Isici Ventricular septal

Ventricular isici septal - inkinga enkulu kwezokwelapha.

Inhliziyo - lena isitho esincane ayizwayo wonke umzimba. Nokho, uma umuntu uzalwa engumqemane. Ngezinye izikhathi kukhona izinhlobo zokugula Serce asathuthuka utero.

Lokhu kufaka ventricular septal isici. Ezimweni ezinjalo, ventricles wenhliziyo ku zokuxhumana nomunye. Kulokhu, azalwa naso inhliziyo isici ezinganeni kudinga ngangokunokwenzeka isenzo ekuseni ukuvimbela ukuthuthukiswa yezinkinga.

Isici kungenzeka letingemasayizi lahlukene - kusukela komncane kuya ezinkulu futhi isebenze ezingxenyeni ezahlukene izindonga: kwemisipha, membranous noma trabecular.

Ngokushesha ngemva kokuzalwa, luningi shunt sokugembula ngokusebenzisa ngokusebenzisa isici ventricular septal is hhayi waphawula. Lokhu kungenxa yokuthi ekuqaleni ingane futhi ngaphandle lokhu kukhona ukwanda wegazi imithambo yegazi elise kwegazi emaphashini. Kamuva kuthathela ukuba ezwakalayo systolic nokububula.

Uma nje ukubala zonke kwasekuzalweni ezithinta izitsha inhliziyo negazi, isici kule septum phakathi ventricles ngeke alandise u-30% wabo bonke pathologies.

Izizathu kumiswa isici ventricular septal

Emzimbeni abasafufusa kwesokudla ekupheleni kwesonto lesihlanu kufanele sikhule ndawonye zonke izingxenye izindonga inhliziyo. Uma kungaqali, khona-ke bakha isici ventricular septal.

Izinto eziyingozi ezingabangela i zihlanganisa ukuhlukunyezwa unina ngesikhathi sokukhulelwa, utshwala, ukubhema. umphumela omubi kakhulu ku isimo sengane ukuchayeka ezithwala izifo (amagciwane, abanye amagciwane) akwazi ukungena umgoqo esinomhlapho.

ukubonakaliswa Clinical of malformation

Ventricular septal isici singesabo sobala kakade ezinsukwini zakuqala, ngisho amahora zokuphila:

• cyanosis kwesikhumba futhi lwamafinyila - ukusetha kabusha yi nomoya-mpilo igazi ventricle engakwesobunxele kwesokunene;
• ukuvuvukala umzimba, ikakhulukazi emagatsheni ingane;
• inzuzo isisindo;
• tachycardia futhi palpitations.

izinyathelo sokuxilonga ukuze iphutha ukuthola

Okusolwayo udokotela Ingabangela ukubukwa wengane. Ngemva auscultation ngokuvamile ochwepheshe nge degree eyanele ematfuba ukuphakamisa khona isiguli septal isici. Ukuze uqinisekise uphethwe asesebenzisa izindlela ezilandelayo:

• Ultrasound cwaningo zenhliziyo. Indlela ilula futhi ezishibhile esanele ukuze yonke ukunemba kwayo.
• X-ray kwezitho etholakala esifubeni - kungathola inhliziyo ukukhulisa imingcele.
• Ukunqunywa neuropathy igazi ukugcwaliswa nomoya-mpilo.
• Senhliziyo catheterization izimbotshana. Lokhu zokukhwabanisa eziyinkimbinkimbi wenziwa ngaphansi kokulawula-X-ray kulandzelana nekuhlunga tinsita. Ngemva ukwethulwa ipayipi phakathi komgodi ventricular kuba nokwenzeka ukuqapha imingcele eminingi.
• MRI ezisekujuleni kwenhliziyo futhi imikhumbi emikhulu.

Ventricular septal isici - ukwelashwa ezinkulu futhi okuthuthukisa

Ukwelashwa kungaba ngoludala futhi kuhlinzwa.

• ukuhlinzwa Vula iwukuba ukukhipha le thorax kanye oqondile ukunciphisa septum yobuqotho. Uma le-apharathasi isetshenziswa dlula cardiopulmonary.
• Kungenzeka ukuba afeze endovascular kokungenela. Ngaphansi kokuqondisa fluoroscopic yethulwa emgudwini wegazi, futhi probe kancane kancane ezihambayo kusayithi yokungafaneleki. Khona-ke septum abuyiselwe usebenzisa patch ekhethekile. Inzuzo undoubted yalesi msebenzi kancane yayo koda.
• ukuhlinzwa Palliative kuyinto yokufakelwa yamaphaphu Umthambo stenosis ukuze anciphise ukudedelwa. Akukona imbangela ubuhlungu izimpawu zokugula kuphela.

Ngemva kokuhlinzwa kuboniswa ukuthatha imithi ukuthi ukuvimbela igazi ekunqandeni, futhi normalizing inhliziyo isigqi nesineke. Lokhu kwenza kube nokwenzeka kancane ukunciphisa inani yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa.