Tricuspid regurgitation na 1 digiri - abin da yake da shi da kuma abin da yake da magani?

Tricuspid regurgitation - shi ne daya nau'i na cututtukan zuciya, a cikinta akwai wata dawowar jini a lokacin systole jħfa daga dama ventricle a cikin kogo da dama atrium. A dalilin wannan ne tricuspid (tricuspid) bawul, watau. E. Bai rufe ta ƙofar ganye. Tricuspid bawul regurgitation aka samu ko nakasar.

Origin of ajalin

The kalmar "regurgitation" ya zo daga Latin gurgitare - "ambaliyar" - da kuma prefix sake, na nuna kishiyar sakamako, watau, shi ya shafi gaban shugabanci na al'ada kwarara ... A wannan yanayin - da backflow na jini.

Sanadin nakasar tricuspid regurgitation

Mafi na kowa Sanadin nakasar anomalies ne:

• hypoplasia bawul leaflets.
• mahaukaci ci gaba (lamba) na bawul leaflets.
• dysplasia na connective nama.
• Ehlers-Danlos ciwo.
• Marfan ciwo.
• Ebstein ta anomaly.

Tricuspid regurgitation a cikin tayi a kadaici ne sosai rare, shi ne yawanci a hade tare da sauran zuciya lahani. Wannan bawul gazawar iya zama wani ɓangare na mitral-aortic-tricuspid lahani.

Sanadin samu tricuspid regurgitation

Tricuspid bawul regurgitation samu ya fi yawa fiye da nakasar. Shi ne na farko da na biyu. A farko Sanadin wannan cuta sun hada da rheumatism, buri, carcinoid ciwo.

1. Rheumatic zazzabi - shi ne mafi kowa hanyar wannan cuta. A 20% na lokuta, wato maimaita rheumatic endocarditis take kaiwa zuwa nakasawa (thickening da kuma rage) na bawul bude yatsun a cikin wannan hanya da kuma canji agara thread. Sau da yawa sosai da wannan cuta an haɗa stenosis na dama atrioventricular bude. Wannan hade aka kira a hade tricuspid lahani.
2. Katsewa na papillary tsoka iya kai wa ga tricuspid regurgitation. Wadannan gibba faruwa a tsokar infarctions, ko iya samun traumatic asalin.
3. Carcinoid ciwo kuma iya kai wa ga wannan cuta. Yana auku a wasu irin ciwon daji, kamar ciwon daji na kananan hanji, kwai, ko huhu.
4. Kudin shiga miyagun kwayoyi sau da yawa take kaiwa zuwa infective endocarditis, kuma ya, bi da bi, na iya haifar da tricuspid regurgitation.

Sanadin sakandare tricuspid insufficiency wadannan cututtuka ne mafi sau da yawa:

• dilation na annulus fibrosus, wanda ya taso a dilated cardiomyopathy.
• babban mataki na huhu hauhawar jini.
• da wani rauni da dama ventricle, wadda ake samu a da ake kira na huhu zuciya.
• kullum zuciya maye.
• myocarditis.
• myocardiodystrophy.

Alamun a yara

Nakasar tricuspid regurgitation a jarirai a 25% na lokuta, bayyana a matsayin supraventricular tachycardia ko atrial fibrillation, iya daga baya bayyanãwa tsanani zuciya rashin cin nasara.

A mazan yara, ko a m kaya bayyana shortness na numfashi da kuma palpitations. Ƙila yaron ya koka da zafi a cikin zuciya. Za a iya lura dyspeptic cuta (tashin zuciya, amai, flatulence), da kuma zafi ko mai ji na nauyi a cikin dama hypochondrium. Idan akwai cunkoso a cikin tsari wurare dabam dabam, sa'an nan akwai gefe edema, ascites, hydrothorax ko hepatomegaly. Duk wannan ne mai matukar tsanani yanayin.

Bayyanar cututtuka da cutar a manya

Idan Pathology da aka samu daga baya a rayuwa, a farko mataki na wani mutum a kan shi iya ba ko da zargin. Kadan tricuspid regurgitation ya auku ne kawai a wasu marasa lafiya, throbbing wuyansa jijiyoyinmu. Sauran cututtuka na haƙuri ba a lura. Tricuspid bawul regurgitation na 1 digiri iya ba bayyana kanta. Yawanci, wannan Pathology aka samu kwatsam a lokacin na gaba likita jarrabawa. Haƙuri kara echocardiography, inda aka gano tricuspid regurgitation 1 digiri. Mene ne shi - ya sami fita kawai bayan da gwajin. Irin wannan marasa lafiya yawanci sa a kan rikodin da wani likitan zuciyar da agogo.

