Aortopulmonary hwindo

Aortopulmonary hwindo chinhu chisingawanzoitika mukati memwoyo mune gomba rinobatanidza arteri huru inotora ropa kubva pamoyo kuenda kumuviri (aorta) uye iyo inotora ropa kubva pamoyo kuenda kumapapu (pulmonary artery). Mamiriro acho akaberekwa, zvinoreva kuti aripo pakuzvarwa.

Kazhinji, ropa rinoyerera nepaseri yemapapu kuenda mumapapu, kwarinotora oxygen. Ipapo iro ropa rinodzokera kumashure kumoyo uye ndokupombiwa ku aorta nemuviri wese.

Vacheche vane aortopulmonary hwindo vane gomba pakati peaorta uye pulmonary arteri. Nekuda kwegomba iri, ropa rinobva muaorta rinoyerera richipinda mukati meye pulmonary artery, uye semhedzisiro ropa rakawandisa rinoyerera kuenda kumapapu. Izvi zvinokonzera kukwirira kweropa mumapapu (chiitiko chinonzi pulmonary hypertension) uye congestive moyo kutadza. Iyo yakakura kuremara, iyo yakawanda ropa iyo inokwanisa kupinda mune yemapurita arteri.

Mamiriro acho anoitika kana aorta uye tsinga yemapapu isina kupatsanuka zvakaenzana apo mwana anokura mudumbu.

Aortopulmonary hwindo rinonyanya kushomeka. Iyo inoverengera isingasviki 1% yeese ekuberekwa kwemoyo hurema.

Aya mamiriro anogona kuitika ari ega kana aine mamwe moyo manyepo akadai se:

• Tetralogy yekunyepedzera
• Pulmonary atresia
• Truncus arteriosus
• Atrial septal kuremara
• Patent ductus arteriosus
• Yakakanganisa aortic arch

Makumi makumi mashanu muzana yevanhu kazhinji havana zvimwe zvinokanganisa moyo.

Kana kukanganisa kwacho kuri kudiki, hakugone kukonzera chero zviratidzo. Zvisinei, zvikanganiso zvakawanda zvakakura.

Zviratidzo zvinogona kusanganisira:

• Kunonoka kukura
• Kutadza kwemoyo
• Kushatirwa
• Kudya zvisina tsarukano uye kushomeka kwekurema
• Kukurumidza kufema
• Kukurumidza kurova kwemoyo
• Zvirwere zvekufema

Anopa hutano anowanzo kunzwa asina kujairika moyo kurira (kugunun'una) kana achiteerera kumoyo wemwana ne stethoscope.

Iye mupi anogona kuraira bvunzo dzakadai se:

• Catheterization yemwoyo - chubhu mutete yakaiswa mumidziyo yeropa uye / kana tsinga dzakakomberedza moyo kuti utarise moyo nemidziyo yeropa uye nekuyera kumanikidza mumoyo nemapapu.
• Chest x-ray.
• Echocardiogram.
• MRI yemoyo.

Mamiriro acho kazhinji anoda kuvhiyiwa kwemoyo wakavhurika kugadzirisa hurema. Kuvhiya kunofanirwa kuitwa nekukurumidza sezvinobvira mushure mekuongororwa. Muzviitiko zvakawanda, ndipo kana mwana achiri achangozvarwa.

Munguva yekuita, muchina wemoyo-wemapapu unotora pamusoro pemwoyo wemwana. Chiremba anovhura aorta uye anovhara hurema nechimedu chakagadzirwa kubva pachidimbu chesaga inovhara moyo (iyo pericardium) kana chinhu chakagadzirwa nevanhu.

Kuvhiya kugadzirisa aortopulmonary hwindo kuri kubudirira mune dzakawanda kesi. Kana hurema hukarapwa nekukurumidza, mwana haafanire kuve nemhedzisiro.

Kunonoka kurapwa kunogona kutungamira kumatambudziko akadai se:

• Kuunganidzwa kwemoyo kukundikana
• Pulmonary hypertension kana Eisenmenger syndrome
• Rufu

Fonera waunopa kana mwana wako aine zviratidzo zve aortopulmonary hwindo. Nokukurumidza mamiriro aya akaonekwa uye akarapwa, zvirinani kufungidzira kwemwana.

Iko hakuna inozivikanwa nzira yekudzivirira aortopulmonary hwindo.

Aortopulmonary septal chirema; Aortopulmonary fenestration; Kuberekwa kwemoyo kukanganisa - aortopulmonary hwindo; Chibereko chekuzvarwa pamoyo - aortopulmonary hwindo

• Aortopulmonary hwindo

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Qureshi AM, Gowda ST, Justino H, Spicer DE, Anderson RH. Kumwe kukanganisika kwematurakiti ekubuda kwemhepo. Muna: Wernovsky G, Anderson RH, Kumar K, et al, eds. Anderson's Pediatric Cardiology. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 51.

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.