I-defect septal defect, okanye i-ASD, isaziwa ngokuqhelekileyo ngokuthi "umgodi entliziyweni," ingxaki yentliziyo yesisu . Ngoxa ifunyanwe kubantwana, ingxaki ingahlala ingabonakali kakuhle kwaye ibe ngumntu omdala.
Isiphene kwi-ASD ngumngxuma kwi-parum ye-annum, eyona donga le-muscular elihlukanisa i-atrium elungileyo kunye ne-atrium ekhohlo. Kwiintliziyo eziqhelekileyo, icala elifanelekileyo liphinda lihlwempu egazini kwi-oksijini kunye nekhohlo lasekhohlo iipompo zegazi eziye zenziwe nge-oxygen.
Isiphako sivumela iindidi ezimbini zegazi ukuba zidibanise, zibangele igazi elihamba ngomzimba ophethe oksijini encinci.
Olu hlobo lwesiphene, olukhoyo malunga ne-4 ukuya kwe-8 kuzo zonke iibhikhwe eziyi-1 ezizalweyo, iindawo ezinzima. Inkulu i-ASD, iphakamileyo ubunzima beempawu ezifana nokukhathala nokuphefumula.
Iintlobo
Iziphene ze-septal iziphene ziwela kwiintlobo ezintathu. Kwimeko nganye yesiphene, ubunzima bunokuhluka. Inokuba yincinci okanye inkulu kwaye ingadinga ukuhlinzwa okanye ivalwe ngaphandle kokungenelela. Kuphela i-cardiologist okanye i-cardiothoracic ugqirha unokumisela ubunzima bentliziyo.
- I-ASD II ye-Secundum (ASD 2 okanye i-ASD II): Uhlobo oluqhelekileyo lwe-ASD, apho isiphako sifumaneka phakathi kwe-septum ye-atrial.
- I-ASM ye-Primum (i-ASD 1 okanye i-ASD I): uhlobo lwesibini oluqhelekileyo lwe-ASD, apho isiphako sitholakala kwindawo yokugcina indawo ye-septum. Olu hlobo lwe-ASD luhlala luhamba kunye nezinye iingxaki, kubandakanya i-endocardial cushion ventricular defal defect, oku kuthetha ukuba isiphako siquka inxalenye engaphantsi yentliziyo kunye nesahlulo esiphezulu.
- I-Sinus Venosus ASD (iSinus Venus): Olu hlobo lwe-ASD lwenzeka kwingxenye ephezulu ye-septum, esondele kufuphi nalapho i-vena cava ihambisa igazi entliziyweni evela emzimbeni.
Izizathu
I-ASD ayinaso isizathu esicacileyo, kodwa ezinye izinto zenza ingxaki yenhliziyo ibe lula. Ezinye izifundo zibonisa ulwazi olungqubanayo.
Ngokomzekelo, uphando oluthile lubonisa ukuba ukutshaya ngumama ngexesha lokukhulelwa kungabangela umngcipheko wokukhubazeka kwe-annal ngexesha elinye lingabonakali ukwanda kwengozi. Yintoni enomdla kukuba ngaba bobabini abazali banokufaka isandla kwimingcipheko yomntwana ophuhlisa i-ASD kunye nokukhetha kwabo ubomi.
Izinto ezibangela
- Umama (umama) wasebenzisa utywala
- Imiqathango yeDrugs ngexesha lokukhulelwa: Izidakamizwa ziquka i-busulfan, i-lithium, i-retinoids, i-thalidomide, ne-trimethadione, kunye ne-insulin, imishanguzo yegazi ephezulu, i-erythromycin (i-antibiotic), i-naproxen (i-Aleve), i-anticonvulsants (imithi ye-seizure), i-nitrofurantoin, i-clomipramine, kunye budesonide.
- Ukutshatyalaliswa koomama okanye ozala (obawo) kwizityalo
- Ukusetyenziswa kohlobo lwecocaine
- Utshaya obunzima obunzima
- Isifo sikashukela somama kunye ne phenylketonuria
- Usulelo lwezonyango lomama
Izimpawu kunye neMpawu
Uninzi lwe-ASD luncinane kwaye lubangela iimpawu ezimbalwa, ukuba zikhona. Kwiimeko ezininzi, intliziyo igungquthela inokuba yinto ebonisa ukuba iphoso likhoyo. Kwezinye iimeko, iimpawu zinokuba nzima. Oku kuxhomekeke kakhulu kubukhulu besiphene. Zininzi zale ngxaki azibonakalisi kude kubekho impazamo emininzi kwiminyaka emininzi, ngokungaqhelekanga ize ibe ngumntu omdala. Abantwana abanako ukubonisa iimpawu.
- Ukungaphumeleli kwentliziyo
- Arrhythmia
- Isibetho : Igazi elixhamlayo liyakwazi ukugqithisa into ehamba ngayo engqondweni kwaye ibangele i-stroke
- Heart Murmur
- Uxinzelelo lwe-Hypertension
- Ukubuthathaka okanye ukukhathala lula
Imithombo:
> I-Septal yasePrimary Defect. IiNkonzo zezeMpilo zikaRhulumente waseTexas.
> Ziziphi iiHoles In Intliziyo. I-Heart Heart Lung ne-Blood Institute.