Mitsempha ya Coronary fistula

Mitsempha ya Coronary fistula ndikulumikizana kosazolowereka pakati pa mitsempha yoyenda ndi chipinda chamtima kapena chotengera china chamagazi. Mitsempha yamitsempha yamitsempha ndi mitsempha yamagazi yomwe imabweretsa magazi olemera okosijeni kumtima.

Fistula amatanthauza kulumikizana kwachilendo.

Mitsempha yamtundu wa fistula nthawi zambiri imakhala yobadwa, kutanthauza kuti imakhalapo pakubadwa. Nthawi zambiri zimachitika pamene umodzi mwa mitsempha yamthupi imalephera kupanga bwino. Izi zimachitika nthawi zambiri mwana akamakula m'mimba. Mitsempha yam'mimba imalumikiza mwanjira ina yazipinda zam'mtima (atrium kapena ventricle) kapena chotengera china chamagazi (mwachitsanzo, mtsempha wamagazi).

Mitsempha yamtundu wa fistula imatha kukhalanso pambuyo pobadwa. Itha kuyambitsidwa ndi:

• Matenda omwe amafooketsa khoma la mtsempha wamagazi ndi mtima
• Mitundu ina ya opareshoni yamtima
• Kuvulala kwa mtima kuchokera pangozi kapena opaleshoni

Mitsempha ya Coronary fistula ndizosowa. Makanda omwe amabadwa nawo nthawi zina amakhalanso ndi zovuta zina pamtima. Izi zingaphatikizepo:

• Matenda a mtima otsalira kwambiri (HLHS)
• Pulmonary atresia yokhala ndi septum yama ventricular

Makanda omwe ali ndi vutoli nthawi zambiri samakhala ndi zisonyezo.

Ngati zizindikiro zikuchitika, zimatha kuphatikiza:

• Kung'ung'uza mtima
• Kusamva bwino pachifuwa kapena kupweteka
• Kutopa kosavuta
• Kulephera kukula bwino
• Kuthamanga kapena kosasinthasintha kwamtima (kugunda)
• Kupuma pang'ono (dyspnea)

Nthawi zambiri, matendawa samapezeka mpaka atakula. Amapezeka nthawi zambiri poyesedwa kwa matenda ena amtima. Komabe, wothandizira zaumoyo atha kumva kung'ung'udza kwamtima komwe kungapangitse kuti apatsidwe matenda poyesedwa.

Chiyeso chachikulu chodziwitsa kukula kwa fistula ndi coronary angiography. Uku ndi kuyesa kwapadera kwa x-ray pamtima pogwiritsa ntchito utoto kuti muwone momwe magazi akuyendera. Nthawi zambiri zimachitika limodzi ndi catheterization yamtima, yomwe imaphatikizapo kupatsira chubu chowonda, chosinthasintha kulowa mumtima kuti muwone kuthamanga ndi kuyenda mumtima ndi mitsempha ndi mitsempha yoyandikana nayo.

Mayesero ena azidziwitso atha kuphatikizira:

• Kuyesa kwa mtima wa Ultrasound (echocardiogram)
• Kugwiritsa ntchito maginito kupanga zithunzi zamtima (MRI)
• Kuwunika kwa mphaka kwa mtima

Fistula yaying'ono yomwe siyimayambitsa zizindikiro nthawi zambiri siyifuna chithandizo. Ma fistula ena ang'onoang'ono amatseka okha. Nthawi zambiri, ngakhale satseka, sangayambitse zizindikiro kapena kusowa chithandizo.

Makanda omwe ali ndi fistula yokulirapo adzafunika kuchitidwa opaleshoni kuti atseke kulumikizana kwachilendo. Dokotalayo amatseka tsambalo ndi chigamba kapena ulusi.

Njira ina yothandizira odwala imatsegula kutsegula osachitidwa opaleshoni, pogwiritsa ntchito waya (coil) wapadera womwe umalowetsedwa mumtima ndi chubu lalitali, locheperako lotchedwa catheter. Pambuyo pochita izi kwa ana, fistula nthawi zambiri imatseka.

Ana omwe anachitidwa opareshoni nthawi zambiri amachita bwino, ngakhale ochepa amafunikira kuchitidwanso opaleshoni. Anthu ambiri omwe ali ndi vutoli amakhala ndi moyo wathanzi.

Zovuta zimaphatikizapo:

• Mtima wosazolowereka (arrhythmia)
• Matenda amtima
• Mtima kulephera
• Kutsegula (kuphulika) kwa fistula
• Mpweya wochepa pamtima

Zovuta zimakhala zofala kwa anthu okalamba.

Coronary artery fistula nthawi zambiri imapezeka mukamayesedwa ndi omwe amakupatsani. Itanani omwe akukuthandizani ngati mwana wanu wakhanda ali ndi zodwala.

Palibe njira yodziwika yopewera vutoli.

Kobadwa nako mtima chilema - mitima mtsempha wamagazi fistula; Mtima wolakwika wobadwa - mtsempha wamagazi fistula

• Zowonera Coronary
• Mitsempha ya Coronary fistula

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Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Acyanotic matenda obadwa nawo amtima: zotupa zakumanzere kumanzere. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 453.

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Webb GD, Smallhorn JF, Therrien J, Redington AN. Matenda obadwa nawo mumtima mwa wamkulu komanso wodwala. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 75.