Shin ƙaramin yaronka yana da matsalar zuciya? Bari mu yi magana game da Hypoplastic Aortic Arch!

Shin ƙaramin yaronka yana da wahalar shayarwa a wasu lokutan? Shin yana jin gajiya fiye da yadda aka saba idan yana numfashi? Ko kuma yana kama da mai launin fari da gumi? Abu ne da ya dace a gare ka a matsayinka na iyaye ka ji damuwa sosai idan waɗannan abubuwan suka faru da ɗanka. Wani lokaci dalilin hakan na iya zama ciwon zuciya da aka haifa. A yau, za mu yi magana game da wata cuta da ke faruwa a zuciyar jarirai, amma za a iya warkewa idan an gane ta da wuri kuma a yi mata magani yadda ya kamata.

Menene Hypoplastic Aortic Arch?

A taƙaice dai, Hypoplastic Aortic Arch , wanda wani lokacin ake kira Aortic Arch Hypoplasia (AAH) , lahani ne na haihuwa wanda ke faruwa a wani ɓangare na zuciyar jaririnku , wato aorta . Ku yi tunanin hakan, aorta tana kama da babban jijiyar jini da ke ɗauke da jini a cikin jikinmu. Tana farawa daga zuciya kuma tana ɗauke da jinin da ke ɗauke da iskar oxygen a cikin jiki. Yana kama da sandar, mai lanƙwasa kaɗan. Lanƙwasa a saman sandar ana kiranta da aortic baka , wanda ke nufin 'babban aorta.'

Kalmar 'hypoplastic' tana nufin 'ba a ci gaba da kyau ba', 'ƙarami'. Don haka, jariri mai baka na aortic hypoplastic yana da baka na aortic da bai ci gaba ba. Wato, buɗewa, ko diamita, a cikin wannan ɓangaren ya fi kunkuntar fiye da yadda ya kamata. Kamar yadda bututun ruwa ke toshewa, lokacin da baka na aortic ya yi ƙunci, yana da wuya jini ya kwarara daga zuciya zuwa ƙananan sassan jiki, ta cikin aorta mai saukowa . Wannan na iya rage adadin jinin da ke isa ga dukkan jiki.

Wanene wannan yanayin ya fi shafa? Akwai alaƙa da wasu cututtukan zuciya?

Aortic arch hypoplasia (AAH) na iya faruwa da kansa. Duk da haka, sau da yawa ana ganinsa da wani lahani na zuciya da aka haifa , wanda ake kira coarctation of the aorta . Wannan yanayi ne da wani ɓangare na aorta, yawanci kusa da ductus arteriosus, wani jini na musamman da yawanci yake a cikin mahaifa, ya zama ƙunci.

Don haka likitan jaririnka zai iya cewa, "Jaridarka tana da ciwon zuciya mai kama ...

Bugu da ƙari, jarirai masu fama da AAH na iya samun wasu cututtukan zuciya. Misali:

• Lalacewar Atrial Septal (ASD) : Rami a bango tsakanin ɗakunan sama biyu na zuciya.
• Lalacewar Zuciya a Zuciya : Lalacewar da ke cikin bangon da ke tsakanin ɗakunan zuciya.
• Bawul ɗin Aortic na Bicuspid da kuma Bawul ɗin Aortic Stenosis : Lalacewa da kuma ƙuntatawar bawul ɗin aortic.
• Ciwon Zuciya na Hagu (HLHS) : Bangaren hagu na zuciya ba ya girma yadda ya kamata.
• Patent Ductus Arteriosus (PDA) : Jijiyoyin jini da ake kira ductus arteriosus wanda ya kamata ya rufe bayan haihuwa ya kasance a buɗe.
• Ciwon Shone : Haɗuwa da wasu lahani da ke kawo cikas ga kwararar jini zuwa gefen hagu na zuciya.
• Lalacewar Hanta ta Ventricular Septal (VSD) : Rami a bango tsakanin ƙananan ɗakunan zuciya guda biyu.

