Regurgitation Tricuspid of 1 - yintoni na kwaye yintoni na unyango?

regurgitation Tricuspid - yenye uhlobo isifo sentliziyo, apho kukho imbuyekezo igazi ngexesha Ukuphosa systole ukusuka ventricle ekunene ukuya em- intendelezo ekunene. Isizathu soku ke tricuspid (tricuspid) isivalo, okt. E. wokuvala ezingagqitywanga ngamagqabi emnyango wayo. Tricuspid ivelufa regurgitation ukuba okufunyanwa okanye bekhubazekile.

Imvelaphi igama elithi

Igama elithi "regurgitation" livela gurgitare Latin - "umkhukula '- yaye isimaphambili wawu-, ebonisa isiphumo esahlukileyo, oko kukuthi, lubandakanya icala sokuqukuqela oqhelekileyo ... Kulo mzekelo - le sokuphuma igazi.

Izinto ezibangela regurgitation naso tricuspid

Ezingunobangela eziqhelekileyo mgceni bekhubazekile zezi:

• amaphetshana hypoplasia valve;
• uphuhliso engaqhelekanga (inani) loMthetho amaphetshana vana;
• dysplasia yethishyu nokuqina;
• syndrome Ehlers-Danlos;
• syndrome yiMarfan;
• anomaly Ebstein kaThixo.

regurgitation Tricuspid kwi osadaleka ukuzahlula kunqabile kakhulu, oko kudla kudityaniswe nezinye iziphene ngentliziyo. Le ukusilela valve ibe yinxalenye mitral-aortic-tricuspid siphene.

Oonobangela yaziwa regurgitation tricuspid

Tricuspid valve regurgitation ezifunyenwe kakhulu kuxhaphake kakhulu kunokuba bekhubazekile. Yeyona zaseprayimari nasesekondari. Oyena nobangela kwesi sifo zibandakanya rheumatism, ukuba likhoboka, carcinoid syndrome.

1. samathambo - ngoyena nobangela uqhelekileyo kwesi sifo. Ngowe-20% amatyala, oko kukuthi endocarditis nezolo samathambo kukhokelela deformation (ukuqina kunye ukuncipha) se beziya vana ngendlela nenguqu imicu efanayo ngentambo. rhoqo lesisifo enxulumene stenosis bomnyango ekunene atrioventricular. Olu dibaniso ngokuba siphene combined tricuspid.
2. Uqhekeko zihlunu papillary kusenokukhokelela ekubeni regurgitation tricuspid. Ezi izikhewu zenzeka infarctions engabalulekanga, okanye unokuba imvelaphi esibuhlungu.
3. Carcinoid syndrome nako kusenokukhokelela kwesi sifo. Senzeka kwezinye iintlobo zomhlaza, ezifana umhlaza emathunjini, maqanda, okanye lung encinane.
4. Ukwamkelwa neziyobisi kusoloko kukhokelela infective endocarditis, yena, naye, kunokubangela regurgitation tricuspid.

Izinto ezibangela tricuspid secondary insufficiency zifo ezilandelayo kakhulu rhoqo:

• komlomo ka fibrosus annulus, leyo oqhubeka cardiomyopathy inimba;
• ngezinga eliphezulu lwegazi pulmonary;
• imposiso ye ventricle ekunene, esifunyaniswe kokubizwa-intliziyo pulmonary;
• senhliziyo ezingapheliyo;
• myocarditis;
• myocardiodystrophy.

Iimpawu kubantwana

regurgitation tricuspid bekhubazekile kwiintsana ngo-25% amatyala, ibonisa njengoko tachycardia supraventricular okanye fibrillation atrial, ukuze kamva ayityhile kakhulu ukusilela intliziyo.

Xa abantwana abadala, nkqu umthwalo ubuncinane ubonakala iphika iyangongoza. Umntwana ezikhala iintlungu entliziyweni. Ngaba sigcinwe ukuphazamiseka dyspeptic (isicaphucaphu, ukugabha, flatulence), kunye neentlungu okanye ukuziva ubunzima hypochondrium ekunene. Ukuba kukho nokumfixana kwegazi, ngoko kukho nokudumba peripheral, ascites, hydrothorax okanye hepatomegaly. Konke oku yimeko embi kakhulu.

Iimpawu zesi sifo abadala

Ukuba ngezifo leyo ezifunyenwe kamva ebomini, ngexesha lokuqala umntu phezu kwalo asikwazi baze basole. regurgitation okuncinane tricuspid kwenzeka kuphela kwezinye izigulane, throbbing yegazi intamo. Ezinye iimpawu isigulana ukuba kuzalwa. Tricuspid valve regurgitation of 1 akuthethi ukuzibonakalisa. Ngokuqhelekileyo, le ngezifo ifumaneka ngengozi ngethuba loviwo lonyango elandelayo. Nomonde liphela echocardiography, apho ibanjiwe regurgitation tricuspid 1 isidanga. Yintoni na - ufumana kuphela emva kovavanyo. izigulane ezinjalo zidla nxiba kwirekhodi yi cardiologist nilinde.

