Kana chiremba akakuudza kuti mwana wako achangoberekwa ane dambudziko remwoyo, zvakajairika kuti iwe, saamai kana baba, unzwe kutya kukuru uye kuvhunduka. Kunyanya kana iri chirwere chine zita risingazivikanwe sekuti 'Tricuspid Atresia', pane mibvunzo yakawanda inouya mupfungwa dzako. "Chii ichi? Mwana wangu achapora here? Sei izvi zvakaitika?" Zvinhu zvakaita seizvi zvinogona kunge zviri kufamba mupfungwa dzako. Usazvidya moyo. Nhasi, tichataura nezvazvo nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Tricuspid Atresia?
Kuti tinzwisise izvi, ngatitangei tatarisa mashandiro anoita moyo une hutano. Mwoyo wedu une makamuri makuru mana. Makamuri maviri epamusoro nemakamuri maviri epasi. Ropa rakashandiswa nemuviri uye rine oxygen shoma rinotanga rapinda mukamuri repamusoro kurudyi rwemoyo (Right Atrium). Kubva ipapo, vharuvhu inoshanda semusuwo inovhurwa, uye ropa iroro rinoenda kukamuri repasi kurudyi (Right Ventricle). Musuwo uyu unonzi
Tricuspid Valve . Zvadaro, kamuri repasi rinogumburwa rotumira ropa iroro kumapapu kuti riwane oxygen. Zvisinei, mumwana ane chirwere chekuzvarwa chinonzi
Tricuspid Atresia , iyi inonzi Tricuspid Valve haina
kuumbwa zvakanaka . Kureva kuti, panzvimbo pemusuwo iwoyo, pane chimwe chinhu chakaita seganda gobvu.
Fungidzirai dai paiva nemadziro pakati pemakamuri maviri panzvimbo pemusuwo. Saka waisakwanisa kubva pane imwe kamuri uchienda kune imwe, handiti? Ndizvo zviri kuitika pano.
Nekuda kweizvozvo, ropa risingakwanise kuwana okisijeni rinopinda mu ventricle yepamusoro yekurudyi harina nzira yekuenda kukamuri repasi. Nekuti nzira iyi yakavharika, ventricle yekurudyi yepazasi, iyo isingachakwanise kupomba ropa, haikure zvakanaka, uye kazhinji kacho idiki kwazvo. Saka, hapana nzira yekutumira ropa rinoda kutumirwa kumapapu kuti riwane okisijeni. Izvi zvinoguma
nekudzikira kwehuwandu hweokisijeni hunogamuchirwa nemuviri wese.
Iyi inyaya yakakomba here?
Ehe, ichi chirwere chemwoyo chakakomba zvikuru chakaberekwa nacho icho vanachiremba vanochiona sechirwere chemwoyo chakakomba chakaberekwa nacho. Mwana ane chirwere ichi anoda kurapwa mukamuri rekutarisirwa zvakanyanya (ICU) iro rinonyanya kurapa zvirwere zvemwoyo zvakaoma mushure mekuzvarwa. Kazhinji, kuvhiyiwa kwekukurumidzira kunodiwa kuponesa hupenyu hwemwana asati adzokera kumba. Kana izvi zvikasaongororwa uye zvikarapwa nemazvo, zvinogona kukanganisa hupenyu hwemwana zvakanyanya. Pane mhando huru dzechirwere ichi here?
Vanachiremba vanoisa chirwere ichi muzvikamu zvakadzama. Chikonzero cheizvi ndechekuti panogona kunge paine dzimwe shanduko mumoyo wemwana pamusoro pechikanganiso ichi chikuru. Marongero ehurongwa hwekurapa anosiyana zvichienderana neshanduko idzodzo. Kune mhando nhatu huru (Rudzi I, II, III).- Rudzi I: Urwu ndirwo rudzi rwakajairika. Pano, mitsipa mikuru yeropa inobuda mumoyo (pulmonary artery neaorta) iri panzvimbo dzayo dzakakodzera. Zvisinei, panogona kunge paine buri pakati pemakamuri epasi emwoyo (ventricular septal defect) kana dambudziko nevharuvhu inotakura ropa kuenda kumapapu .
