Echocardiogram - vana

Echocardiogram muyedzo unoshandisa mafungu ezwi kugadzira mifananidzo yemoyo. Iyo inoshandiswa nevana kubatsira kuongorora kukanganisika kwemoyo uripo pakuzvarwa (kuberekwa). Mufananidzo wacho wakanyatsotsanangurwa kupfuura wenguva dzose x-ray mufananidzo. Iyo echocardiogram zvakare haina kuisa vana kumwaranzi.

Mubatsiri wehutano wemwana wako anogona kuita bvunzo mukiriniki, muchipatara, kana kunzvimbo yekurapa varwere. Echocardiography muvana inoitwa pamwe nemwana akarara pasi kana akarara mumakumbo evabereki vavo. Maitiro aya anogona kubatsira kuvanyaradza uye kuvachengetedza.

Kune imwe yeiyi bvunzo, akadzidziswa sonographer anoita bvunzo. Nyanzvi yemoyo anodudzira mhedzisiro.

CHITSAUKO ECHOCARDIOGRAM (TTE)

TTE ndiyo mhando ye echocardiogram iyo ichave nevana vazhinji.

• Iyo sonographer inoisa gel pambabvu dzemwana padhuze nepfupa rechipfuva munzvimbo yakatenderedza moyo. Chimbo chakabata-ruoko, chinonzi transducer, chakatsimbirirwa pajel pachipfuva chemwana uye chakanangiswa kumoyo. Chigadzirwa ichi chinoburitsa mafungu epamusoro-frequency.
• Mutengesi anotora maungira emasaisai ekudzoka anodzoka kubva pamoyo nemutsinga dzeropa.
• Iyo echocardiography muchina inoshandura izvi zvishuwo kuva mifananidzo inofamba yemoyo. Kunyange zvakadaro mifananidzo inotorwawo.
• Mifananidzo inogona kuve-maviri-matatu kana matatu-matatu.
• Maitiro ese anotora kwemaminitsi makumi maviri kusvika makumi mana.

Chiyero chinobvumira mupi kuti aone moyo uchirova. Iyo inoratidzawo mavhavha emoyo uye zvimwe zvivakwa.

Dzimwe nguva, mapapu, mbabvu, kana nyama yemuviri zvinogona kudzivirira mafungu ezwi kuti aburitse mufananidzo wakajeka wemwoyo. Mune ino kesi, iyo sonographer inogona jekiseni chidiki chemvura (musiyano dhayi) kuburikidza ne IV kuti uone zvirinani mukati memwoyo.

CHITSAUKO ECHOCARDIOGRAM (TEE)

TEE nderimwe rudzi rwechochocardiogram iyo vana vanogona kuve nayo. Muedzo unoitwa nemwana akarara pasi pekunyaradza.

• Iyo sonographer ichavevesa kumashure kwehuro yemwana wako uye nekuisa chubhu diki mupombi yechikafu yemwana (esophagus). Kuguma kwetubhu kune mudziyo wekutumira mafungu eruzha.
• Mafungu eruzha anoratidza zvimiro zviri mumoyo uye anoratidzwa pachiratidziri semifananidzo yemoyo nemidziyo yeropa.
• Nekuti iyo esophagus iri kuseri chaiko kwemoyo, nzira iyi inoshandiswa kujekesa mifananidzo yakajeka yemoyo.

Iwe unogona kutora matanho aya kugadzirira mwana wako usati waitwa:

• Usatendere mwana wako kuti adye kana kunwa chero chinhu asati ave neTEE.
• Usashandise chero kirimu kana mafuta pamwana wako bvunzo isati yaitwa.
• Tsanangura bvunzo zvakadzama kuvana vakura kuti vanzwisise kuti vanofanira kuramba vakanyarara panguva yemuedzo.
• Vana vadiki vari pasi pemakore mana ekuberekwa vangangoda mushonga (sedation) kuvabatsira kuramba vakadzikama kuti vaone mifananidzo yakajeka.
• Ipai vana vane makore anopfuura mana chitoyi chekubata kana kuvaita kuti vaone mavhidhiyo anovabatsira kuti vadzikame uye vadzikame panguva yebvunzo.

