Kodi dextrocardia ndi zovuta zazikulu ndi ziti?
Zamkati
- Zovuta zazikulu za mtima kumanja kwa thupi
- 1. Mpweya wabwino wokhala ndi malo ogulitsira awiri
- 2. Kusintha kwa khoma pakati pa atria ndi ma ventricles
- 3. Cholakwika pakutseguka kwamitsempha yamagetsi yoyenera
- 4. Mitsempha imasinthana mumtima
Dextrocardia ndi chikhalidwe chomwe munthu amabadwa ndi mtima kumanja kwa thupi, zomwe zimapangitsa kukhala ndi mwayi wochulukirapo wokhala ndi zizindikilo zomwe zimapangitsa kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku komanso zomwe zitha kuchepetsa moyo wabwino, monga kuchepa kwa kupuma ndi kutopa poyenda kapena kukwera masitepe, mwachitsanzo. Zizindikirozi zimayamba chifukwa cha dextrocardia pamakhala mwayi wambiri wopanga zovuta monga mitsempha yotupa, makoma amtima osakhazikika kapena mavavu ofooka.
Komabe, nthawi zina, chakuti mtima umakhazikika kumanja sikutanthauza mtundu uliwonse wa zovuta, popeza ziwalo zimatha kukhala bwino ndipo chifukwa chake, sikofunikira kuchita mtundu uliwonse wamankhwala.
Chifukwa chake, ndikofunikira kokha kukhala ndi nkhawa pomwe mtima uli mbali yakumanja ndikuwoneka kwa zizindikilo zomwe zimalepheretsa magwiridwe antchito azatsiku ndi tsiku. Zikatero, tikulimbikitsidwa kupita kwa dokotala wa ana, kwa mwana, kapena kwa katswiri wamtima, kwa munthu wamkulu, kuti akawone ngati pali vuto ndikuyamba chithandizo choyenera.
Zovuta zazikulu za mtima kumanja kwa thupi
1. Mpweya wabwino wokhala ndi malo ogulitsira awiri
Mtima wabwinobwino1. Mpweya wabwino wokhala ndi malo ogulitsira awiriNthawi zina mtima umatha kukhala ndi vuto lomwe limatchedwa kuti ventricle lamanja lokhala ndi malo awiri otuluka, momwe mitsempha iwiri yamtima imalumikizirana ndi ventricle yomweyo, mosiyana ndi mtima wabwinobwino pomwe mtsempha uliwonse umalumikizana ndi ventricle.
Muzochitika izi, mtima umakhalanso ndi kulumikizana kwakung'ono pakati pama voliyumu awiriwo kuti magazi athe kutuluka kuchokera kumtunda wakumanzere komwe kulibe kotuluka. Mwanjira iyi, magazi omwe ali ndi oxygen ambiri amasakanikirana ndi magazi omwe amachokera mthupi lonse, ndikupangitsa zizindikiritso monga:
- Kutopa kosavuta komanso mopitirira muyeso;
- Khungu lamlomo ndi milomo;
- Misomali yolimba;
- Zovuta pakulemera ndikukula;
- Kupuma pang'ono.
Chithandizochi chimachitidwa ndi opaleshoni kuti athetse kulumikizana kwa ma ventricle awiri ndikuyikanso mtsempha wamagazi pamalo oyenera. Kutengera kukula kwa vutoli, pangafunike kuchita maopaleshoni angapo kuti mupeze zotsatira zabwino.
2. Kusintha kwa khoma pakati pa atria ndi ma ventricles
Mtima wabwinobwino2. Kusintha kwa khomaMakulidwe amakoma pakati pa atria ndi ma ventricles amachitika pomwe atria sinagawikane pakati pawo, komanso ma ventricle, zomwe zimapangitsa mtima kukhala ndi atrium imodzi ndi ventricle imodzi yayikulu, m'malo mwa awiri. Kulephera kupatukana pakati pa atrium iliyonse ndi ventricle kumapangitsa kuti magazi azisakanikirana ndipo zimabweretsa kupsinjika m'mapapu, kuchititsa zizindikilo monga:
- Kutopa kwambiri, ngakhale pochita zinthu zosavuta monga kuyenda;
- Wotumbululuka kapena khungu labuluu pang'ono;
- Kusowa kwa njala;
- Kupuma mofulumira;
- Kutupa kwa miyendo ndi mimba;
- Chibayo chafupipafupi.
Kawirikawiri, chithandizo cha vutoli chimachitika miyezi itatu kapena isanu ndi umodzi atabadwa ndi opaleshoni kuti apange khoma pakati pa atria ndi ma ventricles, koma, kutengera kukula kwa vutoli, adokotala amathanso kukupatsani mankhwala, monga antihypertensive ndi diuretics, kuti athe kusintha zizindikiritso mpaka mwana atakwanitsa zaka zomwe sangakhale ndi mwayi wochita opaleshoni.
3. Cholakwika pakutseguka kwamitsempha yamagetsi yoyenera
Kutseguka kwabwinobwino kwa mtsempha wamagazi3. Cholakwika pakutseguka kwa mtsempha wamagaziOdwala ena omwe ali ndi mtima mbali yakumanja, valavu yapakati pamitsempha yamagetsi yolumikizira bwino ndi mtsempha wam'mapapo imatha kukula bwino, chifukwa chake, siyitsegula bwino, kulepheretsa magazi kupita m'mapapu ndikuletsa mpweya wokwanira wokwanira. . Kutengera kukula kwa valavu, zizindikilo zimatha kuphatikiza:
- Mimba yotupa;
- Kupweteka pachifuwa;
- Kutopa kwambiri ndi kukomoka;
- Kupuma kovuta;
- Khungu loyera.
Nthawi yomwe vutoli ndi lochepa, chithandizo sichingakhale chofunikira, komabe, ngati chimayambitsa zizindikilo zowopsa nthawi zonse kungakhale kofunikira kumwa mankhwala omwe amathandiza magazi kuyenda bwino kapena kuchitidwa opaleshoni m'malo mwa valavu, mwachitsanzo.
4. Mitsempha imasinthana mumtima
Mtima wabwinobwino4. Mitsempha yosinthanaNgakhale ndichimodzi mwazovuta kwambiri zamtima, vuto lamitsempha yosintha mumtima imatha kuchitika pafupipafupi kwa odwala omwe ali ndi mtima kumanja. Vutoli limapangitsa kuti mitsempha ya m'mapapo yolumikizidwa ndi kolowera kumanzere m'malo mwa kolowera koyenera, monganso momwe minyewa ya aortic imagwirizanirana ndi ventricle yoyenera.
Chifukwa chake, mtima wokhala ndi mpweya umachoka mumtima ndikupita mwachindunji m'mapapu ndipo sumadutsa m'thupi lonse, pomwe magazi opanda oxygen amachoka mumtima ndikupita molunjika ku thupi osalandira mpweya m'mapapu. Chifukwa chake, zizindikiro zazikulu zimawoneka atangobadwa ndipo zimaphatikizapo:
- Khungu labuluu;
- Kuvuta kwambiri kupuma;
- Kusowa kwa njala;
Zizindikirozi zimawonekera atangobadwa kumene, motero, ndikofunikira kuyambitsa chithandizo mwachangu pogwiritsa ntchito ma prostaglandin omwe amathandiza kuti pakhale dzenje lotseguka pakati pa atria kusakaniza magazi, omwe amapezeka panthawi yapakati komanso omwe amatseka posachedwa mutabereka. Komabe, opareshoni iyenera kuchitika sabata yoyamba yamoyo kuti mitsempha ikhale pamalo oyenera.