Ukuthi yini i-Double Outlet Right Ventricle? Izimpawu, Izimbangela, & Ukwelashwa

I-Double outlet right ventricle (DORV) iwukuthiwe olukhulu lwenhliziyo oluzelwe nalo lapho kokubili imithambo emikhulu yegazi ephuma enhliziyweni ixhunyaniswe ne-right ventricle esikhundleni sokuxhunyaniswa kwelinye ne-ventricle ngayinye. Lokhu kusho ukuthi inhliziyo yengane yakho iphompa igazi ngendlela ehlukile kunalokho okufanele, okungathinta indlela igazi elicebile nge-oksijini elihamba ngayo emzimbeni wayo.

Lesi simo senzeka ekuqaleni kokukhulelwa lapho inhliziyo yengane yakho isakhiwa. Nakuba kuzwakala kukhulu, abantwana abaningi abane-DORV bangaphila impilo enempilo, ephambili ngokunakekelwa okufanele kwezokwelapha nokuphathwa.

Ukuthi yini i-Double Outlet Right Ventricle?

Enhliziyweni enempilo, i-aorta ixhunyaniswe ne-left ventricle kanti i-pulmonary artery ixhunyaniswe ne-right ventricle. Ngo-DORV, kokubili le miphunga emikhulu yegazi ivela e-right ventricle.

Cabanga ngenhliziyo yakho njengoba inamakamelo amabili aphambili okuphompa. Uhlangothi lwesokudla ngokuvamile luthumela igazi emaphashini ukuze lithole i-oksijini, kuyilapho uhlangothi lwesobunxele luthumela igazi elicebile nge-oksijini kuyo yonke indawo yomzimba wakho. Uma kokubili imithambo ixhunyaniswe ne-right ventricle, le ndlela evamile yokusabalalisa igazi iyahlazwa.

Lesi simo sithinta ukuthi igazi elikhiqizwe yi-oksijini lifika kangcono kangakanani emzimbeni nasebuchosheni bengane yakho. Ubunzima buyahlukahluka kuye kwezinye izifo zenhliziyo ezivame ukuba khona kanye ne-DORV, njengoba kungaba nemihele phakathi kwamakamelo enhliziyo.

Ziyini Izinhlobo ze-Double Outlet Right Ventricle?

I-DORV iza ngezindlela eziningi ezahlukene, futhi odokotela bayazihlela ngokusekelwe lapho i-hole ebizwa nge-ventricular septal defect (VSD) ikhona. Le hole empeleni iyasiza ukusabalalisa igazi kubantwana abane-DORV.

Izinhlobo eziyinhloko zihlanganisa i-subaortic DORV, lapho i-hole ihlala ngaphansi kwe-aorta, ne-subpulmonary DORV, lapho ihlala ngaphansi kwe-pulmonary artery. Kukhona futhi i-doubly committed DORV, lapho i-hole ihlobene kokubili imithambo, ne-non-committed DORV, lapho i-hole ingalungele kahle ne-vessel ngayinye.

Uhlobo ngalunye luthinta ukusabalalisa kwegazi ngendlela ehlukile futhi ludingida izindlela zokwelapha ezahlukene. I-pediatric cardiologist yakho izokunquma ukuthi yiluphi uhlobo olukhona engwaneni yakho ngokusebenzisa izithombe nezivivinyo eziningi.

Ziyini Izimpawu ze-Double Outlet Right Ventricle?

Izimpawu ze-DORV ngokuvamile zivele ezinsukwini ezimbalwa zokuqala noma ezinyangeni zokuphila, nakuba zingase zihluke kakhulu kuye kokuthi lesi simo sithinta kangakanani ukusabalalisa kwegazi. Amanye amawele abonisa izimpawu ngokushesha, kuyilapho amanye engenazo izimpawu ezicacile kuze kube kamuva.

