Valvu Yeaorta Ine Makusu Maviri

Vharavha yeAortic ine ma cusps maviri

Vharavha yeAortic ine ma cusps maviri ine mapapiro maviri, anonzi cusps, panzvimbo petatu. Inogona kukonzera kuti kuvhurwa kwevharavha kuve kwakamanikana kana kudzivirirwa. Kana izvi zvikaitika, mamiriro acho anonzi aortic valve stenosis. Mwoyo unofanirwa kushanda nesimba kuti upompe ropa mu artery huru yemuviri, inonzi aorta.

Vharavha yeAortic ine ma cusps maviri dambudziko remoyo riripo kubva pakuberekwa. Izvo zvinoreva kuti ndiro dambudziko remoyo rekuberekwa.

Vharavha yeAortic iri pakati pekamuri yemwoyo iri pasi kuruboshwe ne artery huru yemuviri, inonzi aorta. Mapapiro etsinga pane vharavha anovhurwa nekuvhara nekumhanya kwemoyo wese. Mapapiro anonzi cusps. Anoita shuwa kuti ropa rinoyerera munzira kwayo.

Kazhinji vharavha yeAortic ine cusps nhatu. Vharavha ine ma cusps maviri ine cusps mbiri chete. Zvisingawanzoitiki, vamwe vanhu vanoberekwa ne vharavha yeAortic ine cusp imwe kana ina cusps. Vharavha ine cusp imwe inonzi unicuspid. Vharavha ine cusps ina inonzi quadricuspid.

Kuchinja kwevharavha yeAortic kunogona kukonzera matambudziko ehutano, kusanganisira:

• Kumanikana kwevharavha yeAortic, kunonzi aortic valve stenosis. Vharavha ingasavhurwa zvizere. Kuyerera kweropa kubva pamwoyo kuenda kumuviri kunoderedzwa kana kudzivirirwa.
• Kuyerera kwepashure kweropa, kunonzi aortic valve regurgitation. Dzimwe nguva, vharavha yeAortic ine ma cusps maviri haivhari zvakasimba. Izvi zvinoita kuti ropa riyerere shure.
• Aorta yakakura, inonzi aortopathy. Aorta yakakura inowedzera njodzi yekubvaruka mukati meaorta. Kubvaruka uku kunonzi aortic dissection.

Kana valvu ye bicuspid ichiita kuti pave ne aortic stenosis yakakomba kana kuti aortic regurgitation yakakomba, zviratidzo zvinogona kusanganisira:

• Kurwadziwa kwepfupa.
• Kushaya mweya.
• Kunetseka kuita zvemitambo.
• Kuora kana kupera pedyo nekuora.

Vanhu vakawanda vane bicuspid aortic valve havaone zviratidzo zvechirwere chevavhu yemoyo kusvika vave vakuru. Asi vamwe vacheche vanogona kuva nezviratidzo zvakakomba.

Bicuspid aortic valve inogona kuwanikwa kana bvunzo dziri kuitwa nekuda kweimwe nyaya yehutano. Mupi wehutano anogona kunzwa heart murmur paanoteerera mwoyo.

Echocardiogram inogona kusimbisa chirwere che bicuspid aortic valve. Bvunzo iyi inoshandisa ma sound waves kugadzira mavhidhiyo emwoyo uri kurova. Inoratidza kuti ropa rinofamba sei kuburikidza nemakamuri emwoyo, mavavhu emwoyo neaorta.

Kana uine bicuspid aortic valve, kazhinji uchave ne CT scan kuti uone kuchinja kukuru kwe aorta.

Kana uine bicuspid aortic valve, kazhinji unotumwa kumupi wehutano akadzidziswa mune chirwere chemwoyo chekuberekwa. Mhando iyi yemupi inonzi congenital cardiologist.

Munhu wese ane bicuspid aortic valve anoda kuongororwa kwehutano nguva nenguva uye bvunzo dzekuona. Echocardiograms inotarisa kana paine aortic valve yakamanikana kana kuti inobudisa ropa. Bvunzo iyi inotarisawo kuchinja kukuru kwe aorta.

Kurapwa kwe bicuspid aortic valve kunoenderana nehukomba hwechirwere chevavhu yemoyo. Kunogona kusanganisira mishonga, nzira nekuvhiya.

Mukushandurwa kwevavhu ye biological, valvu yakagadzirwa kubva kune tishu yemoyo yemombe, nguruve kana munhu inotsiva valvu yemoyo yakakuvadzwa.

Mukushandurwa kwevavhu ye mechanical, valvu yemoyo yakagadzirwa nemaitiro inotsiva valvu yakakuvadzwa.

Kuviyiwa kunogona kudiwa kana bicuspid aortic valve iri kuita kuti pave ne:

• Aortic valve stenosis.
• Aortic valve regurgitation.
• Aorta yakakura.

Kuviyiwa kunoitirwa kugadzirisa kana kutsiva aortic valve. Mhando yekuvhiya kunoitirwa inoenderana nechirwere chevavhu yemoyo uye zviratidzo zvako.

• Aortic valve replacement. Munachiremba anobvisa valvu yakakuvadzwa. Inotsiviwa ne mechanical valve kana valvu yakagadzirwa kubva kune tishu yemombe, nguruve kana munhu. Iyo tishu valvu inonzi biological tissue valve. Dzimwe nguva, aortic valve inotsiviwa ne lung valve yemunhu iyeye. Lung valve inotsiviwa ne lung tissue valve kubva kumunhu akafa. Kuviyiwa uku kunonetsa kunonzi Ross procedure.

  Biological tissue valves dzinoputsika nekufamba kwenguva. Dzinenge dzichifanira kutsiviwa. Kana uine mechanical valve, unofanira kutora blood thinners kweupenyu hwese kudzivirira ropa kubatana. Pamwe chete, iwe nemupi wehutano wenyu munokurukura zvakanaka nezvakaipa zvemarudzi ese emavavhu.

• Aortic root and ascending aorta surgery. Vanachiremba vanobvisa chikamu chakakura che aorta chiri pedyo nemwoyo. Chinotsiviwa ne tube yakagadzirwa, inonzi graft, iyo inosonwa munzvimbo. Dzimwe nguva, chikamu chakakura che aorta chinobviswa chete uye aortic valve inoramba iripo. Aortic valve inogonawo kutsiviwa kana kugadziriswa panguva ino nzira.

• Balloon valvuloplasty. Nzira iyi inogona kurapa aortic valve stenosis mu vacheche nevana. Muvakuru, aortic valve inowanzo mananana zvakare mushure me nzira iyi. Saka kazhinji inoitirwa chete kana uri kurwara zvakanyanya kuti uite kuvhiya kana uri kumirira kutsiviwa kwevavhu.

  Nzira iyi yevavhu yemoyo inoshandisa chubhu chidiki, chinopfava chinonzi catheter. Catheter ine bharuni pamucheto. Munachiremba anopinda catheter mu artery iri muruoko kana groin. Wobva watumira catheter ku aortic valve. Kana yava munzvimbo, bharuni inozvimba, ichikura kuvhura kwevavhu. Bharuni inobviswa. Catheter nebharuni zvinobviswa.

Aortic valve replacement. Munachiremba anobvisa valvu yakakuvadzwa. Inotsiviwa ne mechanical valve kana valvu yakagadzirwa kubva kune tishu yemombe, nguruve kana munhu. Iyo tishu valvu inonzi biological tissue valve. Dzimwe nguva, aortic valve inotsiviwa ne lung valve yemunhu iyeye. Lung valve inotsiviwa ne lung tissue valve kubva kumunhu akafa. Kuviyiwa uku kunonetsa kunonzi Ross procedure.

Biological tissue valves dzinoputsika nekufamba kwenguva. Dzinenge dzichifanira kutsiviwa. Kana uine mechanical valve, unofanira kutora blood thinners kweupenyu hwese kudzivirira ropa kubatana. Pamwe chete, iwe nemupi wehutano wenyu munokurukura zvakanaka nezvakaipa zvemarudzi ese emavavhu.

Balloon valvuloplasty. Nzira iyi inogona kurapa aortic valve stenosis mu vacheche nevana. Muvakuru, aortic valve inowanzo mananana zvakare mushure me nzira iyi. Saka kazhinji inoitirwa chete kana uri kurwara zvakanyanya kuti uite kuvhiya kana uri kumirira kutsiviwa kwevavhu.

Nzira iyi yevavhu yemoyo inoshandisa chubhu chidiki, chinopfava chinonzi catheter. Catheter ine bharuni pamucheto. Munachiremba anopinda catheter mu artery iri muruoko kana groin. Wobva watumira catheter ku aortic valve. Kana yava munzvimbo, bharuni inozvimba, ichikura kuvhura kwevavhu. Bharuni inobviswa. Catheter nebharuni zvinobviswa.

Munhu wese akaberekwa ane bicuspid aortic valve anoda kuongororwa kwehutano kweupenyu hwese. Mupi akadzidziswa mune zvirwere zvemoyo, anonzi cardiologist, anofanira kukuongorora kuti uone kuchinja mumamiriro ako.

Vanhu vane bicuspid aortic valve vane mukana wakakura wekuwana hutachiona hwe lining yemoyo. Hutachiona uhu hunonzi infective endocarditis. Kutarisira mazino zvakanaka kunogona kubatsira kuderedza njodzi yako.

Bicuspid aortic valve inogona kupfuudzwa mumhuri, zvinoreva kuti inogara ichipfuudzwa. Vabereki, vana nehama dzemunhu ane bicuspid aortic valve vanofanira kuita echocardiogram kuti vaone chirwere ichi.

Nyanzvi yezvemwoyo yevana, Jonathan Johnson, M.D., inopindura mibvunzo inonyanya kubvunzwa nezvemakomba emwoyo ekuzvarwa muvana.

Mamwe marudzi maduku kwazvo emakomba emwoyo ekuzvarwa, senge maburi madiki kwazvo mumwoyo kana kuvhara kwakapfava kwazvo kwemavavha emwoyo akasiyana angangoda kungoteverwa makore maviri ega ega neimwe mhando yekutarisa mifananidzo senge echocardiogram. Mamwe marudzi makuru emakomba emwoyo ekuzvarwa angada kuvhiyiwa kunogona kuitwa nekuvhiyiwa kwemwoyo wakavhurwa, kana kuti kunogona kuitwa murabhoritari yekuongorora mwoyo uchishandisa zvishandiso zvakasiyana kana matekiniki akasiyana. Mumamiriro ezvinhu akakomba kwazvo, kana kuvhiyiwa kusina kukwanisa kuitwa, kupanwa kwemwoyo kunogona kuratidzwa.

Zviratidzo chaizvoizvo zvingave nevana kana vakave nemakomba emwoyo ekuzvarwa zvinoenderana chaizvo nezera remwana. Kune vacheche, chikonzero chavo chikuru chekushandisa simba ndicho kudya. Uye saka zviratidzo zvakawanda zvemakomba emwoyo ekuzvarwa kana kukundikana kwemwoyo zvinouya pavanenge vachidya. Izvi zvinogona kusanganisira kushomeka kwemhepo, kuoma kufema, kana kunyange kupererwa neperspiration pavanenge vachidya. Vana vaduku vanowanzoratidza zviratidzo zvine chekuita nehurongwa hwavo hwemudumbu. Vangave nekuora mwoyo, kurutsa pavanenge vachidya, uye vangawana zviratidzo izvozvo nemabasawo. Vateenagers vakuru, zvisinei, vanowanzo ratidza zviratidzo zvakadai sekurwadziwa pachipfuva, kupera simba kana kupuruzira kwemwoyo. Vangaratidzawo zviratidzo panguva yekurovedza muviri kana basa. Uye izvozvo chaizvoizvo chiratidzo chikuru kwazvo kwandiri senhengo yezvemwoyo. Kana ndikanzwa nezvemwana, kunyanya teenager ane kurwadziwa pachipfuva, kana apere simba nemabasa kana nekurovedza muviri, ndinofanira chaizvo kuona mwana iyeye uye ndinofanira kuve nechokwadi chekuti anowana kuongororwa kwakakodzera.

