Nhengo dzemuviri wako dzakarongwa zvakasiyana here? Ngatikurukurei nezveHeterotaxy Syndrome!

Nhengo dzakakosha dziri mukati memiviri yedu, dzakadai semwoyo, mapapu, nechiropa, dziri munzvimbo dzakarongwa zvakafanana uye munzvimbo dzakakodzera munhu wese, handiti? Ndiyo nzira yakajairika. Asi funga nezvazvo, dzimwe nguva nhengo idzi hadzisi padzinofanira kuva, asi dzinogona kuwanikwa zvakasiyana zvishoma, munzvimbo dzakasiyana. Ndizvo zvatichataura nezvazvo nhasi, mamiriro asingawanzoitiki asi akakosha ekuziva. Izvi zvinonzi heterotaxy syndrome.

Chii chinonzi heterotaxy syndrome iyi?

Zvichitaurwa zviri nyore, heterotaxy syndrome chirwere umo nhengo dzemukati dziri muchipfuva nedumbu rako dziri munzvimbo dzakasiyana kupfuura zvadzaiwanzoita. Funga nezvazvo, kana munhu wese aberekwa, nhengo dzake dziri munzvimbo dzakatarwa mumuviri wake. Semuenzaniso, munhu ane heterotaxy anogona kunge aine moyo wake nespleen kurudyi panzvimbo pekuruboshwe. Kuchinja uku dzimwe nguva kunogona kukonzera matambudziko makuru ehutano, uye kunogona kutoisa hupenyu panjodzi.

Izwi rekuti "heterotaxy" rinobva mumutauro wechiGiriki. "Heteros" zvinoreva "zvakasiyana" uye "taxis" zvinoreva "kurongeka, kurongeka". Izvi zvinoreva kurongeka kwakasiyana . Dzimwe nguva izvi zvinonzi "Heterotaxia" kana "Atrial Isomerism".

Ndezvipi nhengo dzinogona kukanganiswa ne heterotaxy syndrome?

Dambudziko iri rinogona kukanganisa nzvimbo uye mashandiro enhengo dzinotevera mumuviri wako:

• Mwoyo
• Mapapu
• Chiropa
• Chidendene
• Matumbu

Izvi zvakasiyana here ne `(Situs Solitus)` uye `(Situs Inversus)`?

Ehe, aya mamiriro matatu akasiyana.

• (Situs Solitus): Izvi zvinoreva nzvimbo yakajairika, inotarisirwa yenhengo dzedu dzemukati. Izvi ndizvo zvinoita vazhinji vedu nhengo dzedu.
• (Situs Inversus): Apa ndipo apo nhengo dzemukati dzinoiswa panzvimbo yakatarisana nenzvimbo yadzo yakajairika, sekunge dziri kutarisa negirazi . Semuenzaniso, moyo uri kurudyi pane kuruboshwe. Kazhinji, `(Situs Inversus)` haawanzo kukonzera matambudziko makuru ehutano.
• (Heterotaxy Syndrome): Iyi haisi nyaya yekuti nhengo dzemuviri dzinongotsinhaniswa chete. Dzimwe nhengo dzingasagadzirwa zvakanaka, kana kuti panogona kunge paine matambudziko akakomba nekushanda kwadzo. Iyi inyaya inogona kukonzera matambudziko ehutano akaomarara kupfuura `(Situs Solitus)` kana `(Situs Inversus)`.

Ndiani anogona kuva nechirwere ichi?

Heterotaxy syndrome imhando yezvirwere zvemajiniMunhu wese anogona kuva nechirwere chemwoyo chakakonzerwa nekuzvarwa nacho. Kazhinji, chirwere ichi chinoitika nguva nenguva, zvichireva kuti hapana munhu mumhuri akambova nacho kare, uye chinokonzerwa nekuchinja kwemajini matsva (`(sporadic kana de novo mutation)`). Zvisinei, kana mumwe munhu mumhuri yako akambova nechirwere chemwoyo chakaberekwa nacho , njodzi yako yekuva nemwana ane chirwere ichi inogona kuwedzera zvishoma.

Mamiriro ezvinhu aya akajairika zvakadii?

Pasi rose, zvinofungidzirwa kuti mwana mumwe chete pavana 10,000 vachangoberekwa anobatwa nechirwere cheheterotaxy syndrome. Zvisinei, zvimwe zvidzidzo zvinoratidza kuti chirwere ichi chingave chakajairika nekuti dzimwe nguva hachionekwi zvakanaka.