Izimpawu ezivamile ongaziqaphela zihlanganisa:

• Umbala oluhlaza okwesibhakabhaka noma olukhanyayo, ikakhulukazi eduze kwemilomo, iinzipho, noma olulimi (okubizwa ngokuthi i-cyanosis)
• Ukukhuluphala kokudla noma ukukhathala ngokushesha ngesikhathi sokudla
• Ukuthanda okusheshayo noma okunzima, ngisho nalapho ukhululekile
• Ukukhula okungekuhle kwesisindo naphezu kokuzimisela kokudla okwanele
• Ukubila okukhulu, ikakhulukazi ngesikhathi sokudla noma umsebenzi omncane
• Ukucasuka noma ukukhathazeka okubonakala kungavamile engwaneni yakho

Amanye amawele angase abe nezimpawu ezinzima njengezifo ezivamile ze-respiratory noma iziqephu lapho ngokuzumayo eba oluhlaza okwesibhakabhaka futhi ehlupheka kakhulu. Lezi ziqephu, ezibizwa ngokuthi i-hypercyanotic spells, zidinga ukunakekelwa kwezokwelapha ngokushesha.

Kwezinye izimo ezingavamile, amawele anezinye izinhlobo ze-DORV angase aqale abonakale ebomvu futhi enempilo kodwa kamuva abonise izimpawu zokwehluleka kwenhliziyo njengoba ekhula. Lokhu kungase kuhlanganise ukukhula ezinyaweni, esiswini, noma eduze kwamehlo abo.

Yini Imbangela ye-Double Outlet Right Ventricle?

I-DORV ithuthukiswa phakathi kwamasonto ayisishiyagalombili okuqala kokukhulelwa lapho inhliziyo yengane yakho isakhiwa. Imbangela eqondile ayiqondakali ngokuphelele, kodwa kubonakala sengathi kwenzeka lapho imithambo emikhulu yegazi ingaphambukisi kahle njengoba inhliziyo ikhula.

Izimo eziningi zenzeka ngokungahleliwe ngaphandle kwanoma yisiphi isizathu esithile noma isenzo sabazali esibangele. Lokhu kusho ukuthi akukho lutho oluwenzile noma awungenzanga ngesikhathi sokukhulelwa okubangele lesi simo.

Kodwa-ke, izici ezithile zingase zikhulise ingozi kancane. Lokhu kuhlanganisa ukuba nesifo sikashukela ngesikhathi sokukhulelwa, ukusebenzisa imithi ethile, noma ukuba nomlando womndeni wezifo zenhliziyo ezelwe nazo. Ezinye izimo ze-genetic njenge-DiGeorge syndrome noma i-Down syndrome zihlanganiswa nezinga eliphezulu le-DORV.

Kwezinye izimo ezingavamile, ukubonisana nezifo ezithile ngesikhathi sokukhulelwa noma izici zemvelo kungase kudlale indima. Kodwa-ke, izimo eziningi zenzeka ngaphandle kwanoma yisiphi isizathu esiqondakalayo, okungase kuzwakale kuyadumaza kodwa kuyinto evamile.

Ziyini Izici Zengozi ze-Double Outlet Right Ventricle?

Nakuba izimo eziningi ze-DORV zenzeka ngokungahleliwe, izici ezithile zingase zenze kube lula kakhulu ukuthuthukisa. Ukuqonda lezi zici zengozi kungasiza, nakuba kubalulekile ukukhumbula ukuthi ukuba nezici zengozi akusho ukuthi i-DORV izokwenzeka ngokuqinisekile.

