Chii Chinonzi Coarctation ye Aorta? Zviratidzo, Zvinokonzera, & Kurapa

Coarctation ye aorta chirwere chekuberekwa apo chikamu chetsinga huru yeropa mumuviri wako chinova chidiki zvakanyanya. Kuomarara uku kunoita kuti mwoyo wako ushande nesimba kuti upompe ropa mumubiri mako. Funga nezvazvo sekunge hose yemubindu ine kuomarara pakati - mvura ichiri kubuda, asi ine kumanikidza kukuru kumashure kwechigadziko chacho.

Chirwere ichi chinotapura vanenge 1 pavana 2,500 vanoberekwa gore rega rega. Kunyange zvazvo zvichinzwa zvakakomba, mishonga yemazuva ano inopa mikana yakanaka yekurapa inogona kubatsira vanhu vane chirwere ichi kurarama hupenyu hwakazara, hwutano.

Chii Chinonzi Coarctation ye Aorta?

Coarctation ye aorta inoitika apo chikamu cheaorta - tsinga huru yeropa mumuviri mako - chinotambanudzwa kana kuomarara. Aorta inotakura ropa rakaguta oksijeni kubva pamwoyo wako kuenda kune dzimwe nhengo dzemuviri wako.

Kazhinji, kuomarara uku kunoitika pedyo neapo ductus arteriosus inobatanidza neaorta. Ductus arteriosus itsinga yeropa yevana vose vane vasati vaberekwa, iyo inowanzovhara nekukurumidza mushure mekuberekwa. Kana coarctation ikabuda munzvimbo iyi, inogona kuita matambudziko makuru ekufamba kweropa.

Kuomarara kunomanikidza mwoyo wako kuti upompe nesimba kuti uise ropa kupfuura nzvimbo yakaoma. Iyi basa rakawanda rinogona kuita kuti kumanikidza kwako kweropa kukwire mumubiri wako wepamusoro uchideredza kufamba kweropa kumubiri wako wezasi.

Ndeapi Zviratidzo zveCoarctation ye Aorta?

Zviratidzo zvinogona kusiyana zvakanyanya zvichienderana nekuti kuomarara kwacho kwakakura sei uye kana kwakabuda riini. Vamwe vanhu vane zviratidzo zvakajeka muucheche, nepo vamwe vasingatomboona matambudziko kusvika pakuva vakuru.

Muvana vaduku nevana vacheche, unogona kuona aya maratidzo anotyisa:

• Kunetseka kufema kana kufema nekukurumidza
• Kusadya zvakanaka kana kudya zvishoma pane zvakajairwa
• Ruvara rweganda rwakatsvuka kana rakarembera
• Kuwedzera kupererwa neperspiration panguva yekudya
• Kushatirwa kana kusagadzikana kwakanyanya
• Kukundikana kuwedzera uremu zvakajairwa
• Makoma nemaoko nemakumbo akatonyanya kuzara

Aya maratidzo anowanzooneka kana ductus arteriosus ikavhara mumazuva mashomanana ekutanga kana mavhiki ehupenyu. Kuvhara uku kunogona kuwedzera kuomarara uye kuita kuti pave nechimwe chinhu chinoda kutarisirwa nekukurumidza.

Vana nevakuru vane zvirwere zvishoma vanogona kuve nezviratidzo zvakasiyana:

• Kumanikidza kwakakwirira kweropa mumaoko
• Misoro inouya nekuenda
• Kushaya simba kwemhasuru mumatumbo
• Makumbo akatonyanya kuzara kana marwadzo emhasuru mumatumbo
• Kubuda ropa mumuromo kunowanzoitika
• Kurwadziwa paburiro panguva yekurovedza muviri
• Kushaya mweya nekurovedza muviri

Vamwe vanhu vanowana izvo vanachiremba vanodaidza kuti "collateral circulation" nekufamba kwenguva. Izvi zvinoreva kuti muviri wako unoita nzira itsva yekufamba kweropa kutenderera nzvimbo yakaoma, izvo zvinogona kuderedza zviratidzo asi hazvigadziri dambudziko riripo.

