Kuqhelekile ukuziva usoyika kwaye wothukile xa umntwana wakho exelelwa ngugqirha ukuba unesiphene sentliziyo azalwa naso. Kodwa ungakhathazeki. Ukuba uyayazi kakuhle imeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yiCoarctation of the Aorta, ungamelana nayo ngempumelelo. Makhe sijonge ngokulula ukuba yintoni, kutheni isenzeka, kwaye yintoni enokwenziwa.
Yintoni i-Coarctation ye-Aorta (CoA)?
Ngamafutshane, i-Coarctation ye-Aorta (CoA) yimeko yentliziyo ezalwa nayo . Kwenzeka xa inxalenye ye-aorta, umthambo wegazi oyintloko othwala igazi elineoksijini ukusuka entliziyweni yethu ukuya kuwo wonke umzimba wethu, incipha . Igama elithi "coarctation" lithetha "ukuncipha."
Khawucinge ukuba bekuya kwenzeka ntoni ukuba umzila omnye wendlela uvalwe ngequbuliso ngexesha lokuxinana okukhulu kweemoto kwiColombo-Galle Road? Zonke izithuthi beziza kuqala ukuhamba, kwaye bekuya kubakho ukuxinana okukhulu kweemoto. Yiloo nto eyenzekayo xa omnye wemithambo yegazi emikhulu emzimbeni wethu uvalekile. Igazi aliyi kukwazi ukuhamba kakuhle.
Oku kuvimbeka kudla ngokuvela ngaphambi kokuba imithambo ethwala igazi iye kwiindawo ezisezantsi zomzimba yahlukane. Oku kubangela ukuba uxinzelelo lwegazi oluvela entliziyweni luye kwiindawo eziphezulu (iingalo, intloko) lunyuke, kwaye uxinzelelo oluvela egazini oluya kwiindawo ezisezantsi zomzimba (imilenze) lunciphe. Enyanisweni, lo mahluko mkhulu ugqirha aza kuwubona xa ejonga uxinzelelo lwegazi kwiingalo nemilenze yomntwana wakho yenye yeendlela eziphambili zokuchonga esi sifo.
Zithini iimpawu? Ngaba kukho umahluko phakathi kweentsana nabantwana abadala?
Iimpawu ziyahluka ngokuxhomekeke ekubeni ukuvaleka kukhulu kangakanani na. Ukuba ukuvaleka kukhulu kangakanani, umntwana usenokuqala ukubonisa iimpawu kwiveki okanye ezimbini emva kokuzalwa. Nangona kunjalo, ukuba ukuvaleka kuncinci kakhulu, iimpawu zisenokungabonakali de kube sekupheleni kobuntwana, okanye kwaphela.
| Iqela leminyaka | Iimpawu eziqhelekileyo |
|---|---|
| Iintsana ezisandul' ukuzalwa (Iintsana) |
|
| Abantwana kunye nabantu abadala |
|
Abanye abantwana basenokungaziboni iimpawu. Ngamanye amaxesha, okokuqala xa befumanisa le ngxaki kuxa ugqirha ejonga uxinzelelo lwegazi lwabo kwikliniki eqhelekileyo aze abone ukuba luphezulu.
Kutheni oku kusenzeka? Zithini izizathu?
Nangona unobangela ochanekileyo woku ungaziwa, oogqirha bakholelwa ukuba unento ethile yemfuza . Oku kuthetha ukuba utshintsho oluthile lwemfuza olwenzeka ngelixa umntwana esakhula esibelekweni lunokuthintela ukwakheka kwe-aorta ngokufanelekileyo.
Esinye isizathu esiphambili soku kukutshintsha kwendlela umthambo wegazi omncinci obizwa ngokuba yi-ductus arteriosus ovaleka ngayo.
Cinga ngale nto, xa umntwana esesibelekweni sikanina, imiphunga ayisebenzi. Emva koko kukho umthambo wegazi okhethekileyo onceda umntwana ukuba afumane ioksijini. Xa umntwana ezelwe aze aqalise ukuphefumla, lo mthambo awusafuneki, ngoko ke uvala ngokuzenzekelayo kwiintsuku ezimbalwa. Kodwa ngamanye amaxesha xa oku kuvala, ezinye zezicwili ezikuwo zinokutsalwa kwi-aorta, kwaye i-aorta inokunamathelana.
Ukongeza, iintsana ezineemeko ezithile zemfuza, ezifana ne -Turner syndrome, zisengozini enkulu yokuphuhlisa le meko ye-CoA.
Zeziphi iingxaki ezinokubakho ukuba azinyangwa?
Ukuba le meko ayifunyaniswanga kwaye ayinyangwa kwangethuba, iingxaki ezahlukeneyo zinokwenzeka ngokuhamba kwexesha.
- Uxinzelelo lwegazi oluphezulu (iHypertension) emzimbeni wonke.
- Ukuqina kakhulu kwemisipha yentliziyo (i-left ventricular hypertrophy) .
- Amafutha afakwa kwimithambo yegazi ehambisa igazi entliziyweni (isifo semithambo yegazi ye-coronary) ngaphambi kwexesha eliqhelekileyo.
- Ukudumba okufana nebhaluni (i-aneurysm) kwi-aorta okanye kwimithambo yegazi engqondweni.
- Imeko apho intliziyo ingakwazi ukupompa igazi elaneleyo(ukusilela kwentliziyo) kwenzeka.
Into ebalulekileyo kukuba uninzi lwezi ngxaki zenzeka kuphela xa isifo singafunyanwanga kwaye singanyangwa kwangethuba. Kungoko ke, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza.
Oogqirha bayixilonga njani ngokuchanekileyo le sifo?
Iingcali zentliziyo zabantwana zihlala zichonga esi sifo. Oku kwenziwa ikakhulu ngokuhlolwa komntwana ngokwasemzimbeni.
- Ukujonga umahluko kuxinzelelo lwegazi ezingalweni nasemilenzeni .
- Ukujonga ukubetha kwentliziyo entanyeni nasemiqolombeni.
- Isandi esivakalayo xa kufakwa i-stethoscope esifubeni nasemqolo sisandi esahlukileyo esiviwayo xa kufakwa i-stethoscope esifubeni nasemqolo.
Ukongeza, i -Echocardiogram (echo) , iskeni sentliziyo, iyenziwa ukuqinisekisa ukuxilongwa nokufumanisa ubungakanani bokuvaleka kwayo. Ngamanye amaxesha, iiskeni ze-CT okanye ze-MRI nazo zinokufuneka.
Ezinye izifo zentliziyo ezinokwenzeka ngale nto
Malunga ne-45% ukuya kwi-75% yeentsana ezine-CoA nazo zinemeko ebizwa ngokuba yi -bicuspid aortic valve . Oku kuthetha ukuba i-valve ethwala igazi ukusuka entliziyweni ukuya kwi-aorta inee-cusps ezimbini kuphela endaweni yezintathu. Ukongeza, iimeko ezifana nemingxunya entliziyweni (i-atrial septal defect okanye i-ventricular septal defect) nazo zinokubonakala kule meko.
Ziziphi iindlela zonyango?
Unyango lumiselwa ngokusekwe kubudala bomntwana, ubungakanani be-aortic stenosis, kunye nokuba kukho ezinye izifo zentliziyo.
Utyando
Unyango olungcono lweentsana nabantwana abancinci lutyando.
- Ukususwa kwenxeba nge-anastomosis ukusuka ekuqaleni ukuya ekupheleni: Oku kuquka ukusika iqhekeza elincinci lokuvaleka nokudibanisa kwakhona iindawo ezimbini eziphilileyo.
- Ukususwa kwakhona kwezicubu nge-anastomosis ende ukusuka ekuqaleni ukuya ekupheleni: Ukuba kukho ukuvaleka ecaleni kwegophe le-aorta, olu tyando lunzima ngakumbi lwenziwa.
Iintsana ezineempawu eziqatha ekuzalweni zinokufuna ukuba zinikwe amayeza anjenge- prostaglandin (PGE-1) ukuze zinzise imeko yomntwana ngaphambi kotyando.
Ukucoca Intliziyo
Le yindlela elula kuneyotyando. Le ndlela isetyenziswa ukuba ukuvaleka kuncinci, okanye ukuba ukuvaleka kuphinde kuvele emva kotyando.
- I-angioplasty yebhaluni: Isixhobo esincinci esifana nebhaluni sifakwa kwimithambo yegazi size sivuthelwe umoya ukuze sandise indawo evalekileyo.
- I-angioplasty yebhaluni enokubekwa kwe-stent: Umthambo ovalekileyo uyandiswa ngebhaluni, kwaye kufakwa ityhubhu encinci efana ne-mesh (stent) ngaphakathi ukuze ithintelwe ukuba ingavaleki kwakhona.
Liza kuba njani ikamva lomntwana wam?
Ngeendlela zokuxilongwa eziphambili kunye nonyango lwanamhlanje, umntwana one-CoA unokuphila ubomi obuqhelekileyo nobusempilweni. Nangona ngaphambili umyinge wobomi baba baguli wawumalunga neminyaka engama-35, ngoku banokuphila ubomi obusempilweni iminyaka engama-60 nangaphezulu.
Eyona nto ibalulekileyo kukuba, nokuba emva konyango, kufuneka uye kwikliniki yengcali yentliziyo ubomi bakho bonke.
Emva koko, Gqirha,
- Uxinzelelo lwegazi lomntwana lujongwa rhoqo.
- Uvavanyo olufana nokuskena lwenziwa ukujonga ukusebenza kwentliziyo.
- Inika iingcebiso malunga neendlela zokutya ezinempilo kunye nokuzilolonga.
- Unika amayeza ukuba kuyimfuneko.
Xa ufumanisa ukuba umntwana wakho unale meko, usenokuba nemibuzo emininzi. Usenokuzibuza ukuba kutheni oku kwenzekile. Khumbula rhoqo, oku akulona ityala lakho. Ugqirha wakho kunye neqela lezonyango baya kwenza konke okusemandleni abo ukukunceda wena nomntwana wakho. Ungathandabuzi ukubabuza imibuzo kwaye uthethe ngezinto oza kuzisoyikisa.
Umyalezo Wokuya Ekhaya
- Ukudibana kwe-Aorta (CoA) sisifo sentliziyo esizalwa naso apho umthambo wegazi omkhulu emzimbeni uvaleka khona.
- Iintsana ezisandul’ ukuzalwa zinokubonisa iimpawu ezifana nobunzima bokutya, ukozela kakhulu, kunye nobunzima bokuphefumla.
- Uphawu oluphambili lwesi sifo kukwahluka okukhulu koxinzelelo lwegazi phakathi kweengalo nemilenze.
- Asikuko oku okubangela ingxaki. Ungakhathazeki, bonana nogqirha.
- Le meko inokunyangeka ngempumelelo enkulu ngotyando kunye nezinye iindlela zonyango zanamhlanje.
- Nangona umntwana enokuphila ubomi obuqhelekileyo nobusempilweni emva konyango, ukutyelela iikliniki zonyango ubomi bakhe bonke kuyimfuneko.
Ukudibana kwe-Aorta Sinhala, Ukudibana kwe-Aorta, Isifo sentliziyo sokuzalwa, Isifo sentliziyo somntwana, Isifo sentliziyo sabantwana, Uxinzelelo lwegazi oluphezulu, Isiphene sentliziyo sokuzalwa Sinhala
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho