I-DMF ye-fetus

I-DMZHP yisifingqo sephutha le-septum ye-interventricular ebusweni, okungukuthi, ukukhubazeka kokuzalwa kwalesi sitho.

I-DMF ye-fetus - izimbangela

Kunezimbangela ezimbili ezibangela isifo senhliziyo esiswini:

1. Heredity . Izinkinga ezihlukahlukene zesifo senhliziyo noma ezinye izitho ezidluliselwa ngefa hhayi kuphela kubazali kuya kwengane. Ingozi ye- CHD , kuhlanganise ne-DMF ye-fetus, nayo futhi lapho ukukhubazeka kwenhliziyo kuhlangene nezizukulwane zangaphambilini, ngezihlobo eziseduze noma kwezinye imindeni enalo mndeni.
2. Ukuphazanyiswa kwentuthuko yenhliziyo emntwaneni . Kuyenzeka ngenxa yanoma yiziphi izici ze-teratogenic ezithinta isisu ngesikhathi sokuthuthukiswa kwe-embryonic: ukutheleleka, ukudakwa kwezici ezihlukahlukene, imiphumela emibi yemvelo.

Ngezinye izikhathi zombili lezi zimbangela zihlangene.

Izinhlobo ze-VSD ebusweni

I-septum yangaphandle ihlukaniswe izingxenye ezintathu ngokusho kwesakhiwo sayo: i-membrane engenhla, i-muscular middle kanye nengxenye engezansi. Kuye ngengxenye yesici, i-VSW ihlukaniswe ngokuthi:

• Izisindo zengxenye yesikhumba, noma umshado - ngaphansi kwe-valve ye-aortic nomthambo we-pulmonary, ingavalwa ngokuzimela ngamasayizi amancane);
• I-VSD enomntwana emfubeni iyisici esihlangene esisezintweni zomzimba, kodwa enye yamaphethelo akhiwa izicubu ezixhunyiwe zengxenye yesikhumba se-septum;
• i-defect engxenyeni ye-muscular - ikude namagagasi asezicubu ze-muscle;
• ukuqeda ukungabikho kwe-septum;
• i-peregrevevyy i-DMZHP - ngenhla kwesigodi esiphezulu.

Fit:

• Okukhulu - ububanzi bephutha bukhulu kunomkhawulo we-aorta futhi ukucindezela kokubili kwe-ventricles kulingana;
• i-defect ye-mean is less than the diameter ye-aorta nokucindezela ku-ventricle efanele yi-50% yengcindezi ngakwesobunxele;
• encane - uma isici sincane kangangokuthi ingcindezi ye-ventricle efanele ikhuphuka ingekho ngaphezu kuka-25%, ngokuvamile ivele ingabonakali.

Wonke ama-VSD kufanele atholakale ekucubungulweni kwesibili kwe- ultrasound emavikini angu-20 , ngoba ngokuhlanganiswa kwe-VS nezinye izinkinga zenhliziyo ezingahambisani nokuphila, owesifazane angase anconywe ukuphazamisa ukukhulelwa. Futhi nge-VSD engasese ephethe kahle ukuphathwa kokubeletha kanye nokwelashwa esikhathini sokuhamba kwesikhathi 80% yabantwana banethuba lokusinda.

I-DMF ye-fetus - ukwelashwa

Nge-VSW, ukucindezela kwakha emjikelezweni omncane wokujikeleza, futhi isikhathi sokusebenza okufanele senziwe sincike ngokuqondile ngobukhulu besici.

Ukusebenza kwe-VSD yokwelashwa. Uma isici se-septum sinkulu, umsebenzi kufanele wenziwe ezinyangeni ezintathu zokuqala ngemuva kokubeletha. Ngeziphambeko ezilinganiselayo kanye nokucindezelwa kwesikhala emjikelezweni omncane wokujikeleza kwegazi, ingane isebenza kuze kube izinyanga ezingu-6 emva kokuzalwa, ngokulinganisa ngokunyuka okuncane kokucindezela ku-ventricle efanele kanye nokukhubazeka okuncane - kuze kube unyaka. Ezinye iziphambeko ezincane kule nkathi zivaliwe ngokwazo.