Zenera la aortopulmonary

Mawindo a Aortopulmonary ndi vuto la mtima losowa pomwe pali bowo lolumikiza mtsempha waukulu wotenga magazi kuchokera pamtima kupita ku thupi (aorta) ndi omwe amatenga magazi kuchokera pamtima kupita m'mapapu (pulmonary artery). Matendawo ndi obadwa nawo, zomwe zikutanthauza kuti amapezeka pakubadwa.

Nthawi zambiri, magazi amayenda kudzera m'mitsempha yam'mapapu kupita m'mapapu, komwe amatenga mpweya. Kenako magazi amabwerera kumtima ndikupopedwa ku aorta ndi thupi lonse.

Ana omwe ali ndi zenera la aortopulmonary amakhala ndi bowo pakati pa msempha ndi mtsempha wamagazi. Chifukwa cha dzenjeli, magazi ochokera ku aorta amathamangira m'mitsempha yam'mapapo, ndipo chifukwa chake magazi ambiri amathamangira m'mapapu. Izi zimayambitsa kuthamanga kwa magazi m'mapapu (vuto lotchedwa pulmonary hypertension) komanso kupindika kwa mtima. Kukula kwakukulu, ndimwazi womwe umatha kulowa m'mitsempha yam'mapapo.

Vutoli limachitika pomwe minyewa yamitsempha yam'mimba ndi yamapapo sizigawikana bwino momwe mwana amakulira m'mimba.

Mawindo aortopulmonary ndi osowa kwambiri. Imakhala yochepera 1% yazovuta zonse zobadwa nazo za mtima.

Vutoli limatha kuchitika lokha kapena matenda ena amtima monga:

• Zolemba Zachinyengo
• Atresia ya m'mapapo
• Truncus arteriosus
• Matenda osokoneza bongo
• Maluso a patent ductus arteriosus
• Idasokoneza khola la aortic

Makumi asanu peresenti ya anthu nthawi zambiri amakhala opanda vuto lina la mtima.

Ngati chilemacho chili chaching'ono, sichingayambitse zizindikiro. Komabe, zopindika zambiri ndizazikulu.

Zizindikiro zimatha kuphatikiza:

• Kukula kochedwa
• Mtima kulephera
• Kukwiya
• Kudya moperewera komanso kuchepa thupi
• Kupuma mofulumira
• Kugunda kwamtima mwachangu
• Matenda opuma

Wopereka chithandizo chamankhwala nthawi zambiri amamva mawu osazolowereka a mtima (kung'ung'udza) akamamvera mtima wa mwana ndi stethoscope.

Wothandizirayo atha kuyitanitsa mayeso monga:

• Catheterization yamtima - chubu chopyapyala cholowetsedwa m'mitsempha yamagazi ndi / kapena mitsempha yozungulira mtima kuti muwone mtima ndi mitsempha yamagazi ndikuyesa molunjika kuthamanga kwa mtima ndi mapapo.
• X-ray pachifuwa.
• Zojambulajambula.
• MRI yamtima.

Vutoli limafuna kuchitidwa opaleshoni yamtima yotseguka kuti akonze vutoli. Opaleshoni iyenera kuchitidwa mwachangu atazindikira. Nthawi zambiri, ndipamene mwana amakhala wakhanda.

Pochita izi, makina am'mapapo amtima amatenga mtima wamwana. Dokotalayo amatsegula msempha ndikutseka chilema chake ndi chigamba chopangidwa ndi chidutswa cha thumba lomwe limatseka mtima (pericardium) kapena chinthu chopangidwa ndi anthu.

Kuchita opaleshoni kukonza zenera la aopopulmonary kumayenda bwino nthawi zambiri. Ngati chilema chikuchiritsidwa mwachangu, mwanayo sayenera kukhala ndi zotsatirapo zokhalitsa.

Kuchedwetsa chithandizo kumatha kubweretsa zovuta monga:

• Kulephera kwa mtima
• Matenda oopsa a m'mapapo kapena matenda a Eisenmenger
• Imfa

Itanani omwe akukuthandizani ngati mwana wanu ali ndi zenera za aortopulmonary window. Vutoli likapezeka msanga ndikuthandizidwa, mpamene mwana amatha kudwala.

Palibe njira yodziwika yotetezera zenera la aortopulmonary.

Vuto la septopulmonary septal; Kukula kwa minyewa; Kobadwa nako mtima chilema - aortopulmonary zenera; Mtima wolakwika wobadwa - zenera la aortopulmonary

• Zenera la aortopulmonary

CD ya Fraser, Kane LC. Matenda amtima obadwa nawo. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: chap 58.

Qureshi AM, Gowda ST, Justino H, Spicer DE, Anderson RH. Zolakwika zina zamagawo otulutsa ma ventricular outflow. Mu: Wernovsky G, Anderson RH, Kumar K, et al, olemba. Matenda a Ana a Anderson. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 51.

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.