Samun ciwon zuciya fiye da ɗaya kamar wannan yana da matuƙar muhimmanci yayin tsara magani. Domin kuwa tiyata ko tsarin magani wanda aka tsara shi bisa ga hadaddun yanayi, ana buƙatar takamaiman yanayi a cikin zuciyar jariri.

Mene ne alamun idan yaro yana da wannan yanayin?

Jarirai masu ciwon zuciya da kuma ciwon zuciya (aorta) yawanci suna fara nuna alamun cutar jim kaɗan bayan haihuwa . Ka yi tunanin jaririnka, wanda ya gaji bayan ya sha ƴan abin sha, yana fuskantar wahalar numfashi. Wani lokaci sai ya yi gumi ya koma launin shuɗi-fari. Abin tsoro ne ga uwa ta ga irin wannan abu, ko ba haka ba?

Manyan alamomin da za a iya gani sune:

• Bugawa Mai Sauri : Bugawa yana da sauri sosai.
• Gajiya : Jaririn yana jin gajiya da sauri, musamman lokacin shayarwa.
• Fatar launin toka ko fari : Wani lokaci fatar jiki ma tana iya yin shuɗi.
• Gumi mai yawa .
• Yawan kuka, haushi .
• Numfashi mai sauri ko wahala .
• Matsalar shayarwa: Ya ƙi shan madara, ko kuma ya daina bayan ya sha kaɗan.
• Rauni a ƙananan sassan jiki : Musamman a ƙafafu, bugun jini a cikin jijiyar cinya yana da rauni sosai idan aka taɓa shi.

Idan jaririnka yana da ɗaya ko fiye daga cikin waɗannan alamun, yana da matuƙar muhimmanci ka nemi shawarar likita nan take .

Me yasa hakan ke faruwa? Menene dalilan?

AAH wata matsala ce ta zuciya da aka haifa . Wani abu ne da ke faruwa yayin da jaririn yake cikin mahaifa. Masu bincike har yanzu suna ƙoƙarin gano ainihin dalilin wannan nau'in cutar ta zuciya da aka haifa.

Amma abin da aka sani shi ne cewa wannan yanayin na iya faruwa idan ba a samu ci gaba sosai a cikin makonnin farko na ciki ba .

Ta yaya za ka gano wannan? Menene gwaje-gwajen?

Likitoci suna amfani da wannan don gano cutar.Gwaje-gwaje na musamman na daukar hoto. Yawanci ana yin waɗannan gwaje-gwajen ne bayan an haifi jariri.

Manyan gwaje-gwajen da ake amfani da su don gano cutar AAH sune:

• Duban Hoto na Zuciya (CT scan)
• Magnetic Resonance Angiogram (MRA)
• Transthoracic Echocardiogram (TTE) : Wannan kamar hoton zuciya ne na duban dan tayi.
• Katsewar Zuciya : Wani lokaci wannan gwajin ma yana buƙatar yin sa.

Waɗannan gwaje-gwajen za su iya duba tsarin zuciyar jariri, wato, yadda aka tsara sassan ciki, dalla-dalla. Haka kuma za su iya gano ko jaririn yana da wasu lahani na zuciya. Ta hanyar tattara duk waɗannan bayanan ne likitoci ke tsara mafi dacewa da maganin ga jaririn.

Domin tantance ko akwai AAH, likitoci suna duba girman baka na aorta na jariri. Musamman ma, suna auna diamita , wanda shine faɗin buɗewar da ke ciki. Ana kwatanta wannan ma'aunin da diamita na sauran sassan aorta na jariri (misali, aorta mai hawa ko aorta mai saukowa). Ana amfani da waɗannan ƙimar don tantance ko diamita na aorta ya yi kunkuntar sosai.

Bari mu ɗan yi bayani game da sassa daban-daban na baka mai kama da aotic.