A mafi tsanani da gazawar da bawul din akwai wani gagarumin kumburi daga lakar jijiyoyinmu. A wannan yanayin, idan dama ga jijiyar wuya ga yin hannunka, za ka iya ji da shake. A tsanani lokuta, da Pathology sakamakon a dama na ramin zuciya tabarbarewa, atrial fibrillation, ko zuciya rashin cin nasara zai iya sa.

bincikowa da

Ganewar asali "tricuspid regurgitation 1 digiri" ko wasu sauran za a iya sanya bayan wani na sosai jarrabawa na haƙuri. Don yin wannan, tafi, ta hanyar da wadannan hanya:

• .. jiki jarrabawa hanya, watau auscultation da stethoscope sautunan da zuciya murmurs.
• Echocardiography (echocardiography) - a cardiac duban dan tayi, wanda ya gano aikin da morphological matsayi na zuciya tsoka da kuma bawuloli.
• ECG, a cikin abin da za ka iya gani a cikin ãyõyin wani kara girman dama atrium da ventricle na zuciya;
• kirji x-ray - a lokacin da nazari kuma samu ya karu dama na ramin zuciya girma, wanda zai iya ganin alamun na huhu hauhawar jini da kuma nakasawa na mitral da aortic bawuloli.
• nuna biochemical jini.
• cikakken jini count.
• cardiac catheterization - wannan latest cin zali hanya amfani ga ganewar asali cardiac pathologies da kuma magani.

rarrabuwa

Mun samu cewa tricuspid bawul regurgitation etiology iya zama nakasar ko samu, primary (kwayoyin) ko na biyu (aikin). Organic insufficiency bayyana nakasawa valvular: thickening da wrinkling na bawul leaflets ko calcification. Aikin hanawa aka bayyana a lokacin da bawul tabarbarewa da lalacewa ta hanyar sauran cututtuka, bayyana katsewa na papillary tsoka ko agara guitar da kuma take hakkin anulus.

har na cuta

Rarrabe 4 digiri na cututtuka, wanda aka halin da dogon jini simintin baya halin yanzu jet a cikin kogo da dama atrium.

Tricuspid regurgitation na 1 digiri - abin da yake da shi? A wannan yanayin, da dawowar jħfa jini ne bai isa a kula da wuya m. A wannan yanayin, da mãsu haƙuri ko da abin da aka ba gunaguni. The asibiti hoto da ya bace.

Lokacin da ganewar asali "mataki na tricuspid regurgitation 2" baya jet simintin jini ya auku a cikin 2 cm da bawul katangu. Clinic a wannan mataki da cuta ne kusan ba ya nan, zai iya yiwuwa a talauci bayyana pulsation lakar jijiyoyinmu.

Regurgitation tricuspid bawul 3 ne m da digiri na baya halin yanzu regurgitation na jini fiye da 2 cm daga tricuspid bawul. Marasa lafiya fãce ripple wuyansa jijiyoyinmu iya jin palpitations, wani rauni da gajiya, ko da wani kadan shortness na numfashi na iya faruwa tare da low jiki aiki.

A cutar halin tsanani sa 4 jet baya jini ya kwarara Fitar na dogon nesa daga bawul a cikin kogo da dama atrium. A tsanani haƙuri ta bayyanar cututtuka na tsanani zuciya gazawar da kuma huhu hauhawar jini za a iya lura (na huhu da kuma tricuspid regurgitation). A wannan yanayin, da cututtuka da aka jera a sama, shiga da sauransu. Wato, da ƙananan reshe edema, jin pulsation bar sternum, wanda qara inspiratory, illa zuciya sauti, sanyi extremities, kara girman hanta, ascites (m jari a cikin kogon ciki), ciwon mara, da kuma ga rheumatic yanayin wannan cuta za a iya lura aortic ko mitral.

magani

Jiyya zažužžukan dogara ne a kan mai tsanani da cuta, kazalika a kan ko shi yana tare da sauran zuciya lahani kuma munanan ko ba. Lokacin da ganewar asali "tricuspid bawul regurgitation 1 digiri" magani ne kullum ba cajin. Irin wannan yanayin da likitoci suna dauke a matsayin al'ada bambanci. Idan tricuspid regurgitation na 1 mataki saboda wasu cuta, kamar cutar huhu, rheumatism ko infective endocarditis, ya kamata ya kasance cikin far cututtuka provocateur. Idan kawar da tamkar cuta, da kuma dakatar da kara nakasawa na tricuspid bawul. Saboda haka, tricuspid regurgitation 1 digiri - abin da yake da shi da kuma yadda za mu bi da shi, shi ne a yanzu bayyananne. Ka yi la'akari da gaba mataki da cutar.

