Asi usati watanga kutamba mitambo yevana vechikoro, unofanira kunyatsoshanyira mwana wechiremba wemunharaunda. Kunyanya kana iye ava pedyo nekuyaruka. Mubvunzo unomuka: moyo wemwana unofanirwa kuva wemitambo? Uye, zvinonyanya kukosha, hazvifaniri kuva sei? Iyi mibvunzo ichapindurwa chete nenyanzvi. Chiremba anoteerera mwoyo wemwana, ozvitumira kune electrocardiogram (ECG), uye, kana zvichifanira, kupa mamwe mhando yekuongorora. Zvinofanira kuonekwa kuti havasi vose vanoberekerwa mutambo mukuru. Mitambo uye zviitiko zvepanyama zvinopesana nevana vane zvirwere zvisingaperi, zvakadai sebronchial asthma, chironda chemucheche, chirwere chepvo, maziso. Uye nehosha dzehutano hwemwoyo, kusanganisira hutachiona hwemwoyo, kunyange mitoro maduku inogona kutungamirira kumigumisiro isingagoneki. Basa guru rekuita muviri rinopesana nehupo hwekugara kwechirwere chisingagumi mumwana, zvakadai sechirwere chetonillitis, sinusitis, multiple caries. Kunyangwe mushure mekuvharirwa kwehutachiona hwehutachiwana, vana havagoni kuita mavhiki maviri kusvika matatu, kupa zvigaro, kugovera mumagungano ekumhanya-soro, nezvimwewo.
Kazhinji kacho, achiona electrocardiogram, chiremba anoudza vabereki vechikoro-vezera kuti mwana wavo haasi mukwikwidzi kana kuti mitambo yezvenyanzvi inopesana naye. Sei? Hungu nokuti ECG yevana ava ine zvimwe zvinhu. Ichi chirwere chekutanga ventricular repolarization, zvakasiyana-siyana electrocardiographic ventricular pre-excitation syndromes (WPW syndrome, partial ventricular pre-excitation syndrome, PQ mufupi short-circuit syndrome). Zvose izvi syndromes zvinowanzomanikidzwa ne-arrhythmias, uye chirwere chinotora nhaka chenguva yakakura yeQT inogona kuva chikonzero chekufa kamwe kamwe. Nokudaro, vana vane maitiro akadaro vanopesana mumakwikwi emitambo uye kuwandisa muviri. Ndokusaka zvakakosha kushanyira kliniki uye kuva nechokwadi chokuti mwana wako haana matambudziko akadaro.
Kana mwana wacho achinyanya kuita zvemitambo, zvakakosha kuita kwete ECG chete, asiwo echocardiography, kana ultrasound yemwoyo. Shure kwezvose, chete ne ultrasound inogona kuratidza kupera kwemoyo wemagetsi (kunyanya, mitral valve prolapse, kana PMC), kushanda mawindo evhavha (FOO), zvinyorwa zvinyorwa (zvenhema) mumoyo, nezvimwe. Izvo zvinonzi zviduku zvisinganzwisisiki zvekuvandudza moyo zvinopesana nezvimwe zvemutambo mukuru.
Chii chinonzi "moyo wemitambo"?
Dhipatimendi rezvemapurisa rinogamuchira vana vezera rechikoro avo vave vachitamba mitambo kwemakore mazhinji, nokuti mutambo upi uri chikamu chehupenyu hwavo. Ndinofanira kutaura kuti moyo wemutambi wacho wakasiyana zvakasiyana nemwoyo wemunhu asingatambudziki nekuramba achiita zvekuita muviri. Kare kubva kumwedzi yokutanga yekudzidziswa, mushumo wemwoyo unofanirwa kusvika kune mutoro, unoratidzwa, kunyanya, nekuenzanisa girdycardia (kunonoka rwiyo rwemoyo). Panguva imwecheteyo, mwana haanzwi kunetseka, haaini kunyunyuta pamusoro pechinhu chero chipi zvacho. Ichi chiitiko chinonzi moyo wemitambo yemwoyo. Mwana kubva pamakore gumi nemasere kusvikira pamakore gumi nemashanu haagoni kukurumidza kuenderana nemutoro, moyo wevechiri kuyaruka kumitambo haikwanisi. Inongova "haigadziri kufamba" nekukura kwekukura kwayo nekukura.