Idan likitan jaririnku ya yi magana game da wannan yanayin, zai iya magana game da sassa daban-daban na baka na aorta. Kuna iya mamaki, "Shin baka na aorta ya rabu zuwa wasu sassa? Shin ba wannan ba ne babban baka na aorta?" Haka ne, gaskiya ne. Baka na aorta ƙaramin ɓangare ne, "kamar sanda" na aorta. Amma, kamar dukkan sassan aorta, baka na aorta yana da jijiyoyin jini (jijiyoyin jini) waɗanda suka yi girma a hanyoyi daban-daban. Kamar yadda babban hanya ke da hanyoyi a gefe. Likitoci suna amfani da waɗannan jijiyoyin jini daban-daban a matsayin iyakoki, suna nuna inda wani ɓangare na baka na aorta ya fara da ƙarewa. Wannan "taswirar" tana da matukar taimako wajen gano AAH da tsara magani.

Ga wasu sassan baka na ido da likitan jaririnka zai iya magana a kai:

• Matsakaici Mai Zurfi : Wannan yana tsakanin jijiyoyin Brachiocephalic na jariri (wani lokacin ana kiransa da Innominate Artery) da jijiyoyin Left Common Carotid . Wannan shine ɓangaren da ya fi kusa da zuciya.
• Bango Mai Juyawa Daga Nesa : Wannan yana tsakanin jijiyar carotid ta hagu da jijiyar subclavian ta hagu .
• Isthmus na Aortic : Wannan yana tsakanin jijiyar subclavian ta hagu da kuma jijiyar jini da aka ambata a baya da ake kira Ductus Arteriosus .

Likitan jaririnka zai tantance ainihin inda ƙuncin yake a cikin kusurwoyin jaririnka, da kuma girman ƙuncin. Wannan bayanin zai jagoranci tsarin magani.

Menene hanyoyin magance wannan?

Jarirai masu hypoplastic aortic arches za su buƙaci tiyatar zuciya don gyara yanayin. Likitan zuciyar jaririnku zai yi muku bayani game da nau'in tiyatar da jaririnku zai buƙaci. Aikin tiyatar na iya bambanta dangane da sauran lahani da tsarin zuciyar jaririnku. Kuna iya buƙatar yin tiyatar thoracotomy , wanda ƙaramin yankewa ne da aka yi a gefen hagu na ƙirjin jaririnku, ko kuma tiyatar sternotomy, wadda aka yi a tsakiyar ƙirjin.

Ana kiran aikin tiyata na yau da kullun da ake kira resection tare da tsawaita anastomosis daga ƙarshe zuwa ƙarshe . Wannan tiyatar tana da matukar amfani ga jarirai masu fama da coarctation na aorta da kuma aortic arch hypoplasia. A cikin wannan aikin, likitan fiɗa yana cire kunkuntar ɓangaren aorta, ya ɗauki ƙananan ɓangaren aorta (ƙasa mai saukowa), sannan ya haɗa shi da wani ɗan gajeren yankewa a cikin baka na aorta.

Fatan wannan tiyatar ita ce inganta kwararar jini ta cikin aorta na jaririn, ta yadda gabobinsa da kyallen jikinsa za su sami isasshen jini mai wadataccen iskar oxygen.

Menene fatan samun waraka ga jaririna?

Mafi kyawun amsar wannan tambayar ita ce likitan jaririnka. Domin lafiyar jariri ta dogara ne akan abubuwa da yawa. Musamman ma, ko akwai wasu lahani na zuciya da aka haifa yana da babban tasiri.

Gabaɗaya, jariran da aka yi wa magani saboda wata cuta da ake kira aotic arch hypoplasia suna da mafi girman damar kamuwa da waɗannan matsaloli daga baya a rayuwa:

• Ragewar jijiyoyinsu akai-akai .
• Hawan jini (Hawan jini) .
• Wahalar ci ko haɗiyewa : Wannan na iya faruwa idan jijiya ta lalace yayin tiyata (wannan ba kasafai yake faruwa ba).

Yi magana da likitan jaririnka game da waɗannan haɗarin da kuma yadda za ka iya sarrafa su.

Za a iya hana wannan yanayi?

Ba za a iya hana matsalolin zuciya da aka haifa kamar su hypoplastic aortic arch gaba ɗaya ba . Duk da haka, bin shawarar likitanka don samun lafiyayyen ciki na iya taimakawa wajen rage haɗarin kamuwa da wannan yanayin ko wasu lahani.

