VaBennett mwoyo kutsutsumwa ari mwana, zviratidzo

Heart - anokosha nhengo mumuviri. Hazvina kubva zvayo ishande inotsamira pezvakaitwa zvose zviri mumuviri womunhu. Saka, chero kutsaudzira mubasa rayo pakarepo kunokonzera kunetseka uye kufunganya. Mashoko okuti "mwoyo kutsutsumwa" dzimwe nguva kuzotyisa vanhu. Asi chokwadi ichi hachisi chikonzero chokunetseka nguva dzose. Simbisai zvinokonzera ruzha mumwoyo womwana anogona chete kuva cardiologist uye chete mushure Ultrasound uye ECG. Naizvozvo pachine nguva musavhunduka.

Heart ino- tsutsumwa anogona kuitika chero zera, uye zvinoitika kakawanda. The nhamba dzinoti vana vatatu (makore kusvika makore matatu), pane imwe nyanzvi kuti kutsauka kwakadaro. Asi regai chete kutya, izvozvo hakusi chiratidzo chemwoyo. Mukuwedzera, zvinokonzera ruzha mumwoyo womwana anogona chokuita chokwadi kuti muviri wake haisati yanyatsosvika kuumbwa.

Mhando mwoyo kutsutsumwa

Heart ino- tsutsumwa vari rakakamurwa mhando mbiri huru:

• Organic - mu kumwoyo zvinokwanisika zvokurwara;
• dzichipfekeka - mumwoyo uye makuru midziyo haina kuchengetwa zvikanganiso kana kuchinja zvikuru.

Modern chirwere nzira zvakaratidza kuti chero ruzha nguva dzose vamwe anatomical chikonzero. Saka, zvinoitika kuti vari Organic zvakasikwa. Unomirirei vari rakakamurwa pathological uye vanonzi mhosva. Ekupedzisira simuka vaduku anatomical zvinhu hurongwa mwoyo, regai kuva chakakomba kukanganisa basa muviri uye regai kutyora muropa. Vana Healthy inogona pachena nayo panyaya pamberi kupererwa neropa kana munguva basa kukura (gore upenyu rokutanga, makore 4-6 wekare vachinyara nemakore 12-14), uyewo mune dzimwe nguva dzinoverengeka.

Fani iyi inogona kuitika nokukurumidza, uye zvingava pakuberekwa rokuongorora mwoyo ino- tsutsumwa vana. Zvikonzero kwemakore 7 anogona zvishoma nezvishoma kuuya maturo - zvinoitika dzimwe nguva. Kuti, mushure mechinguva, vose ruzha mumwoyo anogona kumisa hwavo.

Innocent uye kanganisika ruzha

Innocent zvinosanganisira ruzha yomuka nokuda kuvapo pedyo okuwedzera chords or the akaronga anomalously.

Uyezve, havana angamuka:

• kukurumidza kukura mwana (mwoyo chete havagoni kuramba kufambira kukura);
• zvakawedzera kuchinja mwana (mwoyo mavharuvhu nyore kufonyora);
• pasi Chizenga mumatunhu;
• anatomical zviri sechivako zvomukati;
• Kuwanikwa pasi cardiac anomalies;
• zvirwere - nevakawanda zvinokonzera mwoyo kutsutsumwa muvana.

Kupera ruzha zviri achiperekedzwa zviratidzo zvakadai chiropa cyanosis, cyanosis minwe uye zvipikiri, nokukurumidza kufema.

VaBennett mwoyo kutsutsumwa muvana pasi gore rimwe

A yakafanana Fani mu mafufu yakadaro nguva dzose kutya chaizvo vabereki. Izvi chaizvo musoro, nekuti kupedza ongororo hapana nzira kupa kushurudzira wokutanga.

VaBennett mwoyo kutsutsumwa muvana pazera iri zvinogona zvakasiyana chaizvo. Kazhinji izvi kwakabatana ndechokuti muviri kunoita kubva ropa nokuyerera fetus chaiko extrauterine. Fetal arterial midziyo itakurwe yakavhenganiswa ropa. Izvi imhaka kumwoyo.

Paumbwe yakavhenganiswa ropa

Three dzidzo anatomical pave yakavhenganiswa ropa.