Inenge 3% yezvirwere zvemwoyo zvekuzvarwa nazvo zvine chekuita nechirwere ichi che heterotaxy.

Ndezvipi zviratidzo zveizvi?

Chiratidzo chikuru ndechekuti nhengo dzemukati dziri muchipfuva nemudumbu hadzikure sezvaitarisirwa. Dzimwe nguva dzimwe nhengo dzinogona kunge dzisipo, kana kuti dzingasanyatsoumbwa zvakanaka panguva yekukura kwemwana. Zviratidzo zvinobva pane izvi ndeizvi:

• Nhengo dzemukati (mwoyo, mapapu, chiropa, chirwatata, ura) hadzishande zvakanaka.
• Kuva nechimiro chisina kujairika chemoyo (congenital heart condition).
• Kuora kweura.
• Kusavapo kwetsvina (Asplenia) kana kupatsanurwa kwetsvina kuita zvikamu (Polysplenia).

Zviratidzo zvakaita seizvi zvinogonawo kuitika nekuti nhengo dzemukati hadzisi kushanda zvakanaka:

• Kutadza kufema zvakanaka.
• Kusakwanisa kurwisa hutachiona.
• Ganda rebhuruu kana kuti rakachenuruka (Cyanosis).
• Kurwadziwa kwemudumbu kana mudumbu.
• Kuomerwa nekudya, kuwedzera uremu, kana kugaya chikafu.
• Kurova kwemoyo kusina kurongeka.
• Kuungana kwematehwe kana mvura mumapapu.

Fungidzira, pane mwana achangoberekwa, ari kunetseka kufema, muviri wake wakaita sebhuruu. Vanachiremba pavanomuongorora, vanoona kuti pane musiyano mudiki pamoyo wemwana, pamwe chiropa chiri kune rumwe rutivi. Zvinhu izvi zvinogona kuva zviratidzo zve `(Heterotaxy Syndrome)`.

Chii chinokonzera izvi?

Kune zvinhu zvakawanda zvinogona kukonzera heterotaxy syndrome.

Chikonzero chikuru ndechekuchinja kwemajini . Kuchinja kwemajini anopfuura makumi matanhatu kunogona kukanganisa izvi. Kune nzira dzakasiyana dzaunogona kugara nhaka chirwere ichi chemajini:

• Kugara nhaka kopi yejini rakachinja kubva kumubereki mumwe chete (`(Autosomal Dominant)`).
• Kugara nhaka kopi yejini yakachinjwa kubva kuvabereki vese (`(Autosomal Recessive)`).
• Kuchinja kwemajini kuchangobva kuitika (`(Sporadic kana De Novo)`) kusina nhoroondo yemhuri.
• Kuva nekuchinja kwemajini pachromosome yako yeX, inova imwe yemachromosome ako ebonde (`(X-linked)`). Izvi zvinowanzoitika kuvanhurume, nekuti vane X chromosome imwe chete.

Kuwedzera kune zvikonzero zvemajini, zvinhu zvezvakatipoteredza zvakareSemuenzaniso, kusangana naamai nechinhu chine chepfu kana chemakemikari (semuenzaniso mishonga yezvipembenene, zvinhu zvine mutobvu) panguva yekuzvitakura kunogonawo kukonzera chirwere ichi mumwana ari kukura.

Kunyangwe pari zvino, zvidzidzo zvakawanda zviri kuitwa muzviitiko apo chirwere ichi chinoitika pasina majini kana zvinhu zvakatikomberedza.

Unoona sei izvi?

Heterotaxy syndrome inoonekwa nachiremba mushure mekukuongorora uye wobva waita imwe kana kupfuura bvunzo dzemifananidzo, dzakadai se:

• Kuongororwa kweMRI (Magnetic Resonance Imaging).
• Kuongororwa kwe `CT` (Computed Tomography scan)`.
• Echocardiogram (ultrasound scan yemoyo).

Kana, mushure mekuongororwa uku, chiremba akafungidzira kuti ane heterotaxy syndrome, acharaira mimwe miedzo yekutarisa mashandiro enhengo dzemukati memuviri wako. Izvi zvinosanganisira:

• Kuongororwa ropa kuti uone hutano hwechirebvu.
• Endoscopy (kuiswa kwechubhu ine kamera)
• Kuongororwa kunotarisa mashandiro eitsvo.
• Ultrasound yeitsvo.

