Koj puas tau ntshai thaum koj tus me nyuam tig xiav tam sim ntawd? Los yog nws puas ua pa nyuaj thaum pub niam mis, quaj, lossis tig nws lub cev? Nws yog ib qho ib txwm rau leej niam lossis leej txiv ntshai thaum pom tej yam zoo li no. Hnub no peb tab tom tham txog
Tetralogy of Fallot , ib qho mob plawv uas yug los thiab tuaj yeem ua rau muaj cov tsos mob zoo li no. Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, cia peb piav qhia yooj yim.
Tetralogy ntawm Fallot yog dab tsi tiag?
Hais yooj yim xwb, Tetralogy of Fallot yog kev sib xyaw ua ke ntawm plaub qhov teeb meem plawv uas muaj thaum yug los. Nws kuj hu ua mob plawv txij thaum yug los. Nws yog ib qho teeb meem uas tshwm sim thaum lub plawv loj hlob thaum tus menyuam loj hlob hauv plab. Qhov no ua rau cov ntshav uas muaj oxygen ntau (ntshav liab) sib xyaw nrog cov ntshav uas tsis muaj oxygen (ntshav xiav). Cov ntshav sib xyaw no ces lub plawv nqus mus rau lub cev. Yog li ntawd, cov kabmob hauv lub cev tsis tau txais oxygen txaus. Hauv kev kho mob, peb hu qhov mob no
ua hypoxemia .
Thaum lub cev tsis muaj oxygen ntev, daim tawv nqaij, daim di ncauj, thiab cov rau tes ntawm tus menyuam yuav hloov xim xiav. Qhov no hu ua cyanosis , lossis 'tig xiav'.
Yuav kom nkag siab qhov no zoo dua, cia peb saib seb lub plawv noj qab haus huv ua haujlwm li cas.
Lub plawv noj qab nyob zoo ua haujlwm li cas
Xav txog tias peb lub siab zoo li lub tsev plaub chav. Muaj ob chav nyob rau hauv pem teb sab saud (atria) thiab ob chav loj nyob rau hauv pem teb qis (ventricles). Muaj cov qhov dej ntawm cov chav no, zoo li qhov rooj. Sab xis thiab sab laug ntawm lub plawv raug cais los ntawm phab ntsa (septum). 1.
Sab xis: Cov ntshav xiav ntawm lub cev uas tsis muaj oxygen nkag mus rau hauv lub plawv sab xis los ntawm lub vena cava sab saud thiab lub vena cava sab qis. 2. Los ntawm qhov ntawd, cov ntshav hla dhau ib lub qhov dej (tricuspid valve) mus rau hauv lub plawv sab xis. 3. Los ntawm lub plawv sab xis, cov ntshav xiav no raug pumped los ntawm lwm lub qhov dej (pulmonic valve) mus rau hauv cov hlab ntsha loj (pulmonary artery) uas mus rau lub ntsws. 4.
Sab hauv lub ntsws: Cov ntshav no tau txais oxygen tshiab, ua cov ntshav liab ntshiab. 5.
Sab laug: Cov ntshav liab uas muaj oxygen ntau no rov qab mus rau lub plawv sab laug. 6. Los ntawm qhov ntawd, nws hla dhau ib lub qhov dej (mitral valve) mus rau hauv lub plawv sab laug. 7. Thaum kawg, cov ntshav liab ntshiab no los ntawm lub plawv sab laug raug thawb los ntawm lub cev cov hlab ntsha loj tshaj plaws (aorta) mus rau tag nrho lub cev. Qhov no yog li cas peb cov kab mob tau txais cov pa oxygen uas lawv xav tau kom muaj sia nyob.
Plaub qhov tsis zoo uas tshwm sim hauv Tetralogy of Fallot ("Tetralogy")
Hauv lub plawv ntawm tus menyuam mos uas muaj Tetralogy of Fallot, muaj plaub qhov teeb meem tseem ceeb uas hloov pauv cov txheej txheem ib txwm uas peb tau tham txog.