Gabaɗaya, ya kamata a guji waɗannan abubuwa a lokacin daukar ciki:

• Barasa .
• A guji shan taba, shan sigari da duk wani abu da ke ɗauke da sigari . Haka kuma, a guji shan taba ta hanyar amfani da na'urar zamani .
• Magungunan da ba a haramta ba, musamman cocaine .

Kuma, naka.Haka kuma yana da matuƙar muhimmanci a riƙa zuwa duba lafiyar mata masu juna biyu akai-akai. Idan kina da wasu matsalolin lafiya, ki nemi shawarar likita don magance waɗannan matsalolin kafin da kuma lokacin daukar ciki.

Yadda ake kula da jariri bayan tiyata?

Bukatun kowane jariri na iya bambanta bayan tiyata, don haka ya fi kyau ka tambayi ƙungiyar likitocin yaronka yadda za su kula da jaririnka a cikin ɗan gajeren lokaci da kuma na dogon lokaci.

Ga wasu tambayoyi da za ku iya yi wa likitanku:

• Ta yaya zan kula da ɗana idan na koma gida?
• Wane magani ya kamata in ba wa ɗana? Har yaushe zan ba shi?
• Akwai wasu hanyoyin magance matsalolin da ake buƙata don taimakawa yaron ya yi aiki a zahiri ko a jijiyoyi?
• Akwai wasu takunkumi kan ayyukan yaron?
• Yaushe ne zan iya tura ɗana zuwa wurin kula da yara? Waɗanne umarni na musamman ya kamata in ba shi?
• Shin ɗana zai buƙaci ƙarin magani ko tiyata?

Kasancewar iyaye koyaushe ƙalubale ne. Amma zama da yaro mai ciwon zuciya kamar hypoplastic aortic arch (AAH) na iya kawo sabbin ƙalubale kowace rana. Wasu kalmomin da likitoci ke faɗa da tsare-tsaren magani na iya zama da wahalar fahimta. Wannan abu ne na al'ada, kuma ba kai kaɗai ba ne. Tambayi likitan ɗanka game da albarkatu da ƙungiyoyin tallafi da za su iya taimaka maka. Gina al'umma mai tallafi a gare ka da iyalinka zai iya taimakawa wajen rage damuwa da kuma ba ka ƙarfin ci gaba da buƙatun ɗanka.

Bari mu tuna da abin da muka tattauna (Saƙon Ɗauka Gida)

• Hypoplastic Aortic Arch (AAH) yanayi ne da baka na aorta, babban jijiyoyin jini a cikin zuciyar jariri, bai girma yadda ya kamata ba, wanda ke haifar da kunkuntar baka.
• Wannan yana sa jini ya yi wahala daga zuciya zuwa wasu sassan jiki.
• Sau da yawa ana ganin wannan yanayin tare da wata cutar zuciya da ake kira Coarctation of the Aorta .
• Alamomi kamar gajiya, wahalar numfashi, da kuma fatar jiki mai launin fari na iya bayyana tun farkon rayuwar jariri.
• Ana iya gano wannan yanayin ta hanyar yin gwaje-gwaje na musamman.
• Maganin shine tiyatar zuciya .
• Bin umarnin likita daidai da kuma bin diddigin lokaci mai tsawo bayan tiyata yana da matuƙar muhimmanci.
• Bin halaye masu kyau yayin daukar ciki na iya rage haɗarin wasu lahani na haihuwa.
• Ba kai kaɗai ba ne. Nemi taimako daga likitoci da ƙungiyoyin tallafi.

Muna fatan wannan bayanin zai amfane ku. Muna yi wa ɗanku fatan samun sauƙi cikin sauri!

` Akwar Aortic Hypoplastic, Akwar Aortic Hypoplasia, lahani na zuciya na haihuwa, tiyatar zuciya ta jarirai, haɗakar aorta, cututtukan zuciya na jarirai, tiyatar zuciya