Bicuspid aortic vharafu

Bicuspid aortic vharuvhu (BAV) ivhavha yeortic inongova nemapepa maviri chete, panzvimbo pematatu.

Iyo aortic vharuvhu inogadzirisa kuyerera kweropa kubva pamoyo kuenda muaorta. Iyo aorta ndiyo hombe yeropa inounza ropa-rakapfuma ropa kumuviri.

Iyo aortic vharuvhu inobvumira oxygen-yakazara ropa kuyerera kubva pamoyo kuenda kuorta. Iyo inodzivirira iro ropa kubva kuyerera richidzoka kubva kuaorta kuenda mumoyo kana iyo yekupompa kamuri ichizorora.

BAV iripo pakuzvarwa (kuberekwa). Iyo isina kujairika aortic vharuvhu inokura mukati memavhiki ekutanga epamuviri, apo moyo wemwana uri kukura. Chinokonzera dambudziko iri hachina kujeka, asi ndicho chakanyanya kuberekwa pamoyo hurema. BAV inowanzo mhanya mumhuri.

BAV inogona kunge isingakwanise kumisa ropa kubva mukudonha richidzokera mukati memoyo. Kuvuza uku kunodaidzwa kuti aortic kudzoka. Iyo aortic vharafu inogona zvakare kuve yakaoma uye isingavhure. Izvi zvinonzi aortic stenosis, izvo zvinoita kuti moyo upomhe zvakanyanya kupfuura zvakajairwa kuti uwane ropa kuburikidza nevhavha. Iyo aorta inogona kuwedzerwa neichi mamiriro.

BAV inonyanya kuwanikwa pakati pevanhurume kupfuura vanhukadzi.

BAV inowanzovapo mune vacheche vane coarctation yeaorta (kudzikisira kweaorta). BAV inoonekwawo muzvirwere umo mune kuvharika kweropa kuyerera kuruboshwe kwemoyo.

Kazhinji yenguva, BAV haionekwe mumucheche kana muvacheche nekuti haina zviratidzo. Nekudaro, iyovhavha isina kujairika inogona kudonha kana kuita yakatetepa nekufamba kwenguva.

Zviratidzo zvezvinetso zvakadaro zvinogona kusanganisira:

• Mwana kana matai emwana zviri nyore
• Kurwadziwa pachifuva
• Kunetseka kufema
• Inokurumidza uye isina kujairika kurova kwemoyo (palpitations)
• Kurasikirwa kwekuziva (kufenda)
• Ganda rakachenuruka

Kana mwana aine mamwe matambudziko emoyo akaberekwa, anogona kukonzera zviratidzo zvinotungamira mukuwanikwa kweBAV.

Munguva yebvunzo, mupi wezvehutano anogona kuwana zviratidzo zveBAV zvinosanganisira:

• Wakawedzera moyo
• Moyo kugunun'una
• Kupomba kusisina kusimba mumawoko nemaoko emakumbo

Miedzo inogona kurairwa inosanganisira:

• MRI, iyo inopa yakajeka mufananidzo wemoyo
• Echocardiogram, inova iyo ultrasound inotarisisa mamiriro emoyo uye kuyerera kweropa mukati memwoyo

Kana iye mupi achifungidzira kusagadzikana kana zvimwe zvinokanganisa moyo, zvimwe bvunzo zvinogona kusanganisira:

• Chest x-ray
• Electrocardiogram (ECG), iyo inoyera mashandiro emagetsi emoyo
• Catheterization yemoyo, maitiro ayo akaonda chubhu (catheter) inoiswa mukati memwoyo kuti uone kuyerera kweropa uye kutora zviyero chaizvo zvekumanikidza kweropa uye nemazinga eoksijeni
• MRA, iyo MRI inoshandisa dhayi kuona iyo midziyo yeropa yemoyo

Mucheche kana mwana angangoda kuvhiyiwa kuti agadzirise kana kutsiva vharuvhu inodonha kana yakatetepa, kana matambudziko akanyanya.

Vhavha yakamanikana inogona kuvhurwa kuburikidza necatheterization yemoyo. Iyo yakanaka chubhu (catheter) inotungamirwa kumoyo uye mukuvhurika kwakamanikana kweaortic vharafu. Bhaluni rakanamatira kumagumo ehubhu rakafemerwa kuti kuvhurika kwevhavha kuve kwakakura.

Muvanhu vakuru, kana bicuspid vharuvhu ikava inodonha zvakanyanya kana kudzikira kwazvo, inogona kuda kuchinjwa.

Dzimwe nguva aorta inogona zvakare kuda kugadziriswa kana yakave yakafararira kana yakatetepa.

Mushonga unogona kudikanwa kubvisa zviratidzo kana kudzivirira kunetseka. Mishonga inogona kusanganisira:

• Zvinodhaka zvinoderedza basa repamoyo (beta-blockers, ACE inhibitors)
• Zvinodhaka zvinoita kuti moyo wemhasuru pombi uome (inotropic vamiririri)
• Mapiritsi emvura (diuretics)

Kunyatsoita mwana zvinoenderana nekuvapo uye kuomarara kwematambudziko eBAV.

Kuvapo kwemamwe matambudziko epanyama pakuzvarwa zvakare kunogona kukanganisa maitiro emwana.

Vazhinji vacheche vane chirwere ichi havana zviratidzo, uye dambudziko harionekwe kusvika vakura. Vamwe vanhu havamboziva kuti vane dambudziko iri.

Zvinetso zveBAV zvinosanganisira:

• Kutadza kwemoyo
• Kuvuza kweropa kuburikidza nevhavha kudzokera mukati memoyo
• Kudimbudzira kwekuvhura kwevhavha
• Kubatwa kweiyo moyo mhasuru kana aortic vharafu

Fonera mupi wemwana wako kana mwana wako:

• Haadi havi
• Ine ganda risina kujairika kana bhuruu
• Zvinoratidzika kuneta nyore

BAV inomhanya mumhuri. Kana iwe uchiziva nezvechiitiko ichi mumhuri yako, taura nemupi wako usati wava nepamuviri. Iko hakuna inozivikanwa nzira yekudzivirira iyo mamiriro.

Bicommissural aortic vharafu; Chirwere cheValvular - bicuspid aortic vharafu; BAV

• Kuvhiya kwevhavha yemoyo - kubuda

• Bicuspid aortic vharafu

Borger MA, Fedak PWM, Stephens EH, et al. AATS yekubvumirana mirayiridzo pane bicuspid aortic vharuvha-inoenderana neortortopathy: yakazara online chete vhezheni. J Thorac Cardiovasc Kuvhiya. 2018; 156 (2): e41-74. doi: 10.1016 / j.jtcvs.2018.02.115. PMID: 30011777 pubmed.ncbi.nlm.nih.gov/30011777/.

Braverman AC, Cheng A. Iyo bicuspid aortic vharafu uye inosanganisirwa aortic chirwere. Mune: Otto CM, Bonow RO, eds. Valvular Hosha Yemwoyo: A Shamwari kuBraunwald's Chirwere Chemwoyo. 5 ed. Philadelphia, PA: Elsevier; 2021: chits. 11.

Fraser CD, Cameron DE, McMillan KN, Vricella LA. Chirwere chemwoyo uye zvinobatika matishu. Mune: Ungerleider RM, Meliones JN, McMillian KN, Cooper DS, Jacobs JP, eds. Chirwere Chemwoyo Chirwere muVacheche neVana. 3rd ed. Philadelphia, PA: Elsevier; 2019: chits.

Lindman BR, Bonow RO, Otto CM. Aortic vharafu chirwere. 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: chitsuwa 68.