Nthendayi yotchedwa atrial septal, kapena ASD, imadziwika kuti "dzenje pamtima," vuto lalikulu la mtima. Ngakhale kuti amapezeka ana, vuto limakhalabe losadziwika bwino kufikira munthu wamkulu.
Chilema mu ASD ndi dzenje mu sebulo la atrial, lomwe ndi khoma la mitsempha lomwe limasiyanitsa malo abwino ndipo limasiya atrium. Mu mtima wamba, mbali yowongoka imapumpha magazi osauka mu mpweya ndi mapiritsi a mbali ya kumanzere magazi omwe apangidwa ndi oxygenated.
Matendawa amalola mitundu iwiri ya magazi kusakaniza, zomwe zimayambitsa magazi omwe amapita kupyola thupi lomwe liri ndi oxygen yochepa.
Mtundu woterewu, umene ulipo pafupifupi 4 mpaka 8 mwa ana 1,000 alionse obadwa, mzere wolimba. Zowonjezereka za ASD, zimakhala zowonjezereka monga zizindikiro monga kutopa ndi kupuma pang'ono.
Mitundu
Matenda a atrial septal amagwa m'magulu atatu. Pakati pa mtundu uliwonse wa chilema, kuuma kwake kumasiyana. Zingakhale zochepa kapena zazikulu ndipo zingafunikire opaleshoni kapena kutsekedwa popanda kupaleshoni. Katswiri wamagetsi kapena opaleshoni ya opaleshoni akhoza kudziwa kuopsa kwa vuto la mtima.
- Secundum ASD (ASD 2 kapena ASD II): Njira yowonjezereka ya ASD, pamene chilema chiri pafupi pakati pa malo a atrial.
- Primum ASD (ASD 1 kapena ASD I): Mtundu wachiwiri wa ASD, pomwe chilemacho chiri pamalo otetezeka m'dera la septum. Mtundu uwu wa ASD nthawi zambiri umatsagana ndi mavuto ena, kuphatikizapo mapeto a mphuno ya septal defect, zomwe zikutanthauza kuti vutolo limaphatikizapo gawo lochepa la mtima komanso gawo lapamwamba.
- Sinus Venosus ASD (Sinus Venus): Mtundu uwu wa ASD umapezeka kumtunda wapamwamba wa septum, pafupi ndi kumene vena cava imabweretsa magazi mumtima mwathu.
Zimayambitsa
ASD alibe chifukwa chomveka, koma zina zimapangitsa vuto la mtima kukhala lovuta. Kafukufuku wina amasonyeza zambiri zotsutsana.
Mwachitsanzo, kafukufuku wina amasonyeza kuti kusuta kwa amayi pamene ali ndi mimba kungabweretse chiopsezo cha vuto loperewera kunthaka pomwe wina sakusonyeza kuwonjezeka kwa chiopsezo. Chomwe chiri chochititsa chidwi ndi chakuti makolo onse awiri angapangitse kuopsa kwa mwana kukhala ndi ASD ndi zosankha zawo.
Zowonjezera Zowonjezera
- Amayi (amayi) akugwiritsa ntchito mowa
- Mankhwala Ogwiritsa Ntchito Mankhwala Pa Nthawi Yokhala ndi Mimba: Mankhwalawa amatenga busulfan, lithium, retinoids, thalidomide, trimethadione, komanso insulini, mankhwala apamwamba a magazi, erythromycin (antibiotic), naproxen (Aleve), anticonvulsants (mankhwala osokoneza bongo), nitrofurantoin, clomipramine, ndi budesonide.
- Amayi kapena amayi (abambo) akuwombera mankhwala
- Kugwiritsa ntchito mankhwala a cocaine
- Kusuta fodya kwabasi
- Matenda a shuga ndi phenylketonuria
- Matenda omwe amabereka ana
Zizindikiro ndi Zizindikiro
Ma ASD ambiri ndi ochepa ndipo amachititsa zizindikiro zochepa, ngati zilipo. Nthaŵi zambiri, mtima kung'ung'udza kungakhale chizindikiro chokha chakuti vuto liripo. Nthawi zina, zizindikiro zingakhale zovuta. Izi zimadalira kwambiri kukula kwa chilema. Ambiri mwa mavutowa sakuwonekera mpaka chilema chakhalapo kwa zaka zambiri, nthawi zambiri sichidziwika kufikira munthu wamkulu. Ana sangathe kusonyeza zizindikiro.
- Kulephera kwa mtima pamtima
- Arrhythmia
- Kukwapulika : Mwazi wamagazi umatha kutseka zomwe zingathe kupita ku ubongo ndikuyambitsa sitiroko
- Mtima Wodandaula
- Kuthamanga kwa magazi
- Kufooka kapena mosavuta kutopa
Zotsatira:
> Septal Atrial Wokhulupirika. Dipatimenti ya zaumoyo za boma la Texas.
> Kodi Milomo Ili Mumtima Wotani? National Heart Lung ndi Magazi Institute.