Aortic kiwikā o 1, 2, 3 degere: na hoailona, symptoms,ʻike, lapaau o

Ke kanaka meaola Ua kū hoʻokahi. Eia naʻe, i kekahi manawa, he mau wahi, i hiki ka wā i kekahi hui, kēia mea hemahema hanaʻia kona hana. He He 'aʻe' ana o ka 'ole - ka aortic kiwikā - ka theme like o keia Haawina.

terminology

Initially, ua pono e maopopo i nā hua'ōlelo i e e ia i loko o ka keia pauku. No laila, he aha ka mea ka ole o ka aortic kiwikā? Kēia hoʻohuikau o ke kino, ma o na la ia e huʻa loa mai i pani paa. Ua hiki aku i ka pilikia i me ke koko mai ka aorta hoolei hoʻi i loko o ka hema cardiac ventricle. Keia ia lŘlŘ i diastole - i ka hoopiha ana i ka naau a me ke koko. Ma mua o ka mea, ua fraught? Mai ke kanaka kino ke launa i ka emi o koi 'ia no ka maʻamau ana o ke koko ka leo. E like me ka hopena, ka mea maoli i ka haawe ana ma luna o ka naʻau, i mea e compensate no keia shortfall.

Nui e olelo ana, o ka mua, a i ke kino, he opiopio, a me ka piha o ka ikehu, aortic kiwikā insufficiency pinepine mai i lawe mai i kekahi pilikia. Wale, me ka naau i iki mahuahua i nui, e e hiki ke compensate no ka shortage o ke koko. Symptomatology mea initially kaawale, a me ka hoʻomanawanui hiki ole e koho i ka wa o ka pilikia. Hope hoʻomaka e ana pokole o ka hanu, luhi. E Makuakane me keia maʻi, hiki ke hoʻouna iʻoki kino i ke ahonui no aortic kiwikā o hope.

Ka pilikia i loa

ʻepekema, e hoailona oukou ia mai me insufficiency o ka aortic kiwikā o na pilikia, e loli ai ka hapanui pinepine na elele o ke kane. Inā ka pakeneka, ka helu o ka make, mai keia mai, ma ka hihia o ka make a pau me nā naʻau pilikia a mākou i noonoo, ua ma kahi o 14%. Inā he maʻi, ua noonoo ia, ia mea ma kahi o 4% o ka hihia o aortic kiwikā insufficiency ia lŘlŘ i loko o kona maemae palapala, a ma 10,3% o ka hihia - ma ka hoʻohui pū me nā naʻau maʻi.

kumu

Nui e olelo ana, ke kumu o keia pilikia, i ka 2/3 o ka hihia ia mea rheumatic kiwikā. Emi olelo, i ka maʻi ke kumu infective endocarditis. Nā kānakaʻepekema i hōʻike 'mau pūʻulu o nā kumu, a i maheleia i huʻi a me ka maʻi' ia.

Nā kumu o ka maʻi maʻi

Ma keia hihia, ua hōʻike 'kauka i ka helu o ka nui kumu, a hiki i maʻi keʻano o ka hanaʻana:

• Congenital naʻau maʻi. Children hiki e hanau wale me ka kekahi a me nā puka, i ke kumu o ka puu o ka pilikia a me ka pilikia ma ka pumping ke koko ma ka naau.
• Na kūnewa kaʻina. Ia mea, i ka aortic kiwikā hiki lei, lei aku ma manawa.
• Rheumatic wela, i kumu scarring o ka nohona kiwikā leaflets, a ua ālai 'ia mai oo paʻa.
• Infectious keʻano o ka hanaʻana i loko o ka naʻau, i ka wa a ka ulu wa pono (i ka pau panalāʻau o koʻohune), "ai mai" ka nohona kiwikā puapua, a wale loaa ma ka nohona kiwikā, pale ia mai ka panina pono.
• I ka hua ma ka aorta wā, ke'ō mai kona kukui no laila, i ka nohona kiwikā hiki ole pono loa pani ia.
• Lapaʻau o nā pilikia, a hiki i hoʻokō 'ole' ana o ka aortic kiwikā. No ka laʻana, pāhawewe Inc a me ka hoʻohana 'ana o "Phentermine" - i ka lāʻau no ka paona poino, i Mamao aku mai ka hoʻohana' ana i ka hopena o 20th kenekulia. E like me ka noiʻi ma haumana, kona hoʻohana hiki i ka likeʻole ma ka naau pilikia, a me aortic kiwikā regurgitation o.

