Fetal echocardiography

Fetal echocardiography bvunzo inoshandisa mafungu ezwi (ultrasound) kuongorora moyo wemwana kumatambudziko asati aberekwa.

Fetal echocardiography bvunzo inoitwa mwana achiri mudumbu. Inowanzoitwa panguva yechipiri trimester yepamuviri. Apa ndipo apo mukadzi anenge ane masvondo gumi nemasere kusvika makumi maviri nemana akazvitakura.

Maitiro acho akafanana neaya ane pamuviri ultrasound. Iwe ucharara pasi kuitira maitiro.

Muedzo unogona kuitwa padumbu rako (mudumbu ultrasound) kana kuburikidza nemukadzi wako (transvaginal ultrasound).

Mune dumbu ultrasound, munhu ari kuita bvunzo anoisa yakajeka, yemvura-yakavakirwa gel padumbu rako. Prote yakabata ruoko inofambiswa pamusoro penzvimbo. Iyo probe inotumira mafungu eruzha, ayo anodhumha kubva pamoyo wemwana uye kugadzira mufananidzo wemoyo pakombuta yekombuta.

Mune transvaginal ultrasound, probe diki kwazvo inoiswa mukati memukadzi. Iyo transvaginal ultrasound inogona kuitwa kare mukuzvitakura uye inogadzira yakajeka mufananidzo kupfuura wedumbu ultrasound.

Hapana gadziriro yakasarudzika inodikanwa bvunzo iyi.

Iyo inoitisa gel ingangonzwa kutonhora uye kunyorova. Iwe hauzonzwa iwo masaisai e ultrasound.

Muedzo uyu unoitwa kuti uone dambudziko remwoyo mwana asati azvarwa. Inogona kupa yakadzama mufananidzo wemwana mucheche kupfuura wenguva dzose nhumbu ultrasound.

Muedzo unogona kuratidza:

• Ropa rinoyerera kuburikidza nemoyo
• Mwoyo mutinhimira
• Maumbirwo emoyo wemwana

Muedzo unogona kuitwa kana:

• Mubereki, mukoma kana munhengo yemhuri yepedyo aive nehurema hwemwoyo kana chirwere chemwoyo.
• Yakajairika nhumbu ultrasound yakaona isina kujairika moyo mutinhimira kana inogona kuitika dambudziko remoyo mumwana asati aberekwa.
• Amai vane chirwere cheshuga (vasati vava nepamuviri), lupus, kana phenylketonuria.
• Amai vane rubella panguva yekutanga kwetatu yenhumbu.
• Amai vakashandisa mishonga inogona kukuvadza moyo uri kukura wemwana (senge mimwe mishonga yekufa pfari nemushonga wemakwenzi mishonga).
• An amniocentesis yakaratidza kusagadzikana kwechromosome.
• Pane chimwe chikonzero chekufungidzira kuti mwana ari panjodzi yakanyanya yezvinetso zvemwoyo.

Iyo echocardiogram inowana pasina matambudziko mumoyo wemwana asati aberekwa.

Mhedzisiro isina kujairika inogona kunge iri nekuda kwe:

• Dambudziko munzira iyo moyo wemwana waumbika (congenital heart disease)
• Dambudziko nemabatiro anoita moyo wemwana
• Mwoyo mutinhimira kukanganiswa (arrhythmias)

Muedzo ungangoda kudzokororwa.

Iko hakuna njodzi dzinozivikanwa kuna amai kana mwana asati aberekwa.

Humwe hurema hwemwoyo haugone kuoneka asati aberekwa, kunyangwe aine fetal echocardiography. Izvi zvinosanganisira maburi madiki mumoyo kana mashoma vharuvhu matambudziko. Zvakare, nekuti zvinogona kunge zvisingaite kuona chikamu chega chega chetsinga huru dzeropa dzinobuda kunze kwemoyo wemwana, matambudziko munzvimbo ino anogona kuenda asingaonekwe.

Kana mupi wezvehutano akaona dambudziko muchimiro chemoyo, yakadzama ultrasound inogona kuitwa kutsvaga mamwe matambudziko nemwana ari kukura.

Donofrio MT, Mwedzi-Grady AJ, Hornberger LK, et al. Kuongororwa uye kurapwa kwe fetal chirwere chemoyo: chirevo chesainzi kubva kuAmerican Heart Association. Kutenderera. 2014; 129 (21): 2183-2242. PMID: 24763516 www.ncbi.nlm.nih.gov/pubmed/24763516.

Hagen-Ansert SL, Guthrie J. Fetal echocardiography: chirwere chepfungwa chepfungwa. Mune: Hagen-Ansert SL, rakanyorwa. Chinyorwa cheDiagnostic Sonography. 8th ed. St Louis, MO: Elsevier; 2018: chits. 36.

Stamm ER, Drose JA. Mwoyo wechibereko. Mu: Rumack CM, Levine D, eds. Kuongorora Ultrasound. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 37.