Chii chinokonzera chirwere chemwoyo muchecheche?

Chirwere chemoyo chinokonzerwa neChene chinotonyanya kukoshesa kukurukurirana, sezvo izvi zvinonzwisisika zvinokonzera kukanganisa upenyu hwemwana. Zvinonyatsozivikanwa kuti pasina upiyona, vanenge 70% yevana vari pasi pePU havararami kunyange kusvikira pagore! Saka, kuziva zvakawanda nezvechirwere ichi chido chechisikigo chevabereki vari mberi.

Congenital chirwere chemoyo: zvinokonzera

Ihwo hutano hwemwoyo hunotanga kuumba, sekutonga, huripo pavhiki yechipiri yekuzvitakura. Kazhinji, chikonzero cheizvi zvirwere zvehutachiona (zvakadai se rubella, herpes, furuwenza, nezvimwewo), anotambudzwa naamai, vanoita basa rinokuvadza, nguva yemukadzi ane pamuviri, kutora zvinodhaka, nekudhakwa. Basa rakakomba pakuumbwa kwePU ndihwo hutano hwemwana, jenisi kana kuti kuchinja kwechromosome.

Zviratidzo zvekuberekwa kwepfungwa yemwoyo

Chimwe chezviratidzo zvikuru kuti mwana achangoberekwa ane hutano hwemwoyo mutsvuku ndiyo cyanosis yemukati membrane uye ganda (iyo inonzi cyanosis). Mwana wacho anonzi flabby, moody, asingadyi (anokurumidza kuneta pakudya), mwana ane jira rakawandisa, uye mwoyo unowedzera.

Manzwi anokonzerwa nekuchinja kwepfungwa mukati memwoyo kunogona kuonekwa mushure mekuberekwa kwechimbichimbidzika nguva pfupi, asi dzimwe nguva inongoitika mushure memwedzi mishomanana. Saka ivo, kunyange zvazvo vari imwe yezviratidzo zvePU, haagoni kuita sechiratidzo chikuru.

Kuti uongorore zvakajeka chirwere chepfungwa chinokonzerwa nehutachiwana mucheche, maongorori akakomba anodiwa: ultrasound, X-ray uye electrocardiography, uyewo catheterization yevascular pamwe nekuyera kwepracavid pressure mumutsipa wemwoyo. Zvose izvi zvinoitwa zvose kutarisa chiyero uye rudzi rwehutachiona, uye kukudziridza hurongwa hwekushanda.

Kunyangwe panguva yekuzvitakura, kutanga nevhiki yegumi nemana, uchishandisa ultrasound mu fetus, unogona kugona kuvapo kwechirwere chemwoyo. Muchiitiko ichi, zvichienderana nekuoma kwemamiriro emucheche, kuberekwa kunoitwa nenzira inokosha, uye kushanda kunoitwa pakarepo mushure mokuberekwa.

Ndeipi chirwere chakaipa chepfungwa mukati memwana achangoberekwa?

Kurapa chirwere chakanyanya cheCD chete nzira dzinoshandiswa dzinoshandiswa. Uye yekutanga kupindira uku kwakaitwa, kunyanya mwana akazvarwa patsva.

Ita mabasa akadaro, sekutonga, pamwoyo wakazaruka, uchishandisa chigadzirwa chekugadzirwa kwemaoko. Uye mumakore achangobva kupfuura, kushandiswa kwemazuva ekupedzisira kunowedzera kuitika , iyo iyo catheter inowanikwa kuburikidza nemuviri wemwana uye inounzwa pamwoyo pasi pekudzivirira kwe-X-ray, apo kuvhiyiwa kunoitwa nemidziyo yakakosha.

Muchikurukutu zviitiko zvakanyanya zveCD, basa racho rinogona kuitwa muzvikamu zvakasiyana-siyana: kutanga, chirwere chemwana chinoshandiswa, uye chirwere chacho pachacho chinobviswa nekugadziriswa kunotevera.

Kana mwana wacho ane maitiro asina kurapa, ndiye anoratidzirwa kushandura mwoyo.

Ko chirwere chemwoyo chinokonzerwa nemwana muchecheche nguva dzose chinoda kuvhiyiwa here?

Panewo kuchinja kwakadaro mumoyo, uko nezera rinopfurikidza pachavo. Izvi zvinosanganisira zvikanganiso zviduku mu septum interventricular. Vanozopedzisira vavhara pakarepo uye havadi kuti vapindire chirwere. Mumamiriro ezvinhu akadaro zvinokwana kuchengeta chiremba, kazhinji anofamba mumhepo, achizvidzora nekuchengetedza mwana kubva kune utachiona.