Ventricular septal kuremara

Ventricular septal chirema igomba pamadziro rinoparadzanisa kurudyi uye kuruboshwe ma ventricles emoyo. Ventricular septal kuremara ndeimwe yeakajairika kuberekwa (aripo kubva pakuberekwa) hurema hwemwoyo. Izvo zvinoitika mune ingangoita hafu yevana vese vane chirwere chepfungwa chekuzvarwa. Inogona kuitika pachayo kana nezvimwe zvirwere zvepamuviri.

Mwana asati azvarwa, kurudyi uye kuruboshwe ma ventricles emoyo haana kusiyana. Sezvo fetus inokura, septal wall inoumba kupatsanura aya maviri ma ventricles. Kana madziro asina kunyatsoumbwa, gomba rinosara. Iri gomba rinozivikanwa se ventricular septal defect, kana VSD. Iyo gomba rinogona kuitika munzvimbo dzakasiyana padhuze nemadziro emadziro. Panogona kuve neburi rimwe chete kana maburi akawanda.

Ventricular septal kurema kwakajairika kuberekwa kwemoyo kuremara. Mwana anogona kunge asina zviratidzo uye gomba rinogona kuvhara nekufamba kwenguva sezvo madziro achiramba achikura mushure mekuzvarwa. Kana gomba iri rakakura, ropa rakawandisa richapomberwa kumapapu. Izvi zvinogona kutungamira kukundikana kwemoyo. Kana gomba iri diki, rinogona kunge risingawanikwe kwemakore uye rinongowanikwa mukukura.

Chikonzero cheVSD hachisati chazivikanwa. Urema uhu hunowanzoitika pamwe nehumwe hwakazvarwa nemoyo hurema.

Muvanhu vakuru, maVSD anogona kuve mashoma, asi akakomba, kuomarara kwekurwadziwa kwemoyo. Makomba aya haakonzere kubva pahurema hwekuzvara.

Vanhu vane VSD vanogona kunge vasina zviratidzo. Nekudaro, kana gomba rakakura, mwana anowanzove nezviratidzo zvine chekuita nekutadza kwemoyo.

Zviratidzo zvakajairika zvinosanganisira:

• Kufema kwekufema
• Kukurumidza kufema
• Kufema kwakaomarara
• Ruvara
• Kukundikana kuwedzera uremu
• Kukurumidza kurova kwemoyo
• Kudikitira panguva yekudyisa
• Kakawanda kuporesa zvirwere

Kuteerera ne stethoscope kazhinji kunoratidza kugunun'una kwemoyo. Ruzha rwekugunun'una kune hukama nehukuru hwehurema uye huwandu hweropa rinoyambuka hurema.

Miedzo inogona kusanganisira:

• Catheterization yemwoyo (kashoma kudikanwa, kunze kwekunge paine kunetseka kweropa rakakwira mumapapu)
• Chest x-ray - inotarisa kuti uone kana paine moyo muhombe uine fluid mumapapu
• ECG - inoratidza zviratidzo zvekuwedzera kwekuruboshwe ventricle
• Echocardiogram - inoshandiswa kugadzira chaicho kuongororwa
• MRI kana CT scan yemoyo - yaiwanzoona hurema uye nekuziva kuti ropa rakawanda sei riri kusvika mumapapu

Kana kukanganisa kwacho kuri kudiki, hapana kurapwa kunogona kudikanwa. Asi mwana anofanirwa kutariswa zvakanyanya nemubatsiri wezvehutano. Izvi ndezvekuona kuti gomba rinozopedzisira ravhara zvakanaka uye zviratidzo zvekutadza kwemoyo hazviitike.

Vacheche vane hombe yeVSD vane zviratidzo zvine chekuita nekutadza kwemoyo vangangoda mishonga yekudzora zviratidzo uye kuvhiya kuvhara gomba. Mishonga yedhiureti inowanzo shandiswa kudzikamisa zviratidzo zve congestive moyo kutadza.

Kana zviratidzo zvikaramba zvichienderera, kunyangwe nemushonga, kuvhiya kuvhara hurema nechimedu kunodiwa. Mamwe maVSD anogona kuvharwa nechakakosha chishandiso panguva yemoyo catheterization, iyo inodzivirira kudiwa kwekuvhiyiwa. Izvi zvinodaidzwa kuti transcatheter kuvharwa. Nekudaro, chete mamwe marudzi ehurema anogona kubudirira kurapwa nenzira iyi.

Kuitwa oparesheni yeVSD isina zviratidzo kunokakavara, kunyanya kana pasina humbowo hwekukuvara kwemoyo. Kurukura izvi zvakanyatsonaka nemupi wako.

Kukanganisa kudiki kudiki kunozovhara vega. Kuvhiya kunogona kugadzirisa hurema husinga vhare. Muzviitiko zvakawanda, munhu haazove nechero zvokurapa zvinoenderera zvine chekuita nehurema kana ichivharwa nekuvhiya kana kuvhara yega. Zvinetso zvinogona kuitika kana hurema hukuru husina kurapwa uye paine kukuvara kusingaperi kumapapu.

Zvinetso zvinogona kusanganisira:

• Aortic insufficiency (kubuda kwevhavha iyo inoparadzanisa ventricle yekuruboshwe kubva kuorta)
• Kukuvadza kune yemagetsi conduction system yemoyo panguva yekuvhiyiwa (zvichikonzera zvisina kujairika kana kunonoka moyo mutinhimira)
• Kunonoka kukura uye kukura (kutadza kubudirira muhucheche)
• Kutadza kwemoyo
• Infective endocarditis (hutachiona hutachiona hwemwoyo)
• Pulmonary hypertension (yakakwira BP muropa mumapapu) inotungamira mukundikana kwerutivi rwerudyi rwemoyo

Kazhinji kazhinji, iyi mamiriro anoonekwa panguva yekuongororwa kweyecheche. Fonera mupi wemwana wako kana mwana achiratidzika kunge ari kunetseka kufema, kana kana mwana achiita kunge ane huwandu husingawanzo hwehutachiona hwekufema.

Kunze kweVSD iyo inokonzerwa nekurwadziwa kwemoyo, mamiriro aya anogara aripo pakuzvarwa.

Kunwa doro uye kushandisa iyo antiseizure mishonga depakote uye dilantin panguva yekuzvitakura kunogona kuwedzera njodzi yeVSDs. Kunze kwekudzivirira zvinhu izvi panguva yekuzvitakura, hapana nzira inozivikanwa yekudzivirira VSD.

VSD; Interventricular septal kuremara; Kuberekwa kwemoyo kusakwana - VSD

• Chiremba wemwoyo kuvhiya - kubuda

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Ventricular septal kuremara

Fraser CD, Kane LC. Congenital chirwere chemoyo. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 58.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital chirwere chemoyo mune mukuru uye wevarwere murwere. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 75.