Mwoyo chirwere muvana. Vachiberekwa uye vawana mwoyo chirwere muvana

"Heart chirwere ari mwana" - dzimwe nguva mashoko aya unorira mutongo rufu. Naye chirwere ichi? Ko kutya chirwere chakadai chaizvo uye chii nzira inogona disinfected?

The chirwere kuti "mwoyo chirwere" iri mwana

Pane zviitiko apo vanhu vanorarama ne imwe itsvo, uye hafu mudumbu, pasina gallbladder. Asi fungidzira munhu anogara asina mwoyo, hazvibviri: mushure muviri hunoguma kushanda kwemaminitsi mashomanana muupenyu muviri dzinopera kamwe kwenguva dzose. Ndokusaka chirwere kuti "mwoyo chirwere" iri mwana kutyiswa vabereki.

Pasina vachipinda zvokurapa mashoko, akatsanangura maperembudzi kusonganirana atadze kushanda zvakanaka mumwoyo mavharuvhu, pamwe kuti wegadziriro iri zvishoma zvichiitika, uye nhengo pacharo. dambudziko iri - vakawanda chikonzero chemwoyo, asi kwete chete. Uyezve, pane zviitiko kana chirwere kukura somugumisiro mamiriro kukodzera:

• nhego masvingo;
• cardiac septa;
• zvikuru mwoyo midziyo.

kuchinja kwakadaro kunogona kuva vakaremara, uye anogona kuwanikwa pamusoro hwose.

Vachiberekwa mwoyo chirwere

Kana mwana anozvarwa aine mwoyo chakaremara, ihosha inonzi vachiberekwa.

Nhamba dzinoratidza kuti chete anenge 1% vacheche akazviratidza panyika vanotambura nechirwere ichi. Nei mwoyo chirwere chiri vachangoberekwa vana kunoitwa nevakawanda? Zvose zvinoenderana worudzii upenyu ndiyo mai panguva gestation.

Mubvunzo kuti kana kwete mwana akanaka, iri kugadziriswa mumwedzi akazvitakura rokutanga. The njodzi yokuva mwana nemwoyo chakaremara iri kwakawedzera zvikuru kana amai vanepamuviri iyi:

• kunwa doro;
• kusvuta;
• vachibatwa nemwaranzi;
• Ari kutambura kubva nemavhairasi chirwere kana vhitamini kushaikwa;
• Ndakatora zvinodhaka zvisiri pamutemo.

Kana ukaona mangwanani zviratidzo chemwoyo muvana uye kutanga kurapwa nenguva, vane mukana zvizere kudzorera chakaipa nokushanda kwenhengo dzomuviri. Ukuwo, kana dambudziko dzakaonekwa kunopera, nemamiriro kwemoyo tsandanyama kuitika kusingarapiki kuchinja, uye vanoda kukurumidza kuvhiyiwa.

Vawana mwoyo valvular chirwere

Vawana mwoyo chirwere Vana kazhinji kuitika nokuda atadze kushanda zvakanaka pamusoro vharuvhu hurongwa. dambudziko iri kugadziriswa kuvhiya: vharafu prosthesis kunobatsira kudzokera chete vanoshingaira upenyu.

Zvinokonzera chirwere

Vawana mwoyo kuremara ari mwana kuumbwa nokuda zvakawanda.

1. Rheumatic endocarditis. The chirwere chinobata mwoyo mavharuvhu, izvo yakaumbwa muna stroma granulomas. Muna 75% nyaya iri RA endocarditis zvinokonzera chirwere.
2. Diffuse connective tishu chirwere. Pathologies akadai lupus erythematosus, scleroderma, dermatomyositis nevamwe, kazhinji pave nemamwe matambudziko ari itsvo uye mwoyo.
3. Chest gumo. Chero matambudziko simba kuti chipfuva nzvimbo rurefu mukana anogona kukonzera malformations.
4. Kundikana Kuvhiya mwoyo. Mushure dzaitwa akavhiyiwa mwoyo, zvakadai valvotomy, pane matambudziko vanotsamwisa malformations.
5. Atherosclerosis. Zviri chirwere pakati arteries nemidziyo ropa, masvingo izvo kutanga kuumba plaques. Kakawanda, asi atherosclerosis vo kunokonzera kuchinja basa uye mamiriro mwoyo.

Kubva pasi ichi zviri pachena kuti kana dzakabudirira mwoyo chirwere ari mwana, zvikonzero chokwadi kunogona siyana chaizvo. Asi zvinokosha kuwana kanenge kuti ushandiswe kurapwa rakanga nomazvo uye inonyatsobudirira.

zviratidzo

mwoyo kuremara muvana vari pamwe dzakananga zviratidzo kuziva uye kuridza aramu pavaiva mwana.