Nā kumu o ka huʻi malnutrition

Lapaau alakai kumu o aortic kiwikā insufficiency i pee maʻi e like me endocarditis (maʻiʻaʻai hui poho), aortic dissection (ai i ke koko kahe ana ma na wahi i wāhiʻia hana). I kekahi manawa nā mea maʻi ma hope o undergoingʻoki kino e puku i ka aortic kiwikā o ua kekahi ulu kona ole. Huʻi kumu o ka pilikia pili hou a me trauma o ka pahu (no ka laʻana, i kaa hookui hookahe koko ana i ka wa a ke kanaka swipes he umauma ma ka dashboard). He pinepine i hiki aku ai i ka pōʻino i ka aortic kiwikā.

symptomatology pilikia

He aha e na symptoms o aortic kiwikā regurgitation, a hiki hooholo i ke alo aku o ka pilikia? Me ua i haiia ae maluna, initially na symptoms i ole e. I ua, i ka hoʻomanawanui i ole i haha aku ia oia i kekahi pilikia. Eia naʻe, ma na makahiki, i ke kulana ua hoʻololi. Heart e hana hou 'Imi i compensate no ka nele o ke koko. E like me ia i kaʻilihune, ka ventricle hema maoli he kānaka, a me ka naau iho e lilo ana i nawaliwali. Eia kekahi mea ia iho, ikeia aortic kiwikā. Symptoms, a ma keia hihia i ala mai:

• Ikaika aku tiredness, nawaliwali ma ke kino a pau.
• Ke hoomanawanui i pokole o ka hanu. Amplifies mea ma physical haʻawina.
• Pū akula nō hoʻi 'o ia hoʻi arrhythmias'āno'ē naʻau pāpana.
• Ke hoomanawanui i ohumu o kokololio Kal.
• Me ka wahie, e hana umauma eha (angina).
• Kākaʻikahi ka, nā mea maʻi no hoi e ae i ka lilo o ka ike paka i.

Inā ka hoʻomanawanui mea he huʻi ole, alaila, na symptoms a pau e hōʻike koke, i ko lakou ikaika nui, ka mea, hōʻike malamalama. Ma keia hihia, e hoomanawanui i pinepine koi pilikia mua kōkua, mai e hoola ola.

About ke degere lawa ole o

No hoi i ka pilikia e like me ka aortic kiwikā, i ke degere o ka? Acaeoey. Ka mea, oko i loko o ka lōʻihi o ka mokulele hēkī, i ua injected hoʻi i loko o ka ventricle ma poorly paʻa puapua. Ke kaumaha ma muli o kēia, ka mea, he ekolu: mua, ka lua a me ke kolu.

mua ka papahelu

He aha mea kūikawā e pili ana i aortic kiwikā regurgitation 1 degere? Ma keia hihia, ka mokulele hēkī aʻole i oi aku 5 mm o ka lōʻihi mai ka aortic leaflets. No laila, i kēia pilikia hiki no ke kapa i ka nīnūnē. Ma hope o nā mea a pau, ua ohi koko o ka hola ma ka hapanui puka me ka mai ana i kekahi pilikia. Aortic kiwikā 1 ka papahelu Aʻole ole i kekahi lula 'ulu i loko o ka ventricle hema, ma keia hihia ka mea, hiki e piha kaʻike mau Ana.

lua o ka degere

Aortic kiwikā 2 degere mea kūikawā ma ka mea o ka mokulele hēkī lōʻihi ma keia hihia ua mahuahua no ka 10 mm o. Ia mea, i ke koko "splatters" ka mamao o kahi o 10 mm o, mai ka nohona kiwikā o leaflets. Ma keia hihia, ka mokulele hēkī ke hiki i ka puapua o ka mitral kiwikā, a me ka nui loa worsens ke kulana. Aortic kiwikā regurgitation papa 2 maoli ka pulsation i loko o ka carotid arteries a me ka naau, me ka haʻalele ventricle, piʻi pū. Mau mea a pau hiki wawe ka ike ma ka echocardiogram.

kolu o ka degere

Aortic kiwikā papa 3 wehewehe aku i loko i ua injected i ke koko hoʻi ma ke kaawale, i ka oi aku ia mamua 10 mm o. Ma keia hihia, i ka mokulele hēkī intersects ka mitral kiwikā, a e hiki i ka luna o ka ventricle hema. Ma kēia hihia, na naau o ka mokuna mahuahua e oi aku 2 knm, ka ECG hiki e "nana aku la au" hema ventricular hypertrophy.

Insufficiency i na keiki

Kaawale makemake e noonoo aortic kiwikā insufficiency i loko o nā keiki. E loaʻa e kekahi oko ao ma waena o ka makua a me ke keiki? No laila, iki e e kekahi mau symptoms. Ma keia hihia, i loko o nā keiki ua loa pinepine malama pallor, pulsation o na arteries ma kaʻaoʻao e kūkulu i kekahi symptom Musset (e hoonaueue i ke keiki i kona poʻo a hiki i kaʻaoʻao, ke kaumaha ma muli naau kōmi). Like no ka lapaau a me kaʻike, o ka pilikia, a me nā keiki a me nā mākua, i kēia kaʻina hana e ia i ka ia.

lapaʻau '

ʻO ka muaʻike, "aortic kiwikā" hiki i ke kauka e hoolohe ana (auscultation) uncharacteristic ma hope o walaʻau i loko o ka naʻau (diastolic ohumu mea hana). Naʻe, i kēia ua no wale nō e he kohu. Next, ke kauka e noi aku e pili ana i symptoms i e hōʻike i ke alo o ka pilikia, e ohi i ka piha anamnesis. Next, ke kauka, e hoʻouna aku au i ka hoʻomanawanui i nā haʻawina i, e hoʻokūpaʻa ai ke Säkona i kaʻike, o ka mālama '-ua kālaiʻia.

• Palpation. Ma keia hihia i kekahi ke ho oholo i ka jitter ma luna o ke kumu o ka naau ma ka mea o ka probing. Kēia ia lŘlŘ aie i ke kala ana o ka buke nui loa o ke koko. No hoi, "he mea" percussion, ka wā o nā palena o ka naau "hele" i ka hema.
• ECG. Kēia kaʻina hana i ka mea hiki e hooholo i ka mea ulu i loko o ka nui o ka ventricle hema o ka naau.
• Echocardiography. Kēia kaʻina hana i loko o nā-dimensional 'ano hōʻike hema ventricular hypertrophy. Ma ka hoʻokahi-dimensional - mea hiki ke hoomaopopo atrial mitral kiwikā ma muli o ia penetrating i loko o ka mokulele hēkī.
• Doppler haawi i ka manawa kūpono e hooholo i ka degere o ka insufficiency o ka aortic kiwikā - Hōʻike ka lōʻihi o ke koko kahawai hoʻi e e injected.
• X-Ray. Inā ka aortic kiwikā o ua olelo ia, ua hanaʻo ia ka mea e hiki ai i ka "ike" ka mahuahua ma ka naau nui, calcification o na leaflets.
• E hoomahuahua i ka loaʻaʻana o ka intracardiac puʻe hiki ke lawelawe cardiac catheterization hana cavities. Ma kēia hihia, na kahuna lapaau he eha degere o aortic kiwikā insufficiency e like me ka buke o ka injected koko kua. Ke degere mua o ka hola 15%, oiai o ka lua - mai ka 15 a hiki i 30%, i loko o ke kolu - mai ka 30 a hiki i 50%, oiai i ka ha - oi ma mua o 50%.

Inā he hoomanawanui mua diagnosed like "aortic kiwikā" pilikiaʻike, hiki ole pono e lawe mai me ke kōkua o nā mea a pau i kēia mau kiʻina hana. No laila, i ke kauka hoʻoholo no oia ia ia iho i ka mea a ka hoʻomanawanui i kēia kahua ia mea e pono ai. It E e kaulana ia ma ka hou ana i ka luna ki ina hana like o kaʻike,, kekahi manawa nō hoʻohana a me ka coronary angiography, i hiki ke lanakila no ka mea ia nāʻikepili me ka aortic stenosis.

lāʻau lapaʻau

Inā he hoomanawanui ua diagnosed "aortic kiwikā" lapaʻau, e hilinaʻi ma ka hoʻomanawanui i ka maʻi. Penei, urgency hoʻohana ana i kekahi ai 'ole ohe. Correlated me ka oolea o ka hoike ana mai o symptoms. Inā i ka palapala o ka maʻi - he maʻi, o hiki mai pākōlea lapaau.

