An samo cututtukan zuciya: mitral stenosis

Takaita da bude tsakanin hagu da bẽnãye na zuciya , da aka sani da mitral stenosis ko da yaushe Organic. Babban dalilin da ci gaban samu cututtukan zuciya - rheumatic endocarditis. Da yawa kasa da yanayin da mitral stenosis endocarditis sauran asalin.

Takaita atrioventricular orifice tasowa a sakamakon Fusion na leaflets na mitral bawul da juna, su thickening da sealing. A bawul daukan wani nau'i na diaphragm da tsaguwa positioned a tsakiyar rami ko mazurari siffar.

A yankin na mitral orifice kullum 4 - 6 sq. cm. Mitral stenosis take kaiwa zuwa canje-canje a cikin jini ya kwarara a cikin zuciya. Hemodynamic disturbances bayyana lokacin da takaita bude zuwa 1.5 sq. cm. A lokacin diastole, da jini daga bar atrium basu da lokaci zuwa cikakken shiga hagu ventricle. Saboda haka, a hagu atrium ne a kananan adadin jini, to wanda aka kara da jini ya fito daga cikin huhu jijiyoyinmu. A sakamakon haka, da atrium aka zubar da jini da kuma ƙara matsa lamba a cikinta, wanda da farko compensating riba contractions kuma atrial mike. Amma a matsayin murdede bango na atrium rarrauna ne, ya aka zarar rage contractility, ta ƙara cunkoso da kuma matsa lamba da aka kara inganta. A kan lokaci akwai stagnation na jini a cikin huhu wurare dabam dabam, da kara aza a dama ventricle, akwai cunkoso a cikin jijiyoyin bugun gini tsarin da manyan da'irar.

asibiti hoto

Tare da m stenosis na gunaguni da haƙuri iya ba su da jiki aiki ne ba ma hananna ba. A farko kuka, ya nuna bayyanar stagnation a cikin tasoshin da na huhu wurare dabam dabam, masu nakasa daga 'ya'yan numfashin da tari - bushe ko da wani karamin adadin sputum, kazalika da gajiya da palpitations. A nan gaba, akwai hemoptysis kuma maimaita hare-hare na cardiac asma. Pain a cikin zuciya bayyana a cikin kimanin 10% da marasa lafiya.

Pulse iya zama ba iri daya ba a kan biyu makamai. Wannan shi ne saboda kara girman hagu atrium matse hagu subclavian jijiya, da kuma ciko da zuciya zuwa hagu tayi. Sau da yawa akwai atrial fibrillation.

Palpation na koli na zuciya da aka ƙaddara da alama na cat ta purr. Feline purring bayyana lokacin da jini ya wuce ta mitral orifice canza.

Feat. Irfan zuciya iyakokin m biya diyya upwardly da dama, wanda ya auku a sakamakon canje-canje a cikin mutum ɗakunan ajiya na zuciya, wanda ya karbi mitral sanyi.

Auscultation na zuciya ne na bayar da muhimmanci a cikin ganewar asali da mataimakin kamar yadda mitral stenosis yana da hankula auscultatory karin waƙa. Sama koli na zuciya auscultated sonorous tafi farko sautin, diastolic gunaguni da kuma ƙarin ton samar a lokacin da bude daga cikin mitral bawul. Duk da wannan siffofin da hankula auscultatory launin waƙa, kira tattabaru dõminku kari. A kan tushe na zuciya ne auscultated lafazi da tsaga ko tsakiyan nonon II sautin, bayyanar wanda ake alaka da stagnation na jini a cikin huhu.

Jini ne kullum ba ya canja, wani lokacin da ɗan rage systolic da diastolic ƙaruwa.

bincikowa da

A cikin radiograph aka ƙaddara ta a modified sanyi na zuciya, da ake kira mitral da cunkoso.

A ECG - ãyõyin kara girma daga cikin zuciya da bẽnãye.

Wadannan PCG maimaita sakamakon auscultation na zuciya.

Na bayar da muhimmanci a cikin ganewar asali da lahani echocardiography cire, da barin bawul domin sanin nakasawa, thickening da kuma calcification ta bude yatsun, ƙarar canji na zuciya da bẽnãye, cardiac bango kauri.

magani

Jiyya na stenosis na wani sarrafawa bukatar tiyata. Stenoses bawul aiki kunshi a yin commissurotomy - dissection modified bawul leaflets. A mitral da aortic stenosis, magani wanda aka yi surgically, kafin aiki da za a tuba a cikin wani sakamakon mataki.