Papvr

Kudzoka Kusingaperi kwemaPulmonary Veins

Mukudzoka kusingaperi kwemaPulmonary veins, mamwe emaPulmonary veins anosendera ropa mukamuri yepamusoro yekurudyi yemoyo. Iyo kamuri inonzi atrium yekurudyi. Kazhinji, ropa rakaguta oksijeni rinoyerera kubva kumaPulmonary veins kuenda kukamuri yepamusoro yekuruboshwe yemoyo, sezvakaratidzwa kuruboshwe.

Kudzokera kusingaperi kwemaPulmonary veins chirwere chisingawanzoitika chemwoyo chinovapo kubva pakuberekwa. Izvo zvinoreva kuti chirwere chemwoyo chakazvarwa nacho.

Mazita mamwe echirwere ichi ndeiyi:

• PAPVR.
• Kuwirirana kusingaperi kwemaPulmonary veins.
• PAPVC.

Muchirwere ichi, mamwe eropa madzira emumapfupa anobatanidza panzvimbo isiriyo yemoyo. Aya madzira eropa anonzi maPulmonary veins.

Mumoyo wakajairwa, ropa rakaguta oksijeni rinobva mumapfupa kuenda kukamuri yepamusoro yekuruboshwe yemoyo, inonzi atrium yekuruboshwe. Wobva waramba richinyerera mumuviri.

MuPAPVR, ropa rinoyerera kubva mumapfupa kuenda kukamuri yepamusoro yekurudyi yemoyo, inonzi atrium yekurudyi. Ropa rakawanda rinoyerera kurutivi rwerudyi rwemoyo. Izvi zvinogona kukonzera kuzvimba kwemakamuri emoyo ekurudyi.

Vamwe vanhu vane PAPVR vane gomba pakati pemakamuri epamusoro emoyo rinonzi atrial septal defect. Gomba rinobvumira ropa kuti riyerere pakati pemakamuri epamusoro emoyo. Matambudziko emwoyo mamwewo anogona kuitika. Mwana azvarwa ane Turner syndrome ane njodzi yakawedzera yePAPVR.

Zviratidzo zvinoenderana kana paine zvimwe zvirwere zvemoyo. Chiratidzo chakajairika chePAPVR ndicho kunetseka kufema.

Kana PAPVR ikaitika nezvimwe zvirwere zvemoyo, inogona kuonekwa nekukurumidza mushure mekuberekwa. Kana mamiriro acho akaoma, angave asina kuonekwa kusvika pakuva mukuru.

Chiremba anoita bvunzo yemuviri uye anoteerera moyo ne stethoscope. Inzwi rekuchema, rinonzi heart murmur, rinogona kunzwika.

Echocardiogram inoitirwa kuona kuenda kwemitsinga yeropa kubva kumapapu kunosakwana. Bvunzo iyi inoshandisa mafungu ekuita mifananidzo yemoyo uri kupuruzira. Echocardiogram inoratidza mitsipa yeropa kubva kumapapu nehukuru hwekamuri dzemoyo. Inoyerawo kumhanya kweropa. Echocardiogram inogona kubatsira kuona gomba mumoto.

Dzidzo dzakadai se electrocardiogram (ECG kana EKG), X-ray yechipfuva kana CT scan dzinogona kuitwa kana paine ruzivo rwakawanda runodiwa.

Kuoperezha kwekugadzirisa moyo kunogona kudiwa kana:

• Ropa rakawanda rakazara neoksijeni neropa risina oksijeni zvichikanangana mumoto.
• Mamiriro acho anoita kuti pave nehutachiona hwakawanda mumapapu.

Kana usina zviratidzo, kuoperezha kungave kusina kudiwa. Kana kuoperezha kweimwe mamiriro emoyo kuchidiwa, vanachiremba vanogona kugadzirisa PAPVR panguva imwe chete.

Panguva yekuoperezha kwekugadzirisa PAPVR, nyanzvi yekuoperezha kwemoyo:

• Inobatanidzazve mitsipa yeropa kubva kumapapu kuchamukati chekumusoro kwemoyo.
• Inovhara chero gomba riri mumoto.

Munhu ane kuenda kwemitsinga yeropa kubva kumapapu kunosakwana anoda bvunzo dzehutano nguva dzose kweupenyu hwose kuti aone zvinetso. Zvakanaka kuona chiremba ane ruzivo muzvirwere zvemoyo zvakaberekwa nazvo. Mhando iyi yechiremba inonzi congenital cardiologist.

Kuongorora chirwere chemwoyo chekuzvarwa pakuva mukuru, nyanzvi yako yehutano inokutarisa uye inoteerera mwoyo wako ne stethoscope. Kazhinji unokumbirwa mibvunzo nezve zviratidzo zvako uye nhoroondo yezvechiremba nemhuri.

