Ukuthini iVascular Ring? Izimpawu, Izimbangela, Nokwelashwa

I-vascular ring iyisimo esingavamile senhliziyo lapho imithambo yegazi yakha isigcawu esiphelele esizungezile umoya wakho nomlomo wokudla. Lokhu kwenzeka lapho imithambo yegazi ebalulekile eduze kwenhliziyo yakho ingathuthuki ngendlela ejwayelekile ngesikhathi sokukhulelwa.

Cabanga ngakho njengokuba unebhulukwe elithambile kodwa eliqinile elibotha emizimbeni emibili ebalulekile esifubeni sakho. Nakuba lokhu kuzwakala kukhathaza, abantu abaningi abane-vascular rings baphila impilo evamile, enempilo ngokunakekelwa okufanele nokwelashwa uma kudingeka.

Ukuthini iVascular Ring?

I-vascular ring ivela lapho i-aorta namasakhiwo ayo akha isikhungo esifana nesigcawu esizungezile i-trachea (umoya) ne-esophagus (umlomo wokudla). I-aorta iyimithambo yegazi enkulu yomzimba wakho ethwala igazi eliphezulu loketshezi evela enhliziyweni yakho kuya ezinye izingxenye zomzimba wakho.

Lesi simo sithuthuka ezinsukwini ezimbalwa zokuqala zokukhulelwa lapho inhliziyo yengane yakho nemithambo yegazi yakha. Esikhundleni sokuqhelekile kwe-U-shaped curve, imithambo yegazi yakha i-loop ephelele ezungezile lezi zinto ezibalulekile.

Isigcawu singaba sibuthakathaka futhi singabangeli zinkinga, noma singacindezela endleleni yokuphefumula nokugwinya. Izinga lokucindezela linquma ukuthi uzobona yini izimpawu nokuthi zingaba yini.

Zithini Izimpawu zeVascular Ring?

Izimpawu ze-vascular ring zincike ekutheni imithambo yegazi icindezela kangakanani umoya wakho nomlomo wokudla. Abantu abaningi abanezingcawu ezithambile abazange babe nazimpawu.

Izimpawu ezivamile ongazibona zihlanganisa:

• Ukuphuma komoya okukhulu, ikakhulukazi uma ulele noma ngesikhathi somsebenzi womzimba
• Ukuhlanza okukhulu, okungabonakali ukuthi kuyahamba
• Ukukhuluphala ekugwinyeni, ikakhulukazi ukudla okuqinile
• Ukuhlanza noma ukuhlanza njalo ngesikhathi sokudla
• Ukuphefumula okunzima ngesikhathi sokwenza umsebenzi noma uma uthokozele
• Imizwa yokuhlanza lapho uphefumula

Ezinganeni ezincane nasezinganeni, ungabona futhi ubunzima bokudla, ukwanda kwesisindo esiphuthumayo, noma ukutheleleka okuphindaphindayo kokuphefumula. Lezi zimpawu zivame ukubonakala kakhulu ngezikhathi zokugula lapho izindlela zokuphefumula seziqalekile.

Abanye abantu abazange babe nazimpawu kuze kube sekubeni abadala noma ngisho nasebudaleni, ikakhulukazi uma isigcawu sibuthakathaka. Izimpawu zingase zibe zimbi kancane kancane njengoba ukukhula kuguqula ubuhlobo phakathi kwemithambo kanye nezinto ezizungezile.

Zithini Izinhlobo zeVascular Ring?

Kunezinhlobo eziningi ze-vascular rings, ngayinye ihilela ukulungiswa okwehlukile kwemithambo yegazi. Uhlobo oluvamile kakhulu lubizwa ngokuthi yi-double aortic arch, lapho une-aortic arches ezimbili esikhundleni esisodwa.