Izici zabamama ezingase zikhulise ingozi zihlanganisa:

• Ukuba nesifo sikashukela ngaphambi noma ngesikhathi sokukhulelwa
• Ukusebenzisa imithi ethile njenge-anti-seizure drugs ngesikhathi sokukhulelwa
• Ukuba ukhulu kunama-35 lapho ukhulelwe
• Ukuba uke waba nokukhulelwa okwakuthinteka yizifo zenhliziyo ezelwe nazo

Izici ze-genetic zingase futhi zidlale indima kwezinye izimo. Amawele anezinye izimo ze-chromosomal njenge-Down syndrome, i-DiGeorge syndrome, noma i-22q11.2 deletion syndrome anezinga eliphezulu le-DORV.

Ukubonisana nemvelo ngesikhathi sokukhulelwa, njengezinye izifo noma amakhemikhali, kungase kusebenze kwezinye izimo ezingavamile. Noma kunjalo, iningi lamawele ane-DORV azalelwa kubazali abangenazo izici zengozi eziqondakalayo.

Nini Okufanele Ubone Udokotela Nge-Double Outlet Right Ventricle?

Kufanele uxhumane nodokotela wakho wezingane ngokushesha uma ingane yakho ibonisa izimpawu zezinkinga zenhliziyo, ikakhulukazi umbala oluhlaza okwesibhakabhaka wesikhumba, imilomo, noma iinzipho. Lo mbala oluhlaza okwesibhakabhaka, obizwa ngokuthi i-cyanosis, ubonisa ukuthi ingane yakho ayitholi i-oksijini eyanele.

Ezinye izimpawu eziphuthumayo zihlanganisa ubunzima obukhulu bokuthanda, ukungakwazi ukudla kahle, noma iziqephu lapho ingane yakho iba oluhlaza okwesibhakabhaka ngokuzumayo futhi ihlupheka kakhulu. Lezi zimo zidinga ukunakekelwa okusheshayo kwesiqephu.

Kufanele futhi uxhumane nodokotela wakho uma ingane yakho ibukeka ikhathele kakhulu ngesikhathi sokudla, ayikhuli kahle isisindo, noma inezifo ezivamile ze-respiratory. Nakuba lezi zimpawu zingaba nezinye izimbangela, zidinga ukuhlolwa lapho zenzeka ndawonye.

Uma ingane yakho isuke isenqunywe ukuthi ine-DORV, ukuvakashela njalo odokotela be-pediatric cardiologist kubalulekile. Xhumana nabo phakathi kokuvakashela uma uqaphela noma yikuphi ukushintsha ezimpawu zengane yakho noma izimpawu ezintsha ezikhathazayo.

Ziyini Izingozi Ezingase Zenzeke Nge-Double Outlet Right Ventricle?

Ngaphandle kokwelashwa, i-DORV ingabangela ezinye izingozi ezinkulu ezithinta impilo nokuthuthuka kwengane yakho. Izindaba ezinhle ukuthi ngokunakekelwa okufanele kwezokwelapha, eziningi zalezi zingozi zingavikeleka noma ziphathwe kahle.

Izingozi ezivamile zihlanganisa:

• Ukwehluleka kwenhliziyo, lapho inhliziyo ingakwazi ukuphompa igazi ngokwanele
• Ukulibaziseka kokukhula ngenxa yokuthi inhliziyo isebenza nzima kunokujwayelekile
• Izifo ezivamile ze-lung ngenxa yamiphetho yokusabalalisa igazi
• Uxinzelelo lwegazi oluphezulu emaphashini (i-pulmonary hypertension)
• Izindlela ezingavamile zenhliziyo ezingase zidinga ukuqapha noma ukwelashwa
• Ingozi yesifo sobuchopho ngenxa ye-blood clots, nakuba lokhu kungavamile

Abanye abantwana bangase bathuthukise lokho odokotela abakubiza ngokuthi i-Eisenmenger syndrome, isimo esingavamile kodwa esinzima lapho uxinzelelo oluphezulu lwamaphaphu lubangela ukushintsha okumi phakade. Lokhu ngokuvamile kwenzeka kuphela ezimweni ezingaphathwe noma ezaziwa kamuva kakhulu.

