Kodi kung'ung'udza mtima kumakhala kovuta?

Zamkati

• Madigiri a mtima akung'ung'udza
• Zomwe zimayambitsa kudandaula
• Pakakhala chithandizo

Ambiri omwe amang'ung'udza mtima siowopsa, ndipo amachitika popanda matenda amtundu uliwonse, omwe amatchedwa akuthupi kapena osalakwa, obwera chifukwa cha kusokonekera kwachilengedwe kwa magazi pamene akudutsa mumtima.

Kudandaula kotereku ndikofala kwambiri kwa makanda ndi ana, ndipo zimachitika chifukwa zomwe mtima umapangidwabe ndipo sizingafanane, chifukwa chake zambiri zimatha zaka, ndikukula.

Komabe, mtima ukamang'ung'udza umatsagana ndi zizindikilo zina, monga kupuma movutikira, kuvuta kudya, kugundagunda kapena kutsuka mkamwa ndi manja, zimatha kuyambitsidwa ndi matenda ena, ndipo munthawi imeneyi, ndikofunikira kukaonana ndi katswiri wazamtima fufuzani chifukwa chake, kudzera m'mayeso monga echocardiography, ndikuyamba chithandizo. Milanduyi nthawi zina imatha kuzindikirika munthu wamkulu mukamachita mayeso oyeserera, mwachitsanzo.

Pezani zambiri zamomwe mungadziwire zodandaula za mtima.

Madigiri a mtima akung'ung'udza

Pali mitundu isanu ndi umodzi yayikulu yakung'ung'udza mtima, yomwe imasiyana malinga ndi kukula kwake:

• Gulu 1: kung'ung'udza mwakachetechete komwe kumveka pang'ono ndi dokotala akamamvera;
• Gulu 2: imadziwika mosavuta mukamamvera malo ena ake;
• Gulu 3: ndi mpweya wokwera kwambiri;
• Gulu 4: kudandaula kwakukulu komwe kumamveka ndi stethoscope kudera lalikulu;
• Gulu 5: kudandaula kwakukulu komwe kumalumikizidwa ndi kutengeka kwakanthawi m'dera lamtima;
• Gulu 6: akhoza kumveka ndi khutu pang'ono motsutsana ndi chifuwa.

Nthawi zambiri, kung'ung'udza mwamphamvu komanso kuchuluka kwake, kumawonjezera mwayi wamatenda amtima. Zikatero, adokotala amatha kuyitanitsa mayeso angapo kuti aone momwe mtima ukugwirira ntchito ndikuwunika ngati pali zosintha zilizonse zomwe zikufunikira chithandizo.

Zomwe zimayambitsa kudandaula

Zomwe zimayambitsa kudandaula kwa mtima zimaphatikizapo kusintha kwa thupi kapena kosalakwa, komwe kulibe matenda ndipo komwe kumatha kutha ndi nthawi, makamaka kwa ana; kapena dzotsatira zobadwa pamtima, momwe mtima sumakula molondola, uli ndi zofooka m'matumbo kapena minofu, monga zimatha kuchitika ku Down syndrome, kobadwa nako rubella kapena uchidakwa ndi mayi, mwachitsanzo.

Zitsanzo zina za matenda obadwa nawo ndi kulimbikira kwa ductus arteriosus, mitral valve prolapse, valve stenosis, kulumikizana kwapakati, kulumikizana kwapakatikati, zolakwika zazing'ono zam'mimba ndi fallralogy ya Fallot.

Mu makanda asanakwane, nthawi zina kung'ung'udza mtima kumatulukanso, popeza mwanayo akhoza kubadwa popanda kukula kwathunthu kwa mtima. Nthawi izi, chithandizo chimachitikanso kutengera mtundu wamasinthidwe ndi zomwe mwanayo akuwonetsa.

Pakakhala chithandizo

Pomwe kung'ung'udza kosalakwa, chithandizo sichofunikira, kungotsatira ndi dokotala wa ana, monga momwe adalangizira.

Komabe, mtima ung'ung'udza chifukwa cha matenda amtima, ndikofunikira kuyambitsa mankhwala, omwe amasiyanasiyana malinga ndi chifukwa chake, ndipo amatsogoleredwa ndi katswiri wamatenda. Chifukwa chake, zina mwazomwe mungasankhe ndi izi:

• Kugwiritsa ntchito mankhwala: Mankhwala ena amagwiritsidwa ntchito pochotsa zolakwika zina mumtima, monga Ibuprofen yomwe imagwiritsidwa ntchito pochizira ductus arteriosus, kapena mitundu ina ya diuretic, monga furosemide, ndi antihypertensives, monga propranolol ndi enalapril, yomwe ingagwiritsidwe ntchito pochiza ndi kuletsa zizindikilo za kulephera kwa mtima, mwachitsanzo;
• Opaleshoni: atha kuwonetsedwa kuti athetse mavuto akulu amtima a vuto la mtima, omwe samasintha ndi mankhwala oyamba kapena omwe ndi owopsa. Chifukwa chake, mwayi ndi:
  • Kukonzekera kwa baluni kwa valve, zopangidwa ndikukhazikitsa katemera komanso kusowa kwa buluni, kuwonetsedwa bwino pakamachepetsa ma valve;
  • Kukonza mwa opaleshoni, Wopangidwa ndikutseguka kwa chifuwa ndi mtima kuti akonze zolakwika mu valavu, mu minofu kapena kusintha valavu yolakwika.

Nthawi zambiri, kuchira kuchipatala ndikosavuta komanso mwachangu, kumangofunika nthawi yochepa yoti munthu agonekere kuchipatala masiku ochepa, mpaka atachira kunyumba, atamasulidwa kwa dokotala wa ana kapena katswiri wamtima.

Kungakhale kofunikira kukonzanso ndi physiotherapy, kuphatikiza pakubwerera ndi dokotala kuti mukapimenso. Dziwani bwino pamene opaleshoni yodandaula ya mtima ikuwonetsedwa.