Kana chiremba akakuudza kuti mwana wako mudiki ane chirwere chemwoyo chinonzi "Shone's Complex," unganzwa kushamisika, kutya, uye kuvhiringidzika . Zvinowanzoitika. Ungave usati wambonzwa nezvezita iri. "Chii ichi chirwere? Chii chichaitika kumwana wangu?" Ungave uine mibvunzo yakawanda mupfungwa dzako. Usazvidya mwoyo. Ngatitaurei nezvazvo zviri nyore uye zvakajeka. Chii chinonzi Shone's Complex? Ngatinzwisisei chaizvo kuti chinoita sei kumwana.
Zvichitaurwa zviri nyore, chii chinonzi iyi Shone's Complex?
Shone's Complex chirwere chemwoyo chakaberekwa nacho . Chinoitika apa ndechekuti pane kuvharika munzvimbo dzinopfuura imwe munzira yekuyerera kweropa kuenda kuruboshwe rwemoyo wemwana wedu. Fungidzira, rutivi rwekuruboshwe rwemoyo wedu ndirwo runotora ropa rakachena, rakazara neokisijeni kubva mumapapu roripomba kuenda kumuviri wese. Sezvinongoita mota yemvura. Zvino chii chinoitika kana paine kuvharika kana maronda munzira yekuyerera kweropa iyi? Zvinova zvakaoma kuti moyo utore ropa, uye zvinova zvakaoma kupomba ropa kuenda kumuviri. Ndizvo zvinoitika muShone's Complex.
Dambudziko iri rinonzi Shone's Complex, zvichibva pazita rachiremba akatanga kuritsanangura. Kunyangwe akaona zvikanganiso zvina zvemwoyo zvine chekuita naro, vanachiremba ikozvino vaona kuti pane zvimwe zvikanganiso zvakawanda zvinobatanidzwa.
Ndezvipi zvinetso zvemwoyo zvinogona kusanganiswa neShone's Complex?
Kuti mwana aonekwe aine chirwere cheShone's Complex, anofanira kunge aine kanenge kaviri pazvisere zvepfungwa zvatichataura nezvazvo pazasi. Ngationei kuti ndezvipi. Mamwe emashoko acho angaita seakaoma zvishoma, asi ndichaatsanangura zviri nyore.
| Chirema chemwoyo | Zvichitaurwa zviri nyore, chii chinoitika neizvi? |
|---|---|
| Cor triatriatum | Kamudzira kekuwedzera kanoumbwa mukati mekamuri rekumusoro kuruboshwe rwemoyo (left atrium). Izvi zvinopatsanura kamuri kuita zvikamu zviviri, zvichidzivirira ropa kuti risayerere mukamuri repasi (left ventricle). |
| Mhete yeSupravalvular mitral | Mhete yenyama ine fibrous inokura pamusoro pevharuvhu yemitral mumoyo. Izvi zvinoita kuti pave neburi rinovhurwa nevharuvhu, zvichiita kuti ropa ridzikire. |
| Vharuvhu yemitral yeparachuti | Kazhinji, kune tsandanyama mbiri (tsandanyama dzepapillary) dzinobatsira vharuvhu remitral kuvhurika nekuvharika. Mukusakwana uku, pane imwe chete. Zvakaita sekuti tambo dzese dzeparachuti dzakaungana panzvimbo imwe chete. Izvi zvinogona kukonzera kuti vharuvhu itete kana kuti ropa ribude richidzokera kumashure. |
| Hypoplastic ventricle yekuruboshwe | "Hypoplastic" zvinoreva kusakura zvakanaka. Pano, ventricle yekuruboshwe, iyo nzvimbo huru yekupomba yemoyo, haina kukura zvakanaka. Idiki. Saka haigone kupomba ropa zvakanaka. |
| Kuvhiyiwa kwechikamu chemukati chemoyo (subaortic stenosis) | Mamwe matishu anoungana pasi pevharuvhu yeaorta, iyo inopomba ropa muaorta, zvichiita kuti nzvimbo yacho ive diki. Kudzikira uku kunoita kuti zviomere mwoyo kupomba ropa. |
| Vharuvhu yeBicuspid aortic | Kazhinji, vharuvhu yeaortic ine maflaps matatu. Asi vacheche vane dambudziko iri vane maviri chete. Izvi zvinogona kukonzera kuti vharuvhu itetepe kana kuti ibudise ropa. |
| Bhokisi diki re aorta rinobviswa | Mhete yakasimba (annulus) yakakomberedza pasi pevharuvhu yeaorta inova diki pane yakajairwa, saka huwandu hweropa rinogona kupfuura nepavharuvhu kuenda kuaorta hunoderera. |
| Kubatana kweaorta | Kutetepa kweaorta, tsinga huru yeropa inotakura ropa kuenda kumuviri, kunoita kuti mwoyo ushande nesimba kupomba ropa munzvimbo yakatetepa. |
Chinhu chakakosha ndechekuti kana paine zvikanganiso zviviri kana kupfuura pazvisere izvi, ndizvo zvinonzi navanachiremba kuti Shone's Complex. Kazhinji, pane kuvhiringidza kumwe chete pakupinda uye kumwe chete pakupinda.