On standby kuongororwa wevana anogona kunzwa kurwara mwana mwoyo kutsutsumwa. Mushure yawanika chiremba anofanira kugadza Ultrasound. Asi zvokuongorora kuti "mwoyo chirwere" haigoni chizadzikiswe, nekuti kukura vana dzichipfekeka mwoyo ino- tsutsumwa - ichi ndicho chakaipa nazvo.

Mumwedzi upenyu chokutanga kukura vana panyama kwave kwazvo, ose mwedzi vanofanira kuwana uremu kwete asingasviki 400 d Kana izvi zvikasaitika, zvakakodzera zvakananga kunoona cardiologist, nokuti kushaya kufuta - mumwe chikuru zviratidzo matambudziko mwoyo.

Lethargy uye kuneta mwana vari yakajeka chiratidzo nezvezvinetso zvoutano. Kana izvi zvose zviri akawedzera kupfupika mweya, mikana yokubatwa nayo inowedzerawo kunzwa hachifadzi kuongorora chirwere.

tsvakurudzo nzira

Heart kuremara kuvana, zvinosuruvarisa haawanzopiwi dzakaonekwa munguva. Pane zvikonzero zvinoverengeka.

1. Chokutanga, panguva yepamuviri asimbise kukura chirwere ari mwana kwakaoma zvisingaiti. An ruzivo nyanzvi panguva transvaginal Ultrasound ungacherechedza vamwe kuchinja mwoyo mwana, asi zvirwere zvakawanda iyi vasati richiratidzwa. The pamusoro Mapato yevakadzi vaizivikanwa vari pangozi - saka amai nani kutanga uye panguva vhiki yechi20 pamuviri, vanosangana transabdominal Ultrasound.
2. Chechipiri, mushure pakazvarwa vana kudzidza pamusoro mwoyo chirwere haana kuiswawo pakati pamazita fanira miedzo uye bvunzo. Uye vabereki regai pachavo kutanga uye kuita mamwe chirwere dzokuvhiya.
3. Chechitatu, zviratidzo regai anozviratidza kubva pakutanga. Uye kunyange kana mwana anonzwa kuti zvinoitika kwaari kuti pane chimwe chinhu chakanganisika, haagoni kuzvitsanangura. Vabereki vane zvakawanda zvokuita pamwe mabasa epamba, kuti nguva dzose kutyaira mbudzana dzimwe bvunzo.

Vachangoberekwa kazhinji kuita chete unonzi, electrocardiograph uye nemimwe miedzo dzinoverengeka, ichi kazhinji rinopera kuongorora chirwere. Zvisinei, unonzi, electrocardiograph pane muduku kwakadaro hakusi kugona kuona vachiberekwa mwoyo chirwere. Kana mufambiro Ultrasound, zvinokwanisika kuziva chirwere yekare kare yemagwaro. Zvakawanda zvinoenderana unyanzvi nenyanzvi anoita Ultrasound. Zviri nani kuti kudzokorora nzira iri makiriniki akawanda, kunyanya kana paiva nokufungirana nomwoyo urema.

chirwere

Kana mwoyo chirwere zviratidzo vana kwakaita kuti kuhofisi yachiremba, uye zvokuongorora hwakasimbiswa - ndicho chikonzero mwoyo.

The chirwere haisi nguva dzose kutungamirira kumigumisiro inosuruvarisa. Somuenzaniso, imwe kukundikana kuruboshwe atrioventricular vharuvhu I uye II kubvumira vanhu kurarama mwero 20 kusvika 40 makore pasina vavhiyiwa, apo kuramba mumwe mwero basa.

Asi chete nechirwere, asi mamakisi III uye IV, achiperekedzwa kupfupika mweya pamusoro nesimba, kuzvimba repasi wamativi, chiropa matambudziko, zvinoda kurapwa pakarepo uye nokukurumidza kuvhiya kupindira.

kuongorora chirwere

Zviratidzo chemwoyo muvana kuonekwa vabereki uye pediatricians hazvisi hwaro zvawanikwa. Sezvataurwa pamusoro apa, mashoko systolic kutsutsumwa iri kuchengetwa vana utano, saka hapana haigoni kuita pasina Ultrasound.

An echocardiogram anogona kunyoresa zviratidzo rworuboshwe mwoyo ventricular zadzisa. Kungada wokuwedzera bhokisi X-ray, izvo uchava kuoneka kuchinja kwete chete mumwoyo, asi zviratidzo kutsaudzira pakati yegurokuro. Unogona kuva wokupedzisira ngaati, mwana anorwara kana utano.

Zvinosuruvarisa kuti ECG haasi kukwanisa kubatsira nechirwere chemwoyo pakutanga mumatanho: nokuchinja ECG kuoneka kana chirwere chava kushingaira kufambira mberi.

marapirwo mwoyo chirwere ne kuchinja nzira

Yakasimbiswa zviratidzo chemwoyo muvana - chiri chiitiko kutanga kurapwa pakarepo kudzivisa kusingarapiki kuchinja mumuviri.

