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Khoro ea aortic e habeli - Moriana
Khoro ea aortic e habeli - Moriana

Khoro ea aortic e habeli ke sebopeho se sa tloaelehang sa aorta, mothapo o moholo o tsamaisang mali ho tloha pelong ho a isa 'meleng oohle. Ke bothata ba tlhaho, bo bolelang hore bo teng nakong ea tsoalo.

Khoro ea aortic e habeli ke mofuta o tloaelehileng oa liphoso tse amang kholo ea aorta ka popelong. Liphoso tsena li baka sebopeho se sa tloaelehang se bitsoang lesale la methapo (selikalikoe sa methapo ea mali).

Ka tloaelo, aorta e tsoa ho e 'ngoe ea lisele tse arikiloeng. Ha masea a ntse a hola ka popelong, marako a aroha likarolo tse 'maloa. 'Mele o senya tse ling tsa li-arches, ha tse ling li fetoha methapo. Aorta e atisang ho hlahisoa ke ntho e le 'ngoe e tlohang pelong ebe e ea ka leqeleng.

Ka arch e habeli ea aortic, tse ling tsa li-arch tse neng li lokela hore ebe li nyametse li ntse li le teng nakong ea tsoalo ntle le setulo se tloaelehileng. Bana ba nang le arch e habeli ea aortic ba na le aorta e entsoeng ka likepe tse peli ho fapana le e le 'ngoe.Likarolo tse peli tsa aorta li na le methapo e menyenyane e tsoang ho tsona. Ka lebaka leo, makala a mabeli a ea pota-pota ebe a hatella phaephe ea moea le tube (esophagus) e tsamaisang lijo ho tloha molomong ho ea ka mpeng.


Karolo e 'meli ea aortic e ka hlaha linthong tse ling tsa tlhaho tse amanang le pelo, ho kenyelletsa:

  • Tetralogy ea Bohata
  • Truncus arteriosus
  • Phetiso ea methapo e meholo
  • Phoso ea septal ea Ventricular

Khoro ea aortic e habeli ha e fumanehe hangata. Masale a mesifa ke karolo e nyane ea mathata ohle a pelo ea tlhaho. Ho tsena, tse fetang halofo li bakoa ke khoro ea aortic e habeli. Boemo bo hlaha ka ho lekana ho banna le basali. Hangata e teng ho batho ba nang le ho se tloaelehe ho itseng ha chromosome.

Hobane hangata matšoao a arch aortic a bobebe a bobebe, bothata bo kanna ba se ke ba sibolloa ho fihlela ngoana a le lilemo li 'maloa.

Karolo e habeli ea aortic e ka penya trachea le 'metso, e lebisang bothateng ba ho hema le ho koenya. Ho tiea ha matšoao ho latela hore na aortic arch e ntse e hatella hakae mehahong ena.

Matšoao a phefumolohang a kenyelletsa:


  • Modumo o phahameng haholo nakong ya ho hema (stridor)
  • Ho hema ka lerata
  • Pneumonia e phetoang
  • Ho honotha

Matšoao a silang lijo a ka kenyelletsa:

  • Ho bipetsa
  • Ho thata ho ja le ho koenya
  • Ho hlatsa

Matšoao a ka lebisa ho mofani oa tlhokomelo ea bophelo ho belaella arch e habeli ea aortic. Ho tla hlokahala liteko tse ling ho netefatsa tlhahlobo ea lefu lena.

Liteko tse latelang li ka thusa ho fumana arch ea aortic e habeli:

  • X-ray sefubeng
  • Litšoantšo tse hlahisang litšoantšo tse arohaneng tsa 'mele (CT kapa MRI scan)
  • Ho hlahlojoa ha pelo ea ultrasound (echocardiography)
  • X-ray e sebelisa ntho e hlalosang 'metso (barium swallow)

Ho ka etsoa opereishene ho lokisa khoro ea aortic e habeli. Ngaka e buoang e tlama lekala le lenyane ebe e e arola ho e kholoanyane. Ebe ngaka e koalang lipheletsong tsa aorta ka lintla. Sena se imolla khatello ho 'metso le phefo ea moea.

Boholo ba bana ba ikutloa ba le betere hang kamora ho buuoa, leha ba bang ba kanna ba tsoela pele ho ba le matšoao a ho hema ka nakoana kamora ho lokisoa. Hangata hona ho bakoa ke bofokoli ba trachea ka lebaka la khatello ea eona pele e lokisoa.


Maemong a sa tloaelehang, haeba leqhubu le hatella tlase haholo tseleng ea moea, ngoana a ka ba le bothata ba ho hema bo matla bo lebisang lefung.

Mathata a ka kenyelletsa:

  • Ho hloleha ho atleha
  • Matšoao a phefumoloho
  • Ho roala lesela la 'metso (khoholeho ea' metso) le phaephe
  • Ka seoelo, khokahano e sa tloaelehang lipakeng tsa 'metso le aorta (aortoesophageal fistula)

Bitsa mofani oa hau haeba lesea la hau le na le matšoao a arch ea aortic.

Ha ho na mokhoa o tsebahalang oa ho thibela boemo bona.

Arort anominal; Khoro e habeli; Bokooa ba pelo ea Congenital - khoro ea aortic e habeli; Pelo ea sekoli sa tsoalo - khoro ea aortic e habeli

  • Lesale la vascular
  • Khoro ea aortic e habeli

Bryant R, Yoo SJ. Masale a mesifa, letjeketjane la methapo, le maemo a amanang le ona. Ka: Wernovsky G, Anderson RH, Kumar K, Mussatto K, et al, bahlophisi. Cardiology ea bana ea Anderson. La 4 ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 47.

CD ea Fraser, Kane LC. Lefu la pelo ea Congenital. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 58.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Tse ling tsa pelo ea tlhaho le mathata a methapo. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 459.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital lefu la pelo ho motho e moholo le mokuli oa bana. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 75.

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