Ukudityaniswa kweAortic

Umxholo

• Yintoni i-aortic coarctation?
• Zithini iimpawu zokwahluka kwe-aortic?
• Iimpawu kwiintsana ezisanda kuzalwa
• Iimpawu kubantwana abadala nakubantu abadala
• Yintoni ebangela ukungqubana kwe-aortic?
• Kufunyaniswa njani ukuba coarctation kwe-aorta?
• Zithini iindlela zokhetho kunyanga lwe-aortic?
• Ithini imbono yexesha elide?

Yintoni i-aortic coarctation?

Ukudibana kwe-aorta (CoA) sisiphene esibelekweni se-aorta.Le meko ikwabizwa ngokuba yi-aortic coarctation. Nokuba ligama libonisa ukungqinelana kwe-aorta.

I-aorta yeyona mitha inkulu emzimbeni wakho. Inobubanzi malunga nobukhulu bethumbu legadi. I-aorta ishiya i-ventricle yasekhohlo yentliziyo kwaye ibaleke iye phakathi embindini womzimba wakho, idlule esifubeni iye kwindawo esiswini. Emva koko amasebe ayakhupha igazi elisandul 'ioksijini kwimilenze yakho esezantsi. Ukuxinana okanye ukunciphisa lo mthambo ubalulekileyo kunokubangela ukwehla kokuhamba kweoksijini.

Inxalenye encinci ye-aorta ihlala kufutshane nomphezulu wentliziyo, apho i-aorta iphuma entliziyweni. Isebenza njengekink kwi-hose. Njengoko intliziyo yakho izama ukumpompa igazi eline-oksijini emzimbeni, igazi linengxaki yokungena kwikink. Oku kubangela uxinzelelo lwegazi oluphezulu kwiindawo eziphezulu zomzimba wakho kunye nokunciphisa ukuhamba kwegazi kwiindawo ezisezantsi zomzimba wakho.

Ugqirha uya kufumanisa isifo kwaye anyange i-CoA emva nje kokuzalwa. Abantwana abane-CoA bahlala bekhula ukuze baphile ubomi obuqhelekileyo, obunempilo. Nangona kunjalo, umntwana wakho usemngciphekweni wokufumana uxinzelelo lwegazi kunye neengxaki zentliziyo ukuba i-CoA yakhe ayinyangwa de abe mdala. Basenokufuna ukubekwa esweni ngonyango.

Amatyala anganyangekiyo e-CoA ahlala ebulala, nabantu abaneminyaka engama-30 ukuya kuma-40 besifa sisifo sentliziyo okanye iingxaki zoxinzelelo lwegazi olungapheliyo.

Zithini iimpawu zokwahluka kwe-aortic?

Iimpawu kwiintsana ezisanda kuzalwa

Iimpawu kwiintsana ezisanda kuzalwa ziyahluka ngokobunzima bokuqina kwesifo se-aorta. Ngokwe-KidsHealth, uninzi lweentsana ezisanda kuzalwa ezine-CoA azibonisi zimpawu. Abanye banokuba nengxaki yokuphefumla kunye nokondla. Ezinye iimpawu kukubila, uxinzelelo lwegazi kunye nokusilela kwentliziyo.

Iimpawu kubantwana abadala nakubantu abadala

Kwiimeko ezinobulali, abantwana abanakho ukubonisa iimpawu kude kube kamva ebomini. Xa iimpawu ziqala ukubonisa, zinokubandakanya:

• izandla neenyawo ezibandayo
• impumlo
• iintlungu zesifuba
• intloko ebuhlungu
• ukuqhawukelwa ngumphefumlo
• igazi elonyukayo
• isiyezi
• isiqaqa

Yintoni ebangela ukungqubana kwe-aortic?

I-CoA yenye yeendlela ezininzi eziqhelekileyo zokuzalwa okungalunganga kwentliziyo. I-CoA inokwenzeka yodwa. Inokwenzeka nakwenye into engaqhelekanga entliziyweni. I-CoA ibonakala rhoqo kubafana kunamantombazana. Kwakhona kwenzeka kunye nezinye iziphene zentliziyo yokuzalwa, ezifana ne-Shone's complex kunye ne-DiGeorge syndrome. I-CoA iqala ngexesha lokukhula komntwana, kodwa oogqirha abaziqondi ngokupheleleyo izizathu.

