Heart maʻi i loko o nā keiki. Congenital a loaa naau mai i na keiki

"Heart maʻi i loko o ke keiki" - i kekahi manawa, i kēia mau hua'ōlelo hookani e like me ka make hoahewa. Me ia mea i kēia maʻi? Ua mea makau no ia i kaʻike, maoli ua a me ka ano hiki ke disinfected?

I kaʻike, o ka "naau mai" i loko o ke keiki

Aia nā hihia i ka wa a kanaka e noho me kekahi hakuʻala, a me ka hapalua o ka opu, me ka gallbladder. Akā, i noonoo ai i kekahi kanaka e noho ana me ka naʻau, He mea hiki ole: ma hope o ke kino pohaku e hana no kekahi mau minuke ma ke ola ana o ke kino mae aku i kekahi manawa, a me na mea a pau. Ia mea ke kumu o kaʻike, o ka "naau mai" i loko o ke keiki hooweliweli aku na makua.

Me ka hele ana i loko o 'inikua mea kiko'ī, i ho'ākāka' ia i ka maʻi ua pili me ka malfunction o ka naau kiwikā, pu me ia o ka'ōnaehana ua ke kiʻekiʻe o ka pukaʻana, a me ka hui, iho. Keia pilikia - ka loa e like me ka kumu o ka naau ka mai, akā, i ka mea wale nō kekahi. Eia hou, he mau hihia, i ka wa o ka maʻi e hoʻomōhala ana i like me ka hopena o ke kūpono 'ole:

• hui, paia;
• cardiac septa;
• nui na moku naau.

Oia loli paha e congenital mā, a hiki ke loaa ma ka wā e ola ana.

Congenital naau maʻi

Inā ua hanau i ke keiki me ka naau kina, ia mea he maʻi kapaia congenital.

'Ikepili helu hōʻike i wale ma kahi o 1% o na keiki iʻikeʻia ma luna o ke ao nei ae aku, mai keia maʻi. No ke aha la ka naau mai i keiki na keiki mea no laila, he pono ole? Ua pau hilinaʻi nui ma luna o ka 'ano o ke ola ana o ka makuwahine i gestation.

Ka ninau a ina ole paha i ka pēpē mea ola, ua Wehewehe i nā hāʻina i loko o nā mahina mua o ka hāpai keiki. Ka pilikia o ka loaa i ke keiki me ka naau kina ua nui hoomahuahua ia ina ka expectant makuahine i loko o kēia wā.

• inu waiʻona;
• e uwahi ana;
• paku ole ia i ka pāhawewe;
• He ua loaa mai i ka mea hoʻomaʻi maʻi a me ka wikamina deficiency;
• Au i 'ino ai'.

Inā 'oe i kakahiaka nui nana ole naau maʻi symptoms i na keiki a me ka hoʻomaka lapaʻau i ka manawa, i kekahi manawa, e hoihoi loa ana ka maʻamau functioning o ke kino. Ma ka kekahi lima, ina o ka pilikia 'akomi i ke aumoe, i ka' ole o ka naau Muscle ana irreversible loli, a me ka pono kaʻenaʻenaʻoki kino.

Lilo naau valvular maʻi

Loaa naau maʻi i loko o nā keiki pele i hoʻomaka ai ma muli o ke malfunction o ka nohona kiwikā nenoaiu. Keia pilikia ua Wehewehe i nā hāʻina eʻoki kino: kōkua kiwikā prosthesis, e hele hoʻi a hiki i ka iaʻeleu ola.

Nā kumu o ka maʻi

Loaa naau mā i loko o ke keiki i hanaʻia ma muli o ka nui kumu.

1. Rheumatic endocarditis. I ka maʻi e loli ai i ka naau kiwikā, i mea i hanaʻia i loko o ka stroma granulomas. I ka 75% o ka hihia ia mea rheumatic endocarditis kumu o ka maʻi.
2. Eiei? Connective'aʻaʻa maʻi. Pathologies e like me lupus erythematosus, scleroderma, dermatomyositis a me ka 'ē aʻe, pinepine paka complications ma ka hakuʻala a me ka naau.
3. Pahu eha. Kekahi mana hahau ai i ka pahu āpana me ka pahiki kiʻekiʻe hiki i malformations.
4. E hoʻokuʻikahi, naʻauʻoki kino. Ma hope iho ua i ana ma luna o ka naʻau, e like me valvotomy, eia complications i hoʻonāukiuki malformations.
5. Atherosclerosis. He He maʻi mai o na arteries a me nā ipu koko, i nā pā pōhaku o i e hoomaka ana e lilo plaques. Loa pinepine, akā, atherosclerosis kekahi kumu no nā loli i loko o ka hana a me ka 'ole o ka naʻau.

Mai keia papa ka mea, ua ike ia ina ka ulu naau maʻi i loko o ka keiki, i ke kumu no ka mea hiki e loa like. Akā, ia mea nui e loaʻa ia ma ka liʻiliʻi loa i ka hoakakaia lapaau ua kupono i ka loa a me ka pono.

symptoms

naau mā i loko o na keiki i hele pu me ia e ho'ākāka symptoms e e Ike e no laua, a no ka hoʻokani i ka pū waikaua ia ka mea, i ke keiki.

Ma halihali ninaninau pediatrician ia ke lohe i ka maʻi kamaiki naʻau ohumu. Ma hope o kā lākou loaʻa kauka e hoonoho i ultrasound. Akā, i kaʻike, o ka "naau ka mai" hiki ole ke hookupaa iho la ia, no ka mea, e ulu ana na keiki ooieoeiiaeuiiai naau ohumu mai ai me - keia o ke kūmau.

Ma ka mahina mua o ke ola i ka physical kūpono 'ana o ke keiki i Ua loa, pili, o kela mea keia mahina ka mea, i e loaa ke kaupaonaʻana,ʻaʻole e emi malalo o 400 g. Inā keia' ole e hana, e mea pono i ka pololei nīnau aku i ka cardiologist, no ka mea, o ka nele o ke kaupaonaʻana waiwai - kekahi o na kumu nui symptoms naau pilikia o.

mea i Lethargy a me ka luhi o ke keiki mōakāka neaiaea e pili ana i ola pilikia. Inā pau keia ua hou pokole o ka hanu, i ke kamepiula, piʻi pū, e lohe kaʻawaʻawa loaʻike.

noiʻi ki ina hana like

Heart mā i na keiki, Eia naʻe, ua kākaʻikahi 'akomi i ka manawa. Aia nō kekahi mau kumu.

1. Mua, i hāpai keiki, e hookupaa aku i ka ulu ana o ka maʻi i loko o ke keiki mea aneane hiki ole i. An inā pilikia ka haumāna hoʻomalu ma transvaginal ultrasound i hai i kekahi loli ma ka pēpē ka naʻau, akā, he nui na maʻi i loko o keia manawa ka mea,ʻaʻole i hoikeia. Ka luna waeʻano o na wahine i hōʻike 'poe e noho ana ma kamepiula - ai makuwahine maikaʻi, e lawe i ka Initiative, a ma ka hebedoma 20th o ka hāpai keiki, undergo transabdominal ultrasound.
2. Ka lua, ma hope o ka hanau ana o ke keiki hoʻopaʻa haʻawina ma luna o ka naʻau o ka mai e i komo i loko o ka papa inoa o OAXA ho'āʻo a me examinations. A me na makua e ole ia lakou iho i ka lawe Initiative, a lawe mai hou PalekanaEND_LINK kaʻina hana.
3. Ekolu, na symptoms mai e hoike ana ia lakou iho, mai ka loa kinohi mai. A hiki ina ke keiki Kahalaopuna i ka hana ia ia ia i kekahi mea i hewa,ʻaʻoleʻo ia hiki ke hoomaopopo ia. I nā mākua, uaʻoi aku i'ō i kela la i keia chores, e mau kipaku i ke kao keiki i kekahi mau examinations.

