Unofanira kunge wakatya zvikuru chiremba paakakuudza kuti mwana wako ane buri mumoyo make, handiti? Zviri pachena kuti zvakajairika. Asi chinonyanya kukosha ndechekuti ichi ndicho chirwere chemwoyo chinowanzoonekwa nevana muSri Lanka. Kazhinji, izvi hazvina njodzi. Saka usatya. Ngatitaure nezvechirwere ichi chinonzi VSD (Ventricular Septal Defect) nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi VSD iyi?
Mwoyo wedu wakaita seimba diki ine makamuri mana. Makamuri maviri epamusoro nemakamuri maviri epasi. Makamuri maviri makuru, akasimba ari pasi ndiwo atinodaidza kuti maventricles . Pane rusvingo rwakakora pakati pemaventricles maviri aya. Rusvingo urwu runonzi septum . Basa rerusvingo urwu nderekudzivirira ropa rakawanda rine okisijeni, rakachena kune rumwe rutivi rwemoyo kuti risasanganiswe neropa risina okisijeni, rakasviba kune rumwe rutivi.
Chirema cheVentricular Septal Defect (VSD) , muchidimbu, iburi riri pamadziro (septum). Buri iri rinoitika kana madziro aya asina kuumbwa zvizere mwana ari kukura mudumbu. Buri iri rinobvumira ropa rine oxygen yakawanda kusangana neropa rine oxygen shoma. Izvi zvinodzivirira moyo kushanda zvakanaka, zvinoreva kuti moyo unofanirwa kushanda nesimba.
Kazhinji, maburi aya madiki uye haakonzeri zviratidzo. Asi dzimwe nguva, maburi aya anogona kukura. Kana zvakadaro, mwana anogona kunge aine mamwe matambudziko uye achida kurapwa.
Kune mhando dzeVSD here?
Ehe, maburi aya akakamurwa kuita mhando ina huru zvichienderana nekuti ari papi mumadziro emwoyo. Haufanire kuaziva zvakadzama, asi zvakanaka kuti uve neruzivo rwakakwana.
| Rudzi rweVSD | Tsananguro iri nyore |
|---|---|
| VSD yeMembranous | Urwu ndirwo rudzi rwakajairika. Buri iri riri pamusoro pemadziro emwoyo. |
| VSD yetsandanyama | Rudzi urwu rwegomba runowanikwa muchikamu chepazasi cherusvingo chine tsandanyama dzakawanda. Dzimwe nguva panogona kunge paine maburi anopfuura rimwe chete. |
| VSD yekupinda mukati | Buri iri riri pedyo zvikuru nemavharuvhu emwoyo. |
| VSD yekuburitsa | Buri iri riri pedyo netsinga huru dzinotakura ropa kubva mumoyo. |
Ndezvipi zviratidzo zveizvi?
Kazhinji, kana buri reVSD riri diki kwazvo (risingasviki mamirimita matatu, saizi yetoothpick), hapazovi nezviratidzo. Zvisinei, kana buri racho riri repakati nepakati (mamirimita matatu kusvika mashanu) kana rakakura (mamirimita matanhatu kusvika gumi, saizi yepizi), zviratidzo zvinogona kuitika.
| Boka rezera | Zviratidzo zvakajairika |
|---|---|
| Vacheche vachangoberekwa |
|
| Vana vakuru nevakuru |
|
Chii chinokonzera VSD?
Chikonzero chaicho cheizvi hachisati chazivikanwa, asi dzimwe nguva VSD inogona kuitika pamwe chete nezvimwe zvirwere zvemajini, zvakaita seDown syndrome .
Zvinofungidzirwawo kuti mimwe mishonga inotorwa naamai panguva yekuzvitakura (semuenzaniso, mishonga yekudzivirira pfari) kana kunwa doro zvinogona kuwedzera njodzi. Zvisinei, tsvakurudzo ichiri kushaikwa yekusimbisa zvikonzero izvi.
Ndezvipi zvinetso zvinogona kukonzera izvi?
Kana buri reVSD rakakura, moyo unofanirwa kushanda nesimba, izvo zvinogona kukuvadza moyo nemapapu nekufamba kwenguva. Izvi zvinokonzera kuwedzera kwehuwandu hweropa rinobva kurudyi rwemoyo kuenda kumapapu, zvichikonzera kukwira kweropa mumapapu. Izvi zvinonzi Pulmonary Hypertension .
Chinhu chakakosha ndechekuti kana VSD yakakura ikasarapwa mwana asati asvitsa makore maviri, kukuvara kwemapapu kunogona kusagadzirisika uye kugara kwenguva refu. Izvi zvinonzi Eisenmenger syndrome . Saka, kurapwa kwekutanga kwakakosha zvikuru.
Mamwe matambudziko:
- Kukundikana kwemoyo
- Kubuda kweropa kubva mumavharuvhu emwoyo (aortic regurgitation)
- Kuwedzera kwemidziyo yemoyo
- Utachiona hwemwoyo (Endocarditis)
- Kurova kwemoyo kusina kujairika
- Kurohwa
Unoona sei izvi, Chiremba?
