Hōʻike puʻuwai liʻiliʻi: he aha ia, he aha ia a no ka manawa e hana ai

Anter

• No ke aha ia
• 1. Hewa o ka septum ventricular
• 2. Hewa septal Atrial
• 3. ʻO Tetralogy o Fallot
• 4. Transposition o nā aʻa nui
• Pehea e pau ai ka hōʻike
• He aha ke ʻano o ka hopena

ʻO ka hoʻokolohua puʻuwai liʻiliʻi kekahi o nā hoʻokolohua i hana ʻia ma nā pēpē i hānau ʻia me kahi makahiki hānau o ʻoi aku ma mua o 34 mau pule a ke hana ʻia nei i ka hale hānau, ma waena o 24 a 48 mau hola ma hope o ka hānau ʻana.

Hana ʻia kēia hoʻokolohua e ka hui i nānā i ka lawe ʻana a hoʻohana ʻia e hōʻoia i ka hana pono ʻana o ka puʻuwai o ka pēpē, ʻoiai paha, i ka wā hāpai, ʻaʻole i ʻike ʻia kekahi maʻi puʻuwai.

E hōʻoia i nā hoʻāʻo a pau a ka keiki hānau hou e hana ai.

No ke aha ia

Mālama ka hōʻike puʻuwai liʻiliʻi e nānā pehea e loli ai ka pēpē i ke ola ma waho o ka ʻōpū. Hiki i kēia hoʻāʻo ke ʻike i nā hemahema o nā mākala a me nā kīʻaha koko o ka puʻuwai, me ka nānā ʻana i ka pā ʻana o ka puʻuwai i ka manawa i manaʻo ʻia no kēlā me kēia minuke, a inā nō i loko o ke koko i hoʻokahe ʻia e ka puʻuwai ka nui o ka oxygen e pono ai ka pēpē. .

ʻO kekahi mau hoʻololi i hiki ke ʻike ʻia e ka hoʻokolohua puʻuwai liʻiliʻi:

1. Hewa o ka septum ventricular

Aia kēia hemahema i ka wehe ma waena o ka ventricle ʻākau a me ka hema, ʻo ia nā ʻāpana haʻahaʻa o ka puʻuwai a ʻaʻole pono e pili pono kekahi i kekahi. ʻO ka maʻamau no kēia wehe ʻana e pani kūlohelohe, akā i kēlā me kēia hihia e kiaʻi ka pediatrician i ka hihia e ʻike inā kū laha ke pani ʻana a inā he pono ke ʻoki.

ʻAʻohe o nā keiki me kēia maʻi ahonui, akā inā he lōkahi ke kēkelē hiki i ia ke hoʻopilikia i ka hanu a me ka paʻakikī e loaʻa ai ka kaumaha.

2. Hewa septal Atrial

ʻO ke atrium ka ʻaoʻao kiʻekiʻe o ka puʻuwai, i mahele ʻia i ka hema a me ka ʻākau no ka mea he ʻano puʻuwai ia i kapa ʻia ʻo septum. ʻO ka hemahema e hoʻoulu i ka maʻi atrial septum he puka liʻiliʻi i ka septum, kahi e hoʻopili ai i nā ʻaoʻao ʻelua. E pani wale paha kēia wehe, akā aia kekahi mau hihia kahi e pono ai ke ʻoki.

ʻAʻole hōʻike nā pēpē me kēia loli i nā ʻōuli.

3. ʻO Tetralogy o Fallot

ʻO ka Tetralogy o Fallot kahi o nā kīnā ʻehā i hiki ke hoʻopili i ka puʻuwai o ka hānau hou. ʻO kahi laʻana, ke ʻoi aku ka liʻiliʻi o ke kīʻaha koko hema o ka puʻuwai ma mua o ka mea e pono ai, a ʻo kēia ke kumu e ulu ai ka mākala i kēia wahi, a haʻalele ka puʻuwai o ka pēpē.

Hoʻoemi kēia mau kīnā i ka oxygen i loko o ke kino, a ʻo kekahi o nā hōʻailona o ka maʻi ka hoʻololi ʻana o ke kala i nā aka o ka poni a me ka polū ma nā wahi o nā lehelehe a me nā manamana lima o ka pēpē. E ʻike he aha nā hōʻailona ʻē aʻe a pehea ke ʻano o ka mālama ʻana iā Tetralogy of Fallot.

4. Transposition o nā aʻa nui

I kēia hihia, hana ke aʻa nui i ke kahe o ka oxygenated a me ka hana ʻole o oxygen i hana i ka hope, kahi e kū ʻole ai ka ʻaoʻao me ka oxygen me ka ʻaoʻao me ka ʻole o ka oxygen. ʻO nā ʻōuli o ka transposition o nā aʻa nui e hana ana i mau hola ma hope o ka hānau ʻana ma muli o ka nele o ka oxygen a me ka pēpē paha e hoʻonui i ka helu o ka puʻuwai.

I kēia maʻi, hōʻike pinepine ʻia ke kīʻaha reparative e hoʻohui hou i nā kīʻaha koko i nā wahi kahi i hana ʻia ai i ka wā hāpai.

Pehea e pau ai ka hōʻike

Hana ʻia ka hoʻāʻo me ke keiki e moe ʻoluʻolu ana me nā lima a me nā wāwae mehana mehana. Kau ʻia i kahi mea kōkua kūpeʻe lima kūikawā no nā keiki hānau hou ma ka lima ʻākau o ka pēpē e ana i ka nui o ka oxygen i loko o ke koko.

ʻAʻohe ʻoki a puka paha i kēia hōʻike a, no laila, ʻaʻole ʻeha ke pēpē a hōʻehaʻeha paha. Eia hou, hiki i nā mākua ke noho me ka pēpē i ke kaʻina hana, e ʻoluʻolu ai.

I kekahi mau hihia hiki ke hana ʻia kēia hoʻāʻo ma ka wāwae o ka pēpē, me ka hoʻohana ʻana i ka kūpeʻe lima hoʻokahi e ana i ka nui o ka oxygen i loko o ke koko.

He aha ke ʻano o ka hopena

Manaʻo ʻia ka hopena o ka hōʻike he mea maʻamau a maikaʻi ʻole hoʻi ke ʻoi aku ka nui o ka oxygen i loko o ke koko o ka pēpē ma mua o 96%, no laila ke ukali nei ke keiki i ka hana mālama neonatal, ke hoʻokuʻu ʻia ʻana mai ka haukapila makuahine i ka pau ʻana o nā hōʻike o ka hānau hou.

Inā maikaʻi ka hopena hōʻike, ʻo ia hoʻi ka nui o ka oxygen ma ke koko ma lalo o 95% a, inā kū kēia, pono e hana hou i ka hōʻoia ma hope o 1 hola. I kēia hōʻike ʻelua, inā koe ka hopena, ʻo ia hoʻi, inā koe ia ma lalo o 95%, pono e hoʻokipa ʻia ka pēpē e loaʻa kahi echocardiogram. E ʻike pehea e hana ʻia ai a no ke aha ka echocardiogram.