Chii Chinonzi Transposition ye Arteries Hurukuru? Zviratidzo, Zvinokonzera, & Kurapa

Transposition ye arteries hurukuru chirwere chakakomba chemwoyo apo midziyo miviri mikuru yeropa inobva pamwoyo inoshandurwa. Izvi zvinoreva kuti ropa rakachena harisviki muviri zvakakwana, uye ropa risina oksijeni harisviki mapapu sezvinofanira.

Ichi chirwere chinoitika panguva yekuzvitakura apo mwoyo wemwana uri kuumbwa. Chinotapura vana vanenge 1 pavana 4,000 vanoberekwa gore rega rega. Kunyange izvi zvichinzwa zvinotyisa, mishonga yemazuva ano ine kurapa kwakanaka kunobatsira vana vane chirwere ichi kurarama hupenyu hwazvo hwese, hune utano.

Chii Chinonzi Transposition ye Arteries Hurukuru?

Mumwoyo wakajairwa, midziyo miviri mikuru inotakura ropa kubva pamwoyo. Aorta inotakura ropa rakachena kuenda mumuviri, nepo pulmonary artery ichiendesa ropa risina oksijeni kuenda mapapu. Mu transposition ye arteries hurukuru, midziyo iyi miviri inoshandurwa kana kuti "transposed."

Funga nezvazvo semaguru maviri akasanganiswa nzira dzavo dzekubuda. Ropa richiri kuyerera, asi riri kuenda kunzvimbo dzisina kunaka. Rutivi rwerudyi rwemwoyo runotuma ropa kuenda mumuviri panzvimbo yemapapu, nepo rutivi rweruboshwe ruchituma ropa kuenda mapapu panzvimbo yemuviri.

Izvi zvinoita kuti pave nema loops maviri ekufamba kweropa asingabatani zvakanaka. Pasina kurapwa, vana havagoni kuwana oksijeni yakakwana kune nhengo dzavo netishu. Mashoko akanaka ndeakuti vanachiremba vanogona kugadzirisa chirwere ichi nekuvhiya.

Ndeapi Marudzi eTransposition ye Arteries Hurukuru?

Kune marudzi maviri makuru echirwere ichi, uye kunzwisisa kuti mwana wako ane rudzii runobatsira vanachiremba kuronga nzira yakanakisa yekurapa.

Simple Transposition (D-TGA): Uyu ndiwo rudzi runowanzoitika, apo arteries hurukuru chete ndidzo dzinoshandurwa. Makamuri ekupomba emwoyo nemavharuvhu anoshanda zvakanaka. Anenge 70% yezviitiko ndizvo zviri murudzi urwu.

Complex Transposition (L-TGA): Murudzi urwu rwakasiyana, arteries hurukuru nemakamuri ari pasi pemwoyo zvinoshandurwa. Rudzi urwu kazhinji runouya nemamwe mabvi emwoyo uye haringagone kuita zviratidzo kwemakore.

Chiremba wako achazviongorora nemiedzo chaiyo kuti aone kuti mwana wako ane rudzii. Ruzivo urwu runovabatsira kugadzira chirongwa chekurapa chinonyanya kushanda kune mamiriro ako chaiwo.

Ndeapi Zviratidzo zveTransposition ye Arteries Hurukuru?

Vana vazhinji vane chirwere ichi vanoratidza zviratidzo mukati memazuva mashomanana ekutanga kana mavhiki ehupenyu. Zviratidzo zvinoitika nekuti muviri wavo hauna ropa rakachena rakakwana.

Aya ndiwo maratidzo aunogona kuona pamwana wako mutsva:

• Ruvara rwebhuruu kana pepuru reganda, kunyanya kutenderera miromo, minwe, neminwe yemakumbo
• Kunetseka kufema kana kufema nekukurumidza
• Kudya zvishoma kana kuneta panguva yekudya
• Kuwedzera uremu zvishoma kana kusakwanisa kukura
• Kuwedzera kupererwa neperspiration, kunyanya panguva yekudya
• Kushatirwa kana kusagadzikana kwakanyanya
• Kusava nehanya kana kurara zvakanyanya

Vamwe vana vangaratidzika zvakanaka pakuvaberekwa asi vanoratidza zviratidzo sezvo kubatana kwemwoyo kwemhando yemwana kuchivharwa mumazuva mashomanana ekutanga. Kana ukaona chero rimwe remaitiro aya, taura nachiremba wako pakarepo.

