Truncus arteriosus

Truncus arteriosus wani nau'ine na cututtukan zuciya wanda jini guda daya (truncus arteriosus) ya fito daga jijiyoyin dama da hagu, maimakon tasoshin 2 na yau da kullun (jijiyoyin jini da kuma aorta). Yana nan lokacin haihuwa (cututtukan zuciya na haihuwa).

Akwai nau'ikan truncus arteriosus.

A zagayawa na yau da kullun, jijiyar huhu ta fito daga bangaren dama sannan kuma aorta ya fito ta bangaren hagu, wadanda suke daban da juna.

Tare da truncus arteriosus, jijiyar guda ɗaya ta fito daga cikin ɗakunan. Akwai galibi kuma ana samun babban rami tsakanin ƙwararrun ventricles 2 (ɓarnar ɓarna). A sakamakon haka, launin shudi (ba tare da iskar oxygen ba) da ja (mai wadataccen oxygen).

Wasu daga cikin wannan haɗin jinin suna shiga huhu, wasu kuma suna zuwa sauran jikin. Yawancin lokaci, yawan jini fiye da yadda ya saba yana ƙare zuwa huhu.

Idan ba a magance wannan yanayin ba, matsaloli biyu na faruwa:

• Yawan jini a cikin huhu na iya haifar da ƙarin ruwa a ciki da kewaye. Wannan yana sa wahalar numfashi.
• Idan ba a kula da shi ba kuma fiye da jinin al'ada ya kwarara zuwa huhu na dogon lokaci, hanyoyin jini zuwa huhun na lalacewa na dindindin. Bayan lokaci, yana yi wuya zuciya ta tilasta musu jini. Wannan ana kiran sa hauhawar jini na huhu, wanda zai iya zama barazanar rai.

Kwayar cutar sun hada da:

• Bullar fata (cyanosis)
• Rage girma ko gazawar girma
• Gajiya
• Rashin nutsuwa
• Rashin ciyarwa
• Saurin numfashi (tachypnea)
• Rashin numfashi (dyspnea)
• Fadada yatsun yatsan hannu (kwancen kafa)

Ana yawan jin gunaguni lokacin da ake sauraren zuciya tare da samfurin hoto.

Gwajin sun hada da:

• ECG
• Echocardiogram
• Kirjin x-ray
• Cardiac catheterization
• MRI ko CT scan na zuciya

Ana buƙatar yin aikin tiyata don magance wannan yanayin. A tiyata halitta 2 raba jijiyoyi.

A mafi yawan lokuta, ana ajiye jirgin ruwa kamar sabon sifa. Ana kirkirar sabuwar jijiya ta huhu ta amfani da nama daga wani tushe ko ta amfani da bututun da mutum yayi. An dinka jijiyoyin huhu na huhu zuwa wannan sabon jijiyar. Ramin tsakanin ventricles an rufe.

Cikakken gyara galibi yana bayar da sakamako mai kyau. Ana iya buƙatar wata hanya yayin da yaro ke girma, saboda sake huhu na huhu wanda yake amfani da nama daga wani tushe ba zai yi girma tare da yaron ba.

Magunguna na truncus arteriosus suna haifar da mutuwa, galibi a lokacin shekarar farko ta rayuwa.

Matsaloli na iya haɗawa da:

• Ajiyar zuciya
• Hawan jini a huhu (hauhawar jini)

Kira mai ba da sabis na kiwon lafiya idan jariri ko yaro:

• Ya bayyana rashin kuzari
• Yana bayyana gajiya sosai ko gajeren numfashi
• Ba ya cin abinci da kyau
• Ba ze zama mai girma ko haɓakawa ba

Idan fatar, lebba, ko gadon ƙusa sun yi shuɗi ko kuma idan yaron yana da ƙarancin numfashi, kai yaron ɗakin gaggawa ko kuma a bincika yaron da sauri.

Babu sanannun rigakafin. Yin magani na farko zai iya hana rikitarwa mai tsanani.

Truncus

• Yin aikin tiyatar zuciya na yara - fitarwa

• Zuciya - sashi ta tsakiya
• Truncus arteriosus

Fraser CD, Kane LC. Cutar cututtukan zuciya. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na Tiyata: Tushen Halittu na Ayyukan Tiyata na Zamani. 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.