Tricuspid regurgitation

Kunyanya kudzokerazve kune imwe yezvirwere zvemoyo umo iyo tricuspid valve inoshanda inodzvinyirirwa, zvichiita kuti kuve nekuyerera kweropa kunobva ku ventricle yakarurama kusvika kuatrium.

Zvinokonzera kukanganisa kudzoka

Kazhinji kacho, chirwere ichi chinoitika nekuwedzera kwe ventricle yakarurama, iyo inotorawo kusagadzikana kwevhavha. Uyewo kushanduka kwekugadziriswa kunogona kukonzerwa nepermonary hypertension, mwoyo kusakundikana , mapirmita arteri kudzivirira. Pashoma kakawanda, inoratidzika kupesana nekwakabva kwerheumatic tissue damage, carcinoid syndrome, septic endocarditis. Mukuwedzera, chirwere chinogona kukura nekushandiswa kwenguva refu kwemimwe mishonga (Ergotamine, Fenfluramina, Phentermine).

Kuramba kwenguva refu kunetseka kudzokerazve kunogona kutungamirira kuhutachiona hwehutano uye mwoyo kusakundikana.

Degrees of tricuspid regurgitation

Muchirapa, kune madhigirii mana echirwere ichi:

  1. Kubatsira kudzoka kwechidimbu chekutanga. Kudzokororazve ropa hakuoneki. Hakune kliniki zviratidzo zvechirwere.
  2. Kuita zvekugadzirisa zvekare kwechipiri chechipiri. Kurambwa kweropa kunotsanangurwa mukati ma2 masentimita kubva pamasvingo evhavha. Zviratidzo zvechipatara zvinenge zvisipo kana kuti zvinonyanyisa. Panogona kuva nekuputika zvishoma kwezvipembenene zvepervical.
  3. Kunyanya kudzoka zvakare kwechidimbu chechitatu. Kune doro muropa rinopfuura 2 masentimita kubva muvhariyo ye tricuspid. Mukuwedzera pakusuruvara kwemitsipa, kupfupika kwemhepo , kushaya simba, kusakanganiswa mumutambo wemwoyo kunogona kuonekwa.
  4. Kunyanya kudzoka zvakare kwe 4th degree. Ropa rakasimba rakakwira mukati meatrium. A pronounced clinic picture: kuvhara nekudzikisa kwekushisa kwemukati memakumbo, kuonekwa kunoputika mubhokisi, kukanganisa kwemwoyo kunetseka, kuwedzera kwechiropa, uye zvimwe zviratidzo zvekushaya mwoyo.

Kuchengetedzwa kwechirwere chekudzoka zvakare

Kunyanya kushandiswa kwekudzoka kwechidimbu chechiremba navanachiremba kunofungidzirwa sechinhu chakasiyana chechimiro, izvo zvisingadi kurapwa kwakananga. Kana ikatsamwiswa nechimwe chirwere, zvino ndiye iye ari kutarirwa.

Pachipiri chechirwere ichi, kurapwa kunowanikwawo kune zvakakwana uye zvinodzivirira, uye dzimwe nguva-nokutora mishonga inovandudza kushanda uye inozorodza mutsara unofadza wemutsipa wemwoyo.

Chikamu chechitatu nechina chinobatanidza nzira dzakagadziriswa uye dzokuvhiya dzesimba. Mukuwedzera pamishonga inodhaka, mapurasitiki emagetsi evhapiti kana maitiro ayo anokwanisa kuratidzwa.