Valive Ya Aorte Ifite Ibyumba Bibiri

Umukandara w'aorta ufite ibyondo bibiri

Umukandara w'aorta ufite ibyondo bibiri ufite ibyondo bibiri, bitwa cusps, aho kugira bitatu. Ushobora gutera ko umwanya ufungura umukandara ugabanyuka cyangwa ugafumbwa. Iyo bibaye, iyi ndwara yitwa aortic valve stenosis. Umutima ugomba gukora cyane kugira ngo utere amaraso mu mubiri mukuru, witwa aorta.

Umukandara w'aorta ufite ibyondo bibiri ni ikibazo cy'umutima kibaho kuva umuntu avutse. Bisobanura ko ari uburwayi bw'umutima bwavutse.

Umukandara wa aorta uba hagati y'icyumba cyo hasi cy'umutima ibumoso n'umubiri mukuru, witwa aorta. Ibyondo by'umubiri kuri uwo mukandira bifungura kandi bifunga buri gihe umutima ukubise. Ibyondo bitwa cusps. Bigaragaza ko amaraso agenda mu buryo bukwiye.

Ubusanzwe umukandara wa aorta ugira ibyondo bitatu. Umukandara ufite ibyondo bibiri ufite ibyondo bibiri gusa. Gake, bamwe bavuka bafite umukandara wa aorta ufite ibyondo kimwe cyangwa bine. Umukandara ufite ibyondo kimwe witwa unicuspid. Umukandara ufite ibyondo bine witwa quadricuspid.

Impinduka ku mukandira wa aorta zishobora gutera ibibazo by'ubuzima, birimo:

• Kugabanyuka kw'umukandara wa aorta, bitwa aortic valve stenosis. Umukandara ushobora kutafunguka neza. Amaraso ava mu mutima yerekeza ku mubiri agabanuka cyangwa akafumbwa.
• Gusubira inyuma kw'amaraso, bitwa aortic valve regurgitation. Rimwe na rimwe, umukandara w'aorta ufite ibyondo bibiri ntufunga neza. Ibi bituma amaraso asubira inyuma.
• Aorta ikura, bitwa aortopathy. Aorta ikura byongera ibyago byo gucika mu gice cy'imbere cya aorta. Uku gucika bitwa aortic dissection.

Iyo ikibuno cya bicuspid gitera ikibazo gikomeye cya aortic stenosis cyangwa ikibazo gikomeye cya aortic regurgitation, ibimenyetso bishobora kuba birimo:

• Kubabara mu gituza.
• Guhumeka nabi.
• Kugorana gukora imyitozo ngororamubiri.
• Kugwa cyangwa hafi kugwa.

Abantu benshi bafite ikibuno cya aortic bicuspid nta bimenyetso by'indwara y'umutima bagira kugeza bakuze. Ariko bamwe mu bana bato bashobora kugira ibimenyetso bikomeye.

Ikibuno cya aortic bicuspid gishobora kuboneka igihe ibizamini bikorwa ku rundi kibazo cy'ubuzima. Umuforomokazi ashobora kumva urusaku rw'umutima igihe yumva umutima.

Echocardiogram irashobora kwemeza uburwayi bw'ikibuno cya aortic bicuspid. Iki kizamini gikoreshwa amajwi kugira ngo gikore amashusho y'umutima ukubita. Kigaragaza uko amaraso agenda mu byumba by'umutima, mu mivuno y'umutima no muri aorta.

Niba ufite ikibuno cya aortic bicuspid, uzasanzwe ukorerwa CT scan kugira ngo harebwe impinduka mu bunini bwa aorta.

Niba ufite ikibuno cya aortic bicuspid, ubusanzwe woherezwa ku muforomokazi wahuguwe mu ndwara z'umutima zivuka. Uyu muhanga yitwa umuganga w'indwara z'umutima zivuka.

Umuntu wese ufite ikibuno cya aortic bicuspid akeneye kujya gukorerwa isuzuma ry'ubuzima buri gihe no gukorerwa ibizamini by'amashusho. Echocardiograms igenzura ikibuno cya aortic cyahumbye cyangwa gicika. Iki kizamini kandi kireba impinduka mu bunini bwa aorta.

