Patent ductus arteriosus

Patent ductus arteriosus (PDA) mamiriro ayo iyo ductus arteriosus isingavhare. Izwi rekuti "patent" rinoreva kuvhura.

Iyo ductus arteriosus imidziyo yeropa iyo inobvumira ropa kufamba-famba mumapapu emwana asati azvarwa. Nguva pfupi mushure mekuzvarwa kwecheche uye mapapu achizadza nemweya, iyo ductus arteriosus haichadiwe. Inowanzovhara mumazuva mashoma mushure mekuzvarwa. Kana mudziyo ukasavhara, unonzi PDA.

PDA inotungamira mukusanzwisisika kweropa kuyerera pakati pemidzi miviri mikuru yeropa inotakura ropa kubva pamoyo kuenda kumapapu uye kune mamwe muviri.

PDA inowanzoitika kune vasikana kupfuura vakomana. Mamiriro acho anowanzoitika kune vacheche vasati vasvika uye avo vane neonatal kufema kunetseka chirwere. Vacheche vane hutachiona hutachiona, senge Down syndrome, kana vacheche vanaamai vane rubella panguva yekuzvitakura vari panjodzi huru yePDA.

PDA yakajairika mune vacheche vane congenital moyo matambudziko, akadai sehypoplastic kuruboshwe moyo chirwere, kushandurwa kwemidziyo mikuru, uye pulmonary stenosis.

PDA diki inogona kusakonzera chero zviratidzo. Zvisinei, vamwe vacheche vanogona kuva nezviratidzo zvakadai se:

• Kukurumidza kufema
• Tsika dzakashata dzekudya
• Kukurumidza kupisa
• Kufema kwekufema
• Kudikitira panguva yekudyisa
• Kuneta zviri nyore
• Kukura kwakashata

Vacheche vane PDA vanowanzo kuve nekugunun'una kwemoyo kunogona kunzwika ne stethoscope. Zvisinei, mumucheche asati aberekwa, moyo kugunun'una kunogona kusanzwika. Anopa hutano anogona kufungidzira mamiriro acho kana mwana achifema kana kudyisa matambudziko achangoberekwa.

Shanduko dzinogona kuonekwa pachifuva x-ray. Iko kuongororwa kunosimbiswa neiyo echocardiogram.

Dzimwe nguva, PDA diki inogona kunge isinga bvumirwe kusvika gare gare muhucheche.

Kana pasina zvimwe zvinokanganisa moyo zviripo, kazhinji chinangwa chekurapa ndechekuvhara iyo PDA. Kana mwana aine mamwe matambudziko emoyo kana hurema, kuchengeta iyo ductus arteriosus yakavhurika kunogona kuponesa hupenyu. Mushonga unogona kushandiswa kuumisa kubva pakuvhara.

Dzimwe nguva, PDA inogona kuvhara yega. Mune vacheche vasati vasvika, inowanzovhara mukati memakore maviri ekutanga ehupenyu. Mune yakazara-nguva vacheche, iyo PDA inosara yakavhurika mushure memavhiki ekutanga akati wandei isinga vhara yega.

Kana kurapwa kuchidikanwa, mishonga yakadai seindomethacin kana ibuprofen kazhinji ndiyo sarudzo yekutanga. Mishonga inogona kushanda mushe kune vamwe vacheche, iine mashoma mhedzisiro. Iyo yekutanga kurapwa inopihwa, zvakanyanya mukana wekubudirira.

Kana matanho aya asingashande kana asingakwanise kushandiswa, mwana angangoda kurapwa.

Kuvhara kwechigadzirwa che transcatheter inzira inoshandisa chubhu tete, isina huni inoiswa mumudziyo weropa. Chiremba anodarika kanoiri kadiki kesimbi kana chimwewo chinodzivirira kuburikidza nekateti kuenda kunzvimbo yePDA. Izvi zvinodzivirira kuyerera kweropa kuburikidza nemudziyo. Aya ma coils anogona kubatsira mwana kudzivirira kuvhiyiwa.

Kuvhiya kunogona kudikanwa kana iyo catheter maitiro isingashande kana isingakwanise kushandiswa nekuda kwehukuru hwemwana kana zvimwe zvikonzero. Kuvhiya kunosanganisira kugadzira kamucheka kadiki pakati pembabvu kugadzirisa iyo PDA.

Kana iyo PDA diki ikaramba yakavhurika, mwana anogona kupedzisira ave nezviratidzo zvemwoyo. Vacheche vane PDA yakakura vanogona kuita matambudziko emoyo sekutadza kwemoyo, kuwedzerwa kweropa mumatsinga emapapu, kana hutachiona hwemukati memukati memwoyo kana PDA ikasavhara.

Aya mamiriro anowanzoonekwa nemupi anopa uyo anoongorora mwana wako. Kufema uye kudyisa matambudziko mumucheche dzimwe nguva zvinogona kunge kuri nekuda kwePDA isina kuongororwa.

PDA

• Chiremba wemwoyo kuvhiya - kubuda

• Mwoyo - chikamu kuburikidza nepakati
• Patent ductus arteriosis (PDA) - akateedzana

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.