Intliziyo ngaphandle kwesifuba: Kutheni le nto isenzeka kwaye inyangwa njani

Umxholo

• Yintoni ebangela le ngxaki
• Kwenzeka ntoni xa intliziyo iphuma esifubeni
• Zithini iindlela zokhetho zonyango
• Indlela yokuqinisekisa ukuxilongwa

I-Ectopia cordis, ekwabizwa ngokuba yi-cardiac ectopia, sisiphene esinqabileyo kakhulu apho intliziyo yosana ibekwe ngaphandle kwebele, phantsi kolusu. Kule ngxaki, intliziyo inokufumaneka ngaphandle kwesifuba okanye ngaphandle kwesifuba.

Kwiimeko ezininzi, kukho ezinye iziphene ezinxulumene noko, ke, ixesha lokuphila eliqhelekileyo ziiyure ezimbalwa, kwaye uninzi lweentsana luphela lungaphili emva kosuku lokuqala lobomi. I-Ectopia cordis inokuchongwa kwikota yokuqala yokukhulelwa, ngoviwo lwe-ultrasound, kodwa kukwakho iimeko ezinqabileyo apho ukungalunganga kubonakala kuphela emva kokuzalwa.

Ukongeza kwiziphene entliziyweni, esi sifo sinxulunyaniswa neziphene kubume besifuba, isisu kunye namanye amalungu, afana namathumbu nemiphunga. Le ngxaki kufuneka inyangwe ngoqhaqho ukubuyisela intliziyo endaweni yayo, kodwa umngcipheko wokufa uphezulu.

Yintoni ebangela le ngxaki

Isizathu esithile se-ectopia cordis asikaziwa, nangona kunjalo, kunokwenzeka ukuba i-malformation ivela ngenxa yokukhula okungachanekanga kwethambo le-sternum, eligcina lingabikho kwaye livumele intliziyo ukuba iphume ebeleni, kwanaxa ukhulelwe.

Kwenzeka ntoni xa intliziyo iphuma esifubeni

Xa umntwana ezalwa enentliziyo ephuma esifubeni, ihlala ikwanazo nezinye iingxaki zempilo ezinje:

• Iziphene ekusebenzeni kwentliziyo;
• Iziphene kwidayaphragm, ekhokelela ekubeni kube nzima ukuphefumla;
• Amathumbu ngaphandle kwendawo.

Umntwana one-ectopia cordis unethuba elikhulu lokusinda xa ingxaki ikukuhlala kwindawo ehlwempuzekileyo yentliziyo, ngaphandle kwezinye iingxaki ezinxulumene noko.

Zithini iindlela zokhetho zonyango

Unyango lunokwenzeka kuphela ngotyando endaweni yentliziyo kunye nokwakha kwakhona iziphene esifubeni okanye kwamanye amalungu achaphazelekayo. Utyando lwenziwa rhoqo kwiintsuku zokuqala zobomi, kodwa kuya kuxhomekeka kubukhali besifo nakwimpilo yosana.

Nangona kunjalo, i-ecotopia cordis yingxaki enkulu ethi kwiimeko ezininzi ikhokelele ekufeni kwiintsuku zokuqala zobomi, kwanaxa kusenziwa utyando. Abazali babantwana abanesi sifo banokuba novavanyo lwemfuza ukuvavanya amathuba okuphinda kwakhona kwengxaki okanye ezinye iziphene zemfuza ekukhulelweni okulandelayo.

Kwiimeko apho usana lukwazi ukuphila, kuhlala kufanelekile ukubhenela kugqirha kwiindawo ezininzi zobomi, kunye nokugcina unyango rhoqo, ukuqinisekisa ukuba akukho zingxaki zinokubusongela ubomi.

Indlela yokuqinisekisa ukuxilongwa

Ukuxilongwa kungenziwa kwiveki ye-14 yokukhulelwa, ngovavanyo oluqhelekileyo kunye ne-morphological ultrasound. Emva kokuchongwa kwengxaki, ezinye iimviwo ze-ultrasound kufuneka zenziwe rhoqo ukubeka esweni ukukhula komntwana kunye nokuba mandundu okanye hayi kwesi sifo, ukuze ukuhanjiswa ngokwecandelo lokuyalela kucwangciselwe.