I-double aortic arch ivela lapho kokubili i-right ne-left aortic arches zihlala zikhona ngesikhathi sokuthuthuka. Lezi zinhlobo ezimbili zihlangana emuva kwe-esophagus yakho, zidala isigcawu esiphelele esizungezile umoya wakho nomlomo wokudla.

I-right aortic arch ene-left ligamentum arteriosum enye uhlobo lapho i-aorta enkulu iqhubekela eceleni kwesokudla esikhundleni sokwesobunxele. Ibhendi ye-fibrous ebizwa ngokuthi yi-ligamentum arteriosum igcwalisa isigcawu eceleni kwesobunxele.

Izinhlobo ezingavamile zihlanganisa i-pulmonary artery sling, lapho i-left pulmonary artery iqala kwi-right pulmonary artery futhi ibotha umoya wakho. Lokhu kudala ukucindezela kusuka kwenye ingxenye.

Yini ebangela iVascular Ring?

I-vascular rings ithuthuka emazingeni okuqala okukhulelwa lapho inhliziyo yengane yakho nemithambo yegazi yakha. Lokhu kwenzeka phakathi kwamasonto amathathu nesishiyagalombili okukhulelwa, ngokuvamile ngaphambi kokuba wazi ukuthi ukhulelwe.

Ngesikhathi sokuthuthuka okujwayelekile, izakhiwo eziningi ezibizwa ngokuthi yi-aortic arches zenza futhi ziqale ukuqamba. Iningi lalezi arches liyaphela njengoba ukuthuthuka kuqhubeka, lishiya iphethini ejwayelekile ye-aortic arch.

Ku-vascular rings, le nqubo ejwayelekile ayenziwa njengoba kulindelekile. Esikhundleni sokuqhekeka nokuqamba okujwayelekile, ezinye zalezi zakhiwo zokuqala zemithambo yegazi zihlala futhi zenza ukwakheka kwegcawu.

Isizathu esiqondile sokuthi lokhu kwenzekeni asiqondakali ngokuphelele. Akubangelwa yilutho owalwenza noma awungenzanga ngesikhathi sokukhulelwa. Futhi akuwona umoya ovamile, nakuba kungavamile kakhulu kungase kuqhubeke emindenini.

Iningi lamacala kubonakala sengathi yizinguquko zokuthuthuka ezingahleliwe ezenzeka ngesikhathi senqubo enzima yokwakheka kwenhliziyo nemithambo yegazi. Izinto ezingaphandle azixhunyaniswanga ngokucacile nokuthuthuka kwe-vascular ring.

Nini Okufanele Ubone Udokotela NgeVascular Ring?

Kufanele uxhumane nodokotela wakho uma wena noma ingane yakho inezinkinga zokuphefumula noma ukugwinya okuqhubekayo. Nakuba lezi zimpawu zingaba nezizathu eziningi, kubalulekile ukuthi zihlolwe kahle.

Funani ukunakekelwa kwezokwelapha ngokushesha uma ubona ukuphuma komoya okukhulu okungathuthuki, ikakhulukazi uma kuhambisana nokuhlanza okungapheli noma ubunzima bokudla ezinganeni ezincane. Lezi zibonakaliso zidinga ukuhlolwa ngisho noma zibonakala zithambile.

Shaya udokotela wakho ngokushesha uma uhlangabezana nobunzima obukhulu bokuphefumula, umbala oluhlaza oluzungezile izindebe noma iminwe, noma uma ingane iyeka ukuphefumula okwesikhashana. Lokhu kungabonisa ukucindezela okukhulu kwezindlela zokuphefumula.

Ezinganeni ezincane, xhumana nodokotela wakho uma ukudla kuya kuba nzima, uma ingane yakho ibonakala ilwa nokuphefumula ngesikhathi noma ngemuva kokudla, noma uma ukwanda kwesisindo kubi. Ukuhlolwa okuqala kungasiza ukuvimbela izinkinga.

Zithini Izinto Ezingase Zilimaze NgeVascular Ring?