Umuti w'ikibuno cya aortic bicuspid uterwa n'uburemere bw'indwara y'umutima. Ushobora kuba urimo imiti, uburyo n'ubuganga.

Mu gusimbuza ikibuno cya biologique, ikibuno gikomoka ku nyama y'inka, ingurube cyangwa umutima w'umuntu gisimburwa ikibuno cyangiritse cy'umutima.

Mu gusimbuza ikibuno cya mekanike, ikibuno cy'umutima cyakozwe mu ibintu bikomeye gisimburwa ikibuno cyangiritse.

Ubuganga bushobora kuba bukenewe niba ikibuno cya bicuspid gitera:

• Aortic valve stenosis.
• Aortic valve regurgitation.
• Aorta yagutse.

Ubuganga bukorwa kugira ngo hakosorwe cyangwa hasimbuzwe ikibuno cya aortic. Ubwoko bw'ubuganga bukorwa biterwa n'uburwayi bw'umutima n'ibimenyetso byawe.

• Gusimbuza ikibuno cya aortic. Umuganga akuraho ikibuno cyangiritse. Gisimbuzwa ikibuno cya mekanike cyangwa ikibuno gikomoka ku nyama y'inka, ingurube cyangwa umutima w'umuntu. Ikibuno cy'umubiri kitwa ikibuno cya biologique. Rimwe na rimwe, ikibuno cya aortic gisimburwa ikibuno cy'umuntu ubwe cy'umuhanda w'amahaha. Ikibuno cy'umuhanda w'amahaha gisimburwa ikibuno cy'umubiri cy'umuhanda w'amahaha cyavuye ku muntu wapfuye. Ubu buganga bugoye cyane bwitwa uburyo bwa Ross.

Amavuno y'umubiri ya biologique arangirika uko igihe kigenda. Bishobora kuzasimburwa. Niba ufite ikibuno cya mekanike, ugomba gufata imiti igabanya amaraso ubuzima bwawe bwose kugira ngo wirinde amaraso akabana. Hamwe, wowe n'umuganga wawe muganira ku nyungu n'ibyago bya buri bwoko bw'ikibuno.

• Ubuganga bw'imizi ya aortic na aorta izamuka. Abaganga bakuraho igice kinini cya aorta kiri hafi y'umutima. Gisimbuzwa umuyoboro wakozwe, witwa graft, ushyirwaho. Rimwe na rimwe, igice kinini cya aorta gikorwaho gusa kandi ikibuno cya aortic kigumaho. Ikibuno cya aortic kandi gishobora gusimbuzwa cyangwa gukosorwa muri ubu buryo.
• Balloon valvuloplasty. Ubu buryo bushobora kuvura aortic valve stenosis mu bana bato n'abana. Mu bakuru, ikibuno cya aortic gisubira guhumeka nyuma y'uburyo. Rero ubusanzwe bikorwa gusa niba uri muburwayi cyane kubagwa cyangwa utegereje gusimbuzwa ikibuno.

Ubu buryo bw'ikibuno cy'umutima bukoresha umuyoboro muto, woroshye witwa catheter. Catheter ifite umupira ku mpera. Umuganga ashyira catheter mu mubiri mu kuboko cyangwa mu gitsina. Hanyuma catheter iyoborwa ku kibuno cya aortic. Iyo igeze aho, umupira urambuka, ugakorera ikibuno kinini. Umupira uramburwa. Catheter n'umupira bikurwaho.

Gusimbuza ikibuno cya aortic. Umuganga akuraho ikibuno cyangiritse. Gisimbuzwa ikibuno cya mekanike cyangwa ikibuno gikomoka ku nyama y'inka, ingurube cyangwa umutima w'umuntu. Ikibuno cy'umubiri kitwa ikibuno cya biologique. Rimwe na rimwe, ikibuno cya aortic gisimburwa ikibuno cy'umuntu ubwe cy'umuhanda w'amahaha. Ikibuno cy'umuhanda w'amahaha gisimburwa ikibuno cy'umubiri cy'umuhanda w'amahaha cyavuye ku muntu wapfuye. Ubu buganga bugoye cyane bwitwa uburyo bwa Ross.

