Matenda a mtima ana. Kobadwa nako ndipo anaphunziranso matenda a mtima ana

"Mtima matenda mwana" - nthawi zina mawu zimenezi zikuoneka ngati chilango cha imfa. Naye ndi matenda? Kodi kuopa matenda amenewa alidi ndi njira ziti kuti kupopera mankhwala?

The matenda a "matenda a mtima" mwana

Pali milandu pamene anthu amakhala ndi impso mmodzi, ndi theka la mmimba, popanda ndulu ya. Koma tiyerekeze kuti munthu amene amakhala popanda mtima, sikutheka: pambuyo thupi ikutha ntchito kwa maminiti pang'ono mu moyo wa thupi amaziralira kutali kamodzi kwa nthawi zonse. N'chifukwa chake matenda a "matenda a mtima" mwana mantha makolo.

matenda Popanda kupita mfundo zachipatala, anafotokoza amagwirizana ndi wonongeka kuli nthambi mtima, pamodzi ndi a dongosolo pang'ono ndi pang'ono akutulukira, ndi limba yokha. Izi vuto - chifukwa ambiri nthenda ya mtima, koma osati yekha. Komanso, pali milandu pamene matenda akufotokozera chifukwa cha dongosolo zosayenera:

• thupi pakhoma;
• mtima septa;
• ziwiya mtima lalikulu.

kusintha wotero olumala, ndipo angathe kukhala pa moyo wawo.

matenda obadwa nawo a mtima

Ngati mwana wabadwa ndi chilema mtima, ndi nthenda yotchedwa kobadwa nako.

Kafukufuku amasonyeza kuti okha 1% ya kuunika pa ana amadwala matenda. N'chifukwa chiyani matenda a mtima mu akhanda ana nazo? Izi zidalira pa moyo wa mtundu wanji ndi mayi pa gestation.

Funso kapena mwana wathanzi, ndi kuthetsedwa mu miyezi mimba. Chiopsezo kubereka mwana ndi chilema mtima kwambiri ngati mayi woyembekezera mu nthawi iyi:

• mowa;
• kusuta;
• ongoyendayenda cheza;
• Iye akuvutika ndi matenda enaake kapena kuperewera kwa mavitamini;
• Ndinatenga mankhwala osokoneza bongo.

Ngati inu mungazindikire zizindikiro oyambirira nthenda ya mtima mu ana ndi kuyamba chithandizo nthawi, mwayi kubwezeretsa kwathunthu kugwira ntchito yachibadwa ya thupi. Pa dzanja lina, ngati vuto wapezeka mochedwa, kapangidwe ka minofu mtima zimachitika inasinthiratu, ndipo muyenera opaleshoni mwamsanga.

Yotengedwa mtima matenda valvular

Anapeza matenda a mtima ana zambiri zimachitika chifukwa wonongeka a dongosolo valavu. vuto Izi anathana ndi opaleshoni: vavu prosthesis amathandiza kubwerera chimodzimodzi moyo yogwira.

Zimayambitsa matenda

zopindika anapeza mtima mwa mwana anapanga chifukwa chachilengedwe.

1. Enaake ophwanya endocarditis. matendawa amakhudza mavavu mtima, amene anapanga mu granulomas stroma. Mu 75% milandu ndi rheumatoid endocarditis zimayambitsa matenda.
2. Akakufunsani connective matenda minofu. Pathologies monga lupus erythematosus, matendawa, dermatomyositis ndi ena, nthawi zambiri kubala mavuto mu impso ndi mtima.
3. Pachifuwa choipa. nkhonya iliyonse champhamvu pa malo pachifuwa ndi Mwina mkulu kungachititse kupunduka.
4. Atalephera opaleshoni ya mtima. Pambuyo ntchito kale mtima, monga valvotomy, pali mavuto kuti tifulumizane malformations.
5. Atherosclerosis. Ndi matenda a mitsempha, ndi mitsempha, makoma amene ayamba kupanga mipukutuyi aakulu. Nthawi zambiri, koma atherosclerosis kumachititsanso kusintha ntchito ndiponso dongosolo la mtima.

Kuyambira mndandanda ndi chicodziwika kuti anayamba matenda a mtima mwana, chifukwa chakuti akhoza kukhala yosiyanasiyana. Koma m'pofunika kupeza iwo osachepera mankhwalawa Kwalamulidwa anali woyenera ndi zothandiza kwambiri.

zizindikiro

mtima zopindika ana limodzi ndi zizindikiro zenizeni kudziwa ndi kuwomba Alamu pamene anali mwana.