Heterotaxy syndrome inoonekwa rini?

Dambudziko iri rinogona kuonekwa mwana asati aberekwa kuburikidza ne prenatal ultrasound kana echocardiography (bvunzo yekutarisa moyo wemwana ari mudumbu). Vanhu vazhinji vanoonekwa mwana asati aberekwa. Heterotaxy inowanzoonekwa kana paine zviratidzo zvechirwere chemwoyo chaakaberekwa nacho. Vamwe vanhu vasina zviratidzo zvakakomba vanogona kuonekwa mwana asati aberekwa. Kashoma, chirwere ichi chinowanikwa netsaona panguva yekuongororwa kwechimwe chirwere kana munhu akura.

Mishonga yacho ndeipi? `(Kurapwa)`

Kurapwa kwechirwere cheheterotaxy hakuna kufanana kune munhu wese. Zvinoenderana nekuti ndeapi nhengo dziri mumuviri wako dzakabatwa uye kuti dzakabatwa zvakanyanya sei .

Kurapa kunonyanya kuitwa kuvhiyiwa . Kuvhiyiwa uku kunoitwa kugadzirisa kusarongeka mukukura kana kushanda kwenhengo dzemuviri muchipfuva nemudumbu. Kurapa chirwere ichi kunogona kuda kuvhiyiwa kakawanda muhupenyu hwemunhu, dzimwe nguva kutanga achiri mucheche . Kune mhando dzakasiyana dzekuvhiyiwa:

• Kuvhiya kwemoyo: Kuvhiya kunovandudza mashandiro emoyo kana kugadzirisa matambudziko emwoyo awakazvarwa nawo.
• Maitiro eFontan : Uku kuvhiyiwa kwemoyo zvakare. Kunogadzira kamuri rimwe chete (ventricle) rekupomba ropa kuenda kumapapu nemuviri.
• Maitiro eLadd : Kuvhiya kugadzirisa kumonyoroka uye zvipingamupinyi muura.
• Kuisirwa moyo`(Kuisirwa Moyo)`: Kutsiva moyo wako nemoyo wemupi. Izvi zvingadikanwa kune vakuru vakavhiyiwa mwoyo kakawanda muhupenyu hwavo hwese.

Dzimwe nzira dzekurapa dzinosanganisira:

• Kuisa pacemaker muchina wekubatsira kudzora rhythm yemoyo.
• Kutora mishonga yekuderedza BP.
• Kutora mishonga inorwisa utachiona (prophylactic antibiotics) kubatsira chiropa kurwisa hutachiona.

Ndichakurumidza sei kupora mushure mekurapwa?

Nguva yaunotora kuti upore kubva mukurapwa inosiyana, zvichienderana nerudzi rwekuvhiyiwa kwawakaitwa . Mushure mekuvhiyiwa, muviri wako unoda kuzorora zvakanaka kuti upore. Mushure mekuvhiyiwa kwemoyo kwakawanda, uchava muchipatara uchitariswa nachiremba kwemaawa makumi maviri nemana kwemazuva akati wandei kusvika kumavhiki kuti uone kana kuvhiyiwa kwacho kwakabudirira uye kana paine mimwe migumisiro. Mushure mekuvhiyiwa kumwe, zvinogona kutora mwedzi yakati wandei kuti muviri wako upore zvizere. Chiremba wako asati avhiyiwa, achakutsanangurira maitiro ekutarisira muviri wako mushure mekuvhiyiwa uye zvaunogona kuita kuti upore.

Izvi zvinogona kudzivirirwa here?

Nekuti zvimwe zvinokonzera heterotaxy syndrome zvinokonzerwa nekuchinja kwemajini , chirwere ichi hachigone kudzivirirwa zvachose. Unogona kutaura nachiremba wako nezvekuongororwa kwemajini kuti uzive nezvenjodzi dzaungave nadzo panguva yekuzvitakura.

Kana uine pamuviri, kudzivirira kusangana nemakemikari kana chepfu (semuenzaniso, mishonga yezvipembenene, zvigadzirwa zvine mutobvu) zvinogona kukonzera chirwere ichi mumwana ari kukura zvichabatsira kuchengetedza hutano hwemwana ari mudumbu.