Ndeapi Marudzi eCoarctation ye Aorta?

Vanachiremba vanoronga coarctation zvichienderana neapo kuomarara kunoitika uye maitiro ayo anoenderana nedzimwe tsinga dzeropa. Kunzwisisa marudzi aya kunobatsira kuona nzira yakanaka yekurapa.

Preductal coarctation inoitika usati wasvika panzvimbo apo ductus arteriosus inobatanidza neaorta. Rudzi urwu runowanzoita zviratidzo zvakakomba muvana vacheche nekuti kana ductus arteriosus ikavhara, kufamba kweropa kumubiri wezasi kunoderedzwa zvakanyanya.

Postductal coarctation inoitika mushure mekubatanidza kwe ductus arteriosus. Iyi fomu inowanzobudirira zvishoma nezvishoma uye isingatomboita zviratidzo kusvika gare gare muhucheche kana kunyange pakuva mukuru.

Juxtaductal coarctation inoitika panzvimbo yekubatanidza. Iri ndiro rudzi runowanzoitika uye rinogona kuita zviratidzo pazera rakakura zvichienderana nekuti kuomarara kwacho kwakakura sei.

Chii Chinokonzera Coarctation ye Aorta?

Coarctation ye aorta inoitika panguva yekuzvitakura kana mwoyo wemwana wako netsinga dzeropa dziri kuumbwa. Chikonzero chaicho chekuti izvi zvinoitika hachizivisike zvizere, asi vatsvakurudzi vakawana zvinhu zvakati wandei zvinogona kukonzera.

Zvinhu zvemagwenga zvine basa rakakura muzviitiko zvakawanda. Vamwe vana vanogara vane majini anokanganisa maitiro ekukura kwetsinga dzeropa, zvichiita kuti coarctation ive nyore kuitika.

Zvimwe zvirwere zvemagwenga zvinoita kuti pave nekuwedzera kwekukura kwe coarctation:

• Turner syndrome - chirwere che chromosomal chinotapura vasikana
• Bicuspid aortic valve - apo valve yemwoyo ine mashizha maviri panzvimbo pematanhatu
• Hypoplastic left heart syndrome - kushomeka kukuru kwechikamu chekuruboshwe chemwoyo
• Mitral valve abnormalities
• Shone syndrome - musanganiswa wezvikanganiso zvakawanda zvemoyo

Zvinhu zvakatipoteredza panguva yekuzvitakura zvinogonawo kuita basa, kunyange zvazvo uchapupu hwacho husina kujeka. Zvidzidzo zvimwe zvinoratidza kuti mishonga yakati, zvirwere, kana kuiswa kune zvinhu zvinokuvadza zvinogona kuwedzera njodzi, asi tsvakurudzo yakawanda inodiwa kuti ibvumikise aya maonero.

Muzviitiko zvisingawanzoitika, coarctation inogona kuitika gare gare muhupenyu nekuda kwezvirwere zvinoita kuti pave nekuvava kana kuzvimba kwe aorta, senge Takayasu arteritis kana atherosclerosis yakakomba.

Rini Unoofanira Kuona Chiremba weCoarctation ye Aorta?

Tsvaga rubatsiro rwekurapa nekukurumidza kana mwana wako mutsva achiratidza zviratidzo zvematambudziko emwoyo. Zviratidzo zvekunyanyisa zvinosanganisira kunetseka kufema, kusadya zvakanaka, ganda rakatsuka kana rakabaya, kana kusagadzikana kwakanyanya kunoshanduka nekuyaruka kwakajairwa.

Kune vana vakura nevakuru, ronga kushanya kwachiremba kana ukaona kumanikidza kwakakwirira kweropa, kunyanya kana kuri kukwirira mumaoko ako kupfuura makumbo ako. Zvimwe zviratidzo zvinotyisa zvinosanganisira misoro inowanzoitika, kushaya simba kwematumbo panguva yekurovedza muviri, kana kurwadziwa paburiro nekurovedza muviri.

Kuongororwa kazhinji kunova kukosha kana uine nhoroondo yemhuri yezvikanganiso zvemoyo kana kana wakazivikanwa nezvirwere zvakabatana senge Turner syndrome kana bicuspid aortic valve.

Usamirire kana zviratidzo zvikawedzera kana zvimwe zvichida. Kuonekwa nekukurumidza uye kurapwa kunogona kudzivirira matambudziko akakomba uye kuvandudza mhedzisiro yenguva refu zvakanyanya.

Ndeapi Zvinhu Zvinowedzera Njodzi yeCoarctation ye Aorta?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wekukura kwe coarctation ye aorta. Kunzwisisa aya mazinga enjodzi kunobatsira mhuri nevanachiremba kuramba vakangwarira nezviratidzo zvinogona kuitika.

Kuve musikana kunowedzera njodzi yako, kunyanya kana uine Turner syndrome. Anenge 10-30% evasikana vane Turner syndrome vanokura coarctation, zvichiita kuti kuongororwa kwemwoyo kazhinji kuve kwakakosha kune vanhu ava.

Nhoroondo yemhuri ine basa rakakosha mukuongorora njodzi:

• Kuve nemunhu wemhuri kana munun'una ane coarctation
• Vanhu vemhuri vane zvimwe zvikanganiso zvemoyo zvekuzvarwa
• Hama dzine bicuspid aortic valve
• Zvirwere zvemagwenga zvinokanganisa kukura kwemwoyo

Zvimwe zvinhu zvekuzvitakura zvinogonawo kukanganisa njodzi, kunyange zvazvo izvi zvisinganzwisisike zvakanaka. Zera rakakura reamai, chirwere cheshuga panguva yekuzvitakura, uye kuiswa kune mishonga yakati yakadzidzwa, asi hukama hwakajeka hahusati hwavapo.

Kuve nezvimwe zvikanganiso zvemoyo kunowedzera mikana yako yekuve ne coarctation. Anenge 85% yevanhu vane coarctation vane chimwe chinhu chimwe chemoyo, bicuspid aortic valve iri iyo inowanzoitika.

Ndeapi Matambudziko Anogona Kuitika eCoarctation ye Aorta?

Pasina kurapwa kwakakodzera, coarctation ye aorta inogona kuita matambudziko akakomba ehutano nekufamba kwenguva. Mashoko akanaka ndeawo kuti akawanda matambudziko anogona kudzivirirwa nekurapa kwakakodzera.

Kumanikidza kwakakwirira kweropa kunomiririra dambudziko rakakura kwenguva refu. Aorta yakaoma inomanikidza mwoyo wako kuti ushande nesimba, izvo zvinogona kukuvadza sisitimu yako yemoyo nekufamba kwenguva.

Matambudziko emwoyo anogona kuitika zvishoma nezvishoma:

• Kukura kwemwoyo wekuruboshwe kubva pakushanda zvakanyanya
• Kukundikana kwemwoyo kana tsandanyama yacho ikava yakasimba
• Chirwere che coronary artery pazera diki
• Zvirwere zvemoyo zvisina kujairika
• Matambudziko e aortic valve

Matambudziko etsinga dzeropa anogonawo kuitika, kunyanya kana kumanikidza kwakakwirira kweropa kusina kudzorwa zvakanaka. Izvi zvinosanganisira stroke, aneurysms muma arteries emuviri, uye kuoma kwenguva isati yakwana kwema arteries mumubiri mako.

Muzviitiko zvisingawanzoitika, coarctation yakakomba isina kurapwa inogona kuita matambudziko etsinga nekuda kwekufamba kweropa kwakaderera, kana kuzara kwema valves emwoyo kunonzi endocarditis.

Kuzvitakura kunogona kuita njodzi chaiyo kune vakadzi vane coarctation, sezvo kuwedzera kwehuwandu hweropa uye zvinodiwa nemwoyo zvinogona kumanikidza mwoyo wakato shanda zvakanyanya. Zvisinei, nekutarisa kwakakodzera kwemishonga, vakadzi vazhinji vanobereka zvibereko zvakanaka.

Coarctation ye Aorta Inozwivikanwa Sei?