Amavuno y'umubiri ya biologique arangirika uko igihe kigenda. Bishobora kuzasimburwa. Niba ufite ikibuno cya mekanike, ugomba gufata imiti igabanya amaraso ubuzima bwawe bwose kugira ngo wirinde amaraso akabana. Hamwe, wowe n'umuganga wawe muganira ku nyungu n'ibyago bya buri bwoko bw'ikibuno.

Balloon valvuloplasty. Ubu buryo bushobora kuvura aortic valve stenosis mu bana bato n'abana. Mu bakuru, ikibuno cya aortic gisubira guhumeka nyuma y'uburyo. Rero ubusanzwe bikorwa gusa niba uri muburwayi cyane kubagwa cyangwa utegereje gusimbuzwa ikibuno.

Ubu buryo bw'ikibuno cy'umutima bukoresha umuyoboro muto, woroshye witwa catheter. Catheter ifite umupira ku mpera. Umuganga ashyira catheter mu mubiri mu kuboko cyangwa mu gitsina. Hanyuma catheter iyoborwa ku kibuno cya aortic. Iyo igeze aho, umupira urambuka, ugakorera ikibuno kinini. Umupira uramburwa. Catheter n'umupira bikurwaho.

Umuntu wese wavutse afite ikibuno cya aortic bicuspid akeneye kujya gukorerwa isuzuma ry'ubuzima ubuzima bwe bwose. Umuhanga wahuguwe mu ndwara z'umutima, witwa umuganga w'umutima, agomba kukumenya kugira ngo arebe impinduka mu mimerere yawe.

Abantu bafite ikibuno cya aortic bicuspid bafite ibyago byinshi byo kwandura mu gice cy'umutima. Iyi ndwara yitwa infective endocarditis. Kwita neza ku menyo bishobora kugufasha kugabanya ibyago byawe.

Ikibuno cya aortic bicuspid gishobora guherwa mu miryango, bisobanura ko ari gakondo. Ababyeyi, abana n'abavandimwe b'umuntu ufite ikibuno cya aortic bicuspid bagomba gukorerwa echocardiogram kugira ngo barebe uburwayi.

Umuganga w’umutima w’abana Jonathan Johnson, M.D., arasubiza ibibazo bibazwa cyane ku byerekeye ibibazo by’umutima wavutse ufite uburwayi mu bana.

Uburyo bumwe buke cyane bw’indwara y’umutima wavutse ufite uburwayi, nko guturika guto cyane mu mutima cyangwa gufungana guke cyane kw’amavavu atandukanye y’umutima bishobora gusa gukenera gukurikiranwa buri myaka ibiri hamwe n’uburyo bwo kubona ishusho nka echocardiogram. Ubundi buryo bukomeye bw’indwara y’umutima wavutse ufite uburwayi bushobora gusaba kubagwa bishobora gukorwa hakoreshejwe ubuganga bw’umutima ufunguye, cyangwa bishobora gukorwa muri laboratwari y’ubuganga bw’umutima hakoreshejwe ibikoresho bitandukanye cyangwa uburyo butandukanye. Mu bihe bimwe na bimwe bikomeye cyane, niba kubagwa bitashoboka, gushimwa kw’umutima bishobora kugaragazwa.

