Regurgitation Tricuspid o te 1 tohu - he aha te mea te reira me aha ko te maimoatanga?

regurgitation Tricuspid - ko tetahi ahua o te mate ngakau, i roto i nei i reira ko te hoki o te toto i roto i te taunga systole i te roro matau ki te kōhao o te marae tika. Ko te take hoki tenei ko te tricuspid (tricuspid) piha, ie. E. kati Tarepa o ona rau tatau. riro regurgitation takirere Tricuspid te ranei congenital.

Origin o te wā

Ko te kupu "regurgitation" mai i te gurgitare Latin - "waipuke" - me te tei kuhimua, tohu te pānga ritenga, arā, tā te reira te ahunga ritenga o te rere noa ... I roto i tenei take - te backflow o toto.

Take o te regurgitation tricuspid congenital

Ko te take tino noa o kōhikohiko congenital he:

• mātārere hypoplasia takirere;
• whanaketanga rerekē (te maha) o te mātārere piha;
• dysplasia o kiko tūhonohono;
• Ehlers-Danlos syndrome;
• syndrome Marfan;
• Pākatokato o Ebstein.

regurgitation Tricuspid i roto i te kukune i roto i te taratahi ko te tino onge, Kei te nuinga o ngā reira ki ētahi atu hē ngakau. pea tenei kore takirere wāhanga o te koha mitral-te pūtahi o-tricuspid.

Take o whiwhi regurgitation tricuspid

riro nui atu noa atu i congenital regurgitation takirere Tricuspid. Ko te reira i te tuatahi, me te tuarua. Ko te take tuatahi o tenei mate ngā rūmātiki, ma'unimā, syndrome carcinoid.

1. Rūmātiki - ko te take tino noa o tenei mate. I roto i te 20% o te wā, arata'i ara endocarditis rūmātiki recurrent ki deformation (thickening me shortening) o te paki piha i roto i te taua tikanga, me te huringa iohere miro. Tino maha tūhono tenei mate te stenosis o te whakatuwheratanga atrioventricular tika. huaina ana tēnei huinga ko te koha tricuspid ngā.
2. kia hoki whaturama o uaua papillary arahi ki regurgitation tricuspid. Enei pakaru tupu i roto i infarctions myocardial, ranei kia whai i te takenga mai pāmamae.
3. Ka taea hoki e syndrome Carcinoid arahi ki tenei mate. puta te reira i roto i te tahi mau momo o mate pukupuku, pērā i te mate pukupuku o te iti whēkau, kura kākano, pūkahukahu ranei.
4. Urunga taero pakeke maha arata'i ki infective endocarditis, a ia, i roto i tahuri, kia meinga regurgitation tricuspid.

He tino maha take o tricuspid tuarua iti hoki e whai ake nei mate:

• pū o te fibrosus annulus, e whakatika i roto i cardiomyopathy dilated;
• tohu tiketike o te takawhita pūkahukahu;
• te ngoikore o te roro matau, kitea nei i roto i pera-ka karanga ngakau pūkahukahu;
• kore ngakau ma'i;
• myocarditis;
• myocardiodystrophy.

Tohu i roto i ngā tamariki

Congenital regurgitation tricuspid i roto i nga kohungahunga i roto i te 25% o te wā, faaite rite tachycardia supraventricular fibrillation Atrial ranei, kia i muri whakakitea nui kore ngakau.

I roto i ngā tamariki pakeke, ara i kawenga iti puta hāhā o te manawa, me te palpitations. kia amuamu te tamaiti o te mamae i roto i te ngakau. Ka taea te kitea disorders dyspeptic (whakapairuaki, ruaki, flatulence), me te mamae ranei te mana'o o te pouri i roto i te hypochondrium tika. Ki te kahore he popoketanga i te tohanga nahanaha, ka i reira e piringa edema, ascites, hydrothorax hepatomegaly ranei. Ko te huru rawa taumaha tenei katoa.

Tohu o te mate i roto i ngā pakeke

Ki te whiwhi te māuiuitanga e muri i roto i te ora, i te wāhanga tuatahi o te tangata ki runga ki taua mea e taea e kore noa whakapae. puta Iti regurgitation tricuspid anake i roto i te tahi mau tūroro, Korowhiti uaua kaki. e kore e Ētahi atu tohu o te manawanui tuhia. Tricuspid regurgitation takirere o te 1 tohu e kore e taea whakaatu iho. Tikanga, kitea tenei māuiuitanga e tupono noa i roto i te whakamātautau i muri hauora. Manawanui whakawhānui echocardiography, te wahi e kitea ai regurgitation tricuspid 1 tohu. He aha te mea te reira - e kitea e ia i muri anake i te whakamātautau. Kei te nuinga o te wā hoatu taua tūroro i runga i record e te mafatu, me te tiaki.