• Mwana wako anozoda kubvisa chero hembe kubva muchiuno kumusoro uye onarara akarara patafura yekubvunzo.
• Electrodes ichaiswa pachifuva chemwana wako kuti itarise kurova kwemoyo.
• Gel inoiswa pachipfuva chemwana. Zvinogona kutonhora. Musoro wekutengesa unodzvanywa pamusoro peiyo gel. Mwana anogona kunzwa kumanikidzwa nekuda kwekuchinja.
• Vana vadiki vanogona kunzwa vasina kugadzikana panguva yekuyedzwa. Vabereki vanofanira kuedza kuchengeta mwana akadzikama panguva yekuyedzwa.

Muedzo uyu unoitirwa kuongorora mashandiro, mavharuvhu emwoyo, midziyo mikuru yeropa, uye makamuri emoyo wemwana kubva kunze kwemuviri.

• Mwana wako anogona kunge aine zviratidzo kana zviratidzo zvematambudziko emwoyo.
• Izvi zvinogona kusanganisira kupfupika kwemweya wekufema, kukura kwakashata, kuzvimba kwegumbo, kugunun'una kwemoyo, bhuruu rakatenderedza miromo kana uchichema, kurwadziwa pachipfuva, fivha isingatsanangurike, kana utachiona huri kukura mukuyedzwa kwetsika yeropa.

Mwana wako anogona kuve nenjodzi yekuwedzera yezvinetso zvemwoyo nekuda kweasina kujairika mageneti bvunzo kana zvimwe zvikanganiso zvekuzvarwa zviripo.

Iye mupi anogona kukurudzira TEE kana:

• Iyo TTE haina kujeka. Mhedzisiro isina kujeka inogona kunge yakakonzerwa nechimiro chechipfuva chemwana, chirwere chemapapu, kana mafuta akawandisa emuviri.
• Nzvimbo yemoyo inoda kutariswa zvakadzama.

Mhedzisiro mhedzisiro zvinoreva kuti hapana hurema mukati memagetsi mavharuvhu kana makamuri uye kune zvakajairika moyo madziro kufamba.

Emocardiogram isina kujairika mumwana inogona kureva zvinhu zvakawanda. Zvimwe zvakajairika zvakawanikwa zvidiki kwazvo uye hazviise njodzi huru. Zvimwe zviratidzo zvekurwara nechirwere chemwoyo. Mune ino kesi, mwana anozoda mimwe bvunzo nenyanzvi. Izvo zvakakosha kuti utaure nezve mhedzisiro ye echocardiogram nemupi wemwana wako.

Iyo echocardiogram inogona kubatsira kuona:

• Asina kujairika moyo mavharuvhu
• Abnormal moyo mutinhimira
• Kuremara kwekuzvarwa kwemoyo
• Kuzvimba (pericarditis) kana kuyerera mukati mesaga rakakomberedza moyo (pericardial effusion)
• Utachiona pane kana kutenderedza mwoyo mavharuvhu
• Kuwedzera kweropa mumidziyo yeropa kumapapu
• Moyo unogona sei kupomba
• Kwayakaenda yekuvhara ropa mushure mekurohwa kana TIA

TTE muvana haina chero njodzi inozivikanwa.

TEE inzira inoparadza. Panogona kunge paine njodzi nemuyedzo uyu. Taura nemupi wako nezve njodzi dzinosangana nemuyedzo uyu.

Transthoracic echocardiogram (TTE) - vana; Echocardiogram - transthoracic - vana; Doppler ultrasound yemwoyo - vana; Surface echo - vana

Campbell RM, Douglas PS, Eidem BW, Lai WW, Lopez L, Sachdeva R. ACC / AAP / AHA / ASE / HRS / SCAI / SCCT / SCMR / SOPE 2014 nzira dzakakodzera dzekushandisa yekutanga transthoracic echocardiography mune yekurapa kwevana cardiology: chirevo yeAmerican College yeCardiology Yakakodzera Use Criteria Task Force, American Academy of Pediatrics, American Heart Association, American Society of Echocardiography, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, uye Sosaiti yePediatric Echocardiography. J Ndiri Coll Cardiol. 2014; 64 (19): 2039-2060. PMID: 25277848 pubmed.ncbi.nlm.nih.gov/25277848/.

Soromoni SD, Wu JC, Gillam L, Bulwer B. Echocardiography. 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: chitsiko 14.

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.