Ibimenyetso byihariye umwana ashobora kugira niba afite indwara y’umutima wavutse ufite uburwayi biterwa cyane cyane n’imyaka y’umwana. Ku bana bato, isoko yabo ikomeye yo gukoresha ingufu ni ukuriye. Kandi bityo ibimenyetso byinshi by’indwara y’umutima wavutse ufite uburwayi cyangwa gucika intege kw’umutima bigaragara mu gihe bari kurya. Ibi bishobora kuba harimo guhumeka nabi, kugorana guhumeka, cyangwa no gucana ibyuya mu gihe bari kurya. Abana bato bazagaragaza ibimenyetso bifitanye isano n’uburyo bwabo bw’inda. Bashobora kugira isereri, kuruka mu gihe bari kurya, kandi bashobora kubona ibyo bimenyetso mu gihe bakora imyitozo ngororamubiri. Abangavu bakuru, mugihe kimwe, bagaragaza ibimenyetso byinshi nko kubabara mu gituza, gucika intege cyangwa guhumeka cyane. Bashobora kandi kugaragaza ibimenyetso mu gihe cy’imyitozo ngororamubiri cyangwa imikino. Kandi ibyo ni ikimenyetso gikomeye cyane kuri njye nk’umuganga w’umutima. Ndabonye umwana, cyane cyane umwangavu wagize ububabare mu gituza, cyangwa waguye mu gihe yakoraga imyitozo ngororamubiri cyangwa imikino, nkeneye kubona uwo mwana kandi nkeneye kwemeza ko abona ubuvuzi bukwiye.

Akenshi iyo umwana wawe aherutse kuvurwa indwara y’umutima wavutse ufite uburwayi, biragoye kwibuka byose byavuzwe kuri we muri urwo ruzinduko rwa mbere. Ushobora kuba uri mu gushidikanya wumvise aya makuru. Kandi kenshi ushobora kutazibuka byose. Bityo ni ingenzi mu buvuzi bw’inyongera kubabaza ibibazo nk’ibi. Imiryango yanjye itanu itaha izaba imeze ite? Hariho uburyo ubwo aribwo bwose buzakenerwa muri iyo myaka itanu? Kubagwa? Ni ubuhe bwoko bw’isuzuma, ni ubuhe bwoko bw’ubuvuzi bw’inyongera, ni ubuhe bwoko bw’ibigo by’ubuvuzi bizakenerwa? Ibi bisobanura iki ku bikorwa by’umwana wanjye, imikino ngororamubiri, n’ibintu bitandukanye bashaka gukora buri munsi. Kandi ikintu gikomeye kurusha ibindi, ni gute dukorana kugira ngo uyu mwana abashe kugira ubuzima busanzwe bishoboka nubwo afite iyo ndwara y’umutima wavutse ufite uburwayi.

Wagomba kubabaza muganga wawe ubwoko bw’uburyo bushobora kuba bukenewe kuri ubwo buryo bw’indwara y’umutima wavutse ufite uburwayi mu gihe kizaza. Bishobora gukorwa hakoreshejwe ubuganga bw’umutima ufunguye, cyangwa bishobora gukorwa hakoreshejwe ubuganga bw’umutima. Kubuganga bw’umutima ufunguye, ni ingenzi kubabaza muganga wawe igihe cy’ubwo buganga. Kuburyo butandukanye, ubwoko bw’indwara y’umutima wavutse ufite uburwayi, hariho igihe runaka aho ari byiza gukora ubuganga kuruta ibindi kugira ngo tugire umusaruro mwiza, haba mu gihe gito no mu gihe kirekire kuri uwo mwana. Bityo, baza muganga wawe niba hari igihe runaka gikora neza kuri iyo ndwara kandi kuri uwo mwana wawe.

Iki ni ikibazo gisanzwe cyane mbaza ababyeyi n’abana nyuma yo kuvura indwara y’umutima wavutse ufite uburwayi. Imikino ngororamubiri ni ingenzi cyane ku buzima bw’aba bana benshi, ku matsinda yabo y’ubucuti n’uburyo bahura n’abaturage babo. Mu buryo bwinshi bw’indwara y’umutima wavutse ufite uburwayi, dukora uko dushoboye kose kugerageza kubona uburyo bashobora kugira uruhare. Hariho uburyo bumwe bw’indwara y’umutima wavutse ufite uburwayi, ariko, aho imikino imwe na imwe ishobora kudakorerwa inama. Urugero, kuri bamwe mu barwayi bacu, bashobora kugira ubwoko bumwe bw’ikibazo cy’umutungo gikora inkuta z’imitsi yabo zoroheye cyane. Kandi abo barwayi, ntidushaka ko bakora imyitozo yo gutwara ibiremereye cyangwa gukora ubwoko ubwo aribwo bwose bw’imyitozo ikomeye bishobora gutuma iyo mitsi ikura kandi ishobora kwangirika. Ariko mu bihe byinshi, tubasha kubona uburyo bwo kugira ngo abana bakine imikino bakunda buri munsi.

