Yakazara anomalous pulmonary venous kudzoka

Yese isinganetsi pulmonary venous kudzoka (TAPVR) chirwere chemwoyo umo mitsipa mina inotora ropa kubva mumapapu kuenda pamoyo haibatanidzi zvakajairika kuruboshwe atrium (kuruboshwe kumusoro kwemoyo). Pane kudaro, vanonamatira kune imwe tsinga yeropa kana chikamu chisina kunaka chemoyo. Iyo iripo pakuzvarwa (congenital moyo chirwere).

Chikonzero chekuzara kusanzwisisika kwemapurmonary venous kudzoka hazvizivikanwe.

Mukutenderera kwakanaka, ropa rinotumirwa kubva kurudyi ventricle kunotora okisijeni mumapapu. Iyo inodzoka kuburikidza nemapulmoni (mapapu) mutsinga kuruboshwe kuruboshwe kwemoyo, iyo inotumira ropa kunze kuburikidza neaorta uye kutenderedza muviri.

MuTAPVR, oxygen-yakazara ropa rinodzoka kubva mumapapu kuenda kurudyi atrium kana kune tsinga inoyerera ichienda kurudyi atrium, pachinzvimbo chekuruboshwe kwemoyo. Mune mamwe mazwi, ropa rinongotenderera kuenda nekubva mumapapu uye haritombobuda mumuviri.

Kuti mucheche ararame, chirwere cheatrial septal defect (ASD) kana patent foramen ovale (nzira pakati peboshwe uye kurudyi atria) inofanirwa kuvapo kuti ibvumidze ropa rine oxygenated kuyerera kuruboshwe kwemoyo nemutumbi wese.

Iyo yakanyanya sei iyi mamiriro inoenderana nekuti mapurmonary mutsinga akavharika kana kuvharika sezvavanodonha. Yakavharirwa TAPVR inokonzeresa zviratidzo pakutanga kwehupenyu uye inogona kuuraya nekukurumidza zvakanyanya kana ikasawanikwa nekugadziriswa nekuvhiyiwa.

Mucheche anogona kuoneka achirwara uye anogona kunge aine zviratidzo zvinotevera:

• Ruvara rweBluish rweganda (cyanosis)
• Kakawanda kuporesa zvirwere
• Lethargy
• Kudya zvisina tsarukano
• Kukura kwakashata
• Kukurumidza kufema

Ongorora: Dzimwe nguva, hapana zviratidzo zvinogona kunge zviripo muhucheche kana paudiki hudiki.

Miedzo inogona kusanganisira:

• Catheterization yemoyo inogona kusimbisa kuongororwa nekuratidzira kuti tsinga dzeropa dzakabatanidzwa zvisina kujairika
• ECG inoratidza kuwedzera kwema ventricles (ventricular hypertrophy)
• Echocardiogram inogona kuratidza kuti midziyo yemapapu yakabatanidzwa
• MRI kana CT scan yemoyo inogona kuratidza kubatana pakati pemidziyo yemapurmonary
• X-ray yechipfuva inoratidza yakajairwa kune diki moyo ine fluid mumapapu

Kuvhiya kugadzirisa dambudziko kunodiwa nekukurumidza sezvazvinogona. Mukuvhiya, tsinga dzemapapu dzakabatana neatrium yekuruboshwe uye hurema pakati peiyo kurudyi uye kuruboshwe atrium yakavharwa.

Kana mamiriro aya akasarapwa, moyo unowedzera, zvichitungamira mukundikana kwemoyo. Kugadzirisa kukanganisa pakutanga kunopa mibairo yakanaka kwazvo kana pasina kuvharika kwemitsipa yemapapu pakubatana kutsva mukati memwoyo. Vacheche vakavhiringidza tsinga vakawedzera kupona.

Zvinetso zvinogona kusanganisira:

• Kufema kunetseka
• Kutadza kwemoyo
• Zvisina kujairika, zvinomhanya pamoyo mutinhimira (arrhythmias)
• Zvirwere zvemapapu
• Pulmonary hypertension

Aya mamiriro anogona kunge akaonekwa panguva yekuzvarwa. Zvisinei, zviratidzo zvinogona kunge zvisipo kusvikira gare gare.

Fonera wako mupi wezvehutano kana iwe ukaona zviratidzo zveTAPVR. Kukurumidza kutarisirwa kunodiwa.

Iko hakuna inozivikanwa nzira yekudzivirira TAPVR.

TAPVR; Tsinga dzese; Kuberekwa kwemoyo kusakwana - TAPVR; Cyanotic chirwere chemoyo - TAPVR

• Mwoyo - chikamu kuburikidza nepakati
• Chaizvoizvo anomalous pulmonary venous kudzoka - X-ray
• Chaizvoizvo anomalous pulmonary venous kudzoka - x-ray
• Chaizvoizvo anomalous pulmonary venous kudzoka - X-ray

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.