1. The arterial (kana Batalov) mutsinga dzinofamba nemukaka. It chinobatanidza yeropa uye pulmonary hunde
   pamwe chete. Kazhinji hunomira kushanda pashure pevhiki dzinenge mbiri, asi dzimwe nguva ichiri kushanda kusvika mwedzi miviri. Kana echocardiography akaratidza kuti pashure iyi kuerera inoramba ichishanda, izvozvo kunoratidza kuvapo vachiberekwa mwoyo chirwere.
2. The denderedzwa hwindo iri atrial septum. Mushure mwedzi wokutanga, zvinofanira kuvharwa, sezvo kumanikidza kunowedzera ari kuruboshwe atrium. Zvisinei, kana izvi zvikasaitika, usanetseka. kuvhara Its anogona kuitika makore maviri pashure pokuberekwa. Patent foramen ovale kashoma kunogona kuguma hemodynamic nzwisisa. Heart ino- tsutsumwa nokuda vasiri voga denderedzwa hwindo akataura sokusingakuvadzi.
3. Ductus venosus anobatana kuti portal tsinga uye hwakaderera vena cava. gwara ichi haarambi achangoberekwa, achiishandura kuva connective tambo. Izvi nokuda kuora masvingo aro. Kana extrauterine budiriro hwaponeswa zvikuru zvisingawanzoitiki, kubvisa rive chikonzero vachiberekwa mwoyo chirwere.

The yokutanga ECG

Wokutanga ECG mwana kuita pashure rokutanga mwedzi upenyu. Izvi zvinoita kuti tikwanise kusiyanisa mwoyo kutsutsumwa. Kana nokufungirana hombe zvokurwara akatuma echocardiography.

Kazhinji, vanachiremba kakawanda kana kuonekwa rokutanga romwedzi upenyu vanoti pane ruzha mumwoyo womwana. Zvikonzero eo Komorowski anoti kungava vasipo. Zvakajairika kuti runamazuva zera iroro.

Kubvisa ruzha mhosva chokufuka denderedzwa hwindo, unogona kufunga kuti pathological. Ivo vari mungozi yakaipisisa. Anogona kutora nzvimbo:

1. Pulmonary stenosis.
2. Patent ductus arteriosus.
3. Ventricular septal urema.
4. Coarctation pakati yeropa uye zvimwe zvirwere mwoyo.

zvirwere zvose izvi zvikuru zviratidzo kuti anogona rokuongorora navo rokutanga romwedzi upenyu. Kana chakaremara chinoratidzwa ne dhigirii kuti kurapa zvinogoneka chete surgically.

Ruzha mumakore maviri

VaBennett mwoyo kutsutsumwa ari mwana 2 makore kakawanda muka kubva Kutamiswa chirwere. Functionality hakurevi kukuisa pangozi chakakomba uye apo neapo. Asi kana zvaitika kunofanira kuita unonzi, electrocardiograph, kuti chokwadi zvakanga zvisiri mwoyo kutsutsumwa ari mwana. Zvikonzero makore 10 kutevera mwana aigona inonyangarika sezvo muviri kuramba ichishanduka.

Kusvikira makore anenge 10-12 vana pulmonary tsinga vakwanise yeropa. Kwapera nguva, ndivo chete Makwanza uye pakuyaruka anosiya Ivan Kuchin ukama.

At 10, mwoyo kutsutsumwa vane zviratidzo zvimwechete ari kurapwa kuratidzwa mwoyo chirwere. Attention inofanira kubhadharwa kuti zvinobvira nokunyunyuta vana marwadzo mumwoyo, disruptions ichishanda kwayo, zvinogoneka kufenda.

Anatomical uye vasiri zviri vana kumwoyo

The vhiki fetus rechipiri chokuita nokuiswa mwoyo: maviri akazvimirira cardiac primordia imwe nguva pamwe kumicheto chete riri munzvimbo mutsipa. Placental kuparadzirwa anotanga hwaizogadzwa panoperera romwedzi pamuviri wechipiri uye kunotora kusvikira aberekwa.

Sezvambotaurwa, kumwoyo ari mudumbu aine dzidzo nhatu: arterial uye venous kuyerera uye foramen ovale. Vanofanira kusiya avo zvimwe ropa. Saka, vakabatsira mwoyo, sezvo pasina kufema uye vakaderera BP.