Ndezvipi zviratidzo kana mwana wangu aine chirwere ichi?
Vamwe vacheche vane chirwere ichi, kana chakakomba, vanotanga kuratidza zviratidzo nguva pfupi mushure mekuzvarwa . Izvi zvinokonzerwa nekuti moyo wemwana haugone kupomba ropa rakakwana mumuviri. Zvisinei, dzimwe nguva, zviratidzo zvinogona kuonekwa pahudiki kana kunyange kuyaruka.
Tarisa zviratidzo izvi mumwana wako:
- Kuomerwa nekuwedzera uremu: Kusawedzera uremu nemazvo.
- Kunzwa kuneta paunenge uchinwa mukaka: Mushure mekunwa mukaka, unotanga kudikitira uye unonetseka kufema.
- Kubuda kweweti shoma: Kubuda weti shoma pane zvakajairika.
- Kurova kwemoyo kusina simba: Kurova kwemoyo kusina simba, kunyanya mumaoko nemakumbo.
- Musiyano wekumanikidzwa kweropa pakati pemaoko nemakumbo: Kumanikidzwa kweropa mumaoko kwakakwira kupfuura mumakumbo.
- Kuunganidzwa kwelactic acid muropa.
Kana mwana wako aine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kuti utaure nachiremba wako nekukurumidza.
Sei izvi zvakaitika kumwana wangu? Chii chinokonzera izvi?
Zvino ungave uchishamisika kuti, "Sei izvi zvakaitika kumwana wangu? Imhosva yangu here?" Kutaura zvazviri, vanachiremba havasati vawana chikonzero chaicho cheizvi. Kazhinji, zvinoitika nguva nenguva. Hatina ruzivo rwakakwana rwekutaura chokwadi kana chiri chikonzero chemajini kana zvakatipoteredza.
Kunyangwe dzimwe tsvakiridzo dzichiratidza kuti inogona kunge iri nhaka, nzira inopfuudzwa nayo mumhuri yakaoma zvikuru. Saka panodiwa tsvakiridzo yakawanda kuti tinzwisise izvi zvizere.
Saka ndapota yeukai, iyi haisi mhosva yenyu. Isu hatina simba pamusoro pezvinhu izvi.
Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere ichi?
Shone's Complex inogona kukonzera mamwe matambudziko, ndosaka kurapwa nekukurumidza uye kutariswa kwenguva refu zvichikosha.
- Pulmonary hypertension: Kuwedzera kusingawanzoitiki kweropa mutsinga dzinotakura ropa kuenda kumapapu.
- Kurira kwemoyo kusina kujairika: Kurira kwemoyo kusina kujairika.
- Kukundikana kwemoyo: Chirwere chekuti moyo haugone kupomba ropa rakakwana mumuviri.
Vanachiremba vanozviwana sei izvi?
Vanachiremba vanoshandisa bvunzo dzakasiyana-siyana kuti vaongorore chirwere ichi.
- Echocardiogram yemwana asati aberekwa: Iyi iongororo yakakosha inoitirwa mwana achiri mudumbu. Inokwanisa kuona matambudziko emwoyo mwana asati aberekwa.
- Transthoracic echocardiogram (TTE): Kuongororwa kwemoyo neultrasound kunoitwa mushure mekunge mwana aberekwa. Kuongororwa uku kunonyanya kushandiswa kuongorora chirwere cheShone's Complex.
- Kuongororwa kweCT yemwoyo kana MRI: Izvi hazviwanzoitwa nemunhu wese, asi mune dzimwe nguva, bvunzo idzi dzinogona kubatsira kupa ruzivo rwakadzama nezvemaumbirwo emwoyo.
Kazhinji, chirwere ichi chinoonekwa munhu asati aberekwa kana kuti mushure mekuzvarwa. Zvisinei, dzimwe nguva chirwere ichi chinoonekwa munhu achiri mudiki kana kuti achiri kuyaruka, kana zviratidzo zvacho zviri zvishoma uye zvisina kunyanya kuipa. Muzviitiko zvakadaro, chiremba anogona kutumwa kunoongororwa zvakare nekuda kweruzha rusina kujairika (heart murmur) runonzwika kana munhu achiteerera mwoyo.
