Mitral stenosis

Stenosis ye mitral valve ndiyo chirwere chemwoyo chinowanikwa, chinoratidzwa mukuderedza kwemaodzanyemba atrioventricular orifice. Kazhinji kacho hutano hunobatanidzwa nehuipi hwevamwe mavhavha. Kugadzirisa nzvimbo yerima ye mitral valve inodzivirira kutenderera kweropa. Somugumisiro, mutoro unowedzera paatrium yakarurama unotungamirira mukuderedzwa kwezveruzhinji rwemazipa ekupararira kweropa, uye, shure kweizvozvo, kunetseka kukanganisa.

Zvinokonzera stenosis ye mitral valve

Pakati pezvikonzero zvinokonzera kukura kwemasral valve stenosis, pane:

• Rheumatism sechinhu chakaoma pashure pekunge angina;
• kuberekwa kwemwoyo kusakwana;
• matumbo, thrombi uye calcium inowanikwa pamapapuvha evhavha.

Zviratidzo zve stenosis ye mitral valve

Pachikamu chekutanga chechirwere, zviratidzo zvakasimba zve stenosis hazvipo, uye kuonekwa kwemurwere kunoramba kusina kuchinja. Zvishoma nezvishoma pane kupfupika kwemhepo, mapapiro, kuneta kukuru. Dzimwe nguva kukohwa uye hemoptysis inoratidzwa. Kana dyspnea ichikuvadza, ipapo kukura kwepermonary edema kunogoneka. Chiso chemu murwere chinoonekwa pachena; Mucheto wemhino, miromo, nzeve uye maoko ane cyanotic hue. Muchikamu chezasi che sternum, iyo inonzi "moyo hump" inoumbwa. Varwere vanoratidzwa neutrial fibrillation .

Auscultation ne stenosis ye mitral valve yakakosha pakuongororwa. Mumwe nyanzvi panguva yekuongorora, kunyange nekubatsira kwepodendoscope yakakurumbira, anogona kuita kuti aongororwe, achibata "kuvhara" paanovhura mitral valve, iyo inobva pakutsvaga kwemagetsi ake akabatanidzwa. Apo nzvimbo ye stenosis inokura, pane kurira kunonzwika uye paunoteerera diastole. Kunyanya kukosha mukuchinja kwehutachiona hweHemodynamics kune kukwirira kwakanyanya mumhairi uye mvere dzemapapu, sezvo kushandiswa kwemhepo yakakosha uye carbon dioxide kunovhiringidzika.

Kurapa kwemaster valve stenosis

Kushanda kupindira ndiyo nzira huru yekurapa kwe stenosis yevhavha. Basa rinokurudzirwa kuitira kuti vadzorere chirwere chinowanzobuda. Aroni yeCononary inpass grafting ikozvino inowanikwa. Sezvo mutemo, mushure mekugadzirira kupindira nekugadziriswa kwakarongeka kwakarongeka nekushandiswa kwemishonga inorwisa mabhakitiriya uye kugadzirira kudzorera myocardial tissue, kudzoka kunouya.

Kana kushanda kusingakwanisi, murwere anofanira kugamuchira kurapwa nguva dzose kuitira kuti adzivirire matambudziko.

Zvinokosha! Varwere vane stenosis ye mitral valve vanofanira kuyerwa mumabasa epanyama uye kucherechedza mvura yemunyu.