Transposition nke nnukwu akwara

Transposition nke nnukwu akwara (TGA) bụ nkwarụ obi nke na-apụta site na ọmụmụ (congenital). Isi akwara abụọ na - ebu ọbara site na obi - akwara na akwara - na - agbanwe (transposed).

Ihe kpatara TGA amaghi. Ejikọtaghị ya na otu mkpụrụ ndụ ihe nketa nkịtị. Ọ naghị adịkarị na ndị ọzọ so n'ezinụlọ.

TGA bụ nkwarụ obi cyanotic. Nke a pụtara na enwere oxygen dị n ’ọbara na - esite na obi gaa na akụkụ ahụ ọzọ.

N’obi nkịtị, ọbara nke na-esi n’ahụ na-aga site n’aka nri nke obi na akwara ume akpa ume wee nwe ikuku oxygen. Ọbara ahụ na-alọghachi n'akụkụ aka ekpe nke obi ma na-apụ gaa aorta n'ahụ.

Na TGA, ọbara venous na-alaghachikarị na obi site na atrium ziri ezi. Ma, kama ịga na ngụgụ iji banye oxygen, a na-agbapụta ọbara a site na aorta wee laghachi ahụ. Ejighachila ọbara a na oxygen ma duga na cyanosis.

Mgbaàmà na-apụta n’oge ọmụmụ ma ọ bụ n’oge na-adịghị anya mgbe nke ahụ gasịrị. Kedu ụdị mgbaàmà ahụ si dabere na ụdị na nha nke nkwarụ obi ọzọ (dị ka ntụpọ atrial, nkwarụ nke ventricular, ma ọ bụ patent ductus arteriosus) na ole ọbara ga-agwakọta n'etiti nkesa abụọ ahụ na-adịghị mma.

Mgbaàmà nwere ike ịgụnye:

• Blueness nke anụ ahụ
• Mkpịsị aka ma ọ bụ mkpịsị ụkwụ
• Ogbenye nri
• Iku ume ọkụ ọkụ

Onye nlekọta ahụike nwere ike ịhụ ntamu obi mgbe ọ na-eji stethoscope na-ege ntị n'obi. Nwa na akpụkpọ ahụ ga-abụ acha anụnụ anụnụ.

Ule na-agụnye ihe ndị a:

• Cardiac catheterization
• Igbe x-ray
• ECG
• Echocardiogram (oburu na emee tutu amua ya, ana akpo ya fetchochogram)
• Pulse oximetry (ịlele ọbara oxygen larịị)

Nzọụkwụ mbụ n'ịgwọ ọrịa bụ ikwe ka ọbara oxygen nwere ọgaranya jikọta ya na ọbara oxygen. Nwa a ga - enweta ọgwụ ozigbo a kpọrọ prostaglandin site na IV (eriri afọ).Ogwu a na enyere aka ime ka akwara obara nke ana akpo ductus arteriosus mepere, me ka ekpughere obara obara obara abua. N'ọnọdụ ụfọdụ, enwere ike ịmepụta oghere n'etiti nri aka nri na aka ekpe na usoro site na iji catheter balloon. Nke a na-eme ka ọbara gwakọta. A maara usoro a dị ka septostomy balloon atrial.

Ngwọta na-adịgide adịgide gụnyere ịwa ahụ obi n'oge a na-egbutu nnukwu akwara ma zọọ azụ n'ọnọdụ ha ziri ezi. A na-akpọ nke a ọrụ ime mgba ọkụ (ASO). Tupu mmepe nke ịwa ahụ a, a na-eji ịwa ahụ a na-akpọ mgbanwe mgbatị (ma ọ bụ usoro Mọstad ma ọ bụ usoro Senning).

Ihe mgbaàmà nke nwatakịrị ahụ ga-aka mma mgbe a wachara ya ahụ iji dozie ntụpọ ahụ. Imirikiti ụmụ aka na-agbanwe usoro anaghị enwe mgbaàmà mgbe a wachara ha ahụ ma bie ndụ dị mma. Ọ bụrụ na emeghị ịwa ahụ na-edozi ahụ, ndụ ndụ bụ naanị ọnwa.

Nsogbu nwere ike ịgụnye:

• Nsogbu akwara obi
• Nsogbu obi obi
• Oge ufodu obi (arrhythmias)

Enwere ike ichoputa onodu a tupu amua nwa site na iji echocardiogram nwa ebu n’afọ. Ọ bụrụ na ọ bụghị, a na-achọpụta ya mgbe obere nwa amụrụ.

Gaa na ụlọ mberede ma ọ bụ kpọọ nọmba mberede mpaghara (dịka 911) ma ọ bụrụ na akpụkpọ anụ nwa gị amalite ịcha acha, ọkachasị na ihu ma ọ bụ akpati.

Kpọọ onye na-eweta gị ma ọ bụrụ na nwa gị nwere ọnọdụ a na mgbaàmà ọhụụ na-eto, na-akawanye njọ, ma ọ bụ na-aga n'ihu mgbe a gwọchara gị.

Womenmụnwaanyị ndị na-eme atụmatụ ịtụrụ ime kwesịrị ịgba ọgwụ mgbochi ọrịa rubella ma ọ bụrụ na ha enwetabeghị onwe ha. Iri nri nke ọma, izere ihe ọ alcoholụ alcoholụ na-aba n'anya, na ịchịkwa ọrịa shuga ma tupu ime ma n'oge ime ime nwere ike inye aka.

d-TGA; Congenital obi nkwarụ - transposition; Ọrịa obi Cyanotic - transposition; Omumu omumu - transposition; Ntughari nke nnukwu arịa; NGAN

• Surgerywa ahụ obi ụmụaka - ihapu

• Obi - ngalaba site n'etiti
• Obi - echiche dị n'ihu
• Transition nke nnukwu arịa

Bernstein D. Cyanotic congenital ọrịa obi: nwalere onye na-arịa ọrịa dị egwu nke nwere cyanosis na nsogbu iku ume. Na: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ndị ọzọ. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke ed. Philadelphia, PA: Elsevier; 2019: isi 456.

Fraser CD, Kane LC. Ọrịa afọ ime. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ: Ntọala Nduzi nke Omume Ahụhụ Oge a. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 58.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital ọrịa obi na okenye na ụmụaka na-enwe ndidi. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 75.