Umthambo weCoronary fistula

I-Coronary artery fistula ukuxhumana okungajwayelekile phakathi komunye wemithambo yegazi kanye negumbi lenhliziyo noma omunye umthambo wegazi. Imithambo yegazi yimithambo yegazi eletha igazi elinomoya-mpilo enhliziyweni.

I-Fistula isho ukuxhumana okungajwayelekile.

I-coronary artery fistula ivame ukuzalwa, okusho ukuthi ikhona lapho izalwa. Ngokuvamile kwenzeka lapho omunye wemithambo yegazi wehluleka ukwakheka kahle. Lokhu kwenzeka kakhulu lapho ingane ikhula esibelethweni. Umthambo we-coronary unamathela ngokungajwayelekile kwelinye lamagumbi enhliziyo (i-atrium noma i-ventricle) noma omunye umthambo wegazi (ngokwesibonelo, umthambo wamaphaphu).

I-coronary artery fistula nayo ingakhula ngemuva kokuzalwa. Kungabangelwa:

• Ukutheleleka okwenza buthaka udonga lomthambo we-coronary kanye nenhliziyo
• Izinhlobo ezithile zokuhlinzwa kwenhliziyo
• Ukulimala enhliziyweni ngengozi noma ukuhlinzwa

Umthambo weCoronary fistula yisimo esingajwayelekile. Izinsana ezizalwa nazo kwesinye isikhathi zinokunye ukukhubazeka kwenhliziyo. Lokhu kungafaka:

• I-Hypoplastic left heart syndrome (HLHS)
• I-atresia ye-pulmonary ene-septum eqinile ye-ventricular

Izinsana ezinalesi sifo ngokuvamile azinazo izimpawu.

Uma izimpawu zenzeka, zingabandakanya:

• Inhliziyo ibubula
• Ukungaphatheki kahle kwesifuba noma ubuhlungu
• Ukukhathala okulula
• Ukwehluleka ukuchuma
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile (ukushaya kwenhliziyo)
• Ukuphefumula okuncane (i-dyspnea)

Ezimweni eziningi, lesi simo asitholakali kuze kube sekugcineni empilweni. Kuvame ukutholakala ngesikhathi sokuhlolwa kwezinye izifo zenhliziyo. Kodwa-ke, umhlinzeki wezokunakekelwa kwempilo angakuzwa ukukhononda kwenhliziyo okuzoholela ekuhlolweni ngokuhlolwa okuqhubekayo.

Isivivinyo esikhulu sokuthola ubukhulu be-fistula yi-coronary angiography. Lokhu ukuhlolwa okukhethekile kwe-x-ray kwenhliziyo kusetshenziswa udayi ukubona ukuthi igazi ligobhoza kanjani futhi kuphi. Kuvame ukwenziwa kanye ne-catheterization yenhliziyo, okubandakanya ukudlulisa ishubhu elincane, eliguquguqukayo lingene enhliziyweni ukuhlola ingcindezi nokugeleza kwenhliziyo nemithambo nemithambo ezungezile.

Ezinye izivivinyo zokuxilonga zingafaka:

• Ukuhlolwa kwe-Ultrasound kwenhliziyo (echocardiogram)
• Kusetshenziswa odonsa ukudala izithombe zenhliziyo (i-MRI)
• I-CAT scan yenhliziyo

I-fistula encane engabangeli izimpawu kaningi ngeke idinge ukwelashwa. Amanye ama-fistula amancane azovala ngokwawo. Imvamisa, noma zingavali, azisoze zabangela izimpawu noma zidinga ukwelashwa.

Izinsana ezine-fistula enkulu kuzodingeka zihlinzwe ukuvala ukuxhumana okungavamile. Udokotela ohlinzayo uvala isiza ngesichibi noma ngemithungo.

Enye indlela yokwelashwa ixhuma imbobo ngaphandle kokuhlinzwa, kusetshenziswa ucingo olukhethekile (ikhoyili) olufakwa enhliziyweni ngepayipi elide, elincanyana elibizwa ngokuthi i-catheter. Ngemuva kwenqubo ezinganeni, i-fistula izovama kakhulu.

Izingane ezihlinzwa kakhulu zenza kahle, yize amaphesenti amancane kungadingeka ukuthi ahlinzwe futhi. Iningi labantu abanalesi simo linempilo ejwayelekile.

Izinkinga zifaka:

• Isigqi senhliziyo esingajwayelekile (arrhythmia)
• Isifo senhliziyo
• Ukwehluleka kwenhliziyo
• Ukuvulwa (ukuqhekeka) kwe-fistula
• I-oxygen engeyinhle enhliziyweni

Izinkinga zivame kakhulu kubantu asebekhulile.

I-Coronary artery fistula ivame ukutholakala ngesikhathi sokuhlolwa ngumhlinzeki wakho. Shayela umhlinzeki wakho uma usana lwakho lunezimpawu zalesi simo.

Ayikho indlela eyaziwayo yokuvikela lesi simo.

Ukukhubazeka kwenhliziyo okuzalwa - i-coronary artery fistula; Inhliziyo yokukhubazeka kokuzalwa - i-coronary artery fistula

• I-Coronary angiography
• Umthambo weCoronary fistula

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