Kuzivikanwa kazhinji kunotanga kana chiremba akaona zvinhu zvisina kujairika pakuongororwa kwemuviri. Chiratidzo chinowanzoitika ndeche heart murmur - inzwi riri pamusoro rinonzwikwa pakuteerera mwoyo wako ne stethoscope.

Chiremba wako achaongorora kumanikidza kweropa mumaoko ako nemaoko ako. Mu coarctation, kumanikidza mumaoko ako kazhinji kwakakwirira kupfuura mumakumbo ako, izvo zvinoita kuti pave nemuenzaniso unokosha unokonzera kutya.

Kuongororwa kwakawanda kwemafirimu kunogona kubvumikisa kuzivikanwa uye kuratidza kuti kuomarara kwacho kwakakura sei uye kwakakura sei:

• Echocardiogram - inoshandisa mafungu ekuita mifananidzo inofamba yemwoyo wako
• CT scan - inopa mifananidzo yakadzama ye aorta yako
• MRI - inopa kuona kwakanaka pasina kuiswa kwemwaranzi
• Cardiac catheterization - inosanganisira kuisa chubhu chidiki netsinga dzeropa kuti iyerere zvakananga

Chest X-rays inogona kuratidza kuchinja kwakakosha mumapfupa ako anonzi "rib notching," izvo zvinoitika kana tsinga dzeropa dziri pedyo nemapfupa ako dzikakura kuti dzaite ropa rakawanda kutenderera nzvimbo yakaoma.

Kune vana vacheche vane zviratidzo zvakakomba, kuzivikanwa kazhinji kunoitika nekukurumidza muchipatara. Pulse oximetry, iyo inoyerera mazinga eoksijeni mweropa rako, inogona kubatsira kuona matambudziko usati waona zviratidzo zvakajeka.

Kurapa kweCoarctation ye Aorta

Kurapa kunotsamira pakukura kwe coarctation yako uye kana kwakawanikwa. Chinangwa chacho nguva dzose ndechekubvisa kuomarara uye kudzorera kufamba kwakajairwa kweropa mumubiri mako.

Kune vana vacheche vane coarctation yakakomba, kurapwa nekukurumidza kunogona kudiwa kuti vagadzikane vasati vachirongwa. Izvi kazhinji zvinosanganisira mishonga yekuchengeta ductus arteriosus yakavhurika, izvo zvinogona kuvandudza kufamba kweropa kwenguva pfupi.

Kuita opresheni kunoramba kuri kurapwa kunowanzoitika uye kunobatsira:

• End-to-end anastomosis - kubvisa chikamu chakaomarara uye kubatanidza zvakare aorta
• Patch repair - kushandisa zvinhu kuwedzera nzvimbo yakaoma
• Bypass surgery - kuita nzira itsva kutenderera nzvimbo yakaoma
• Extended end-to-end repair - kune nzvimbo refu dzekuomarara

Balloon angioplasty inopa sarudzo isingakuvadzi zvakanyanya kune vamwe vanhu. Panguva yekurapa uku, chiremba anopinda chubhu chidiki chine balloon tip netsinga dzeropa kunzvimbo yakaoma, ipapo anokwidza balloon kuti atambanudze aorta yakakura.

Stent placement inogona kukurudzirwa pamwe chete ne angioplasty. Stent ndeye chubhu chidiki chesimbi chinoramba chiri panzvimbo yekubatsira kuchengeta aorta yakavhurika mushure mekutambanudza balloon.

Sarudzo pakati pekuita opresheni nekurapa kwakavakirwa pane catheter kunotsamira pazera rako, nzvimbo uye kukura kwekuomarara, uye kana uine matambudziko emwoyo anoda kugadziriswa.

Maitiro Ekurapa Kumba Panguva yeCoarctation ye Aorta?

Kutarisira coarctation kumba kunotarisa pakutsigira hutano hwako hwese hwemoyo uye kutevera mazano chaiwo echiremba wako. Nzira yako ichaenderana nekuti wakurapwa here uye kuti chirwere chako chinodzorwa zvakanaka sei.

Kuongororwa kweropa kunova chikamu chakakosha chemaitiro ako. Chiremba wako anogona kukurudzira kuongorora kumanikidza kwako kweropa kazhinji kumba, kunyanya kana uri kutora mishonga yekuidzora.