Kubarwayi bacu bafite indwara y’umutima wavutse ufite uburwayi, uko bakura, akenshi tubagira inama ko uburyo bumwe bw’indwara y’umutima wavutse ufite uburwayi burashobora kuba bukomoka ku miryango. Ibi bivuze ko niba umubyeyi afite indwara y’umutima wavutse ufite uburwayi, hariho ibyago bike ko umwana wabo ashobora kandi kugira indwara y’umutima wavutse ufite uburwayi. Ibi bishobora kuba ubwoko bumwe bw’indwara y’umutima wavutse ufite uburwayi umubyeyi wabo afite, cyangwa bishobora kuba bitandukanye. Bityo, niba abo barwayi batwite, dukeneye kubakurikirana hafi mu gihe cyo gutwita, harimo gukora isuzuma ry’inyongera ry’umwana hakoreshejwe echocardiography mu gihe cyo gutwita. Ku bw’amahirwe, umubare munini w’abarwayi bacu bafite indwara y’umutima wavutse ufite uburwayi bashobora kubyara abana babo mu gihe cy’ubu.

Ubufatanye hagati y’umurwayi, umuryango we n’umuganga w’umutima ni ingenzi cyane. Akenshi dukurikirana abo barwayi mu myaka ibarirwa muri za mirongo uko bakura. Turabareba kuva ku bana bato kugera ku bakuru. Niba hari ikintu kigaragara utabyumva, ariko kitakumenyereye, baza ibibazo. Ntukagire ubwoba bwo kuvugana natwe. Ugomba guhora wumva ufite uburenganzira bwo kuvugana n’itsinda ryawe ry’abaganga b’umutima kandi ubabaza ibibazo byose bishobora kuvuka.

Ubushakashatsi bwa 2D bwa ultrasound bw’umwana bushobora gufasha umuganga wawe gusuzuma uko umwana wawe akura n’iterambere rye.

Indwara y’umutima wavutse ufite uburwayi ishobora kuvurwa mu gihe cyo gutwita cyangwa nyuma yo kuvuka. Ibimenyetso by’ibibazo bimwe by’umutima bishobora kuboneka ku isuzuma rya ultrasound ryo gutwita (ultrasound y’umwana).

Nyuma y’uko umwana avutse, umuganga ashobora gutekereza ko hari indwara y’umutima wavutse ufite uburwayi niba umwana afite:

• Gutinda gukura.
• Ihinduka ry’amabara mu minwa, mu ndimi cyangwa mu misumari.

Umuganga ashobora kumva ijwi, ryitwa murmur, mu gihe yumva umutima w’umwana akoresheje stethoscope. Ibi bibazo byinshi by’umutima ni nta cyo bitwaye, bisobanura ko nta kibazo cy’umutima kandi ko murmur nta kibi izana ku buzima bw’umwana wawe. Ariko, bimwe muri murmur bishobora guterwa n’impinduka z’amaraso ajya mu mutima ava mu mutima.

Ibizamini byo kuvura indwara y’umutima wavutse ufite uburwayi birimo:

