Gore negore vanenge vane zviuru gumi vane chirwere chepachirwere chepachidiki mumwana vanozvarwa munyika yedu. Kune vose vane zviuru zvekuberekwa kune vana gumi vanoda chirwere chemoyo.
Kushanda kwepachirwere chepfungwa chinokonzerwa ne5% yehuwandu hwehuwandu hwemagariro evanhu, hunoshandiswa mukurapa kwepamusoro-soro.
Zvirwere zveChenenital ndezviya zvakamuka panguva yekutambisa intrauterine. Congenital heart disease (CHD) inoumbwa pamasvondo 21-28 ekuberekwa uye zvino inotungamirira kukanganisa mukuvandudzika kwemwoyo muduku. Somugumisiro, kushaya ropa kweropa kunoshanduka uye mwoyo kusakatika kunobudirira.
Kukanganiswa kwemwoyo mukati mecheche, iyo inofambidzana ne-cyanosis yeganda (vanachiremba vanovatumidza kuti "bhuruu") vanoonekwa pakarepo mushure mekuberekwa kwemwana.Izvikanganiso izvo ganda rinenge rakanyorova uye rinotonhora ("white"), rinogona kugara kwemakore mazhinji risina zviratidzo uye zvakaonekwa nenzira isipi kudzivirira kuchipatara kuongororwa.
Kugadzirisa UPU mumwana anouya zvinongowanikwa mumakiriniki chaiwo, kunyange zvazvo kuora mwoyo kwepfungwa kunogona kufungidzirwa mukutaurirana kwevakadzi.
Zvinokonzera
Nei mwana wacho achikura nechirwere chemwoyo? Nezvikonzero zvakajeka ndezvi: zvirwere zvehutachiona (rubella, masero, furuwenza, cytomegalovirus). Kana amai vacho vachirwara navo mukutanga kwemwedzi, ipapo kukura kwakanaka kwemoyo wemangwana mwana kwakaputsika. Vanachiremba vanotenda kuti hupenyu hwakashata, kushungurudzika, toxicosis mumavambo ekutanga ekudzivirira, zvirwere zvakanyanya kana zvisingaperi zvemukadzi ane pamuviri ndivo vane mhosva yekuonekwa kwePUU. Genetic predisposition inobatsirawo.
Kuongorora zviratidzo
Zviri nani kusimbisa UPU ichiri mu utero. Izvi zvinogona kuitwa mumasangano makuru kana makiriniki ane nheyo yakanaka yekuongorora.
Amai vacharinyorerwa kuti vashandise nyanzvi, uye iye acharamba achitaura nezvetarisiro inomirira mwana.
Dzimwe nguva vanachiremba vanopa mishonga maamai avo vanotsigira basa romwoyo uye vanovandudza zvirongwa zvemagetsi mumwana.
Mune zvimwe zviitiko, kurapa kwakanyanya kunodiwa muUtero. Semuenzaniso, mishonga inopesana nemasikisi uye inoita kuti mishonga yemaketal myocardium iwedzere.
Tinofanira kuchengeta hurumende yezuva racho , kutungamirira kushingaira, asi kurarama hupenyu. Kudya kwakagadzikana, kunovaka muviri kunowedzera mavitamini uye microelements inodiwa.
Kana chimwe chinhu chisingafadzi gynecologist yako mukukurukurirana kwevakadzi, ramangwana amai vanofanira kunge nokukurumidza kuenda kunodhidhiyo uye chirwere chepfungwa chekuongorora zvakakwana.
Vanaamai vazhinji vane hanya kuti kana mwana akawanikwa ane chirwere chepfungwa, ivo vachafanira kubereka nechikamu chekudya. Hazvina kudaro. Nekubatanidzwa kwakanaka kwemamiriro ezvinhu, iwe unogona kuchengeta nekuchengeteka.
Yeuka kuti iwe unongoda kuonana nechiremba wechiremba wepfungwa uyo achatsanangurira amai vanotarisira kuti chirwere chinenge chiine mwana, chii chinonzi chirwere chinodiwa, zvinoguma zvichitarisira.
Kuti aone CHD muchechecheche, chiremba anogona kuburikidza nezviratidzo zvinoratidza: cyanotic ruvara rwemiromo, nzeve dzemakumbo, uyewo cyanosis yeganda rinowanikwa apo mwana ari kuyamwa paanochema.
Kana zvikaitika zve "chichena" kuora mwoyo kwemwana mucheche, ganda rakachenesa romwana, maoko aro anotonhora nemakumbo, rinoratidza chirwere ichi, pane dzimwe nguva chiratidzo chemuitiro ndere ruzha mumoyo, kunyange zvisingafaniri.
Kuchinja mu electrocardiogram, X-rays uye kuongorora zvinyorwa zvinoratidzawo hutano hwehutano hwepfungwa mumwana. Zvakakosha kutarisana ne cardiologist ane ruzivo.
Basa kana kurapa?
