Ọrịa Eisenmenger

Ọrịa Eisenmenger bụ ọnọdụ na-emetụta nrugharị ọbara sitere na obi gaa n'akpa ume na ụfọdụ ndị amụrụ site na nsogbu nsogbu nke obi.

Ọrịa Eisenmenger bụ ọnọdụ na-esite n'ọbara na-adịghị ahụkebe nke na-akpata ntụpọ n'obi. Ọtụtụ mgbe, ndị nwere ọnọdụ a na amụrụ nwere oghere n'etiti ụlọ mgbapụta abụọ - aka ekpe na aka nri - nke obi (ventricular septal defect). Oghere ahụ na-enye ọbara nke ewerela ikuku oxygen site na ngụgụ ka ọ laghachighachi n'ime ngụgụ, kama ịla n'akụkụ ọzọ nke ahụ.

Mmetụta obi ndị ọzọ nwere ike ibute ọrịa Eisenmenger gụnyere:

• Atrioventricular kanaal ntụpọ
• Atrial septal nkwarụ
• Ọrịa obi Cyanotic
• Patent ductus arteriosus
• Truncus arteriosus

N'ime ọtụtụ afọ, mmụba ọbara na-ebuwanye ibu nwere ike imebi obere arịa ọbara na ngụgụ. Nke a na-ebute ọbara mgbali elu na ngụgụ. N'ihi ya, ọbara na-aga azụ site na oghere dị n'etiti ụlọ abụọ na-agbapụta mgbapụta. Nke a na - eme ka ọbara na - enweghị ikuku oxygen gaa n'akụkụ ọzọ nke ahụ.

Ọrịa Eisenmenger nwere ike ịmalite ịmalite tupu nwata etolite. Otú ọ dị, ọ pụkwara ịzụlite n'oge ntorobịa, ma nwee ike inwe ọganihu n'oge ọ bụla.

Mgbaàmà gụnyere:

• Bluish egbugbere ọnụ, mkpịsị aka, mkpịsị ụkwụ, na akpụkpọ (cyanosis)
• Akara aka na mbo aka (osisi)
• Ọnụ ọgụgụ na ịpị mkpịsị aka na mkpịsị ụkwụ
• Obi mgbu
• Cokwara ume ọbara
• Dizzziness
• Da mba
• Ike gwụrụ gị
• Iku ume ọkụ ọkụ
• Mafere obi tie (palpitations)
• Ọkụ
• Ọzịza na nkwonkwo nke nnukwu uric acid (gout) kpatara

Onye nlekọta ahụike ga-enyocha nwa ahụ. N'oge ule ahụ, onye na-eweta ya nwere ike ịchọta:

• Ọrịa na-adịghị mma (arrhythmia)
• Mbarawanye nke mkpịsị aka ma ọ bụ mkpịsị ụkwụ (klọb)
• Obi na-atamu ntamu (uda olu mgbe ị na-ege obi)

Onye na-eweta ọrụ ahụ ga-achọpụta ọrịa Eisenmenger site na ilele akụkọ gbasara mmadụ nke nsogbu obi. Ule nwere ike ịgụnye:

• Ọnụọgụ ọbara zuru ezu (CBC)
• Igbe x-ray
• MRI nyochaa obi
• Itinye eriri dị mkpa n'ime akwara iji lee obi na akwara ọbara wee tụọ nrụgide (catheterization cardiac)
• Ule nke ọrụ eletriki n'ime obi (electrocardiogram)
• Ultrasound nke obi (echocardiogram)

Ọnụọgụ nke ọnọdụ a na United States adalatala n'ihi na ndị dọkịta enweela ike ịchọpụta ma mezie nkwarụ ahụ n'oge na-adịghị anya. Ya mere, enwere ike idozi nsogbu ahụ tupu mmebi a na-apụghị ịgbagha agbagha na-eme na akwara obere akpa ume.

N'oge ụfọdụ, ndị nwere mgbaàmà nwere ike ịnwepụ ọbara n'ahụ ha (phlebotomy) iji belata ọnụ ọgụgụ mkpụrụ ndụ ọbara uhie. Onye ahụ na-anatazi mmiri mmiri iji were dochie anya ọbara ahụ furu efu (ntinye olu).

Ndị o metụtara nwere ike ịnara ikuku oxygen, n'agbanyeghị na-edoghị anya ma ọ bụrụ na ọ na-enyere aka igbochi ọrịa ahụ ịka njọ. Na mgbakwunye, enwere ike inye ọgwụ ndị na-arụ ọrụ izu ike ma mepee akwara ọbara. Ndị nwere nnukwu mgbaàmà nwere ike mechaa chọọ ịmịnye obi.

Ọle otu onye ihe a metụtara mere dabere n ’ọnọdụ ahụike ọzọ nọ ya, yana afọ ole ọbara mgbali elu malitere na ngụgụ. Ndị nwere ụdị nsogbu a nwere ike ịdị afọ iri abụọ rue iri ise.

Nsogbu nwere ike ịgụnye:

• Ọbara ọgbụgba (ọbara ọgbụgba) na ụbụrụ
• Ọrịa obi na-akụda mmụọ
• Gout
• Obi nkolopu
• Hyperviscosity (sludging nke ọbara n'ihi na ọ bụ oke oke na mkpụrụ ndụ ọbara)
• Ofufe Ọrịa (etuto) na ụbụrụ
• Akụrụ ọdịda
• Ọbara na-erughị na ụbụrụ
• Ọkụ
• Ọnwụ na mberede

Kpọọ onye na-enye gị ọrụ ma ọ bụrụ na nwa gị amalite ịrịa ọrịa Eisenmenger.

Gerywa ahụ ozugbo o kwere omume iji dozie ntụpọ obi nwere ike igbochi ọrịa Eisenmenger.

Eisenmenger mgbagwoju anya; Ọrịa Eisenmenger; Eisenmenger mmeghachi omume; Eisenmenger physiology; Congenital obi nkwarụ - Eisenmenger; Ọrịa obi Cyanotic - Eisenmenger; Obi ntụpọ ọmụmụ - Eisenmenger

• Ọrịa Eisenmenger (ma ọ bụ mgbagwoju anya)

Bernstein D. principleskpụrụ niile nke ọgwụgwọ ọrịa obi na-efe efe. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 461.

Therrien J, Marelli AJ. Congenital ọrịa obi na okenye. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi nke 61.

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.