Aortic stenosis: chii, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Kurapwa kunoitwa sei
• 1. Mune vanhu vasina zviratidzo
• 2. Mune vanhu vane zviratidzo
• Kudzosera vharuvhu mhando
• Njodzi uye matambudziko anogona kuitika mukuvhiya
• Chii chinoitika kana ukasabata aortic stenosis
• Zvinokonzera

Aortic stenosis chirwere chemwoyo chinozivikanwa nekuderera kweaortic vharuvhu, izvo zvinoita kuti zvive zvakaoma kupomba ropa kumuviri, zvichikonzera kufema kwekufema, kurwadziwa pachipfuva nekurwadziwa.

Chirwere ichi chinonyanya kukonzerwa nekukwegura uye chimiro chayo chakaomesesa chinogona kutungamira mukufa kamwe kamwe, zvisinei, kana ikazivikanwa nekukurumidza, inogona kurapwa nekushandiswa kwemishonga uye, mumatambudziko akakomba, nekuvhiyiwa kutsiva aortic vharafu. Tsvaga kuti kupora kwakaita sei mushure mekuvhiyiwa kwemoyo.

Aortic stenosis chirwere chemoyo apo iyo aortic vharuvhu yakatetepa kupfuura zvakajairwa, zvichiita kuti zvive zvakaoma kupomba ropa kubva pamoyo kuenda kumuviri. Chirwere ichi chinonyanya kukonzerwa nekukwegura uye chimiro chayo chakanyanya kutyisa chinogona kutungamira kurufu rwechimbi-chimbi, asi kana ichionekwa munguva inogona kurapwa kuburikidza nekuvhiyiwa kutsiva aortic vharafu.

Zviratidzo zvikuru

Zviratidzo zveaortic stenosis zvinomuka zvakanyanya muchimiro chakasimba chechirwere uye zvinowanzo kuve:

• Kunzwa kupfupika kwemweya wekufema kana uchiita kurovedza muviri;
• Kusimba mubhokisi kunowedzera kupfuura makore;
• Kurwadziwa pachifuva kunowedzera kana uchiedza;
• Kufenda, kushaya simba kana dzungu, kunyanya kana uchiita maekisesaizi epanyama;
• Mwoyo palpitations.

Kuongororwa kweaortic stenosis kunoitwa kuburikidza nekuongororwa kwekiriniki neye cardiologist uye bvunzo dzekuwedzera dzakadai sechifuva X-ray, echocardiogram kana catheterization yemoyo. Iyi bvunzo, kuwedzera pakuziva shanduko mukushanda kwemoyo, zvakare inoratidza chikonzero uye kuomarara kweaortic stenosis.

Kurapa kweaortic stenosis kunoitwa kuburikidza nekuvhiyiwa, umo vharuvhu yakashomeka inotsiviwa nevhavha nyowani, inogona kuve yekugadzira kana yechisikigo, kana ichigadzirwa kubva munguruve kana nyama yemombe. Kutsiva vharuvhu kuchaita kuti ropa riputwe nemazvo kubva pamoyo kuenda kune rakasara muviri, uye zviratidzo zvekuneta uye kurwadziwa zvichanyangarika. Pasina kuvhiyiwa, varwere vane aortic stenosis yakaoma kana vane zviratidzo vanopona avhareji yemakore maviri.

Kurapwa kunoitwa sei

Kurapa kweaortic stenosis kunoenderana padanho rechirwere. Kana pasina zviratidzo, uye chirwere chakawanikwa kuburikidza nemabvunzo, hapana chikonzero chekurapwa chaiko. Nekudaro, mushure mekuonekwa kwezviratidzo, iyo chete nzira yekurapa kuvhiya kutsiva aortic vharafu, uko iyo yakashata vharuvhu inotsiviwa nevhavha nyowani, kuenzanisa kugovera kweropa mumuviri wese. Uku kuvhiya kunonyanya kuratidzirwa kune varwere vane chirwere chakakomba cheaortic stenosis, nekuti huwandu hwekufa hwakakwira. Pazasi pane sarudzo dzekurapa:

1. Mune vanhu vasina zviratidzo

Kurapa kwevanhu vasingaratidze zviratidzo hakuwanzo kuitwa nekuvhiya, uye kunogona kuitwa nekushandiswa kwemishonga uye shanduko mumararamiro, sekudzivirira mitambo yemakwikwi uye zvehunyanzvi zviitiko zvinoda simba rakasimba remuviri. Mishonga inoshandiswa muchikamu ichi inogona kuva:

• Kudzivisa endocarditis inotapukira;
• Kurapa zvirwere zvinosangana neaortic stenosis.

Varwere vasina zviratidzo zvinogona kuratidzwa pakuvhiyiwa kana vaine vharuvhu yakadzikira kwazvo, kufambira mberi kunodzikira mukuita kwemoyo kana kuwedzerwa shanduko mukuumbwa kwemoyo.

