Matenda a Eisenmenger

Matenda a Eisenmenger ndimavuto omwe amakhudza kutuluka kwa magazi kuchokera pamtima kupita m'mapapu mwa anthu ena omwe adabadwa ndi vuto lamtima.

Matenda a Eisenmenger ndimavuto omwe amabwera chifukwa chamagazi osadziwika omwe amabwera chifukwa cha chilema mumtima. Nthawi zambiri, anthu omwe ali ndi vutoli amabadwa ali ndi bowo pakati pazipinda ziwiri zomwe zimapopa - ma ventricle akumanzere ndi kumanja - amtima (chotupa cha ventricular septal). Dzenje limalola magazi omwe atenga kale mpweya m'mapapu kuti abwererenso m'mapapu, m'malo mopitilira thupi lonse.

Zofooka zina zamtima zomwe zingayambitse matenda a Eisenmenger ndi awa:

• Ngalande ya atrioventricular
• Matenda osokoneza bongo
• Matenda a mtima wa Cyanotic
• Maluso a patent ductus arteriosus
• Truncus arteriosus

Kwa zaka zambiri, kuchuluka kwa magazi kumatha kuwononga mitsempha yaying'ono m'mapapu. Izi zimayambitsa kuthamanga kwa magazi m'mapapu. Zotsatira zake, magazi amayenda chammbuyo kudzera pabowo pakati pazipinda ziwiri zopopera. Izi zimalola magazi opanda oxygen kuti apite mthupi lonse.

Matenda a Eisenmenger amatha kuyamba kukula mwana asanakule msinkhu. Komabe, imatha kukula muunyamata, ndipo imatha kupita patsogolo kufikira uchikulire.

Zizindikiro zake ndi izi:

• Milomo yabuluu, zala, zala zakumapazi, ndi khungu (cyanosis)
• Zikhadabo zokhala ndi zikhadabo ndi zala zazikulu zakumaso (kulumikiza)
• Kufooka ndi kumva kulasalasa kwa zala ndi zala zakumapazi
• Kupweteka pachifuwa
• Kutsokomola magazi
• Chizungulire
• Kukomoka
• Kumva kutopa
• Kupuma pang'ono
• Anagunda kugunda kwa mtima (kugunda kwa mtima)
• Sitiroko
• Kutupa m'malo olumikizidwa ndi uric acid (gout) wambiri

Wopereka chithandizo chamankhwala adzawunika mwanayo. Pakati pa mayeso, wothandizirayo atha kupeza:

• Mtima wosazolowereka (arrhythmia)
• Kukulitsa malekezero a zala kapena zala zakumiyendo (kulumikiza)
• Kung'ung'uza mtima (kumveka kwina mukamamvetsera pamtima)

Wothandizirayo azindikira matenda a Eisenmenger poyang'ana mbiri ya munthu wamatenda amtima. Mayeso atha kuphatikiza:

• Kuwerengera kwathunthu kwa magazi (CBC)
• X-ray pachifuwa
• Kujambula kwa MRI pamtima
• Kuyika chubu chopyapyala mumtsempha kuti muwone mtima ndi mitsempha yamagazi ndikuyesa zovuta (catheterization yamtima)
• Kuyesa kwa zamagetsi pamtima (electrocardiogram)
• Ultrasound yamtima (echocardiogram)

Chiwerengero cha anthu omwe ali ndi vutoli ku United States chatsika chifukwa madotolo tsopano athe kuzindikira ndi kukonza vutoli posachedwa. Chifukwa chake, vutoli limatha kukonzedwa musanawonongeke m'mitsempha yaying'ono yamapapo.

Nthawi zina, anthu omwe ali ndi zizindikilo amatha kuchotsedwa magazi mthupi (phlebotomy) kuti achepetse kuchuluka kwa maselo ofiira. Kenako munthuyo amalandira madzi amadzimadzi kuti atenge magazi omwe atayikawo (omwe amabwezeretsa voliyumu).

Anthu okhudzidwa akhoza kulandira mpweya, ngakhale sizikudziwika ngati zimathandiza kupewa matendawa. Kuphatikiza apo, mankhwala omwe amagwira ntchito kupumula ndi kutsegula mitsempha yamagazi atha kuperekedwa. Anthu omwe ali ndi zizindikilo zowopsa pamapeto pake angafunike kumuika mtima ndi mapapo.

Momwe munthu wokhudzidwayo amachita bwino zimadalira ngati matenda ena alipo, komanso msinkhu womwe kuthamanga kwa magazi kumayamba m'mapapu. Anthu omwe ali ndi vutoli atha kukhala zaka 20 mpaka 50.

Zovuta zingaphatikizepo:

• Kutuluka magazi (kukha mwazi) muubongo
• Kulephera kwa mtima
• Gout
• Matenda amtima
• Hyperviscosity (sludging ya magazi chifukwa ndi yolemera kwambiri ndimaselo amwazi)
• Kutenga (abscess) muubongo
• Impso kulephera
• Kutaya magazi koyipa kupita kuubongo
• Sitiroko
• Imfa mwadzidzidzi

Itanani omwe akukuthandizani ngati mwana wanu ali ndi matenda a Eisenmenger.

Kuchita opaleshoni mwachangu kwambiri kukonza vuto la mtima kumatha kuletsa matenda a Eisenmenger.

Zovuta za Eisenmenger; Matenda a Eisenmenger; Kuchita kwa Eisenmenger; Eisenmenger physiology; Matenda obadwa nawo a mtima - Eisenmenger; Cyanotic matenda amtima - Eisenmenger; Mtima wolakwika wobadwa - Eisenmenger

• Matenda a Eisenmenger (kapena ovuta)

Bernstein D. Mfundo zazikuluzikulu zochizira matenda obadwa nawo a mtima. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 461.

Therrien J, Marelli AJ. (Adasankhidwa) Matenda amtima obadwa nawo mwa akulu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 61.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Matenda obadwa nawo mumtima mwa wamkulu komanso wodwala. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 75.