Kuongororwa kunoitirwa kuongorora hutano hwemwoyo uye kutsvaga zvimwe zvirwere zvinogona kukonzera zviratidzo zvakafanana.

Kuongororwa kwekutsvaga kana kusimbisa chirwere chemwoyo chekuzvarwa pakuva mukuru kunosanganisira:

• Electrocardiogram (ECG). Kuongororwa uku kunokurumidza kunyorera basa remagetsi remwoyo. Inoratidza kuti mwoyo uri kurova sei. Mapatches ane sticky ane sensors anonzi electrodes anobatana nepamusoro pemukati uye dzimwe nguva maoko kana makumbo. Matambo anobatanidza mapatches ku komputa, iyo inodhinda kana kuratidza mhinduro. ECG inogona kubatsira kuongorora kuita kwemwoyo kwakasiyana.
• X-ray yechipfuva. X-ray yechipfuva inoratidza mamiriro emwoyo nemapapu. Inogona kutaura kana mwoyo wakakura kana mapapu aine ropa rakawanda kana mamwe mafluid. Izvi zvinogona kuva zviratidzo zvekutadza kwemwoyo.
• Pulse oximetry. Sensor inoiswa pamunwe inonyora kuti oxygen yakawanda sei iri muropa. Oxygen shoma inogona kuva chiratidzo chechirwere chemwoyo kana chemapapu.
• Echocardiogram. Echocardiogram inoshandisa mafungu esound kuita mifananidzo yemwoyo uri kurova. Inoratidza kuti ropa rinoyerera sei kuburikidza nemwoyo nemavharuvhu emwoyo. Echocardiogram yakajairwa inotora mifananidzo yemwoyo kubva kunze kwemuviri.

Kana echocardiogram yakajairwa isina kupa ruzivo rwakawanda sezvinodiwa, nyanzvi yehutano inogona kuita transesophageal echocardiogram (TEE). Kuongororwa uku kunopa tarisiro yakadzama yemwoyo ne artery huru yemuviri, inonzi aorta. TEE inogadzira mifananidzo yemwoyo kubva mukati memuviri. Kazhinji inoitirwa kuongorora aortic valve.

• Kuongororwa kwekumanikidza kwekuita maekisesaizi. Kuongororwa uku kazhinji kunosanganisira kufamba pane treadmill kana kukwira bhasikoro rinomira apo basa remwoyo riri kuongororwa. Kuongororwa kwekuita maekisesaizi kunogona kuratidza kuti mwoyo unopindura sei kune zvemuviri. Kana usingakwanisi kuita maekisesaizi, unogona kupiwa mishonga inokanganisa mwoyo sekumanikidza kwekuita maekisesaizi. Echocardiogram inogona kuitwa panguva yekuongororwa kwekumanikidza kwekuita maekisesaizi.
• Heart MRI. Heart MRI, inonziwo cardiac MRI, inogona kuitwa kuongorora uye kutarisa chirwere chemwoyo chekuzvarwa. Kuongororwa uku kunogadzira mifananidzo ye3D yemwoyo, izvo zvinoita kuti kuyerwa kwakanyatsojeka kwemakamuri emwoyo kuitike.
• Cardiac catheterization. Mukuyongororwa uku, chubhu chidiki, chinopfava chinonzi catheter chinopihwa mutsinga yeruoko, kazhinji munzvimbo yegroin, uye chinoendeswa kumwoyo. Kuongororwa uku kunogona kupa ruzivo rwakadzama pamusoro pekuyerera kweropa uye kuti mwoyo unoshanda sei. Kurapwa kwemwoyo kunogona kuitwa panguva yekuongororwa kwe cardiac catheterization.

Echocardiogram. Echocardiogram inoshandisa mafungu esound kuita mifananidzo yemwoyo uri kurova. Inoratidza kuti ropa rinoyerera sei kuburikidza nemwoyo nemavharuvhu emwoyo. Echocardiogram yakajairwa inotora mifananidzo yemwoyo kubva kunze kwemuviri.

Kana echocardiogram yakajairwa isina kupa ruzivo rwakawanda sezvinodiwa, nyanzvi yehutano inogona kuita transesophageal echocardiogram (TEE). Kuongororwa uku kunopa tarisiro yakadzama yemwoyo ne artery huru yemuviri, inonzi aorta. TEE inogadzira mifananidzo yemwoyo kubva mukati memuviri. Kazhinji inoitirwa kuongorora aortic valve.

Zvimwe kana zvose zvekutsvaga uku zvinogona kuitwawo kuongorora zvikanganiso zvemoyo zvekuzvarwa muvana.

Munhu akaberekwa ane chirwere chemwoyo chekuzvarwa anogona kazhinji kurapwa nekupesvedzera muhudiki. Asi dzimwe nguva, mamiriro emwoyo angada kurapwa panguva yehudiki kana zviratidzo hazvioneke kusvika pakuva mukuru.

