Inhliziyo nokububula kule osanda kuzalwa: akukho sizathu sokuba netwetwe?

Njengoba sekunama-abazali ingane azigcini nje ngokuba omningi enkingeni, kodwa futhi owesaba eziphathelene imvuthu impilo. Ngeshwa, hhayi isimo ngakho ezingavamile lapho abazali abaningi ezinsukwini ezizayo inhlolovo nodokotela bezingane bathi ukuzwa nokububula wenhliziyo ezisanda kuzalwa. Yiqiniso, omama kanye obaba kudala uvalo, kodwa ngaphambi kokuthi ufake izifo abangenangqondo osanda kuzalelwa ndoda omncane, kumele baqonde izimbangela zalesi simo.

Ngakho, okokuqala kufanele kusho ukuthi akuyona nokububula wenhliziyo osanda kuzalwa njalo kuyinto okuphambene sokuthuthuka. Ngokuvamile ngeziphambeko sina zibonakala ngisho ngesikhathi ultrasound abakhulelwe, ngakho sina zokugula kumama okhulelwe ifunda ngisho nangaphambi womntwana ozalwa. Ngaphezu kwalokho, uma usola unayo ingane ngokushesha wathumela ku-ECG kanye ultrasound inhliziyo. Lezizifundo kuzosiza ukucacisa ngokuqiniseka ukuthi kukhona isizathu sokukhathazeka.

Kaningi, nokububula inhliziyo kule osanda kuzalwa kukhona ngenxa ukulele engafanele abekwe i-ventricle engakwesobunxele. Kodwa kuphela abangela imisindo nezingahlobene nendaba, kodwa akuphazamisi ukusebenza komzimba kwemisipha. Ngokuvamile umsindo kungenxa yokuthi ngesikhathi sokuzalwa, hhayi lwemithambo ngesikhathi esifanele avaliwe futhi iziteshi emithambo yegazi, iwindi okusaqanda, izitsha enkabeni, iqinisekisa efanele kwegazi utero imvuthu. Nakuba ngaphambili kwakucatshangwa ukuthi kumele ivale bangabanjwa phansi ngokushesha, cishe kusukela umoya kuqala ingane, kodwa manje ngosizo nocwaningo lwanamuhla wathola ukuthi kunomsindo enhliziyweni yomntwana ungezwakala kuze kube iminyaka engu-2.

Ihlelo lokukhambisa iingazi umbungu ayikwazi ukusebenza ngaphandle Amapayipi akhethekile iwindi okweqanda. Ngosizo lwabo, igazi ngokweqile reset, asiza inhliziyo ukusebenza ngomfutho ongaphakeme, nomoya awukho. Kodwa lapho kuzalwa, uma emaphashini zivuliwe, igcwele igazi futhi baqala umsebenzi 2 kwegazi, zonke lezi zinto asekelayo kungukuthi ezidingekayo. okusaqanda ifasitela, isibonelo, kuyinto avaliwe ngenxa akhuphule umfutho wegazi Amapayipi ziyeke ukusebenza ngaphansi kwethonya imisipha, nerve futhi izici ezingokwemvelo. Ngokuvamile, kubhekwa ukuthi Amapayipi kufanele ukuvala kungakapheli amasonto 8 ngemuva ukubonakala imvuthu ku ukukhanya (kuhle lokhu kungenjongo yokuba 2 amaviki wokuqala wokuphila), bese iwindi okusaqanda kungenziwa eziqhutshwa kuze kube iminyaka engu-2.

Uma udokotela wakho ekuzwa nokububula wenhliziyo kuzalwa, futhi ngosizo nophenyo ekhethekile, kwatholakala ukuthi lusebenza kancane okungalungile, njengoba kufanele, kudingeka ukuqapha njalo futhi izifundo avamile. Ngakho, uma arteriosus ductus kungaqali eduze, uzodinga ukuhlinzwa eneminyaka engu-eminyakeni 2-5. Naphezu kweqiniso lokuthi le evulekile iwindi okusaqanda, kokungenela kuhlinzwa liyadingeka kuphela ezimweni ezingavamile, abazali basuke bedinga ukwazi ukuthi inhliziyo yengane yabo.

Inhliziyo nokububula kule osanda kuzalwa kungase kubonise ukuhlukahluka kanjani athile amancane ekuthuthukisweni yayo, kanye nobufakazi nokwephula. Ngakho-ke Kungcono esifike ukwenza zonke zocwaningo udokotela esiqokiwe ukuqeda izinkinga kungenzeka futhi ukwazi zonke izici zengane.