Kev Xeeb Tub thiab Kev Noj Qab Haus Huv ntawm NiamFebruary 9, 2026🔄 Updated: Jul 14, 2026⏱ 12 min

Cia peb kawm txog qhov mob tsis tshua muaj no hauv koj tus menyuam lub plawv? (Tricuspid Atresia)

Creator: Dr. Priya Sammani
Published: 2026-02-09T03:01:49.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Thaum tus kws kho mob qhia koj tias koj tus menyuam mos muaj teeb meem plawv, nws yog ib qho ib txwm rau koj, ua ib tug niam lossis ib tug txiv, kom ntshai thiab poob siab heev. Tshwj xeeb tshaj yog tias nws yog ib qho mob uas muaj lub npe tsis paub zoo li 'Tricuspid Atresia', muaj ntau cov lus nug uas los rau hauv siab. "Qhov no yog dab tsi? Kuv tus menyuam puas yuav zoo? Vim li cas qhov no thiaj tshwm sim?" Tej yam zoo li ntawd tej zaum yuav khiav los ntawm koj lub siab. Tsis txhob txhawj. Hnub no, peb yuav tham txog qhov no hauv txoj kev yooj yim heev uas koj tuaj yeem nkag siab.

Hais yooj yim xwb, Tricuspid Atresia yog dab tsi?

Yuav kom nkag siab qhov no, cia peb xub saib seb lub plawv noj qab nyob zoo ua haujlwm li cas. Peb lub plawv muaj plaub chav tseem ceeb. Ob chav sab saud thiab ob chav sab hauv qab. Cov ntshav uas lub cev siv thiab tsis muaj pa oxygen ntau yuav nkag mus rau hauv chav sab saud ntawm sab xis ntawm lub plawv (Right Atrium). Los ntawm qhov ntawd, lub valve uas ua haujlwm zoo li lub qhov rooj qhib, thiab cov ntshav ntawd mus rau chav sab qis ntawm sab xis (Right Ventricle). Lub qhov rooj no hu ua Tricuspid Valve . Tom qab ntawd, chav sab qis yuav sib zog thiab xa cov ntshav ntawd mus rau lub ntsws kom tau txais oxygen. Txawm li cas los xij, rau tus menyuam uas muaj qhov tsis zoo yug los hu ua Tricuspid Atresia , qhov no hu ua Tricuspid Valve tsis tau tsim kom zoo . Ntawd yog, es tsis txhob muaj lub qhov rooj ntawd, muaj ib yam dab tsi zoo li daim nyias nyias tuab.

Xav txog seb puas muaj phab ntsa ntawm ob chav es tsis yog qhov rooj. Ces koj mus tsis tau ntawm ib chav mus rau lwm chav, puas yog? Qhov ntawd yog qhov uas tshwm sim ntawm no.

Yog li ntawd, cov ntshav uas tsis muaj oxygen txaus uas nkag mus rau hauv lub plawv sab xis sab saud tsis muaj txoj hauv kev mus rau chav hauv qab. Vim tias txoj kev no raug thaiv, lub plawv sab xis sab qis, uas tsis muaj peev xwm nqus ntshav lawm, tsis loj hlob zoo, thiab feem ntau me heev. Yog li, tsis muaj txoj hauv kev xa cov ntshav uas yuav tsum tau xa mus rau lub ntsws kom tau txais oxygen. Qhov no ua rau muaj kev txo qis ntawm cov pa oxygen uas tag nrho lub cev tau txais.

Qhov no puas yog ib qho teeb meem loj heev?

Yog lawm, qhov no yeej yog ib qho teeb meem loj heev uas cov kws kho mob suav tias yog qhov teeb meem loj heev ntawm lub plawv uas yug los. Ib tug me nyuam uas muaj tus mob no yuav tsum tau kho mob hauv chav saib xyuas mob hnyav (ICU) uas tshwj xeeb hauv cov kab mob plawv nyuaj tom qab yug los. Feem ntau, yuav tsum tau phais mob ceev ceev kom cawm tau tus me nyuam txoj sia ua ntej lawv mus tsev tau. Yog tias qhov no tsis raug kuaj mob thiab kho kom zoo, nws tuaj yeem muaj kev cuam tshuam loj heev rau tus me nyuam txoj sia.