Munhu ane chirwere ichi anotarisirwa kurarama kwenguva yakareba sei?

Nguva yekurarama kwemunhu ane heterotaxy syndrome inoenderana nekuoma kwechirwere ichi. Mhando dzakakomba dzechirwere ichi, kunyangwe nekurapwa, dzinogona kuisa upenyu hwevacheche nevana panjodzi. Zvisinei, kana chirwere chacho chisina kunyanya kuipa, nekurapwa uye kugara uchitariswa nachiremba, zvinokwanisika kurarama hupenyu hwakajairika usina matambudziko mazhinji ehutano . Kana uchinzwa kurova kwemoyo kusingawanzoitiki kana kurwadziwa kwechipfuva kana mudumbu, enda kuna chiremba nekukasika.

Inguvai yaunofanira kuona chiremba?

Ona chiremba wako kana uine chimwe chezviratidzo izvi:

• Kana ganda rako rikashanduka kuita bhuruu kana kuti grey rakachenuruka.
• Kana usingakwanise kudya kana kunwa.
• Kana uine ronda risingapore, kana ronda rakazvimba, richibuda matumbu eyero, kana kuti rine goko.

Unofanira kuenda kuchipatara panguva ipi?

Kana zvakadaro, enda kuchipatara nekukurumidza, kana kufonera 1990:

• Kurwadziwa kwakanyanya pachipfuva kana mudumbu.
• Kurova kwemoyo kusina kurongeka.
• Kutadza kufema zvakanaka.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Kana ukaonekwa uine heterotaxy syndrome, ungada kubvunza chiremba wako mibvunzo yakaita seiyi:

• Kuongororwa kwangu kwakakomba zvakadini?
• Ndinoda kuvhiyiwa here kana kuvhiyiwa kakawanda?
• Unogadzirira sei kuvhiyiwa?
• Zvinotora nguva yakareba sei kuti munhu apore mushure mekuvhiyiwa?
• Pane migumisiro yakaipa pakurapa kwamunokurudzira here?

Chii chinonzi 'Isomerism'?

Izwi rekuti `Isomerism` rinoshandiswa mukemistri kutsanangura makemikari ane fomura yemakemikari yakafanana asi maumbirwo akasiyana. Heterotaxy syndrome inonziwo `(Isomerism)` nekuti nhengo dzemukati hadzisi panzvimbo dzadzo dzakakodzera, asi dzimwe nguva dzinogona kuita mabasa adzo ekutanga. Kureva kuti, pfungwa ndeyekuti kunyangwe chimiro kana nzvimbo yacho yakasiyana, hunhu hwayo hwakafanana .

Kodhi ye `ICD` yechirwere ichi chii?

Kupatsanurwa Kwezvirwere Pasirose (ICD) chishandiso chinoshandiswa navanachiremba kupatsanura zvirwere munzvimbo dzekiriniki. Kodhi yeICD-10-CM yeheterotaxy syndrome ndeye Q89.3.

Shoko rakakosha kuvabereki nevabereki vemangwana

Kana ukaona kuti mwana wako achangoberekwa ane heterotaxy syndrome, unogona kuva nemanzwiro akasiyana-siyana. Zvinonzwisisika kuti zvakaoma zvikuru. Asi usazvidya mwoyo. Vanachiremba vako, pamwe chete nenyanzvi, vachaita zvese zvavanogona kuti vave nechokwadi chekuti hutano hwemwana wako huri nani uye vagadzirise zviratidzo kuitira kuti zvisave pangozi kuhupenyu. Matambudziko nezviratidzo zvechirwere ichi zvinoda kurapwa nguva dzose uye kutariswa kuti mwana akure zvakanaka uye ararame hupenyu hwake hwose.

Kana uri kutarisira mwana uye uchida kunzwisisa njodzi yekuti mwana wako ave nechirwere chemajini chakadai seheterotaxy syndrome, zvakakosha kutaura nachiremba wako nezvekuongorora majini kana mazano ezvemajini . Ruzivo urwu ruchakubatsira kuita sarudzo dzakakodzera. Yeuka, nguva dzose zvakanaka kutsvaga mazano ekurapa kune chero dambudziko rehutano.

Heterotaxy Syndrome, Heterotaxy Syndrome, Nhengo dzemukati, Chirwere chemwoyo, Zvirwere zvekuzvarwa nazvo, Kuchinja kwemajini, Hutano hwevana