Kodi mwana wanu akusanduka buluu mwadzidzidzi? Ikhoza kukhala Tetralogy of Fallot.

Kodi munayamba mwachitapo mantha mwana wanu akasanduka buluu mwadzidzidzi? Kapena amavutika kupuma akamayamwitsa, akulira, kapena akutembenuka? Ndizachilendo kuti mayi kapena bambo aliyense azichita mantha akaona zinthu ngati izi. Lero tikulankhula za Tetralogy of Fallot , matenda a mtima obadwa nawo omwe angayambitse zizindikiro ngati izi. Ngakhale dzinalo lingamveke lovuta pang'ono, tiyeni tifotokoze mwachidule.

Kodi Tetralogy of Fallot ndi chiyani kwenikweni?

Mwachidule, Tetralogy of Fallot ndi kuphatikiza kwa zilema zinayi za mtima zomwe zimapezeka pobadwa. Zimatchedwanso matenda a mtima obadwa nawo. Ndi vuto lomwe limachitika panthawi yomwe mtima ukukula pamene mwana akukula m'mimba. Izi zimapangitsa kuti magazi ofiira (magazi ofiira) azikhala ochulukirapo komanso magazi opanda mpweya (magazi abuluu). Kenako magazi osakanikiranawa amapopedwa ndi mtima kupita ku thupi. Zotsatira zake, ziwalo m'thupi sizilandira mpweya wokwanira. Mu zamankhwala, timatcha vutoli hypoxemia . Kuti timvetse bwino izi, tiyeni tiwone momwe mtima wathanzi umagwirira ntchito.

Momwe mtima wathanzi umagwirira ntchito

Tangoganizani kuti mtima wathu uli ngati nyumba yokhala ndi zipinda zinayi. Pali zipinda ziwiri pamwamba (atria) ndi zipinda ziwiri zazikulu pansi (ventricles). Pali mavavu pakati pa zipinda izi, monga zitseko. Mbali zakumanja ndi zakumanzere za mtima zimalekanitsidwa ndi khoma (septum). 1. Mbali yakumanja: Magazi abuluu omwe thupi silinawo mpweya, amalowa mu atrium yakumanja kudzera mu vena cava yapamwamba ndi inferior vena cava. 2. Kuchokera pamenepo, magazi amadutsa mu valavu (tricuspid valve) kupita mu ventricle yakumanja. 3. Kuchokera mu ventricle yakumanja, magazi abuluu awa amapopedwa kudzera mu valavu ina (pulmonic valve) kupita mu mtsempha waukulu (pulmonary artery) womwe umapita ku mapapo. 4. Mkati mwa mapapo: Magazi awa amangolandira mpweya watsopano, kukhala magazi ofiira enieni. 5. Mbali yakumanzere: Magazi ofiira awa olemera mu oxygen amabwerera ku atrium yakumanzere ya mtima. 6. Kuchokera pamenepo, amadutsa mu valavu (mitral valve) kupita ku ventricle yakumanzere. 7. Pomaliza, magazi ofiira ochokera kumanzere kwa ventricle amapopedwa kudzera mu mtsempha waukulu kwambiri wa thupi (aorta) kupita ku thupi lonse. Umu ndi momwe ziwalo zathu zimapezera mpweya womwe zimafunikira kuti zikhale ndi moyo.

Zolakwika zinayi zomwe zimachitika mu Tetralogy of Fallot ("Tetralogy")

Mumtima mwa mwana yemwe ali ndi Tetralogy of Fallot, pali zolakwika zinayi zazikulu zomwe zimasintha njira yachibadwa yomwe takambiranayi.

Kodi n’chiyani chimayambitsa vutoli?

Chifukwa chenicheni cha izi sichinadziwikebe. Ndi vuto lomwe limachitika pamene ziwalo za mtima zikupangika msanga mwana akamakula m'mimba. Si vuto lanu, komanso si chinthu chomwe munachita panthawi ya mimba. Choncho musamadzimve mlandu.

Kodi mwana wanu alinso ndi zizindikiro izi?

Ana ambiri omwe ali ndi Tetralogy of Fallot amasonyeza zizindikiro mkati mwa chaka choyamba cha moyo wawo.

• Buluu (Cyanosis):Ichi ndiye chizindikiro chachikulu. Milomo, lilime, khungu, ndi misomali ya mwana zimasintha mtundu kukhala wabuluu kapena wofiirira.
• "Maulosi a Tet / Hypercyanosis": Ichi ndi chinthu chofunikira kwambiri. Mwana akamalira, akamwa mkaka, akuyesera kupita kuchimbudzi, kapena akadzuka m'mawa, mwadzidzidzi amatha kusintha mtundu wabuluu, amavutika kupuma, komanso amakhala osakhazikika. Nthawi zina amatha kutaya chikumbumtima. Matendawa amatha kukhala kwa mphindi zochepa mpaka maola angapo.
• Kuvuta kupuma : Mwana amatopa msanga ndipo amagona akathamanga ndikusewera.
• Kugona pansi: Mwana wamng'ono akatopa ndi kusewera, mwadzidzidzi amakhala pansi ndi mawondo awo atakokedwa pachifuwa. Izi mosadziwa zimawonjezera kuchuluka kwa magazi omwe amapita m'mapapo awo, zomwe zimapangitsa kuti kupuma kukhale kosavuta.
• Kulephera kukula: Kulemera kwa mwana, kukula, ndi chitukuko chake kungakhale kochedwa poyerekeza ndi ana ena.

