Uma ubheka ingane yakho esanda kuzalwa, uke waphawula ukuthi izindebe zayo neminwe yayo iluhlaza okwesibhakabhaka? Ingabe ibonakala ikhathele kakhulu, ijuluka, futhi ilala ngemva kokuncelisa? Kuvamile ukuthi umama noma ubaba azizwe esaba kakhulu uma bebona lezi zinto. Ngezinye izikhathi, ngemuva kwalezi zimpawu, kungase kube nesifo senhliziyo esingavamile esizalwa naso esibizwa ngokuthi iTruncus Arteriosus. Ungesabi uma uzwa leli gama. Ake sixoxe ngalokhu kalula nangokucacile.
Kalula nje, iyini le Truncus Arteriosus?
Lokhu kungase kubonakale kunzima ukukuqonda, kodwa kulula kakhulu. Cabanga ukuthi ingane enempilo inemithambo yegazi emibili eyinhloko (imithambo yegazi) ephuma enhliziyweni yayo.
1. Umthambo Wemithambo Yephaphu: Lokhu kuthwala igazi "elingcolile" elinamazinga aphansi omoya-mpilo lisuka enhliziyweni liye emaphashini. Amaphaphu athatha umoya-mpilo kuleli gazi.
2. I-Aorta: Yilokhu okuthwala igazi "elihlanzekile" eliye lafakwa umoya-mpilo lisuka emaphashini libuyele enhliziyweni, bese liphampulwa liyiswe emzimbeni wonke.
Uyaqonda manje? Kufana nemigwaqo emibili. Omunye uya emaphashini, omunye uya emzimbeni.
Kodwa-ke, enganeni ene- Truncus Arteriosus , le mithambo yegazi emibili ithathelwa indawo yimithambo yegazi eyodwa enkulu kuphela. Lokhu kubangela ukuthi igazi elinomoya-mpilo kanye negazi elinomoya-mpilo kuhlangane.
Leli gazi elixubile liya emzimbeni wonke wengane. Lokhu kufana nokuxuba uphethiloli omncane nophethiloli bese uwufaka emotweni. Injini izwakala inzima kakhulu, akunjalo? Yileyo ndlela inhliziyo namaphaphu amancane engane okufanele athwale ngayo umthwalo omkhulu kanye nomzamo omkhulu.
Ngenxa yalesi sizathu, odokotela babheka lokhu njengesifo senhliziyo esibi kakhulu esizalwa naso . Lesi simo kumele silungiswe ngokuhlinzwa ngokushesha ngemva kokuzalwa komntwana.
Ngingazi kanjani ukuthi ingane yami inalesi simo?
Lezi zimpawu zivame ukuqala ukuvela ezinsukwini ezimbalwa zokuqala ngemva kokuzalwa komntwana. Kufanele uqaphele kakhulu ngalokhu.
| Isibonakaliso | Incazelo |
|---|---|
| Isikhumba esiluhlaza okwesibhakabhaka noma esimpunga (i-Cyanosis) | Izindebe zomntwana, iminwe yakhe, kanye nezinzipho, ikakhulukazi emlonyeni wakhe, ziphenduka zibe luhlaza okwesibhakabhaka. Lokhu kungenxa yokwehla kwenani lomoya-mpilo egazini eligeleza emzimbeni. |
| Ubunzima bokuphefumula | Ingane iphefumula ngokushesha okukhulu. Kungase kubonakale sengathi isifuba siya ngaphakathi lapho iphefumula. |
| Ubunzima bokuphuza ubisi | Ngizizwa ngikhathele ngemva kokuphuza ubisi. Ngiyajuluka ngenkathi ngiphuza ubisi, noma ngilale. |
| Ukulala ngokweqile | Ingane ihlala ilele. Ayinasithakazelo sokudlala noma sokusebenza. |
| Ukungakhuli isisindo | Ngisho noma umntwana ephuza ubisi kahle, isisindo sakhe ngeke sikhuphuke ngokujwayelekile. |
| Ukushaya kwenhliziyo okusheshayo kanye nokushaya kwenhliziyo okubuthakathaka | Uma ubeka isandla sakho esifubeni somntwana, ukushaya kwenhliziyo kungase kuzwakale ngokushesha. Ukushaya kwenhliziyo nakho kungase kube buthaka. |
Uma ubona noma yiziphi zalezi zimpawu, thatha ingane yakho uyiyise kudokotela ngokushesha . Ungalibali.
Kungani lesi simo senzeka enganeni?
Esikhathini esiningi, ngisho nodokotela abakwazi ukusho ngqo ukuthi kungani lokhu kwenzeka kwezinye izingane. Kodwa isizathu esiyinhloko ukuthi kukhona iphutha elivela lapho inhliziyo ikhula ngesikhathi sokuqala kokukhula komntwana esibelethweni sikanina. Leyo mithambo yegazi emibili esikhulume ngayo ekuqaleni ixhumene ekuqaleni. Kamuva, ihlukana kabili. Kulesi simo, lokho kuhlukana akwenzeki kahle.
Lokhu kukhubazeka kwenhliziyo kungase kuhlotshaniswe nezimo ezithile zofuzo, njenge -DiGeorge syndrome , futhi kungase kube namathuba amancane okuba khona ngenxa yezici ezithile eziyingozi umama abhekana nazo ngesikhathi sokukhulelwa.
Izici eziyingozi ngesikhathi sokukhulelwa
- Umama onesifo sikashukela
- Ukuthuthukisa izifo ezithile ezibangelwa amagciwane, njenge -rubella
- Ukusetshenziswa kotshwala noma izidakamizwa
- Kuyingozi ezinganeni ezifana nomthofuUkuchayeka kumakhemikhali anobuthi
Odokotela bakuthola kanjani lokhu?
Ngezinye izikhathi, lokhu kungasolwa ngesikhathi sokuhlolwa okuvamile okwenziwa esibhedlela ngemva kokuzalwa komntwana. Uma ukuhlolwa kwe-pulse oximetry , okulinganisa amazinga omoya-mpilo womntwana, kubonisa amazinga aphansi omoya-mpilo, odokotela bazokwenza ukuhlolwa okwengeziwe.
Ukuhlolwa okuyinhloko kokuqinisekisa lesi sifo yi -echocardiogram . Lokhu ukuskena kwenhliziyo. Lokhu kukuvumela ukuthi ubone kahle ukuma kwenhliziyo, indawo yemithambo yegazi, kanye nephethini yokugeleza kwegazi.
Ngezinye izikhathi, uma udokotela ebona noma yikuphi ukukhubazeka enhliziyweni ngesikhathi sokuhlolwa kwe-ultrasound kwangaphambi kokubeletha, angase atuse i -echocardiogram ye-fetal , ebheka ngqo inhliziyo yengane.
Yiziphi izindlela zokwelapha lokhu? Ingabe ukuhlinzwa kuyadingeka?
Yebo. Lesi simo asinakwelashwa ngemithi yodwa. Kubalulekile ukuthi umntwana ahlinzwe inhliziyo emasontweni ambalwa okuqala okuzalwa. Lokhu kuyinto eyenziwayo ukuze kusindiswe impilo yomntwana.
Ukuhlinzwa okuyinhloko kwalokhu kubizwa ngokuthi ukulungiswa kweRastelli . Kulokhu, odokotela abahlinzayo benza:
- Imbobo esodongeni lwenhliziyo (i-`VSD`) ivalwa nge-patch.
- I-aorta entsha idalwa kusetshenziswa umthambo wegazi omkhulu kuphela okhona (`truncus`).
- Kusetshenziswa umsele wokwenziwa kanye nevalvu, kwakhiwa umthambo omusha wamaphaphu ukuze uthwale igazi liye emaphashini.
Kalula nje, odokotela bakha kabusha imithambo emibili engekho enhliziyweni. Nakuba lokhu kuwukuhlinzwa okuyinkimbinkimbi kakhulu, odokotela abangochwepheshe benhliziyo eSri Lanka benza lokhu kuhlinzwa ngempumelelo.
Into ebalulekile ukuthi njengoba umntwana ekhula, umsele wokwenziwa (`umsele`) awukhuli. Ngakho-ke, kuzodingeka wenze ukuhlinzwa okukodwa noma ngaphezulu esikhathini esizayo ukuze uwushintshe njengoba umntwana ekhula. Udokotela wakho uzokutshela okwengeziwe ngalokhu.
Ingabe ingane ingasinda nalesi simo?
Lo mbuzo cishe uyinto enkulu kakhulu engqondweni yakho. Impendulo ithi, yebo, kungenzeka nakanjani. Kodwa kuphela uma uhlinzwa. Uma ungelashwa, kunengozi enkulu empilweni yomntwana onyakeni wokuqala.
Kodwa-ke, amazinga okusinda ngemva kokuhlinzwa manje aphezulu kakhulu. Ngokusho kwedatha yakamuva, izinga lokuphumelela kokuhlinzwa liphezulu kakhulu lifinyelela ku-80% kuya ku-97% . Ingane ephilile kahle phakathi nonyaka wokuhlinzwa inethuba elingaphezu kuka-92% lokusinda ize ibe neminyaka engu-20.
Ungesabi ngalezi zibalo. Ingane ngayinye ihlukile. Ikusasa lengane yakho alinqunywa yilezi zinombolo. Into ebaluleke kakhulu ukunikeza ingane yakho ukunakekelwa kwezokwelapha ekudingayo kanye nothando lwakho kanye nokunakekelwa kwakho.
Bangaphila impilo evamile, kodwa ngezinye izikhathi bangase bazizwe bekhathele kancane lapho begijima bedlala njengabanye abantwana. Kodwa bangaya esikoleni, bafunde, futhi benze umsebenzi wabo. Into ebaluleke kakhulu ukuba ngaphansi kokuqondisa kukadokotela wenhliziyo kukho konke ukuphila kwabo .
Umlayezo Wokuya Nawe Ekhaya
- I-Truncus Arteriosus iyisifo senhliziyo esibi kakhulu, kodwa esingelapheka, esizalwa naso.
- Uma ubona izimpawu ezifana nesikhumba somntwana wakho esiphenduka sibe luhlaza okwesibhakabhaka, ukuba nobunzima bokuphefumula, noma ukuba nobunzima bokuncelisa, bona udokotela ngokushesha.
- Ukuhlinzwa kwenhliziyo okwenziwa phakathi namasonto ambalwa okuqala ngemva kokuzalwa kubalulekile ukuze kusindiswe impilo yomntwana.
- Ngisho nangemva kokuhlinzwa, ingane yakho izodinga ukulandelwa udokotela wenhliziyo impilo yayo yonke.
- Ungase uzizwe sengathi lolu hambo lunzima, kodwa awuwedwa. Thola ukwesekwa kudokotela wakho, abasebenzi basesibhedlela, kanye nabanye abazali abaye baba nokuhlangenwe nakho okufanayo.
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