Puas muaj cov hom kab mob no tseem ceeb?
Cov kws kho mob faib cov mob no kom meej dua. Qhov laj thawj rau qhov no yog tias tej zaum yuav muaj lwm yam kev hloov pauv hauv lub plawv ntawm tus menyuam ntxiv rau qhov teeb meem tseem ceeb no. Txoj kev npaj kho mob yuav txawv nyob ntawm cov kev hloov pauv ntawd. Muaj peb hom tseem ceeb (Hom I, II, III).
Hom I: Qhov no yog hom uas feem ntau pom. Hauv qhov no, cov hlab ntsha tseem ceeb uas tawm hauv lub plawv (cov hlab ntsha hauv lub ntsws thiab cov hlab ntsha aorta) nyob hauv lawv qhov chaw zoo. Txawm li cas los xij, tej zaum yuav muaj qhov ntawm cov chav qis ntawm lub plawv (qhov tsis zoo ntawm lub ventricular septal) lossis muaj teeb meem nrog lub valve uas nqa cov ntshav mus rau lub ntsws .
Hom II: Ntawm no, ob lub hlab ntsha tseem ceeb nyob rau hauv ib qho chaw sib hloov. Kuj tseem muaj ib lub qhov ntawm cov chav qis dua (Ventricular Septal Defect).
Hom III: Qhov no yog hom tsis tshua muaj. Ntawm no, muaj ntau qhov kev hloov pauv nyuaj hauv cov hlab ntsha loj thiab cov chav.
Koj tsis tas yuav txhawj ntau txog cov hom mob no. Cov kws kho mob uas kho koj tus menyuam yuav kuaj xyuas tag nrho cov no thiab piav qhia rau koj txog txoj kev kho mob uas zoo tshaj plaws rau koj tus menyuam.
Tus me nyuam muaj cov tsos mob li cas?
Feem ntau, cov menyuam mos uas muaj tus mob no yuav muaj cov tsos mob hauv thawj lub lim tiam tom qab yug los. Tej zaum koj yuav pom cov no.
Cov tsos mob Piav qhia yooj yim xwb
Xim xiav ntawm daim tawv nqaij thiab daim di ncauj (Cyanosis) Cov tsos mob tseem ceeb yog daim tawv nqaij, daim di ncauj, thiab cov rau tes hloov xim xiav lossis ntshav, vim tias lub cev tsis tau txais cov ntshav oxygen txaus.
Ua pa nyuaj (Dyspnea) Tus me nyuam ua pa sai heev thiab zoo li nws nyuaj siab ua pa.
Qhov nyuaj thiab qaug zog thaum pub niam mis Tus me nyuam mos nkees tom qab haus me ntsis mis nyuj, tsis haus ib nrab lawm, lossis hws thaum haus.
Kev loj hlob qeeb Txawm tias tus me nyuam haus mis ntau los xij, nws yuav tsis nce phaus zoo.
Lub suab plawv tsis zoo li qub (Heart Murmur) Thaum tus kws kho mob tab tom kuaj lub plawv nrog lub stethoscope, nws hnov lub suab plawv ntxiv.
Vim li cas qhov no thiaj tshwm sim rau kuv tus menyuam?
Tej zaum koj twb tau nug koj tus kheej cov lus nug no ntau zaus lawm. Thawj qhov uas yuav tsum nkag siab yog tias qhov no tsis yog koj qhov txhaum . Cov kws kho mob tseem tsis tau pom qhov ua rau muaj hom kab mob plawv no. Nws tshwm sim thaum 6 lub lis piam thawj zaug ntawm tus menyuam txoj kev loj hlob hauv plab, thaum lub plawv tab tom tsim. Txawm li cas los xij, qee yam kev pheej hmoo tau raug txheeb xyuas uas ua rau muaj kev pheej hmoo ntawm tus mob no. Cov yam hauv qab no tuaj yeem cuam tshuam rau leej niam thaum cev xeeb tub:
Kev kis kab mob viral : kis tus kab mob viral xws li German measles thaum cev xeeb tub .
