Isifo senhliziyo kubelekwa. Iimpawu.

Malformations ye sentliziyo nkqubo kuzalwa ngenxa yokuba ukuphazamiseka entsonkothileyo kakhulu kwi amalungu tab ngexesha Palsy kwaye zikhatshwa vumelwano hemodynamic kakhulu, nto leyo, kuxhomekeka kuhlobo kunye ubungqongqo imeko zingenzeka nokuba nangoko emva kweeyure ezimbalwa emva kokuzalwa, okanye emva kweminyaka embalwa yobomi. Ezinye iziphene Intliziyo naso awahambelani ebomini, yaye kufuneka utyando ngoko nangoko. Kungenjalo, umntwana afe.

Njengomgaqo, namhlanje, isiphako intliziyo xa kuzalwa kwakhona kumiselwa Esibelekweni ngexesha yokumitha ultrasound. nangoko Abazali nithi kuloo kuthetha ntoni, yaye ngawaphi amanyathelo ekufuneka ethathiwe emva kokuzalwa komntwana.

Kukho ukuhlelwa ezininzi ezahlukeneyo malformations kwenkqubo sentliziyo ebantwaneni. Nanku omnye wabo.

Zonke iziphene bohlulwa babe ngamaqela amabini ezinkulu:

- ezimhlophe (kunye shunt ekhohlo-ekunene), xa ezi zinto zingalunganga akukho elisetyenziswa emithanjeni negazi lwemithambo.;

- oluhlaza (kunye shunt ekunene-ekhohlo) xa kukho elisetyenziswa ngalo igazi esimbaxa ukusuka lwemithambo.

Kwelinye icala, ezi amaqela nohlulwe namanye amaqela eziliqela. Ngoko ke iziphene ezimhlophe ziquka iziphene, leyo zikhatshwa ejikeleza zixinene pulmonary, ie pulmonary (patent ductus arteriosus (PDA), isiphene atrial kunye ekudibaneni (ASD, VSD), vula uqhagamshelo atrio-ventricular, njalo njalo).

Kwakhona ziquka isiphako zentliziyo ezisanda kuzalwa kunye intlupheko le kwegazi, ie umzimba uphela, ezi ziquka loo isiphako kaninzi zenzeka njengoko coarctation aortic (ukuvala le aorta).

iziphene Blue ziquka iziphene kuphuphuma ukujikeleza yemiphunga, kwaye zibandakanya transposition le aorta, Eisenmenger complex, ngokunjalo nezifo inkunzi ejikeleza yemiphunga (tetralogy of Fallot, njl njl).

Ukuba kukho isiphako intliziyo xa kuzalwa akakwazi zafunyanwa ngethuba lokukhulelwa, ngoko ke ifakwe kamva obubonakala clinical. Baya yahluke kakhulu, kodwa kukho iimpawu eziliqela onyango ezihamba nasiphi na isiphene.

zesifo isifo Heart:

- etsolo okanye ezingapheliyo sisifo sentliziyo, ekhatshwa odyshechno-cyanotic ukuhlaselwa, pallor, marbled okanye isikhumba cyanotic, nto leyo ehambisana nomntwana hypoxia ezingapheliyo, isiyezi triangle nasolabial, umntwana abe engayigcini iqondo lobushushu emzimbeni, njl

- Iimpawu wentliziyo ukuphuhlisa kamva kunye ekukhuleni komntwana, bathi izikhalazo intlungu intliziyo, ukuze aphuhlise elisemqolo kwentliziyo (njengoko usana ribcage nezimo kakhulu), waphulaphula luyambombozela intliziyo ezahlukeneyo, intliziyo izifundo luyiguqule yoqwalaselo kunye nempahla eziphambili.

- ukusilela yokuphefumla eyenzeke naluphi na uhlobo nasiphako. Oko kukhatshwa ngokungabikho lomoya, umntwana wukhe, nephika, rate ukuphefumla iphezulu kakhulu iphefumla isingqisho yesiqhelo. Ngamanye amaxesha kukho yokubuyiselwa lweendawo elithambileyo esifubeni xa uphefumla.

- kwixesha elizayo labantwana abakhubazekileyo babe hypoxia ezingapheliyo, olubonwa uphawu "clubbing" kwi phalanges, lo ukuqhwalela kuphuhliso naliphi na ilungu lomzimba okanye umzimba wonke.

Ngokuqinisekileyo kusoloko kukho isiphako zentliziyo ezisanda kuzalwa kunye luyambombozela ngentliziyo, leyo ukuphulaphula kuphela ukuba cardiologist onamava, nangona ingxolo ezininzi ezinzulu kwaye ezicacileyo uve naziphi wabantwana. Xa usiya scan okulindeleke ukuba udokotela, thundeza ukuba ulibekele entliziyweni ubuncinane, singasathethi ke ukuba kuyimfuneko ukulinganisa ubude umzimba, intloko wedini, umyinge yokuphefumla, ukubetha kwentliziyo kunye noxinzelelo lwegazi. Kuyimfuneko ezisisiseko zokuhlola usana.