Mu zviitiko zvisingawanzoitika necomplex transposition, zviratidzo zvingasaratidzike kusvika gare gare muhudiki kana kunyange mukukura. Vana ava vangave nekushaya simba, kufema kwakaoma panguva yekufamba, kana matambudziko emwoyo.

Chii Chinokonzera Transposition ye Arteries Hurukuru?

Ichi chirwere chinoitika mukati memavhiki masere ekutanga ekuzvitakura apo mwoyo wemwana uri kuumbwa. Chikonzero chaicho hachizivisike zvizere, asi chinoitika apo arteries hurukuru hadziumbiki munzvimbo dzadzo dzakajairwa.

Panguva yekukura kwemwoyo wakajairwa, mwoyo unotanga se tube yakapusa inotendeuka uye inoparadzaniswa kuva makamuri. Dzimwe nguva iyi nzira yakaoma haina kuitika sezvakarongwa, zvichiita kuti arteries ibatanidzwe kumakamuri asina kunaka.

Kazhinji zviitiko zvinoitika pasina chikonzero chaicho. Haisi chinhu chawakaita kana kusaita panguva yekuzvitakura. Ichi chirwere kazhinji hachina kurigadzirwa, kunyange kuva nemwana mumwe chete ane chirwere chemwoyo kunowedzera mukana wekuzvitakura kwenguva yemberi.

Zvimwe zvinhu zvinogona kuwedzera njodzi zvinosanganisira chirwere cheshuga cheamai, mishonga yakati panguva yekuzvitakura, kana kuti amai vakwegura. Nekudaro, vana vazhinji vane chirwere ichi vanoberekwa kuna amai vasina njodzi chero ipi zvayo.

Rini Kuona Chiremba weTransposition ye Arteries Hurukuru?

Fonera chiremba wako pakarepo kana ukaona ruvara rwebhuruu paganda remwana wako mutsva, miromo, kana misumari. Iyi ruvara rwebhuruu, rinonzi cyanosis, rinoreva kuti mwana wako haana oksijeni yakakwana uye anoda kurapwa nekukurumidza.

Unofanirawo kutaura nachiremba wako pakarepo kana mwana wako ane dambudziko rekufema, anodya zvishoma, kana kuti anotaridzika kuneta kana kusagadzikana. Aya maratidzo anogona kukura nekukurumidza muvana vatsva vane zvirwere zvemoyo.

Kana mwana wako akaongororwa ane chirwere ichi usati waberekwa, ita shuwa kuti unovaberekera muchipatara chine pediatric heart center. Kuva nevanachiremba vakagadzirira kubva panguva yekuberekwa kunogona kuita musiyano mukuru mukutarisirwa kwemwana wako.

Kune vana vakura vane complex transposition, tarisa zviratidzo senge kushaya simba panguva yekutamba, kufema kwakaoma, kana kunyunyuta kurwadziwa pabvudzi. Aya maratidzo anogona kukura zvishoma nezvishoma uye anoda kuongororwa nachiremba.

Ndeapi Njodzi dzeTransposition ye Arteries Hurukuru?

Pasina kurapwa, chirwere ichi chinogona kukonzera matambudziko akakomba nekuti muviri hauna oksijeni yakakwana. Kunzwisisa aya matambudziko kunobatsira kutsanangura kuti nei kurapwa nekukurumidza kwakakosha.