Pa standby dokotala Kupenda akhoza kumva wodwala mwana mtima kudandaula. Pambuyo dokotala anapeza kukhala akapitawo ultrasound. Koma matenda a "matenda a mtima" simungathe litatsimikizika, chifukwa kukula ana kung'ung'udza zinchito mtima - ichi ndi ponseponse.

Mu miyezi choyamba cha moyo kukula thupi la ana wakhala kwambiri, mwezi uliwonse ali kunenepa osachepera 400 ga Ngati izi sizichitika, m'pofunika mwachindunji kukaonana ndi cardiologist, chifukwa chosowa kunenepa - wina zizindikiro zazikulu za matenda a mtima.

Ulesi ndi zowawa za mwanayo komanso yomveka mbendera za matenda. Ngati zonse izi anawonjezera kufupika kwa mpweya, ukuwonjezeka chiopsezo kumva matenda zosasangalatsa.

njira zofufuzira

Mtima zopindika ana, mwatsoka, sikawirikawiri wapezeka mu nthawi. Pali zifukwa zingapo.

1. Choyamba, pa mimba kukhazikitsa chitukuko cha matenda mwana kuli kovuta. Katswiri wodziwa pa ultrasound transvaginal kuzindikira kusintha mtima wake, koma matenda ambiri mu nthawi iyi si kuwonetseredwa. Magulu pamwamba akazi anali kudziŵika amene ali pa chiopsezo - kotero amayi bwino kuchitapo kanthu ndipo pa sabata la 20 mimba, kukumana transabdominal ultrasound.
2. Kachiwiri, pambuyo kubadwa pofufuza matenda a mtima si pa mndandanda wa mayesero kuvomerezedwa ndi mayeso. Koma makolo okha ayambitse ndi kuchita zina njira yodziwira.
3. Chachitatu, zizindikiro alibe zimapezeka kuyambira pa chiyambi. Ndipo ngakhale mwana amamvera zimene iye kuti chinachake chinali cholakwika, iye sindingakhoze kufotokoza izo. Makolo atanganidwa ndi ntchito tsiku ndi tsiku, amayenda pagalimoto mwana kuti mayeso ena.

Akhanda zambiri kuchita kokha electrocardiogram ndi mayesero ambiri, kawirikawiri umatha ndi matenda. Komabe, electrocardiogram Pa wamng'ono sangathe kudziwa matenda obadwa nawo a mtima. Ngati khalidwe ultrasound, n'zotheka kudziwa matenda pa siteji oyambirira. Zikudalira maluso a katswiri wochita ultrasound. Ndi bwino kubwereza ndondomeko mu zipatala zingapo, makamaka ngati panali kukayikitsa chilema mtima.

matenda

Ngati zizindikiro matenda a mtima mwa ana chinakuthandizani ofesi ya adokotala, ndi matenda lidatsirizika - palibe chifukwa mtima.

Matendawa si nthawi zonse ndi zotsatira zomvetsa chisoni. Mwachitsanzo, kulephera kwa kumanzere vavu atrioventricular Ine ndi II amalola anthu kukhala ndi digiri ya zaka 20 mpaka 40 popanda opaleshoni, pokhalabe pamlingo winawake ntchito.

Koma matenda chomwecho, koma sukulu III ndi IV, limodzi ndi kufupika kwa mpweya pa yaikulu, kutupa malekezero m'munsi, vuto la chiwindi, pamafunika mankhwala mwamsanga komanso mwachangu alowererepo pa opaleshoni.

matenda

Zizindikiro za matenda a mtima ana anamuona makolo ndi madokotala si maziko matenda. Monga tanena ndi kudandaula systolic zimawonedwa ana athanzi, choncho palibe simungakhoze kuchita popanda ultrasound.

An echocardiogram mukhoza kukawerenga zizindikiro za yamitsempha yamagazi zimamuchulukira kumanzere mtima. Kungafunikire zina pachifuwa x-ray, amene adzakhala kusintha kumaoneka osati mu mtima, komanso zizindikiro za kupatuka kwa kholingo. Ndiye mukhoza kukhala amati chotsiriza mwana wodwala kapena wathanzi.

Mwatsoka, ECG sangathe kuthandiza matenda a matenda a mtima mu magawo oyambirira: kusintha pa ECG noticeable pamene matenda kale mwachangu patsogolo.

matenda a mtima chithandizo mwa njira ndiwofatsa

Kutsimikizira zizindikiro za matenda a mtima ana - ndi nthawi kuyamba mankhwala mwamsanga kuteteza inasinthiratu mu thupi.

