Masiqale sibone ukuba igazi lihamba njani entliziyweni?
Ngamafutshane, intliziyo yethu ifana nendlu enamagumbi amane. Icala lasekunene lale ndawo kulapho igazi elisetyenziswe ngumzimba wonke, elilahlekelwe yioksijini, liqokelela khona. Emva koko intliziyo ithumela eli gazi emiphungeni. Cinga ngalo njengokulithumela kwisikhululo seenkonzo. Kusemiphungeni apho kongezwa khona ioksijini entsha kweli gazi, njengokufaka ipetroli emotweni. Kwangaxeshanye, igesi yekhabhoni dayoksayidi egazini iyasuswa . Ngoku eli gazi licocekileyo, lizele yioksijini libuyela kwicala lasekhohlo lentliziyo. Ukusuka apho, intliziyo isasaza eli gazi emzimbeni wonke. Oku kuncedwa ngumthambo omkhulu wegazi obizwa ngokuba yi -`(Aorta)` . Le yindlela igazi elihamba ngayo rhoqo:- Igazi elingenaoksijini lihamba liye kwicala lasekunene lentliziyo.
- Intliziyo ipompa elo gazi liye emiphungeni.
- Imiphunga izalisa igazi ngeoksijini kwaye isuse ikharbon diokside.
- Igazi elinomoya-mpilo omninzi lisuka emiphungeni liye kwicala lasekhohlo lentliziyo.
- Intliziyo ipompa eli gazi emzimbeni wonke.
Ziziphi iintlobo eziphambili zeCardiac Shunt?
Kukho iintlobo ezimbini eziphambili ze-`(Cardiac Shunt)`, ezahlulwe ngokwendlela igazi elihamba ngayo: 1. I-shunt esuka ekhohlo ukuya ekunene (i-shunt esuka ekhohlo ukuya ekunene / i-Acyanotic): Kule, igazi esele lifumene ioksijini, oko kukuthi, igazi elifanele liye emzimbeni lisuka kwicala lasekhohlo lentliziyo, livuza libuyele kwicala lasekunene liye emiphungeni. Kule , ngokuqhelekileyo akukho kwehla kwamanqanaba eoksijini (i-blueness) kwizigaba zokuqala. Eminye imizekelo yile:- I-Atrial Septal Defect (ASD): Umngxuma ophakathi kwamagumbi amabini aphezulu (i-atria) entliziyo.
- I-Ventricular Septal Defect (VSD): Umngxuma ophakathi kwamagumbi amabini asezantsi (amagumbi) entliziyo.
- I-Patent Ductus Arteriosus (PDA): Umthambo wegazi okhoyo esibelekweni kwaye omele uvale emva kokuzalwa, uhlala uvulekile.
- I-Atrioventricular Septal Defect: Ingxaki enzima kwiindonga eziphakathi kwe-atria kunye ne-ventricles.
- `(I-Total/Partial Anomalous Pulmonary Venous Return - TAPVR/PAPVR)`:Ukudibana okungalunganga komthambo wegazi (umthambo wemiphunga) ozisa ioksijini esuka emiphungeni ukuya entliziyweni.
- I-Tetralogy of Fallot: Le yindibaniselwano yeziphene ezine zentliziyo.
- Ukutshintshwa kweMithambo Emikhulu: Indawo yemithambo yegazi emibini ephambili ethwala igazi ukusuka entliziyweni ukuya emzimbeni nasemaphaphu ijikile.
- I-Pulmonary Atresia: Ivalvu ethwala igazi ukuya emiphungeni (ivalvu yepulmonary) ayenziwanga kakuhle.
- I-Eisenmenger Syndrome: I-shunt eyayiqala ukusuka ekhohlo ukuya ekunene ekugqibeleni ijika ukusuka ekunene ukuya ekhohlo.
- I-Hypoplastic Left Heart Syndrome ( HLHS ): Icala lasekhohlo lentliziyo alikhuli kakuhle.
- `(I-Double Outlet Ekunene Ventricle)`
- `(Ukukhubazeka kwemithambo yegazi yemiphunga)`
- `(Truncus Arteriosus)`
Zixhaphake kangakanani ezi meko (zeCardiac Shunt)?
Enyanisweni, le `(Cardiac Shunt)` yeyona hlobo luqhelekileyo lwesiphene sentliziyo esizalwa naso . Ngokomyinge , malunga nesinye kwi-100 usana lunokuba nohlobo oluthile lwesiphene sentliziyo esizalwa naso.Zithini izizathu ze (Cardiac Shunt)?
Ngamanye amaxesha oku kunokubangelwa yi -genetic component . Oko kukuthi, kunokubangelwa lutshintsho (`(Mutation)`) kwi-gene ethile. Umzekelo, malunga nesiqingatha sabantu abane -`(Down Syndrome)` banohlobo oluthile lwe-`(Cardiac Shunt)`. Kwakhona, izinto ezithile ezichaphazela umama ngexesha lokukhulelwa zinokunyusa umngcipheko wokuba umntwana akhulele kwi-`(Cardiac Shunt)`.- Umama unesifo seswekile ngexesha lokukhulelwa (``(Isigulo seswekile sokukhulelwa``)`` ( isifo seswekile ngexesha lokukhulelwa).
- Ukusetyenziswa kakhulu kwe- " Ibuprofen " okanye i-vitamin A.
- Umkhuhlane (umkhuhlane) .
- Ukusetyenziswa kwentsangu .
- I-Rubella (iMasisi yaseJamani)
Khawucinge nje, ukuba umama ujongene nento efana nale ngexesha lokukhulelwa, inokuba nefuthe elincinci ekukhuleni kwentliziyo yomntwana. Yiyo loo nto kubalulekile ukuba ulumke kakhulu ngexesha lokukhulelwa.
Ziziphi iimpawu zeCardiac Shunt?
Iimpawu zingahluka kakhulu. Ii-shunt ezisuka ekhohlo ziye ekunene zihlala zingabonwa de kube lixesha lokufikisa okanye lokuba ngumntu omdala . Ukuba iimpawu ziyenzeka, zingabandakanya:- Ubunzima bokuphefumla (i-Dyspnea) .
- Ukudinwa msinya, ukungakwazi ukuzilolonga.
- Uphawu oluphambili kukukhanya okuluhlaza okwesibhakabhaka kolusu lomntwana (i-cyanosis) .
- Iminwe okanye iinzipho ezineengalo .
- Ukukhohlela igazi (iHemoptysis) .
- Usana alutyebi kakuhle .
- Ubunzima bokuphefumla (i-Dyspnea) .
- Usulelo oluqhelekileyo.
Ufumanisa njani ukuba une-(Cardiac Shunt)?
Ukuba ugqirha ukrokrela ukuba i-cardiac shunt iyasebenza, banokwenza iimvavanyo ezininzi, ezifana nezi:- Uvavanyo lwegazi : Khangela utshintsho kwiiseli ezibomvu zegazi.
- Uvavanyo lwemifanekiso: Thatha i -X-ray yesifuba okanye i-CT scan ukuze ujonge utshintsho kwimo yentliziyo.
- I-Echocardiogram: Oku kufana ne-ultrasound scan yentliziyo. Inokujonga ulwakhiwo lwentliziyo , indlela esebenza ngayo, indlela ehamba ngayo, kunye nokuba kukho imingxunya na. Olu luvavanyo olubaluleke kakhulu.
- I-Electrocardiogram - EKG: Ukujonga umsebenzi wombane wentliziyo kunye nokufumanisa iimeko ezifana ne-Pulmonary Hypertension.
- Ukulungiswa kweCatheterization yentliziyo: Olu vavanyo lulinganisa uxinzelelo ngaphakathi kwigumbi ngalinye lentliziyo. Lungasetyenziselwa ukugqiba ukuba ngaba utyando luyadingeka okanye ukunceda ekuqinisekiseni ukuba utyando sele lucetyisiwe.
Iphathwa njani iCardiac Shunt?
Unyango luxhomekeke kwiimpawu kunye nobunzima bemeko. Ezinye ii-shunt ezincinci zinokuphola ngokwazo ngaphandle konyango. Kwi-shunt ezinkulu, oogqirha banokwenza utyando ukulungisa indlela yokopha . Ezinye iindlela zotyando eziqhelekileyo ziquka:- `(Inkqubo yaseNorwood)`: Olu lutyando lwentliziyo oluvulelekileyo oludla ngokwenziwa kwiintsana ezisandul’ ukuzalwa. Apha, oogqirha benza i-`(Aorta)` enkulu baze batshintshe indlela yokuhamba kwegazi. Emva kotyando, i-ventricle yasekunene iyakwazi ukwenza umsebenzi wayo wokupompa igazi emzimbeni.
- `(Inkqubo kaGlenn)`: Ugqirha utshintsha indlela yokuhamba kwegazi aze aqondise igazi elisuka emzimbeni ngqo emiphungeni.
- `(Inkqubo yeFontan)`: Kule nkqubo, ukuhamba kwegazi kuyatshintshwa kwaye igazi elingenaoksijini lithunyelwa ngqo emiphungeni. Emva kotyando, igazi elineoksijini liya ngqo kwelinye lamagumbi entliziyo. Oku kuthintela ukudibana kwegazi elingenaoksijini nelineoksijini kwiindawo zentliziyo.
Ngaba iCardiac Shunt ingathintelwa?
Akukho ndlela iqinisekileyo yokuthintela i-cardiac shunt. Nangona kunjalo, ukuba ukhulelwe, ungalandela imikhwa enempilo ukuze wandise amathuba akho okuba nomntwana osempilweni:- Ziphephe izinto ezinobungozi: Ziphephe utywala, icuba, iziyobisi ezingekho mthethweni, kunye ne-caffeine eninzi.
- Yitya ukutya okunesondlo: Kuphephe ukutya okunokwandisa umngcipheko wokosuleleka, njengenyama engaphekwanga kakuhle, iintlobo ezithile zetshizi, kunye neemveliso zezilwanyana ezingagayiwanga.
- Zilolonge rhoqo .
- Fumana zonke izitofu zokugonya njengoko ugqirha wakho ekucebisa, kuquka nomgomo womkhuhlane.
- Lala ubuncinane iiyure ezisixhenxe ukuya kwezisibhozo ngobusuku. Zama ukulala ngecala lakho lasekhohlo ukuze uphucule ukujikeleza kwegazi.
- Thatha iivithamini zokukhulelwa kunye nezinye izongezo zesondlo njengoko ugqirha wakho eyalele.
Injani imeko yomntu one-(Cardiac Shunt)?
Oku kuyahluka kakhulu ngokuxhomekeke kuhlobo kunye nobunzima be-`(Cardiac Shunt)`. I-`(Cardiac Shunt)` enkulu okanye enzima ifuna unyango ukuthintela iingxaki. Ezinye iintlobo zinokufuna unyango lotyando kwiiveki ezimbalwa zokuzalwa . Ukuba une-`(Pulmonary Hypertension)` enzima, kunokwenzeka ukuba udinge utyando lwentliziyo okanye ube neengxaki. Kwiimeko ezininzi, ii-shunts ezingachaphazeli kakhulu inqanaba leoksijini egazini azibangeli iingxaki ezinkulu. Zisenokungabonakalisi zimpawu okanye zifune naluphi na unyango.Yintoni enye ofuna ukuyibuza ugqirha wakho?
Ukuba wena okanye umntwana wakho une-"Cardiac Shunt", kulungile ukubuza ugqirha wakho ngale nto ilandelayo:- Loluphi uhlobo lwe-`(Cardiac Shunt)` olunalo umntwana wam/wam?
- Zeziphi iimvavanyo ekufuneka mna/umntwana wam ndizifumane ukuze ndifumanise oku?
- Ziziphi iindlela zonyango ezikhoyo?
- Ndingenza ntoni ukunciphisa umngcipheko weengxaki ezivela kule `(Cardiac Shunt)`?
- Ngawaphi amathuba okuba umntwana wam olandelayo abe ne-"Cardiac Shunt"?
- Yintoni esinokuyilindela kwixesha elizayo?
Okokugqibela, umyalezo oya ekhaya:
I-cardiac shunt yinto engaqhelekanga kwindlela igazi elihamba ngayo entliziyweni yakho. Ezi zinto zihlala zibangelwa zizinto zemfuza, kodwa ezinye zikwanxulumene nezinto ezichaphazela ukukhulelwa kwakho. Iimpawu ze-shunt zahlukile kakhulu. Ezinye iintlobo ze-shunt zineempawu ezimbalwa kakhulu okanye azinazo kwaphela. Ezinye zinzima kwaye zinokuba yingozi ebomini ukuba azinyangwa. Ukuba i-cardiac shunt inzima, ugqirha wakho unokwenza utyando ukudala indlela entsha yokuhamba kwegazi.Khumbula, ukuba wena okanye umntwana wakho ninayo nayiphi na kwezi mpawu, kubalulekile ukufuna ingcebiso kagqirha ngaphandle kokukhathazeka. Ukuxilongwa kwangoko kunye nonyango olufanelekileyo kunokukhokelela kwiziphumo ezilungileyo kakhulu.
I - Heart shunt, i-cardiac shunt, isifo sentliziyo sokuzalwa, ukujikeleza kwegazi, iimpawu zesifo sentliziyo, isifo sentliziyo sabantwana, utyando lwentliziyo











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