Matambudziko anowanzoitika anosanganisira:

• Kushomeka kwakanyanya kweoksijeni kunotungamira pakukuvara kwenhengo
• Kukundikana kwemwoyo kubva pamwoyo unoshanda zvakanyanya
• Kukura kwakaipa nekusimukira
• Kuwedzera njodzi yekutapukirwa
• Mvere dzeropa dzinogona kukonzera stroke
• Kusagadzikana kwemwoyo

Nekurapa kwekuvhiya kwemazuva ano, vana vazhinji vanodzivirira aya matambudziko akakomba. Nekudaro, kunyangwe mushure mekuvhiya kwakabudirira, zvimwe zvinhu zvekufunga nezvazvo zviripo. Izvi zvinogona kusanganisira kudikanwa kwekuvhiya zvimwe, kuongororwa kwemwoyo, kana kuti miganho yekufamba.

Mashoko akanaka ndeakuti vana vazhinji vanowana kurapwa kwakakodzera vanokura kuti vararame hupenyu hwavo hwese, hwakajairika. Kuongororwa nguva dzose ne pediatric cardiologist kunobatsira kubata uye kugadzirisa chero matambudziko pakutanga.

Transposition ye Arteries Hurukuru Inoziviswa Sei?

Vanachiremba vanogona kuziva chirwere ichi vasati vaberekwa, pashure pekuberekwa, kana kuti gare gare kana zviratidzo zvikakurira zvishoma nezvishoma. Nzira yekuziva kazhinji inotanga apo mumwe munhu akaona zviratidzo zvinotyisa kana panguva yekuongororwa kwemazuva ese kwekuzvitakura.

Vasati vaberekwa, ultrasound inonzi fetal echocardiogram inogona kuratidza chimiro chemwoyo. Iyi ultrasound chaiyo inopa vanachiremba mifananidzo yakadzama yekuti ropa rinoyerera sei mumwoyo wemwana wako. Kana yakazivikanwa usati waberekwa, vanachiremba vanogona kuronga kutarisirwa nekukurumidza mushure mekuberekwa.

Mushure mekuberekwa, kuziva kazhinji kunotanga nekuongororwa kwemuviri apo chiremba anoteerera mwoyo uye anotarisa ruvara rwebhuruu. Vangave vakarayira miedzo yakawanda kusanganisira chest X-ray, electrocardiogram (EKG), uye echocardiogram kuona chimiro nemabasa emwoyo.

Dzimwe nguva vanachiremba vanoda miedzo yakawanda senge cardiac catheterization, apo vanoisa tube yakapfava mumidziyo yeropa kuti vaone mifananidzo yakadzama. Aya miedzo anobatsira vanachiremba kunzwisisa chaizvo kuti mwoyo wemwana wako wakagadzirwa sei uye kuronga nzira yakanakisa yekurapa.

Kurapa kweTransposition ye Arteries Hurukuru Ndeapi?

Kurapa kwechirwere ichi kazhinji kunosanganisira kuvhiya kubatanidza arteries kune makamuri akakodzera. Mashoko akanaka ndeakuti nzira dzekuvhiya dzakavandudzika zvikuru, uye vana vazhinji vanoita zvakanaka mushure mekurapwa.

Mumazuva ekutanga ehupenyu, vanachiremba vangada kuita nzira inonzi balloon atrial septostomy. Izvi zvinoita kuti pave nekuvhurwa kwenguva pfupi pakati pemakamuri epamusoro emwoyo, zvichibvumira ropa rakachena neropa risina oksijeni kusanganiswa zviri nani kusvika kuvhiya kwapera.

Kurapa kukuru kwekuvhiya kunonzi arterial switch operation. Vanachirongwa vanobvisa arteries hurukuru uye vanoibatanidza kune makamuri akakodzera. Vanofambisawo coronary arteries, dzinounza ropa kumhasuru yemwoyo pachayo. Iyi kuvhiya kazhinji inoitirwa mukati memavhiki ekutanga ehupenyu.

Kune zviitiko zvakaoma, vanachiremba vangakurudzira nzira yakasiyana inonzi Mustard kana Senning procedure, apo vanotungamira kufamba kweropa vachishandisa patches kana tishu yemwoyo. Sarudzo inotsamira pane anatomy chaiyo yemwana wako nezvimwe zvinhu.

