I-Pediatric Cardiology

Ukuhlinzwa Kwenhliziyo Okuphambili Kwezingane E-Hyderabad

Kunezifo ezihlukahlukene zenhliziyo ze-cyanotic ezenzeka kusana olusanda kuzalwa. Kulezi zifo zenhliziyo ezizalwa nazo, igazi lezingane ezisanda kuzalwa liyehluleka ukuthola umoya-mpilo ngendlela efanele. Lokhu kwenzeke ngenxa yohlobo oluthile lokukhubazeka kwenhliziyo. Izifo eziningana zimi kanje- I-Tetralogy of Fallot, i-pulmonary atresia, i-double outlet ventricle yangakwesokudla, ukuguqulwa kwemithambo emikhulu, i-truncus arteriosus eqhubekayo, kanye ne-Ebstein's anomaly.

I-Pediatric cardiology yilelo gatsha le-cardiology elibhekene nokuxilonga nokwelashwa kwalezi zifo zenhliziyo ezithize zezingane ezisanda kuzalwa kanye nezingane. 

Izinhlobo Zokuhlinza Kwenhliziyo Yezingane

I-cardiology yezingane ingaba namagatsha ahlukahlukene njenge-cardiology yabantu abadala.  

1. Izifo Zenhliziyo Eziyinkimbinkimbi: Lapho umntwana esesibelethweni, angaba sengozini yokuba nezimo eziningana zenhliziyo noma ukungajwayelekile kwenhliziyo ngenxa yezizathu ezahlukene. Lezi zinhlobonhlobo zezifo zenhliziyo ezisanda kuzalwa zibizwa ngokuthi yi-congenital heart disease. Ukugeleza kwegazi kungathinteka kalula yilokhu okungavamile. Lokhu kuthinta ukukhula nokusebenza kwenhliziyo ngenxa yalokho. Kukhona ukuhlinzwa okuningana okungenziwa ukuze kulungiswe lezi zimo. Ukuhlinzwa kuyahlukahluka kusuka kokuqondile nokulula kuye kokuyinkimbinkimbi kakhulu. Ubunzima bokuhlinzwa buncike ezingeni kanye nohlobo lokungajwayelekile kwesiguli. Okunye ukuhlinzwa kuncane, kuncane kakhulu, noma ukuhlinzwa kwenhliziyo evulekile okuyinkimbinkimbi okudinga imishini eminingana eyinkimbinkimbi.
2. Ukulungisa/Ukushintsha Ivalvu: Inhliziyo ingaba nezifo eziningana ezihlobene nama-valve ayo. Ukulungisa i-valve noma ukuhlinzwa okushintshwayo kusetshenziselwa ukwelapha lezi zifo zenhliziyo ezihlobene namavalvu. Ama-valve enhliziyo ayayeka ukusebenza isikhathi esiningi uma egula noma alimele. Kunezimo eziningana ezingabangela ukungasebenzi kwama-valve enhliziyo. Ezimbili zalezi zimo ukungasebenzi kahle kwe-valvular kanye ne-valvular stenosis. Ukuhlinzwa kwenhliziyo evulekile ngokuvamile kuwukwelashwa kwendabuko kwalezi zifo. Ngalokhu kuhlinzwa, ama-valve ayalungiswa noma ashintshwe. Kunesidingo somshini wokudlula kulokhu kuhlinzwa. Umshini we-bypass uqinisekisa ukuthi igazi limpontshwa kuwo wonke umzimba lapho inhliziyo imisiwe ukuze kuhlinzwe. 
3. Ukuhlinzwa Kwenhliziyo Yosana: Ukuhlinzwa kwenhliziyo yosana lwenziwa ukuze kulungiswe iziphambeko ezibangelwa izifo zenhliziyo ezizalwa nazo. Izigaba zalezi zinkinga zingaba zimbi, zibe zincane, noma zibe yivelakancane. Inqubo izohluka kuye ngohlobo lwesici senhliziyo. Isici singase sibe ngaphakathi enhliziyweni noma emithanjeni yegazi ekhona ngaphandle kwenhliziyo. Ukuhlinzwa kwezingane ezisanda kuzalwa kwenziwa ezinsaneni noma ezinsaneni ukuze kulungiswe amaphutha ezinhliziyo zazo. 
4. I-Single Ventricle Heart Surgery: Ngezinye izikhathi ingane izalwa ne-ventricle eyodwa enamandla ngokwanele noma enkulu ngokwanele ukumpompa igazi. Lokhu kwaziwa ngokuthi yi-single ventricle defect. Lokhu kuhlinzwa kwenzelwa ukwelapha noma ukulungisa lesi sici. Amaphutha ahlanganisa i-hypoplastic left heart syndrome (HLHS), tricuspid atresia, i-double outlet left ventricle (DOLV), ukukhubazeka kwe-heterotaxy, nokunye ukukhubazeka kwenhliziyo kokuzalwa. Lokhu kuhlinzwa kuwuchungechunge lokuhlinzwa kwenhliziyo okufanele ingane ikwenze esikhathini esiyiminyaka eminingana. Amaphutha alungiswa ngale ndlela. 
5. I-Cardiology engenelela: Ezinye zezinqubo zokungenelela zenhliziyo zifaka ukushintshwa kwevalvu ye-Transcatheter, ukuvuselelwa komthambo wamaphaphu, ukuvaleka kwe-PDA, izinqubo ze-Hybrid, ukungenelela kwe-Fetal cardiac, i-Endovascular stenting, i-Diagnostic cardiac catheterization, Ukuvalwa kwe-Device atrial septal defect, i-Coarctation angioplasty, i-angioplasty, kanye ne-angiloonplasty. Izinsiza ezihamba phambili zamaqembu ezibhedlela ze-CARE zifaka lokhu okulandelayo:-

• I-Cardiac Catheterization kanye Nokungenelela Kokukhubazeka Kokuzalwa Nesakhiwo

• I-3D Echocardiography Ethuthukisiwe Yesikhathi Sangempela kanye ne-transesophageal Echocardiography yezingane zabo bonke ubudala

• I-Echocardiography ye-Fetal

• I-24×7 Yezimo Eziphuthumayo Zenhliziyo Yezingane

• 24 × 7 Ukuqoshwa kwe-Ambulatory Blood Pressure

• Ukunakekelwa Okubalulekile Kwenhliziyo Yezingane

• Ukuhlola Okungahlaseli

• Ukuhlolwa kwe-Cardiopulmonary

• I-Ergometry yebhayisikili

• Ukuhlolwa Kwe-Head-up Tilt, I-Holter Yamahora angu-24 & Nerekhoda Yomcimbi

• Imitholampilo Ekhethekile