Kawiri kubwereketsa ventricle kumanja

Vuto loyenda kawiri lamanja (DORV) ndimatenda amtima omwe amapezeka kuyambira pakubadwa (kobadwa nako). Aorta imalumikizana ndi mpweya wabwino (RV, chipinda chamtima chomwe chimapopa magazi opanda mpweya m'mapapu), m'malo moyenda kumanzere kumanzere (LV, chipinda chomwe nthawi zambiri chimapopera magazi okhala ndi oxygen m'thupi).

Mitsempha ya m'mapapo (yomwe imanyamula magazi opanda mpweya m'mapapu) ndi aorta (yomwe imanyamula magazi olemera okosijeni kuchokera pamtima kupita mthupi) imachokera mchipinda chomwecho chopopera. Palibe mitsempha yolumikizidwa ndi ventricle yakumanzere (chipinda chomwe nthawi zambiri chimapopa magazi mthupi).

Momwe thupi limakhalira, aorta imalumikiza ku LV. Mitsempha yama pulmonary nthawi zambiri imalumikizidwa ndi RV. Ku DORV, mitsempha yonse iwiri imatuluka mu RV. Ili ndi vuto chifukwa RV imanyamula magazi opanda oxygen. Magazi awa amayendetsedwa mthupi lonse.

Cholakwika china chotchedwa ventricular septal defect (VSD) nthawi zonse chimachitika ndi DORV.

Magazi olemera ndi oxygen ochokera m'mapapu amayenda kuchokera kumanzere kwa mtima, kudzera potsegulira VSD ndikulowa mu RV. Izi zimathandiza khanda lomwe lili ndi DORV polola magazi olemera okosijeni kusakanikirana ndi magazi omwe alibe oxygen. Ngakhale ndi kusakaniza uku, thupi silimatha kupeza mpweya wokwanira. Izi zimapangitsa mtima kugwira ntchito molimbika kukwaniritsa zosowa za thupi. Pali mitundu ingapo ya DORV.

Kusiyanitsa pakati pa mitundu iyi ndi komwe kuli VSD chifukwa kumakhudzana ndi komwe mitsempha yama pulmonary ndi aorta. Zizindikiro ndi kuopsa kwa vutoli zimadalira mtundu wa DORV. Kupezeka kwa pulmonary valve stenosis kumakhudzanso vutoli.

Anthu omwe ali ndi DORV nthawi zambiri amakhala ndi zovuta zina pamtima, monga:

• Zolakwika za Endocardial cushion (makoma olekanitsa zipinda zinayi za mtima sanapangidwe bwino kapena kulibe)
• Kupanga kwa aorta (kuchepa kwa aorta)
• Mavuto a Mitral valve
• Pulmonary atresia (pulmonary valve siyimapanga bwino)
• Pulmonary valve stenosis (kuchepa kwa valavu yamapapo)
• Chipilala cha aortic chakumanja (chipilala cha aortic chili kumanja m'malo kumanzere)
• Kusintha kwa mitsempha yayikulu (aorta ndi pulmonary artery kwasinthidwa)

Zizindikiro za DORV zitha kuphatikiza:

• Kukulitsidwa mtima
• Kung'ung'uza mtima
• Kupuma mofulumira
• Kugunda kwamtima mwachangu

Zizindikiro za DORV zitha kuphatikiza:

• Kudya moperewera kuti asatope mosavuta
• Mtundu wabuluu pakhungu ndi milomo
• Kalabu (kukulitsa misomali) zala zakumiyendo ndi zala (chizindikiro chakumapeto)
• Kulephera kunenepa ndikukula
• Utoto wotumbululuka
• Kutuluka thukuta
• Kutupa miyendo kapena pamimba
• Kuvuta kupuma

Kuyesa kuti mupeze DORV kumaphatikizapo:

• X-ray pachifuwa
• Kuyesa kwa mtima wa Ultrasound (echocardiogram)
• Kupatsira chubu chowonda, chosinthasintha kulowa mumtima kuti muyese kuthamanga kwa magazi ndikujambulitsa utoto pazithunzi zapadera za mtima ndi mitsempha (catheterization yamtima)
• MRI ya Mtima

Chithandizochi chimafuna kuchitidwa opaleshoni kuti atseke dzenje la mtima ndikuwongolera magazi kuchokera ku ventricle yakumanzere kupita ku aorta. Kuchita opaleshoni kungafunikirenso kusuntha mtsempha wamagazi kapena minyewa.

Zinthu zomwe zimatsimikizira mtundu ndi kuchuluka kwa ntchito zomwe mwana amafunikira ndi monga:

• Mtundu wa DORV
• Kukula kwa vutoli
• Kupezeka kwa mavuto ena mumtima
• Mkhalidwe wonse wa mwanayo

Zomwe mwana amachita bwino zimadalira:

• Kukula ndi malo a VSD
• Kukula kwa zipinda zopopera madzi
• Malo a aorta ndi mtsempha wamagazi
• Kupezeka kwa zovuta zina (monga kupindika kwa minyewa ndi mavuto amitsempha yama mitral)
• Thanzi lonse la mwanayo panthawi yodziwitsa
• Kaya kuwonongeka kwam'mapapo kwachitika chifukwa cha magazi ochuluka omwe akuyenda m'mapapu kwa nthawi yayitali

Zovuta zochokera ku DORV zitha kuphatikiza:

• Mtima kulephera
• Kuthamanga kwa magazi m'mapapu, komwe osachiritsidwa kumatha kubweretsa kuwonongeka kwamapapu kosatha
• Imfa

Ana omwe ali ndi mtima wamtengowu angafunike kumwa maantibayotiki asanalandire mano. Izi zimapewa matenda kuzungulira mtima. Maantibayotiki angafunikenso pambuyo pa opaleshoni.

Itanani wothandizira zaumoyo wanu ngati mwana wanu akuwoneka kuti watopa mosavuta, akuvutika kupuma, kapena ali ndi khungu kapena milomo yabuluu. Muyeneranso kufunsa omwe amakupatsani ngati mwana wanu sakukula kapena kunenepa.

DORV; Zovuta za Taussig-Bing; DORV yokhala ndi VSD yodzipereka kawiri; DORV yokhala ndi VSD yopanda ntchito; DORV yokhala ndi subaortic VSD; Kobadwa nako mtima chilema - DORV; Cyanotic mtima chilema - DORV; Chibadwa chobadwira - DORV

• Kawiri kubwereketsa ventricle kumanja

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