Izingozi ezithile engane yakho engase ibhekane nazo zincike kakhulu kuhlobo lwe-DORV enalo nanoma yiziphi izifo zenhliziyo ezihambisana nayo. I-cardiologist yakho izolandelela lezi zinkinga futhi isebenze ukuzivimbela ngokusebenzisa isikhathi esifanele sokwelashwa.

Ukuthi i-Double Outlet Right Ventricle Ihlonzwa Kanjani?

I-DORV ngokuvamile iqala ukucatshangelwa lapho udokotela ezwa i-heart murmur ngesikhathi sokuhlolwa okuvamile noma eqaphela izimpawu njengombala oluhlaza okwesibhakabhaka wesikhumba. Ukuhlonzwa kuthi kufakazelwe ngezinye izivivinyo ezikhethekile zenhliziyo.

I-echocardiogram ngokuvamile iyisivivinyo sokuqala esiningi esenziwa. Le ultrasound yenhliziyo ibonisa ukwakheka nokusebenza ngesikhathi sangempela, ivumela odokotela ukuba babone ukuthi igazi lihamba kanjani ngamakamelo enhliziyo yengane yakho nemithambo yegazi.

Ngezinye izikhathi kudingeka ezinye izivivinyo ukuze uthole isithombe esiphelele. Lokhu kungase kuhlanganise i-cardiac catheterization, lapho i-tube encane ifakwa emithambeni yegazi ukuze ilinganise uxinzelelo kanye namazinga e-oksijini ngokuqondile, noma izithombe eziphambili njenge-cardiac MRI.

Kwezinye izimo, i-DORV ingatholakala ngaphambi kokuzalwa ngesikhathi se-ultrasounds evamile yokukhulelwa. Uma kucatshangelwa ngaphambi kokuzalwa, cishe uzokwaziswa ochwepheshe bezokwelapha abakhulelwe nabantu abadala kanye ne-pediatric cardiologist ukuze uthole ukulinganiswa okuningi nokucwangcisa ukuzalwa.

Ukuthi Ukwelashwa kwe-Double Outlet Right Ventricle Kuyini?

Ukuphathwa kwe-DORV cishe kuhlale kuhlanganisa ukuhlinzwa ukuze kuqondiswe kabusha ukusabalalisa kwegazi futhi kusize inhliziyo ukuba isebenze kahle. Indlela ethile yokwelapha ngokuhlinzwa icindezelwa yi-anatomy ethile yengane yakho nezifo zenhliziyo ezihambisana nayo.

Abantwana abaningi badinga uchungechunge lokuhlinzwa kunokuba kube yisigamu esisodwa. Ukuhlinzwa kokuqala ngokuvamile kwenzeka ebuntwaneni ukuze kuthuthukiswe izimpawu eziqondile nokusabalalisa kwegazi. Lokhu kungase kuhlanganise ukudala ukuxhumana phakathi kwemithambo yegazi noma ukufaka i-shunts yesikhashana.

Inhloso yokugcina ngokuvamile iwukufinyelela lokho odokotela abakubiza ngokuthi "ukuhlinzwa kwe-two-ventricle," lapho kokubili amakamelo enhliziyo angasebenza kahle. Lokhu kungase kuhlanganise izinqubo njenge-arterial switch operations noma ukulungiswa okuyinkimbinkimbi ukuze kuqondiswe kabusha ukusabalalisa kwegazi kahle.

Kwezinye izimo lapho ukuhlinzwa kwe-two-ventricle kungenzeki, ochwepheshe bokuhlinzwa bangase bancome indlela ye-single-ventricle. Lokhu kuhlanganisa uchungechunge lokuhlinzwa okutatu oluvumela ekugcineni i-ventricle eyodwa ukuba iphathe yonke imisebenzi yokuphompa kwenhliziyo.