Kutarisira mishonga kunoda kutarisisa kwakanyanya panguva uye huwandu:

• Tora mishonga yekumanikidza kweropa sezvakarayirwa
• Usasiye zvikamu kunyange kana uchinzwa zvakanaka
• Chengeta rondedzero yemishonga yese yekushanya kwachiremba
• Bvunza pharmacist yako nezvekuwirirana kwemishonga
• Taura nezvemigumisiro kune chiremba wako nekukurumidza

Kuchinja kwemabasa kunogona kudiwa, kunyanya kune vana nevana vechidiki. Cardiologist yako ichapa mazano chaiwo pamusoro pemitambo uye mabasa ari kuchengeteka zvichienderana nemamiriro ako chaiwo.

Kudya uye mararamiro anogona kukanganisa hutano hwako hweramangwana. Tarisa pakudya kwakanaka kwemoyo nemiriwo yakawanda, miriwo, uye zviyo zvizere uchideredza sodium uye zvokudya zvakagadzirwa.

Tarisa zviratidzo zvinogona kuratidza matambudziko, senge misoro mitsva kana yakakomba, kurwadziwa paburiro, kunetseka kufema, kana kuzvimba mumakumbo ako kana tsoka.

Ungagadzirira Sei Kushanya Kwako Kwemuchiremba?

Kuchengetedza kwakanaka kunokubatsira kuti uite zvakanyanya nekushanya kwako uye kunoita kuti chiremba wako ave nemashoko ose anodiwa kuti ape hanya yakanaka. Tanga nekutsvaga marekodhi ako emishonga nemishonga yako iripo.

Gadzira dhayari yezviratidzo usati wasvika. Nyora chero zviratidzo zvawaona, kana zvinoitika, uye zvinoita kuti zvikonzere kana kuzvidzikamisa. Sanganisira ruzivo nezve misoro, kurwadziwa paburiro, kushaya mweya, kana kuneta.

Gadzira rondedzero yemibvunzo yekubvunza chiremba wako:

• Nderipi rudzi uye kukura kwe coarctation yandinayo?
• Ndeapi mikana yekurapa iripo kwandiri?
• Ndeapi njodzi uye mabhenefiti emukana wega wega?
• Ndingazova nekuongororwa kwenguva yakareba sei?
• Kune mabasa andinofanira kudzivisa here?
• Ndeapi zviratidzo zvinofanira kukonzera kutarisirwa kwemishonga nekukurumidza?

Uya nemhuri kana shamwari kana zvichibvira, kunyanya kune mikana yakakosha pamusoro pekusarudza kurapwa. Vanogona kukubatsira kuyeuka ruzivo uye kupa rutsigiro rwepfungwa.

Ita shuwa kuti uunze ruzivo rwako rweinshurensi, rondedzero yemishonga iripo, uye chero mhedzisiro yekuongorora kubva kune vamwe vanachiremba. Izvi zvinobatsira kudzivirira kunetseka uye kuve nechokwadi chekurapwa kwakaringana.

Chii Chinonyanya Kukosha Nezve Coarctation ye Aorta?

Coarctation ye aorta chirwere chemwoyo chinorapika chinotapura tsinga huru yeropa mumuviri. Kunyange zvazvo ichida kutarisirwa kwenguva refu kwemishonga, vanhu vazhinji vane chirwere ichi vanogona kurarama hupenyu hwakazara, hunoshanda nekurapwa kwakakodzera uye kutarisirwa kwenguva refu.

Kuonekwa nekukurumidza uye kurapwa zvinoita musiyano mukuru mumhedzisiro. Kunyange zvazvo zvakazivikanwa muhucheche kana pakuva mukuru, kurapwa kwemishonga yemazuva ano uye kurapwa kwakavakirwa pane catheter kunopa mhedzisiro yakanaka yekubvisa kuomarara uye kudzorera kufamba kwakajairwa kweropa.

