Entsheni yakho ngesikhathi se-ultrasound udokotela uthole ifasitela elivulekile elisenhliziyweni. Lokhu kutholakala kusho ukuthini futhi kuyingozi kumntwana? Iwindi elivulekile levolonti yezingane ezisanda kuzalwa lingadlulela nhlobo futhi lizothatha isikhathi esingakanani? Sizokukhuluma ngalokhu konke namhlanje.
Okuqukethwe
Izimpawu azikho. Imibono emibili enkingeni. Yini okufanele ngiyenze?Ifasitela elivulekile le-oval yinkinga encane yenhliziyo, lapho ukukhulumisana phakathi kwe-atrium kwesobunxele nelungile kuyingxenye noma igcinwe ngokuphelele, engokwemvelo esikhathini sokuthuthukiswa kwe-intrauterine. Ngengane ukugeleza kwegazi kuhlinzeka ngegazi ngokusebenzisa iwindi elikhulu elinama-oval, okokuqala, esifundeni se-brachiocephalic. Lokhu kuyadingeka ukugcina ukuthuthukiswa okusheshayo kobuchopho. Ngemva kokubeletha, i-gradient yengcindezi phakathi kwe-atria iyashintsha nge-inhalation yokuqala yengane, futhi ngaphansi kwezimo zokuthuthukiswa ezihle, inqubo yokujoyina emaphethelweni e-valve nomgodi kwenzeka. Endaweni ethile engxenyeni yesibili yonyaka wokuqala wokuphila komntwana, iwindi le-oval livaliwe. Kodwa akukwenzeki kuwo wonke umuntu. Ngokusho kwabalobi abaningi, ngomnyaka wokuqala wokuphila iwindi le-oval livaliwe kuphela ku-50-60% yezingane; bakholelwa ukuthi kungasondela ngokuzenzekelayo kunoma yisiphi isikhathi sokuphila komuntu. Ngokusho kwemithombo ehlukahlukene, iwindi elivulekile le-oval livezwe kubantu abadala abadala abangu-17-35%.
Awekho Izimpawu
Ezimweni eziningi, ifasitela elivulekile elivaliwe lingekho izimpawu, kunzima ukubona ngezibonakaliso ezithile. Udokotela jikelele angasolisa nje le-anomaly ye-cardia uma ingane:
- Uma ukhwehlela, ukukhala noma ukuzama ngokomzimba, ikakhulukazi ama-static, i-cyanosis ivela, i-e. ukubhula okwesibhakabhakeni (ngisho ncane) kwezindebe noma unxantathu we-nasolabial;
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ukuguquka okuqhubekayo nezifo ezivame ukuguquka kwesifo se-conchorhal and inflammatory of the system bronchopulmonary; - kunezibonakaliso zokunciphisa ukuthuthukiswa ngokomzimba, ukukhuthazela okuphansi ekuzikhandla komzimba, ikakhulukazi ngokuhambisana nezimpawu zokuphuza ukuphefumula noma ukwehluleka kokuphefumula;
- kukhona ukulahlekelwa okungaqondakali kokuqaphela, ukuphelelwa amandla, izimpawu zokusakaza kwe-cerebral (ikakhulukazi kubantu abasha).
Imibono emibili kule nkinga
Indlela yokuhlola indima yomtholampilo ye-anomaly encane ngesimo sewindi evulekile yamazinyo enhliziyweni yezingane ezisanda kuzalwa namuhla iyamangalisa. Kuze kube yamuva, iphuzu lokubuka mayelana nokulimala okuphelele kwefasitela elivulekile le-ovary lalikhona, le-anomaly ibhekwa njengokuhluka kwesimiso. Futhi kuze kube manje, abasekeli balesi sikhundla bakholelwa ukuthi ngalesi sici asikho ukuphazamiseka kwe-hemodynamic futhi akukho ukulungiswa okuhlinzekwayo okudingekayo.
Kodwa-ke, kunenye iphuzu lokubuka elikhomba ukuthi kungenzeka ukuthi izinkinga ezingathí sina, ezisongela impilo yalesi senhliziyo "engenacala". Okokuqala, sikhuluma nge-embolism ephazamisayo kanye nokuthuthukiswa kwezimo ze-hypoxemic. Ukubaluleka okubaluleke kakhulu kunamathele ekuboneni iwindi elivulekile levolumu kuma-athlete abhekene nemithwalo emikhulu engokwenyama nangokwengqondo ngokwemandla nokuvolumu. Kumele kuqashelwe ukuthi ukuthuthukiswa kwe-embolism engavamile kungenzeka kulezo zemidlalo lapho kuvame ukusetshenziselwa ukuzivocavoca umzimba - ukulinganisa umzimba, ukuzivocavoca kwezemidlalo, ukulwa.
Kuyinto engokwemvelo ukuhlanganisa ifasitela elivulekile le-oval ngezinye izinkinga ze-heart - i-anealysm ye-atrial ye-atrial, okuyinto ebonakalayo engozini yokuthuthukiswa kwezinkinga ze-cardioembolic. Izifo ezinamandla ezihambayo zikhulisa kakhulu amathuba okuphonsa ama-microembol kusukela ku-atrium kwesokudla kuya kwesobunxele, okungukuthi, ukwandisa ingozi ye-embolism ephazamisayo.
Yini okufanele ngiyenze?
Izindlela eziyinhloko zokukhomba ifasitela elivulekile le-oval yi-echocardiographic evamile kanye nokuhlolwa kwe-echocardiographic ye-heart. Mhlawumbe umbuzo oyinhloko ozodinga ukuxoxwa nodokotela yikuphi okufanele kube yizinyathelo zokuziphatha kwabazali uma ingane ingenalokhu enhliziyweni?
Okokuqala, udinga ukuhlola njalo isifo sezinzwa zezingane, uhlanganise naye njalo. Ngezikhathi ezithile (kanye ngonyaka) phinda ucwaningo, landela ubukhulu bewindi lewindi. Uma ziqala ukwehla (kaningi kaningi kunalokho, kwenzeke) - ezimangalisayo. Uma lokhu kungenzeki, udinga ukuxazulula inkinga ngosazi, ukuthi yini enye okumelwe ukwenze. Ukwelapha kwamanje iwindi elivulekile lewindi lisikisela ukuvalwa kwe-transcatheter endovascular yokuvula ngedivaysi ekhethekile.