Eisenmenger chirwere

Eisenmenger syndrome chiitiko chinokanganisa kuyerera kweropa kubva pamoyo kuenda kumapapu mune vamwe vanhu vakazvarwa vaine matambudziko ehurongwa emoyo.

Eisenmenger syndrome chiitiko chinoguma kubva mukushomeka kweropa kutenderera kunokonzerwa nehurema mumoyo. Kazhinji kazhinji, vanhu vane chirwere ichi vanozvarwa vaine buri pakati pemakamuri maviri ekupomba - eworuboshwe uye kurudyi ma ventricles - emoyo (ventricular septal defect). Buri rinobvumira ropa rakatotora okisijeni kubva mumapapu kuti ridzokere mumapapu, pachinzvimbo chekuenda kune imwe muviri wese.

Zvimwe zvinokanganisa moyo zvinogona kutungamira kuEisenmenger syndrome zvinosanganisira:

• Atrioventricular canal kuremara
• Atrial septal kuremara
• Cyanotic chirwere chemoyo
• Patent ductus arteriosus
• Truncus arteriosus

Kwemakore mazhinji, kuwedzerwa kweropa kuyerera kunogona kukuvadza mitsipa yeropa mudiki mumapapu. Izvi zvinokonzera kukwirira kweropa mumapapu. Nekuda kweizvozvo, kuyerera kweropa kunodzokera kumashure kuburikidza neburi riri pakati pemakamuri maviri ekupomba. Izvi zvinobvumira oxygen isina muropa kufamba kune iyo yese muviri.

Eisenmenger syndrome inogona kutanga kukura mwana asati akura. Nekudaro, zvakare inogona kukura mukukura kwevechidiki, uye inogona kufambira mberi mukati mehukuru hwehudiki.

Zviratidzo zvinosanganisira:

• Miromo yeBluish, zvigunwe, zvigunwe, uye ganda (cyanosis)
• Nzara dzakatenderedzwa nzara uye nzwara (klubbing)
• Unhu uye kurira kweminwe nezvigunwe
• Kurwadziwa pachifuva
• Kukosora ropa
• Dzungu
• Kufenda
• Kunzwa kuneta
• Kufema kwekufema
• Yakabvaruka kurova kwemoyo (palpitations)
• Kurohwa
• Kuzvimba mumajoini kunokonzerwa neakawanda uric acid (gout)

Anopa hutano anoongorora mwana. Munguva yebvunzo, mupi anogona kuwana:

• Asina kujairika moyo rhythm (arrhythmia)
• Akawedzera magumo eminwe kana zvigunwe (clubbing)
• Kugunun'una kwemoyo (imwe inzwi kana uchiteerera kumoyo)

Iye mupi anozoongorora Eisenmenger syndrome nekutarisa nhoroondo yemunhu yezvinetso zvemwoyo. Miedzo inogona kusanganisira:

• Yakazara kuverenga ropa (CBC)
• Chest x-ray
• MRI scan yemoyo
• Kuisa chubhu mutete mutsinga kuti utarise moyo nemidziyo yeropa uye kuyera kumanikidza (moyo catheterization)
• Kwayedza yechiitiko chemagetsi mumoyo (electrocardiogram)
• Ultrasound yemoyo (echocardiogram)

Huwandu hwezviitiko zveichi chiitiko muUnited States hwadzikira nekuti vanachiremba vava kukwanisa kuongorora nekugadzirisa hurema ipapo. Naizvozvo, dambudziko rinogona kugadziriswa kukuvara kusingachadzoreke kunoitika kune tsinga dzemapapu diki.

Dzimwe nguva, vanhu vane zviratidzo vanogona kunge vakabviswa ropa kubva mumuviri (phlebotomy) kudzikisa huwandu hweropa dzvuku dzeropa. Munhu wacho anobva agamuchira zvinwiwa kutsiva ropa rakarasika (vhoriyamu kutsiva).

Vanhu vane hutachiwana vanogona kuwana okisijeni, kunyangwe zvisina kujeka kana zvichibatsira kudzivirira chirwere ichi kubva pakuwedzera. Uye zvakare, mishonga inoshanda kuzorora uye kuvhura tsinga dzeropa inogona kupihwa. Vanhu vane zviratidzo zvakakomba zvikuru vangazopedzisira voda kuisirwa moyo-mapapu

Kunyatsoita munhu akakanganiswa kunoenderana nekuti imwezve mamiriro ekurapa aripo, uye zera iro rakakwira BP rinokura mumapapu. Vanhu vane chirwere ichi vanogona kurarama makore makumi maviri kusvika makumi mashanu.

Zvinetso zvinogona kusanganisira:

• Kubuda ropa (kubuda ropa) muuropi
• Kuunganidzwa kwemoyo kukundikana
• Gout
• Kumira kurova kwemoyo
• Hyperviscosity (sludging yeropa nekuti rakanyanya kurema nemasero eropa)
• Utachiona (abscess) muuropi
• Itsvo kutadza
• Ropa risina kunaka rinoyerera kuenda kuuropi
• Kurohwa
• Kufa kamwe kamwe

Fonera waunopa kana mwana wako akatanga zviratidzo zveEisenmenger syndrome.

Kuvhiya nekukurumidza sezvinobvira kugadzirisa kukanganisa kwemoyo kunogona kudzivirira Eisenmenger syndrome.

Eisenmenger yakaoma; Eisenmenger chirwere; Eisenmenger reaction; Eisenmenger physiology; Kuberekwa kwemoyo hurema - Eisenmenger; Chirwere cheCyanotic chemwoyo - Eisenmenger; Chibereko chekuremara moyo - Eisenmenger

• Eisenmenger syndrome (kana yakaoma)

Bernstein D. General misimboti yekurapa kwewakazvarwa mwoyo chirwere Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 461.

Therrien J, Marelli AJ. Congenital chirwere chemoyo muvakuru. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 61.

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.