Kugunun'una kwemoyo kwakanyanya here?

Zvemukati

• Dhigirii remwoyo kugunun'una
• Zvikonzero zvikuru zvekugunun'una
• Kana kurapwa kuchidiwa

Ruzhinji rwekugunun'una kwemoyo hakusi kwakakomba, uye kunoitika pasina chero rudzi rwechirwere, kunzi kusimba kana kusava nemhosva, kunomuka nekuda kwekusanzwisisika kweropa sezvainopfuura nemumoyo.

Rudzi urwu rwekugunun'una rwakajairika muvacheche nevana, uye zvinoitika nekuti zvivakwa zvemwoyo zvichiri kukura uye zvinogona kusaenzana, saka mazhinji acho anonyangarika pamusoro pemakore, nekukura.

Nekudaro, kana moyo uchigunun'una uchiperekedzwa nezvimwe zviratidzo, zvakadai sekufema, kunetseka pakudya, kurova mbichana kana kushama muromo uye nemaoko, zvinogona kukonzerwa nechimwe chirwere, uye mune izvi zviitiko, zvakakosha kuti ubvunze kuna cardiologist tsvaga iyo inokonzeresa, kuburikidza nemuyedzo senge echocardiography, uye tanga kurapwa. Aya kesi dzimwe nguva anogona kungoonekwa chete muhukuru kana uchiita bvunzo dzechinyakare, semuenzaniso.

Tsvaga rumwe ruzivo rwekuti ungaziva sei moyo wekugunun'una zviratidzo.

Dhigirii remwoyo kugunun'una

Iko kune matanhatu makuru marudzi ekugunun'una kwemoyo, ayo anosiyana zvinoenderana nehukuru hwavo:

• Bhuku 1: kunyarara kugunun'una kunogona kunzwikwa zvishoma nachiremba kana uchiteerera;
• Bhuku 2: inozivikanwa zviri nyore pakuteerera kune imwe nzvimbo;
• Bhuku 3: mweya unonzwika zvine ruzha;
• Bhuku 4: kugunun'una kukuru kunogona kunzwika neiyo stethoscope pamusoro penzvimbo hombe;
• Bhuku 5: kugunun'una kwakanyanya kunoenderana nekunzwa kwekuzunguzika mudunhu remwoyo;
• Bhuku 6: inogona kunzwika nenzeve zvishoma ichipesana nechipfuva.

Kazhinji, iko kukura uye kukura kwekugunun'una, ndiko kuwedzera mikana yedambudziko remwoyo. Mumamiriro ezvinhu akadaro, chiremba anogona kuraira bvunzo dzinoverengeka kuti aongorore kushanda kwemoyo uye kuongorora kana paine shanduko dzinoda kurapwa.

Zvikonzero zvikuru zvekugunun'una

Zvinokonzeresa zvekugunun'una kwemoyo zvinosanganisira shanduko yemuviri kana isina mhosva, umo musina chirwere uye chinogona kupera nenguva, kunyanya muvana; kana dkuberekwa mhedzisiro pamoyo, umo moyo usingakure nenzira kwayo, iine hurema mumavharuvhu kana mhasuru, sezvazvinogona kuitika muDown syndrome, congenital rubella kana kudhakwa naamai, semuenzaniso.

Mimwe mienzaniso yechirwere chekuzvarwa kushingirira kweiyo ductus arteriosus, mitral vharuvhu kupera, vharuvhu stenosis, kutaurirana kwepakati, kutaurirana kwemashure, kukanganisika kwemaatrioventricular septal uye tetralogy yaFallot.

Muvacheche vasati vasvika, zviitiko zvekugunun'una kwemoyo zvinogona kusimuka, sezvo mwana anogona kuzvarwa asina kukura kuzere kwemoyo. Mune zviitiko izvi, kurapwa kunoitwa zvakare zvichienderana nerudzi rwechinja uye zviratidzo zvemwana.

Kana kurapwa kuchidiwa

Muzviitiko zvekugunun'una kusina mhosva, kurapwa hakudi, kungoteedzera kuna chiremba vevana, sekurairwa naye.

Nekudaro, kana kugunun'una kwemoyo kuchikonzerwa nechirwere chemwoyo, zvakakosha kuti utange kurapwa, izvo zvinosiyana zvichienderana nechikonzero chazvo, uye zvinotungamirwa naana cardiologist. Saka, dzimwe sarudzo ndidzo:

• Kushandiswa kwemishonga: mimwe mishonga inoshandiswa kurapa zvimwe zvakakanganiswa mumoyo, senge Ibuprofen inoshandiswa kurapa ductus arteriosus inoramba iripo, kana imwe yerudzi rwe diuretic, senge furosemide, uye antihypertensives, senge propranolol uye enalapril, iyo inogona kushandiswa kurapa uye kudzora zviratidzo zvekutadza kwemoyo, semuenzaniso;
• Kuvhiya: inogona kuratidzirwa kurapa akanyanya kukomba mamiriro ehurema hwemwoyo, ayo asinganatsiridze neyekutanga kurapwa kana ayo akaipisisa. Nekudaro, izvo mikana ndeiyi:
  • Balloon kururamisa kwevhavha, Yakagadzirwa nekuunzwa kwecatheter uye insufflation yebhaluni, ichinyanya kuratidzirwa kumatare ekuderedza mavhavha;
  • Kugadziriswa nekuvhiyiwa, Yakagadzirwa nekuvhurwa kwechifuva nemoyo kugadzirisa kukanganisa muvhavha, mumhasuru kana kushandura iyo yakashata vharuvhu.

Kazhinji, kupora kubva pakuvhiya kuri nyore uye nekukurumidza, kunongoda chete nguva yekuradzikwa kwemazuva mashoma, kudzamara kuburitsa kumba, mushure mekusunungurwa kubva kuna chiremba wevana kana chiremba wezvemwoyo.

Zvinogona zvakare kuve zvakakosha kuita kugadzirisa pamwe ne physiotherapy, mukuwedzera pakudzoka nachiremba kuti vadzokezve. Ziva zvirinani apo moyo unogunun'una kuvhiyiwa kunoratidzwa.