Chiremera chinonzi atrial septal, kana ASD, chinowanzozivikanwa se "gomba mumwoyo," chinetso chepfungwa chinokonzera. Kunyange zvazvo inowanzowanikwa muvana, dambudziko rinogona kuramba risingazivikanwi kusvika pakuva munhu mukuru.
Chiremera muAsd igomba mu septrial septum, iyo ndiyo musvingo musimba inoparadzanisa atrium yakarurama uye yakasiyiwa paneri. Mwoyo wakajairika, rutivi rworudyi runoputira ropa risina simba mumhepo yakakosha uye kuruboshwe rworuboshwe ropa iro rave riine oxygenated.
Chiremera chinobvumira kuti marudzi maviri eropa aenzane, zvichiita muropa iro rinofamba nemuviri rinotakura oxygen shoma.
Uyu rudzi rwemhosva, iyo iripo munenge ma4 kusvika ku8 kubva kune vane chiuru chimwechete vacheche vakaberekerwa, vanoita zvakasimba. Iyo huru ASD, inowedzera mikana yezviratidzo zvakadai sokuneta uye kupera kwekufema.
Aina
Atrial septal defects inowira mumapoka matatu. Muchidimbu chimwe nechimwe chechiremera, kusuruvara kunogona kusiyana. Inogona kunge iri duku kana yakakura uye inogona kuvhiyiwa kana kuswedera pasina kupindira kwekuvhiya. Chete chirwere chemapurisa kana chirwere chechiremba chinogona kuraira kuoma kwemwoyo wechinetso.
- Secundum ASD (ASD 2 kana ASD II): Inonyanya kurudzi rweASD, iyo yakaremara iri pamberi pepakati peearic atum.
- Primum ASD (ASD 1 kana ASD I): Yechipiri inowanzoshandiswa yeAIDS, iyo yakaremara iri munzvimbo yekupedzisira inzvimbo ye septum. Izvi zvinowanzosangana nemamwe matambudziko, kusanganisira endocardial cushion ventricular septal defect, izvo zvinoreva kuti kukanganisa kunosanganisira chikamu chepakati chemoyo uyewo chikamu chepamusoro.
- Sinus Venosus ASD (Sinus Venus): Mhando iyi yeAIDS inowanikwa muchikamu chepamusoro che septum, iri pedyo nepo apo vena cava inounza ropa kumwoyo kubva mumuviri.
Zvinokonzera
ASD haina chikonzero chakajeka, asi zvimwe zvinoita kuti chinetso chemoyo chiwedzere. Zvimwe zvidzidzo zvinoratidza mashoko anopesana.
Somuenzaniso, kumwe kuongorora kunoratidza kuti kusvuta naamai munguva yekuzvitakura kunogona kukonzera njodzi yeperial septal defect apo imwe inoratidza kwete kuwedzera kwengozi. Chinofadza ndezvekuti vabereki vose vanogona kuita kuti pave nengozi dzomwana dzichigadzira ASD nemararamiro avo ehupenyu.
Kugovera Zviitiko
- Maternal (amai) doro vanoshandisa
- Zvinyorwa Zvinodhaka Pakati Pamuviri: Zvinodhaka zvinosanganisira busulfan, lithium, retinoids, thalidomide, uye trimethadione, uye insulin, ropa rezvemishonga, erythromycin (antibiotic), naproxen (Aleve), anticonvulsants (seizure mishonga), nitrofurantoin, clomipramine, uye budesonide.
- Vanaamai kana vanababa (baba) vanopedzisira vasvitsa
- Paternal cocaine kushandisa
- Paternal inorema kusvuta
- Chirwere cheshuga uye phenylketonuria
- Maternal urinary tract infection
Zviratidzo nezviratidzo
Mhando dzeAIDS dzakawanda uye dzinokonzera zviratidzo zvishoma, kana pane. Muzviitiko zvizhinji, mwoyo unogunun'una ungava chiratidzo choga chekuti chirema chiripo. Mune dzimwe nguva, zviratidzo zvingave zvakaoma. Izvi zvakanyanya kwazvo kubva paukuru hwechirema. Zvakawanda zvezvinetso izvi hazviratidzi kusvikira chiremera chave chiripo kwemakore akawanda, kazhinji hachizivikanwi kusvikira munhu mukuru. Vana havana mikana yekuratidza zviratidzo.
- Right-side heart failure
- Arrhythmia
- Kushungurudzika : Dambudziko reropa rinowanzoita kuti zvive izvo zvinogona kuenda kuuropi uye zvinokonzera chirwere
- Heart Murmur
- Pulmonary Hypertension
- Kushaya simba kana kuti nyore kuneta
Sources:
> Atrial Septal Defect. Texas Department of State Health Services.
> Ndezvipi Horo Mumoyo. National Heart Lung uye Blood Institute.