Tricuspid bawul regurgitation sa 2 sau da yawa ba ya bukatar magani. Idan Pathology ake dangantawa da wasu malformations, ko cardiac cututtuka irin congestive zuciya rashin cin nasara, shi wajibi ne mu bi da ra'ayin mazan jiya da hanyoyin. A saboda wannan dalili, diuretics ake amfani da su rage kumburi da kuma shirye-shirye, shakatawa da m tsokoki na jini (vasodilators). Sauran matakan tricuspid regurgitation sa 2 ba su bukata.

Jiyya na sa 3 da 4 ne kuma directed zuwa kawar da cutar, regurgitation sa. Idan shi bai yi aiki ba, tiyata aka nuna. Lokacin da wannan roba abu da aka bayar bawul bude yatsun, su annuloplasty (podshivanie m ko m zobba ma yiwu na bawul dinki zobe da suturing) ko prosthesis.

mitral regurgitation

Lokacin da gazawar da mitral bawul, a lokacin da ta bude yatsun an rufe tam isa, akwai wani kuma baya da ya kwarara daga jini daga hagu ventricle cikin hagu atrium a lokacin systole. Wannan yanayin da aka kira mitral regurgitation ko mitral bawul prolapse. Wannan Pathology kamar yadda tricuspid regurgitation iya zama ko dai nakasar ko samu. Sanadin da ganewar asali a cikin ganewar asali "mitral" da "tricuspid regurgitation" ne ma irin wannan. Har, sanin mai tsanani da cuta, kawai 4, su dogara a kan adadin jini da baya halin yanzu:

• 1 digiri - kadan mitral regurgitation.
• 2 digiri - matsakaici mitral regurgitation.
• 3 digiri - bayyana gagarumin mitral regurgitation.
• 4 digiri - tsanani mitral regurgitation sau da yawa yakan faru wajen kisa.

Bai isa a kula mitral, tricuspid regurgitation 1 digiri haddasa babu haƙiƙa gunaguni na haƙuri, babu magani ake bukata. Warkewa magani ne da za'ayi a rikitarwa cuta, msl, zuciya kari disturbances ko na huhu hauhawar jini. M baki aka nuna a mai tsanani ko mai tsanani mitral insufficiency, a cikin wadannan lokuta sa roba ko} afar roba bawul.

A hade da mitral da tricuspid insufficiency

Sau da yawa mitral da tricuspid regurgitation ake bincikar lafiya a daya haƙuri a lokaci guda. Likitan zuciyar bayan wani cikakken jarrabawa da kuma bincike na da sakamakon za ta dauki mataki a kan dabara da magani daga mãsu haƙuri. Idan da gazawar da bawuloli dan kadan nuna iya babu magani ake bukata amma dole ne a lokaci-lokaci gani da wani likitan zuciyar da auku dole Nazarin.

In an saita zuwa sa na da gazawar da bawuloli, shi za a sanya warkewa magani da nufin kawar provocateur cuta. A babu kyau muhimmancin magani aka nuna regurgitation surgically. Yawanci wannan ne a alama da kuma mai tsanani cuta.

Marasa lafiya da suke yi mashi m magani daga bawul insufficiency, yawanci nada da liyafar na kai tsaye ba anticoagulants.

Outlook

Secondary regurgitation yana dauke da mafi prognostically ya fi karfinsu. A mutuwa na marasa lafiya a wannan yanayin yakan auku daga tsokar zuciya infarction, kara zuciya rashin cin nasara, ciwon huhu, ko na huhu embolism.

Bisa kididdigar da, bayan m magani daga zuciya bawul insufficiency haƙuri rayuwa har zuwa 5 shekaru da kuma fiye da 65% bayan da prosthesis da kuma 70% bayan annuloplasty.

M hangen nesa a ganewar asali "tricuspid regurgitation na 1 mataki." Abin da shi ne, marasa lafiya yawanci gano kawai a lokacin m Nazarin. Lokacin da qananan gazawar kai tsaye barazana ga rayuwa ne ba na zuciya bawuloli.

ƙarshe

Rigakafin na mitral da tricuspid insufficiency ne da rigakafin cututtuka da cewa tsokana gazawar bawuloli. Wato, lura da rheumatism da kuma sauran cututtuka da haddasa lalacewar da zuciya bawuloli.