Mwoyo Wakabatana Unofanirwa Kubatana MuVavengi
Patent ductus arteriosus, kana PDA, inokanganisa mwoyo yakaremara inowanikwa mumucheche asati asvika umo ductus arteriosus (mudziyo unobatanidza mishonga yemapurmoni kusvika pakadzika aorta) inokundikana kuvhara.
Apo izvi zvinenge zvichiitika, inobvumira rimwe ropa rechecheche kuti ripfuure mapapu. Kana ikasatenderwa, PDA inogona kutungamirira kumapemonta yerupemhesi , mwoyo wekurmita (kusagadzikana kwepfungwa), uye congestive moyo kusakundikana.
PDA inobata inenge hafu yezvose micro pre preemies (yakapiwa vasati vhiki makumi maviri nemaviri kana kuti inorema kudarika imwe pondo) uye 15 muzana yevatongi vanoberekwa pavhiki makumi matatu. Vashomanana-vekutanga vacheche vane PDA.
Maitiro ePentent Ductus Arteriosus Anoitika
Asati aberekwa, ropa recheche rinokonzerwa nemhepo yepentecenta uye kwete mapapu. Nemhaka yeizvi, chirwere chekufema chema fetus chakasiyana kwazvo nechechechecheche.
Muchi fetus, ropa shoma rinopinda mumapapu akazadzwa nemvura kuti avadye. Zvose zvinoparidzirwa kumuviri sezvinopa ropa rinotendwa kuburikidza ne ductus arteriosus, mu-aorta, uye kunze kwemoyo.
Paanenge aberekwa, basa rekupumadza rinoshanduka: mwana anotanga kufema mweya, uye chero ropa rinotakurwa kumapapu ndiro oxygenated. Panguva ino, ductus arteriosus inoreva kurega. Kana isingaiti, imwe yeaooxygenated ropa inodarika mapapu uye inodzokororwa zvakare kune aorta iyo inoputirwa mumuviri muofomu yeooxygenated.
Zviratidzo zvePatent Ductus Arteriosus
Mwoyo unogunun'una kazhinji chiratidzo chekutanga chePA vacheche. Dhomwe PDA inogona kunge isina kukonzera matambudziko makuru, saka kazhinji haigoni kurapwa. Zvisinei, apo PDA yakakura, inogona kuunza zviratidzo zvakakosha, kusanganisira:
- Lethargy uye simba
- Kukurumidza kufema kana kushanda zvakaoma
- Kunowedzera (zvikuru kwazvo) kupisa
- Tachycardia (chiyero chemwoyo chinopfuura kudarika kwemazuva ose)
- Cyanosis (yebhuruu-ish yeganda ruvara pamusana pekushayikwa kweokisijeni), inonyanya kuchinja kumativi ekumusoro
- Dyspnea (kukurumidza kufema)
- Kudya zvakashata
- Kuonda
- Kukundikana kubudirira
Kuongorora uye Kurapa Patent Ductus Arteriosus
Kana PDA ichifungidzirwa, echocardiogram yemwoyo inowanzoitwa. Iyo nzira, iyo inozivikanwawo sechichi chemoyo, inoshandisa mazaya ezwi kuti atore kufamba mumoyo. Chifukidzo che X-ray chinogonawo kurongerwa (sezvo PDA dzakawanda dzinogona kukonzera sekuwedzera kwemoyo).
Kana akaongororwa, PDA dzakawanda dzichasara kuvhara pachavo pachavo. Kana PDA ichikonzera zviratidzo, chiremba angasarudza kurapa nemishonga inonzi IV yakadai saNeoProfen (iyo inokosha yeIbuprofen) kana indomethacin.
Kune avo vane chirwere chepachimona chepachimona, chirwere chisingawaniki chinogadziriswa chinogona kurongerwa kuti chidzivirire mvura yakawanda yemvura inogona kuisa kudzvinyirira zvisina kukodzera pamwoyo.
Mune zvimwe zviitiko, chirwere chinogona kudiwa. Kune vacheche vanoda kuvhiyiwa, nzira inowanzojairika, inonzi chirongwa chePDA chirongwa, inogona kuitwa. Vazhinji havadi kuvhiyiwa kwepfungwa yakasununguka asi pane kushandisa catheter inowanikwa muhutano hwechikadzi kana mutezo kuti uvhare pedyo nekuzarura.
> Kwakabva:
> National Heart, Lung, uye Blood Institute: National Institutes of Health. "Patent Ductus Arteriosus." Bethesda, Maryland; yakarongedzwa musi waSeptember 26, 2011.