Heart bypass yekuvhiya mwoyo isina kuoma haideredze neurocognitive basa muvana
Heart bypass yekuvhiya mwoyo isina kuoma haideredze neurocognitive basa muvana
Anonim

Vana vezera rechikoro vanopinda cardiopulmonary bypass (CPB) panguva yekuvhiyiwa kwekusaomesesa kwekuzvarwa kwemoyo kuremara havaratidzike kutambura chero kukanganisa muunyanzvi hwekuziva neurocognitive, sehungwaru, ndangariro, hunyanzvi hwemotokari uye maitiro.

Vatsvakurudzi vanobva kuThe Children's Hospital yePhiladelphia, mune chidzidzo muna August chinyorwa chePediatrics, yakashuma pamusoro pemigumisiro yeurouropsychological mushure mekuvhiyiwa kweacyanotic heart defects. Acyanotic heart defects, ayo anosanganisira mavharuvhu emwoyo asina kujairika kana buri pakati pemakamuri emwoyo, akapfava uye haana kuoma kunzwisisa pane hurema hwemoyo hunoda kuvhiyiwa muhucheche.

"Zvizhinji zvakapfuura zvidzidzo zve neurocognitive mhedzisiro yeCPB yekuvhiyiwa kwemoyo yevana yakatarisana nekuvhiyiwa panguva yehucheche kune yakaoma congenital chirwere chemoyo," akadaro Michael Quartermain, MD, cardiologist yevana uye muongorori wekutanga wekudzidza. "Vana ivavo vanowanzova nezvikonzero zvakawanda zvengozi yekuderera kwekuziva, zvakadai se genetic syndromes, kukura kwehuropi husina kujairika uye kudiwa kwekuvhiyiwa kwakawanda. Takasarudza kuderedza izvo zvinovhiringidza zvinhu kuburikidza nekutarisa boka revana vakwegura vasina zviratidzo vane chirwere chemoyo chega. mhedzisiro inokurudzira."

Muchidzidzo chinotarisirwa chevana vane makore mashanu kusvika kumakore gumi nemasere vari kugadziriswa kwechirwere chemoyo chisinganyanyi kuoma, vatsvakurudzi vakafananidza vana makumi matatu nevashanu vari kuvhiyiwa mwoyo wakavhurika nevarwere vane 19 vasiri vemwoyo uye 12 vasina-kuvhiya vanodzora varwere. Vatsvakurudzi vakapa bhatiri rakadzika reurospsychological rebvunzo dzinosanganisira kuongorora hungwaru, ndangariro, hunyanzvi hwemotokari, kutarisisa, uye maitiro kuvana vese vari muchidzidzo pamberi uye mwedzi mitanhatu mushure mekuvhiyiwa. Vatsvakurudzi vakashuma kuti hapana misiyano yakakosha pakati pemapoka ekupfuura uye asiri e-bypass, nekuvandudzwa kwemashure ekushanda kwekuziva kwekuongorora kunoonekwa mubhodhi rose.

"Cardiopulmonary bypass yakagara ichibatanidzwa sechikonzero chinokonzera mumigumisiro isina kujairika neurocognitive mushure mekuvhiyiwa kwemwoyo, akadaro Dr. Quartermain. "Zvisinei, muchidzidzo ichi chaidzora kune zvisiri izvo-bypass zvinokonzerwa nekuvhiyiwa kwemwoyo wakazaruka, pakanga pasina kuderera kukuru mu neuropsychological status muvana ava nevechiri kuyaruka mwedzi mitanhatu mushure mekuvhiyiwa."

Akawedzera kuti zvidzidzo zvakakura, zvakakura uye zvenguva refu zvinofanirwa kuenderera mberi nekuongorora mubvunzo uyu, asi izvo zvichibva pamhedzisiro yazvino, varapi vanotumira vana nevechiri kuyaruka kuti vagadzirise kuvhiyiwa kwekuremara kwemoyo weacyanotic vanogona kugadzikana vachisimbisa mhuri nezvezviwanikwa izvi zvine chekuita neuropsychological side. migumisiro yekuvhiya mwoyo wakavhurika.

Chipatara chevana cheFiladelphia nguva pfupi yadarika yakatanga chirongwa chakasarudzika, chenguva refu chekutevera chekuongorora varwere vemoyo vanozvarwa nekuda kweiyo neurodevelopmental complication, kuremara pakudzidza uye kunetseka kwehunhu, senge ADHD. Muchirongwa cheNeuroCardiac Care Programme, vana nemhuri dzavo vanoongororwa navana chiremba, chiremba wetsinga, chiremba wevana vanokura, varapi vebasa uye vemuviri, nyanzvi yekutaura uye mutauro, nyanzvi yezvokudya uye mushandi wezvemagariro evanhu - zvose panguva imwe chete yekushanya kwekunze.

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