Kazhinji kana mwana wako angobva kuongororwa nemakomba emwoyo ekuzvarwa, zvakaoma kuyeuka zvese zvakataurwa kwauri pakuona kwekutanga. Unogona kunge uri mukukuvadzwa wangozwa nhau iyi. Uye kazhinji unogona kusa yeuka zvese. Saka zvakakosha pakuona kwekutevera kubvunza mibvunzo yemhando iyi. Makore angu mashanu anotevera achava sei? Kune mamwe maitiro achafanirwa mumakore mashanu iwayo? Kuvhiyiwa kupi? Mhando ipi yekuyedza, mhando ipi yekutevera, mhando ipi yekushanya kuchipatara ichafanirwa? Izvi zvinorevei kune mabasa emwana wangu, mitambo, nezvinhu zvakasiyana zvaanoda kuita zuva nezuva. Uye chinonyanya kukosha, tingashanda sei pamwe chete kuti mwana uyu akwanise kuva nehupenyu hunowanzoita sezvakajairwa kunyangwe nechirwere chemakomba emwoyo ekuzvarwa.

Unofanira kubvunza chiremba wako mhando yemaitiro inogona kudiwa yemhando iyi yemakomba emwoyo ekuzvarwa mune ramangwana. Angaitwa achishandisa kuvhiyiwa kwemwoyo wakavhurwa, kana kuti angaitwa achishandisa kuongorora mwoyo. Kune kuvhiyiwa kwemwoyo wakavhurwa, zvakakosha kubvunza chiremba wako nezve nguva yekuvhiyiwa ikoko. Kune marudzi akasiyana, chaiwo emakomba emwoyo ekuzvarwa, kune nguva dzakati dzatinofanira kuita kuvhiyiwa kupfuura dzimwe kuti tive nemhedzisiro yakanaka kwazvo, zvese pfupi- uye kwenguva refu yemwana iyeye. Saka bvunza chiremba wako kana paine nguva yakati inoshanda zvakanaka kune chirwere ichocho uye kune mwana wako.

Uyu ndiwo mubvunzo unonyanya kubvunzwa wandinowana kubva kuvabereki nevana mushure mekunge taita chirwere chemakomba emwoyo ekuzvarwa. Mitambo yakakosha kwazvo muhupenyu hwevana vazhinji ava, kumagrupo avo eshamwari uye maitiro avanoshamwaridzana nevanhu vavo. Mumaitiro mazhinji emakomba emwoyo ekuzvarwa, tinoita zvese zvatinogona kuti tione nzira yavanogona kuramba vachitaura nayo. Pane mamwe marudzi emakomba emwoyo ekuzvarwa, zvisinei, apo mamwe mitambo ingave isina kukurudzirwa. Semuenzaniso, kune vamwe varwere vedu, vangave neimwe mhando yehutachiona hwemajini hunoita kuti masvingo emaronda avo ave asina simba. Uye varwere ivavo, hatidi kuti vataure kana kuita chero rudzi rwekumanikidza kukuru kunogona kukonzera kuti maronda iwayo atambe uye angangoputsika. Muzviitiko zvakawanda zvisinei, tinokwanisa kuwana nzira yekuita kuti vana vatambe mitambo yavanoda zuva nezuva.

Kune varwere vedu vane makomba emwoyo ekuzvarwa, sezvo vakura, kazhinji tinovaraira kuti mamwe marudzi emakomba emwoyo ekuzvarwa anogona kuwira. Izvi zvinoreva kuti kana mubereki ane makomba emwoyo ekuzvarwa, pane njodzi shoma yekuti mwana wavo angave ane makomba emwoyo ekuzvarwa. Izvi zvingave rudzi rumwe chete rwemakomba emwoyo ekuzvarwa ane mubereki wavo, kana kuti zvingave zvakasiyana. Saka, kana varwere ivavo vakaita nhumbu, tinoda kuvatevera pedyo panguva yekuzvitakura, kusanganisira kuita scans yakawanda yemwana asingabereki uchishandisa echocardiography panguva yekuzvitakura. Nenzira yakanaka, vazhinji vevarwere vedu vane makomba emwoyo ekuzvarwa vanokwanisa kuva nevana vavo pachavo munguva ino.

Ukama pakati pemurwere, mhuri yavo uye nyanzvi yezvemwoyo yakakosha kwazvo. Kazhinji tinovatevera kwemakumi emakore sezvo vakura. Tinovatarisa vachibva kuvana kuenda kune vakuru. Kana chimwe chinhu chikaitika chausingazivi, asi chausinganzwisisi, bvunza mibvunzo. Ndapota usatya kusvika. Unofanira kugara uchizonzwa uchikwanisa kubata timu yako yezvemwoyo uye kubvunza chero mibvunzo inogona kusimukira.

Ultrasound ye2D fetal inogona kubatsira nyanzvi yako yehutano kuongorora kukura kwemwana wako nekusimukira.

Komba remwoyo rinogona kuongororwa panguva yekuzvitakura kana mushure mekuberekwa. Zviratidzo zvemamwe makomba emwoyo zvinogona kuonekwa pane ultrasound yekuzvitakura (fetal ultrasound).

Mushure mekunge mwana aberekwa, nyanzvi yehutano ingafunga kuti pane komba remwoyo rinogona kuitika kana mwana aine:

• Kukura kunonoka.
• Kuchinja kwemavara mumaperero, mitauro kana misumari.

Nyanzvi yehutano inogona kunzwa ruzha, rinonzi murmur, ichinzwa mwoyo wemwana ne stethoscope. Mazhinji murmurs haana mhosva, zvinoreva kuti hapana komba remwoyo uye murmur haina ngozi kune hutano hwemwana wako. Zvisinei, mamwe murmurs angakonzerwa nekuchinja kwekuyerera kweropa kuenda kumwoyo nekubva kumwoyo.

Kuongorora kuongorora komba remwoyo rinogona kuitika kunosanganisira:

• Pulse oximetry. Sensor inoiswa pachigunwe inonyora huwandu hwemhepo iri muropa. Kushomeka kwemhepo kunogona kuva chiratidzo chedambudziko remwoyo kana mapapu.
• Electrocardiogram (ECG kana EKG). Iyi bvunzo yekukurumidza inonyora basa remagetsi remwoyo. Inoratidza kuti mwoyo uri kurova sei. Mapachi anobatanidzwa nemasensors, anonzi electrodes, anobatanidzwa pachipfuva uye dzimwe nguva maoko kana makumbo. Matambo anobatanidza mapachi ku komputa, iyo inodhinda kana kuratidza mhedzisiro.
• Echocardiogram. Mafungu esound anoshandiswa kugadzira mifananidzo yemwoyo iri kufamba. Echocardiogram inoratidza kuti ropa rinofamba sei kuburikidza nemwoyo nemavavha emwoyo. Kana bvunzo ikaitwa pamwana asati aberekwa, inonzi fetal echocardiogram.
• Chest X-ray. Chest X-ray inoratidza mamiriro emwoyo nemapapu. Inogona kuratidza kana mwoyo wakakura, kana mapapu ane ropa rakawanda kana mamwe manyoro. Izvi zvingave zviratidzo zvekushaya simba kwemwoyo.
• Cardiac catheterization. Mu bvunzo iyi, chiremba anopinda chubhu yakatetepa, inogona kubatana inonzi catheter muropa, kazhinji munzvimbo ye groin, uye anoitungamira kumwoyo. Bvunzo iyi inogona kupa ruzivo rwakadzama pamusoro pekuyerera kweropa uye kuti mwoyo unoshanda sei. Mamwe kurapwa kwemwoyo kunogona kuitwa panguva yekuongorora mwoyo.
• Heart MRI. Inonziwo cardiac MRI, bvunzo iyi inoshandisa magnetic fields nemafungu eradio kugadzira mifananidzo yakadzama yemwoyo. Cardiac MRI inogona kuitwa kuongorora uye kuongorora makomba emwoyo ekuzvarwa muvechidiki nevakuru. Heart MRI inogadzira mifananidzo ye3D yemwoyo, iyo inobvumira kuyerwa kwakanyatsojeka kwemakamuri emwoyo.