Lāʻau lapaʻau i ka hoʻomanawanui i pono ai i ka:

1. Diuretics. I ka papa kuhikuhiE AIM o kēia mau ai 'ma keia hihia - auaiaea ka oi loli mai ke kino, hookuu iho ke koko.
2. Antibiotics. Hiki e lawelawe me prophylaxis o infectious ka maʻi i loko oʻoki lāʻau lapaʻau a me kahua niho kaʻina hana.
3. A hoonoho i kalipuna Kanal blockers (ka hapanui lāʻau "Nifedipine") me ka iniiaiie manao - e ho'ēmi i ke koko kulu. It E e kaulana ia i loko o kekahi mau hihia i ka hoʻohana i kēia mau ai 'hiki ia i kekahi koho maikaʻi iʻoki kino.
4. Ka mea, i ka lanakila a me ka 'ē aʻe ai' e like me ACE nā mea kūpale 'ole angiotensin mea loaʻa blockers. No hoi

Ua E hoi e kaulana e hoʻomanawanui iki mai i keia pilikia, a ina manawa i loko o ka maʻi palapala, pono e kakau i ke kauka. Ka mea, ma ke kamepiula i ke kipa i ke kauka. 'ano'ē ana ma keia hihia ua i mau hōʻike.

ʻoki lāʻau lapaʻau 'uao

Inā i ka maʻi, ua kaumaha, he mea i pono ai no ka manaʻoʻoki lāʻau lapaʻau 'uao. Ka koke ke kanaka i loaʻa i ke Kauka, ka mea kiekie oia ka manawa e ola. ʻOiai ka make i kela mea haʻahaʻa ma keia hihia, Ua haawiia i na kumu kali hou aku; ke loaʻa i ka hoʻomanawanui i ke ola.

Nō hoʻi,ʻoki kino ua hōʻike ma nā mea maʻi i i loa lōʻihi kahiko diagnosed me "aortic kiwikā". Inā ka hoʻomanawanui i ulu symptoms, a hiki ina ma mua mehana, haʻalele ventricle contractility nalowale - ka mea,ʻo nā mea a pau na nāʻikepili noʻoki lāʻau lapaʻau aortic kiwikā o hope.

E like me ka olua mea e e kaulana ia i kēia lā,ʻoki kino He nui maikaʻi welau, a lawe mai i ka makemake hoʻomanawanui hoʻokūkū. Kona mua ia hana i hanaʻia hoʻi i ka makahiki 1960 ma Dr. Harkenom i prosthetic aorta ea lei a me ka mea hiki ke hooheheeia nā hīnaʻi manu. Ma ka palena o ka Soviet Union, keia hana i ka hanaia mua i ka 1964, ua holomua. Mai ia manawa, ke kauka hoʻomohala nui 'ana i kūpono a me kāu kiʻina hana, e hana i kēiaʻoki kino i kā mākou e like ai pono a me ka.

ola

Inā ka hoʻomanawanui i lōpū a mehana naau ka hoʻokō 'ole, ka 10-makahiki ola i kela mea loa kiʻekiʻe, a dala i aneane 90% o nā mea a pau nā mea maʻi. Inā na hoopii e hoomaka ana i ka uē helu, he mau symptoms, ke kahua ke deteriorate hikiwawe loa. Ma keia hihia, ina oe e ole e akoakoa ai i kaʻoki kino, make ke hana i loko o kahi o 2-5 makahiki, ke kaumaha ma muli o ka ulu ana o kekahi mau maʻi.

Inā ka maʻi mea pono asymptomatic, ka loa maikaʻi prognosis. Ma ia ka hihia, operative uao ua koi wale 4% o ka hihia. I ka Ia manawa, hoopii e hana i loko o nā mea maʻi i ka mua elima makahiki - 20% o nā mea maʻi, ehiku makahiki - ma kahi o 25% o nā mea maʻi. Inā huʻi ole, loa, o hiki mai ona ma ka hihia o ka ventricular fibrillation. Inā o ka manawa, e hana i keʻoki kino, ua ulu hiki ke käpae '.

Kāohi

Preventative ana i ke kiʻi i ka maʻi, aole. Ma keia hihia, heʻai a me ka kekahiʻaoʻao o ke ola, e,ʻaʻole e hiki ke kōkua. Akā, 'aneʻi' o ka hoʻomanawanui iki mai e noho ana ma kamepiula hiki hoomalu ia lakou iho. No laila, ka mea mau i ka hele examinations i ke kauka, e ka hookohu ina hana. Hoʻopaʻai ka anamanaʻo i e kekahi, akā, e hiki ole kipa i kou kauka emi pinepine o 1 manawa no ka makahiki.