Sezvo mutemo, kana chirwere chemwoyo chisina kunyanya kuoma, mwana achangobva kuonekwa nevanyanzvi. Nekusava nemwoyo kunokanganisa kusinganisa kunowedzera muviri kunobvira.
Amai uye mwana wacho vangadawo rubatsiro kwete chete nevarapi vemasikirini, asiwo wechiremba wezvepfungwa, kuti avadzidzise (kunyanya kuna amai vanogona kuva nekuzvidya mwoyo uye kusanyima zvisina basa, uye izvi hazvifaniri kuva) uye kuratidza kuti ungaita sei mune chirwere chakadaro.
Neine maitiro akaoma ezvirwere zvepfungwa, kuvhiyiwa kunodiwa. Inoderedza chinokanganisa uye inowanzoita kupararira kwemwoyo.
Panguva yekuvhiyiwa, zvikamu zvakasiyana-siyana zvakagadzirwa nemwoyo kana midziyo zvinogona kugadziriswa neimwe yenzira dzinoverengeka dzinowanikwa kuvanachiremba.
Mamwe maitiro haakwanisi kubviswa, uye rubatsiro runogona kugoverwa chete nenzira yekuita nzira dzinokubvumira kuwana nguva.
Pachigamuchirwo muchechi yemapurisa, nyanzvi yemaroto inotsanangura uye inokurukura newe chirongwa chekurapa chakakodzera chemwana. Iyo cardiosurgeon ichakokwawo kune iyo kubvunzurudza, iyo ichakuudza pamusoro pekufambira mberi kwebasa rinotevera riripo uye zvinogoneka zvigaro.
Nguva yehutano inobva pane zvakaoma zvechiremera uye nzira yekugadzirira kupindira, iyo ichasarudzwa nachiremba kana kubvunzurudzwa kwechiremba.
Munguva yekushanda, vanachiremba vanogadzirisa zvisina kusimbiswa zvikamu zve mwoyo kana midziyo, kugadzirisa basa rechikamu ichi chinokosha.
Mune mamwe makiriniki munguva yekushanda, mishonga yekupararira kwekugadzira inoshandiswa, inotora pamabasa emwoyo nemapapu.
Imwe nzira inzira yekudzikama kwemuviri: apo kudiwa kwe okisijeni kunoderera, uye mwoyo unomira panguva yechikamu chikuru chekushanda. MuUkraine, basa rakasiyana-siyana rakaitwa, apo kunotonhora kwekushisa kwemuviri kune madigiri 28, kupararira kwakamira kwemaminitsi 97!
Mushure mekuvhiyiwa, mwana anofanira kutora painkillers, diuretics, antibiotics. Izvi zvichatibatsira kuderedza dambudziko rematambudziko kusvika padiki. Uyewo, chiremba achapa chirongwa chepotheotherapy maitiro: chifuva chekupisa, kupfufidza maitiro ekukurudzira expectoration, kudzivisa zvirwere zvakanyanya mumapapu.
Iyi nzira yekuvandudza inorayirwa, sekutonga, kamwe chete mumwedzi 3-4 - zvichienderana nerudzi rwechirwere chemwoyo uye kugadzikana kwechiitiko chacho.
Kupi kwaungaenda?
Munzvimbo dzakawanda, pane zvinyorwa zvekushanda pasina. Asi zvakakosha kutanga nekuiswa kwemuwana mumharapara yemoto. Zvino vabereki vanofanira kuisa kuUnited Health Health of Ukraine. Zvisinei, kuitira kuti basa riitwe panguva, vanoda kuratidza basa nekugadzirisa.
MuUkraine, mwoyo wenyika inozivikanwa National Institute of Cardiovascular Surgery ivo. N.M. Amosov. Pano, kokutanga muUkraine muna 1955, kuvhiyiwa kwakagadzirirwa kubvisa chirwere chemwoyo chekuzvarwa (naNikolai Amosov pachake).
Gore negore mumasvingo ehurumende inenge 1,5 mamiriyoni anobata nechirwere chemwoyo. Nyanzvi dzepakati dzinotenda kuti vazhinji vana vane UPU vanofanira kushandiswa vachiri vaduku.
Kuongororwa, kuongororwa uye kurapwa kwevatana vaduku hakubhadharwi (mari inopiwa kubva mubhajhini yehurumende). Kuzvipatara zvakakosha kugadzirira zvinyorwa zvinotevera: chiremba chokuberekwa chemwana, pasipoti yeamai kana kuti baba vane chiukreni chekugara, chiremba yezvechiremba yemwana kana zvimwe zvivako zvinoratidza hutano hwake. Pamberi pekurapwa kwevana mwana zvakakosha kunyora pasi kugamuchirwa mune imwe nhengo yevarwere muIndithute iyo ichakupawo imwe nyanzvi yakakosha - iyo mhinduro yekupa mazano.
Chirwere chepfungwa hachisi mutongo. Zvakakosha kuti usaora mwoyo uye ubatsire mwana nenguva.