Umthambo weCoronary fistula

Umthambo weCoronary fistula liqhagamshelo elingaqhelekanga phakathi kweminye yemithambo yegazi kunye negumbi lentliziyo okanye omnye umthambo wegazi. Imithambo yegazi yimithambo yegazi ezisa igazi eline-oksijini entliziyweni.

IFistula ithetha unxibelelwano olungaqhelekanga.

I-coronary artery fistula ihlala izalwa, oko kuthetha ukuba ikhona ekuzalweni. Oku kwenzeka ngokubanzi xa enye yemithambo yegazi isilela ukubumba ngokufanelekileyo. Oku kwenzeka kakhulu xa umntwana ekhula esibelekweni. Umthambo we-coronary unamathela ngokungaqhelekanga kwelinye lamagumbi entliziyo (i-atrium okanye i-ventricle) okanye enye into yegazi (umzekelo, i-pulmonary artery).

I-coronary artery fistula nayo inokukhula emva kokuzalwa. Ingabangelwa ngu:

• Usulelo olwenza buthathaka udonga lwe-coronary artery kunye nentliziyo
• Ezinye iintlobo zotyando lwentliziyo
• Ukulimala entliziyweni kwingozi okanye ukuhlinzwa

Umthambo weCoronary fistula yimeko enqabileyo. Iintsana ezizalwe nazo ngamanye amaxesha zikwanazo nezinye iziphene zentliziyo. Oku kunokubandakanya:

• Isifo sentliziyo esekho Hypoplastic (HLHS)
• I-atresia ye-pulmonary ene-ventricular septum

Iintsana ezinale meko zihlala zingenazo iimpawu.

Ukuba iimpawu zenzeka, zingabandakanya:

• Ukumbombozela kwentliziyo
• Ukungonwabi kwesifuba okanye iintlungu
• Ukudinwa okulula
• Ukungaphumeleli
• Ukukhawuleza okanye ukungahambi kakuhle kwentliziyo (ukubetha kwentliziyo)
• Ukuphefumla okufutshane (iDyspnea)

Kwiimeko ezininzi, le meko ayifumaneki kude kube sebomini kamva. Ihlala ichongwa xa kuvavanywa ezinye izifo zentliziyo. Nangona kunjalo, umboneleli wezempilo unokuva ukukrokra kwentliziyo okuya kuthi kukhokelele kuvavanyo ngokuvavanywa ngakumbi.

Olona vavanyo luphambili lokufumanisa ubungakanani be-fistula yi-coronary angiography. Olu luvavanyo olukhethekileyo lwe-x-ray lwentliziyo usebenzisa idayi ukubona ukuba igazi lihamba njani kwaye liphi. Ihlala yenziwa kunye ne-catheterization yentliziyo, ebandakanya ukuhambisa umbhobho omncinci, oguqukayo ungene entliziyweni ukuvavanya uxinzelelo kunye nokuhamba entliziyweni nakwimithambo ejikeleze imithambo.

Olunye uvavanyo lokuqonda isifo lunokubandakanya:

• Uvavanyo lwe-Ultrasound lwentliziyo (i-echocardiogram)
• Sebenzisa iimagnethi ukwenza imifanekiso yentliziyo (MRI)
• Iskena seCAT sentliziyo

I-fistula encinci engabangeli zimpawu rhoqo ayizukufuna unyango. Ezinye iifistula ezincinci ziya kuvala ngokwazo. Rhoqo, nokuba azivali, ngekhe zibangele iimpawu okanye zifuna unyango.

Iintsana ezinefistula enkulu kuya kufuneka zenziwe utyando ukuvala unxibelelwano olungaqhelekanga. Ugqirha uvale indawo ngenqanawe okanye ngomthungo.

Olunye unyango lonyula ukuvulwa ngaphandle kotyando, kusetyenziswa ucingo olukhethekileyo (coil) olufakwa entliziyweni ngombhobho omde, obhityileyo obizwa ngokuba yicatheter. Emva kwenkqubo ebantwaneni, i-fistula ihlala ivala.

Abantwana abenza utyando ikakhulu benza kakuhle, nangona ipesenti encinci inokufuna ukuphinda kwenziwe utyando. Uninzi lwabantu abanale meko banobomi obuqhelekileyo.

Iingxaki zibandakanya:

• Isingqisho sentliziyo esingaqhelekanga (arrhythmia)
• Ukuhlaselwa yintliziyo
• Ukumelwa yintliziyo
• Ukuvula (ukuqhekeka) kwefistula
• I-oksijini engalunganga entliziyweni

Iingxaki zixhaphake kakhulu kubantu abadala.

I-Coronary artery fistula ihlala ifunyaniswa ngexesha lokuvavanywa ngumboneleli wakho. Shayela umnikezeli wakho ukuba umntwana wakho uneempawu zale meko.

Akukho ndlela yaziwayo yokuthintela le meko.

Isiphene sentliziyo yento yokuzalwa - i-coronary artery fistula; Isiphene sokuzalwa kwentliziyo-i-coronary artery fistula

• I-Coronary angiography
• Umthambo weCoronary fistula

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