Vaalvii Bicuspid Aortik

Vaalvii Bicuspid Aortik

Vaalvii bicuspid aortik lafa lama, kan jedhamu kusp, utuu sadii hin taane qaba. Inni banamummaa vaalvii akka madaa'u ykn akka cufamu ni danda'a. Yeroo kana uumamu, haala kana vaalvii aortik stenosis jedhama. Onnee hojii guddaa hojjechuu qabdi dhiiga gara arteri guddicha qaamaa, kan jedhamu aortaa, akka ce'uuf.

Vaalvii bicuspid aortik rakkoo onnee dhaloota keessa jiru. Jechuunis, kanaan haala onnee dhalootaa dha.

Vaalvii aortik gidduu kutaa gaditti onnee bitaa fi arteri guddicha qaamaa, kan jedhamu aortaa, jira. Lafa qaamaa vaalvii irratti argaman walitti dhiibbaan onnee hundumaa banamu fi cufamu. Lafonni kun kusp jedhamu. Inni dhiigni karaa sirrii itti deemuu mirkaneessa.

Garaa vaalvii aortik kusp sadii qaba. Vaalvii bicuspid kusp lama qofa qaba. Baay'ee hin taane, namoonni tokko tokko vaalvii aortik kusp tokko ykn afur qabu waliin dhalatu. Vaalvii kusp tokko qabu unicuspid jedhama. Vaalvii kusp afur qabu quadricuspid jedhama.

Jijjiirama vaalvii aortik rakkoo fayyaa uuma, kana keessatti:

• Mada'ummaa vaalvii aortik, kan jedhamu vaalvii aortik stenosis. Vaalvii guutummaatti banamuu hin danda'u. Dhiigni onnee irraa gara qaamaa deemuu hir'ata ykn cufa.
• Deebi'ummaa dhiiga duubatti, kan jedhamu vaalvii aortik regurgitation. Yeroo tokko tokko, vaalvii bicuspid aortik walitti cufachuu hin danda'u. Kunis dhiiga duubatti akka deemuu ni taasisa.
• Aortaa guddatu, kan jedhamu aortopathy. Aortaa guddatuun balaa caccaba qilleensa aortaa irratti uuma. Caccaban kun aortic dissection jedhama.

Yoo bicuspid valve'n aartii stenosis cimaa ykn aartii regurgitation cimaa kan uumamu yoo ta'e, mallattoowwan armaan gadiitti argamu:

• Dhukkubbii harmaa.
• Qal'ina hafuuraa.
• Raawwii sochii rakkisaa.
• Dhaluun ykn dhaluun dhiyeenya.

Namoonni hedduun bicuspid aortic valve qaban, yeroo gurguddaatti dhukkuba balballa qalbii hin argisiisne. Garuu daa'imman tokko tokko mallattoo cimaa qabaachuu danda'u.

Qorannoo biraa fayyaa rakkisaa irratti hojjetamu yeroo ta'u, bicuspid aortic valve argamuu danda'a. Tajaajilaa fayyaa yeroo gara qalbii dhaga'u, dhaga'ina qalbii dhaga'uu danda'a.

Echocardiogram, bicuspid aortic valve beeksifachuu danda'a. Qorannoo kun, sagalee fiigichaa fayyadamee viidiyoo qalbii rukutaa uuma. Akka dhiigichi kutaalee qalbii, balballa qalbii fi aartiitti akka darbu agarsiisa.

Yoo bicuspid aortic valve qabdu, jijjiirama guddina aartiitti ilaaluuf, CT scan argachuu qabda.

Yoo bicuspid aortic valve qabdu, dhukkuba qalbii dhalootaa keessatti leenji'e qabaatu tajaajilaa fayyaa bira gaafatamta.

Namni bicuspid aortic valve qabu hundinuu, tilmaama fayyaa yeroo yeroo fi qorannoo imaajii barbaachisa. Echocardiogram, balballa aartii cufamuu ykn dhangala'uu ilaala. Qorannoo kun, jijjiirama guddina aartii ilaala.

