Vana vanorarama negomarara revana vanogona kunge vaine kusashanda kwenguva refu kwemoyo
Vana vanorarama negomarara revana vanogona kunge vaine kusashanda kwenguva refu kwemoyo
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Kupona kwekenza yevana kunobatanidza nengozi yekuwedzera kwekusagadzikana kwenguva refu mukushanda kwemwoyo, maererano neshumo muChikunguru 26 chinyorwa cheArchives of Internal Medicine, imwe yeJAMA / Archives magazini.

Sekureva kwechinyorwa ichi, huwandu hwehupenyu hwegomarara hwevana hwakawedzera kubva pamakumi maviri muzana muma1940 kusvika pamakumi manomwe kusvika makumi masere muzana parizvino. Vanyori vanocherechedzawo kuti, "zvinosuruvarisa, kupona kwakavandudzwa kunoperekedzwa nekuitika kwekunonoka kurapwa kwemigumisiro. Chirwere chemwoyo uye kufa kwemwoyo ndeimwe yemigumisiro yakakomba yakanonoka." Pamusoro pezvo, vanyori vanobvuma kuti, "ongororo dzakati wandei dzehuwandu hwevanhu dzakaona kufa kwakapetwa katanhatu kusvika kasere nekuda kwechirwere chemoyo pakati pevakapona kenza yevana zvichienzaniswa nehuwandu hwevanhu."

Helena J. van der Pal, M.D., anobva kuEmma Children's Hospital/Academic Medical Center, Amsterdam, Netherlands, nevamwe vaaishanda navo vakadzidza vanhu 601 vakapona negomarara vachiri vadiki, vakararama makore mashanu kana kupfuura, vachitarisa pakuongororwa uye kurapwa kwakamboitwa. Chidzidzo chacho chakagadzirirwa "kuongorora kuwanda uye zvikonzero zvekusashanda kwe ventricular yekuruboshwe muboka guru revapukunyuki vekenza yehucheche kwenguva refu vanorapwa nemishonga yakasiyana-siyana inogona kukonzera cardiotoxic."

Vanyori vakaona kuti kushanda kwemoyo kusingaite kwakaonekwa panguva yekutevera kwenguva refu (avhareji yenguva yekutevera yaive makore 15.4) mu27 muzana yevana vakapona kenza. Yakanga yakajairika kune varwere vakagamuchira kurapwa kwekenza kwakasanganiswa, asi vanyori havana kuwana humbowo hwekuti bonde, yakakwira-dose cyclophosphamide kana ifosfamide (mishonga miviri yekurapa cancer) yaive njodzi yekusagadzikana kwemoyo.

'Kupararira kwe27 muzana yevana vanopona kenza yevana vane kusagadzikana kwemoyo kwakakura zvinoshamisa muhuwandu hwevanhu vechidiki, "vanyori vanocherechedza. "…Varwere ava vanotarisirwa kunge vari panjodzi huru yekuve nekliniki yekukundikana kwemoyo mune ramangwana."

"Pakupedzisira, vanopfuura 25 muzana yevadiki vakapona kenza muhuduku vaive nediki [zvikamu zvekutanga, zvishoma kana pasina zviratidzo] kusagadzikana kwemoyo pakushanya kwavo kwekutanga kukiriniki yevarwere vekunze nekuda kwekunonoka kwegomarara," vanyori vakapedzisa. "Kuenderera mberi nekutarisa kwevose vakapona kenza yevana vanorapwa neangangoita cardiotoxic therapy ine kana isina subclinical cardiac dysfunction inodiwa kuti vaone vanopona kenza vachiri vadiki vanogona kubatsirwa kubva mukurapwa kwekutanga, izvo zvinogona kudzivirira kuwedzera kuparara kwemoyo."

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