Kurapwa kwechirwere chemwoyo chekuzvarwa muvakuru kunoenderana nerudzi rwemwoyo mamiriro uye kuti rakaomarara sei. Kana mamiriro emwoyo ari nyoro, kuongororwa kwehutano nguva dzose kungave kurapwa chete kunodiwa.

Kurapwa kwakasiyana-siyana kwechirwere chemwoyo chekuzvarwa muvakuru kunogona kusanganisira mishonga nekuvhiya.

Marudzi akati wandei enyoro echirwere chemwoyo chekuzvarwa muvakuru anogona kurapwa nemishonga inobatsira mwoyo kushanda zvakanaka. Mishonga inogonawo kupiwa kudzivirira kuumbwa kweropa kana kudzora kurova kwemwoyo kusina kujairika.

Vakuru vakati wandei vane chirwere chemwoyo chekuzvarwa vangada chishandiso chekurapa kana kuvhiya kwemwoyo.

• Zvishandiso zvemoyo zvinogona kuiswa. Pacemaker kana implantable cardioverter-defibrillator (ICD) inogona kudiwa. Aya mashandiso anobatsira kuvandudza mamwe matambudziko anogona kuitika nechirwere chemwoyo chekuzvarwa muvakuru.
• Kurapwa kwakavakirwa pachikamu. Marudzi akati wandei echirwere chemwoyo chekuzvarwa muvakuru anogona kugadziriswa uchishandisa mabhuru akapfava, akapfava anonzi catheters. Kurapwa kwakadaro kunobvumira vanachiremba kugadzirisa mwoyo pasina kuvhiya kwemwoyo kwakavhurika. Chiremba anoisa catheter kuburikidza nechombo cheropa, kazhinji muhudyu, uye anoitungamira kumwoyo. Dzimwe nguva catheters inopfuura imwe inoshandiswa. Kana yave panzvimbo, chiremba anokwevera zvinhu zvidiki kuburikidza ne catheter kugadzirisa mamiriro emwoyo.
• Kuvhiya kwemwoyo kwakavhurika. Kana kurapwa kwe catheter kukasa kugadzirisa chirwere chemwoyo chekuzvarwa, kuvhiya kwemwoyo kwakavhurika kunogona kudiwa. Rudzi rwekuvhiya kwemwoyo kunoenderana ne mamiriro chaiwo emwoyo.
• Kusimudzirwa kwemwoyo. Kana mamiriro emwoyo akakomba asingakwanisi kurapwa, kusimudzirwa kwemwoyo kungadiwa.

Vakuru vane chirwere chemwoyo chekuzvarwa vari panjodzi yekuvandudza matambudziko - kunyangwe kana kuvhiya kwakaitwa kugadzirisa kusakwana panguva yehudiki. Kutarisirwa kwenguva refu kwakakosha. Zvakanaka, chiremba akadzidziswa kurapa vakuru vane chirwere chemwoyo chekuzvarwa anofanira kutarisira kutarisirwa kwako. Rudzi urwu rwechiremba runonzi congenital cardiologist.

Kutarisirwa kunogona kusanganisira bvunzo dzeropa nemidziyo yekuongorora matambudziko. Kazhinji unoda kuongororwa kwehutano kunoenderana nekukura kwechirwere chemwoyo chako chekuzvarwa kana kuti chakaoma.

Kana uine chirwere chemwoyo chawakazvarwa nacho, kuchinja mararamiro kunogona kukurudzirwa kuchengetedza mwoyo uine hutano uye kudzivirira matambudziko.

Ungawana kuti kutaura nevamwe vanhu vane chirwere chemwoyo chavakazvarwa nacho kunounza nyaradzo nekukurudzira. Bvunza timu yako yekuchengetedza utano kana paine mapoka ekutsigira munzvimbo yako.

Zvinogonawo kubatsira kuziva mamiriro ako. Unoda kudzidza:

• Zita uye ruzivo rwemamiriro ako emwoyo uye nzira yaro yekurapwa.
• Zviratidzo zvechirwere chako chemwoyo chawakazvarwa nacho uye nguva yekubata nechikwata chako chekuchengetedza utano.
• Kazhinji yekutarisa utano.
• Ruzivo nezve mishonga yako uye migumisiro yayo.
• Maitiro ekudzivirira hutachiona hwemwoyo uye kana uchida kutora mishonga inorwisa mabhakitiriya usati waita basa rezino.
• Mirayiridzo yekurovedza muviri nemiganho yebasa.
• Ruzivo rwekudzora kuberekana nekugadzirisa mhuri.
• Ruzivo rwekuchengetedzwa kwehutano nemisarudzo yekuvhara.