Iningi labantu abane-vascular rings baphila impilo evamile ngaphandle kwezinkinga ezinzima, ikakhulukazi uma isigcawu sibuthakathaka futhi singabangeli ukucindezela okukhulu. Noma kunjalo, ezinye izinkinga zingase zithuthuke uma isigcawu sicindezela ngamandla endleleni yokuphefumula noma ukugwinya.

Izinkinga zokuphefumula zingase zihlanganise ukutheleleka okuphindaphindayo kokuphefumula ngoba izindlela zokuphefumula ezicindezelwe azisusi kahle izinto ezithile. Ungase uhlangabezane nokungakwazi ukwenza umsebenzi noma ubunzima bokuphefumula ngesikhathi semisebenzi yomzimba.

Ubunzima bokugwinya bungase buhole ezinkingeni zokudla, ikakhulukazi ezinganeni ezingase zigweme ukudla okuthile noma zidle kancane. Lokhu ngezinye izikhathi kungase kubangele ukukhula okuphuthumayo noma ukwanda kwesisindo.

Ezimweni ezingavamile, ukucindezela okukhulu kungase kubangele izinkinga ezinzima zokuphefumula noma i-aspiration pneumonia, lapho ukudla noma ulwelo kungena emaphashini. Lezi zinkinga azivamile kodwa zidinga ukunakekelwa kwezokwelapha ngokushesha.

Ukucindezela isikhathi eside ngezinye izikhathi kungase kuholele ekuguquleni umoya wakho, isimo esibizwa ngokuthi yi-tracheomalacia. Lokhu kwenza izindonga zomoya zibe zithambile futhi zivame ukuwa ngesikhathi sokuphefumula.

I-Vascular Ring Ihlonishwa Kanjani?

Ukuhlola i-vascular ring ngokuvamile kuqala ngodokotela wakho oqaphela izimpawu zakho futhi akuhlola wena noma ingane yakho. Bazogxila ezimisweni zokuphefumula nasezinkingeni zokugwinya.

Iviki lokuhlola lokuqala ngokuvamile yi-chest X-ray, engase ibonise isikhundla esingavamile semithambo yegazi noma izibonakaliso zokucindezela komoya. Noma kunjalo, ama-X-rays awabonisi kahle i-vascular rings.

I-CT scan noma i-MRI inikeza izithombe ezicacile kakhulu zemithambo yegazi yakho nobuhlobo bayo nomoya wakho ne-esophagus. Lezi zilingo zingabonisa ngokuqinisekile ukuthi i-vascular ring ikhona nokuthi ukucindezela kungaba yini.

Udokotela wakho angase futhi akukhuthaze ukuhlolwa kwe-barium swallow, lapho uphuza khona ulwelo oluphambene oluvela kuma-X-rays. Lolu hlolo lungabonisa ukucindezela kwe-esophagus yakho futhi lusisize ukuhlola umsebenzi wokugwinya.

I-echocardiogram (i-ultrasound yenhliziyo) ngokuvamile yenziwa ukuhlola ezinye izinkinga zenhliziyo ezivame ukwenzeka kanye ne-vascular rings. Lolu hlolo lusebenzisa amaza omsindo ukwenza izithombe zesakhiwo senhliziyo yakho nomsebenzi wayo.

Yini Ukwelashwa kweVascular Ring?

Ukwelashwa kwe-vascular ring kuncike ekutheni unezimpawu nokuthi zingaba yini. Abantu abaningi abanezingcawu ezithambile ezingabangeli zinkinga badinga ukulandelelwa njalo ngaphandle kokwelashwa okuthile.

Uma unezimpawu ezinkulu, ukuhlinzwa ngokuvamile kuyindlela yokwelapha ekukhuthazwayo. Indlela yokwelapha ehlinzwayo ihilela ukuhlukanisa ingxenye ye-vascular ring ukuze kuphephe ukucindezela ngenkathi kugcinwa ukusabalala kwegazi okujwayelekile.

