Matenda

Matenda amatanthauza matenda obadwa nawo a mtima. chilema kumaonekera ndi anomaly m'zipinda chapamwamba za thupi. Matenda amakhala ndi kutsekedwa chosakwanira pa khoma pakati pa chabwino ndi atria kumanzere.

The m'chigulugulu ndi kulekana kwa zipinda mtima Chrixitu. Pamene vavu izi alipo pakati pa chipinda ndi ventricle ake kake. Chifukwa valavu gululi magazi mu njira imodzi. magazi bypasses m'mapapo, mu wosabadwa osauka pali dzenje pakati pa lamanja ndi lamanzere wa kamera. Pobadwa, pali potseka mayenje, ndi magazi ndi m'mapapo. Mu chitukuko cha thupi labwinobwino palibe mabowo.

Matenda ana amakhala ndi kukhalapo kwa dzenje lotseguka. Izi amakwiya otaya magazi kwa chipinda kumanzere kwa molondola, chifukwa, zingathe kubweretsa mavuto mu mapapo.

ASD amakhudza pafupifupi anayi ana obadwa zana. Pang'ono kapena zolimbitsa kuvutika samasankha chifukwa zizindikiro kapena mavuto. Minor zopindika 90% milandu onse inamera nokha. Nthawi zina, anomalies kukhala moyo ndi chaululidwa mukadzakula.

Popeza malo mabowo anapambulwa septal chilema zasekondale ndi zapulaimale.

Anomaly mtundu chachikulu yodziwika ndi mabowo ili mu mmunsi. anomaly Secondary imatengedwa imene kutsegula ndi pamwamba ndi / kapena gawo pakati.

Chithunzi matenda a anomaly ndizo kuchotsedwa zizindikiro ngati zimamuchulukira zigawo lamanja mtima. Ichi ndi chifukwa kukhalapo nthawi zonse buku lalikulu magazi mwa iwo. Komabe, tisaiwale pamaso pa mkulu mphamvu compensatory a dongosolo mtima. Pa nkhani imeneyi, zizindikiro za matenda kuoneka mu miyezi choyamba cha moyo, munthu mmodzi yekha pa zana akhanda amene anapezeka ndi matenda. Kwenikweni, mawonetseredwe a zizindikiro anaona mu unyamata.

matenda akuwonetseredwa kutopa mofulumira ndi kutopa, kutuluka thukuta, kudya kapena adakangalika kupuma, kufupika kwa mpweya pa zolimbitsa thupi. Zizindikiro amakhalanso aakulu mtundu wa matenda mundawo kupuma, kukula osauka, chilakolako osauka, palpitations ndi kuwonetseredwa kung'ung'udza mtima.

Matenda enieni a chosayenerera ikuchitika mwa X-ray, ECG, catheterization mtima ndi echocardiography. Ndi bwino-kupatuka wapezeka ECG mtima magetsi olamulira, ndipo amasonyeza zimamuchulukira (hypertrophy) za thupi. Mothandizidwa ndi X-ray anatsimikiza kusintha m'mapapo mwanga. Echocardiogram amalola zowonera anomaly, makamaka, mwa kuyambitsa ndi wothandizila Echo-mosiyana. Catheterization potengera zotsatira za kufufuza za cavities osiyana a mtima kudziwa tanthauzo la kusintha kwa mtundu wa thupi.

chilema chithandizo Inde anasankha pamaziko zizindikiro matenda ndi kuvutika makulidwe.

kuvutika aakulu yodziwika ndi awiri akuluakulu mu anasenza. Izi ali kungasokoneze kwambiri pa alili. Nthaŵi zambiri izi mankhwala opaleshoni akapatsidwa.

Opaleshoni alowererepo kumatanthauza "stitching" dzenje. Njira zimenezi zili zoyenera kwa kukula yaing'ono (osapitirira atatu masentimita) orifice.

Monga mmene kumapeto, pambuyo zinthu zimenezi pali kusintha kwambiri odwala, normalization wa kuthamanga kupezeka m'mapapo mwanga, akudutsa dyspnea, dekhetsa ECG.