Ndezvipi zvinorapwa izvi?
Nzira chete yekurapa Shone's Complex ndeyekuvhiyiwa . Parizvino hapana mishonga inogona kurapa chirwere ichi. Zvisinei, chiremba anogona kunyora mishonga yekudzora zviratidzo zvemwana uye kutsigira mashandiro emoyo kusvika pakuvhiyiwa.
Hapana kuvhiyiwa kwakananga kweizvi. Pane kudaro, vanachiremba ndivo vanosarudza kuvhiyiwa kupi kunodiwa zvichienderana nepfungwa dzemwana wako uye kuti mwoyo wake unoshanda zvakanaka sei.
Mwana wako angada kuvhiyiwa kumwe chete kana kupfuura kwezvinotevera:
- Kubviswa kweringi yetishu yakawedzerwa yakatenderedza vharuvhu yemitral.
- Kugadziriswa kwevharuvhu yeMitral.
- Kutsiva vharuvhu yeMitral (izvi hazviwanzoitiki).
- Kubviswa kwenyama yakawandisa pasi pevharuvhu yeaorta.
- Kuwedzera kuvhurika kwevharuvhu yeaorta.
- Kugadzirisa chikamu chakamanikana che aorta.
Maitiro ekuvhiya
Dzimwe nguva vanachiremba vanoita izvi nenzira ine zvikamu . Kureva kuti, havaiti kuvhiyiwa kamwe chete. Vanozviita muzvikamu zviviri, zvakakamurwa nenguva. Semuenzaniso, kuvhiyiwa kwekutanga kunobvisa kuvharika kweropa munzira inobuda mumoyo. Zvadaro, kuvhiyiwa kwechipiri kunobvisa kuvharika kweropa munzira inoyerera mumoyo. Chiremba wako achakutsanangurira kuti mwana wako achada kuvhiyiwa kangani uye kuti zvinoitwa riini.
Upenyu hwemwana hwemangwana uye fungidziro yake ndeyei?
Hupenyu hwemwana mune ramangwana uye kugara zvakanaka kwake zvinoenderana nezvinhu zvakawanda:
- Kuoma kwechirwere: Kuoma kwechirwere chemwoyo.
- Kumhanya kwekurapwa: Kukurumidza kutanga kurapwa.
- Matambudziko: Kana mamwe matambudziko achaitika kana kuti kwete.
- Kudzokorora kwematambudziko: Ko matambudziko emwoyo akamborapwa achadzokazve nekufamba kwenguva here?
Semuenzaniso, zvinhu zvakaita sekuvharika kwetsinga yeropa (aorta) zvinogona kudzoka nekufamba kwenguva. Saka, mwana wako paanokura, panogona kudiwa kuvhiyiwa kwakawanda. Chiremba wako achakupa rumwe ruzivo nezveizvi zvichienderana nemamiriro emwana wako.
Ongororo dzakawanda dzakaratidza kuti mwero wekurarama kwenguva refu mushure mekuvhiyiwa unopfuura 75%, kusvika kumakore makumi maviri . Izvi zvinoreva kuti vana vatatu pavana vana vanorarama hupenyu hwakanaka uye hune hutano mushure mekurapwa.
Ungave nemibvunzo chiuru mupfungwa dzako mushure mekunzwa nezvekuongororwa kwemwana wako. Izvozvo zvakajairika. Nyora mibvunzo inouya mupfungwa dzako mukabhuku kemabhuku. Paunoenda kunoona chiremba, vabvunze vese. Chikwata chevanachiremba vemwana wako chichakutsanangurira zvese izvi uye chichakutungamira pane zvekuita zvinotevera.
Mharidzo Yekuenda Nayo Kumba
- Shone's Complex chirwere chemwoyo chisingawanzoitiki chinokonzera kuti ropa riende kuruboshwe rwemoyo risakwanise kuyerera zvakanaka.
- Kuti mwana aonekwe aine chirwere ichi, anofanira kunge aine kanenge kaviri pazvisere zvepfungwa dzakaipa.
- Kurapa kweizvi chete kuvhiyiwa. Kuvhiyiwa kunowanzobudirira.
- Mushure mekuvhiyiwa, mwana achada kuteverwa nachiremba wemwoyo kweupenyu hwake hwese. Usapotsa chero imwe yemisangano iyi.
- Chinhu chakakosha ndechekuti mamiriro ezvinhu aya haasi iwe kana kuti emumwe wako. Usazvidya mwoyo nazvo.
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