Kab mob ntshav qab zib : Leej niam muaj kab mob ntshav qab zib thiab nws tsis raug tswj hwm zoo thaum cev xeeb tub.
Kev Siv Cawv : Haus cawv thaum cev xeeb tub.
Qee cov tshuaj:Siv qee yam tshuaj rau kev qaug dab peg lossis pob txuv.
Cov mob caj ces: Qhov no kuj tseem tuaj yeem cuam tshuam nrog lwm yam mob caj ces, xws li Down Syndrome .
Cov kws kho mob nrhiav tau qhov no li cas?
Feem ntau, tus mob no tuaj yeem kuaj pom ua ntej tus menyuam yug los.
Ua ntej tus me nyuam yug los: Thaum lub sijhawm koj lub sijhawm soj ntsuam cev xeeb tub (ultrasound), koj tus kws kho mob yuav pom qhov tsis zoo hauv koj tus menyuam lub plawv. Yog tias muaj kev tsis ntseeg, koj yuav raug xa mus rau kev soj ntsuam tshwj xeeb uas tsom mus rau tus me nyuam lub plawv, hu ua fetal echocardiogram .
Tom qab tus me nyuam yug los: Yog tias tus me nyuam xiav tam sim ntawd tom qab yug los, cov kws kho mob yuav xav tias muaj teeb meem plawv. Yog tias hnov lub suab plawv tsis zoo (lub suab nrov nrov) thaum kuaj lub plawv nrog lub stethoscope, qhov ntawd kuj yog ib qho tsos mob tseem ceeb. Qhov kev kuaj mob tseem ceeb los kuaj mob yog echocardiogram . Qhov no kuj zoo li kev luam theej duab. Qhov no tuaj yeem pom tseeb tias cov qhov plawv puas ploj lawm, qhov loj ntawm cov chav, txoj kev ntshav ntws, thiab yog tias muaj lwm qhov.
Tsis tas li ntawd xwb, kuj tseem yuav ua kev kuaj duab X-ray hauv siab, kev kuaj ECG, thiab kev kuaj pulse oximetry los xyuas seb cov pa oxygen hauv cov ntshav muaj pes tsawg.
Cov kev kho mob yog dab tsi? Qhov no puas kho tau?
Txawm hais tias nws tsis tuaj yeem "kho tau tag nrho," ntau zaus phais mob tuaj yeem kho cov ntshav ntawm tus menyuam thiab cia lawv ua neej nyob li qub. Kev kho mob muaj ob ntu.
1. Tshuaj
Thaum tus me nyuam yug los, lawv tau txais tshuaj kom tus me nyuam ruaj khov mus txog thaum phais thawj zaug. Cov tshuaj tseem ceeb uas muab ntawm no yog Alprostadil . Cov tshuaj no qhib ib txoj hlab ntshav tshwj xeeb (Ductus Arteriosus) uas txhua tus me nyuam muaj thaum yug los thiab kaw ob peb hnub tom qab yug los. Qhov no tsim ib txoj kev ntxiv rau cov ntshav mus txog rau hauv lub ntsws. Qhov no yog ib qho kev cawm siav.
2. Kev phais mob
Tricuspid atresia kho tsis tau tsuas yog phais ib zaug xwb. Thaum tus me nyuam loj hlob tuaj, yuav tsum tau phais ntau zaus hauv ntau theem. Qhov no zoo li kev tsim ib lub tsev loj ib daim zuj zus.
Theem 1 (hauv ob peb lub lis piam thawj zaug ntawm lub neej): Qhov no cuam tshuam nrog kev tsim kom muaj cov ntshav ntws mus rau hauv lub ntsws. Qhov no yog ua los ntawm ib txoj kev kho mob hu ua BTT shunt . Qhov no cuam tshuam nrog kev ntxig ib lub raj me me ntawm cov hlab ntsha tseem ceeb thiab cov hlab ntsha uas nqa cov ntshav mus rau hauv lub ntsws.
Theem 2 - Kev Kho Mob Glenn: Kev kho mob no yog ua thaum tus menyuam muaj li ntawm 4-6 lub hlis. Ntawm no, cov ntshav uas tsis muaj oxygen los ntawm lub cev sab saud raug xa mus rau lub ntsws ncaj qha, hla lub plawv.
