He aha ka dextrocardia a me nā pilikia nui

Anter

• ʻO nā pilikia nui o ka puʻuwai ma ka ʻaoʻao ʻākau o ke kino
• 1. ʻO ventricle ʻākau me nā puka ʻelua
• 2. Ka hana malformation o ka paia ma waena o ka atria a me nā ventricle
• 3. hemahema i ka wehe ʻana o ke aʻa o ka ventricle ʻākau
• 4. Ua kuapo ʻia nā aʻa i ka puʻuwai

He kūlana ʻo Dextrocardia kahi i hānau ʻia ai ke kanaka me ka puʻuwai ma ka ʻaoʻao ʻākau o ke kino, kahi hopena e hoʻonui ʻia ai ka loaʻa ʻana o nā hōʻailona e paʻakikī e hana i nā hana o kēlā me kēia lā a hiki ke hōʻemi i ka maikaʻi o ke ola, e like me ka pōkole o ka hanu a me ka luhi ke hele a piʻi paha i ke alapiʻi, no ka laʻana. Kū aʻe kēia mau ʻōuli no ka mea ma nā hihia o dextrocardia hiki i kahi manawa nui ke kūkulu i nā malformations e like me nā aʻa pehu, nā pā puʻuwai i hoʻomohala maikaʻi ʻole ʻia a i ʻole nā ​​valves nāwaliwali.

Eia nō naʻe, i kekahi mau hihia, ʻo ka ʻoiaʻiʻo o ka puʻuwai e hoʻomohala ma ka ʻaoʻao ʻākau ʻaʻole ia e hōʻike i kekahi ʻano komplication, no ka mea, hiki i nā mea kino ke ulu pono a, no laila, ʻaʻole pono e hana i kekahi ʻano lapaʻau.

No laila, he mea wale nō e hopohopo ke kū ka puʻuwai ma ka ʻaoʻao ʻākau a ʻike ʻia nā hōʻailona e pale i ka hana o nā hana o kēlā me kēia lā. I kēia mau hihia, paipai ʻia e hele i ka pediatrician, i ka hihia o ke keiki, a i ʻole ke kauka lāʻau, i ka hihia o ke kanaka makua, e nānā inā aia kahi pilikia a hoʻomaka i ka lapaʻau kūpono.

ʻO nā pilikia nui o ka puʻuwai ma ka ʻaoʻao ʻākau o ke kino

1. ʻO ventricle ʻākau me nā puka ʻelua

I kekahi mau hihia hiki i ka puʻuwai ke hoʻomohala me kahi kīnā i kapa ʻia he ventricle ʻākau me nā puka ʻelua, kahi e hoʻopili ai nā aʻa ʻelua o ka puʻuwai i ka ventricle like, ʻaʻole like me ka puʻuwai maʻamau kahi e hoʻopili ai kēlā me kēia aʻa i kahi ventricle.

I kēia mau hihia, pili iki ka puʻuwai ma waena o nā ventricle ʻelua e ʻae i ke koko e pakele mai ka ventricle hema i loaʻa ʻole ka puka. I kēia ala, hui pū ke koko momona i ka oxygen me ke koko e hele mai ana mai ke koena o ke kino, e hana ana i nā ʻōuli e like me:

• Māmā a luhi nui hoʻi;
• ʻIli polū a me nā lehelehe;
• Nā kui kui mānoanoa;
• Ka paʻakikī i ka loaʻa ʻana o ke kaumaha a me ka ulu ʻana;
• Ka hanu nui loa.

Hana pinepine ʻia ka lāʻau lapaʻau me ke kaha ʻana e hoʻoponopono i ka pilina ma waena o nā ventricle ʻelua a hoʻonohonoho hou i ke aʻa aorta ma kahi kūpono. Kaukaʻi ʻia i ka nui o ka pilikia, pono paha e hana i kekahi mau hana ʻokiʻoki e loaʻa ai ka hopena maikaʻi loa.

