Atrial septal nkwarụ

Atrial septal nkwarụ na-ezo aka congenital ọrịa obi. Nke a ntụpọ-egosipụta onwe ya ihe anomaly ke n'elu-ulo nke ahu. Atrial septal ntụpọ e ji ezughị ezu mmechi nke mgbidi n'agbata nri na-ekpe atria.

The norm bụ nkewa nke gbasara obi-ulo ọ bụla ọzọ. Mgbe a valvụ bụ ugbu n'etiti onye ọ bụla ulo na ya kwekọrọ ekwekọ ventricle. N'ihi na valvụ site ọbara ije na one direction. The ọbara bypasses ngụgụ, na-emepe emepe nwa ebu n'afọ na e nwere a oghere n'etiti nri na n'aka ekpe nke igwefoto. Na mụọ nwa, e nwere bụ na-emechi oghere, na ọbara bụ site ngụgụ. Na mmepe nke nkịtị ahụ dịghị oghere.

Atrial septal nkwarụ ụmụ e ji ọnụnọ nke na-emeghe onu. Nke a na-akpalite oruru ọbara si ekpe ulo nri na, dị ka a N'ihi ya, nwere ike ime ka nsogbu na ngụgụ.

ASD emetụta ihe dị ka mmadụ anọ n'ime a narị ịmụ nwa. Nta ma ọ bụ agafeghị oke abnormalities na-adịghị eme ka ọ bụla mgbaàmà ma ọ bụ nsogbu. Minor ntụpọ na 90% nke ihe nile ikpe na-tojuru onwe gị. Mgbe ụfọdụ, anomalies ịnọgide ná ndụ na ihe ekpughere toro.

Nyere na ọnọdụ nke oghere iche septal nkwarụ sekọndrị na isi.

Anomaly isi ụdị ji oghere dị na ala akụkụ. Secondary anomaly a na-ewere na nke oghere bụ na elu na / ma ọ bụ n'etiti òkè.

The adakarị foto nke anomaly mejupụtara ndị ozuzu oke nke mgbaàmà bụrụ na nke bufee nke obi ziri ezi ngalaba. Nke a bụ n'ihi na mgbe nile na ọnụnọ nke a nnukwu olu nke ọbara ha. Otú ọ dị, ọ ga-kwuru ọnụnọ nke elu compensatory ike nke obi usoro. Na nke a, ihe ịrịba ama nke ọrịa na-egosi na nke mbụ ọnwa nke ndụ, bụ otu onye n'ime otu narị mụrụ ọhụrụ ndị na-chọpụtara na atrial septal nkwarụ. Ihu ọma, na-egosi na ihe mgbaàmà hụrụ na-eto eto.

The ọrịa na-egosipụta ngwa ngwa ike ọgwụgwụ na ike ọgwụgwụ, sweating, ngwa ngwa ma ọ bụ dọgburu onwe ume, iku ume ọkụ ọkụ mgbe emega ahụ. The mgbaàmà ndị na-adịghị ala ala ụdị ọrịa na akụkụ okuku ume na tract, ogbenye ibu, ogbenye agụụ, palpitations na ngosipụta nke obi murmurs.

The kpọmkwem nchoputa nke nhata a rụrụ site X-ray, ECG, gbasara obi catheterization na echocardiography. Na nri-ndiiche ahụrụ ECG obi electric axis, na-egosiputa bufee (hypertrophy) nke ahu. Site n'enyemaka nke X-ray kpebisiri akpa ume mgbanwe. Echocardiogram enye ohere anya anomaly, akpan akpan, site na-ewebata ihe nkuzi mgbamejije-iche mmadụ. Catheterization dabeere na ihe nyochara nke dị iche iche cavities nke n'obi iji chọpụta mkpa nke mgbanwe ndị na-n'ahụ ụdị.

nkwarụ ọgwụgwọ N'ezie họrọ na ndabere nke na-adakarị mgbaàmà na abnormalities nha.

Siri ike abnormalities ji a ibu n'obosara na mụụrụ ya. Nke a nwere nnọọ ezighị ezi mmetụta na ọrịa na-arịa. Na ọtụtụ n'ime ndị a nke ogwugwo na usoro ọgwụgwọ e kenyere.

Ịwa ahụ aka na-agụnye "kpachie" onu. Nke a na usoro kwesịrị ekwesị maka obere size (karịa atọ sentimita) orifice.

Dị ka omume na-egosi, mgbe ihe ndị a na e nwere a ịrịba mma nke ọrịa, normalisation nrụgide na akpa ume mgbasa, na-aga dyspnea, normalized ECG.