Inqubo yokwelapha ehlinzwayo evamile ihilela ukuhlukanisa ingxenye encane noma engabalulekile yesigcawu. Nge-double aortic arch, ochwepheshe be-surgery ngokuvamile bahlukanisa i-arch encane, ngokuvamile eceleni kwesobunxele.

Amathuluzi wokwelapha okuhlinzwa kwamanje aphumelela kakhulu, ngabantu abaningi ababona ukuthuthuka okukhulu ezimpawu zabo. Ukuhlinzwa ngokuvamile kwenziwa ngokusika okuncane eceleni kwesifuba sakho.

Ukuphulukisa ngemuva kokuhlinzwa ngokuvamile kuthatha amasonto amaningana, futhi abantu abaningi bangabuyela emisebenzini yabo evamile ezinyangeni ezimbalwa. Imiphumela yesikhathi eside ngokuvamile iyahle, ngabantu abaningi abaphila impilo evamile ngemuva kokwelashwa.

Ungaphatha Kanjani Izimpawu Ekhaya?

Ngesikhathi ulinde ukwelashwa noma uma unezimpawu ezithambile, kunezinto eziningi ongazenza ekhaya ukuze usize ukuphatha isimo sakho. Lezi zindlela zingase zinikeze induduzo futhi zivimbele izinkinga.

Ngezinhlungu zokuphefumula, zama ukugwema izinto ezicasulayo zokuphefumula njengotshwala, ama-perfume aqinile, noma uthuli. Ukugcina indawo yakho yekhaya ihlanzekile nokusebenzisa ama-air purifiers kungasiza ukunciphisa ukucasula komoya.

Uma ukugwinya kunzima, dla ukudla okuncane, okuvamile futhi gwinya ukudla ngokuphelele. Ukudla okuthambile neziphuzo ngokuvamile kulula ukugwinya kunokudla okuqinile noma okuqine.

Hlala uqonde okungenani imizuzu engama-30 ngemuva kokudla ukuze usize ukudla kuhambe kalula nge-esophagus yakho. Lesi simo sisebenzisa amandla adonsela phansi ukuze sisize ekugwinyeni futhi sinciphise ingozi yokuthi ukudla kuhlale.

Gcina umzimba wakho uqinisile, njengoba ukudla okwanele kwamanzi kusiza ukunciphisa izinto ezithile futhi kuzenze zilula ukususa ezindleleni zakho zokuphefumula. Noma kunjalo, gwema ukuphuza amanzi amaningi ngesikhathi sokudla uma ukugwinya kunzima.

Kufanele Uzilungiselele Kanjani Ukuya Kudoctor?

Ngaphambi kokubuka kwakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenza zibe ngcono noma zimbi. Lolu lwazi lusiza udokotela wakho ukuqonda isimo sakho kangcono.

Yenza uhlu lwawo wonke amaphilisi, izithasiselo, namavithamini owathathayo. Futhi, lungiselela umlando wezokwelapha womndeni, ikakhulukazi uqaphele noma yiziphi izimo zenhliziyo noma izinkinga zokuzalwa ezihlobene.

Bhala imibuzo ofuna ukuyibuza udokotela wakho. Imibono ebalulekile ingase ihlanganise ubukhulu besimo sakho, izinketho zokwelapha, nokuthi yini okulindelekile esikhathini esizayo.

Uma lokhu kungenzelwa ingane yakho, letha amashadi okukhula kwayo kanye nezibhalo zokudla uma zitholakala. Futhi, cabanga ukuletha umlingani noma ilungu lomndeni ukuze uthole ukwesekwa futhi usizakale ukukhumbula ulwazi.

Lungiselela ukuxoxa ngendlela izimpawu ezihlupha ngayo impilo yakho yansuku zonke noma imisebenzi yengane yakho. Lokhu kusiza udokotela wakho ukuqonda umthelela wesimo futhi aqondise izinqumo zokwelapha.

