Window Aortopulmonary

Window Aortopulmonary bu nkwarita obi di obere nke enwere oghere jikotara isi akwara na ebu obara site na obi rue aru (akwara) na onye na ewere obara na obi rue ngụgụ (akpa ume). Ọnọdụ a bụ nkwanye ugwu, nke pụtara na ọ dị n'oge a na-amụ nwa.

Dị ka ọ na-adịkarị, ọbara na-esite n'akwara akpa ume n'ime akpa ume, ebe ọ na-ekuru oxygen. Ekem, iyịp afiak aka esịm esịt ndien ẹsịn enye ke akasa ye idem eken.

Babmụ ọhụrụ nwere windo aortopulmonary nwere oghere dị n’agbata aorta na akwara ume. N'ihi oghere a, ọbara sitere na aorta na-asọba n'ime akwara akpa ume, n'ihi ya oke ọbara na-aga na ngụgụ. Nke a na - ebute ọbara mgbali elu na ngụgụ (ọnọdụ akpọrọ ọbara mgbali) na nkụchi obi. Nnukwu nkwarụ ahụ, ọbara ka nwere ike ịbanye akwara akpa ume.

Ọnọdụ na-adị mgbe akwara na akpa ume anaghị ekewa nke ọma ka nwa na-etolite n’akpa nwa.

Window Aortopulmonary dị ụkọ. Ọ na-akpata ihe na-erughị 1% nke nsogbu nkwarụ niile pụta ụwa.

Ọnọdụ a nwere ike ịpụta n'onwe ya ma ọ bụ nwee nrụrụ obi ndị ọzọ dịka:

• Tetralogy nke Fallot
• Akpa ume atresia
• Truncus arteriosus
• Atrial septal nkwarụ
• Patent ductus arteriosus
• Etrepu njiko aortic

Pasent 50 nke ndị mmadụ anaghị enwekarị nkwarụ obi ọzọ.

Ọ bụrụ na ntụpọ ahụ pere mpe, ọ nwere ike ọ gaghị ebute ihe mgbaàmà ọ bụla. Otú ọ dị, ọtụtụ ntụpọ buru ibu.

Mgbaàmà nwere ike ịgụnye:

• Igbu oge uto
• Obi mgbawa
• Iwe
• Nri adịghị mma na enweghị ibu ibu
• Na-eku ume ngwa ngwa
• Otito otiti
• Usoro iku ume

Onye nlekọta ahụike na-anụkarị ụda obi na-adịghị mma (ntamu) mgbe ị na-ege stethoscope ntị na obi nwa ahụ.

Onye na-eweta ọrụ ahụ nwere ike ịtụ ule dị ka:

• Cardiac catheterization - a tube dị mkpa etinyere n'ime arịa ọbara na / ma ọ bụ akwara ndị dị gburugburu obi iji lee obi na akwara ọbara wee tụọ nrụgide n'ime obi na ngụgụ.
• Igbe x-ray.
• Ihe omumu.
• MRI nke obi.

Ọnọdụ a na-achọkarị ịwa ahụ obi iji mezie nkwarụ ahụ. Ekwesịrị ime ịwa ahụ ozugbo enwere ike mgbe nyochachara ọrịa ahụ. N'ọtụtụ ọnọdụ, nke a bụ mgbe nwatakịrị ka bụ nwa amụrụ ọhụrụ.

N'oge usoro ahụ, igwe-akụrụngwa obi na-eweghara maka obi nwata ahụ. Dọkịta na-awa ahụ meghere aorta ma mechie ntụpọ ahụ site na mpempe mpempe ma ọ bụ site na mpempe akpa nke mechiri obi (pericardium) ma ọ bụ ihe mmadụ mebere.

Gerywa ahụ iji dozie windo aortopulmonary na-aga nke ọma n'ọtụtụ ọnọdụ. Ọ bụrụ na edozi nkwarụ ahụ ngwa ngwa, nwatakịrị ahụ ekwesịghị inwe mmetụta ọ bụla na-adịgide adịgide.

Treatmentkwụsị ọgwụgwọ pụrụ iduga nsogbu ndị dị ka:

• Ọrịa obi na-akụda mmụọ
• Ọbara mgbali elu ma ọ bụ ọrịa Eisenmenger
• Ọnwụ

Kpọọ onye na-ahụ maka ọrụ gị ma ọ bụrụ na nwa gị nwere mgbaàmà nke windo aortopulmonary. N’oge na-adịghị anya, achọpụtara ma gwọọ ọnọdụ a, ọ ka mma ịkọwapụta nwatakịrị ahụ.

Onweghi uzo amara iji gbochie windo aortopulmonary.

Aortopulmonary septal ntụpọ; Aortopulmonary mma; Ọrịa obi congenital - windo aortopulmonary; Omumu omumu - windo aortopulmonary

• Window Aortopulmonary

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

Qureshi AM, Gowda ST, Justino H, Spicer DE, Anderson RH. Nkọwa ndị ọzọ nke traktị ndị na-apụ apụ. Na: Wernovsky G, Anderson RH, Kumar K, et al, eds. Anderson’s Ọrịa edimụaka Cardiology. Agba nke anọ. Philadelphia, PA: Elsevier; 2020: isi nke 51.

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.