I roto i te kore atu nui o te piha i reira te mea he puku nui o nga uaua jugular. I roto i tenei take, ki te te tika ki te rua jugular ki te hanga i te ringa, ka taea e koe ite i te wiri. I roto i ngā take kino, nga hua māuiuitanga i roto i pōrearea tika ventricular, fibrillation Atrial, ranei kore ngakau e taea meinga.

tātaringa

taea anake te hanga tātaritanga "tricuspid regurgitation 1 tohu" ranei etahi atu i muri i te hi'opo'a maitai o te manawanui. Ki te mahi i tenei, haere i roto i te tukanga e whai ake nei:

• .. tikanga whakamātautau ā-, arā auscultation ki te pepe pūoko whakaroto me amuamu ngakau;
• Echocardiography (echocardiography) - he ultrasound cardiac, e tāutu ana mana mahi, me te morphological o te uaua ngakau me vaolo;
• ECG, i roto i nei ka taea e koe te kite i nga tohu o te marae matau rahi me te ana roro o te ngakau;
• pouaka x-ray - ka kitea nui haere ano te ako āhuatanga ventricular matau, tetahi e taea kite tohu o takawhita pūkahukahu me te deformation o mitral me vaolo te pūtahi o;
• hua toto matüora;
• Kia hia ngā toto oti;
• catheterization cardiac - tenei tukanga urutomo hou whakamahia mo te tātaritanga o pathologies cardiac me te maimoatanga.

whakarōpū

kitea e matou e kia kia congenital ranei riro, tuatahi (organic) ranei Tuarua (mahi) te piha tricuspid regurgitation etiology. faaite iti hoki Organic deformation valvular: thickening me wrinkling o nga mātārere piha calcification ranei. whakakitea waimaero Taumahi te ka te pōrearea takirere meinga e te tahi atu mate, whakakitea whaturama o papillary uaua iohere ranei tangiata me takahi anulus.

whānuitanga o te mate

Wehewehe 4 nekehanga o mate, e kua āhuatanga e makanga toto roa whakataka jet nāianei i roto i te kōhao o te marae tika.

regurgitation Tricuspid o te 1 tohu - he aha te mea te reira? I roto i tenei take, he iti, me te takoto whakauaua te toto hoki taunga. I roto i tenei take, i te manawanui kore mea te mea te kore amuamu. Kei te ngaro te pikitia haumanu.

A, no te te tātaritanga o "tohu o regurgitation tricuspid 2" puta whakamuri toto jet makanga i roto i te 2 cm o te taiepa piha. Ko tata ngaro hauora i tenei wā o te mate, kia painga faaite ai reira otu'itu'iraa uaua jugular.

Regurgitation takirere tricuspid 3 takoto e te tohu o te regurgitation nāianei whakamuri o te toto hoki neke atu i te 2 cm i te piha tricuspid. Tūroro anake uaua kaki pōkare ai ite palpitations, ngoikore, me te rohirohi, ara he hāhā iti o kia puta ki te mahi tinana iti manawa.

huru no te mate e kino kōeke 4 jet whakamuri rere toto e maka ana mo te tawhiti roa i te piha ki te kōhao o te marae tika. I roto i te kino Ka taea te kite tohu o te manawanui o te kore ngakau nui, me te takawhita pūkahukahu (pūkahukahu me te regurgitation tricuspid). I roto i tenei take, nga tohu whakarārangitia i runga ake, piri e ētahi atu. Ara, ko te edema e alangá raro, ongo'i otu'itu'iraa mahue whaturei, e faarahi te inspiratory, oro ngakau waimaero, e taea te kite pito matao, ate rahi, ascites (kūtere haaputuraa i roto i te kōhao puku), mamae puku, me mo te āhua rūmātiki o tenei mate pūtahi o mitral ranei.

maimoatanga

kōwhiringa Treatment whakawhirinaki i runga i te pakeke o te mate, me te i runga i ranei te tahi i te reira e te tahi atu hē ngakau me abnormalities kahore ranei. A, no te te tātaritanga he tikanga "tricuspid regurgitation takirere 1 tohu" maimoatanga kahore tiaki. E whakaaro tākuta te huru te hunga i te kē noa. Ki te regurgitation tricuspid o te 1 tohu e tika ana ki etahi mate, pērā i te mate pūkahukahu, rūmātiki ranei endocarditis infective, kia waiho ai te therapy o mate provocateur. Ki te whakakahoretia o te mate e whāriki ana, a ka mutu deformation atu o te piha tricuspid. Na, regurgitation tricuspid 1 tohu - he aha te mea reira me pehea ki te hamani i te reira, ko te reira i teie nei mārama. A feruri i te atamira i muri o te mate.

