Isici atrial septal

Atrial isici septal libhekisela yesifo senhliziyo azalwa naso. Lokhu kungapheleli kuzibonakalisa anomaly Emakamelweni angaphakathi amakhosi engaphezulu kuphela yomzimba. isici atrial septal libhekene Ukuvalwa akuphelele odongeni phakathi ilungelo futhi Atria kwesokunxele.

Kuyinsakavukela kuyinto ukwehlukana emakamelweni inhliziyo komunye nomunye. Uma le umphini likhona phakathi egumbini ngalinye kanye ventricle yayo ehambisana. Ngenxa valve ngegazi ukunyakaza kwelinye direction. Igazi Bypasses emaphashini, e ingane ekhulayo esibelethweni kukhona umgodi phakathi sokunene nesobunxele of the ikhamera. Ekuzalweni kwakhe, kukhona izimbobo ukuvala, kwegazi kuyinto ukudlula emaphashini. Ngo ukukhula komzimba evamile alinazimbobo.

Atrial isici septal ezinganeni libhekene khona emgodini ovulekile. Lokhu kuphakamisa enomopho esuka egumbini kwesokunxele kuya kwesokudla ukuthi, ngenxa yalokho, kungabangela izinkinga emaphashini.

ASD kuthinta cishe ezine aphume a ukubeletha, anamakhulu mane. kwezinso Iya kancane noma okusesilinganisweni ngokuvamile musa zibangele noma iyiphi izimpawu noma izinkinga. ukukhubazeka okuncane 90% kuzo zonke izimo kukhona igcwele ngokwakho. Kwezinye izimo, anomalies ahlale kukho konke ukuphila futhi wembula lapho usukhulile.

Banikezwe indawo izimbobo ahlukaniswe septal isici sesibili futhi eyinhloko.

Anomaly uhlobo eyinhloko libhekene izimbobo etholakala engxenyeni engezansi. anomaly yesibili kubhekwa lapho kuvulwa uba phezulu kanye / noma ingxenye maphakathi.

Isithombe emitholampilo ye anomaly siqukethe nesigcino izimpawu uma sindisa lwezigaba senhliziyo esifanele. Lokhu kungenxa yokuba khona njalo umthamo omkhulu wamangqamuzana egazi kuzo. Nokho, kufanele kuphawulwe khona okusezingeni eliphezulu umthamo compensatory kohlelo senhliziyo nemithambo yegazi. Kule ndaba, izimpawu zesifo avele ezinyangeni zokuqala zokuphila, eyodwa kuphela ekhulwini izinsana ngubani uxilongwe isici atrial septal. Empeleni, kube yikwembulwa izimpawu ebonwe usakhula.

Lesi sifo kubonakala ukukhathala okusheshayo nokukhathala, ukujuluka, okusheshayo noma basebenzile ukuphefumula, iphika ngesikhathi umzimba. Izimpawu nazo uhlobo ezingamahlalakhona zokugula ipheshana zokuphefumula, ukukhula abampofu, imnyama, palpitations futhi ukubonakaliswa ikhononda inhliziyo.

Imiphumela yaloku kuhlola okungenhla esiqondile kwakuphambene nemvelo eyenziwa esebenzisa-X-ray, ECG, catheterization zenhliziyo echocardiography. Nge kwesokudla ukuphambuka Kutholwe ECG inhliziyo-eksisi kagesi, futhi ubonisa sindisa (hypertrophy) komzimba. Ngosizo-X-ray kunqunywa izinguquko yamaphaphu. Echocardiogram ivumela ngeso anomaly, ngokukhethekile, ngokwethula i-ejenti echo-ngokungafani. Catheterization esekelwe imiphumela cwaningo of izimbotshana ezahlukene izinhliziyo ukuze abone lokho okushiwo izinguquko uhlobo bokuphila.

Yiqiniso ukwelashwa isici akhethiwe ngesisekelo izimpawu zokwelashwa kanye kwezinso osayizi.

kwezinso Sinzima elinesimo ubukhulu emikhudlwana e-wathwala. Lokhu kunomthelela omubi kakhulu isimo lesiguli. Ngo iningi lala macala ukuphathwa kuhlinzwa inikezwa.

kokungenela Steel kuhilela "uthunge" emgodini. Le ndlela kuyafaneleka ngoba ubukhulu ezincane (ngamasentimitha hhayi ezingaphezu kwezintathu) orifice.

Njengoba umkhuba ubonisa, ngemva kwalezi izenzakalo kukhona ukuba ngcono okukhulu iziguli, ukuzinza yokucindezelwa e yokujikeleza kwegazi eliya emaphashini, sihamba dyspnea, ECG kwesejwayelekile.