Coronary tsinga fistula

Coronary arteri fistula kubatana kwakasarudzika pakati peimwe yecoronary arteri uye yemoyo kamuri kana imwe yeropa tsinga. Iyo coronary arteri imidziyo yeropa inounza okisijeni-yakazara ropa kune moyo.

Fistula zvinoreva kubatana zvisina kujairika.

A coronary artery fistula inowanzo kuve yakaberekwa, zvichireva kuti iripo pakuzvarwa. Inowanzoitika kana imwe yetsinga dzekoronon ikatadza kuumba zvakanaka. Izvi zvinowanzoitika kana mwana achikura mudumbu. Iyo coronary arteri inonamatira kune imwe yemakamuri emoyo (iyo atrium kana ventricle) kana imwe yeropa mudziyo (semuenzaniso, pulmonary arteri).

A coronary artery fistula inogona zvakare kukura mushure mekuzvarwa. Inogona kukonzerwa ne:

• Hutachiona hunonetesa madziro etsinga yemoyo nemoyo
• Dzimwe mhando dzekuvhiya kwemoyo
• Kukuvadza kumoyo kubva mutsaona kana kuvhiyiwa

Coronary arteri fistula chinhu chisingawanzoitika. Vacheche vanozvarwa nayo dzimwe nguva vane zvimwe zvinokanganisa moyo. Izvi zvinogona kusanganisira:

• Hypoplastic kuruboshwe moyo chirwere (HLHS)
• Pulmonary atresia ine isina kukwana ventricular septum

Vacheche vane chirwere ichi kazhinji havana kana zviratidzo.

Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• Moyo kugunun'una
• Chifuva kusagadzikana kana kurwadziwa
• Kuneta kuri nyore
• Kutadza kubudirira
• Kurumidza kana kusajairika kurova kwemoyo (palpitations)
• Kufema kwekufema (dyspnea)

Muzviitiko zvakawanda, ichi chiitiko hachionekwe kusvika gare gare muhupenyu. Inowanzoonekwa panguva dzekuyedzwa kwezvimwe zvirwere zvemwoyo. Zvisinei, mupi wezvehutano anogona kunzwa kugunun'una kwemoyo kunozoendesa kuchirwere nekumwe kuyedzwa.

Muedzo mukuru wekuona saizi yefistula ndeye coronary angiography. Iyi yakakosha x-ray bvunzo yemoyo uchishandisa dhayi kuti uone kuti uye kupi kuyerera kweropa. Inowanzoitwa pamwe chete necatheterization yemoyo, iyo inosanganisira kupfuudza mutete, unopfava chubhu mumoyo kuti uongorore kumanikidza uye kuyerera mumoyo uye dzakapoterera tsinga uye tsinga.

Mimwe bvunzo yekuongorora inogona kusanganisira:

• Ultrasound bvunzo yemoyo (echocardiogram)
• Uchishandisa magineti kugadzira mifananidzo yemoyo (MRI)
• CAT scan yemoyo

Iyo fistula diki isiri kukonzera zviratidzo kazhinji haizodi kurapwa. Dzimwe fistula diki dzinozozvivhara dzoga. Kazhinji, kunyangwe zvikasavhara, hazvife zvakakonzera zviratidzo kana kuda kurapwa.

Vacheche vane hosha yakakura vachada kuvhiyiwa kuti vavhare kubatana kusingaite. Chiremba anovhara saiti ine chigamba kana kusona.

Imwe nzira yekurapa inokwenya kuvhura isina kuvhiyiwa, uchishandisa waya yakakosha (coil) inoiswa mumoyo netepu refu, yakatetepa inonzi catheter. Mushure mekuita muvana, fistula inowanzovhara.

Vana vanovhiyiwa vanoita zvakanyanya, kunyangwe chikamu chidiki chingangoda kuvhiyiwa zvekare. Vazhinji vanhu vane chirwere ichi vane hupenyu hwakajairika.

Matambudziko anosanganisira:

• Asina kujairika moyo rhythm (arrhythmia)
• Kumira kurova kwemoyo
• Kutadza kwemoyo
• Kuvhura (kuputika) kwefistula
• Okisijeni isina kunaka kumoyo

Matambudziko anowanzoitika kune vanhu vakuru.

Coronary arteri fistula inowanzo kuongororwa panguva yekuongororwa nemupi wako. Fonera mupiki wako kana mwana wako ane zviratidzo zveichi chiitiko.

Iko hakuna inozivikanwa nzira yekudzivirira iyi mamiriro.

Congenital moyo hurema - coronary arteri fistula; Chibereko chekuremara moyo - coronary artery fistula

• Coronary angiography
• Coronary tsinga fistula

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