2. Ka hana malformation o ka paia ma waena o ka atria a me nā ventricle

ʻO ka malformation o nā paia ma waena o ka atria a me nā ventricle ke hana ʻia i ka wā ʻaʻole i hoʻokaʻawale ʻia ka atria ma waena o lākou, a ʻo nā ventricle hoʻi, e hana ana i ka puʻuwai i hoʻokahi atrium a me hoʻokahi ventricle nui, ma kahi o ʻelua. ʻO ka nele o ka hoʻokaʻawale ma waena o kēlā me kēia atrium a me ka ventricle e ʻae ai i ke koko e hui a alakaʻi i ka hoʻonui i ke kaomi i nā māmā, e hana ana i nā ʻōuli e like me:

• Ka luhi nui loa, ʻoiai ke hana nei i nā hana maʻalahi e like me ka hele wāwae;
• Pālehu a ʻili ʻulaʻula paha;
• Kaʻai ʻole;
• Hanu wikiwiki;
• ʻO ka pehu ʻana o nā wāwae a me ka ʻōpū;
• Pneumonia pinepine.

ʻO ka maʻamau, hana ʻia ka mālama ʻana o kēia pilikia ma kahi o 3 a 6 mau mahina ma hope o ka hānau ʻana me ke kaha ʻana e hana i ka paia ma waena o ka atria a me nā ventricle, akā, kaukaʻi ʻia i ka nui o ka pilikia, hiki i ke kauka ke kuhikuhi i kekahi mau lāʻau, e like me antihypertensive nā lāʻau. a me nā diuretics, e hoʻomaikaʻi i nā ʻōuli a hiki i ke keiki i kahi makahiki i kahi o ka liʻiliʻi o ka loaʻa o ke ʻoki.

3. hemahema i ka wehe ʻana o ke aʻa o ka ventricle ʻākau

I kekahi mau mea maʻi me ka puʻuwai ma ka ʻaoʻao ʻākau, hiki ke hoʻomohala maikaʻi ʻole ʻia ka pahu ma waena o ka ventricle ʻākau a me ke aʻa aʻa, a no laila, ʻaʻole wehe hāmeʻa, keakea i ka hele ʻana o ke koko i nā akemāmā a me ka pale ʻana i ka oxygenation kūpono. O ke koko. . Kaukaʻi ʻia i ke kēkelē o ka malformation o ka nohona kiwikā, hiki i nā ʻōuli ke hoʻopili pū:

• ʻŌpū pehu;
• ʻEha o ka umauma;
• Ka luhi nui a maʻule paha;
• Hanu paʻakikī;
• ʻIli hoʻomaʻemaʻe.

I nā hihia kahi maʻalahi ka pilikia, ʻaʻole pono ka mālama ʻana, akā naʻe, ke kumu ia o nā ʻōuli mau a koʻikoʻi paha e pono e lawe i nā lāʻau e kōkua i ke koko e holo maikaʻi a i ʻole ke ʻoki e pani i ka valve, no ka laʻana.

4. Ua kuapo ʻia nā aʻa i ka puʻuwai

ʻOiai ʻo ia kekahi o nā maʻi kīnā ʻole loa o ka naʻau, hiki i ka pilikia o nā aʻa kuapo i ka puʻuwai ke ala pinepine aʻe i nā mea maʻi me ka puʻuwai ma ka ʻaoʻao ʻākau. Hoʻopili kēia pilikia i ka ʻako o ka pulmonary i ka ventricle hema ma kahi o ka ventricle ʻākau, e like me ka hoʻopili ʻana o ke aorta austic i ka ventricle ʻākau.

No laila, haʻalele ka puʻuwai me ka oxygen i ka puʻuwai a hele pololei i nā akemāmā a ʻaʻole hele i loko o ke koena o ke kino, ʻoiai ke koko me ka ʻole o oxygen e haʻalele i ka puʻuwai a hele pololei i ke kino me ka loaʻa ʻole o ka oxygen i nā akemāmā. No laila, ʻike ʻia nā ʻōuli nui ma hope koke iho o ka hānau ʻana a komo pū:

• ʻIli polū;
• Nui loa ka paʻakikī i ka hanu ʻana;
• Kaʻai ʻole;

Hōʻike kēia mau ʻōuli ma hope koke iho o ka hānau ʻana a, no laila, pono e hoʻomaka i ka mālama ʻana i ka wā hiki ke hoʻohana ʻia me nā prostaglandins e kōkua ai e mālama i kahi puka hāmama ma waena o ka atria e hoʻohuihui i ke koko, aia i ka wā o ka hāpai ʻana a pani koke ʻia ma hope o ka lawe ʻana. Eia nō naʻe, pono e hana i ke kaha ma ka pule mua o ke ola e kau i nā aʻa i kahi kūpono.