Tricuspid kudzokorora

Ropa rinoyerera pakati pemakamuri akasiyana emoyo wako rinofanira kupfuura nepavharuvhu yemoyo. Mavharuvhu aya anovhura zvakakwana kuti ropa riyerere nepakati. Ivo vanobva vavhara, vachichengetedza ropa kubva kuyerera richidzokera kumashure.

Iyo tricuspid vharuvhu inoparadzanisa kurudyi ezasi yemoyo kamuri (iyo kurudyi ventricle) kubva kurudyi kumusoro kwepamoyo kamuri (kurudyi atrium).

Tricuspid kudzokorodza chirwere umo iyo vharuvhu isingavhare zvakakwana. Dambudziko iri rinokonzeresa kuti ropa riyerere richidzokera mukamuri yekurudyi yemusoro chepamwoyo (atrium) panobvumirana mukamuri yekurudyi yemoyo (ventricle).

Kuwedzera kwehukuru hweakarurama ventricle ndicho chinonyanya kukonzera mamiriro aya. Ventricle yekurudyi inopomba ropa kumapapu kwainotora oxygen. Chero mamiriro ezvinhu anoisa kumwe kushushikana pane ino kamuri anogona kukonzera kuti iwedzere. Mienzaniso inosanganisira:

• Kuipa kwepamusoro kweropa mumariti emapapu ayo anogona kubva padambudziko remapapu (seCOPD, kana hovha yakaenda kumapapu)
• Rimwe dambudziko remwoyo rakadai sekusvinira kwakashata kwerutivi rworuboshwe rwemoyo
• Dambudziko nekuvhurwa kana kuvhara kweimwe yemavharuvhu emoyo

Tricuspid kudzoka zvakare kunogona kukonzerwa kana kuwedzerwa nezvirwere, senge:

• Rheumatic fever
• Kubatwa kweiyo tricuspid moyo vharuvhu, iyo inokonzeresa kukuvara kwevhavha

Zvishoma zvishoma zvinokonzeresa zve tricuspid kudzokazve zvinosanganisira:

• Mhando yehurema hwemwoyo huripo pakuzvarwa inonzi Ebstein anomaly
• Carcinoid mamota, ayo anoburitsa mahormone anokuvadza iyo vharuvhu.
• Marfan chirwere.
• Rheumatoid arthritis.
• Radiation kurapa.
• Kushandiswa kwekare kwepiritsi yekudya inonzi "Fen-Phen" (phentermine uye fenfluramine) kana dexfenfluramine. Mushonga uyu wakabviswa mumusika muna 1997.

Nyoro tricuspid kudzokazve kunogona kusakonzera chero zviratidzo. Zviratidzo zvekutadza kwemoyo zvinogona kuitika, uye zvinogona kusanganisira:

• Kushanda kusvetuka mumutsipa mutsipa
• Yakaderera weti kubuda
• Kuneta, kuneta
• Kazhinji kuzvimba
• Kuzvimba kwedumbu
• Kuzvimba kwetsoka nemakumbo
• Kushaya simba

Anopa hutano anogona kuwana zvisina kujairika kana zvinyoronyoro uchimanikidza neruoko (kurova) pachipfuva chako. Iye mupi anogona zvakare kunzwa kupisa pamusoro pechiropa chako. Iko kuongorora kwepanyama kunogona kuratidza chiropa uye spleen kuzvimba.

Kuteerera kumoyo ne stethoscope kunogona kuratidza kugunun'una kana mamwe manzwi asina kujairika. Panogona kuve nezviratidzo zvemvura inovaka mudumbu.

Iyo ECG kana echocardiogram inogona kuratidza kuwedzera kwerutivi rwerudyi rwemoyo.Doppler echocardiography kana kurudyi-sided moyo catheterization inogona kushandiswa kuyera BP mukati memwoyo nemapapu.

Mimwe bvunzo, senge CT scan kana MRI yechifuva (moyo), inogona kuratidza kuwedzera kwerutivi rwerudyi rwemoyo uye nedzimwe shanduko.

Kurapa kunogona kusadikanwa kana paine mashoma kana pasina zviratidzo. Ungangoda kuenda kuchipatara kuti uongorore uye ubate zviratidzo zvakakomba.

Kuzvimba uye zvimwe zviratidzo zvekutadza kwemoyo zvinogona kutarisirwa nemishonga inobatsira kubvisa zvinwiwa kubva mumuviri (diuretics).

Vamwe vanhu vanogona kukwanisa kuvhiyiwa kugadzirisa kana kutsiva iyo tricuspid vharafu. Kuvhiya kunowanzoitwa sechikamu cheimwe nzira.

Kurapa kwemamwe mamiriro kunogona kugadzirisa kusagadzikana uku. Izvi zvinosanganisira:

• Kuwedzera kweropa mumapapu
• Kuzvimba kwekamuri repazasi remukati memukati

Kugadzira vharuvhu yekugadzirisa kana kutsiva kazhinji inopa mushonga kune vanhu vanoda kupindirwa.

Iko kutaridzika kwakashata kune vanhu vane chiratidzo, chakakomba tricuspid kudzokazve izvo zvisingakwanise kugadziriswa.

Fonera waunopa kana iwe uine zviratidzo zve tricuspid kudzokazve.

Vanhu vane zvipingaidzo zvemwoyo zvisina kujairika kana zvakakanganisika vari panjodzi yekutapukirwa inonzi endocarditis. Chero chinhu chinokonzera mabhakitiriya kupinda muropa rako chinogona kutungamira kuhutachiona. Matanho ekudzivirira dambudziko iri anosanganisira:

• Dzivisa majekiseni asina kuchena.
• Rapa hutachiona hutachiona nekukurumidza kudzivirira rheumatic fever.
• Nguva dzose udza mupi wako wezvehutano uye chiremba wemazino kana iwe uine nhoroondo yehosha yevhavha yemoyo kana wakaberekwa chirwere chemwoyo usati warapwa. Vamwe vanhu vangangoda kutora maantibiotic vasati vaita maitiro.

Kukurumidza kurapwa kwezvinetso izvo zvinogona kukonzeresa vharuvhu kana zvimwe zvirwere zvemoyo zvinoderedza njodzi yako yekudzokedzana kwetricuspid.

Tricuspid kusakwana; Mwoyo vharafu - tricuspid regurgitation; Chirwere cheValvular - tricuspid kudzokazve

• Tricuspid Kudzokorora
• Tricuspid Kudzokorora
• Kusanzwisisika kwaEbstein

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Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA / ACC yakatarisa kugadzirisa kweiyo 2014 AHA / ACC nhungamiro yevatungamiriri vevarwere vane valvular chirwere chemoyo: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro. Kutenderera. 2017; 135 (25): e1159-e1195. PMID: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

Pelikka PA. Tricuspid, pulmonic, uye multivalvular chirwere. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 70.

Rosengart TK, Anand J. Yakawana chirwere chemwoyo: valvular. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 60.