Kwi-kid yakho ngexesha le-ultrasound ugqirha wafumana ifowuni evulekile evulekile entliziyweni. Yintoni oku kuthethwa ngayo kwaye kuyingozi kumntwana? Iifestile evulekileyo yefowuni yeentsana iyakudlula konke kwaye kuya kuthatha ixesha elingakanani? Siza kuthetha ngawo onke namhlanje.
Iziqulatho
Iimpawu azikho. Iimbono ezimbini ngxaki. Yintoni endiyenzayo?Iwindow evulekileyo yefowuni yinto encinci yentliziyo, apho ukukhulumisana phakathi kwe-atrium ekhohlo kunye neyokunene kulondolozwe okanye kugcinwe ngokupheleleyo, okwenyuka kwithuba lophuhliso lwe-intrauterine. Kumntwana ukuphuma kwegazi kunika igalelo ngegazi ngefestile enkulu ye-oval, okokuqala, ummandla we-brachiocephalic. Oku kuyimfuneko ukugcina uphuhliso olukhawulezayo lwengqondo. Emva kokuzalwa, i-gradient yoxinzelelo phakathi kwe-atria iyatshintsha kunye nokuqala kwe-inhalation yomntwana, kwaye phantsi kweemeko eziphambili zokuphuhliswa, inkqubo yokujoyina emaphethini e-valve kunye nomngxuma kwenzeka. Endaweni ethile kwisiqingatha sesibini sonyaka wokuqala wobomi bentsana, iwindi le-oval livaliwe. Kodwa akwenzeki kuwo wonke umntu. Ngokutsho kwabalobi abaninzi, ngomnyaka wokuqala wobomi, iwindi ye-oval ivaliwe kuphela kwi-50-60% yabantwana; bakholelwa ukuba kunokusondela ngokukhawuleza nangaliphi ixesha lobomi bomntu. Ngokutsho kwemithombo eyahlukeneyo, iwindi evulekileyo yewindow ibonakala kwi-17-35% yabantu abadala.
Akukho ziphawu
Kwiimeko ezininzi, iwindi elivulekileyo lewindi elinesibini alisoloko libonakaliswa, kunzima ukuchonga ngemibonakalo ethile. Umgudu oqhelekileyo unokukrokra nje le nyiyo yomzimba ukuba umntwana:
- Xa ukukhwehlela, ukukhala okanye ukunyamekela ngokwenyama, ngakumbi i-static, i-cyanosis ivela, i-e. Ukuluhlaza okwesibhakabhaka (nokuba yincinci) yomlomo okanye inxantathu ye-nasolabial;
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ukuqhubeka okuqhubekayo kwizifo ze-catarrhal kunye nezivuthayo zenkqubo ye-bronchopulmonary; - kukho iimpawu zokunciphisa ukukhula komzimba, ukunyamezela okuphantsi kokuzikhandla ngokomzimba, ngakumbi kunye kunye neempawu zokuphefumula okuphefumulayo okanye ukuhluleka kokuphefumula;
- kukho ukulahleka okungaqondakaliyo, ukuphazamiseka, iimpawu zokusasazwa kwe-cerebral (ngakumbi kubantu abatsha).
Iimbono ezimbini ngxaki
Indlela yokuvavanya indima yeklinikhi yento encinci ebonakalayo ngendlela yefestile evulekile kwiintliziyo zintsana namhlanje iyingqungquthela. Kuze kube kutshanje, ingcamango yokujonga ngokungenakubungozi ngokupheleleyo kwefestile evulekileyo evulekileyo, yayingabonakali njengoluhlu oluqhelekileyo. Kuze kube ngoku, abaxhasi beli sikhundla bakholelwa ukuba ngale ngxaki akukho ukuphazamiseka kwe-hemodynamic kwaye akukho lungiso olucwangcisiweyo olufunekayo.
Nangona kunjalo, kukho enye imbono yombono ekubhekiselele kwiimeko ezinzulu, ezinobungozi zobomi baloo "ntliziyo engenacala". Okokuqala, sithetha nge-embolism yokuxhaswa kunye nokuphuhliswa kweemeko ze-hypocemic. Ubaluleke ngakumbi kubandakanywa ukuchongwa kwefestile evulekile evulekile kwiimbaleki ezifumana imithwalo emikhulu yomzimba kunye nengqondo ngokwemigangatho yobungakanani kunye nomthamo. Kufuneka kuqatshelwe ukuba uphuhliso lwe-embolism lugqithisekayo lunokwenzeka kwizo midlalo apho kusetshenziselwa ukuzithoba nokuxhatshazwa-ukunyusa umzimba, ukuvuthwa kwezemidlalo, ukulwa.
Kungokwemvelo ukudibanisa iwindi elivulekileyo le window kunye nesinye isifo senhliziyo - i-aneal aneurysm ye-atrial, eyona nto yengozi yokuphuhliswa kweengxaki ze-cardioembolic. Iinyani ezinamandla ezihambayo zikhulisa kakhulu amathuba okuphosa ama-microembol ukusuka kwi-atrium ekunene ukuya ngasekhohlo, oko kukuthi, ukwandisa umngcipheko wokugqithisa.
Yintoni endiyenzayo?
Iindlela eziphambili zokuchonga iwindi elivulekileyo lewindwangu yeekocardiographic kunye ne-doppler echocardiographic iimviwo zeentliziyo. Mhlawumbi umbuzo oyintloko ofuna ukuxoxwa nodokotela yiyiphi into ekumele ibe yindlela yokuziphatha kwabazali ukuba umntwana unalo le ntliziyo?
Okokuqala, kufuneka uqaphele rhoqo i-cardiologist yezilwanyana, uqhagamshelane naye ngonaphakade. Ngexesha (kanye ngonyaka) kuphinda uphando, landela ubungakanani bewindow ovundayo. Ukuba baqala ukunciphisa (ngokuphindaphindiweyo kunokuba kunjalo, kwenzeka) - ezimangalisayo. Xa oku kungenzeki, kufuneka ucombulule ingxaki ngongcali, yintoni enye enokuyenza. Ukunyangwa kwamanje kw window iwindi evulekile kubonisa ukuvalwa kwe-transcatheter yokuvulwa kwesixhobo esikhethekileyo.