Xa ukusilela kakhulu ngakumbi ivelufa kukho ukufukuka elikhulu yegazi jugular. Kulo mzekelo, ukuba ekunene ukuya ndlela jugular ukwenza isandla, u nga va angcangcazele. Kwiimeko kakhulu, iziphumo zoxilongo kwi ventricular kwekhono ekunene, fibrillation atrial, okanye ukusilela intliziyo kungabangela.

ekuxilongweni

Uxilongo "tricuspid regurgitation 1 degree" okanye ezinye kuphela kwenziwa emva kokuba uviwo ngokucokisekileyo isigulane. Ukuze wenze oku, yiya ngokusebenzisa le nkqubo ilandelayo:

• .. indlela loviwo ngokwasemzimbeni, okt auscultation kunye neethowuni yeSkrini kunye luyambombozela intliziyo;
• Echocardiography (echocardiography) - a ultrasound kwentliziyo, nto leyo ebonisa ubume ezisebenzayo kunye morphological kwemisipha intliziyo mbobo;
• ECG, apho ubona imiqondiso kukho intendelezo eyandisiweyo ekunene kwaye ventricle kwentliziyo;
• esifubeni x-reyi - xa isifundo nazo zafumana ukwanda dimensions ventricular elungileyo, umntu uyakwazi ukubona imiqondiso nomfutho yemiphunga kunye deformation of mitral kunye kwezivalo aortic;
• ukuvelisa igazi ezinto;
• epheleleyo wegazi;
• catheterization wentliziyo - le nkqubo latest invasive esetyenziselwa lokufunyaniswa ezimbi ezesifuba nonyango.

ngezigaba

Siye safumanisa ukuba tricuspid vana regurgitation umyalezo inokuba iziphene okanye lufundiwe, ephambili (organic) okanye ezenqanaba lesibini (functional). insufficiency Organic wavakalisa deformation valvular: ukuqina kunye nemibimbi le amaphetshana vana okanye calcification. lomonakalo esebenzayo kubonakala xa kwekhono vana okubangelwa zezinye izifo, libonakaliswa komsipha zihlunu okanye imicu taxi papillary kunye nokuhlukunyezwa anulus.

ubukhulu sifo

Ukwahlula degrees 4 izifo, obubonakala ngokuba yincwadi evuliweyo ekubunjweni igazi elide reverse jet yangoku em- intendelezo ekunene.

regurgitation Tricuspid of 1 - ntoni na? Kulo mzekelo, igazi ukubuya ukuphoswa mncinci kakhulu kwaye kunzima uzimisele. Kulo mzekelo, isigulane akukho mba uthe ukukhalaza ntoni. Lo mfanekiso kwezonyango engekhoyo.

Xa lokufunyaniswa "degree of regurgitation tricuspid 2" reverse igazi jet ngodongwe lwenzeka kwi-2 cm beendonga vana. Ekliniki kweli nqanaba sifo phantse andifikanga, iya kakubi wavakalisa pulsation mithambo jugular.

Regurgitation ivelufa tricuspid 3 ixhomekeke iqondo lo regurgitation umva yangoku igazi ukuba ngaphezu kwe-2 cm ukusuka ivalve tricuspid. Izigulane ngaphandle emithanjeni entanyeni yama- unokuziva iyangongoza, ukutyhafa nokudinwa, nkqu ukuphelelwa kancinane ngumphefumlo kunokwenzeka nentshukumo ephantsi.

Isifo luphawulwa kakhulu grade 4 jet umva flow igazi bephosa kumgama omde ukusuka ivalve ukuya em- intendelezo ekunene. Obunzima Iimpawu yomguli ngayo ukusilela intliziyo kakhulu kunye noxinzelelo lwegazi pulmonary inokubonakalisa (yemiphunga nezengekho regurgitation tricuspid). Kulo mzekelo, ezi mpawu zidweliswe ngasentla, anamathele ngabanye. Oko kukuthi, yalityatya ngokwamathambo nokudumba asezantsi, eziva pulsation ngasekhohlo kwentamo, nto leyo eyandisa inspiratory, intliziyo kakuhle izandi, kwiziphelo ezibandayo, isibindi ezandisiweyo, ascites (ulwelo sokuzuza kwisisu), iintlungu esiswini, kunye nohlobo samathambo kwesi sifo singabonakala aortic okanye mitral.

unyango

izinketho Treatment zixhomekeke ubungqongqo sifo, kwakunye nokuba oko kukhatshwa nezinye iingxaki intliziyo nabanezinto ezingaqhelekanga okanye hayi. Xa isifo unyango "tricuspid valve regurgitation 1 degree" jikelele ngaphandle kwentlawulo. Ezo oogqirha imeko kuthathwa njenge eyongeziweyo lobeko eqhelekileyo. Ukuba regurgitation tricuspid of 1 ngenxa yesifo, ezifana nesifo semiphunga, rheumatism okanye endocarditis infective, kufuneka ibe uthomalaliso kwezifo provocateur. Ukuba ukubabulala isifo engundoqo, kwaye ayeke deformation ngakumbi ivalve tricuspid. Ngoko ke, regurgitation tricuspid 1 degree - yintoni nokuba inyangwa njani, ke ngoku icacile. Cinga isigaba esilandelayo sifo.