Kurapa zvikanganiso zvemoyo zvakazvarwa vana kunoenderana nedambudziko retsitsi remwoyo uye kuti rakaomarara sei.

Zvimwe zvikanganiso zvemoyo zvakazvarwa hazvina kukanganisa hutano hwemwana kwenguva refu. Zvinogona kurega kurapwa zvakachengeteka.

Zvimwe zvikanganiso zvemoyo zvakazvarwa, sekwakadiki muromo wemoyo, zvinogona kuvhara sezvo mwana achikura.

Zvikanganiso zvemoyo zvakazvarwa zvakakomba zvinoda kurapwa nekukurumidza mushure mekunge zvawanikwa. Kurapa kunogona kusanganisira:

• Mishonga.
• Maitiro emoyo.
• Kuongororwa kwemoyo.
• Kusimudzirwa kwemoyo.

Mishonga inogona kushandiswa kurapa zviratidzo kana zvinetso zvechikanganiso chemwoyo chakazvarwa. Inogona kushandiswa yoga kana nemamwe kurapwa. Mishonga yezvikanganiso zvemoyo zvakazvarwa inosanganisira:

• Mapiritsi emvura, anozivikanwawo se diuretics. Rudzi urwu rwemishonga runobatsira kubvisa mvura mumuviri. Zvinobatsira kuderedza kunetseka kwemoyo.
• Mishonga yekurwisa arrhythmias. Mishonga iyi inobatsira kudzora kurova kwemoyo kwasinganzwisisiki.

Kana mwana wako ane chikanganiso chakakomba chemwoyo chakazvarwa, maitiro emoyo kana kuvhiya kunogona kukurudzirwa.

Maitiro emoyo nekuvhiya kunoitirwa kurapa zvikanganiso zvemoyo zvakazvarwa zvinosanganisira:

• Cardiac catheterization. Marudzi amwe emhando dzezvikanganiso zvemoyo zvakazvarwa muvana zvinogona kugadziriswa uchishandisa mabhuru akapfava, akapfava anonzi catheters. Kurapwa kwakadaro kunobvumira vanachiremba kugadzirisa moyo pasina kuvhiya kwemoyo kwakavhurika. Chiremba anopinda catheter kuburikidza nechombo cherufu, kazhinji muhudyu, uye anoitungamira kumoyo. Dzimwe nguva catheter inopfuura imwe inoshandiswa. Kana yave panzvimbo, chiremba anokwevera zvinhu zvidiki kuburikidza ne catheter kugadzirisa mamiriro emoyo. Semuenzaniso, chiremba anogona kugadzirisa maburi mumoto kana nzvimbo dzekuomarara. Zvimwe zvekurapa catheter zvinofanirwa kuitwa muzvikamu kwemakore akati wandei.
• Kuongororwa kwemoyo. Mwana anogona kuda kuvhiya kwemoyo kwakavhurika kana kuvhiya kwemoyo kwakaderera kugadzirisa chikanganiso chemwoyo chakazvarwa. Rudzi rwekuvhiya kwemoyo kunoenderana nechinja chaiyo mumoto.
• Kusimudzirwa kwemoyo. Kana chikanganiso chakakomba chemwoyo chakazvarwa chisingagone kugadziriswa, kusimudzirwa kwemoyo kunogona kudiwa.
• Fetal cardiac intervention. Iri rudzi rwekurapa rwemwana ane dambudziko remwoyo rinoitwa usati wazvarwa. Inogona kuitwa kugadzirisa chikanganiso chakakomba chemwoyo chakazvarwa kana kudzivirira zvinetso sezvo mwana achikura panguva yekuzvitakura. Fetal cardiac intervention haina kuitwa kazhinji uye inongogoneka mumamiriro ezvinhu chaiwo chete.

