Ciwon ciki na huhu

Ciwon huhu na huhu wani nau'i ne na cututtukan zuciya wanda bawul na huhu ba ya zama da kyau. Yana nan daga haihuwa (cututtukan zuciya da suka shafi haihuwa). Bulallen fulawa buɗewa ce a gefen dama na zuciya wanda ke daidaita gudan jini daga ƙwanƙyaron dama (gefen fanfo na dama) zuwa huhu.

A cikin atresia na huhu, ana amfani da bayanan bawul. Wannan yana haifar da wata takarda mai taushi don ƙirƙirar inda buɗe buɗaɗɗen ya kamata. Jinin da ya saba zuwa huhun yana toshe sakamakon. Saboda wannan lahani, an hana jini daga gefen dama na zuciya daga kaiwa huhu don karbar iskar oxygen.

Kamar yadda yake tare da yawancin cututtukan zuciya na haihuwa, babu wani sanannen sanadiyyar ciwon huhu. Yanayin yana da alaƙa da wani nau'in cututtukan zuciya da ake haifarwa wanda ake kira patent ductus arteriosus (PDA).

Ciwon mara na huhu na iya faruwa tare da ko ba tare da wata ɓarna ba (VSD).

• Idan mutum bashi da VSD, ana kiran yanayin da huhu tare da cikakkiyar septum (PA / IVS).
• Idan mutum yana da matsalolin biyu, ana kiran yanayin cutar huhu da VSD. Wannan mummunan yanayin tetralogy ne na Fallot.

Kodayake duka yanayin ana kiransu atresia na huhu, amma a zahiri lahani ne daban-daban. Wannan labarin yayi magana akan atresia na huhu ba tare da VSD ba.

Mutanen da ke da PA / IVS na iya samun bawul ɗin tricuspid mara kyau. Hakanan suna iya samun ƙarancin ƙarancin dama mai ƙarancin ci gaba ko kauri sosai, da hanyoyin jini mara kyau waɗanda ke ciyar da zuciya. Kadan da yawa, tsarin a cikin hagu na hagu, bawul aortic, da atrium na dama suna da hannu.

Kwayar cutar galibi galibi tana faruwa ne a cikin hoursan awannin farko na rayuwa, kodayake yana iya ɗaukar aan kwanaki.

Kwayar cutar na iya haɗawa da:

• Fata mai launin Bluish (cyanosis)
• Saurin numfashi
• Gajiya
• Halayen cin abinci mara kyau (jarirai na iya gajiya yayin jinya ko zufa yayin ciyarwar)
• Rashin numfashi

Mai ba da sabis na kiwon lafiya zai yi amfani da stethoscope don sauraron zuciya da huhu. Mutanen da ke da PDA suna da gunaguni na zuciya wanda za a iya ji da stethoscope.

Ana iya umartar gwaje-gwaje masu zuwa:

• Kirjin x-ray
• Echocardiogram
• Lantarki (ECG)
• Bugun zuciya
• Pulse oximetry - yana nuna adadin oxygen a cikin jini

Wani magani da ake kira prostaglandin E1 yawanci ana amfani dashi don taimakawa motsa jini (zagaya) cikin huhu. Wannan maganin yana buɗewa jijiyoyin jini a buɗe tsakanin jijiyar huhu da aorta. Ana kiran jirgin ruwan da PDA.

Magunguna da yawa na iya yuwuwa, amma sun dogara da yawan cututtukan zuciya waɗanda ke tare da ɓoyayyen bawul na huhu. Hanyoyi masu cutarwa masu haɗari sun haɗa da:

• Gyara Biventricular - Wannan tiyatar tana raba gudan jini zuwa huhu daga zagayawa zuwa ga sauran jiki ta ƙirƙirar ventricles biyu na yin famfo.
• Rashin kwanciyar hankali - Wannan tiyata tana raba gudan jini zuwa huhu daga zagayawa zuwa ga sauran jiki ta hanyar gina ƙwanan fanfo guda ɗaya.
• Dashen zuciya.

Yawancin lokuta ana iya taimakawa ta hanyar tiyata. Yaya kyau jariri ya dogara da:

• Girma da haɗin haɗin jijiya (jijiyar da ke ɗaukar jini zuwa huhu)
• Yaya zuciya take bugawa
• Ta yaya ake kirkiran sauran bawul din zuciya ko nawa suke zubewa

Sakamakon ya bambanta saboda nau'ikan nau'ikan wannan lahani. Jariri na iya buƙatar hanya guda ɗaya ko zai iya buƙatar tiyata uku ko sama da haka kuma yana da ventricle aiki ɗaya kawai.

Matsaloli na iya haɗawa da:

• Rage girma da ci gaba
• Kamawa
• Buguwa
• Ciwon endocarditis
• Ajiyar zuciya
• Mutuwa

Kira mai ba ku sabis idan jaririn yana da:

• Matsalar numfashi
• Fata, kusoshi ko lebe waɗanda suka bayyana shuɗi (cyanosis)

Babu wata hanyar da aka sani don hana wannan yanayin.

Duk mata masu ciki ya kamata su sami kulawa ta al'ada kafin lokacin haihuwa. Za'a iya samun lahani da yawa na haifuwa akan gwajin duban dan tayi na yau da kullun.

Idan aka samu lahani kafin haihuwa, kwararrun likitoci (kamar likitan zuciya, likitan zuciya, da likitan neonatologist) na iya kasancewa a wurin haihuwar, kuma a shirye suke don taimakawa yadda ake buƙata. Wannan shiri na iya nufin bambanci tsakanin rayuwa da mutuwa ga wasu jarirai.

Pulmonary atresia - cikakkiyar sashin kwakwalwa; PA / IVS; Cutar cututtukan zuciya - atresia na huhu; Ciwon zuciya na Cyanotic - atresia na huhu; Resarfin ƙwayar cuta na rashin lafiya

• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani

Fraser CD, Kane LC. Cutar cututtukan zuciya. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 58.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Cutar cututtukan ciki a cikin baligi da haƙuri na yara. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 75.