ivalve Tricuspid regurgitation grade 2 kaninzi kufuna unyango. Ukuba ngezifo lu dityanisiwe nezinye malformations, okanye izifo ezesifuba ezifana ukusilela intliziyo congestive, kuyimfuneko ukuba aphathe iindlela angqingqwa. Ukulungiselela le njongo, womchamo zisetyenziswa ukunciphisa ukudumba kunye amalungiselelo, uyekelela izihlunu agudileyo imithambo yegazi (vasodilators). Amanye amanyathelo regurgitation tricuspid grade 2 kungekho mfuneko.

Unyango lwe grade 3 no-4 nayo ngqo ekupheliseni esi sifo, regurgitation yabangela. Ukuba ayisebenzi, utyando iboniswa. Xa le nto zeplastiki inikwa beziya vana, annuloplasty yabo (podshivanie amakhonkco guquka okanye ngqongqo kwakhona mhlawumbi le ring vana suture ngokuthi suturing) okanye afakelweyo.

regurgitation mitral

Xa ukungaphumeleli kwe vana mitral, xa beziya ayo asondelelene ngokwaneleyo, kukho eyayinethombo reverse kwegazi ukusuka ventricle ekhohlo kwi intendelezo ngasekhohlo ngexesha systole. Le meko kuthiwa regurgitation mitral okanye mitral valve prolapse. Le ngezifo njengoko regurgitation tricuspid inokuba nokuba naso okanye lufundiwe. Oonobangela kunye isifo kwi lokufunyaniswa 'mitral "yaye" regurgitation tricuspid "nalo efanayo. Ubungakanani, amisele ubungqongqo sifo, 4 kuphela, baxhomekeke kwimali igazi yangoku reverse:

• 1 degree - regurgitation kancinane mitral;
• 2 degree - ngcathu regurgitation mitral;
• 3 degree - eveza regurgitation ebalulekileyo mitral;
• 4 degree - severe mitral regurgitation kaninzi kwenzeka lezifo.

mitral kubi, tricuspid regurgitation 1 degree ebangela akukho zikhalazo Injongo yomguli, kungafuneki unyango. unyango therapeutic oluqhutywa izifo enzima, umz, ukuphazamiseka intliziyo rhythm okanye lwegazi miphungeni. ungenelelo kuhlinzwa kuyinto kubonisiwe insufficiency kakhulu okanye kakhulu mitral, kwezi meko kwenza yeplastiki okanye ivelufa angoozenzele.

Iindibaniso mitral kunye insufficiency tricuspid

Ngokufuthi mitral kunye regurgitation tricuspid abafunyenwe xa isigulane esinye ngexesha elifanayo. Cardiologist emva kokuba uviwo oluneenkcukacha kunye nocazululo lweziphumo iya kuthatha isigqibo malunga Amaqhinga unyango malunga nesigulane eso. Ukuba ukusilela semigudu ngendlela kancinci ukuze kungafuneki unyango kodwa kufuneka athile wabonwa yi cardiologist yaye bazipase ezi mviwo eziyimfuneko.

Ukuba imiselwe ku ukubangela ngokumka semigudu, uya kunikwa unyango enyangayo ejoliswe bayeke isifo provocateur. Xa kungekho nemiba ezintle unyango iboniswe regurgitation intsumpa. Ngokuqhelekileyo oku sifo ezimakishiweyo kakhulu.

Izigulane owayefumene unyango zoqhaqho vana insufficiency, ngokuqhelekileyo oqeshwe yi ulwamkelo anticoagulants ngqo.

Outlook

regurgitation Secondary kugqalwa kakhulu prognostically nezinzima. Ukufa izigulane kulo mzekelo kaninzi kwenzeka ngenxa iposi engabalulekanga, ukwandisa ukusilela intliziyo, inyumoniya okanye Embolism miphungeni.

Ngokutsho manani, emva unyango zoqhaqho yentliziyo nokufakelwa insufficiency ukusinda nomonde ukuya kwiminyaka-5 kwaye ngaphezu kwama-65% emva kokuba afakelweyo ne-70% emva annuloplasty.

abantu abane kakuhle xa kufunyaniswa isifo "regurgitation tricuspid of 1." Ntoni na, izigulane ngokuqhelekileyo ukufumana phandle kuphela ngethuba leemviwo zokuthintela. Xa ukusilela usongo minor ngqo ebomini ayikho kwemithambo yenhliziyo.

isiphelo

Uthintelo lwe insufficiency mitral kwaye tricuspid ke zokuthintela izifo bandiqumbisayo ukusilela semigudu. Oko kukuthi, unyango lwezifo rheumatism kunye nezinye ebangela umonakalo kwemithambo ngentliziyo.