazhinji vevana ava vava kukwanisa kurarama kusvika vakura.
- Kutarisirwa kwehupenyu hwese uye kuteverwa kwakakodzera nachiremba wemwoyo kwakakosha zvikuru.
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