piha Tricuspid regurgitation māka 2 maha e kore e rapua e maimoatanga. Ki te whai pānga te māuiuitanga e ki atu malformations, mate cardiac ranei pērā i kore ngakau congestive, he mea e tika ana ki te hamani ki tikanga momo. Hoki tenei whakaaro, e whakamahia Diuretics ki te whakaiti i ngawhatanga me taka, olungá nga uaua maeneene o oko toto (vasodilators). e kore e Ētahi mehua regurgitation tricuspid kōeke 2 hiahiatia.

Kei te whakahaua hoki maimoatanga o te kōeke 3 me te 4 ki te whakakorenga o te mate, meinga regurgitation. Ki te kore e mahi i te reira, tohua pokanga te. A, no te whakaratohia tenei rauemi kirihou te paki piha, ratou annuloplasty (mowhiti ngāwari mārō ranei podshivanie hoki pea o te mowhiti piha suture mā te suturing) ranei prosthesis.

regurgitation mitral

A, no te kore o te piha mitral, ina e piri nui ona ngā paki katia, i reira te mea he rere whakamuri o toto i te roro maui ki te marae maui i roto i systole. huaina ana tēnei huru ko regurgitation mitral ranei prolapse takirere mitral. Tenei māuiuitanga rite regurgitation tricuspid kia rānei congenital riro ranei. Take me tātaritanga i roto i te tātaritanga o "mitral" me "regurgitation tricuspid" he rite ano hoki. Whānuitanga, te whakatau i te pakeke o te mate, 4 anake, whakawhirinaki ratou ki runga ki te nui o te toto te nāianei whakamuri:

• 1 tohu - iti regurgitation mitral;
• 2 tohu - āhua regurgitation mitral;
• 3 tohu - whakahuatia regurgitation mitral nui;
• 4 tohu - nui regurgitation mitral maha puta atu tahumaero.

mitral iti, tricuspid regurgitation 1 tohu meinga kahore amuamu whāinga o te manawanui, e hiahiatia ana kahore maimoatanga te. kawea maimoatanga haumanu i roto i roto i te mate uaua, hei tauira, raruraru manawataki ngakau ranei takawhita pūkahukahu. tohua wawaotanga hāparapara te i roto i te kino kino ranei iti hoki mitral, i roto i enei take hanga te kirihou piha prosthetic ranei.

Ko te huinga o te mitral me te iti hoki tricuspid

E mea pinepine e pāngia te mitral me regurgitation tricuspid i roto i te kotahi manawanui i te wa ano. Mafatu i muri i te whakamātautau taipitopito me te tātaritanga o te hua ka tango i te whakatau i runga i nga tātai o te maimoatanga o te manawanui. Ki te paku kia hiahiatia kahore maimoatanga e whakahuatia te kore o mapuni engari me wā kitea e te mafatu, me ki tika i te whakamātautau e tika ana.

Ki te whakaturia e ki meinga o te kore o mapuni, ka kia whakaritea reira maimoatanga whakaora e hāngai ana te whakakore mate provocateur. I roto i te ngaro o akiaki pai o te maimoatanga tohua te regurgitation hāparapara. Ko te tikanga he i roto i te mate i tohua, me te kino tenei.

Tūroro e Nōna ka maimoatanga hāparapara o piha iti hoki, te nuinga o whakaritea e te fariiraa o anticoagulants autaki.

outlook

whakaaro regurgitation Tuarua ko te tino prognostically kino. te tikanga puta te mate o te tūroro i roto i tenei take i te infarction myocardial, te whakanui ake i kore ngakau, kakā Embolism pūkahukahu ranei.

E ai ki ngā tatauranga, i muri i te maimoatanga hāparapara o te ngakau piha iti hoki ora manawanui ki runga ki te 5 tau, me te neke atu i te 65% i muri i te prosthesis me 70% i muri i annuloplasty.

waitohunga pai i te tātaritanga "regurgitation tricuspid o te 1 tohu." He aha te mea te reira, te tikanga kitea tūroro i roto i anake i roto i ngā whakamātautau ārai. A, no te kore ko o te mapuni ngakau he kore riri hāngai iti ki te ora.

mutunga

Prevention o te iti hoki mitral me tricuspid ko te ārai o mate e whakapataritari kore o takirere. Ara, maimoatanga o te rūmātiki me ētahi atu mate hei he ki nga mapuni ngakau.