Theem 3 - Kev Kho Mob Fontan: Kev kho mob kawg no yog ua thaum tus menyuam muaj li ntawm 2-4 xyoos. Ntawm no, cov ntshav uas tsis muaj oxygen los ntawm lub cev qis dua raug xa mus rau lub ntsws ncaj qha. Tom qab kev kho mob no, kev sib xyaw ntawm cov ntshav uas muaj oxygen thiab cov ntshav uas tsis muaj oxygen hauv lub plawv yuav luag nres tag.
Yog tias cov kev phais no tsis ua tiav lossis yog tias lub plawv qaug zog zuj zus, kev hloov plawv yog qhov kev xaiv kawg.
Yog muaj qhov xwm txheej no, yav tom ntej ntawm kuv tus menyuam yuav zoo li cas?
Qhov no yog qhov teeb meem loj tshaj plaws rau txhua tus niam txiv.
Yog tsis kho, feem ntau cov menyuam mos uas muaj tus mob no yuav tuag ua ntej lawv hnub yug ib xyoos. Txawm li cas los xij, yog tias phais raws sijhawm, feem ntau ntawm cov menyuam no yuav ciaj sia mus txog thaum lawv loj hlob.
Cov kev tshawb fawb qhia tau tias tom qab phais mob Fontan, qhov nruab nrab ntawm lub neej yuav ntev li ntawm 35-40 xyoo. Txawm li cas los xij, yuav tsum tau mus ntsib kws kho mob plawv tas li thoob plaws lub neej.
Kev Ua Si: Feem ntau cov menyuam yaus tuaj yeem koom nrog cov dej num ib txwm muaj. Txawm li cas los xij, kev ua si sib tw thiab kev ua si hnyav heev yuav tsum tau txwv. Tham nrog koj tus kws kho mob txog qhov no.
Lwm yam teeb meem kev noj qab haus huv: Ua ntej qee cov txheej txheem kho mob, xws li rho hniav, koj yuav tsum tau noj tshuaj tua kab mob kom tiv thaiv kev kis kab mob plawv.
Kev Kawm: Tej zaum ib txhia menyuam yuav muaj teeb meem kev kawm lossis kev tsis mloog zoo (ADHD). Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no thiab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
Tricuspid atresia yog ib yam kab mob plawv loj heev tab sis kho tau. Nws tsis yog koj qhov txhaum.
Kev kuaj mob thaum ntxov thiab kev phais mob raws sijhawm yog qhov tseem ceeb rau lub neej ntawm tus menyuam.
Cov menyuam no yuav tsum tau mus ntsib kws kho mob plawv tas mus li.
Feem ntau cov menyuam yaus tuaj yeem ua neej zoo thiab nquag tom qab phais. Tsis txhob tso tseg kev cia siab.
Tham nrog koj tus menyuam tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj. Lawv yeej ib txwm npaj pab koj.
Tricuspid Atresia, Kab Mob Plawv Thaum Yug Los, Kab Mob Plawv Rau Me Nyuam Yaus, Yug Los Ntawm Xim Xiav, Cyanosis, Fontan Procedure, Glenn Procedure

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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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

Kev Xeeb Tub thiab Kev Noj Qab Haus Huv ntawm NiamFebruary 9, 2026
Cia peb kawm txog qhov mob tsis tshua muaj no hauv koj tus menyuam lub plawv? (Tricuspid Atresia)
