Methapo Vienna. Anomalous methapong methapo

Methapo Vienna (setšoantšong bontšitsoeng tlaase mona) - sejana e tlisang mali ea bohlokoa e ntlafatsa le oksijene matšoafong ho atrium setseng.

Qalang ho tswa ho methapong methapo kopane ka lijana tsena methapong le ho feta hore ba romeloa ho bronchi, joale likarolo dikotwana, le matšoafo likutu kgolo hekeng thehoa (tse peli tsa e mong le e le motso) hore ba tsamaisoa tsekaletse ka karolong e ka holimo ea atrium letšehali. Ho phaella moo, e mong le e ba libarele ho phunyeletse ka ka a qalang arohaneng: setseng - lehlakoreng le letšehali la atrium setse le se nepahetseng ho se ho le letona. Letona methapo methapong, tse latelang atrial (ka ho le letšehali) transversely intersect le atrium nepahetseng (khutlela hae).

Outer methapo (ho le letona) Vienna

Thehoa mothapo likarolo segmental ea bohareng le e ka holimo lobes ea matšoafo.

• R.apicalis (ea lekala apical) - emeloang lekgutshwanyane venous kutu, e leng e teng ka lobe holimo (mediastinal holim'a lona) le nkang mali ho tswa ho karolo keletso. Pele kena tokelo phahametse methapo mothapo hangata ho kopantswe le segmental (ka morao) lekala.
• R. kamorao (ka morao ea lekala) nkang mali pokello ho tloha karolo e ka morao. Ena ea lekala - ka ho fetisisa tsa tse khōlō Vienna methapong tsohle (segmental), tse teng ka lobe holimo. Ka sekepe sena se ka thōko likarolo tse 'maloa: vnutrisegmentarny poddolevoy karolo le karolo e bokella mali ho tswa interlobar sebakeng holim' a slits oblique.
• R.anterior (ka pele ea lekala) nkang mali a ho tloha e ka holimo ho bokella bolelelane (kapa karolo anterior). Maemong a mang, ho bonolo ho kopana pele le ka morao makala (haeba ba oela kutu tloaelehile hore batho ba).
• R.lobi medii (bohareng lobe ea lekala) a fumana mali ho tswa ho likarolo e nepahetseng ea matšoafo (bolelelane lona karolelano). Maemong a mang, hona o nka mofuta o itseng oa 'ngoe Vienna moqomo le phallang ka e ka holimo le letona methapo mothapo, empa hangata receptacle Ho thehoa ea likarolo tse peli tse: ho medial le lateral hore aa tsoa ka ho latellana likarolo medial le lateral.

Lower methapo (ho le letona) Vienna

sejana ena nka mali ho tloha e ka tlaase lobe (likarolo tsa lona 5) 'me e na le tse peli tse inflow ka sehloohong: basal mothapo le tloaelehileng le sebelisoang malapeng ka holimo lekala.

Ofisi ea lekala e ka holimo

Ho larileng ka pakeng tsa basal le likarolo ka holimo. Ho thehoa ho tswa ho methapong eketsehileng le ka sehloohong, e lokela ho ba pele le ho theoha, ho fetisetsa ka mor'a apical segmental bronchus. lekala lena le sena ke ka holimo ho tsohle hore na letho ka e ka tlaase le letona methapo mothapo.

Tumellanong le hoo la bronchitis Vienna kenyelletsa ditokiseletso inflow mararo a ka sehloohong: lateral, ka holimo medial, teng ka ho fetisisa tsa intersegmental empa ka matha le vnutrisegmentarno.

Ka lebaka la ho eketsehileng mali outflow mothapo etsoa ke karolo e ka holimo (tlhōrō ea eona) sebakeng poddolevuyu segmental mothapo morao ka holimo lobe (kamorao lona karolo).

Basal palo yohle Vienna

Ho e khutšoanyane venous kutu, thehoa ka mateano tsa ka tlaase le e ka holimo methapong basal makala a maholo eo leshano tebileng pele ho tloaelehile hore batho feela.

Basal holimo Vienna. Thehoa ke tshwaragano ya kholo ka ho fetisisa methapong basal segmental le methapong hore tsoele mali ho tswa ho medial, anterior le likarolo lateral.

Basal tlase Vienna. Khomaretse ka kakaretso basal mothapo ho tloha holim lona tlaase khutla. The inflow se ka sehloohong sa setshelo - basal kamorao ea lekala hore bokella mali ho tswa ho basal kamorao karolo. Maemong a mang, e ka tlaase basal Vienna ka atamela tlhōrōng ea mothapo basal.

ADLV

Ke congenital lefu la pelo ka eo ketsahalo e lemoha neanatomichnoe methapong methapo ho atrium (ho le letona), kapa e ne e akarelletsa ho tsa morao-rao tsa vena cava.

bolwetse ena e tsamaea le serame sa matšoafo khafetsa, mokhathala, bokhutšoanyane phefumoloho, lieha ho hōla 'meleng, bohloko cardiac. Ka tlhathoba sebelisoa: ECG, MRI, X-ray, cardiac catheterization, oa ultrasound, le ventrikulo- atriografiyu, angiopulmonography.

Ho buoa kalafo sekoli itšetlehile ka mofuta oa eona.

Overview

ADLV - congenital sekoli le e ka 1.5-3.0% ya likoli pelo. Boholo ba ile ba hlokomela bakuli e motona.

Hangata ka ho fetisisa sekoli ena e ho kopantswe le e oval (bulehileng) fensetere le likoli septum pakeng ventricles ena. Hanyenyane ka tlase (20%) - ho tloha kutu mali tloaelehileng, hypoplastic le letšehali lehlakoreng la pelo, VSD, dextrocardia, tetralogy tsa Fallot, le transposition likepe o moholo, kakaretso ventricle pelo.

