I-Tetralogy ye-Fallot: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani
• 1. Utyando lwangaphakathi lokulungisa
• 2. Utyando lwethutyana
• Kwenzeka ntoni emva kotyando

I-fallral's tetralogy sisifo sentliziyo esizalwa naso esenzeka ngenxa yeenguqu ezine entliziyweni eziphazamisana nokusebenza kwayo kunye nokunciphisa inani legazi elimpontshwayo kwaye, ngenxa yoko, isixa seoksijini esifikelela kwizicwili.

Ke, abantwana abanolu tshintsho lwentliziyo ngokubanzi babonisa umbala oluhlaza okwesibhakabhaka kulusu ngenxa yokunqongophala kweoksijini kwizicubu, ukongeza kwinto yokuba kunokubakho ukuphefumla ngokukhawuleza kunye notshintsho ekukhuleni.

Nangona i-tetralogy ye-Fallot ingenalo unyango, kubalulekile ukuba ichongwe kwaye inyangwe ngokwesikhokelo sikagqirha ukuphucula iimpawu kunye nokukhuthaza umgangatho wobomi bomntwana.

Iimpawu eziphambili

Iimpawu ze-fallral's tetralogy zingahluka ngokwenqanaba lotshintsho lwentliziyo, kodwa olona luqhelekileyo lubandakanya:

• Ulusu oluhlaza;
• Ukuphefumla ngokukhawuleza, ngakumbi xa uncancisa;
• Iinzipho ezimnyama ezinyaweni nasezandleni;
• Ubunzima bokufumana ubunzima;
• Ukucaphuka lula;
• Ukukhala rhoqo.

Ezi mpawu zinokubonakala kuphela emva kweenyanga ezi-2 ubudala kwaye, ke ngoko, ukuba ziyajongwa, kufuneka zaziswe kwangoko kugqirha wabantwana kwiimviwo, ezinje nge-echocardiography, i-electrocardiogram okanye i-X-ray yesifuba, ukuvavanya ukusebenza kwentliziyo kunye nokuchonga ingxaki, ukuba ikhona.

Ukuba usana kunzima ukuphefumla, umntwana kufuneka abekwe ecaleni kwaye agobe amadolo akhe esifubeni sakhe ukuphucula ukujikeleza kwegazi.

Unyango lwenziwa njani

Unyango lwe-tetralogy ye-Fallot luquka utyando, olunokwahluka ngokobunzima benguqu kunye nobudala bosana. Ke, ezi ntlobo zimbini ziphambili zoqhaqho ukunyanga i-tetralogy ye-Fallot zezi:

1. Utyando lwangaphakathi lokulungisa

Olu lolona hlobo luphambili lonyango lwe-tetralogy ye-Fallot, eyenziwa ngentliziyo evulekileyo ukwenzela ukuvumela ugqirha alungise utshintsho lwentliziyo kunye nokuphucula ukujikeleza kwegazi, ekhulula zonke iimpawu.

Olu tyando luhlala lwenziwa ngexesha lonyaka wokuqala wokuzalwa komntwana, xa kufunyaniswa iimpawu zokuqala kwaye isifo siqinisekisiwe.

2. Utyando lwethutyana

Nangona utyando olusetyenziswa kakhulu kukulungiswa kwe-intracardiac, ugqirha unokucebisa ukuba enze utyando lwexeshana kwiintsana ezincinci okanye ezibuthathaka ukuba zenze utyando olukhulu.

Yiyo ke loo nto, ugqirha wotyando esika nje into encinci ukuze avumele igazi ukuba lingene emiphungeni, liphucula ioksijini.

Nangona kunjalo, olu tyando alunakuchazwa kwaye luvumela kuphela umntwana ukuba aqhubeke nokukhula kwaye akhule kangangexesha elithile, ade abe nakho ukwenza utyando lokulungisa ngaphakathi.

Kwenzeka ntoni emva kotyando

Kwiimeko ezininzi, iintsana ziyalungiswa ngaphandle kwengxaki, nangona kunjalo, kwezinye iimeko, iingxaki ezinje nge-arrhythmia okanye ukuxubusha umthambo we-aortic. Kwiimeko ezinjalo, kunokuba yimfuneko ukuthatha amayeza entliziyo okanye kwenziwe utyando olutsha ukulungisa iingxaki.

Ukongeza, njengoko kuyingxaki yentliziyo kubalulekile ukuba umntwana ahlala evavanywa ngugqirha wezentliziyo lonke ukukhula kwakhe, ukwenza iimviwo zomzimba rhoqo kunye nokwenza imisebenzi yakhe, umzekelo.