Dr. Priya SammaniMedical Verification
⏱ 12 min read
📋Table of Contents
1. Hais yooj yim xwb, Tricuspid Atresia yog dab tsi?
2. Qhov no puas yog ib qho teeb meem loj heev?
3. Puas muaj cov hom kab mob no tseem ceeb?
4. Tus me nyuam muaj cov tsos mob li cas?
5. Vim li cas qhov no thiaj tshwm sim rau kuv tus menyuam?
6. Cov kws kho mob nrhiav tau qhov no li cas?
7. Cov kev kho mob yog dab tsi? Qhov no puas kho tau?
8. 1. Tshuaj
9. 2. Kev phais mob
10. Yog muaj qhov xwm txheej no, yav tom ntej ntawm kuv tus menyuam yuav zoo li cas?
11. Cov Lus Qhia Txog Kev Coj Mus Tsev
Thaum tus kws kho mob qhia koj tias koj tus menyuam mos muaj teeb meem plawv, nws yog ib qho ib txwm rau koj, ua ib tug niam lossis ib tug txiv, kom ntshai thiab poob siab heev. Tshwj xeeb tshaj yog tias nws yog ib qho mob uas muaj lub npe tsis paub zoo li 'Tricuspid Atresia', muaj ntau cov lus nug uas los rau hauv siab. "Qhov no yog dab tsi? Kuv tus menyuam puas yuav zoo? Vim li cas qhov no thiaj tshwm sim?" Tej yam zoo li ntawd tej zaum yuav khiav los ntawm koj lub siab. Tsis txhob txhawj. Hnub no, peb yuav tham txog qhov no hauv txoj kev yooj yim heev uas koj tuaj yeem nkag siab.
Hais yooj yim xwb, Tricuspid Atresia yog dab tsi?
Yuav kom nkag siab qhov no, cia peb xub saib seb lub plawv noj qab nyob zoo ua haujlwm li cas. Peb lub plawv muaj plaub chav tseem ceeb. Ob chav sab saud thiab ob chav sab hauv qab. Cov ntshav uas lub cev siv thiab tsis muaj pa oxygen ntau yuav nkag mus rau hauv chav sab saud ntawm sab xis ntawm lub plawv (Right Atrium). Los ntawm qhov ntawd, lub valve uas ua haujlwm zoo li lub qhov rooj qhib, thiab cov ntshav ntawd mus rau chav sab qis ntawm sab xis (Right Ventricle). Lub qhov rooj no hu ua Tricuspid Valve . Tom qab ntawd, chav sab qis yuav sib zog thiab xa cov ntshav ntawd mus rau lub ntsws kom tau txais oxygen. Txawm li cas los xij, rau tus menyuam uas muaj qhov tsis zoo yug los hu ua Tricuspid Atresia , qhov no hu ua Tricuspid Valve tsis tau tsim kom zoo . Ntawd yog, es tsis txhob muaj lub qhov rooj ntawd, muaj ib yam dab tsi zoo li daim nyias nyias tuab.
Xav txog seb puas muaj phab ntsa ntawm ob chav es tsis yog qhov rooj. Ces koj mus tsis tau ntawm ib chav mus rau lwm chav, puas yog? Qhov ntawd yog qhov uas tshwm sim ntawm no.
Yog li ntawd, cov ntshav uas tsis muaj oxygen txaus uas nkag mus rau hauv lub plawv sab xis sab saud tsis muaj txoj hauv kev mus rau chav hauv qab. Vim tias txoj kev no raug thaiv, lub plawv sab xis sab qis, uas tsis muaj peev xwm nqus ntshav lawm, tsis loj hlob zoo, thiab feem ntau me heev. Yog li, tsis muaj txoj hauv kev xa cov ntshav uas yuav tsum tau xa mus rau lub ntsws kom tau txais oxygen. Qhov no ua rau muaj kev txo qis ntawm cov pa oxygen uas tag nrho lub cev tau txais.
Qhov no puas yog ib qho teeb meem loj heev?
Yog lawm, qhov no yeej yog ib qho teeb meem loj heev uas cov kws kho mob suav tias yog qhov teeb meem loj heev ntawm lub plawv uas yug los. Ib tug me nyuam uas muaj tus mob no yuav tsum tau kho mob hauv chav saib xyuas mob hnyav (ICU) uas tshwj xeeb hauv cov kab mob plawv nyuaj tom qab yug los. Feem ntau, yuav tsum tau phais mob ceev ceev kom cawm tau tus me nyuam txoj sia ua ntej lawv mus tsev tau. Yog tias qhov no tsis raug kuaj mob thiab kho kom zoo, nws tuaj yeem muaj kev cuam tshuam loj heev rau tus me nyuam txoj sia.
Puas muaj cov hom kab mob no tseem ceeb?
