I-Tetralogy of Fallot: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Yelashwa kanjani
• 1. Ukuhlinzwa kokulungiswa kwe-Intracardiac
• 2. Ukuhlinzwa okwesikhashana
• Kwenzekani ngemuva kokuhlinzwa

I-tetralogy ka-Fallot iyisifo senhliziyo esizalwa nesofuzo esenzeka ngenxa yezinguquko ezine enhliziyweni eziphazamisa ukusebenza kwaso futhi sinciphise inani legazi elimpontshwayo futhi, ngenxa yalokho, inani lomoya-mpilo ofinyelela ezicutshini.

Ngakho-ke, izingane ezinalokhu kuguqulwa kwenhliziyo ngokuvamile ziveza umbala oluhlaza okwesibhakabhaka kuso sonke isikhumba ngenxa yokushoda komoya-mpilo ezicutshini, ngaphezu kweqiniso lokuthi kungaba nokuphefumula okusheshayo nezinguquko ekukhuleni.

Yize i-tetralogy of Fallot ingenalo ikhambi, kubalulekile ukuthi ikhonjwe futhi yelashwe ngokuyalelwa ngudokotela ukwenza ngcono izimpawu nokukhuthaza izinga lempilo lengane.

Izimpawu eziyinhloko

Izimpawu ze-tetralogy ka-Fallot zingahluka ngokuya ngezinga lezinguquko zenhliziyo, kepha okuvame kakhulu kufaka:

• Isikhumba se-Bluish;
• Ukuphefumula ngokushesha, ikakhulukazi lapho uncelisa;
• Izipikili ezimnyama ezinyaweni nasezandleni;
• Kunzima ekutholeni isisindo;
• Ukucasula okulula;
• Ekhala njalo.

Lezi zimpawu zingavela kuphela ngemuva kwezinyanga ezimbili ubudala futhi, ngakho-ke, uma zibonwa, kufanele zaziswe ngokushesha kudokotela wezingane ngezivivinyo, njenge-echocardiography, i-electrocardiogram noma i-X-ray yesifuba, ukuhlola ukusebenza kwenhliziyo nokukhomba inkinga, uma ikhona.

Uma ingane inenkinga yokuphefumula kanzima, ingane kufanele ibekwe ohlangothini lwayo igobise amadolo ayo esifubeni sayo ukwenza ngcono ukujikeleza kwegazi.

Yelashwa kanjani

Ukwelashwa kwe-tetralogy ka-Fallot kuqukethe ukuhlinzwa, okungahluka ngokuya ngobukhulu benguquko nobudala bengane. Ngakho-ke, izinhlobo ezimbili eziyinhloko zokuhlinzwa zokwelapha i-tetralogy ka-Fallot yilezi:

1. Ukuhlinzwa kokulungiswa kwe-Intracardiac

Lolu uhlobo oluyinhloko lokwelashwa kwe-tetralogy of Fallot, olwenziwa ngenhliziyo evulekile ukuze kuvunyelwe udokotela ukuthi alungise izinguquko zenhliziyo futhi athuthukise ukujikeleza kwegazi, aqede zonke izimpawu.

Lokhu kuhlinza kuvame ukwenziwa phakathi nonyaka wokuqala wokuphila kwengane, lapho kutholakala izimpawu zokuqala nokuqinisekiswa kokuxilongwa.

2. Ukuhlinzwa okwesikhashana

Yize ukuhlinzwa okusetshenziswa kakhulu kungukulungiswa kwe-intracardiac, udokotela angancoma ukuthi ahlinzwe okwesikhashana izingane ezincane kakhulu noma ezibuthakathaka ukuhlinzwa okukhulu.

Ngakho-ke, udokotela ohlinzayo usika kancane emthanjeni ukuze avumele igazi lingene emaphashini, kuthuthukise amazinga e-oxygen.

Kodwa-ke, lokhu kuhlinzwa akucaci futhi kuvumela kuphela umntwana ukuthi aqhubeke nokukhula isikhathi esithile, aze akwazi ukuhlinzwa ngokulungiswa kwe-intracardiac.

Kwenzekani ngemuva kokuhlinzwa

Ezimweni eziningi, izingane ziyahlinzwa zilungiswe ngaphandle kwezinkinga, noma kunjalo, kwezinye izimo, kungavela izinkinga ezifana ne-arrhythmia noma ukuvuleka komthambo we-aortic. Ezimweni ezinjalo, kungadingeka ukuthatha imishanguzo yenhliziyo noma ube nokuhlinzwa okusha ukulungisa izinkinga.

Ngaphezu kwalokho, njengoba kuyinkinga yenhliziyo kubalulekile ukuthi ingane ihlolwe njalo ngudokotela wenhliziyo kukho konke ukukhula kwayo, ukuze yenze izivivinyo zomzimba ezijwayelekile futhi iguqule imisebenzi yayo, isibonelo.