Vanachiremba regai nguva dzose kuenda zvomusejari nzira - vamwe kuvhiya varwere haina zvaida, kusvikira imwe nguva. Chii chaizvo chinodiwa ndiyo kudzivirira hosha, izvo akaparirwa chirwere pamberi pedu.

Kana dzakaonekwa mwoyo chirwere kuvana, kurapwa kunosanganisira ane ruzivo kwadzinoita zuva. Saka iva nechokwadi kuti vachengete vana vanoshingaira uye pafoni mararamiro, achiperekedzwa muviri zvine mwero. Asi kuneta - mumuviri kana pfungwa - iri zvachose contraindicated. Havafaniri nehasha uye inorema mitambo, asi achava chinobatsira muchifamba, Skating kana kuchovha uye zvichingodaro.

Zvinogoneka kuti raida zvinodhaka kurapa kubatsira kubvisa mwoyo kukundikana. Diet ane basa rakakura nokurapa chirwere.

Pakurapa chirwere woshanda nzira

Kana kuona mwoyo chirwere kuvana, kuvhiya mutemo unoti inofanira kugadzwa, panyaya yokupedzisira nzendo chirwere, izvo havashandi mishonga uye zvokudya.

With pokumuka michina mitsva, kuvhiya kurapwa rave richiwanika kwete chete nokuda vana kubva gore rimwe, asi kunyange vacheche. Kana nechirwere vawana mwoyo chirwere, chikuru chinangwa wokuvhiya - kuramba kushanda vanokwanisa wayo kwevanhu mwoyo mavharuvhu. Kana vakaremara kana kuremara dzisina pasi kururamiswa zvaida prosthetic mavharuvhu. Prosthesis zvinogona kuitwa zvemaziso kana zvipenyu zvinhu. Chaizvoizvo, kubvira ichi uye kunoenderana mutengo remapazi.

The oparesheni rinoitwa Kuvhiya mwoyo pamwe Moyo yokunzvenga. Rehabilitation pashure yakareba kuvhiyiwa yakadaro, zvinoda kutsungirira, uye Chikurukuru - kuonekwa kukakomana murwere.

pasina kuisira ropa

Hapana chakavanzika nokuda mamiriro utano haisi zvose Kuvhiya mwoyo kusangana kwakadaro. Uye chokwadi izvi mwoyo masayendisiti vezvokurapa, saka kwemakore vave vachitsvaka nzira kuwedzera wokurarama wevarwere. Pakupedzisira, pakanga yakadaro kuvhiya kwenzira se "pasina kuisira ropa".

Mukushanda rokutanga, pasina muchipfuva cheka, hapana scalpel uye anongoda hapana ropa kwave zvinobudirira rakaitirwa Russia muna 2009. The Russian purofesa ake ishamwari French. The murwere ichaongororwa nechirwere chisingarapiki, sezvo iye akaratidza stenosis pamusoro kutsemuka vharuvhu. vharafu Izvi zvinofanira kutsiviwa, asi nokuda kwezvikonzero zvakasiyana-siyana, mukana wokuti murwere vachapona, haana yakakwirira chaizvo.

Denture murwere apinda yeropa pasina chipfuva cheka (kuburikidza ponji mu pechidya). Zvadaro, vachishandisa vharafu anobudisa mushonga zvishoma nezvishoma rinotungamirirwa ari aida mirayiridzo - pamwoyo. A rinokosha prosthesis azoshandiswa inokwanisa pakatanga rwakapetwa ndokuita chubhu, asi kamwe iye opinda yeropa, zvinoratidzwa ayo nomumhu. Kuti kwacho vari pachii vanhu vakwegura uye vamwe vana vasiri kukwanisa kushandisa zvizere-pamwero kuvhiyiwa.

vapore

Cardiac Rehabilitation yakakamurwa muzvikamu akawanda.

Wokutanga kunotora mitatu kusvika mwedzi mitanhatu. Panguva iyi munhu akadzidzisa chaiyo vapore zviitwa, yezvokudya anotsanangura misimboti idzva muviri uye cardiologist anoona zvakanaka kuchinja mumuviri, kuti kwepfungwa kunobatsira kuti ajairane nderemagariro.

Central purogiramu anopiwa zvakanaka mumuviri mabasa, sezvo zvakafanira kuchengeta zvakanaka chimiro, kwete chete mwoyo tsandanyama, asi cardiac midziyo. basa rinoda anobatsira kudzora ropa remafuta akawandisa, BP, uye chinobatsira kubvisa yokufutisa.

Kuramba kuisa nenamo avhiyiwa - inokuvadza. The mwoyo unofanira vajaire kunowanzoitika nokufamba upenyu, uye kuti ndiite izvi zvinobatsira chaizvo kudzidza muviri: vachifamba, basketball, kurovedza bikes, kushambira, vachifamba. Contraindicated nokuti basketball, nevolleyball, uyewo vakasununguka masimbi.