Ukuhlolwa kwenhliziyo okuncane: kuyini, kwenzelwa ini nokuthi ukwenze nini

-Delile

• Yenzelwe ini
• 1. Iphutha le-septum ye-ventricular
• 2. I-Atrial septal defect
• 3. I-Tetralogy of Fallot
• 4. Ukudluliswa kwemithambo emikhulu
• Kwenziwa kanjani ukuhlolwa
• Kusho ukuthini umphumela

Ukuhlolwa kwenhliziyo okuncane kungenye yezivivinyo ezenziwa ezinganeni ezizalwe zineminyaka yobudala bokukhulelwa engaphezu kwamasonto angama-34 futhi kusenziwa egumbini lokubelethisa, phakathi kwamahora okuqala angama-24 kuye kwangama-48 ngemuva kokuzalwa.

Lokhu kuhlolwa kwenziwa yithimba eliqaphe ukulethwa futhi lisetshenziselwa ukuqinisekisa ukuthi inhliziyo yengane isebenza kahle yini, njengoba kungenzeka ukuthi, ngesikhathi sokukhulelwa, isifo esithile senhliziyo asikatholakali.

Hlola zonke izivivinyo okufanele zenziwe ngumntwana osanda kuzalwa.

Yenzelwe ini

Ukuhlolwa kwenhliziyo okuncane kuhlola ukuthi ingane ikwamukela kanjani ukuphila ngaphandle kwesibeletho. Lokhu kuhlolwa kungathola ukungahambi kahle emisipheni nasemithanjeni yegazi yenhliziyo, ngaphezu kokubheka ukuthi ngabe inhliziyo ishaya inani elilindelekile lezikhathi ngomzuzu, noma ngabe igazi elimpompwe yinhliziyo liqukethe inani elidingekayo lomoya-mpilo odingwa yingane .

Ezinye izinguquko ezingatholwa ukuhlolwa kwenhliziyo okuncane yilezi:

1. Iphutha le-septum ye-ventricular

Lokhu kukhubazeka kuqukethe imbobo phakathi kwemimoya engakwesokudla nangakwesobunxele, okuyizingxenye ezingezansi zenhliziyo futhi okungafanele zixhumane ngqo. Kuvamile ukuthi lokhu kuvulwa kuvalwe ngokwemvelo, kepha noma kunjalo udokotela wezingane uzoqapha leli cala ukuze abone ukuthi ukuvalwa kwenzeka ngokuzenzekelayo noma uma kudingeka ukuhlinzwa.

Izingane ezinalesi sifo esincane azinazo izimpawu, noma kunjalo uma izinga lilinganiselwe kungadala ukucindezeleka kokuphefumula nobunzima bokuthola isisindo.

2. I-Atrial septal defect

I-atrium yingxenye engenhla yenhliziyo, ehlukaniswe yangakwesobunxele nangakwesokudla ngoba iyisakhiwo senhliziyo esibizwa nge-septum. Iphutha elenza isifo septum se-atrial ukuvuleka okuncane ku-septum, okuxhuma izinhlangothi zombili. Lokhu kuvulwa kungavalwa ngokuzenzekelayo, kepha kunezimo lapho ukuhlinzwa kudingekile.

Izingane ezinalolu shintsho azikhombisi izimpawu.

3. I-Tetralogy of Fallot

ITetralogy of Fallot iqoqo leziphambeko ezine ezingathinta inhliziyo yosana olusanda kuzalwa. Isibonelo, lapho umthambo wegazi ongakwesobunxele wenhliziyo umncane kunalokho obekufanele ube yikho, futhi lokhu kudala ukuthi imisipha ikhule kule ndawo, ishiye inhliziyo yengane ivuvukele.

La maphutha anciphisa umoya-mpilo emzimbeni, kanti enye yezimpawu zalesi sifo ukushintsha kombala kube yimibala ephephuli noluhlaza okwesibhakabhaka ezifundeni zezindebe neminwe yengane. Bona ukuthi yiziphi ezinye izimpawu nokuthi ilashwa kanjani iTetralogy of Fallot.

4. Ukudluliswa kwemithambo emikhulu

Kulokhu, imithambo yegazi emikhulu ebhekele ukusakazwa kwegazi elinomoya-mpilo neli-oksijini isebenza ngokuhlehla, lapho uhlangothi olunomoya-mpilo lungashintshi nohlangothi ngaphandle komoya-mpilo. Izimpawu zokushintshwa kwemithambo emikhulu zenzeka emahoreni ambalwa ngemuva kokuzalwa ngenxa yokushoda komoya-mpilo futhi ingane nayo ingakhuphuka ekushayeni kwenhliziyo.

Kulesi sifo, ukuhlinzekwa okuphindayo kuvame ukukhonjiswa ukuxhuma kabusha imithambo yegazi ezindaweni lapho obekufanele zakhiwe khona ngesikhathi sokukhulelwa.

Kwenziwa kanjani ukuhlolwa

Ukuhlolwa kwenziwa nengane ilele ngokunethezeka ngezandla nezinyawo ezifudumele kahle. Isesekeli esikhethekile esime njengesongo sezinsana ezisanda kuzalwa sibekwa engalweni yangakwesokudla yengane ekala inani lomoya-mpilo egazini.

Akukho ukusikeka noma izimbobo kulolu vivinyo futhi, ngakho-ke, ingane ayizwa buhlungu noma ukungaphatheki kahle. Ngaphezu kwalokho, abazali bangahlala nengane kuyo yonke inqubo, bayenze ikhululeke kakhudlwana.

Kwezinye izimo lokhu kuhlolwa kungenziwa onyaweni lwengane, kusetshenziswa isongo elifanayo ukukala inani le-oxygen egazini.

Kusho ukuthini umphumela

Umphumela wokuhlolwa uthathwa njengokujwayelekile futhi omubi lapho inani le-oksijini egazini lengane lingaphezu kwama-96%, ngakho-ke ingane ilandela inqubo yokunakekelwa kwezinsana ezisanda kuzalwa, ikhishwa esibhedlela sokubeletha lapho kwenziwa konke ukuhlolwa kosana.

Uma umphumela wokuhlolwa uqondile, kusho ukuthi inani le-oxygen egazini lingaphansi kwama-95% futhi, uma lokhu kwenzeka, ukuhlolwa kufanele kuphindwe ngemuva kwehora elilodwa. Kulesi sivivinyo sesibili, uma imiphumela igcinwa, okusho ukuthi, uma ihlala ingaphansi kwama-95%, ingane idinga ukulaliswa esibhedlela ukuze ibe ne-echocardiogram. Thola ukuthi kwenziwa kanjani nokuthi i-echocardiogram yenzelwe ini.