Kazhinji, chiremba paanoongorora mwana uye paanoteerera chipfuva ne stethoscope, pane ruzha rwekuwedzera runonzi "heart murmur" . Kuteerera ruzha urwu kunogona kukonzera kufungira kuti une VSD.
Kuti asimbise fungidziro iyoyo, chiremba anokurudzira bvunzo dzakati wandei dzakadai se:
- Echocardiogram (Echo): Iyi ndiyo bvunzo inonyanya kukosha. Yakafanana nekuongororwa kwemwana ari mudumbu. Inotora vhidhiyo yemoyo uye inoratidza nzvimbo yeburi, saizi yaro, uye kuti ropa riri kuyerera sei.
- Electrocardiogram (ECG/EKG): Inoongorora mashandiro emagetsi emwoyo.
- X-ray yechipfuva: Kuongorora chipfuva neX-ray.
- MRI yemwoyo kana CT scan: Izvi hazviwanzodiwa.
- Kuongororwa kwemoyo neCatheterization: Kuongororwa kwechubhu diki kunopinzwa mumoyo. Izvi hazvidiwi nguva dzose.
Ndezvipi zvirongwa zvekurapa VSD?
Kuti izvi zvinorapwa here kana kuti kwete, uye sei, zvinoenderana nehukuru hweburi uye zviratidzo zvemwana.
Kumirira Nekungwarira
Kazhinji, kureva kuti, maburi mazhinji eVSD madiki zvikuru. Aya anovhara ega mwana paanosvika makore matanhatu. Muzviitiko zvakadaro, chiremba haaiti chero mushonga, asi anogara achitarisa kukura kwemwana nezviratidzo zvake kukiriniki.
Mishonga
Kana mwana wako aine zviratidzo panguva iyo buri riri kupora, kana kuti ari kugadzirira kuvhiyiwa, chiremba anogona kukupa mimwe mishonga.
- Mishonga inobvisa mvura mumuviri: Izvi zvinobatsira kuderedza huwandu hwemvura inoungana mumuviri nemumapapu.
- Mishonga yezvirwere zvemwoyo: Inobatsira kudzora mashandiro emwoyo.
Kuvhiya nedzimwe nzira
Kana buri racho rakakura uye richikonzera matambudziko kumwana, rinofanira kuvharwa. Pane nzira mbiri huru dzekuita izvi.
1. Kuvhiyiwa kwemoyo wakavhurika: Mukuita uku, chiremba anovhara buri racho nemasitichi kana "chigamba" chekugadzira. Nekufamba kwenguva, nhengo dzemwoyo dzemwana dzinokura dzakatenderedza chigamba, dzichiva chikamu chemadziro emwoyo.
2. Maitiro eTranscatheter: Izvi hazvisanganisiri kuchekwa pachipfuva. Asi, chubhu diki (catheter) inopfuudzwa nemutsinga weropa mukuru uri mugumbo kuenda kumoyo, uye mudziyo unopfuudzwa nepakati payo kuti uvhare buri. Iyi inzira iri nyore pane kuvhiyiwa.
Unofanira kuona chiremba nekukasika rini?
Kana mwana wako aine VSD, gara uchitarisa zviratidzo zvinotevera.
Kana mwana wako achinetseka zvakanyanya kufema, kana ganda, miromo, kana nzara zvikaita bhuruu/kucheneruka (cyanosis), muendese kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika.
Uyezve, taura nachiremba wako kana ukaona zviratidzo zvinotevera:
- Kana huremu hwemwana husiri kuwedzera sezvaitarisirwa.
- Kana uchizvitutumadza kana kuti uchishanda nesimba zvakanyanya paunenge uchinwa mukaka.
- Kana uchigara uchirwara nezvirwere zvekufema (mucus muchipfuva).
Chii chatingatarisira mune ramangwana?
Aya ndiwo mashoko akanakisa. Vana vazhinji vane VSD vane tarisiro yekurarama hupenyu hwakanaka uye hwakajairika. Kunyanya kana buri racho riri diki kana kuti rakarapwa uye rakapora zvachose, hapana chekutya nezveramangwana.
Zvisinei, kana chirwere chikuru cheVSD chikasarapwa nekukurumidza uye chikakonzera kukuvara kwemapapu (Eisenmenger syndrome), makore ekurarama anogona kupfupikiswa. Ndosaka kutsvaga rubatsiro rwechiremba nenguva kwakakosha zvikuru.
Mharidzo Yekuenda Nayo Kumba
- VSD ndiyo inonyanya kukonzera chirwere chemwoyo muvana. Saka musazvidya mwoyo, hamusi mega.
- Makomba mazhinji eVSD madiki kwazvo. Anovhara ega mwana paanokura, pasina kurapwa.
- Kana buri racho rakakura uye paine zviratidzo, kune nzira dzinoshanda kwazvo dzekurapa.
- Chinhu chinonyanya kukosha ndechekuteerera zviratidzo zvemwana wako, kuona chiremba panguva yakakodzera, uye kutevedzera zvaanotaura.
- Kana muine mibvunzo, kutya, kana kusava nechokwadi nazvo, kurukurai pachena nachiremba ari kurapa mwana.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga