Xa ujonga umntwana wakho osandul’ ukuzalwa, ngaba ukhe waphawula ukuba imilebe yakhe kunye neminwe yakhe iluhlaza okwesibhakabhaka? Ngaba ubonakala ediniwe kakhulu, ebila, kwaye elele emva kokuncancisa? Kuqhelekile ukuba umama okanye utata azive esoyika kakhulu xa ebona ezi zinto. Ngamanye amaxesha, emva kwezi mpawu, kunokubakho isifo sentliziyo esingaqhelekanga esibizwa ngokuba yiTruncus Arteriosus. Musa ukoyika xa usiva eli gama. Masithethe ngale nto ngokulula nangokucacileyo.
Kalula nje, yintoni le Truncus Arteriosus?
Oku kungabonakala kunzima ukukuqonda, kodwa kulula kakhulu. Khawuthelekelele ukuba umntwana osempilweni unemithambo yegazi emibini ephambili (imithambo yegazi) ephuma entliziyweni yakhe.
1. Umthambo Wemiphunga: Lo mzimba uthwala igazi "elingcolileyo" elinamazinga aphantsi eoksijini ukusuka entliziyweni ukuya emiphungeni. Imiphunga ifumana ioksijini kweli gazi.
2. I-Aorta: Le yiyo ethwala igazi "elicocekileyo" eliye lafakwa ioksijini lisuka emiphungeni libuyela entliziyweni, lize liphampelwe emzimbeni wonke.
Uyaqonda ngoku? Kufana neendlela ezimbini. Enye iya emiphungeni, enye iya emzimbeni.
Nangona kunjalo, kumntwana oneTruncus Arteriosus , le mithambo yegazi mibini ithathelwa indawo ngumthambo wegazi omnye omkhulu kuphela. Oku kubangela ukuba igazi elinomoya-mpilo kunye negazi elinomoya-mpilo zixubane.
Eli gazi lixutyiweyo liya emzimbeni wonke womntwana. Oku kufana nokuxuba i-parafini encinci nepetroli uze uyipompe emotweni. Injini ivakala inzima kakhulu, akunjalo? Yiyo loo nto intliziyo nemiphunga yomntwana kufuneka ithwale umthwalo omkhulu kunye nomzamo omkhulu.
Ngenxa yesi sizathu, oogqirha bacinga ukuba oku kusisiphene sentliziyo esinzulu kakhulu . Le meko kufuneka ilungiswe ngotyando emva nje kokuba umntwana ezelwe.
Ndingayazi njani ukuba umntwana wam unale meko?
Ezi mpawu zihlala ziqala ukubonakala kwiintsuku zokuqala emva kokuba umntwana ezelwe. Kufuneka ulumke kakhulu ngale nto.
| Uphawu | Inkcazo |
|---|---|
| Ulusu oluluhlaza okwesibhakabhaka okanye olungwevu (iCyanosis) | Imilebe yomntwana, iiminwe zakhe, kunye nezinzipho, ingakumbi ezijikeleze umlomo, zijika zibe luhlaza okwesibhakabhaka. Oku kungenxa yokuncipha komthamo weoksijini egazini eliya emzimbeni. |
| Ubunzima bokuphefumla | Usana luphefumla ngokukhawuleza kakhulu. Kusenokubonakala ngathi isifuba siya ngaphakathi xa luphefumla. |
| Ubunzima bokusela ubisi | Ndiziva ndidiniwe emva kokusela ubisi. Ndiyabila xa ndisela ubisi, okanye ndilale. |
| Ukulala kakhulu | Usana luhlala lulele. Alunamdla wokudlala okanye wokuzilolonga. |
| Ukungatyebi | Nokuba umntwana usela ubisi ngokufanelekileyo, ubunzima bakhe abuyi kunyuka ngokwesiqhelo. |
| Ukubetha kwentliziyo ngokukhawuleza kunye nokubetha kwentliziyo okubuthathaka | Xa ubeka isandla sakho esifubeni somntwana, isantya sentliziyo sisenokuvakala ngokukhawuleza. Intliziyo isenokuba buthathaka. |
Ukuba ubona naziphi na ezi mpawu, thatha umntwana wakho umse kugqirha ngokukhawuleza . Musa ukulibazisa.
Kutheni le meko isenzeka kumntwana?
Ixesha elininzi, noogqirha abakwazi ukusho ngqo ukuba kutheni oku kusenzeka kwezinye iintsana. Kodwa isizathu esiphambili kukuba kukho isiphene esenzeka xa intliziyo ikhula ngexesha lokukhula komntwana esibelekweni sikanina. Ezo mithambo yegazi mibini sithethe ngayo ngaphambili iqhagamshelwe ekuqaleni. Kamva, yahlukana yaba mibini. Kwimeko enjalo, ukwahlukana akwenzeki kakuhle.
Esi siphene sentliziyo sinokunxulunyaniswa neemeko ezithile zemfuza, ezifana ne -DiGeorge syndrome , kwaye sisenokuba nokwenzeka kancinci ngenxa yezizathu ezithile zomngcipheko umama ajongene nazo ngexesha lokukhulelwa.
Izinto ezinobungozi ngexesha lokukhulelwa
- Umama onesifo seswekile
- Ukuphuhlisa usulelo oluthile lwentsholongwane, olufana ne -rubella
- Ukusetyenziswa kotywala okanye iziyobisi
- Iyingozi kwiintsana ezifana nelotheUkuvezwa kwiikhemikhali ezinobungozi
Oogqirha bayifumana njani le nto?
Ngamanye amaxesha, oku kunokukrokrelwa ngexesha lovavanyo oluqhelekileyo olwenziwa esibhedlele emva kokuba umntwana ezelwe. Ukuba uvavanyo lwe-pulse oximetry , olulinganisa amanqanaba eoksijini yomntwana, lubonisa amanqanaba aphantsi eoksijini, oogqirha baya kwenza olunye uvavanyo.
Uvavanyo oluphambili lokuqinisekisa esi sifo yi -echocardiogram . Olu luvavanyo lwentliziyo. Oku kukuvumela ukuba ubone ngokucacileyo imo yentliziyo, indawo ekuyo imithambo yegazi, kunye nendlela igazi elihamba ngayo.
Ngamanye amaxesha, ukuba ugqirha ubona naziphi na iingxaki entliziyweni ngexesha le-ultrasound yokukhulelwa, unokucebisa i- echocardiogram ye-fetal , ejonga ngokukodwa intliziyo yomntwana.
Ziziphi iindlela zonyango zoku? Ngaba utyando luyimfuneko?
Ewe. Le meko ayinakunyangwa ngamayeza odwa. Kubalulekile ukuba umntwana enze utyando lwentliziyo kwiiveki zokuqala ezimbalwa emva kokuzalwa. Le yinto eyenziwayo ukusindisa ubomi bomntwana.
Utyando oluphambili lwale nto lubizwa ngokuba yiRastelli repair . Kule meko, oogqirha benza oku kulandelayo:
- Umngxuma oseludongeni lwentliziyo (i-`VSD`) uvalwa nge-patch.
- I-aorta entsha yenziwa kusetyenziswa umthambo wegazi omkhulu okhoyo (`truncus`).
- Kusetyenziswa umbhobho kunye nevalvu yokwenziwa, kwenziwa umthambo omtsha wemiphunga ukuze uthwale igazi liye emiphungeni.
Ngamafutshane, oogqirha bayakha kwakhona imithambo emibini engekhoyo entliziyweni. Nangona olu lutyando oluntsonkothileyo kakhulu, oogqirha abanobuchule botyando lwentliziyo eSri Lanka balwenza ngempumelelo olu tyando.
Into ebalulekileyo kukuba njengoko umntwana ekhula, umjelo wokwenziwa (`umjelo`) awukhuli mkhulu. Ke ngoko, kuya kufuneka wenze utyando olunye okanye ngaphezulu kwixesha elizayo ukuze uwutshintshe njengoko umntwana ekhula. Ugqirha wakho uza kukuxelela okungakumbi ngale nto.
Ngaba umntwana angasinda na xa enale meko?
Lo mbuzo mhlawumbi ngowona woyikiso olukhulu engqondweni yakho. Impendulo ithi, ewe, ngokuqinisekileyo kunokwenzeka. Kodwa kuphela xa utyando. Ukuba awunyangwanga, kukho umngcipheko omkhulu kubomi bomntwana kunyaka wokuqala.
Nangona kunjalo, amazinga okusinda emva kotyando ngoku aphezulu kakhulu. Ngokwedatha yamva nje, izinga lempumelelo yotyando liphezulu ukuya kuthi ga kwi-80% ukuya kwi-97% . Umntwana ophilile kakuhle kunyaka emva kotyando unethuba elingaphezulu kwe-92% lokusinda ade abe neminyaka engama-20 ubudala.
Musa ukoyika ezi zibalo. Umntwana ngamnye wahlukile. Ikamva lomntwana wakho alixhomekekanga kwezi zibalo. Eyona nto ibalulekileyo kukunika umntwana wakho unyango aludingayo kunye nothando lwakho kunye nenkathalo.
Banokuphila ubomi obuqhelekileyo, kodwa ngamanye amaxesha banokuziva bediniwe xa bebaleka bedlala njengabanye abantwana. Kodwa banokuya esikolweni, bafunde, baze benze umsebenzi wabo. Eyona nto ibalulekileyo kukuba phantsi kweliso likagqirha wentliziyo ubomi babo bonke .
Umyalezo Wokuya Ekhaya
- I-Truncus Arteriosus sisifo sentliziyo esinzulu, kodwa esinokunyangeka, esizalwa naso.
- Ukuba ubona iimpawu ezifana nokuba ulusu lomntwana wakho luba luhlaza okwesibhakabhaka, ukuba nobunzima bokuphefumla, okanye ukuba nobunzima bokuncancisa, bonana nogqirha ngokukhawuleza.
- Utyando lwentliziyo olwenziwe kwiiveki zokuqala emva kokuzalwa lubalulekile ukuze kusindiswe ubomi bomntwana.
- Kwanasemva kotyando, umntwana wakho uya kufuna ukulandelwa ngugqirha wentliziyo ubomi bakhe bonke.
- Usenokuvakalelwa kukuba olu hambo lunzima, kodwa awuwedwa. Fumana inkxaso kugqirha wakho, kubasebenzi besibhedlele, nakwabanye abazali abaye baba namava afanayo.
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