Phakathi kokwelashwa, ingane yakho ingase idinge imithi ukuze isize inhliziyo yayo ukuba isebenze kangcono noma ukuvimbela izingozi. Lokhu kungase kuhlanganise i-diuretics ukuze kunciphise ukwakheka kwamanzi noma imithi yokusekela ukusebenza kwenhliziyo.

Ukuthi Unganakekela Kanjani Ekhaya Ngesikhathi Sokwelashwa kwe-Double Outlet Right Ventricle?

Ukukhathalela ingane enesifo se-DORV ekhaya kuhlanganisa izinto ezibalulekile eziningi ukuze ihlale iphilile futhi ikhululekile phakathi kokuvakashela kwezokwelapha. Iqembu lakho lezokunakekelwa kwezempilo lizonikeza imiyalelo ekhethekile ehambisana nezidingo zengane yakho.

Ukudla ngokuvamile kudinga ukunakekelwa okukhethekile njengoba amawele ane-DORV angase akhathale ngokushesha. Ungase udinga ukunikeza ukudla okuncane, okuvamile noma ukusebenzisa amabhodlela akhethekile okwenza ukudla kube lula. Amanye amawele azuza kumafomu aphezulu kakhulu e-calorie ukuze asekele ukukhula okufanele.

Qaphela izimpawu ezidinga ukunakekelwa kwezokwelapha ngokushesha, njengokwanda kombala oluhlaza okwesibhakabhaka, ubunzima obukhulu bokuthanda, noma ukushintsha okukhulu ezindleleni zokudla noma zemisebenzi. Gcina izinombolo zokuxhumana eziphuthumayo zifinyeleleka kalula.

Ingane yakho ingase idinge ukuvikelwa ezifweni ezithile, ikakhulukazi izifo ze-respiratory. Lokhu kungase kusho ukulinganisela ukubonisana nabantu abaningi ngesikhathi sesizini yebulukhuni ne-flu noma ukuqinisekisa ukuthi wonke amalungu omndeni ahlala ebuyekezwa ngezinhlungu.

Izinhlelo zokwelapha ezinjalo kubalulekile uma ingane yakho ithola imithi yenhliziyo. Ungalokothi ulahle izilinganiso ngaphandle kokubonisana ne-cardiologist yakho, futhi gcina izinto zokusiza ezitholakalayo uma kwenzeka izingozi noma uhambo.

Ukuthi Ungazilungiselela Kanjani Ukuvakashela Udokotela Wakho?

Ukulungiselela ukuvakashela odokotela be-cardiology kungasiza ukuqinisekisa ukuthi uthola okuningi kakhulu kuyo yonke isivakashelo futhi ungakhohlwa imibuzo noma izinkinga ezibalulekile. Gcina uhlu oluqhubekayo lwezimpawu noma ukushintsha okuqaphile phakathi kokuvakashela.

Letha uhlu oluphelele lwemithi yonke engane yakho eyiphuzayo, kuhlanganise nezinga eliqondile nesikhathi. Letha futhi noma yimaphi amarekhodi okukhula kwesisindo, izindlela zokudla, noma amazinga wemisebenzi uma uke uwalandele ekhaya.

Bhala imibuzo kusengaphambili njengoba ukuvakashela kwezokwelapha kungase kuzwakale kukhulu. Imibuzo evamile ingase ihlanganise ukubuza ngokulinganiselwa kwemisebenzi, izimpawu zokubuka, noma ukuthi nini ukuhlinzwa okulandelayo kungase kudingeke.

Uma kungenzeka, letha omunye umuntu omdala nawe ekuvakasheni. Ukuba nomuntu wesibili kungakusiza ukuba ukhumbule ulwazi oluxoxiwe futhi unikeze ukwesekwa ngokomzwelo ngesikhathi sezingxoxo ezingase zibe nzima.

Unganqikazi ukucela incazelo uma amagama ezokwelapha noma izinhlelo zokwelapha zibonakala zidida. Iqembu lakho lezokunakekelwa kwezempilo lifuna ukuthi uqonde isimo sengane yakho futhi uzizwe ukhulu ekunakekelweni kwabo.