• Pulse oximetry. Uburyo bwo gupima umwuka mu maraso. Ubwinshi buke bw’umwuka bushobora kuba ikimenyetso cy’ikibazo cy’umutima cyangwa icy’ibihaha.
• Electrocardiogram (ECG cyangwa EKG). Iki kizamini cyihuse cyandika ibikorwa by’amashanyarazi y’umutima. Bigaragaza uko umutima ukora. Ibice bito bifite ibikoresho byo gupima, byitwa electrodes, bihambirwa ku gituza rimwe na rimwe no ku maboko cyangwa amaguru. Imisatsi ihuza ibice n’ikoranabuhanga, ryanditse cyangwa ryerekana ibisubizo.
• Echocardiogram. Amashanyarazi akoreshwa mu gukora amashusho y’umutima uri gukora. Echocardiogram igaragaza uko amaraso anyura mu mutima no mu mavavu y’umutima. Niba ikizamini gikorewe ku mwana mbere yo kuvuka, bitwa fetal echocardiogram.
• X-ray y’ibituza. X-ray y’ibituza igaragaza uko umutima n’ibihaha bimeze. Ishobora kwerekana niba umutima ari munini, cyangwa niba ibihaha birimo amaraso menshi cyangwa ibindi bintu by’amazi. Ibi bishobora kuba ibimenyetso byo gucika intege kw’umutima.
• Cardiac catheterization. Muri iki kizamini, umuganga ashyiramo umuyoboro muto, woroshye witwa catheter mu mubiri w’amaraso, akenshi mu gice cy’amaguru, kandi akayobora mu mutima. Iki kizamini gishobora gutanga amakuru arambuye ku maraso n’uko umutima ukora. Bimwe mu buvuzi bw’umutima bishobora gukorwa mu gihe cya cardiac catheterization.
• Heart MRI. Nanone yitwa cardiac MRI, iki kizamini ikoresha uburyo bwa magnétique n’amashanyarazi kugira ngo ikore amashusho arambuye y’umutima. Cardiac MRI ishobora gukorwa kugira ngo ivure kandi isuzume ibibazo by’umutima wavutse ufite uburwayi mu bangavu n’abakuze. Heart MRI ikora amashusho ya 3D y’umutima, ibintu byemerera gupima neza ibice by’umutima.

Ubuvuzi bw'ubumuga bw'umutima bwavutse hamwe mu bana biterwa n'ikibazo cy'umutima runaka n'uburemere bwacyo.

Ubumuga bumwe bw'umutima bwavutse hamwe ntabwo bugira ingaruka z'igihe kirekire ku buzima bw'umwana. Bashobora kutavuzwa neza.

Ubundi bumuga bw'umutima bwavutse hamwe, nko gutobora gato mu mutima, bishobora gukira uko umwana akura.

Ubumuga bukomeye bw'umutima bwavutse hamwe bugomba kuvurwa vuba nyuma yo kububona. Ubuvuzi bushobora kuba:

• Imiti.
• Ibibujijwe by'umutima.
• Ubuganga bw'umutima.
• Gusimbuza umutima.

Imiti ishobora gukoreshwa mu kuvura ibimenyetso cyangwa ingaruka z'ubumuga bw'umutima bwavutse hamwe. Ishobora gukoreshwa yonyine cyangwa hamwe n'ubundi buvuzi. Imiti y'ubumuga bw'umutima bwavutse hamwe irimo:

• Amapilule y'amazi, azwi kandi nka diuretique. Uyu bwoko bw'imiti bufasha gukura amazi mu mubiri. Bifasha kugabanya umuvuduko ku mutima.
• Imiti y'umutima, yitwa anti-arrhythmics. Iyi miti ifasha kugenzura ibitotsi bidakomeye by'umutima.

Niba umwana wawe afite ubumuga bukomeye bw'umutima bwavutse hamwe, ubuganga bw'umutima cyangwa ubuganga bushobora gusabwa.

Ibibujijwe by'umutima n'ubuganga bukorwa mu kuvura ubumuga bw'umutima bwavutse hamwe birimo:

