Isifo se-Eisenmenger

I-Eisenmenger syndrome yisimo esithinta ukugeleza kwegazi lisuka enhliziyweni liye emaphashini kwabanye abantu abazalwa benenkinga yokwakheka kwenhliziyo.

I-Eisenmenger syndrome yisimo esibangelwa ukujikeleza kwegazi okungavamile okubangelwa ukukhubazeka enhliziyweni. Imvamisa, abantu abanalesi simo bazalwa benembobo phakathi kwamagumbi amabili okupompa - ama-ventricles angakwesobunxele nangakwesokudla - enhliziyo (i-ventricular septal defect). Umgodi uvumela igazi elivele lithathe i-oksijini emaphashini ukuthi libuyele emaphashini, esikhundleni sokuphuma liye kuwo wonke umzimba.

Okunye ukukhubazeka kwenhliziyo okungaholela ku-Eisenmenger syndrome kufaka:

• I-atrioventricular canal defect
• Isici se-atrial septal
• Isifo senhliziyo seCyanotic
• I-patent ductus arteriosus
• I-Truncus arteriosus

Eminyakeni eminingi, ukwanda kokuhamba kwegazi kungalimaza imithambo yegazi emaphashini. Lokhu kubangela umfutho wegazi ophezulu emaphashini. Ngenxa yalokho, ukugeleza kwegazi kubuyela emuva ngomgodi ophakathi kwamagumbi amabili okupompa. Lokhu kuvumela igazi elimpofu le-oxygen ukuthi lihambele kuwo wonke umzimba.

I-Eisenmenger syndrome ingaqala ukukhula ngaphambi kokuba ingane ifinyelele ebusheni. Kodwa-ke, futhi ingakhula ebudaleni obudala, futhi ingaqhubekela phambili ebudaleni bobusha.

Izimpawu zifaka:

• Izindebe eziluhlaza okwesibhakabhaka, iminwe, izinzwane, nesikhumba (i-cyanosis)
• Izinzipho nezinzipho eziyindilinga
• Ukuba ndikindiki nokuncinza kweminwe nezinzwane
• Ubuhlungu besifuba
• Akhwehlele igazi
• Isiyezi
• Ukuquleka
• Ukuzizwa ngikhathele
• Ukuphelelwa umoya
• Ukushaya kwenhliziyo kweqiwe (ukushaya kwenhliziyo)
• Unhlangothi
• Ukuvuvukala emalungeni abangelwa i-uric acid eningi kakhulu

Umhlinzeki wezempilo uzohlola ingane. Ngesikhathi sokuhlolwa, umhlinzeki angathola:

• Isigqi senhliziyo esingajwayelekile (arrhythmia)
• Imikhawulo ekhulisiwe yeminwe noma izinzwane (ukubhoboza iklabhu)
• Ukububula kwenhliziyo (umsindo owengeziwe lapho ulalele inhliziyo)

Umhlinzeki uzoxilonga i-Eisenmenger syndrome ngokubheka umlando womuntu wezinkinga zenhliziyo. Ukuhlolwa kungafaka:

• Qedela ukubalwa kwegazi (CBC)
• I-x-ray yesifuba
• Ukuhlolwa kwenhliziyo kwe-MRI
• Ukufaka ishubhu elincane emthanjeni ukubuka inhliziyo nemithambo yegazi nokukala izingcindezi (i-catheterization yenhliziyo)
• Ukuhlolwa komsebenzi kagesi enhliziyweni (i-electrocardiogram)
• I-Ultrasound yenhliziyo (i-echocardiogram)

Isibalo samacala alesi simo e-United States sehlile ngoba odokotela manje sebekwazi ukuxilonga nokulungisa isici ngokushesha. Ngakho-ke, inkinga ingalungiswa ngaphambi kokuba kwenzeke umonakalo ongalungiseki emithanjeni yamaphaphu encane.

Ngezinye izikhathi, abantu abanezimpawu bangase basuswe igazi emzimbeni (i-phlebotomy) ukunciphisa inani lamaseli abomvu egazi. Umuntu ube esethola uketshezi lokufaka esikhundleni segazi elilahlekile (ukushintshwa kwevolumu).

Abantu abathintekile bangathola i-oxygen, yize kungacaci ukuthi kuyasiza yini ukuvikela lesi sifo ukuthi singabi sibi kakhulu. Ngaphezu kwalokho, imithi engasebenza ukuphumuza nokuvula imithambo yegazi inganikezwa. Abantu abanezimpawu ezinzima kakhulu bangagcina bedinga ukufakelwa inhliziyo-lung.

Ukuthi umuntu othintekayo wenza kahle kangakanani kuncike ekutheni sikhona yini esinye isimo sezokwelapha, kanye neminyaka lapho umfutho wegazi ophakeme ukhula khona emaphashini. Abantu abanalesi simo bangaphila iminyaka engama-20 kuya kwengama-50.

Izinkinga zingafaka:

• Ukopha (ukopha) ebuchosheni
• Ukwehluleka kwenhliziyo yokubopha
• Gout
• Isifo senhliziyo
• I-Hyperviscosity (sludging yegazi ngoba inkulu kakhulu ngamaseli egazi)
• Ukutheleleka (ithumba) ebuchosheni
• Ukuhluleka kwezinso
• Ukugeleza kwegazi okuncane kuya ebuchosheni
• Unhlangothi
• Ukufa okungazelelwe

Shayela umhlinzeki wakho uma ingane yakho iba nezimpawu ze-Eisenmenger syndrome.

Ukuhlinzwa ngokushesha ngangokunokwenzeka ukulungisa ukukhubazeka kwenhliziyo kungavimbela i-Eisenmenger syndrome.

Isakhiwo se-Eisenmenger; Isifo se-Eisenmenger; Ukusabela kwe-Eisenmenger; I-Eisenmenger physiology; Ukukhubazeka kwenhliziyo okuzalwa - i-Eisenmenger; Isifo senhliziyo i-cyanotic - i-Eisenmenger; Inhliziyo enesici sokuzalwa - u-Eisenmenger

• I-Eisenmenger syndrome (noma eyinkimbinkimbi)

UBernstein D. Izimiso ezijwayelekile zokwelashwa kwesifo senhliziyo esizelwe. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 461.

UTherrien J, Marelli AJ. Isifo senhliziyo esizelwe kubantu abadala. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 61.

I-Webb GD, iSmallhorn JF, uTherrien J, uRedington AN. Isifo senhliziyo esizalwa naso esigulini esidala nesingane. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 75.