Paunoenda nemwana wako mudiki kana mwana achangoberekwa kuna chiremba, chinhu chekutanga chinoitwa nachiremba kuisa stethoscope pachipfuva woteerera mwoyo. Uchanzwa kurira kwemoyo kwakajairika kunonzi "lub-dub" kunouya kana mavharuvhu emoyo avhara. Asi dzimwe nguva, pamusoro pekurira uku, unonzwa ruzha rwakawedzerwa, senge "s...s...", senge ruzha rwakaita semhepo runopfuura nepakati. Chiremba achati izvi "kurira kwemoyo," kana kuti kurira mumoyo. Zvakajairika kuti chero amai kana baba vanzwe kutya pavanonzwa mazwi aya. Asi kurira uku kwese kune njodzi here? Ngatitaurei nezveizvi zvakadzama, zviri nyore.
Chii chinonzi 'Heart Murmur'?
Fungidzira kuti mwoyo wedu ipombi inoshamisa ine makamuri mana. Izvi ndizvo zvinopomba ropa mumuviri wese. Une magedhi mana (mavharuvhu) anoshanda sepombi kuti ropa iri rirambe richiyerera munzira imwe chete. Magedhi aya paanovhurwa uye akavharwa panguva yakakodzera, tinonzwa ruzha rwemoyo rwe "lub-dub".
Saka ruzha urwu rwekuwedzera runonzi 'murmur' runoitika sei? Zvichitaurwa zviri nyore, ruzha urwu runogadzirwa kana paine kuvharika kana kuyerera kweropa kusingawanzoitiki mumoyo. Zvakafanana nemvura painoyerera zvakasununguka nemupombi yemvura, hapana ruzha, asi kana pombi yakavharwa kana kuti ine buri diki, pane ruzha rwekuti "s...s..".
Panogona kunge paine zvikonzero zvakasiyana-siyana zveizvi:
- Kuyerera kweropa nekukurumidza nekuda kwekutetepa kwevharuvhu yemoyo.
- Vharuvhu isingavharike zvakanaka uye ropa rinobuda richidzokera kumashure (vharuvhu inobuda).
- Kaburi kadiki pakati pemakamuri emwoyo kasingawanzo kuwanikwa.
- Kubatana kusina kujairika pakati petsinga huru dzeropa dzinobuda mumoyo.
- Kukora kwemadziro emwoyo kusingawanzoitiki.
Chinhu chakakosha ndechekuti hazvisi zvese zvinonzwika sechiratidzo chekurwara. Kutaura zvazviri, vana vanosvika zvikamu zviviri muzvitatu vane hutano hwakanaka uye vanenge zvikamu zvitatu muzvina zvevacheche vachanzwa kunzwika kusina mhosva pane imwe nguva muhupenyu hwavo.
Mhando dzemashoko asingakuvadzi (Asina Mhosva) uye anofanira kufungwa nezvawo (Pathological)
Kana mwana wako akanzwa kugomera kwemoyo, chiremba achaedza kuona kana kuri kugomera kusina mhosva kana kuti kugomera kwechirwere kunokonzerwa nechirwere chemwoyo. Ona tafura iri pazasi kuti unzwisise musiyano uyu.
| Hunhu | Kugunun'una Kusina Mhosva | Kugunun'una kunofanira kutariswa nezvako (Pathological Murmur) |
|---|---|---|
| Ruzha rwaunonzwa | Ruzha rupfupi, rwakapfava. Semhepo inofefetera. | Ruzha rwakasimba, rwakasimba, uye rusingaperi. |
| Chinja nenzvimbo yemuviri | Kusimba kweruzha kunochinja kana mwana akagara kana kumira. Dzimwe nguva harunzwike. | Ruzha rwunoramba ruchinzwika kunyangwe chimiro chemuviri chikachinjwa. |
| Zvimwe zviratidzo | Hapana zvimwe zviratidzo. Mwana ari kutamba zvakanaka, ari kudya nekunwa, uye ari kuwedzera uremu. | Zvimwe zviratidzo zvinogona kusanganisira kufema zvakaoma, miromo yebhuruu neminwe, kuoma kuyamwisa, uye kutadza kuwedzera uremu. |
| Mhedzisiro yekupedzisira | Ruzha urwu runonyangarika mwana paanokura. Hapana mushonga unodiwa. | Chiratidzo chechirwere chemwoyo chiri pasi. Kuongororwa kwakawanda uye kurapwa kunodiwa. |
Chii chiri kunetsa chiremba?
Kana chiremba akanzwa kunyunyuta, vanonyanya kunetseka nezvinhu izvi:
- Ruzha: Ruzha rwacho rune ruzha rwakadii? (Izvi zvinotarwa kubva pa1 kusvika pa6).
- Kunzwika kwenzwi: Kwakakwira here kana kuti kwakaderera?
- Inonzwika kupi: Ndeipi muchipfuva painonzwika zvakanyanya?
- Kupisa: Ruzha urwu runopenya kune dzimwe nzvimbo dzechipfuva kana kumusana here?
- Nguva: Ruzha urwu runonzwika riini pakati pekurova kwemoyo kwakajairika? Kana moyo uchigumira (`Systole`) kana kuti uchizorora (`Diastole`)?
Chiremba ndiye chete mushure mekunyatsoongorora ruzivo urwu apo ndipo paanozosarudza kana izvi zvisina njodzi kana kuti murwere anofanira kuendeswa kuna chiremba wemwoyo wevana.
Kugunun'una Kwemwoyo Muvana Vachangoberekwa
Zvakajairika kuti vacheche vanzwe kurira kwemoyo. Dzimwe nguva, ruzha urwu runogona kuitika panguva yekuvhara mamwe mavharuvhu emoyo pakuzvarwa. Saka, kunyangwe chiremba akati pane kurira panguva yekuongorora kwekutanga, usatya. Kazhinji kunonyangarika panguva yekuongorora kunotevera, uko kunoitwa mumavhiki mashoma.
Zvisinei, kana kunyunyuta kukaramba kuripo kana kuti chiremba akatombofungira kuti pane chimwe chinhu chaari kufanira kuita, achakutumira kuti uongororwe zvakare.
Zviratidzo zvekuchenjerera
Kana uchiziva kuti mwana wako ane kunyunyuta, chenjerera zviratidzo zvinotevera. Kana ukaona chimwe cheizvi, taura nachiremba wako nekukasika.
- Kushaya mweya: Kana uchinzwa sekunge uri kutadza kufema, kunyanya paunenge uchiyamwisa kana kuita zvimwe zvinhu zvishoma.
- Kana uchigara uine zvirwere zvepachipfuva.
- Kuomerwa nekunwa kana kudya mukaka: Kunzwa kuneta, kudikitira, uye kurega kunwa mukaka mushure mekunwa mukaka mudiki.
- Kukundikana kukura: Kana kuwedzera uremu kusingakodzeri zera.
- Kuchinja ruvara rwebhuruu rwemiromo, rurimi, kana ganda (Cyanosis): Kana izvi zvikaonekwa pakuchema kana kuyamwisa, zvinogona kunge zviri chiratidzo chekuti ropa harina okisijeni yakakwana kubva pamwoyo kuenda kumuviri.
Zviratidzo zvakaita seizvi zvinoreva kuti kurira kunogona kunge kwakabatana nerudzi rwechirwere chemwoyo.
Kurapwa uye matanho anotevera
Kunyunyuta kusina mhosva hakudi kurapwa. Hakuda mishonga, kuvhiyiwa, kana zvirambidzo pamabasa emwana. Kunozopera kwega sezvo mwana achikura. Ruzha urwu runogona kunzwika zvakanyanya panguva yefivha kana kushushikana.
Zvisinei, kana kurira kuri kwechirwere, chikonzero chinofanira kuonekwa. Chiremba anogona kukurudzira mimwe miedzo, yakaita se:
- Echocardiography (Echo): Izvi zvakafanana neultrasound scan yemoyo. Inokwanisa kuona zvakajeka mashandiro emakamuri emwoyo, mavharuvhu, madziro, uye kana paine maburi kana maburi ari mumavharuvhu.
- X-ray yechipfuva: Izvi zvinobatsira kuwana pfungwa yehukuru nechimiro chemwoyo netsinga dzeropa dzinoenda kumapapu.
Kurapwa kunoenderana nechirwere chemwoyo chiri kukonzera kunyunyuta. Zvimwe zvirwere zvemwoyo zvinopera zvega nekufamba kwenguva. Zvimwe zvingada mishonga kana kuvhiyiwa.
Chimwe chinhu chakakosha chekucherechedza ndechekuti mamwe matambudziko emwoyo anoisa mwana wako panjodzi huru yekubatwa nechirwere chemwoyo (infective endocarditis). Muzviitiko zvakadaro, chiremba wako anogona kukurudzira mishonga inorwisa mabhakitiriya kudzivirira hutachiona usati wabviswa zino kana kumwe kuvhiyiwa.
Mharidzo Yekuenda Nayo Kumba
- Hakusi kunyunyuta kwese kwemoyo kunonzwiwa muvana kune njodzi. Kuzhinji kwacho hakuna njodzi.
- Kugunun'una hakusi chirwere, ingori ruzha runogona kuva chiratidzo chechirwere.
- Kana mwana wako aine zviratidzo zvakaita sekuoma kufema, miromo yebhuruu, kuoma kudya/kunwa mukaka, kana kutadza kuwedzera uremu, tsvaga rubatsiro rwechiremba nekukasika.
- Tevedzera mirairo yachiremba nemazvo. Kana akakukumbira kuti udzoke kuzoongororwa, iva nechokwadi chekuenda pazuva rakatarwa.
- Ikodzero yako kukurukura pachena chero zvinokunetsa kana zvaunotya nachiremba wako.
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