Vamwe vana vakazvarwa nechikanganiso chemwoyo chakazvarwa vanoda maitiro akawanda nekuvhiya muhupenyu hwese. Kutarisa kwenguva refu kunokosha. Mwana anoda kuongororwa hutano nguva dzose nachiremba akadzidziswa muzvirwere zvemoyo, anonzi cardiologist. Kutarisa kunogona kusanganisira bvunzo yeropa nemafuta ekutarisa zvinetso.

[Mimhanzi ichitamba]

Tariro nekuporesa kwemoyo midiki.

Dr. Dearani: Kana ndichitarisa basa rangu, ndinoita kuvhiya kwemoyo kwakaderera. Uye ndakakwanisa kuita izvozvo nekuti ndakadzidza zvese muvanhu vakuru, uko kwakatanga. Saka kuita kuvhiya kwemoyo kwe robotic mune vechidiki chimwe chinhu chausingakwanise kuwana muchipatara chevana nekuti havana tekinoroji inowanikwa kwavari kwaigona kuitwa pano.

[Mimhanzi ichitamba]

Kana mwana wako ane chirwere chemwoyo chakazvarwa nacho, kuchinja mararamiro kunogona kukurudzirwa kuchengetedza mwoyo uine hutano uye kudzivirira matambudziko.

• Kudzora mitambo nemabasa. Vamwe vana vane chirwere chemwoyo chakazvarwa nacho vangada kuderedza kurovedza muviri kana mabasa emitambo. Zvisinei, vamwe vakawanda vane chirwere chemwoyo chakazvarwa nacho vanogona kubatanidzwa mumabasa akadaro. Munyanzvi wehutano hwemwana wako anogona kukuudza kuti mitambo neiyiwo marudzi ekurovedza muviri akachengeteka kumwana wako.
• Antibiotics ekudzivirira. Zvimwe zvirwere zvemoyo zvakazvarwa nazvo zvinogona kuwedzera njodzi yekutapukirwa mukati memwoyo kana mavaire emwoyo, inonzi infective endocarditis. Antibiotics inogona kukurudzirwa usati waita mabasa ezino kudzivirira hutachiona, kunyanya kune vanhu vane valve yemwoyo yekugadzira. Bvunza chiremba wemwoyo wemwana wako kana mwana wako achida antibiotics ekudzivirira.

Unogona kuwana kuti kutaura nevamwe vanhu vakapfuura nemamiriro ezvinhu akafanana kunounza nyaradzo nekukurudzira. Bvunza timu yako yehutano kana paine boka rekutsigira munzvimbo yako.

Kurarama nechirwere chemwoyo chakazvarwa nacho kunogona kuita kuti vamwe vana vanzwe kushushikana kana kunetseka. Kutaura neanopa mazano kunogona kukubatsira iwe nemwana wako kudzidza nzira itsva dzekutonga kushushikana nekunetseka. Bvunza nyanzvi yehutano kuti uwane ruzivo nezvevanopa mazano munzvimbo yako.