Ventricular septal urema

Ventricular septal urema - huru dambudziko mune zvokurapa.

Mwoyo - ichi chinhu chiduku nhengo kwakazara yose muviri. Zvakanaka, kana munhu akazvarwa chose utano. Dzimwe nguva pane siyana zvokurwara Serce kukura utero.

Izvi zvinosanganisira ventricular septal kuremara. Muzviitiko zvakadaro, ventricles kwemoyo vari kukurukura nemumwe. Muchiitiko chino, pane vachiberekwa mwoyo urema mune vana kunoda napo mangwanani chiito kudzivirira kukura yematambudziko.

Urema angava inosiyana - kubva duku huru uye vemunyika munzvimbo dzakasiyana-siyana masvingo: munhu tsandanyama, membranous kana trabecular.

Pakarepo pashure pokuberekwa, zhinji pathological shunt kuburikidza kuburikidza ventricular septal urema haina kuchengetwa. Izvi imhaka yokuti pakutanga mwana uye pasina ichi pane kuwedzera BP nemidziyo ropa yaiva iri pulmonary riparadzirwe. Gare gare rwunotanga kuva anzwike systolic kutsutsumwa.

Kana kuverenga pakupona zvose kukanganisa mwoyo uye ropa midziyo, ndiko kuremara iri septum pakati ventricles zvichaita azvidavirire nokuda anenge 30% kubva pathologies zvose.

Zvikonzero paumbwe imwe ventricular septal urema

Ari zvichiitika mumuviri rworudyi pakazopera yechishanu vhiki tinofanira kukura vose zvikamu mwoyo masvingo. Kana asingadi, ipapo vakaumba ventricular septal urema.

zvinokonzera njodzi zvinosanganisira kushungurudzwa mai panguva pamuviri, doro, kusvuta. Very zvakaipa chaizvo mwana mamiriro yokuwana zvinotapuriranwa vamiririri (nemavhairasi, mamwe mabhakitiriya) anogona zvinopfuura placental chipingamupinyi.

Clinical Kuratidza malformation

Ventricular septal kuremara atova pachena mumazuva okutanga, uye kunyange maawa zvoupenyu:

• cyanosis ganda uye mucous - mugumisiro Reset oxygenated ropa kubva kuruboshwe ventricle ari kurudyi;
• kuzvimba muviri, kunyanya maoko nemakumbo mwana;
• hapana fuma yairema;
• tachycardia uye palpitations.

Chirwere matanho kuti mhosva kuonekwa

Vanofungidzirwa chiremba anogona kunyengedza mwana wacho maonero. Pashure auscultation Kazhinji nyanzvi pamwe zvakakwana mwero mukana anoratidza kuvapo murwere septal urema. Kuzosimbisa chirwere kushandisa zvinotevera nzira:

• Ultrassom kudzidza mwoyo. Nzira iri nyore uye zvakachipa zvakakwana vose kururama kwaro.
• Maekisirei zviri nhengo iri mubhokisi - rinogona kuona mwoyo akawedzera miganhu.
• Kutsunga peripheral ropa saturation pamwe oxygen.
• Cardiac catheterization in. Izvi kuchinja kunzwisisa rinoitwa pasi kudzorwa X-ray midziyo. Pashure pokukurukurirana of anobudisa mushonga zvishoma nezvishoma kunyika ventricular mhango zvinovawo zvinogoneka kuongorora parameters zhinji.
• MRI kwemwoyo uye nemidziyo makuru.

Ventricular septal kuremara - yakakura uye palliative kurapwa

Kunokwanisa kuchinja uye zvomusejari.

• Open Kuvhiya is rongonyora ari thorax uye zvakananga rutapudzo septum kuvimbika. Kana midziyo iyi rinoshandiswa Moyo yokunzvenga.
• Possible kuita endovascular kupindira. Vachitungamirirwa fluoroscopic nhungamiro iri chakaunzwa muropa, uye vachiongorora zviri zvishoma nezvishoma kutamira nzvimbo kuremara. Zvadaro septum akadzorera kushandisa chinokosha chigamba. The undoubted mukana oparesheni iri kwayo zvishoma invasive.
• Palliative Kuvhiya chinhu hazvizivi pulmonary tsinga stenosis kuti tizvidzore zvinoyerera. Hazvina kubvisa mhaka, chete easing zviratidzo zviri zvokurwara.

Pashure pokuvhiyiwa anoratidzwa kushandisa zvinodhaka kuti kudzivirira pakugwamba ropa, uye normalizing mwoyo mutinhimira murwere. Izvi zvinoita zvishoma kuderedza uwandu postoperative yematambudziko.