Balballa qalbii dhukkuba cimaa irratti hundaa'e, wal'aansoo balballa bicuspid irratti hundaa'e. Qoricha, tariiwwan fi yaalaa of keessaa qabaachuu danda'a.

Balballa biyolojikaala bakka bu'uurratti, balballa horii, hoolaa ykn qaama qalbii namaa irraa hojjetame, balballa qalbii miidhame bakka bu'a.

Balballa mekaanikaala bakka bu'uurratti, balballa qalbii uumama cimaa irraa hojjetame, balballa miidhame bakka bu'a.

Yoo bicuspid aortic valve kun uumamu:

• Aortic valve stenosis.
• Aortic valve regurgitation.
• Aartii guddatte.

Yaaluun barbaachisa. Yaaluun, balballa aartii sirreessuu ykn bakka bu'uuf godhama. Yaaluun godhama, haala balballa qalbii adda addaa fi mallattoota kee irratti hundaa'e.

• Balballa aartii bakka bu'uu. Yaalaan, balballa miidhame baasa. Balballa mekaanikaala ykn balballa horii, hoolaa ykn qaama qalbii namaa irraa hojjetame bakka bu'a. Balballa qaamaa, balballa qaama biyolojikaala jedhama. Yeroo tokko tokko, balballa aartii, balballa sammuu namaa ofii bakka bu'a. Balballa sammuu, balballa qaama sammuu namaa du'e irraa argame bakka bu'a. Yaaluun kun, yaaluu Ross jedhama.

Balballa qaama biyolojikaala, yeroo booda diigama. Dhumarratti, bakka bu'uu barbaachisa ta'a. Yoo balballa mekaanikaala qabdu, dhiiga qulqulleessaa jireenya kee guutuu fudhachuu qabda, dhiiga walitti hidhuuf ittisuuf.

• Yaaluu aartii root fi aartii ol ka'uu. Yaalaan, kutaa aartii guddatte gara qalbii dhaabbate baasa. Tuuba uumama, graft jedhamu bakka bu'a, bakka bu'ee hidhama. Yeroo tokko tokko, kutaa aartii guddatte qofa baasa, balballa aartii hafa. Balballa aartii, tariiwwan kana keessatti bakka bu'uu ykn sirreessuu danda'a.
• Balloon valvuloplasty. Yaaluun kun, daa'immanii fi ijoollee keessatti aortic valve stenosis ittisuu danda'a. Gurguddoottan, balballa aartii, yaaluu booda deebi'ee cufama. Kanaafuu, yaaluun kun, yoo dhukkuba cimaa qabdu ykn bakka bu'uu balballa eeggattu yoo ta'e, godhama.

Yaaluun balballa qalbii kun, tuuba xixiqqaa fi qal'aa, catheter jedhamu fayyadama. Catheter kun, balla qaba. Yaalaan, catheter kun, gara aartii harkaa ykn garaa keessa galcha. Ergasii, catheter kun, gara balballa aartiitti geeffama. Bakka bu'ee, balli guddata, balballa banachuu guddisa. Balli, hir'ata. Catheter fi balli, ba'a.

Balballa aartii bakka bu'uu. Yaalaan, balballa miidhame baasa. Balballa mekaanikaala ykn balballa horii, hoolaa ykn qaama qalbii namaa irraa hojjetame bakka bu'a. Balballa qaamaa, balballa qaama biyolojikaala jedhama. Yeroo tokko tokko, balballa aartii, balballa sammuu namaa ofii bakka bu'a. Balballa sammuu, balballa qaama sammuu namaa du'e irraa argame bakka bu'a. Yaaluun kun, yaaluu Ross jedhama.

Balballa qaama biyolojikaala, yeroo booda diigama. Dhumarratti, bakka bu'uu barbaachisa ta'a. Yoo balballa mekaanikaala qabdu, dhiiga qulqulleessaa jireenya kee guutuu fudhachuu qabda, dhiiga walitti hidhuuf ittisuuf.

Balloon valvuloplasty. Yaaluun kun, daa'immanii fi ijoollee keessatti aortic valve stenosis ittisuu danda'a. Gurguddoottan, balballa aartii, yaaluu booda deebi'ee cufama. Kanaafuu, yaaluun kun, yoo dhukkuba cimaa qabdu ykn bakka bu'uu balballa eeggattu yoo ta'e, godhama.

Yaaluun balballa qalbii kun, tuuba xixiqqaa fi qal'aa, catheter jedhamu fayyadama. Catheter kun, balla qaba. Yaalaan, catheter kun, gara aartii harkaa ykn garaa keessa galcha. Ergasii, catheter kun, gara balballa aartiitti geeffama. Bakka bu'ee, balli guddata, balballa banachuu guddisa. Balli, hir'ata. Catheter fi balli, ba'a.

Namni bicuspid aortic valve qabaatee dhalate hundinuu, jireenya guutuu tilmaama fayyaa barbaachisa. Tajaajilaa dhukkuba qalbii keessatti leenji'e, kardioloojist jedhamu, haala kee jijjiiramaaf qorachuu qaba.

Namoonni bicuspid aortic valve qaban, qalbii keessatti infekshinii uumamuu danda'u. Infekshiniin kun, infective endocarditis jedhama. Kunuunsa ilkaan gaarii, balaa kee hir'isuu danda'a.

Bicuspid aortic valve, maatiitti darbuu danda'a, jechuunis dhaaluu danda'a. Warri, ijoolleefi obboleeyyan namni bicuspid aortic valve qabu, haala kana ilaaluuf echocardiogram argachuu qaba.

Congenital Heart Defects in Children: Understanding the Diagnosis and Treatment

A congenital heart defect (CHD) is a problem with the heart's structure that's present at birth. A pediatric cardiologist, like Dr. Jonathan Johnson, can explain how these defects are diagnosed and treated.

Types of CHD and Treatment:

Some CHD cases, like small holes in the heart or mild valve problems, might only need regular checkups every few years, possibly with an echocardiogram (a sound wave test of the heart). More serious CHDs might require surgery. This could be open-heart surgery, or it could be done using less invasive techniques in a cardiac catheterization lab. In very severe cases, a heart transplant might be necessary.

Recognizing the Signs:

The symptoms of CHD can vary greatly depending on the child's age.

• Infants: Babies often show signs of CHD while eating. They might struggle to breathe, get short of breath, or sweat excessively while feeding.
• Younger children: Symptoms in younger children might be related to the stomach, like nausea, vomiting, or discomfort with activity.
• Teenagers: Older children and teenagers might experience chest pain, fainting, or rapid heartbeat (palpitations), especially during exercise. This is a key warning sign for a cardiologist.

Questions to Ask Your Doctor:

It's completely normal to feel overwhelmed when a child is diagnosed with CHD. It's crucial to ask your doctor many questions at follow-up visits. These include:

• Future Plans: What will the next few years look like in terms of procedures, surgeries, and checkups?
• Impact on Activities: How will this diagnosis affect my child's daily activities, sports, and social life?
• Partnership: How can we work together to ensure my child lives as normal a life as possible?

Surgical Timing:

If surgery is needed, ask your doctor about the best time for the procedure. Different types of CHD have optimal times for surgery, which are tailored to the child's specific condition.

Athletics and CHD:

Many parents and children ask about sports participation. Most children with CHD can participate in sports, but some might need to avoid certain activities. For example, if a child has a genetic condition that weakens their arteries, they might need to avoid weightlifting or other activities that put too much pressure on their heart. Doctors work with families to find ways for children to maintain an active lifestyle.

Heritability and Pregnancy:

If a parent has CHD, there's a small chance their child might inherit a similar or different type of CHD. If a parent with CHD becomes pregnant, they need close monitoring, including extra ultrasound scans of the fetus. Fortunately, most people with CHD can have children.

Important Communication:

The relationship between the patient, family, and cardiologist is essential. Doctors often follow children with CHD for many years, watching them grow from babies to adults. Don't hesitate to ask questions, even if they seem small. Communication and open dialogue are key.

Diagnosis Methods:

CHD can be diagnosed during pregnancy or after birth.

• Prenatal Diagnosis: A routine pregnancy ultrasound (fetal ultrasound) can sometimes detect CHD.
• Postnatal Diagnosis: Doctors might suspect CHD if a baby shows signs like growth delays or color changes in the lips, tongue, or nails. A heart murmur (a sound heard with a stethoscope) could also indicate a problem, but most murmurs are harmless.
• Diagnostic Tests: Several tests can help diagnose CHD, including:
  • Pulse oximetry: Measures oxygen levels in the blood.
  • Electrocardiogram (ECG): Records the heart's electrical activity.
  • Echocardiogram: Uses sound waves to create images of the heart.
  • Chest X-ray: Shows the condition of the heart and lungs.
  • Cardiac catheterization: A thin tube is inserted into a blood vessel to examine blood flow to the heart.
  • Heart MRI: Uses magnetic fields and radio waves to create detailed images of the heart.

This information is for educational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns.

Ilaalchaa qalbii dhalootaa uumamaa ijoollee irratti hundaa'u rakkoo qalbii adda addaa fi hamma daran itti ulfaataa irratti kan hundaa'udha.

Rakkoo qalbii dhalootaa uumamaa tokko tokko fayyaa ijoolle irratti dhiibbaa dheeraa hin qabu. Yaala malee akka gaariitti itti deebi'uu danda'u.

Rakkoo qalbii dhalootaa uumamaa biroo, kan akka qullaa xinnoo qalbii keessa jiru, ijoolleen guddinaan itti guddatanitti cufachuu danda'a.

Rakkoo qalbii dhalootaa uumamaa daran hammaatu walitti qabamuu isaa booda yeroo gabaabaa keessatti yaala barbaada. Yaaliin kana keessa jiru:

• Qoricha.
• Hojiiwwan qalbii.
• Yaala qalbii.
• Guurgura qalbii.

Qorichootaan mallattoowwan ykn rakkoolee qalbii dhalootaa uumamaa walitti qabamuu irratti fayyadamuu danda'a. Ofuma isaaniitiin ykn waliin yaalota biroo waliin fayyadamuu danda'a. Qorichoota rakkoo qalbii dhalootaa uumamaa keessa jiran:

• Dhangaa bishaanii, diuretics jedhamanis ni jedhama. Gosa qorichaa kana qaama keessaa dhangaa baasuuf gargaara. Qalbii irratti ulfaataa hir'isuuf gargaara.
• Qorichoota walitti qabamuu qalbii, anti-arrhythmics jedhamanis ni jedhama. Qorichoota kunneen walitti qabamuu qalbii hin jallinaa to'achuuf gargaara.

Ijoolleen keessan rakkoo qalbii dhalootaa uumamaa daran hammaatu qabaate, hojii qalbii ykn yaala ni yaadame.

Hojiiwwan qalbii fi yaalota rakkoo qalbii dhalootaa uumamaa walitti qabamuu irratti hojjetaman:

• Cardiac catheterization. Rakkoo qalbii dhalootaa uumamaa ijoollee keessatti jiran tokko tokko tuubboolee xixiqqaa, qal'aa, catheter jedhaman fayyadamuun walitti qabamuu danda'a. Yaalota akkanaa doktartoonni yaala qalbii baname malee qalbiin walitti qabuu isaanii ni heyyamu. Doktarri catheterni sibiila dhiiga keessaa, baay'inaan gaaraa keessaa, galchuudhaan gara qalbiitti geessisa. Yeroo tokko tokko catheter caalaatti fayyadamuu danda'a. Bakka gahe booda, doktarichi meeshaalee xixiqqaa catheter keessa darbeesuun haala qalbii walitti qabuu ni sirreessa. Fakkeenyaaf, surgicha qullaa qalbii ykn bakka walitti cufamu ni sirreessa. Yaalota catheter tokko tokko waggaa tokko keessatti tarkaanfiiwwan adda addaatiin hojjetama.
• Yaala qalbii. Ijoolleen tokko tokko rakkoo qalbii dhalootaa uumamaa walitti qabamuuuf yaala qalbii baname ykn yaala qalbii xiqqoo barbaadu. Gosa yaala qalbii jijjiirama qalbii adda adda irratti hundaa'a.
• Guurgura qalbii. Rakkoo qalbii dhalootaa uumamaa daran hammaatu sirreessuu hin dandeenye taanaan, guurgura qalbii barbaachisaa ta'a.
• Fetal cardiac intervention. Kun yaala mucaa rakkoo qalbii qabuuf dhaloota dura hojjetamuudha. Rakkoo qalbii dhalootaa uumamaa daran hammaatu walitti qabamuu ykn rakkoolee ulfaataa yeroo ulfaataa guddatu ittisuuf hojjetama. Fetal cardiac intervention baay'ee hin hojjetamuu fi haala adda addaatti qofa danda'ama.

Ijoolleen tokko tokko rakkoo qalbii dhalootaa uumamaa qaban jireenya guutuu keessatti yaalota fi hojiiwwan hedduu barbaadu. Kunuunsi hordoffii jireenya guutuu barbaachisaa dha. Ijoolleen kunuunsa fayyaa yeroo hunda doktarota dhukkuba qalbii keessatti leenjii qaban, cardiologist jedhaman, biraa deemu barbaadu. Kunuunsi hordoffii dhiiga fi qorannoo suuraa rakkoolee ilaaluu keessa jira.

[Muuziqaa taphachaa jira]

Abdii fi fayyina qalbii xixiqqoo.

Dr. Dearani: Hojii kooti ilaale, yaala qalbii xiqqoo hedduu hojjeta. Kana hojjechuu danda'e sababa umurii guddaan baradheefidha, kan itti jalqabetti. Kanaaf, yaala qalbii robotiikii ijoollee umurii waggoota waggoota keessa hojjechuun waan hospitaala ijoollee keessatti argachuu hin dandeenyeefidha, sababiin isaas teknoolojii kana itti fayyadamuu hin dandeenyeefidha.

[Muuziqaa taphachaa jira]

Yoo ilma kee dhukkuba onnee dhalootaa qabaate, jijjiirama jireenyaa akka onnee isaa fayyinaa taasisu fi rakkoolee itti dhufan ittisuuf ni yaadamma.

• Daandii fi sochii ukkamuu. Ijoolleen tokko tokko dhukkuba onnee dhalootaa qaban sochii ykn tapha hir'isuutu baay'ee barbaachisa. Haa ta'u malee, warri kaaniin hedduun dhukkuba onnee dhalootaa qaban tapha keessa akka hirmaatan ni danda'u. Ogeessi kunuunsa ilma kee kan isiniif himu kanneen tapha fi gosa sochii fayyaa ta'anif ilma keessaniifidha.
• Antibiyootika ittisuuf. Dhukkuba onnee dhalootaa tokko tokko balaa qabamuu ulaagaa onnee ykn walitti hidhaa onnee, kan jedhamu infective endocarditis, guddisu danda'u. Antibiyootika dura tarkaanfii ilkaan ittisuuf, keessattuu namoota walitti hidhaa onnee makaanikaalaa qabanif, ni yaadamma. Ilma kee doktera onnee gaafadhu yoo ilma kee antibiyootika ittisuuf barbaachisa ta'e.

Namoota haala walfakkaata keessa darban waliin dubbachuun jajjabinaa fi jajjabeessaa isiniif fidu jiraachuu ni argan. Garee deeggarsa naannoo keessani jiru yoo jiraate garee fayyaa keessan gaafadhaa.

Dhukkuba onnee dhalootaa waliin jiraachuun ijoolleen tokko tokko dhiphinnaa ykn yaaddoo akka qabaatan godha. Waliin dubbachuun kan isiniifis ta'e ilma keessaniif haala dhiphinnaa fi yaaddoo itti bulchan argachuuf isiniif gargaara. Ogeessa fayyaa gaafadhu odeeffannoo kan garee waliin dubbachu naannoo keessani jiran.