Kwixesha elidlulileyo, oogqirha babecinga ukuba i-CoA yenzeka rhoqo kubantu abamhlophe kunezinye iintlanga. Nangona kunjalo, uphando lwamva nje lubonisa ukuba umahluko kubukho be-CoA inokubangelwa ngamanqanaba ahlukeneyo okufunyanwa. Uphononongo lubonisa ukuba zonke iintlanga zinokuzalwa ngokulinganayo nesiphene.

Ngethamsanqa, amathuba okuba umntwana wakho azalwe nge-CoA asezantsi ngokufanelekileyo. I-KidsHealth ithi i-CoA ichaphazela kuphela iipesenti ezisi-8 zabo bonke abantwana abazalwa benesiphene sentliziyo. Ngokuka, malunga ne-10 kwi-10,000 yeentsana ezine-CoA.

Kufunyaniswa njani ukuba coarctation kwe-aorta?

Uviwo lokuqala olusandul 'ukuzalwa luza kutyhila i-CoA. Ugqirha womntwana wakho unokubona ukungafani koxinzelelo lwegazi phakathi kweziphelo zomntwana eziphezulu nezisezantsi. Okanye banokuva izandi ezithile zesiphene xa umamele intliziyo yosana lwakho.

Ukuba ugqirha womntwana wakho ukrokrela i-CoA, banoku-odola iimvavanyo ezongezelelweyo, ezinje nge-echocardiogram, i-MRI, okanye i-catheterization yentliziyo (aortography) ukufumana uxilongo oluchanekileyo.

Zithini iindlela zokhetho kunyanga lwe-aortic?

Unyango oluqhelekileyo lwe-CoA emva kokuzalwa kubandakanya ibhaluni i-angioplasty okanye utyando.

Ibhaluni i-angioplasty ibandakanya ukufaka i-catheter ngaphakathi kwimithambo ethintelweyo kunye nokufaka ibhaluni ngaphakathi kwimithambo ukuze uyanabise.

Unyango lotyando lunokubandakanya ukususwa kunye nokufakwa endaweni yenxalenye "ye-crimped" ye-aorta. Ugqirha womntwana wakho endaweni yoko unokukhetha ukugqithisa ukuxinana ngokusebenzisa ukumiliselwa okanye ngokudala isiziba ngaphezulu kwesahlulo esincinci ukuze usikhulise.

Abantu abadala abafumene unyango ebuntwaneni banokufuna utyando olongezelelweyo kamva ebomini ukunyanga nakuphi na ukuphinda kwenzeke kwi-CoA. Ulungiso olongezelelekileyo kwindawo ebuthathaka yodonga lwe-aortic lunokufuneka. Ukuba i-CoA ishiywe inganyangwa, abantu abane-CoA ngokubanzi basweleka kwi-30s okanye kwi-40s yokusilela kwentliziyo, i-aorta ephukileyo, ukubetha okanye ezinye iimeko.

Ithini imbono yexesha elide?

Uxinzelelo oluphezulu lwegazi olunxulunyaniswa ne-CoA lwonyusa umngcipheko woku:

• umonakalo wentliziyo
• imithambo-luvo
• icala
• isifo se-coronary artery ngaphambi kwexesha

Uxinzelelo oluphezulu lwegazi kunokukhokelela ku:

• ukusilela kwezintso
• ukusilela kwesibindi
• ukulahleka kwamehlo ngokusebenzisa i-retinopathy

Abantu abane-CoA banokufuna ukuthatha iziyobisi, ezinje nge-angiotensin eguqula i-enzyme (ACE) inhibitors kunye ne-beta-blockers ukulawula uxinzelelo lwegazi.

Ukuba une-CoA, kuya kufuneka ugcine indlela yokuphila esempilweni ngokwenza oku kulandelayo:

• Yenza umthambo wokumodareyitha wemihla ngemihla. Kuyanceda ukugcina ubunzima obunempilo kunye nempilo yentliziyo. Kwakhona kunceda ukulawula uxinzelelo lwegazi.
• Kuphephe ukuzilolonga okunzima, njengokuphakamisa ubunzima, kuba kubeka uxinzelelo olongezelelekileyo entliziyweni yakho.
• Nciphisa ukutya kwakho ityuwa kunye namafutha.
• Ungaze utshaye nayiphi na imveliso yecuba.