He kani i loko o ka puʻuwai o ke keiki - kumu

Hiki keʻikeʻia ka leo o ke kani i loko o ka puʻuwai o ke keiki i kahiʻano o ka hōʻailona o ka hana maʻamau i loko o nā keiki ola olakino, akā hiki keʻikeʻia ke wā e wāwahiʻia ai ka myocardium (kaʻiʻoʻeha), hoʻololi ka hemodynamics. Eia kekahi,ʻo kekahi o nā kumu he nui no keʻano o kēia leo i loko o ka puʻuwai o ke keiki, e like paha, he anemia. ʻO kēlāʻano leo ka mea i kapaʻia "he hala", no ka mea ʻO ko lākou noho kokokeʻanaʻaʻole e pili i ke olakino a me ke kūlana o ka pēpē. E ho'āʻo mākou eʻike i ke "'ōkumu o ka'ōpū" o ke keiki,ʻo ia hoʻi, inā he pōʻino nā loli a no ke kumu iʻikeʻia ai.

He aha nā kumu o ka uluʻana o ka'ōhumu'ōhumu i loko o ka puʻuwai o ke keiki?

Hāʻawiʻia i nā hiʻohiʻona anatomical o ka'ōnaehana naʻau i nā keiki, he mea maʻamau ke hoʻomaopopo i nā kumu o kēia mau kumu no keʻano o kēia maʻi:

• Valvular - hoʻopiʻiʻiaʻana o nā kaulawa o ka pulupalu o ka naʻau, ka likeʻole o nā loli o nā lālā, nā haulima o nā wāwae, ka hoʻohālikeʻana i nā hili o nā hili maʻamau;
• ke kaniʻana - iʻikeʻia e nā () mau inoa o ka ventricles o ka puʻuwai, ka loli o ko lākou kūlana, ka hōʻino i ko lākou loli;
• ka papillary - nā loli i ke kūlana, keʻano, ka helu o nā mīkini papillary, ka pihoihoi i ko lākou leo ​​me ka hoʻohaʻahaʻa a me ka hoʻomaha o ka puʻu o ka naʻau;
• ka pale-parietal - wehe puka oval (LLC), aneurysm o ka septum interstate, kahawai Eustachian, hana hoʻohālike S o kaʻaoʻao kiʻekiʻe o septum interventricular, etc.

ʻO nā maʻi a pau i kākauʻia i loko o nā lāʻau lapaʻau, ua kapaʻia he mau anomalies liʻiliʻi o ka uluʻana i ka naʻau (MARS). Hoʻohui pinepineʻia lākou me nā pilikia o ke kino kūpono a me kekahi i kekahi, a pono e mālamaʻia i ka nānāʻana i ke kūlana o ke keiki a me ka hoʻoholoʻana i nāʻano o kāna hana. ʻO kēia mau maʻi e hoʻopiʻi i ka'ōhumu'ōhumu systolic i loko o ka puʻu o ke keiki liʻiliʻi.

Ke hoʻohālikelike neiʻo Mitral valve i ke kumu kumu o nā poho systolic

Ma hope o ke aʻoʻana i ke kumu e kani ai ke keiki i ka naʻau, a me keʻano o ia mau mea, e noʻonoʻo i ka hopena pinepine o ko lākou helehelena,ʻo ia ka piʻiʻana o ke vanve valve.

Ma waena o nā kumu valvular i'ōleloʻia i luna,ʻo ka hapa nui o kēia mau mea he lolove valve prolapse (PMC). Ke hōʻikeʻia kēia maʻi e like me ka hoʻouluʻana o ka 1 a iʻole nā ​​lālāʻelua o kēia valve, ma ke kuhikuhi o ka lumi keʻena e kokoke kokoke ana i ke kikowaena. Wahi a medstatistics, e ulu ana kēia maʻi i ka 6-18% o nā keiki o nā makahiki a pau, a me nā keiki hou. I ka manawa like, ua loaʻa nā kamaliʻi i kēia maʻi i nā manawa he 2-3.

ʻOiai,ʻo ka hoʻolālāʻana o ka PMP mua ma muli o ka emi iho o nā hanana kikola o ka valve iho, kaʻikeʻana o nā anomalies liʻiliʻi i loko o nā mea hana.

Ke ulu nei ke kula lua o ka maʻi no ka uluʻana o nā maʻi maʻi o nā mea pili. I kēia hihia, aia ka hoʻonuiʻana o ka mucopolysaccharides me ka mea i kapaʻiaʻo ka waika pololei ma ka stroma o ka pahū pono'ī. Me nā maʻi o ka'ōnaeʻa cardiovascular, e like me ka rumatika, ka endocarditis o ka maʻiʻole, ka carditis non-rheumatic, e hiki ke hāpaiʻia e like me ka hōʻailona.

E wehe i ka puka oval (OOO)

ʻO kēiaʻano maʻi ka hopena o ka'ōhumu'ōhumu i loko o ka puʻu o ke pēpē. Hanaʻia ma ka puka o kahi wahi liʻiliʻi liʻiliʻi ma waena o ka'ākau a me ka hema, e uhiʻia e kahi valve i ka'āpana hema. Me ke kuhi hewaʻana, hiki ke hoʻokahe o ke koko ma kaʻaoʻao hoʻokahi - mai ka'ākau a ka hema.

ʻO ka fusionʻana o kēia kahawai e pili ana i ka valve a me ka wehewehe kiʻekiʻe. ʻO ka hopena, ua hoʻokumuʻia kahi puka ma kahi o ka puka. Ma lalo o nāʻano maʻamau, paʻa ka puka oval ma ka manawa mai 2 a 12 mahina ma hope o ka hānauʻana. Eia nō naʻe,ʻaʻole kēia kūlana maikaʻi o ka uluʻana ma hope o ka pūnaepe cardiovascular i loko o nā kānaka a pau. Wahi a nā mea kākau'ē aʻe, e wehe mau ana ka puka oval i 20-40% (ma ka awelika - ma 25-30%) o nā kānaka o kaʻelemakule.