Chenjerera: myocardial dystrophy
Nekushaya kukwana kurapwa kwehutano pamusoro pemutambo wekudzidzira wemutambi uye nemitoro inowedzera, izvo zvinonzi mamiriro emiganhu zvinowanzotanga, izvo zvinogona kupinda mumoyo wemitambo. Somugumisiro wemitoro yakawandisa mukushanda kwemitambo nevana vechikoro, pane kuwedzera kwechirongwa, izvo zvinotungamirira ku myocardial dystrophy. Pano, vana vanotanga kunyunyutira marwadzo mumoyo, misoro, mutsiva, kushaya nguva, nguva yakaneta. Kuchinja kweEECG kunoratidzwa, kuwedzera kwemaodzanyemba kwema ventricular cavity kunogona kuonekwa pane ultrasound ye mwoyo, kuderera kwebasa ravo rinobata basa. Chimwe chezvinhu zvisingadikanwi zviratidzo kune mutambi wechidiki, somuenzaniso, makore gumi nemasere kuvepo kwe tachycardia (nokukurumidza kupisa).
Zvizhinji zvevana vechikoro mazuva ano, zvinosuruvarisa, hazvifambi zvakawanda, kupedza nguva yakawanda mushure mezvidzidzo, pamakombiyuta kana paTV. Dzimwe nguva havagoni kuve nyore "kubuda kunze" mumugwagwa, kumhepo itsva. Dzimwe nguva kuchinja kusina kubuda kubva kuHercodynamia kusvika pakudzidziswa kwakasimba kunobatsirawo kukura kwemyocardial dystrophy, kana kuti myocardial dystrophy. Kusiyana neizvi, nekupedza kwakasimba kwemitambo, kushanduka kwemaitiro kunogona kuonekwa zvakare. Nokudaro, nguva idzi dzinofanirawo kutungamirirwa nechiremba wemitambo.
Nhasi, vamwe vevarume vari kufarira makirasi mumagyms, apo, kutevedzera zvifananidzo, vanotanga "kutakura simbi" zvakasimba pasina hutongi pane chikamu chemudzidzisi. Iwe haugone kubvumira izvi! Mumazuva ekuyaruka, mutumbi unonyanya kuoma - hutachiona hwehutachiona, nhengo dzomukati, kusanganisira mamiriro evanhu vane mwoyo, hazvigoni kukura kwevana, ivo vasati vakura zvakakwana, kwete zvakafanana neyomunhu mukuru. Uye pasi pesimba rekushanda kwakakura mumuviri kune "kuparara". Zvinetso zvinotanga kubuda - musana wechipfuva unorwadza, mwoyo "shams", kuchinja kwe ECG kunoratidzwa. Nekuongororwa kwe "myocardial dystrophy" wechidiki anotumirwa kuchipatara.
Apo kudzidziswa kunofanira kunonoka
Pakuzivisa matambudziko kubva pamwoyo, mutambi wacho anofanira kubviswa pakudzidziswa panguva yekuongorora uye kurapwa. Vana-vatambi vane mitoro inorema vanofanira kunyatsoteerera hurumende yezuva racho, kurara kwemaawa masere kusvika ma9-9. Zvakakosha kutarisa kudya - inofanira kunge yakanzwisisika, yakakura mumakirori, yakakura muprotheni, mineral, mavitamini. Zvakanyatsopesana nedoro uye nicotine!
Mukuwedzera, kana zvichidikanwa, chiremba anorayira mishonga yemaradhi inovandudza kudya kunovaka muviri, maitiro emagetsi mumoyo wemisumbu. Izvi zvinogona kuva riboxin, mildronate, preductal, ATP uye cocarboxylase, maitiritamiti, mazamu e potassium, Aevit. Mishonga panguva yemitambo yevana vechikoro inofanira kupedzisira mwedzi. Zvadaro zvinokurudzirwa kuti kuderedze hurumende yekudzidzira kweimwe mwedzi 2-3, nekuchengeta kuchengeta mangwanani, inofamba. Mitambo inogona kugadziriswa chete kana kuchinja kunoratidzika kunopera. Kana izvi zvichishanda kwemwedzi mitanhatu, ipapo iwe uchazosiya mamwe mabasa emitambo. Kune zvakawanda zvakawanda zvinofadza. Zvakakosha kugadziriswa munguva, kuitira kuti kurasikirwa kwemitambo hakuiti dambudziko kumwana wechizvarwa chechikoro uyo mwoyo wake wezemitambo hauna kusikwa.