Mushure mekuvhiya, vana vazhinji vanoda kutarisirwa nguva dzose ne pediatric cardiologist. Izvi zvinoita shuwa kuti mwoyo unoramba uchishanda zvakanaka sezvo mwana wako achikura uye achikura.

Maitiro ekutarisira Kumba panguva yekudzorera?

Kutarisira mwana wako kumba mushure mekuvhiya kwemwoyo kunoda kutarisisa kune nzvimbo dzakakosha. Timu yako yekurapa ichakupa mirairo chaiyo, asi aya ndiwo mazano akajairika anobatsira kukurudzira kurapa.

Kutanga, tarisa pane zvokudya nekudya. Mwana wako anganeta nyore panguva yekudya, saka kupa zvidiki, zvokudya zvakawanda. Kana kubereka mwana zvakaoma, usambofunga kukumbira rubatsiro kubva kune lactation consultant anoziva nezve zvirwere zvemoyo.

Tarisa zviratidzo zvekutapukirwa kutenderera panzvimbo yekuvhiya, kusanganisira kuwedzera kukurumidza, kuzvimba, kana kubuda. Chengeta incision yakachena uye yakaoma sezvakarayirwa netimu yako yekuvhiya. Vana vazhinji vanogona kugeza zvinyoro nyoro kana chiremba abvumidza.

Tarisa mwana wako chero zviratidzo zvinotyisa senge kuwedzera ruvara rwebhuruu, kunetseka kufema, kudya zvishoma, kana kusagadzikana kwakanyanya. Kuva nerondedzero yakanyorwa yekuti rinhi kufona nachiremba kunokubatsira kunzwa wakavimbika nezve kutarisirwa kwemwana wako.

Sezvo mwana wako achikura, vangangoda miganho yekufamba pakutanga, asi vana vazhinji vanogona pakupedzisira kubatanidzwa mumabasa ehupenyu hwavo hwese. Cardiologist yako ichakukurudzira pane zvakakodzera pane imwe nhanho yekudzorera.

Unofanira Kugadzirira Sei Kune Chiremba Wako?

Kugadzirira misangano netimu yemwoyo yemwana wako kunokubatsira kuita zvakanyanya panguva yenyu pamwe chete uye kunoita shuwa kuti unowana mhinduro kumibvunzo yako yakakosha.

Usati wasvika, nyora chero zviratidzo zvawaona, mibvunzo nezve kutarisirwa kwemwana wako, uye zvinotyisa nezve kukura kana mabasa. Uya nerondedzero yemishonga yose inotorwa nemwana wako, kusanganisira dosages ne nguva.

Chengeta rekodhi yekukura kwemwana wako, maitiro ekudya, uye mazinga ekufamba pakati pemisangano. Ruzivo urwu runobatsira vanachiremba kunzwisisa kuti mwana wako ari kuita zvakanaka sei. Mifananidzo kana mavhidhiyo ezviratidzo zvinotyisa zvinogonawo kubatsira.

Uya nemhuri yakavimbika kana shamwari kumisangano yakakosha. Kuva nerubatsiro kunokubatsira kugadzirisa ruzivo uye yeuka zvakakosha. Usambofunga kukumbira vanachiremba kuti vatsanangure zvinhu nenzira dzakasiyana kana chimwe chinhu chisingaoneki.

Gadzirira mwana wako mukuru kumisangano nekutsanangura zvichaitika muzera rakakodzera. Kuuya nezvinhu zvinonyaradza senge toy yaanoda kunogona kubatsira kuderedza kushushikana kwauri vaviri.

Chii Chinonyanya Kukosha Nezve Transposition ye Arteries Hurukuru?

Chinhu chakakosha chokuyeuka ndechekuti transposition ye arteries hurukuru chirwere chakakomba chinoda kutarisirwa nekukurumidza kwemishonga, asi chinogona kurapwawo zvikuru nemigumisiro yakanaka kwenguva refu.

Nenhengo dzekuvhiya dzemazuva ano, vana vazhinji vanowana kurapwa kwakakodzera vanoramba vachirarama hupenyu hwazvo hwese, hwakajairika. Vanogona kubatanidzwa mumitambo, kupinda kuchikoro zvakajairika, uye kutevera zviroto zvavo senge vamwe vana.