Kodi muyenera kufunsa upangiri wa dokotala liti?

Musaphonye chipatala cha mwana wanu pamwezi. Dokotala amatha kuzindikira mavutowa akamamufufuza mwana wanu. Ngati muli ndi zizindikiro zotsatirazi, pitani kwa dokotala nthawi yomweyo.

• Ngati khungu ndi milomo ya mwana zisintha kukhala zabuluu.
• Ngati mukuvutika kupuma .
• Ngati mwatopa mukamayamwitsa kapena kulira.
• Ngati mukuona kuti kukula kwanu kukuchepa.

Ngati pachitika zadzidzidzi zotsatirazi, pitani naye munthuyo ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo:

• Chilembo cha Tet
• N'kovuta kwambiri kupuma.
• Kugwidwa ndi khunyu
• Kukomoka
• Kutopa kwambiri kapena kufooka

Kodi matendawa amapezeka bwanji? (Mayeso ndi Kuzindikira)

Dokotala wanu adzamuyesa mwana, adzamvetsera kugunda kwa mtima, ndipo ngati pali kukayikira kulikonse, adzakutumizani kuti akayesedwe kangapo.

• X-ray ya pachifuwa: Izi zimayang'ana mawonekedwe a mtima. Mu Tetralogy of Fallot, mtima ungawoneke ngati "wofanana ndi buti" chifukwa ventricle yakumanja imakulitsidwa.
• Electrocardiogram ( ECG ): Kuyeza kosapweteka komwe kumayesa momwe magetsi a mtima amagwirira ntchito.
• Echocardiogram (Echo):Iyi ndi njira yoyesera yofunika kwambiri komanso yolondola. Ili ngati scan. Imatha kuona bwino chilichonse chomwe chili mumtima, monga zipinda, ma valve, mabowo ( VSD ), ndi kuchepa (PS).
• Kukonza Catheterization ya Mtima: Nthawi zina, mayesowa amachitika opaleshoni isanachitike kuti ayeze kuthamanga kwa mtima ndi kuchuluka kwa mpweya, komanso kuti aone bwino kapangidwe ka mitsempha. Mu mayesowa, chubu chaching'ono chimadutsa m'mitsempha yomwe ili m'mimba kupita kumtima.

Kodi mankhwala ake ndi otani?

Chithandizo chokhacho chokhazikika cha Tetralogy of Fallot ndi opaleshoni .

Kodi mumatani ngati mwalandira "Tet Spell"?

Ngati mwana wanu mwadzidzidzi asintha kukhala wabuluu kwambiri, ndikofunikira kwambiri kukhala chete . 1. Ikani mwanayo chagada, mawondo ake akukokedwa pachifuwa (kuyambira bondo mpaka pachifuwa) . 2. Pita naye kuchipatala nthawi yomweyo. Kuchipatala, mwanayo adzapatsidwa mpweya ndi mankhwala monga propranolol kuti achepetse "matenda a tet".

Opaleshoni

Nthawi yochitira opaleshoni imadalira kukula kwa zizindikiro za mwana. Opaleshoni nthawi zambiri imachitika mkati mwa zaka ziwiri zoyambirira za moyo wake.

• Opaleshoni Yochepetsa Kupweteka kwa Mtima (Blalock-Taussig shunt): Ana ena ndi ang'onoang'ono kwambiri kapena ofooka ndipo sangathe kupirira opaleshoni yonse. Zikatero, kulumikizana pang'ono kofanana ndi chubu kumapangidwa pakati pa mtsempha wamagazi m'thupi ndi mtsempha wamagazi m'mapapo kuti magazi ambiri apite m'mapapo. Izi zingathandize mwana kukula pang'ono komanso kukhala wamphamvu.
• Opaleshoni Yokonza Zonse: Pa opaleshoni iyi, dzenje mumtima (VSD) limatsekedwa ndi chigamba, ndipo njira yopapatiza yopita ku mapapo (PS) imakulitsidwa. Pambuyo pa opaleshoni iyi, magazi mumtima amabwerera mwakale.

Ndi kupita patsogolo kwa ukadaulo wazachipatala masiku ano, opaleshoni iyi yapambana kwambiri.

Pambuyo pa opaleshoni...

Pambuyo pa opaleshoni yopambana, ana ambiri amatha kukhala moyo wabwinobwino popanda zizindikiro kapena zolepheretsa zilizonse. Amatha kupita kusukulu, kusewera, kugwira ntchito mtsogolo, ndikukwatira. Komabe, ngakhale atachitidwa opaleshoni, ndikofunikira kuti azitsatiridwa nthawi zonse ndi dokotala m'miyoyo yawo yonse. Nthawi zina, kusintha kwa kayendedwe ka mtima (arrhythmias) kumatha kuchitika, kotero ndikofunikira kuti aziwunikanso nthawi zonse. tetralogy ya fallot, matenda a mtima, ana, blue baby, cyanosis, tet spells, zilema zobadwa nazo, vuto la mtima wobadwa nalo, dzenje mumtima, VSD