• Cardiac catheterization. Ubu bwoko bumwe bw'ubumuga bw'umutima bwavutse hamwe mu bana bushobora kuvurwa hakoreshejwe imiyoboro mito, yoroshye yitwa catheters. Ubu buvuzi butuma abaganga bashobora gukosora umutima batakoze ubuganga bw'umutima bukinguye. Muganga ashyira catheter mu mubiri w'amaraso, akenshi mu kibuno, akayijyana ku mutima. Rimwe na rimwe hakoreshwa catheter zirenze imwe. Iyo igeze aho ikwiriye, muganga ashyira ibikoresho bito mu catheter kugira ngo akosore ikibazo cy'umutima. Urugero, umuganga ashobora gukosora ibibora mu mutima cyangwa ahantu hapfuye. Ubu buvuzi bumwe na bumwe bwa catheter bugomba gukorwa mu ntambwe mu gihe cy'imyaka.
• Ubuganga bw'umutima. Umwana ashobora kuba akeneye ubuganga bw'umutima bukinguye cyangwa ubuganga buto bw'umutima kugira ngo akosore ubumuga bw'umutima bwavutse hamwe. Ubwoko bw'ubuganga bw'umutima biterwa n'impinduka runaka mu mutima.
• Gusimbuza umutima. Niba ubumuga bukomeye bw'umutima bwavutse hamwe budashobora gukosorwa, gusimbuza umutima bishobora kuba bikenewe.
• Fetal cardiac intervention. Ni ubuvuzi bw'umwana ufite ikibazo cy'umutima bukorwa mbere y'ivuka. Bishobora gukorwa kugira ngo hakosorwe ubumuga bukomeye bw'umutima bwavutse hamwe cyangwa hirindwe ingaruka mbi uko umwana akura mu nda. Fetal cardiac intervention birakomeye gukorwa kandi bishoboka gusa mu mimerere runaka.

Bamwe mu bana bavutse bafite ubumuga bw'umutima bwavutse hamwe bakeneye ubuganga n'ibibujijwe byinshi mu buzima bwabo bwose. Kwitabwaho buri gihe ni ingenzi. Umwana akeneye kujya gusuzuma buri gihe kwa muganga wamenyereye indwara z'umutima, witwa cardiologue. Kwitabwaho buri gihe bishobora kuba harimo amaraso n'ibizamini by'amashusho kugira ngo harebwe ingaruka mbi.

[Umwicaro w'umuziki]

Ibyiringiro n'ubuvuzi ku mitima mito.

Dr. Dearani: Niba ndeba akazi kanjye, nkora ubuganga buto bw'umutima. Kandi nabashije kubikora kuko nabimenye byose mu bantu bakuru, aho byatangiriye. Rero gukora ubuganga bw'umutima hakoreshejwe robot mu bangavu ni ikintu udashobora kubona mu bitaro by'abana kuko nta ikoranabuhanga bafite aho twabikora hano.

[Umwicaro w'umuziki]

Niba umwana wawe afite ikibazo cy'umutima kivuka, hashobora gusabwa guhindura imibereho kugira ngo umutima ukomeze ube muzima kandi hirindwe ingaruka mbi.

• Imipaka ku mikino n'imikino ngororamubiri. Bamwe mu bana bafite ikibazo cy'umutima kivuka bashobora kuba bakeneye kugabanya imyitozo ngororamubiri cyangwa imikino. Ariko kandi, abandi benshi bafite ikibazo cy'umutima kivuka bashobora kwitabira ibikorwa nk'ibyo. Umuhanga wita ku mwana wawe arashobora kukubwira imikino n'ubwoko bw'imyitozo ngororamubiri butekanye ku mwana wawe.
• Antibiyotike zirinda. Amwe mu bibazo by'umutima bivuka ashobora kongera ibyago by'indwara mu gice cy'imbere cy'umutima cyangwa mu mivuno y'umutima, bikitwa endocardite yandura. Antibiyotike zishobora gusabwa mbere y'ubuvuzi bw'amenyo kugira ngo hirindwe indwara, cyane cyane ku bantu bafite umuvuno w'umutima wakozwe n'abantu. Baza muganga wita ku mutima w'umwana wawe niba umwana wawe akeneye antibiyotike zirinda.

Ushobora gusanga kuvugana n'abandi bantu banyuze mu bihe nk'ibyo bikuguha ihumure n'inkunga. Baza itsinda ryita ku buzima niba hari amatsinda y'ubufasha mu karere kawe.

Kubaho ufite ikibazo cy'umutima kivuka bishobora gutuma bamwe mu bana bumva bafite umunaniro cyangwa guhangayika. Kuvugana n'umujyanama bishobora kugufasha wowe n'umwana wawe kwiga uburyo bushya bwo guhangana n'umunaniro n'ihungabana. Baza umuhanga wita ku buzima amakuru yerekeye abajyanama mu karere kawe.