Blood kuyerera haina kusanganiswa chose zvakarurama atrium. Izvi imhaka yokuti ropa achipfuura akaderera vena cava, anopinda rworuboshwe atrium kuburikidza denderedzwa hwindo, uye ipapo - mu ventricle kuruboshwe. Panguva ino, ropa pevane vena cava kunoshandurwa: zvakarurama ventricle vachishandisa zvakanaka atrium.

Akazvarwa, mwana unodhadhanura chiedza uye anozadza neropa, asi fetus nzira ropa dzakavharika. Kubvira mwana akawana extrauterine ropa kuparadzirwa uye, naizvozvo, zviduku kweropa zvino operative. Foramen ovale vharafu anovhara nokuda yakawedzera kuomesa ari kuruboshwe atrium (hwakabatana pamwe pakasvika yakawanda ropa). Ductus arteriosus rwunopera pasi pokudzora kwomudzimu huta, tsandanyama uye torsion zvinhu.

Kutarisira nezveramangwana

Kuti vasanetseke chii chinogona kuitika chero chikonzero mwoyo kutsutsumwa ari mwana, vakadzi vose pamuviri vanofanira kutarisira utano mwana wako chaipo pamuviri. Zvakakodzera kurega kusvuta uye doro. Mukadzi ane pamuviri, zviri chinodiwa kuti akuteerere utano hwavo, kuwana zvakafanira zvose mavhitaminzi yacho. Izvi zvinobatsira kuti zvokudya akagwinya uye tsime nepakati, uyewo kufamba munzvimbo yakachena mhepo.

Muna 90% nyaya chemwoyo kuchiri zvinogoneka rokuongorora mu utero. Pakuzvarwa, mwana pakarepo kuzoongorora uye muteerere mwoyo wake. Kana zvakakodzera, tichiongorora rinoitwa munguva yemberi iri pedyo kuziva vachiberekwa abnormalities.

VaBennett mwoyo kutsutsumwa ari mwana anofanira ringazivikanwa pakutanga. Vanachiremba vari zano varege kutadza yakarongwa vaongo-. Time aipedza Ultrasound mwoyo uye abdominal zvomukati zvingaratidza mwoyo kutsutsumwa ari mwana. Zvikonzero nyore kutanga kubvisa pakarepo pane kunonoka izvi.

rwendo kwakakosha cardiologist

VaBennett mwoyo kutsutsumwa muvana zvakanaka nguva dzose kuti bvunza nyanzvi cardiologist. Ongororo iye kana vanodzinga chakakomba zvokurwara, kana chiremba vanonyorera zvinokosha kurapwa. Achiona cardiologist uye kutevera zvirevo ake, pashure mwana anokwanisa kubvisa ruzha.

Uyezve, zvinokosha kuti nguva dzose kuongorora mwana. Vanoverengeka dzakakomba ngozi zvingaratidza pasvika: kakawanda chikosoro, dyspnea, zvokukura pokumbononotswa, kupfupika mweya, cyanosis ganda (nasolabial netriangle), etc. Ukasarasa zvakakomba kurapwa. Kuvhiya kupindira angatadzisa nemigumisiro.

Batsirai mwana wenyu

Sezvineiwo, sezvo ivo uchikura mwoyo kutsutsumwa ari mwana, zvikonzero pave zvakaitika ichi. Zvakakodzera nechokwadi kuti mwana anogara chimiro chakarurama, muviri (kunyanya mwana anoda mapuroteni), uye yakakwana yokurara. Zvokudya zvinofanira kusanganisirawo itsva miriwo nemichero.

A cardiologist pamabiko vanofanira kutsanangura kuti dhigirii kurovedza muviri Zvakanaka mwana wenyu. Kunyimwa kwebasa mwana, nguva dzose rinopa kugwinya. Mwero muviri vadzidzise muviri uye mwoyo.

Kana mwoyo chirwere zvakadaro, ipapo zvakanaka kwete kunonoka nokushanda. Nokukurumidza unogona kubatsira mwana wako, kwakondiko achapora. Zvisinei, Kuvhiya ndiyo chete kwakakodzera kwazvo zviitiko. Kana chirwere kunoratidzirwa zvakaneta zviri ingangodaro kuchava zvakakwana, uye zvinodhaka kurapa.