2. Mune vanhu vane zviratidzo

Pakutanga, ma diuretiki akadai seFurosemide anogona kutorwa kudzora zviratidzo, asi kurapwa chete kune vanhu vane zviratidzo kuvhiyiwa, sezvo mishonga isingachakwanise kudzora chirwere. Pane maitirwo maviri ekurapwa kweaortic stenosis, zvinoenderana nemamiriro ehutano:

• Kutsiva kwevhavha yekuvhiya: yakajairika yakavhurika chipfuva kuvhiya maitiro kuitira kuti chiremba anovhiya asvike pamwoyo. Iyo yakashata vharuvhu inobviswa uye vheji nyowani inoiswa.
• Kuchinja vharuvhu nekateti: inozivikanwa se TAVI kana TAVR, mune iyi nzira vharuvhu yakaremara haina kubviswa uye vharuvhu nyowani inoiswa pamusoro peiyo yekare, kubva pane catheter yakaiswa mutsinga yevakadzi, muhudyu, kana kubva pakachekwa kakaita padyo nemoyo.

Kugadziriswa kwevhavha nekateti kunowanzoitwa kune varwere vane hosha yakakura uye kusakwanisa kugona kuvhiya chipfuva chakavhurika.

Kudzosera vharuvhu mhando

Kune mhando mbiri dzevhavha yekutsiva mune yakavhurika chipfuva kuvhiyiwa:

• Zvokuimba mavharuvhu: zvakagadzirwa nezvinhu zvakagadzirwa uye zvine kusimba kukuru. Izvo zvinowanzo shandiswa muvarwere vari pasi pemakore makumi matanhatu ekuberekwa, uye mushure mekuisirwa, munhu wacho anofanirwa kutora mishonga yeanticoagulant zuva nezuva uye kuita ongororo yeropa nguva nenguva kwehupenyu hwavo hwese.
• Biological mavharuvhu: yakagadzirwa kubva kumhuka kana nyama yemunhu, inogara kubva pamakore gumi kusvika pamakumi maviri, uye inowanzo kukurudzirwa kune varwere vanopfuura makore makumi matanhatu nemashanu ekuberekwa. Kazhinji, hapana chikonzero chekutora maanticoagulants, kunze kwekunge munhu wacho aine mamwe matambudziko anoda rudzi urwu rwemishonga.

Sarudzo yevhavha inoitwa pakati pachiremba nemurwere, uye zvinoenderana nezera, mararamiro uye chimiro chemakiriniki cheumwe neumwe.

Njodzi uye matambudziko anogona kuitika mukuvhiya

Njodzi dzinounzwa neaortic vharuvhu kutsiva kuvhiya ndeiyi:

• Kubuda ropa;
• Utachiona;
• Kuumbwa kwetrombi iyo inogona kuvhara tsinga dzeropa zvichikonzera, semuenzaniso, sitiroko;
• Infarction;
• Kukanganisa muvhavha nyowani yakaiswa;
• Kudiwa kwekuvhiya kutsva;
• Rufu.

Njodzi dzinoenderana nezvinhu zvakaita sezera, kuomarara kwekutadza kwemoyo uye kuvapo kwezvimwe zvirwere, senge atherosclerosis. Uye zvakare, chokwadi chekuve muchipatara nharaunda chinotakurawo njodzi dzematambudziko, senge pneumonia uye nosocomial hutachiona. Nzwisisa chinonzi hutachiona hwechipatara.

Iyo catheter yekutsiva maitiro, kazhinji, inotakura njodzi shoma pane kuvhiyiwa kwakajairika, asi kune mukana mukuru wekuumbiswa embraism, chimwe chezvikonzero zvekurohwa.

Chii chinoitika kana ukasabata aortic stenosis

Kusarapika aortic stenosis kunogona kuchinja nekuwedzera kushanda kwemoyo uye zviratidzo zvekuneta zvakanyanya, kurwadziwa, dzungu, kufenda uye kufa kamwe kamwe. Kubva pakuonekwa kwezviratidzo zvekutanga, tarisiro yehupenyu inogona kunge isingasviki makore maviri, mune dzimwe nguva, saka zvakakosha kuti ubvunze kuna cardiologist kuti uone kudikanwa kwekuvhiyiwa uye kuita kunotevera. Ona kuti kupora kunoratidzika sei mushure mekutsiva iyo aortic vharafu.

Zvinokonzera

Chikonzero chikuru cheaortic stenosis zera: pamusoro pemakore, iyo aortic vharafu inochinja shanduko, iyo inoteverwa nekuunganidzwa kwecalcium uye kushanda zvisina kufanira. Kazhinji, kutanga kwezviratidzo kunotanga mushure memakore makumi matanhatu nemashanu, asi munhu wacho anogona kusanzwa chero chinhu uye anogona kutofa asingazive kuti vane aortic stenosis.

Muvanhu vadiki, chinonyanya kukonzera chirwere che rheumatic, uko iko kuverenga kweaortic vharuvhu kunoitikawo, uye zviratidzo zvinotanga kuoneka kutenderera makore makumi mashanu. Zvimwe zvikonzero zvisingawanzoitika zvinokanganisa kuberekwa senge bicuspid aortic vharuvhu, systemic lupus erythematosus, high cholesterol uye chirwere cherheumatoid. Nzwisisa chinonzi rheumatism.