Piha te pūtahi o: te hanganga, mahi tikanga. Stenosis me iti hoki o te piha te pūtahi o

Pūtahi o mate ngakau valvular te nuinga o te āhuatanga e te huru hokona, ka whakakitea hauora anake i roto i te tau tawhito. Ka taea e ratou aroaro meinga nui raruraru hemodynamic. Ko te pakeke o te mate ko e huringa e pā vaolo e tina heke.

hanganga o te ngakau: mapuni

Ko te ngakau, he tinana tuwhera e ngā o ruma wha. Ko te haurua maui, me te tika wehea e pātaki i roto i nei kahore ngā, Heoi, i waenganui i te marae me te ana roro i ia taha he poka rite rawa ki te piha. Ēnei ngā hanganga hanga reira taea ki te whakahaere i te toto tohanga, te ārai regurgitation, arā makanga whakamuri.

I runga i te mahue i reira te piha mitral ngā o rua vaolo, a ki runga ki te matau - te tricuspid, kua reira e toru mātārere. E whakaratohia vaolo miro iohere, e whakarite te kohao i roto i te kotahi anake aronga. ārai ana tēnei backflow o toto ki te whakarewanga marae. I te whakawhitinga o te mānawanawa maui ki te haoraora, piha te pūtahi o reira. Āna mahi - ki te whakarato i te whakatairanga-iu tetahi o te toto ki te haoraora. I te taha ki matau, ko ano hoki he piha o te iatuku pūkahukahu. E huaina hinonga rua "semilunar" to ratou ia e toru mātārere. Tetahi pīari, hei tauira, calcification o te piha te pūtahi o, arata'i ki te rangirua o te kaupapa toto. Kei te nuinga o te wā hē riro e pā ana ki tetahi mate. Na reira, kia iwi ki ngā āhuatanga mōrearea pera-ka karanga kia āta wā: te nuinga echocardiogram.

Ko te tikanga o te piha te pūtahi o

He wāhi nui i roto i te tohanga whai te piha te pūtahi o. Kua hiritia nga ngā paki poroa ranei - ko tetahi o nga pathologies matua tenei. riro te reira i te take o te tapepe hemodynamic. Ko te mahi o tenei wahi o te tinana - kia whakarite i te whakatairanga o toto i te marae maui ki te roro, te ārai regurgitation. E whakatuwheratia ana te tapo'i i roto i systole Atrial, toto wa i nei whakahaua te roto i te piha te pūtahi o ki te roro. I tua atu, kei te katia te paki ki te ārai i makanga whakamuri.

hē Heart: whakarōpū

Na roto i te wa o te tupu e taea te tāutuhia hē ngakau congenital (piha te pūtahi o me ētahi atu hinonga) ka riro. pā te huringa nga mapuni e kore anake, engari nga taiepa ngakau. Kei te maha ngā hē congenital, hanga reira uaua ki te tātari me te hamani.

stenosis takirere te pūtahi o

Māuiuitanga tā whāiti o te whakawhitinga o te mānawanawa maui ki te haoraora - pānga te mātārere piha me ratou kopa e karapoti ana. Tenei mate, kia rite ki tohu tatauranga, atu noa i roto i nga tane. Taatiraa o te taiepa o te haoraora me piha te pūtahi o te nuinga e pā ana ki pāpaka rūmātiki me te degenerative. Ano, rite taea te kaihoko etiologic mahi endocarditis, kaikōiwi. hua ēnei mate i roto i te hononga o te kākaho, reira whakaiti ratou nekeneke, me te kore e taea e te piha e tino tuwhera i roto i systole o te mānawanawa maui. I roto i te tau tawhito, he maha take mo te kore atherosclerosis me calcification o nga mātārere piha te pūtahi o.

Ka rite ki te hua o te whāiti o te orifice te pūtahi o reira e nui ngā rerekētanga i roto i te hemodynamics. E kitea ratou ka whakahuatia te tohu o te stenosis e - te whakaiti i wahi i neke atu i te 50%. arata'i tenei ki te meka e te rōnaki o te huringa pēhanga piha te pūtahi o - tonu pēhanga te pūtahi o noa, engari e faarahi te reira i roto i te ana roro maui. Nui haere te rongo ki runga ki te taiepa o te ana roro maui arata'i ki te whanaketanga o te hypertrophy e vai, e ko, ki tona thickening. Muri ohorere mahi diastolic me e ai he hua i roto i te pēhanga i roto i te marae maui. arata'i hypertrophy ki nui haere te hiahia hāora, Heoi, ko te nui haere kaute papatipu myocardial mō te supply toto o mua, me te ara i te hekenga i roto i pathologies te rere. arata'i tenei ki te whanaketanga o te kore ngakau.

whare hauora

I roto i te tīmatanga o te piha te pūtahi o pāngia e taea kore e faaite mai iho. huringa Haumanu puta ka whakatuwhera i te here ki te 2/3 o noa. I roto i te tautooraa kino tīmata tūroro ki whakakorikoria te mamae, paetata muri te whaturei. Mamae syndrome i roto i wā onge, kia pā ana ki te ngaronga o te mahara e tika ana ki te vasodilatation pūnahanaha. Hanganga o te takawhita pūkahukahu ārahi ki te hāhā o te manawa, i te tuatahi āwangawanga anake ki te kawenga, engari ka reira he i okiokinga. riro akoranga mate e tautohetia ana te take o te kore ngakau ma'i. titau māuiuitanga maimoatanga hāparapara, rite reira ko he mōrea o ino, me te mate cardiac ohorere.

tātaringa

I te whakamātautau, tūroro i ataahua āhuatanga e pā ana ki putanga cardiac iti. he pini iatuku-Pūtoro i papaki detectable - ko reira he onge, me te ngoikore. kite Auscultation ngoikore o 2 pepe wāwāhi ranei. e kore te mea feunga mōhiohio ECG - kua oti te whakarite tohu o hypertrophy anake i roto i te stenosis nui. Ko te echocardiography tino whakakitenga i roto i te tikanga ki te aromatawai i te piha te pūtahi o. Kua hiritia nga paki, ka thickened, whāiti tuwhera - ko nga paearu tātaritanga matua, e āwhina ki te kitea tenei ako. tōtika te tohu o te stenosis me te pēhanga rōnaki ki te whakatau i kōwhao catheterization.

maimoatanga

Hoki ngawari-ki-āhua stenosis rapu ako anake o te āhua noho - te tupato mahi nui, maimoatanga o comorbidities. Ki te nui haere whakapotonga auau tautapa blockers, a i roto i te kore te ngakau Diuretics whai hua, glycosides cardiac. hiri whakahuatia rapu nga taiepa o te haoraora me piha te pūtahi o maimoatanga hāparapara. Ko te tikanga puritia prosthesis poihau pītore ranei.

iti hoki takirere te pūtahi o

Ko te ingoa i homai ki māuiuitanga āhuatanga nesmykaniem parirau. arata'i tenei āhuatanga ki te hoki o te toto maka ki te ana roro maui e puta i roto i diastole. Fafauraa Eastern Ko te tikanga he pōauautanga o endocarditis infective me rūmātiki. Iti maha arata'i te reira ki pakewakewa, aneurysm te pūtahi o, te haoraora, takawhita, syndrome o Marfan, pūnahanaha erythematosus lupus.

piha te pūtahi o whai wāhi nui i roto i te tohanga. katinga pahara o ona parirau ai regurgitation, arā, te hoki o toto ki te whakarewanga ana roro maui. Ko te hua, ko te rōrahi toto nui o tona kōhao, e tika ana ki te panamaha me stretchability. Oto mahi systolic me te pēhanga toto tiketike arata'i ki te whanaketanga o te hypertrophy. piki Retrograde te pēhanga i roto i te porohita iti - āhua takawhita pūkahukahu.

whare hauora

Ka rite ki stenosis, hanga māuiuitanga ano ua anake i roto i te tohu nui o te kore. A, no te puta tautooraa hāhā, kua whai pānga te reira ki te takawhita pūkahukahu. ohorere mamae anake i roto i te 20% o te wā. I te wa ano whakahuatia auscultation me tohu o māuiuitanga:

1. Otu'itu'iraa o nga pera kakī.
2. Tohumate Duroziez ranei takanga systolic amuamu i te iatuku femoral. Puta reira ka kowhakina ia piri ki te tūranga whakarongo.
3. Tohumate angioedema - huri te tae o nga ngutu, me nga titi i roto i runga i te otu'itu'iraa o nga arterioles.
4. Traube pepe rua, nui, "repo" e whakatika ki runga i te iatuku femoral.
5. Tohumate de Musset, whakakitea wiri tona matenga.
6. haruru Diastolic i muri i te 2 pepe tupu i runga i auscultation o te ngakau, me te ngoikore 1 te ware.

tātaringa

tikanga kōrero ngā echocardiography me catheterization kōwhao. tukua ratou ki a koutou te aromatawai i te piha te pūtahi o, me te ki te aru i te rōrahi o te toto regurgitated. I runga i te pūtake o enei rangahau takoto te pakeke o te tumuaki tuarua me te whakatutuki i te take o te hiahia mo te pokanga.

maimoatanga

kore Pākaha o te rōrahi nui o regurgitation, titau symptomatic kaha maimoatanga hāparapara. tukua tino pai - vaolo te pūtahi o horihori, e tukua ki a koutou whakahokia mahi ngakau. Ki te tika, whakaritea rongoā symptomatic.

Stenosis me te piha te pūtahi o - te kohakore ngakau tino noa, e he te nuinga o te putanga o te mate rohe pūnaha ranei. kauneke kaua āta te māuiuitanga, e taea wa ki te tātari i te reira. tikanga Modern o maimoatanga ki te āwhina i whakahokia piha mahi, me te whakapai ake i te huru o te manawanui.