Unyango lokutshintsha kwemithambo enkulu

Umxholo

• Ukubuyiselwa njani kosana ngokutshintsha kwemithambo enkulu
• Lunjani utyando lokutshintsha kwemithambo enkulu

Unyango lokutshintsha kwemithambo enkulu, kulapho usana luzelwe kunye nemithambo yentliziyo eguqulweyo, alwenziwa ngexesha lokukhulelwa, ke, emva kokuba umntwana ezelwe, kufuneka kwenziwe utyando ukulungisa isiphako.

Nangona kunjalo, ukuqinisekisa ukuba umntwana osandul 'ukuzalwa uneemeko ezingcono zokuhlinzwa, ugqirha usebenzisa inaliti ye-prostaglandin okanye afake ipayipi entliziyweni yomntwana ukuze anyuse ioksijini de ide iqhutywe, ehlala ihlala phakathi kweentsuku ezisi-7 kunye nenyanga yokuqala. yobomi.

Le ngxaki ayililo ilifa kwaye ihlala ichongwa yingcali yokubelekisa, ngexesha lokukhulelwa, ngexesha lokuvavanywa kwe-ultrasound. Nangona kunjalo, inokuchongwa emva kokuzalwa, xa umntwana ezalwa ene-bluish tinge, enokubonisa iingxaki ngeoksijini yegazi.

Ukubuyiselwa njani kosana ngokutshintsha kwemithambo enkulu

Emva kotyando, oluthatha malunga neeyure ezisi-8, umntwana kufuneka ahlale esibhedlele phakathi kwenyanga enye ukuya kwezi-2, ukuze achache ngokupheleleyo kutyando.

Ngaphandle koku, umntwana uya kujongwa kubomi bonke ngugqirha wezifo zentliziyo, onokuthi acebise ngohlobo lomsebenzi womzimba onokwenziwa ngumntwana ukuze angayithwalisi ngaphezulu intliziyo kwaye avavanye ukusebenza kwentliziyo ngexesha lokukhula.

Lunjani utyando lokutshintsha kwemithambo enkulu

Utyando lokutshintsha kwemithambo enkulu lusekwe ekuguqulweni kwesimo se-aorta kunye ne-pulmonary artery, zibabeka kwindawo efanelekileyo, ukuze igazi elidlula emiphungeni kunye neoksijini lisasazwe kuwo wonke umzimba wosana, ukuvumela Ingqondo kunye nawo onke amalungu abalulekileyo afumana ioksijini kwaye umntwana uyaphila.

Utyando ukuze kulungiswe esi siphene sentliziyo azalwe ngalo umntwana kwenziwa phantsi kwe-anesthesia ngokubanzi kwaye ukujikeleza kwegazi kugcinwa ngumatshini obuyisela umsebenzi wentliziyo ngexesha lotyando.

Utyando lokubekwa ngokutsha kwemithambo eshiye akukho mkhondo kwaye ukukhula komntwana kunye nokukhula kwakhe akuchaphazeleka, kumvumela ukuba aphile ubomi obuqhelekileyo njengaye nawuphi na umntwana. Ke ngoko, funda ezinye iindlela zokukhuthaza ukukhula komntwana kwi: Uluvuselela njani usana.