Siphene Ventricular septal

Ventricular isiphako septal - yingxaki enkulu amayeza.

Intliziyo - oku ilungu encinane otsho yonke eziphilayo. Kaloku, ukuba umntu ozelwe usempilweni ngokupheleleyo. Ngamanye amaxesha kukho iintlobo leengxaki Serce asakhasayo Esibelekweni.

Oku kuquka septal siphene ventricular. Kwiimeko ezinjalo, i ventricles Zezomntu izicwangciso zentliziyo nakunxibelelwano omnye komnye. Kulo mzekelo, naso intliziyo isiphako ebantwaneni kufuna kangangoko amanyathelo kwangethuba kangangoko ukuthintela ukuba uphuhliso iingxaki.

Le onesiphene kuba zobukhulu ezahlukeneyo - ukusuka amancinci ukuya enkulu ngokwendawo kwiindawo ezahlukeneyo ezindongeni: kwemisipha, membranous okanye trabecular.

Ngoko nangoko emva kokuzalwa, shunt luninzi zophendlo lwezifo ngokusebenzisa ngenxa yesiphako ventricular septal akukho ulandelwe. Oku kubangelwa yinto yokuba ekuqaleni umntwana ngaphandle koku kukho ukwanda wegazi imithambo yegazi ibekwe kwegazi miphungeni. Kamva uqala ukuba nisikrokrele iSystolic oluvakalayo.

Ukuba ubale zonke iziphene ekuzalweni echaphazela izitya intliziyo negazi, isiphako kwi ekudibaneni phakathi ventricles liya kuba malunga ne-30% yazo zonke ezimbi.

Izizathu ukuyilwa yomonakalo ventricular septal

Xa asakhulayo umzimba ekunene ekupheleni kweveki yesihlanu sifanele kukhule ndawonye zonke iinxalenye iindonga intliziyo. Ukuba ayiwenzi, ngoko kwasekwa siphene ventricular septal.

Imiba yomngcipheko ziquka kakubi kamama ngethuba lokukhulelwa, utywala, ukutshaya. nempembelelo embi kakhulu kwi karhulumente komntwana sesichengeni kwiiarhente ezosulelayo (iintsholongwane, ezinye iintsholongwane) ukuba kusichukumisa isithintelo placental.

obubonakala kwezonyango malformation

Ventricular septal isiphako sele kubonakala ngemihla kwangoko, kunye neeyure yobomi;

• cyanosis esikhumba kwakunye nomkhwinya - ukufakelwa japan nomoya igazi ukusuka ventricle ekhohlo ukuya ekunene;
• iindumbisa umzimba, ingakumbi zemizimba umntwana;
• akukho kuzuza ubunzima;
• tachycardia kunye iyangongoza.

Amanyathelo iingxaki Ubhaqo fault

Ukusola ugqirha Ingabangela izimvo zomntwana. Emva auscultation amaninzi iingcali kunye degree ezaneleyo lilonke zibonisa ubukho septal sisiphako nomonde. Ukuze uqinisekise uxilongo ngokusebenzisa le ndlela zilandelayo:

• Ultrasound ukufunda intliziyo. Le ndlela ilula kwaye cheap ngokwaneleyo ukuchaneka yayo yonke.
• -X-reyi amalungu ibekwe esifubeni - uyakwazi ukubona imida intliziyo ukukhula.
• Ukuzimisela legazi Ukwanda yoluvo mpilo.
• ukuqanda catheterization intliziyo. Le izakhi esimbaxa lwenziwa phantsi kolawulo izixhobo X-ray. Emva Ukuqaliswa catheter kulo kwisisu ventricular kuba kunokwenzeka ukuba iliso abaninzi iparameters.
• MRI intliziyo nempahla enkulu.

Ventricular septal egqibeleleyo - unyango ezinkulu kanye lokudambisa

Unyango kunokuba emithethweni futhi yotyando.

• uqhaqho Vula kukuba kuhlalutywe le Isifuba kunye ingqibelelo nokuncitshiswa zekhala ngqo. Xa oku nezixhobo kusetyenziswa bypass cardiopulmonary.
• Singakwazi ukwenza ungenelelo endovascular. Phantsi isikhokelo fluoroscopic yaziswa egazini, kwaye probe kuxhaphaka ukuya kwisiza engasebenzi. Emva koko zekhala wambuyisela usebenzisa patch okhethekileyo. Inzuzo ukuqina yale tyando kancinane yayo wesibeleko esigqibeleleyo.
• utyando lokudambisa yi zenza pulmonary kwimithambo stenosis ukwenzela ukunciphisa ukukhutshwa. Akunamsebenzi ukuphelisa unobangela, lula iimpawu ze-ngezifo kuphela.

Emva kokuba umsebenzi kuboniswa iziyobisi ezithintela igazi ekunqandeni, kwaye normalizing intliziyo isingqi malunga nesigulane eso. Oku kwenza kube lula kancinane ukunciphisa inani iingxaki postoperative.