Cov kws kho mob faib cov mob no kom meej dua. Qhov laj thawj rau qhov no yog tias tej zaum yuav muaj lwm yam kev hloov pauv hauv lub plawv ntawm tus menyuam ntxiv rau qhov teeb meem tseem ceeb no. Txoj kev npaj kho mob yuav txawv nyob ntawm cov kev hloov pauv ntawd. Muaj peb hom tseem ceeb (Hom I, II, III).
Hom I: Qhov no yog hom uas feem ntau pom. Hauv qhov no, cov hlab ntsha tseem ceeb uas tawm hauv lub plawv (cov hlab ntsha hauv lub ntsws thiab cov hlab ntsha aorta) nyob hauv lawv qhov chaw zoo. Txawm li cas los xij, tej zaum yuav muaj qhov ntawm cov chav qis ntawm lub plawv (qhov tsis zoo ntawm lub ventricular septal) lossis muaj teeb meem nrog lub valve uas nqa cov ntshav mus rau lub ntsws .
Hom II: Ntawm no, ob lub hlab ntsha tseem ceeb nyob rau hauv ib qho chaw sib hloov. Kuj tseem muaj ib lub qhov ntawm cov chav qis dua (Ventricular Septal Defect).
Hom III: Qhov no yog hom tsis tshua muaj. Ntawm no, muaj ntau qhov kev hloov pauv nyuaj hauv cov hlab ntsha loj thiab cov chav.
Koj tsis tas yuav txhawj ntau txog cov hom mob no. Cov kws kho mob uas kho koj tus menyuam yuav kuaj xyuas tag nrho cov no thiab piav qhia rau koj txog txoj kev kho mob uas zoo tshaj plaws rau koj tus menyuam.
Tus me nyuam muaj cov tsos mob li cas?
Feem ntau, cov menyuam mos uas muaj tus mob no yuav muaj cov tsos mob hauv thawj lub lim tiam tom qab yug los. Tej zaum koj yuav pom cov no.
Cov tsos mob Piav qhia yooj yim xwb
Xim xiav ntawm daim tawv nqaij thiab daim di ncauj (Cyanosis) Cov tsos mob tseem ceeb yog daim tawv nqaij, daim di ncauj, thiab cov rau tes hloov xim xiav lossis ntshav, vim tias lub cev tsis tau txais cov ntshav oxygen txaus.
Ua pa nyuaj (Dyspnea) Tus me nyuam ua pa sai heev thiab zoo li nws nyuaj siab ua pa.
Qhov nyuaj thiab qaug zog thaum pub niam mis Tus me nyuam mos nkees tom qab haus me ntsis mis nyuj, tsis haus ib nrab lawm, lossis hws thaum haus.
Kev loj hlob qeeb Txawm tias tus me nyuam haus mis ntau los xij, nws yuav tsis nce phaus zoo.
Lub suab plawv tsis zoo li qub (Heart Murmur) Thaum tus kws kho mob tab tom kuaj lub plawv nrog lub stethoscope, nws hnov lub suab plawv ntxiv.
Vim li cas qhov no thiaj tshwm sim rau kuv tus menyuam?
Tej zaum koj twb tau nug koj tus kheej cov lus nug no ntau zaus lawm. Thawj qhov uas yuav tsum nkag siab yog tias qhov no tsis yog koj qhov txhaum . Cov kws kho mob tseem tsis tau pom qhov ua rau muaj hom kab mob plawv no. Nws tshwm sim thaum 6 lub lis piam thawj zaug ntawm tus menyuam txoj kev loj hlob hauv plab, thaum lub plawv tab tom tsim. Txawm li cas los xij, qee yam kev pheej hmoo tau raug txheeb xyuas uas ua rau muaj kev pheej hmoo ntawm tus mob no. Cov yam hauv qab no tuaj yeem cuam tshuam rau leej niam thaum cev xeeb tub:
Kev kis kab mob viral : kis tus kab mob viral xws li German measles thaum cev xeeb tub .
Kab mob ntshav qab zib : Leej niam muaj kab mob ntshav qab zib thiab nws tsis raug tswj hwm zoo thaum cev xeeb tub.