Kiyi yekubudirira kwenguva refu iri mukuchengetedza kutarisirwa kwenguva refu ne cardiologist yako, kudzora kumanikidza kweropa zvakanaka, uye kuramba uchingwarira nezviratidzo zvitsva. Nekutarisirwa kwakakodzera kwemishonga, matambudziko anogona kazhinji kudzivirirwa kana kuderedzwa.

Yeuka kuti kuva ne coarctation hakusi kusimbisa miganho yehupenyu hwako. Vanhu vazhinji vane chirwere ichi vanobatanidzwa mumitambo, vane mabasa anobudirira, vanotanga mhuri, uye vanotevera zviroto zvavo vachitarisira hutano hwavo hwemoyo zvine hungwaru.

Mibvunzo InowanzoBvunzwa Nezve Coarctation ye Aorta

Vanhu vane coarctation ye aorta vanogona kurovedza muviri uye kutamba mitambo here?

Vanhu vazhinji vane coarctation yakarapwa zvakanaka vanogona kubatanidzwa mukurovedza muviri kazhinji uye mitambo yakawanda. Cardiologist yako ichaongorora mamiriro ako chaiwo uye ichapa mazano akakodzera zvichienderana nekudzora kweropa rako, basa remwoyo, uye chero zvimwe zvirwere zvemoyo zvaunogona kuva nazvo. Kazhinji, mabasa e aerobic akadzikama senge kufamba, kushambira, uye kukwira bhasikoro zvinokurudzirwa, nepo mitambo ine simba yakanyanya inogona kudiwa kutarisirwa kwakanyanya.

Coarctation ye aorta inogara ichipfuudzwa kubva kumhuri here?

Coarctation inogona kuenda mumhuri, asi haipfuudzirwe nenzira iri nyore, inofungidzirwa. Kana uine coarctation, vana vako vane njodzi yakakwirira yezvikanganiso zvemoyo zvichienzaniswa nevanhu vakawanda, asi vana vazhinji vanoberekwa nevakuru vane coarctation vane moyo wakajairwa. Genetic counseling inogona kukubatsira kunzwisisa njodzi dzako chaiyo dzemhuri uye kukurukura mikana yekuongorora pamberi pekuzvitakura.

Ndichada opresheni kupfuura kamwe chete ye coarctation here?

Vanhu vazhinji vanoda kurapwa kamwe chete kugadzirisa coarctation yavo zvachose. Zvisinei, vamwe vanhu vanogona kukura kuomarara nekufamba kwenguva, kunyanya kana kugadziriswa kwekutanga kwakaitwa muhucheche. Kuongororwa kwenguva refu kunobatsira kuona chero matambudziko nekukurumidza, uye kana kuomarara kuchitika, kunogona kurapwa zvakanaka ne balloon angioplasty panzvimbo yekudiwa kweimwe opresheni huru.

Vakadzi vane coarctation vanogona kuva nekuzvitakura kwakachengeteka here?

Vakadzi vazhinji vane coarctation yakadzorwa zvakanaka vane kuzvitakura kwakabudirira nevana vane hutano. Zvisinei, kuzvitakura kunowedzera basa remwoyo wako uye sisitimu yekufamba kweropa, saka kutarisirwa kwakanyanya ne cardiologist yako ne obstetrician kwakakosha. Kuongororwa pamberi pekuzvitakura kunobatsira kuve nechokwadi chekuti kumanikidza kwako kweropa kwakadzoreka zvakanaka uye kunoratidza chero matanho ekuwedzera anodiwa panguva yekuzvitakura nekuberekwa.

Ndingava nekuongororwa kwenguva yakareba sei mushure mekurapwa?

Mazuva ekutevera anochinja zvichienderana nemazera ako, rudzi rwekurapa, uye kuti mamiriro ako akadzoreka zvakanaka sei. Pakutanga, unogona kudiwa kuongororwa ma6-12 mwedzi, nehuwandu hunogona kuderedzwa nekufamba kwenguva kana zvese zvichishanda zvakanaka. Cardiologist yako ichagadzira purogiramu yekutevera yakakodzera iyo inosanganisira kuongororwa kwenguva refu kwemafirimu kuti iongorore aorta yako uye kuongororwa kweropa rako uye basa remwoyo.