Kiyi yekubudirira ndeyekuziva nekukurumidza uye kurapwa nevanachiremba vezvemoyo vane ruzivo. Kana uine hanya nezviratidzo zvemwana wako, vimba nezvinhu zvako uye tsvaga kurapwa nekukurumidza.

Yeuka kuti hausi wega mu rwendo urwu. Timu dzemoyo dzevana dzinosanganisira vanachiremba, vanamukoti, vashandi vezvemagariro, uye vamwe vanachiremba vanonzwisisa zvese zvekurapa nezvemanzwiro ekutarisira vana vane zvirwere zvemoyo.

Mibvunzo InowanzoBvunzwa Nezve Transposition ye Arteries Hurukuru

Q1: Mwana wangu anogona kurarama hupenyu hwakanaka mushure mekuvhiya kwe transposition ye arteries hurukuru here?

Hongu, vana vazhinji vane kuvhiya kwakabudirira kwe transposition vanorarama hupenyu hwese hwakanaka. Vanogona kupinda kuchikoro, kutamba mitambo, uye kubatanidzwa mumabasa ese ehupenyu hwavo hwese. Vamwe vangangoda kuongororwa nguva dzose ne cardiologist, asi izvi kazhinji hazvidziviriri mabasa avo ezuva nezuva. Vakuru vazhinji vakaita kuvhiya uku sevana vanoramba vachiva nemhuri dzavo uye vachitevera chero basa ravakasarudza.

Q2: Mwana wangu achada kuvhiya zvimwe sezvo achikura here?

Vana vazhinji vane arterial switch operation havadi kuvhiya kwemwoyo zvimwe. Nekudaro, vamwe vangangoda nzira diki kana matambudziko akakurira ne coronary arteries kana mavharuvhu emwoyo panguva. Cardiologist yemwana wako ichaongorora mwoyo wavo nguva dzose uye ichakuzivisa kana kurapwa kwakawedzerwa kuchidikanwa. Kudikanwa kwekuvhiya kwenguva yemberi kunosiyana zvikuru kubva kumwana kuenda kumwana.

Q3: Ndingadai ndakadzivirira chirwere ichi panguva yekuzvitakura here?

Kwete, hapana chawaigona kuita zvakasiyana kudzivirira chirwere ichi. Transposition ye arteries hurukuru inoitika panguva yekukura kwemwoyo uye haina kukonzerwa nechero chinhu vabereki vanoita kana vasiri kuita. Kunyange amai vanotevera mirairo yekuzvitakura zvakakwana vanogona kuva nevana vane chirwere ichi. Iyo shanduko yekukura isingawanzoitika inoitika muvana vanenge 1 pavana 4,000 vanoberekwa.

Q4: Munguva pfupi sei mushure mekuberekwa mwana wangu anoda kuvhiya?

Nguva inotsamira pane mamiriro chaiwo emwana wako nezviratidzo. Vamwe vana vanoda kuvhiya mukati memazuva mashomanana kana mavhiki ehupenyu, nepo vamwe vangave vakagadzikana kukwanisa kumirira nguva yakareba. Timu yemwoyo yemwana wako ichaongorora mwana wako zvakanyatsonaka uye ichakurudzira nguva yakakodzera yekuvhiya zvichibva pazvido zvavo uye hutano hwese.

Q5: Ndeapi mikana yekuti vana vekare ramangwana vachava nezvirwere zvemoyo?

Kana uine mwana mumwe chete ane transposition ye arteries hurukuru, mukana wekuva nemwana mumwe ane chero rudzi rwechirwere chemwoyo wakakwira zvishoma pane avhareji, asi uchiri pasi zvikuru pa 2-3%. Mhuri dzakawanda dzinoenderera mberi kuva nevana vakawanda vane moyo yakajairwa. Chiremba wako anogona kukurukura genetic counseling kana uchida ruzivo rwakadzama nezvenjodzi dzekuzvitakura kwenguva yemberi.