- Rudzi rwechipiri: Pano, mitsipa miviri mikuru yeropa iri panzvimbo imwe chete. Panewo buri riri pakati pemakamuri epasi (Ventricular Septal Defect).
- Rudzi rwechitatu: Rudzi urwu haruwanzoitiki. Pano, pane shanduko dzakawanda dzakaoma mutsinga huru dzeropa nemakamuri.
Hamufaniri kunetseka zvakanyanya nezvemhando idzi. Vanachiremba vanorapa mwana wenyu vachaongorora zvese izvi uye vachakutsanangurirai nzira yekurapa yakanakira mwana wenyu. Ndezvipi zviratidzo zvine mwana?
Kazhinji, vacheche vane chirwere ichi vanoratidza zviratidzo mukati mevhiki yekutanga yekuzvarwa. Unogona kuona zvinhu izvi. | Chiratidzo | Zvakatsanangurwa zviri nyore |
|---|
| Ganda rebhuruu nemiromo (Cyanosis) | Chiratidzo chikuru ndechekushanduka kweruvara rwebhuruu kana rwepepuru rweganda, miromo, uye nzara, sezvo muviri usingawani ropa rakakwana reoxygen. |
| Kutadza kufema zvakanaka (Dyspnea) | Mwana ari kufema nekukurumidza uye anoita seari kunetseka kufema. |
| Kuoma uye kuneta pakuyamwisa | Mwana anoneta mushure mekunwa mukaka mudiki, anorega kunwa pakati, kana kuti anodikitira paanenge achinwa. |
| Kunonoka kukura | Kunyangwe mwana akanwa mukaka wakawanda, haazoremi zvakanaka. |
| Manzwiro asina kujairika emwoyo (Heart Murmur) | Chiremba ari kuongorora moyo ne stethoscope, anonzwa ruzha rwekuwedzera rwemoyo. |
Sei izvi zvakaitika kumwana wangu?
Pamwe wakambozvibvunza mubvunzo uyu kakawanda. Chinhu chekutanga chaunofanira kunzwisisa ndechekuti iyi haisi mhosva yako . Vanachiremba havasati vawana chikonzero chaicho chechirwere chemwoyo cherudzi urwu. Chinoitika mukati memavhiki matanhatu ekutanga ekukura kwemwana mudumbu, apo moyo uri kuumbwa. Zvisinei, zvimwe zvinhu zvine njodzi zvakaonekwa zvinowedzera njodzi yechirwere ichi. Zvinhu zvinotevera zvinogona kukanganisa amai panguva yekuzvitakura: Vanachiremba vanoona sei izvi?
Kazhinji, chirwere ichi chinogona kuonekwa mwana asati aberekwa.- Mwana asati aberekwa: Panguva yekuongororwa kwepamuviri (ultrasound), chiremba wako anogona kuona chimwe chinhu chisina kujairika mumoyo wemwana wako. Kana paine kusava nechokwadi, uchatumirwa kunoongororwa kwakakosha kunongotarisa pamoyo wemwana chete, kunonzi fetal echocardiogram .
- Mushure mekunge mwana azvarwa: Kana mwana achangozvarwa, vanachiremba vanobva vangofungidzira kuti ane dambudziko remwoyo. Kana kurira kwemoyo kusingawanzoitiki (heart murmur) kukanzwika pakuongorora moyo ne stethoscope, ichocho chiratidzo chikuru. Muedzo mukuru wekuongorora chirwere ichi i echocardiogram . Izvi zvakafananawo ne scan. Izvi zvinogona kuona zvakajeka kana mavharuvhu emwoyo asipo, saizi yemakamuri, mafambiro eropa, uye kana paine mamwe maburi.
Pamusoro pezvo, kuongororwa kweX-ray yechipfuva, bvunzo yeECG, uye bvunzo ye pulse oximetry yekutarisa huwandu hweokisijeni muropa zvinoitwawo. Mishonga yacho ndeipi? Izvi zvinogona kurapwa here?
