Atrial septal urema

Atrial septal urema rinoreva vachiberekwa mwoyo chirwere. kuremara Izvi zvinoratidza pachezvayo anomaly iri okumusoro muviri. Atrial septal urema kunoratidzwa kukwana kuvhara porusvingo pakati kurudyi nekuruboshwe atria.

The ndeyokuva kuparadzana cardiac makamuri nepedyo. Kana vharafu ichi aripo pakati yomukati nomumwe wayo runoenzanirana ventricle. Nokuda vharuvhu neropa kufamba mune rimwe divi. Ropa bypasses mumapapu, iri kusimukira mudumbu pane buri pakati rworudyi uye rworuboshwe kamera. Pakuzvarwa, pane kuvhara mwena, uye kufamba kweropa kuburikidza mumapapu. Kukura kwomuzvarirwo muviri hapana maburi.

Atrial septal akaremara vana kunoratidzwa kuvapo rakavhurika buri. Izvi chinokurwadzai aibuda ropa kubva kuruboshwe mukamuri iri kurudyi kuti, somugumisiro, anogona kukonzera zvinetso mumapapu.

ASD inobata anenge mana kubva pakuzvarwa ane zana. Zvishomanana kana nepakati abnormalities kazhinji regai kukonzera chero zviratidzo kana matambudziko. urema Minor muna 90% vose nyaya muri vashoma pamwe pachako. Mune zvimwe zviitiko, anomalies kuramba muupenyu uye kwakaratidza vakura.

Akapiwa nzvimbo makomba akaparadzanisa septal kuremara yechipiri uye chepuraimari.

Anomaly chikuru mhando dzinoratidzwa mumwena iri rezasi chikamu. Secondary anomaly ichaongororwa umo buri riri pamusoro uye / kana mugove pakati.

The kunotoda Mufananidzo anomaly kuchibva raora zviratidzo pakuparwa zadzisa mwoyo zvikamu zvakanaka. Izvi imhaka dzose pamberi guru Vhoriyamu ropa mavari. Zvisinei, zvinofanira kucherechedzwa kuvapo yakakwirira compensatory inokwana kumwoyo. Panyaya iyi, zviratidzo chirwere kuonekwa mumwedzi zvoupenyu wekutanga chete kubva zana vachangoberekwa vari nechirwere atrial septal urema. Zvikurukuru, kuratidzwa zviratidzo kuchengetwa kuyaruka.

The chirwere kunoratidzwa nokukurumidza kuneta uye kuneta, vangadikitira, kutsanya kana vakashanda kufema, kupfupika mweya panguva kurovedza muviri. Zviratidzo zviri zvakare chirwere mhando chirwere ari kufema turakiti, murombo kukura, murombo kudya, palpitations nokuratidzwa mwoyo ino- tsutsumwa.

Chaiwo chirwere pamusoro abnormality rinoitwa achishandisa X-ray, ECG, cardiac catheterization uye echocardiography. With kurudyi-kutsauka padzakacherechedza emagetsi ECG mwoyo akabatana, uye anoratidza zadzisa (hypertrophy) muviri. Achibatsirwa X-ray vakatsunga pulmonary kuchinja. Echocardiogram anobvumira Visualization anomaly, zvikurukuru, nokusuma ane ungira-musiyano nevamiririri. Catheterization kwakavakirwa migumisiro Analyses akasiyana in mwoyo kuona zvinorehwa kuchinja vasiri mhando.

kuremara kurapwa kosi vakasarudzwa maererano kurapwa zviratidzo uye abnormalities hukuru.

Zvakakomba abnormalities dzinoratidzwa dhayamita hombe iri svota. Izvi zvinoodza nezvainoita murwere ezvinhu. In dzakawanda dzenyaya idzi kuvhiya kurapwa iri ratakapiwa.

Kuvhiya kupindira kunosanganisira "stitching" gomba. Nzira Izvi zvakakodzera nokuti diki saizi (kwete kupfuura vatatu masendimita) orifice.

Sezvo tsika inoratidza pashure pezviitiko izvi pane chinokosha kuvandudzika wevarwere, normalization zvavaida mune pulmonary riparadzirwe, inopfuura dyspnea, normalized ECG.