Ukuthi i-Double Outlet Right Ventricle Ingavikeleka Kanjani?

Ngeshwa, ayikho indlela eyaziwayo yokuvimbela i-DORV njengoba ithuthukiswa ngokungahleliwe ngesikhathi sokukhulelwa ezimweni eziningi. Lokhu kungase kuzwakale kuyadumaza, kodwa kubalulekile ukuqonda ukuthi akukho lutho oluwenzile oluyibangele lesi simo.

Kodwa-ke, ezinye izinyathelo ezijwayelekile ngesikhathi sokukhulelwa zingase zisekele ukuthuthuka kwenhliziyo yengane ngokujwayelekile. Lokhu kuhlanganisa ukusebenzisa amavithamini okukhulelwa ane-folic acid, ukuphatha isifo sikashukela ngokucophelela uma unaso, nokugwema utshwala notshaba.

Uma uhlela ukukhulelwa kwesikhathi esizayo futhi unemlando womndeni wezifo zenhliziyo ezelwe nazo, ukwelulekwa kwe-genetic kungase kube usizo. Umluleki angaxoxa ngengozi yakho ethile nezinketho zokuhlola ezitholakalayo.

Ukukhathalelwa okuvamile kokukhulelwa kuvumela ukutholwa kwangaphambi kwesikhathi uma izifo zenhliziyo zithuthuka. Nakuba lokhu kungavimbeli i-DORV, kuvumela ukulungiselela kangcono nokucwangcisa ukunakekelwa kwengane yakho ngemuva kokuzalwa.

Yini Okubalulekile Ngokuqondene ne-Double Outlet Right Ventricle?

I-DORV iwukuthiwe olukhulu kodwa oluphatekayo lwenhliziyo oluzelwe nalo oluthinta indlela igazi elihamba ngayo enhliziyweni yengane yakho. Nakuba ukuhlonzwa kungase kuzwakale kukhulu, abantwana abaningi abane-DORV bayaqhubeka bephila impilo egcwele, ephambili ngokunakekelwa okufanele kwezokwelapha.

Ukuze uthole imiphumela emihle kakhulu, kubalulekile ukusebenzisana neqembu le-pediatric cardiology elikhulu elingakusiza ngezinqumo zokwelapha nesikhathi. Isimo sengane ngayinye sihlukile, futhi izinhlelo zokwelapha zilungiswa ngokucophelela ngokusekelwe ku-anatomy yazo nezingozi zabo.

Khumbula ukuthi ukuzwa ukwesaba, ukudida, noma ukukhathazeka kuyinto evamile lapho ubhekene nokuhlonzwa njenge-DORV. Unganqikazi ukubuza imibuzo, ufuna imibono yesibili uma kudingeka, futhi uxhumane namaqembu wokusekela noma eminye imindeni ehamba kule ndlela.

Ngokuthuthuka ekwelapheni kwenhliziyo yabantwana nokukhathalelwa okuqhubekayo, ithemba labantwana abane-DORV liyaqhubeka lithuthuka. Gxila ekubhekaneni nezinto isinyathelo ngesinyathelo futhi ugubhe izinqoba ezincane endleleni.

Imibuzo Evamile Ngokuqondene ne-Double Outlet Right Ventricle

UMbuzo 1. Ingane yami izokwazi yini ukuhlanganyela emidlalweni nasemisebenzini yomzimba?

Abantwana abaningi abaphathwe kahle i-DORV bangase bahlanganyele emisebenzini yomzimba, nakuba ukulinganiselwa okuthile kuncike ekusebenzeni kwabo kwenhliziyo nomlando wokuhlinzwa. I-pediatric cardiologist yakho izohlola ukusebenza kwenhliziyo yengane yakho futhi inikeze imiyalo yemisebenzi ehambisana nayo.

Abanye abantwana bangase bangabi nakulinganiselwa nhlobo, kuyilapho abanye bengase badinge ukugwema imidlalo eqhudelanayo enkulu kakhulu. Inhloso iwukuthola ibhalansi efanele evumela ingane yakho ukuba ihlale isebenza futhi iphilile ngesikhathi sokuvikela inhliziyo yayo.

UMbuzo 2. Zingaki izihlinzwa engane yami ezizodinga?

Inani lokuhlinzwa liyahlukahluka kakhulu kuye kohlobo oluthile lwe-DORV yengane yakho nezifo zenhliziyo ezihambisana nayo. Abanye abantwana badinga izinqubo ezimbili noma ezintathu kuphela, kuyilapho abanye bengase badinge ukuhlinzwa okutatu noma ngaphezulu eminyakeni eminingana.

Iqembu lakho lokuhlinzwa lizocubungula uhlelo oluphelele ekuqaleni, nakuba lokhu kungase kudinge ukulungiswa njengoba ingane yakho ikhula. Njalo bazokwenza konke okusemandleni ukuze banciphise inani lezinqubo ngesikhathi sokufeza ukusebenza kahle kwenhliziyo.

UMbuzo 3. Iyini ithemba lesikhathi eside labantwana abane-DORV?

Ithemba lesikhathi eside liye lasebenza kakhulu eminyakeni yamuva ngokuthuthuka ekwelapheni kwenhliziyo yabantwana. Abantwana abaningi abane-DORV bakhula bephila impilo evamile, baye esikoleni, balandele imisebenzi, futhi babe nemindeni yabo.

Kodwa-ke, abaningi bazodinga ukulandelela njalo kwe-cardiology ukulandelela ukusebenza kwabo kwenhliziyo nokuqapha noma yiziphi izingozi ezizayo. Ithemba elithile licindezelwa izinto ezinjengohlobo lwe-DORV, izifo ezihambisana nayo, nokuthi ukulungiswa okuhlinzwa kusebenza kahle kangakanani ngokuhamba kwesikhathi.

UMbuzo 4. Abafazi abane-DORV bangaba nabantwana ngokuphephile?

Abafazi abaningi abalungisiwe kahle i-DORV bangaba nokukhulelwa okuphephile, nakuba lokhu kudinga ukuhlela ngokucophelela nokukhathalelwa okukhethekile. Isinqumo sincike ezintweni ezinjengokusebenza kwamanje kwenhliziyo, noma yiziphi izifo ezisele, kanye nempilo jikelele.

Abafazi abacabanga ngokukhulelwa kufanele basebenze kokubili ne-cardiologist yabo kanye nochwepheshe wezokwelapha abakhulelwe ukuhlola izingozi nokuthuthukisa uhlelo oluphelele lokunakekelwa. Ngokulandelela okuqondile, abafazi abaningi abane-DORV banokukhulelwa okuphumelelayo namawele anempilo.

UMbuzo 5. Ingane yami izodinga ukusebenzisa imithi yenhliziyo impilo yonke?

Akuwona wonke abantwana abane-DORV abadinga imithi yempilo yonke, kodwa abanye bangase badinge ukwelashwa okuqhubekayo kuye kokusebenza kwabo kwenhliziyo ngemuva kokuhlinzwa. Imithi evamile ingase ihlanganise i-blood thinners, imithi yokuqondisa inhliziyo, noma imithi yokusekela ukusebenza kwenhliziyo.

Isidingo sengane yakho semithi sizohlolwa njalo njengoba ikhula futhi ukusebenza kwayo kwenhliziyo kulandelelwa. Abanye abantwana bangase ekugcineni bayeke imithi ethile, kuyilapho abanye bengase badinge ukuqhubeka nayo isikhathi eside ukuze kube nempilo enhle yenhliziyo.