| Kev puas tsuaj ntawm lub plawv | Hais yooj yim xwb... |
|---|
| Kev puas tsuaj ntawm lub ventricular septal (VSD) | Ib lub qhov nyob rau hauv phab ntsa (septum) ntawm ob lub chav hauv qab (chambers) ntawm lub plawv. Qhov no tso cai rau cov ntshav xiav uas muaj oxygen tsawg ntawm sab xis sib xyaw nrog cov ntshav liab uas muaj oxygen ntau ntawm sab laug. |
| Mob ntsws txhaws (PS) | Kev nqaim ntawm lub plawv dhia lossis cov hlab ntsha hauv lub ntsws uas nqa ntshav mus rau lub ntsws. Qhov no ua rau cov ntshav mus rau lub ntsws tsawg dua. Feem ntau qhov xiav ntawm qhov no yog txiav txim siab los ntawm qhov dav ntawm qhov nqaim no. |
| Kev kov yeej Aorta | Cov hlab ntsha loj (aorta) uas nqa cov ntshav mus rau tag nrho lub cev nyob nruab nrab ntawm ob lub ventricles, tsis yog tsuas yog lub ventricle sab laug li qub. Yog li ntawd, cov ntshav sib xyaw los ntawm qhov VSD nkag mus rau hauv cov hlab ntsha no ncaj qha thiab mus rau lub cev. |
| Kev loj hlob ntawm lub plawv sab xis | Vim tias txoj kev mus rau lub ntsws nqaim (Pulmonary Stenosis), lub plawv sab xis yuav tsum ua haujlwm hnyav dua los nqus cov ntshav. Ib yam li cov leeg nqaij loj dua thaum koj tawm dag zog, qhov no ua rau phab ntsa ntawm lub plawv sab xis tuab dua. |
Dab tsi ua rau muaj tus mob no?
Qhov ua rau qhov no tseem tsis tau paub meej. Nws yog ib qho teeb meem uas tshwm sim thaum lub plawv pib tsim thaum ntxov ntawm tus menyuam hauv plab. Nws tsis yog koj qhov txhaum, thiab nws tsis yog ib yam dab tsi uas koj tau ua thaum cev xeeb tub. Yog li ntawd, tsis txhob xav tias txhaum txog qhov no.
Koj tus menyuam puas muaj cov tsos mob no thiab?
Feem ntau cov menyuam yaus uas muaj Tetralogy of Fallot qhia cov tsos mob hauv thawj xyoo ntawm lub neej.
- Xiav (Cyanosis):Qhov no yog cov tsos mob tseem ceeb. Tus menyuam daim di ncauj, tus nplaig, daim tawv nqaij, thiab cov rau tes hloov xim xiav lossis ntshav.
- "Tet Spells / Hypercyanosis": Qhov no yog ib qho tseem ceeb heev. Thaum ib tug me nyuam quaj, haus mis nyuj, sim mus rau chav dej, lossis sawv thaum sawv ntxov, lawv yuav hloov mus ua xim xiav tob, ua pa nyuaj, thiab tsis so. Qee zaum lawv yuav tsis nco qab lawm. Qhov mob no tuaj yeem kav ntev li ob peb feeb mus txog ob peb teev.
- Ua pa nyuaj : Tus me nyuam sai sai nkees thiab tsaug zog tom qab khiav ncig thiab ua si.
- Zaum Quav: Thaum ib tug me nyuam yaus nkees ntawm kev ua si, lawv mam li zaum nrog lawv lub hauv caug rub mus rau lawv lub hauv siab (squatting). Qhov no tsis paub tias ua rau cov ntshav mus rau lawv lub ntsws ntau ntxiv, ua rau nws yooj yim dua rau kev ua pa .
- Kev loj hlob tsis zoo: Tus menyuam qhov hnyav nce , kev loj hlob, thiab kev txhim kho yuav qeeb dua li lwm tus menyuam.
Thaum twg koj yuav tsum nrhiav kev pab kho mob?
Tsis txhob nco qhov chaw kuaj mob txhua hli rau koj tus menyuam. Tus kws kho mob tuaj yeem kuaj pom cov mob no thaum kuaj koj tus menyuam.
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, mus ntsib kws kho mob tam sim ntawd.- Yog tias daim tawv nqaij thiab daim di ncauj ntawm tus menyuam hloov xiav.
- Yog koj ua pa nyuaj .
- Yog koj nkees thaum pub niam mis los yog quaj.
- Yog koj xav tias koj txoj kev loj hlob qeeb zuj zus.
Yog tias muaj xwm txheej ceev hauv qab no, tam sim ntawd coj tus neeg mus rau Tsev Kho Mob Xwm Ceev (ETU) ze tshaj plaws:- Kev Ua Txuj Ci Tet
- Ua pa nyuaj heev.
- Qaug dab peg
- Tsaus muag
- Qaug zog lossis tsis muaj zog ntau dhau
Yuav kuaj mob li cas? (Kev kuaj mob thiab kev kuaj mob)
Koj tus kws kho mob yuav kuaj tus menyuam, mloog lub plawv dhia, thiab yog tias muaj kev tsis ntseeg, xa koj mus kuaj ntau zaus.
- X-ray hauv siab: Qhov no saib lub plawv zoo li cas. Hauv Tetralogy of Fallot, lub plawv yuav zoo li "khau looj plab hlaub" vim tias lub plawv sab xis loj dua.
- Electrocardiogram ( ECG ): Ib qho kev kuaj mob uas tsis mob uas ntsuas qhov ua haujlwm hluav taws xob ntawm lub plawv.