Kev Siv Cawv : Haus cawv thaum cev xeeb tub.
Qee cov tshuaj:Siv qee yam tshuaj rau kev qaug dab peg lossis pob txuv.
Cov mob caj ces: Qhov no kuj tseem tuaj yeem cuam tshuam nrog lwm yam mob caj ces, xws li Down Syndrome .
Cov kws kho mob nrhiav tau qhov no li cas?
Feem ntau, tus mob no tuaj yeem kuaj pom ua ntej tus menyuam yug los.
Ua ntej tus me nyuam yug los: Thaum lub sijhawm koj lub sijhawm soj ntsuam cev xeeb tub (ultrasound), koj tus kws kho mob yuav pom qhov tsis zoo hauv koj tus menyuam lub plawv. Yog tias muaj kev tsis ntseeg, koj yuav raug xa mus rau kev soj ntsuam tshwj xeeb uas tsom mus rau tus me nyuam lub plawv, hu ua fetal echocardiogram .
Tom qab tus me nyuam yug los: Yog tias tus me nyuam xiav tam sim ntawd tom qab yug los, cov kws kho mob yuav xav tias muaj teeb meem plawv. Yog tias hnov lub suab plawv tsis zoo (lub suab nrov nrov) thaum kuaj lub plawv nrog lub stethoscope, qhov ntawd kuj yog ib qho tsos mob tseem ceeb. Qhov kev kuaj mob tseem ceeb los kuaj mob yog echocardiogram . Qhov no kuj zoo li kev luam theej duab. Qhov no tuaj yeem pom tseeb tias cov qhov plawv puas ploj lawm, qhov loj ntawm cov chav, txoj kev ntshav ntws, thiab yog tias muaj lwm qhov.
Tsis tas li ntawd xwb, kuj tseem yuav ua kev kuaj duab X-ray hauv siab, kev kuaj ECG, thiab kev kuaj pulse oximetry los xyuas seb cov pa oxygen hauv cov ntshav muaj pes tsawg.
Cov kev kho mob yog dab tsi? Qhov no puas kho tau?
Txawm hais tias nws tsis tuaj yeem "kho tau tag nrho," ntau zaus phais mob tuaj yeem kho cov ntshav ntawm tus menyuam thiab cia lawv ua neej nyob li qub. Kev kho mob muaj ob ntu.
1. Tshuaj
Thaum tus me nyuam yug los, lawv tau txais tshuaj kom tus me nyuam ruaj khov mus txog thaum phais thawj zaug. Cov tshuaj tseem ceeb uas muab ntawm no yog Alprostadil . Cov tshuaj no qhib ib txoj hlab ntshav tshwj xeeb (Ductus Arteriosus) uas txhua tus me nyuam muaj thaum yug los thiab kaw ob peb hnub tom qab yug los. Qhov no tsim ib txoj kev ntxiv rau cov ntshav mus txog rau hauv lub ntsws. Qhov no yog ib qho kev cawm siav.
2. Kev phais mob
Tricuspid atresia kho tsis tau tsuas yog phais ib zaug xwb. Thaum tus me nyuam loj hlob tuaj, yuav tsum tau phais ntau zaus hauv ntau theem. Qhov no zoo li kev tsim ib lub tsev loj ib daim zuj zus.
Theem 1 (hauv ob peb lub lis piam thawj zaug ntawm lub neej): Qhov no cuam tshuam nrog kev tsim kom muaj cov ntshav ntws mus rau hauv lub ntsws. Qhov no yog ua los ntawm ib txoj kev kho mob hu ua BTT shunt . Qhov no cuam tshuam nrog kev ntxig ib lub raj me me ntawm cov hlab ntsha tseem ceeb thiab cov hlab ntsha uas nqa cov ntshav mus rau hauv lub ntsws.
Theem 2 - Kev Kho Mob Glenn: Kev kho mob no yog ua thaum tus menyuam muaj li ntawm 4-6 lub hlis. Ntawm no, cov ntshav uas tsis muaj oxygen los ntawm lub cev sab saud raug xa mus rau lub ntsws ncaj qha, hla lub plawv.
