Nzira yekuziva mitral stenosis uye kurapwa

Zvemukati

• Zviratidzo zvemitral stenosis
• Zvinokonzera
• Maitiro ekuongororwa kunoitwa
• Kurapa sei
• Zvinogona kuitika

Mitral stenosis inoenderana nekukora uye kuverengwa kwemitral vharuvhu, zvichikonzera kudzikira kwekuvhura uko kunotendera kuti ropa ripfuure kubva kuatrium kuenda kune ventricle. Iyo mitral vharafu, inozivikanwawo seye bicuspid vharafu, chimiro chemwoyo chinoparadzanisa atrium yekuruboshwe kubva kuruboshwe ventricle.

Zvinoenderana nehuremu hwekuwedzera uye, nekudaro, saizi yechimiro chekufamba kweropa, mitral stenosis inogona kuiswa mu:

• Nyoro mitral stenosis, Kuvhurwa kwekufamba kweropa kubva kuatrium kuenda kune ventricle kuri pakati pe1,5 ne4 cm;
• Wakaenzana mitral stenosis, Iyo kuvhura kuri pakati pe1 ne 1.5 cm;
• Yakakomba mitral stenosis, Kuvhura kwayo kuri pasi pe1 cm.

Zviratidzo zvinowanzotanga kuoneka kana iyo stenosis iri pakati nepakati kana yakaoma, sezvo kufamba kweropa kunotanga kuoma, zvichikonzera kufema, kufefeterwa nekurwadziwa pachipfuva, semuenzaniso, kuda kushanya kuna chiremba wezve moyo kuti asimbiswe. akatanga.

Zviratidzo zvemitral stenosis

Mitral stenosis haiwanzo kuratidza zviratidzo, asi zvimwe zvinogona kukura mushure mekuedza kwemuviri, senge:

• Kuneta nyore;
• Kunzwa kupfupika kwemweya wekufema, kunyanya husiku, kurara wakagara kana kurara kumashure;
• Dzungu kana uchimuka;
• Kurwadziwa pachifuva;
• Kuwedzera kweropa kunogona kuve kwakajairika kana kuderera;
• Chiso chepingi.

Uye zvakare, munhu wacho anogona kunzwa kwavo kurohwa uye kukosora ropa kana paine kuputsika kwetsinga kana capillaries yemapapu. Ziva izvo zvinonyanya kukonzera kukosora ropa.

Zvinokonzera

Chikonzero chikuru che mitral stenosis i rheumatic fever, chinova chirwere chinonyanya kukonzerwa nebhakitiriya Streptococcus pneumoniae, iyo mukuwedzera kwekukonzera kuzvimba muhuro, inoita kuti immune system ibudise autoantibodies, iyo inotungamira mukuzvimba kwemajoini uye, pamwe shanduko mukuumbwa kwemoyo. Ona maitiro ekuziva uye kurapa rheumatic fever.

Zvishoma nezvishoma, mitral stenosis inoberekwa, ndiko kuti, inoberekwa nemwana, uye inogona kuzivikanwa mumiyedzo inoitwa nguva pfupi yapfuura kuberekwa. Zvimwe zvikonzero zvemitral stenosis zvisingawanzo kupfuura congenital stenosis ndeiyi: systemic lupus erythematosus, rheumatoid arthritis, Fabry chirwere, chirwere cheWhipple, amyloidosis uye bundu remwoyo.

Maitiro ekuongororwa kunoitwa

Iko kuongororwa kunoitwa neye cardiologist kuburikidza nekuongororwa kwezviratidzo zvinotsanangurwa nemurwere, pamusoro pekuita kweimwe bvunzo, senge chest radiography, electrocardiogram uye echocardiogram. Ona kuti ndeyei uye kuti iyo echocardiogram inogadzirwa sei.

Uye zvakare, mune yekuzvarwa kwemitral stenosis, chiremba anogona kuita kuti kuongororwa kubva mukusimudzira moyo, uko kun'un'una kwemoyo hunhu hwechirwere kunogona kunzwika. Ona maitiro ekuziva moyo kugunun'una.

Kurapa sei

Kurapa kwemitral stenosis kunoitwa zvinoenderana nezvakakurudzirwa naanaiologist, nematanho akasarudzika emishonga iri kuratidzwa zvinoenderana nezvinodiwa nemurwere. Kurapa kunowanzoitwa nekushandiswa kwe beta blockers, calcium antagonists, diuretics uye anticoagulants, izvo zvinobvumidza moyo kuti ushande nemazvo, kubvisa zviratidzo uye kudzivirira kunetseka.

Mumatambudziko akaipisisa emitral stenosis, vanachiremba vemwoyo vanogona kukurudzira kuvhiyiwa kugadzirisa kana kutsiva mitral vharuvhu. Tsvaga kuti chii chinonzi post-operative uye kupora kubva pakuvhiya kwemoyo.

Zvinogona kuitika

Sezvakaita mitral stenosis pane kuoma mukufamba kweropa kubva paatrium kuenda kune ventricle, iyo yekuruboshwe ventricle inochengetedzwa uye inoramba iri pahukuru hwayo. Nekudaro, sezvo paine kuwanda kukuru kweropa muatrium yekuruboshwe, mhango iyi inowedzera kuwedzera saizi, iyo inogona kuita kuti kuonekwe kwemoyo arrhythmias senge atrial fibrillation, semuenzaniso. Muzviitiko izvi, murwere angangoda kushandisa anticoagulants emumuromo kudzikisa njodzi yekurohwa.

Uyezve, sezvo atrium yekuruboshwe inogamuchira ropa kubva mumapapu, kana paine kuunganidzwa kweropa mune yekuruboshwe atrium, mapapu anozoomerwa nekutumira iro ropa rinosvika kwariri kusvika pamoyo. Nekudaro, mapapu anoguma achiunganidza ropa rakawanda uye, nekudaro, anogona kunyorova, zvichikonzera kuomarara kwemapapu edema. Dzidza zvakawanda nezveacute pulmonary edema.