Madokotala sikuti nthaŵi zonse kuti njira opaleshoni - ena opaleshoni odwala si chofunika, mpaka nthawi inayake. Kodi n'zofunikadi ndi kupewa matenda, zomwe zinayambitsa matenda pamaso pathu.

Ngati wapezeka matenda a mtima ana, mankhwala kumaphatikizapo woyenera akafuna tsiku. Kotero onetsetsani kuti ana yogwira ndi moyo m'manja, limodzi ndi kuchita masewera olimbitsa thupi. Koma kutopa - kapena kuvutika maganizo - mwamtheradi contraindicated. Ayenera kupewa masewera ndewu ndi lolemera, koma akhala akugwira kuyenda, siketing'i kapena kupalasa njinga ndi zina zotero.

N'zotheka kuti chofunika mankhwala mankhwala kuthandiza kuthetsa mtima kulephera. Zakudya ali ndi udindo waukulu mankhwala a matenda.

Chithandizo cha matenda njira ntchito

Pamene wapezeka matenda a mtima ana opaleshoni ndi kuvomerezedwa tidzakwatulidwa yoikikayo, m'chaka cha nkhani ya magawo yotsirizira ya matenda, chimene samachita ndi mankhwala ndi zakudya.

Ndi chitukuko cha umisiri watsopano, chithandizo opaleshoni latuluka osati ana kwa chaka chimodzi, koma ngakhale kwa makanda. Pamene anapezeka ndi matenda anapeza mtima, cholinga chachikulu cha opaleshoni - kusunga mphamvu kuli nthambi zake anthu mtima ntchito. Pankhani ya olumala kapena kupunduka kuti si pansi malangizo chofunika mavavu apulasitiki. Prosthesis akhoza kukhala ndi zida makina kapena tizilombo. Kwenikweni, pamenepa ndipo zimadalira pa mtengo wa ntchito.

amachita opaleshoni yotsegula mtima ndi kulambalala mouzirira. Konzanso pambuyo pa opaleshoni yaitali, timafunika kuleza mtima, ndipo ambiri Chofunika - chidwi kwa wodwala pang'ono.

opaleshoni popanda magazi

Si chinsinsi kuti chifukwa ukupeza si onse akukumana ngati mtima opaleshoni. Ndipo mfundo imeneyi ndi ogwetsa asayansi mankhwala, choncho zaka akhala kufunafuna njira mlingo kupulumuka odwala. Pomaliza, panali ngati njira opaleshoni monga "opaleshoni yopanda magazi".

Opaleshoni yoyamba, popanda amacheka pachifuwa, palibe scalpel ndipo pafupifupi palibe magazi wakhala bwinobwino unachitikira ku Russia mu 2009. The Russian Professor ndi mnzake wake French. Wodwala imatengedwa kudwala, monga iye anaulura stenosis wa valavu kung'ambika. valavu ayenera m'malo, koma chifukwa cha zifukwa zosiyanasiyana, n'zotheka kuti wodwala adzapulumuka, sanali kwambiri.

Mano ovekera mtima adalowa msempha popanda amacheka pachifuwa (kudzera puncture mu ntchafu). Ndiye, kudzera vavu catheter anatilangizira malangizo wolakalakika - mtima. A wapadera prosthesis yonama umisiri kumayambiriro mpukutu mu chubu, koma pamene iye afika mu msempha, izo unaululidwa kukula mwake. Kuti ntchito amenewa analimbikitsanso anthu okalamba ndi ana ena amene sangathe kusamutsa ndi opaleshoni m'ziwawa.

konzanso

Mtima Kukonza lagawidwa magawo angapo.

Woyamba kumatenga miyezi itatu kapena isanu ndi umodzi. Nthawi imeneyi munthu ophunzitsidwa Zochita wapadera konzanso, kadyedwe anafotokoza mfundo yatsopano ya zakudya ndi cardiologist anati kwa anasinthira thupi, zamaganizo amathandiza kuti azolowere zinthu latsopano.

Chapakati msonkhanowu wapatsidwa ufulu thupi, chifukwa muli ndi kupitiriza zala zathu, osati mtima minofu komanso ziwiya mtima. olimbitsa thupi amathandiza kulamulira magazi mafuta, magazi, ndi kumathandiza muchisiye kulemera owonjezera.

Kupitiriza adagona ndi phula pambuyo opaleshoni - zoipa. The mtima ayenera kuzolowera mayendedwe tsiku ndi tsiku, ndi kuchita zimenezi kumathandiza anamaliza maphunziro zolimbitsa thupi: kuyenda, kuthamanga thupi njinga, kusambira, kuyenda. Contraindicated kwa mpira, volebo, komanso miyeso yaulere.