- Kev kuaj lub plawv (Echocardiogram):Qhov no yog qhov kev kuaj mob tseem ceeb thiab raug tshaj plaws. Nws zoo li kev luam theej duab. Nws tuaj yeem pom txhua yam hauv lub plawv, xws li cov chav plawv, cov qhov, cov qhov ( VSD ), thiab cov hlab ntsha nqaim (PS).
- Kev Siv Txoj Hlab Ntswg Rau Lub Plawv: Qee zaum, qhov kev kuaj no yuav ua ua ntej phais kom ntsuas lub plawv siab thiab cov pa oxygen, thiab saib ze rau cov qauv ntawm cov leeg ntshav. Hauv qhov kev kuaj no, ib lub raj me me yuav raug xa mus rau lub plawv los ntawm cov leeg ntshav hauv qhov chaw mos.
Cov kev kho mob yog dab tsi?
Tib txoj kev kho mob mus tas li rau Tetralogy of Fallot yog
phais .
Yog koj tau txais "Tet Spell" koj yuav ua li cas?
Yog tias koj tus menyuam hloov xiav sai sai, nws yog ib qho tseem ceeb heev uas yuav tsum nyob
twj ywm . 1. Muab tus menyuam tso rau ntawm nws nraub qaum,
rub lub hauv caug rau ntawm lub hauv siab (lub hauv caug rau hauv siab) . 2. Coj tus menyuam mus rau tsev kho mob tam sim ntawd. Ntawm tsev kho mob, tus menyuam yuav tau txais oxygen thiab tshuaj xws li propranolol los tswj "tet spells".
Kev phais mob
Lub sijhawm phais mob nyob ntawm seb tus menyuam cov tsos mob hnyav npaum li cas. Feem ntau phais mob thaum nws muaj ob xyoos thawj zaug.
- Kev Phais Mob Kom Rov Qab Zoo (Blalock-Taussig shunt): Qee tus menyuam mos me me heev lossis tsis muaj zog thiab tej zaum yuav tsis muaj peev xwm nyiaj tau tag nrho kev phais. Hauv cov xwm txheej zoo li no, kev sib txuas zoo li lub raj me me raug ua ntawm cov hlab ntsha hauv lub cev thiab cov hlab ntsha hauv lub ntsws kom nce cov ntshav mus rau lub ntsws. Qhov no tuaj yeem pab tus menyuam kom loj dua thiab muaj zog dua me ntsis.
- Kev Phais Kho Tag Nrho: Hauv qhov no, lub qhov hauv lub plawv (VSD) raug kaw nrog ib daim ntaub, thiab txoj kev nqaim mus rau lub ntsws (PS) raug nthuav dav. Tom qab kev phais no, cov ntshav ntws hauv lub plawv rov qab mus rau qhov qub.
Nrog kev nce qib ntawm cov thev naus laus zis kho mob niaj hnub no, kev phais mob no tau ua tiav zoo heev.
Tom qab phais lawm...
Tom qab phais tiav lawm, feem ntau cov menyuam yaus tuaj yeem ua neej nyob li qub yam tsis muaj tsos mob lossis kev txwv. Lawv tuaj yeem mus kawm ntawv, ua si, ua haujlwm yav tom ntej, thiab yuav txiv. Txawm li cas los xij, txawm tias tom qab phais lawm los xij, nws yog ib qho tseem ceeb uas yuav tsum tau
mus ntsib kws kho mob tas li thoob plaws lawv lub neej. Qee zaum, kev hloov pauv ntawm lub plawv dhia (arrhythmias) tuaj yeem tshwm sim, yog li nws yog ib qho tseem ceeb uas yuav tsum tau mus kuaj mob tas li.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tetralogy of Fallot yog kev sib xyaw ua ke ntawm plaub qhov teeb meem plawv uas muaj txij thaum yug los. Qhov no tsis yog koj qhov txhaum.
- Cov tsos mob tseem ceeb yog tus menyuam tig xiav (cyanosis), uas tuaj yeem hnyav dua tshwj xeeb tshaj yog thaum quaj lossis siv zog.
- Yog tias tus me nyuam tam sim ntawd hloov xiav heev (Tet Spell), tsis txhob ntshai, coj lub hauv caug mus rau hauv siab thiab coj mus rau tsev kho mob tam sim ntawd.
- Kab mob no yooj yim kuaj pom los ntawm kev siv Echocardiogram.
- Kev phais yog kev kho mob mus tas li. Niaj hnub no, cov kev phais no tau ua tiav zoo heev.
- Tom qab phais lawm, tus me nyuam yuav ua neej tau zoo li qub, tiam sis nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov lus qhia ntawm kws kho mob thiab kuaj mob thoob plaws lub neej.
tetralogy of fallot, kab mob plawv, kev kho mob menyuam yaus, menyuam mos xiav, cyanosis, tet spells, cov teeb meem yug los, cov teeb meem plawv txij thaum yug los, qhov hauv lub plawv, VSD
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus