Mitral insufficiency da magani

Mitral insufficiency - a pathological aiwatar tasowa mafi sau da yawa a lokacin da wadannan cututtuka: rheumatism, cututtuka endokardit.Znachitelno kasa ya tasowa a sakamakon calcification na mitral zobe, zuciya bawul raunuka a tsari scleroderma ko tsari lupus erythematosus, kazalika da aortoarteritis, degenerative cututtuka na connective nama - syndromes Eilers-Danlos da Marfan. Kamar yadda rikitarwa na balan-balan valvuloplasty ne kuma zai yiwu fitowan da wannan cuta.

Mitral insufficiency tasowa saboda katsewa da tsirkiya, ko papillary tsoka, kamar tsokar zuciya infarction. A sakamakon infective endocarditis yiwu m halaka ko lalacewar bawul leaflets. A dauke da fitar da bawul prosthesis iya ci gaba da rikitarwa - okoloklapannaya regurgitation.

Dangi mitral insufficiency iya ci gaba saboda da fadada masallatai na zuciya (idan myocardiodystrophy, myocarditis, cardiomyopathy, ischemic cututtukan zuciya).

Akwai iri biyu mitral insufficiency: m kuma na kullum.

A halayyar bayyanar cututtuka na m cuta ne manifestations na hagu na ramin zuciya gazawar da Accession na hypotension da na huhu edema. Sau da yawa akwai atrial fibrillation, m iya ci gaba atrial lashe.

Kullum mitral regurgitation ne lokaci mai tsawo (game da 10 years) faruwa boye. Sa'an nan, akwai riga gunaguni halayyar zuciya kasawa: shortness na numfashi a kan aikinsa, gajiya. Zai yiwu bayyanar cututtuka Ortner: bayyana hoarseness saboda matsawa na kara girman zuciya maimaita jijiya. Daga bisani ya koma da tari da kuma hemoptysis, kumburi saboda da pronounced stagnation a kananan da manyan wurare dabam dabam.

Lokacin da kyan gani, daga irin wannan haƙuri a iya samun lebe cyanosis. Wannan mitral zuciya cutar halin bugun jini na talakawan ciki. Zai yiwu tachypnea. Hijirar na cikin apical turu ya auku ga hagu, ya zama yaxuwa, kuma Ya ƙarfafã. tare da gagarumin mitral regurgitation auku systolic jitter a cikin koli na zuciya.

Auscultation mitral insufficiency halin da bayyanar systolic gunaguni a koli, wanda yana da kyau gudanar a axillary yankin. Haka kuma an halin da weakening a cikin koli na zuciya da na sautin.

Mitral zuciya lahani, da suka hada da mitral regurgitation bukatar m magani, wariya - kullum asymptomatic. Da farko nada diuretics (furosemide) da kuma na gefe vasodilators (sodium nitroprusside). Don kula da hemodynamics a al'ada matakan, za a iya amfani da ciki-aortic balan-balan counterpulsation.

M magani ne da za'ayi shan la'akari da yanayin haƙuri kuma hanyar mitral insufficiency. Alal misali, a infective endocarditis m mitral bawul insufficiency a gaba rana bukatar tiyata, da kuma tsokar zuciya infarction fifiko aiwatar da ra'ayin mazan jiya far.

Ko da kuwa da etiology na mataimakin zama dole don gudanar da rigakafin infective endocarditis.

Farko na bayyanar cututtuka ne mai nuni ga m magani. Operation zabi - roba mitral bawul. Wannan damar domin mai girma synchrony a hagu na ramin zuciya ƙanƙancewa kuma ba ya bukatar m anticoagulation. A gaban calcifications amfani mitral bawul. Annuloplasty aka yi amfani da magani na zumunta mitral insufficiency.