Yini Okubalulekile NgoVascular Ring?

I-vascular ring iyisimo esingavamile kodwa esilawuleka senhliziyo lapho imithambo yegazi yakha isigcawu esizungezile umoya wakho nomlomo wokudla. Nakuba kuzwakala kukhathaza, abantu abaningi baphila impilo evamile ngalesi simo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa kuphumelela kakhulu lapho izimpawu zikhona. Amathuluzi wokwelapha okuhlinzwa kwamanje anikeza imiphumela emihle ngengozi encane kanye nemiphumela emihle yesikhathi eside.

Uma unezimpawu ezithambile noma azikho izimpawu, ukulandelelwa njalo nodokotela wakho ngokuvamile konke okudingekayo. Iqembu lakho lezokwelapha lizokusiza unqume indlela engcono kakhulu yesimo sakho.

Ngokunakekelwa kwezokwelapha okufanele, abantu abane-vascular rings bangalindela ukuphila impilo egcwele, esebenzayo. Unganqikazi ukuxoxa nganoma yiziphi izinkathazo nodokotela wakho, onganikeza isiqondiso esiqondene nesimo sakho.

Imibuzo Evamile NgoVascular Ring

Ingavimbeka yini i-vascular ring?

I-vascular ring ayikwazi ukuvinjelwa ngoba ithuthuka ngesikhathi sokukhulelwa njengengxenye yokwakheka okujwayelekile kwenhliziyo nemithambo yegazi. Akubangelwa yilutho abazali abalwenzayo noma abangalenzi ngesikhathi sokukhulelwa. Isimo kubonakala sengathi yinguquko yokuthuthuka ezingahleliwe eyenzeka ngesikhathi senqubo enzima yokuthuthuka kwe-cardiovascular.

Ingane yami iyokukhula yiphele i-vascular ring?

Izingane azikhuli nge-vascular rings ngoba ukulungiswa kwemithambo yegazi akuguquki ngokuhamba kwesikhathi. Noma kunjalo, izimpawu zingase zithuthuke njengoba ingane yakho ikhula futhi izindlela zayo zokuphefumula zikhula. Ezinye izingane ezine-compression ethambile zingase zibe nezimpawu ezincane njengoba zikhula, ngenkathi ezinye zingase zidinga ukwelashwa kungakhathaliseki iminyaka.

Zivame kangakanani i-vascular rings?

I-vascular rings ingavamile kakhulu, ivela ngaphansi kwe-1% yazo zonke izinkinga zenhliziyo ezingavamile. Zithinta cishe 1 ku-10,000 kuya ku-20,000 zokuzalwa. Nakuba kungavamile, ziyizimo eziqondwa kahle ngezindlela zokwelapha ezimiswe uma kudingeka.

Abantu abadala bangase bathuthukise izimpawu ze-vascular ring okokuqala?

Yebo, abanye abantu abadala bangase bathuthukise izimpawu okokuqala, ikakhulukazi uma bene-ring ethambile eba yinkulu ngokuhamba kwesikhathi. Ukuhlukahluka kwesakhiwo somzimba, ukwanda kwesisindo, noma ezinye izinto ngezinye izikhathi kungenza i-vascular ring engabangeli zinkinga iqale ukubangela izinkinga ebudaleni.

Ukuhlinzwa kuyadingeka njalo nge-vascular ring?

Ukuhlinzwa akudingeki njalo nge-vascular rings. Abantu abaningi abanezingcawu ezithambile ezingabangeli zinkinga badinga ukulandelelwa njalo. Ukuhlinzwa ngokuvamile kukhuthazwa kuphela lapho izimpawu zithinta kakhulu ukuphefumula, ukugwinya, noma ikhwalithi yempilo. Udokotela wakho uzosiza unqume indlela engcono kakhulu ngesimo sakho.