Mwoyo Wakarurama Wakauya paKuberekwa
Iyo yakakura mumidziyo yeropa mumuviri uye iyo huru inotakura ropa kubva pamwoyo kumutumbi ndiyo aorta. Mukubatana kwe aorta, chiremara chemoyo chiripo pakuberekwa, chikamu che aorta chakanyanya kupfupika (chinogadziriswa). Izvi zvinoita kuti zvive zvakaoma kuti mwoyo udimbure ropa kunze kwomuviri.
Kubatana kwe aorta kunoitika mu5-8% yevana vanozvarwa vane urombo hwepfungwa (inonzi congenital heart disease).
Inowanzoitika kaviri kazhinji muvakomana savanasikana. Kugadzikana kweaorta kunoitika nokuti mudziyo hauna kutanga zvakanaka mumavhiki masere ekutanga ekudzivirira. Ichi chirema chepfungwa chinowanzowanikwa kune vanhu vane zvimwe zvirwere zvepabonde zvakadai seT Turner syndrome . Inowanzoongororwa muvana nevakuru vari pasi pemakore makumi mana.
Zviratidzo
Iyo aorta yakaumbwa sevhisi yemashizha, ine chikamu chakavhara kusvika kumusoro uye chikamu chakajeka chinotarisa mumuviri. Kubatana kweaorta kunogona kuitika kupi kwose mumudziyo asi kunowanzoitika apo mushure mokutenderera kwechimiro che C ichikwirira (chinonzi aortic arch). Izvi zvinoreva kuti ropa rinogona kunge rakaoma nguva yekubuda kumuviri. Uyezve, ropa rinopisa richave rakakwirira pamberi pechikamu chakamanikidzwa asi chakaderera shure kwayo. Nokudaro, vana vane kukanganisa kwe aorta vangave vane zviratidzo zvakadai se:
- musoro wepamusoro wepfungwa yepamusoro mumusoro mumusoro
- tsoka dzinotonhora kana makumbo
- zvinoputika mumakumbo nemaitiro
- abnormal moyo sounds (mwoyo murmur)
- chizoro kana kupera
- Vana vangave vachinetseka kudya uye varombo kuwanda
Izvo zvakanyanya kuoma kuderedza, zvakanyanya kuoma zviratidzo zvichave. Kunyoro kuderera kunogona kusaita zviratidzo.
Kuziva
Dzimwe nguva kubatana kweaorta kunowanikwa panguva yekuongorora kwekutanga kwechecheche kana panguva yekuongorora nguva dzose nevana vevana.
Dzimwe nguva zviratidzo zvakadai semwoyo kunong'un'una, kuora musoro, kana kuparadzirwa kwakashata kumakumbo kucharatidza kuonekwa. Mwoyo wevana nyanzvi ( chirwere chemwoyo ) mwana achapa mwana kuongororwa kwemwoyo wakakwana, kusanganisira kuongorora kupisa uye kuwedzerwa kweropa mumakumbo nemakumbo. Mukubatana kweaorta, kupisa kunenge kusisina simba uye kuwedzera kweropa kuderera mumakumbo kupfuura mumaoko.
Bhokisi re x-ray rinogona kuratidza chikamu chakaomeswa che aorta. Nzira inobatsira zvikuru ichava ultrasound yemwoyo (echocardiogram). Mune nzira iyi, nyanzvi yemapurisa ichakwanisa kutarisa chitarisiko chemoyo uye kuona kubatana kweaorta. Dzimwe nguva dzimwe mimwe miedzo yakadai semagnetic resonance imaging (MRI) kana kuti computed tomography (CT) scan inogona kudikanwa kuti ibudise kuongorora.
Kurapa
Kubatana kweaorta kunobatwa nokugadzirisa chikamu chiduku chemudziyo. Vana vazhinji vachave nekugadziriswa kunoitwa mucheche, uye vanenge vose vachagadziriswa vasati vava nemakore gumi. Pane nzira mbiri dzinogona kugadziriswa: ne balloon angioplasty uye nekuvhiyiwa kwemoyo.
Balloon angioplasty - Nenzira iyi, iyo yakareba inoshandiswa mumatope (inonzi catheter) inoiswa muhombe huru yeropa mumugwagwa uye yakasungirirwa kusvika pamwoyo kune apo aorta inoderedzwa.
Iyo catheter ine bhaluni rakasvibiswa zvishoma pamugumo wayo. Kana inosvika kune chikamu chakaoma, bhoruti inofungidzirwa uye chikamu chiduku chinotambanudzwa. Chimwe chinhu chiduku chinonzi stent chinogona kuiswa ipapo kuti chibatsire kuchengeta aorta.
Kuvhiya - Chikamu chiduku che aorta chinobviswa uye migumo ine utano yakabatanidzwa pamwe chete. Kana chikamu chakabviswa chakakura, zvigadzirwa zvekugadzira kana imwe yemidziyo yeana yemwana inoshandiswa kuvhara gomba.
Vana vazhinji vanorarama hupenyu hune hutano mushure mekugadziriswa kwebumbiro. Dzimwe nguva kuderera kweaorta kunogona kuitika zvakare. Muchiitiko ichi bhaluni angioplasty kana kuvhiyiwazve kunogona kudiwa kuti igadzirise.
Sources
> "Kubatana kweAorta (CoA)." Mwana Wangu Ane .... Vana Vezvipatara Boston.
> Zieve, David. "Kubatanidzwa kwe aorta." MedlinePlus Medical Encyclopedia. 11 Dec 2007. US National Library of Medicine.