Ho phaella ho likoli tsena, hangata a tsamaea le ADLV extracardiac bolwetse: hernias lelana, kholofalo ka lesapo sebopeho le tsamaiso ea endocrine, mala diverticula, pere liphio, lefu polycystic liphio le hydronephrosis.

Classification anomalous methapo venous drainage (ADLV)

Tabeng ea ho confluence ea methapong ka ajoa systemic kapa ka atrium nepahetseng, sekoli ena e bitsoa feletseng anomalous drainage, haeba ka sebopeho ka holimo phallang ka 'ngoe kapa e le methapong' maloa, tse kang le sekoli o bitsoa a leeme.

Ho latela boemo ba confluence abelwang karolo ya ba bang ba dikgetho sekoli:

• fapaneng pele: nadserdechny (suprakardialny). The methapong methapo (jwalo ka kutu ho tloaelehile hore batho kapa arohaneng) phalla ka holimo vena cava kapa makala a sona.
• Khetho e 'meli: pelo (intracardiac). methapong methapo e minyelelitse ka sinus gogoga kapa atrium letona.
• Boraro mothofatso: podserdechny (go la la kapa subcardial). methapong methapo kena-portal kapa vena cava tlaase (haholo ka tlaase ho moo ka difapho lymphatic).
• Khetho ea bone: tsoakileng. methapong methapo kenyelelitsoe dibopeho fapaneng 'me ka maemo a fapaneng.

Features hemodynamics

Ka utero a sebetsang a sekoli hangata se bone, ka lebaka la peculiarities ea ajoa fetal. Ka mor'a ho tsoaloa ha lesea e liponahatso hemodynamic li hlalosoa ho sekoli ena le motswako lona le anomalies tse ling congenital.

Tabeng ea palo yohle anomalous drainage tsa mafu hemodynamic bontša hypoxemia, hyperkinetic overload ea pelo le letona le kgatelelo ya madi methapo.

Tabeng ea hemodynamics leeme drainage tšoanang le eo le ASD. Karolo ea isang ke ea ditlolo tsa tloaelehang arteriovenous shunt, e isang ho eketseha ha bophahamo ba modumo ea mali ka ho selika-likoe e monyenyane.

Matšoao a anomalous methapo venous drainage

Bana le sekoli ena hangata e ba utloa bohloko a hlobaetsang le tšoaetso ea iphetang matšoafo bongata ba kokwanahloko le serame sa matšoafo, ba ile ba re khohlela, le tlaase ho nona, tachycardia, bokhutšoanyane phefumoloho, bohloko pelong, leseli cyanosis le mokhathala.

Tabeng ea kgatelelo ya madi methapo bo bonahala lilemo tse nyenyane hlaha pelong ea hloleha, a bontša cyanosis le pelo hump.

tlhathoba

Picture auscultation ka ADLV tšoanang le ASD, ke hore structurally tsitsang auscultated systolic lerata ka dipeakanyo ea methapong methapo (methapong methapo) le ho petsoha molumo 2nd.

• The ECG lipontšo tsa overload pelo letona, ke 'kheloha EOS nepahetseng thibela likepe (fella), tokelo eo e sosobaneng le literata lekala.
• Ha phonography lipontšo tsa ASD.
• Ka radiography fumana paterone ke khanya bulging mothapo methapo (selikalikoe lona), ho atolosa le letona cardiac meeli, "Turkish elgohry" letšoao.
• Echocardiography.
• Felloa cavities cardiac.
• Venography.
• Atriografiya (ho le letona).
• Angiography.
• Ventriculography.

Differential phumano ya sekoli ena lokela ho ho phethwa ka:

• Lymphangiectasia.
• Aortic atresia / mitral belofo.
• lijana transposition.
• Mitral stenosis.
• Stenosis tsa letona / setseng methapong methapo.
• Trehpredserdnym pelo.
• Ka thōko ASD.

kalafo

Types of opereishene leeme drainage laolwang ke e mong sekoli, boholo le sebaka ASD.

molaetsa Atrial felisa sebelisa polasetiki kapa suturing ASD. Masea ho fihlela ho a le lilemo li tharo tse boemong bo mahlonoko tseo ho leng ea bohlokoa, etsa palliative ho buuoa (koetsoeng atrioseptotomiyu), e leng e ikemiseditse ho atolosa le puisano e interatrial.

Kakaretso ea tse khōlō sekoli khalemelo (palo yohle liforomo) ho kenyeletsa manipulations 'maloa.

• Ligation posts by pathological vascular methapong.
• Ho itšehla thajana ea methapong methapo.
• Koalo tsa ASD.
• Anastomosis pakeng tsa atrium setse le methapong methapo.

The lebaka la tshebetso joalo e ka ba o reng: keketseho ea methapo syndrome, kgatelelo ya madi le ho hloleha sinus noute.

weather forecasts

The itse'ng tsa tsela ea tlhaho ea sekoli ena le mabe, ho tloha ho 80% ea bakuli shoa ka hare ho selemong sa pele ea bophelo.

Bakuli ba nang le ho ba teng ha drainage leeme ka phelela a le lilemo li mashome a mararo. Lefu la bakuli ba joalo e hangata ka ho fetisisa e amanang le tšoaetso ea methapo, kapa ho hlōleha haholo pelo.

Results ea khalemelo ho buoa tsa sekoli boo hangata e khotsofatsang, empa lethality neonatal nakong kapa ka mor'a ho buuoa e phahameng.