Theem 3 - Kev Kho Mob Fontan: Kev kho mob kawg no yog ua thaum tus menyuam muaj li ntawm 2-4 xyoos. Ntawm no, cov ntshav uas tsis muaj oxygen los ntawm lub cev qis dua raug xa mus rau lub ntsws ncaj qha. Tom qab kev kho mob no, kev sib xyaw ntawm cov ntshav uas muaj oxygen thiab cov ntshav uas tsis muaj oxygen hauv lub plawv yuav luag nres tag.
Yog tias cov kev phais no tsis ua tiav lossis yog tias lub plawv qaug zog zuj zus, kev hloov plawv yog qhov kev xaiv kawg.
Yog muaj qhov xwm txheej no, yav tom ntej ntawm kuv tus menyuam yuav zoo li cas?
Qhov no yog qhov teeb meem loj tshaj plaws rau txhua tus niam txiv.
Yog tsis kho, feem ntau cov menyuam mos uas muaj tus mob no yuav tuag ua ntej lawv hnub yug ib xyoos. Txawm li cas los xij, yog tias phais raws sijhawm, feem ntau ntawm cov menyuam no yuav ciaj sia mus txog thaum lawv loj hlob.
Cov kev tshawb fawb qhia tau tias tom qab phais mob Fontan, qhov nruab nrab ntawm lub neej yuav ntev li ntawm 35-40 xyoo. Txawm li cas los xij, yuav tsum tau mus ntsib kws kho mob plawv tas li thoob plaws lub neej.
Kev Ua Si: Feem ntau cov menyuam yaus tuaj yeem koom nrog cov dej num ib txwm muaj. Txawm li cas los xij, kev ua si sib tw thiab kev ua si hnyav heev yuav tsum tau txwv. Tham nrog koj tus kws kho mob txog qhov no.
Lwm yam teeb meem kev noj qab haus huv: Ua ntej qee cov txheej txheem kho mob, xws li rho hniav, koj yuav tsum tau noj tshuaj tua kab mob kom tiv thaiv kev kis kab mob plawv.
Kev Kawm: Tej zaum ib txhia menyuam yuav muaj teeb meem kev kawm lossis kev tsis mloog zoo (ADHD). Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no thiab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
Tricuspid atresia yog ib yam kab mob plawv loj heev tab sis kho tau. Nws tsis yog koj qhov txhaum.
Kev kuaj mob thaum ntxov thiab kev phais mob raws sijhawm yog qhov tseem ceeb rau lub neej ntawm tus menyuam.
Cov menyuam no yuav tsum tau mus ntsib kws kho mob plawv tas mus li.
Feem ntau cov menyuam yaus tuaj yeem ua neej zoo thiab nquag tom qab phais. Tsis txhob tso tseg kev cia siab.
Tham nrog koj tus menyuam tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj. Lawv yeej ib txwm npaj pab koj.
Tricuspid Atresia, Kab Mob Plawv Thaum Yug Los, Kab Mob Plawv Rau Me Nyuam Yaus, Yug Los Ntawm Xim Xiav, Cyanosis, Fontan Procedure, Glenn Procedure
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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Cov tsos mob	Piav qhia yooj yim xwb
Xim xiav ntawm daim tawv nqaij thiab daim di ncauj (Cyanosis)	Cov tsos mob tseem ceeb yog daim tawv nqaij, daim di ncauj, thiab cov rau tes hloov xim xiav lossis ntshav, vim tias lub cev tsis tau txais cov ntshav oxygen txaus.
Ua pa nyuaj (Dyspnea)	Tus me nyuam ua pa sai heev thiab zoo li nws nyuaj siab ua pa.
Qhov nyuaj thiab qaug zog thaum pub niam mis	Tus me nyuam mos nkees tom qab haus me ntsis mis nyuj, tsis haus ib nrab lawm, lossis hws thaum haus.
Kev loj hlob qeeb	Txawm tias tus me nyuam haus mis ntau los xij, nws yuav tsis nce phaus zoo.
Lub suab plawv tsis zoo li qub (Heart Murmur)	Thaum tus kws kho mob tab tom kuaj lub plawv nrog lub stethoscope, nws hnov lub suab plawv ntxiv.