Nā pēpē i pele hana wale electrocardiogram a me kekahi mau 'ē aʻe ho'āʻo ma, keia IeAUPIIe, IAa IO welau a me kaʻike,. Naʻe, i ka electrocardiogram ma ia i ka manawa'ōpio wale nō mea,ʻaʻole hiki ke huai ae congenital naʻau maʻi. Inā ka hana ultrasound, e mea hiki ke kuhikuhi i ka maʻi ma ka koke ke kahua. Nui hilinaʻi nui ma luna o ka mākau o kekahi 'oihana e hana ana i ultrasound. E aho e 'oe i ka hana i loko o kekahi mau nā keʻena lāʻau lapaʻau, ka oi aku ina ua he e hoʻohuoiʻia no ka naau kina.

i ka maʻi

Inā naau maʻi symptoms i loko o nā keiki i alakai aku oe i ke kauka i ka oihana, a lanakila iho la i kaʻike, - i ka ole kumu i ka manao.

Ka maʻi ua i mau alakai i ka lono kaumaha hopena. No ka laʻana, he ole no ka waiho atrioventricular kiwikā au a me II ae kanaka e ola degere o ka 20 i ka 40 makahiki me kaʻoki kino, oiai ka malama ana i kekahi degere o ka ha awina.

Akā,ʻo iaʻike, akā, papa III a me IV, ai ukali ma ka pokole o ka hanu ma exertion, haanou ana o ka laloʻaoʻao, pilikia a me ke akepaa, e hoopai koke lapaau a me ka manaʻoʻoki lāʻau lapaʻau 'uao.

ʻike,

Na hoailona o ka naau maʻi i loko o na keiki ike e nā mākua a me nā pediatricians i ole i ke kumu no kaʻike,. I haiia ae maluna,, ka systolic ohumu ua malama i ola na keiki, no laila,ʻaʻole hiki ole ke hana me ultrasound.

An echocardiogram hiki aaeno na hoailona o ka hema naau ventricular overload. Ua hiki ke koi i ka hou umauma m-Ray a e e māʻaloʻalo loli ole wale i loko o ka naʻau, akā, i na hoailona o ka haiahū kūmau o ka esophagus. Oe ke laila, i ka olelo hope loa, he maʻi keiki a ola.

Eia naʻe, i ka ECG mea,ʻaʻole hiki ke kōkua ma kaʻike, o ka naau mai i loko o ke kakahiaka kahua o ka hoʻonaʻauao. Loli ma ECG kekahi 'ka wā o ka maʻi ua, ua' Imi i holopono.

naau maʻi lapaʻau ma ka makeʻe kulana ano

Hoopaa na hoailona o ka naau maʻi i loko o na kamalii - ia mea i mea e hoʻomaka koke lapaʻau e pale aku irreversible loli i loko o ke kino.

Kauka mai i mau huli iʻoki lāʻau lapaʻau ano - kekahi e hoomanawanui iʻoki kino ua i koi 'ia, ma ka liʻiliʻi loa a me ka kekahi manawa. He aha ka mea maoli i nele i ka Kāohiʻana o ka maʻi, i triggered ka maʻi mua mākou.

Inā ka ia akulla naau maʻi i loko o na keiki, lapaʻau komo ai he kupono pololei o ka lā. No laila, eʻoiaʻiʻo, e malama i na keikiʻeleu a me ka lawe lima Aloha Hawaii, pu ma lōpū hoounauna. Akā, exhaustion - kino ai 'ole ka noʻonoʻo' - ua loa contraindicated. E paleʻano pākīkē, a kaumaha haʻuki, akā, e pono keia mau mea e hele, skating a Paikikala, a no laila, ma luna o.

He hiki i koi lāʻau Inc, e kōkua hoʻopau naʻau ole. ʻai i kekahi i kekahi kī kūlana ma ka iapaau ana o ka maʻi.

Lapaau ana i ka maʻi hana ana kāu kiʻina hana

I ka mea, ua 'akomi i naau maʻi i loko o na keiki,ʻoki kino mea e kohoia, ma ka hihia o na kuʻina hope o ka maʻi, a' aʻole i hana i na laau a me kaʻai OAXA.

Me ka hooulu ana o ka 'ike loea hou,ʻoki lāʻau lapaʻau lapaʻau i ua i loaʻa keiki mai kekahi makahiki, akā, e like no na kamalii uuku,ʻaʻole wale no. I ka diagnosed me ka loaa naau maʻi, o ka pahuhopu nui o kaʻoki kino - e malama i ka hana nona iho o kona mau kanaka naʻau kiwikā. Ma ka hihia o congenital mā a me mā i mea ole malalo iho a hiki i ka? Iaea koi 'ia prosthetic kiwikā. Prosthesis hiki e i ka me mechanical a liluwelo mea. Maoli, mai keia a me ka hilinaʻi nui ma luna o ka lilo o ka hana.

Ke hana ua hana hamama-naauʻoki kino me ka cardiopulmonary holo alaʻokoʻa. Hoʻopulapula ma hope o ia ka lōʻihiʻoki kino, pono ahonui, a me ka hapanui importantly - i ka noonoo ana i ka mea liʻiliʻi ahonui.

koko oleʻoki kino

Ua mea i ike ole ia mea ma muli o ai i ka moku'āina o ke ola nei,ʻaʻole iʻike piʻi ka naʻauʻoki kino. A me keia mea ua e kaumaha ana 'inikua ka noiʻi, no laila, ma ka makahiki ka mea, i ka nana ana no ka aoao e hoʻonui i ke ola ana o nā mea maʻi. Ma ka hopena, ua like me heʻoki lāʻau lapaʻau 'ana i kūpono e like me ka "koko oleʻoki kino".

Ka hana mua, me ka umauma incisions,ʻaʻohe scalpel a me kaʻaneʻane i ke koko i ua ana paʻa i loko o Rusia i ka 2009. ka Lūkini Kumu, a me kona Palani counterpart. Ke hoomanawanui Ua manaoia terminally mai, e like me ia i hoike stenosis o ka aortic kiwikā. Keia kiwikā E e auou caiaiai, akā, no ka likeʻole kumu, ka likelihood i ka hoomanawanui, e ola mahope aku o, uaʻaʻole loa kiʻekiʻe.

Denture hoomanawanui komo i loko o ka aorta me ka pahu incisions (ma ka puncture i loko o ka uha). A laila, Via kiwikā catheter kuhikuhi ma ka makemake ala - i ka naau. kūikawā prosthesis Ioi enehana A e leie aku i ka hoike o ka'ōwili ia i loko o ka Tube, akā, i kekahi manawa, ka mea i loaʻa i loko o ka aorta, ka mea, ua hoikeia mai i kona maʻamau nui. I na hana i paipai no ka poʻe o ka holomua makahiki a me kekahi keiki i mea ole hiki ke hoolilo i ka piha-unahiʻole, iʻoki kino.

hoʻopulapula

Cardiac hoʻopulapula ua maheleia i loko o kekahi mau kahua o ka hoʻonaʻauao.

Ka mua mau mai ekolu i eono mahina. I loko o kēia wā he kanaka i hoomakaukauia ka kūikawā hoʻopulapula kino, nutritionist wehewehe i ka hua hou o ke kino a me ka cardiologist E nńnń pono i ka mea maikaʻi i loko o nā loli i ke kino, i ka psychologist e kokua i ke hakuloli i hou ola ana.

Central i ka papa ua haawiia mai ka akau physical hana, no ka mea, ua pono e malama i ka pono shape,ʻaʻole wale nō ka naʻau Muscle, akā, cardiac moku. Helu ha awina kōkua hooponopono koko naʻokoko, ke koko, a me kōkua kiʻi pohaku uinihepa, o ka oi kaumaha.

Hoomau ana i ka waiho ana a me ke kēpau ma hope o ka hana - nā palapala. pono hele a maʻa i ka naau i ka maʻamau iki mai o ke ola, a me ka hana i kēia mea kōkua pono puka 'o ia me ka: hele, jogging, hoʻokō' Bike, 'auʻau, e hele ana. Contraindicated no ka basketball, Pôpaʻipaʻi, e like me noa paona.