Kunyange hazvo zvisingagone "kurapwa" zvizere, kuvhiyiwa kwakawanda kunogona kudzorera kutenderera kweropa remwana uye kumubvumira kurarama hupenyu hwakajairika. Kurapa kunogona kukamurwa muzvikamu zviviri. 1. Mishonga
Mwana paanongozvarwa, vanopihwa mushonga wekuti mwana agare zvakanaka kusvika pakuvhiyiwa kwekutanga. Mushonga mukuru unopiwa pano ndiAlprostadil . Mushonga uyu unovhura kwenguva pfupi tsinga yeropa (Ductus Arteriosus) iyo mwana wese anowana pakuzvarwa uye unovhara mazuva mashoma mushure mekuzvarwa. Izvi zvinogadzira imwe nzira yekuti ropa risvike mumapapu. Iyi inzira inoponesa hupenyu.2. Kuvhiyiwa
Tricuspid atresia haigone kurapwa nekuvhiyiwa kamwe chete. Mwana paanokura, kuvhiyiwa kwakawanda kunodiwa muzvikamu zvakasiyana-siyana. Izvi zvakafanana nekuvaka chivako chikuru chidimbu nechidimbu.- Danho rekutanga (mukati memavhiki mashoma ekutanga ehupenyu): Izvi zvinosanganisira kugadzira kuyerera kweropa kwakasimba kuenda kumapapu. Izvi zvinoitwa kuburikidza nemaitiro anonzi BTT shunt . Izvi zvinosanganisira kuisa chubhu diki pakati petsinga huru yeropa netsinga yeropa inotakura ropa kuenda kumapapu.
- Danho rechipiri - Maitiro eGlenn: Maitiro aya anoitwa mwana ari pakati pemwedzi mina kusvika mitanhatu. Pano, ropa risina mweya kubva pamusoro pemuviri rinoendeswa zvakananga kumapapu, richipfuura mwoyo.
- Danho rechitatu - Maitiro eFontan: Maitiro ekupedzisira aya anoitwa mwana ari pakati pemakore maviri nemana. Pano, ropa risingade okisijeni kubva pasi pemuviri rinoendeswa zvakananga kumapapu. Mushure memaitiro aya, kusanganiswa kweropa rine okisijeni neropa risina okisijeni mumoyo kunenge kwamira zvachose.
Kana kuvhiyiwa uku kukasabudirira kana kuti mwoyo ukaneta nekufamba kwenguva, kuisirwa moyo unotorwa senzira yekupedzisira. Ramangwana remwana wangu richava rakaita sei nemamiriro ezvinhu aya?
Iri ndiro dambudziko guru kune mubereki wese. Kana pasina kurapwa, vacheche vazhinji vane chirwere ichi vanofa vasati vasvika gore ravo rekutanga. Zvisinei, kana vakavhiyiwa nenguva, ruzhinji rwevana ava vanorarama kusvika vakura.
- Kurovedza muviri: Vana vazhinji vanogona kuita mabasa akajairika. Zvisinei, mitambo yemakwikwi, ine simba guru ingangoda kuganhurirwa. Taura nachiremba wako nezveizvi.
- Mamwe matambudziko ehutano: Usati watanga kurapwa, senge kubvisa mazino, ungangoda kutora mishonga inorwisa mabhakitiriya kudzivirira hutachiona hwemwoyo.
- Kudzidza: Vamwe vana vanogona kunge vaine matambudziko ekudzidza kana kuti vane dambudziko rekusagona kuteerera zvakanyanya (ADHD). Zvakakosha kuziva izvi zvakare.
Mharidzo Yekuenda Nayo Kumba
- Tricuspid atresia chirwere chemwoyo chakakomba asi chinorapika. Hachisi mhosva yako.
- Kuongororwa kwechirwere ichi nekukurumidza uye kuvhiyiwa kwakaitwa nenguva kwakakosha pahupenyu hwemwana.
- Vana ava vanoda kuteverwa nachiremba wemwoyo kweupenyu hwavo hwese.
- Vana vazhinji vanogona kurarama hupenyu hwakanaka uye hune simba mushure mekuvhiyiwa. Musarasa tariro.
- Taura pachena nachiremba wemwana wako nezvemibvunzo kana zvinokunetsa. Vanogara vakagadzirira kukubatsira.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga