Mitral kiwikā insufficiency

Mitral kiwikā insufficiency kauoha ae la ia e kekahi kāna hana i loko o ke kuleana pili i panina. Aia ka haunaele ma muli o ka deformation i loko o ka puapua i ano laulā, fibrous külana. Hopena ma luna o ka ulu ana o ka maʻi i lesions subvalvular hale, e like me ka pono o kekahi mau kāna hana o ka nohona kiwikā hehee wale. Like nui o ka dilatation ma anulus fibrosus. A pau o ka mea ma luna o hele aku ai e ho'ōla i ka hoi hou ana o ke koko, mai ka ventricle hema i loko o ka lima hema atrium systole, e kauoha ana i ka ho'ēmiʻana i loko o minuke koko holo a me ka hooulu ana o pulmonary hypertension.

Ole o ka mea mitral kiwikā kaʻawale ano e pili ana i ka loa ke nānā kŰia. Oia ka moku'āina ua kaulana i loko o nā wale pakeneka o na hihia a pau. E like me ka rula, o ka papa kue panina ua pu ma stenosis o ka mitral kiwikā 'ole aortic naʻau mā.

Ke ano hiki e iaea ooieoeiiaeuiiai a me ke aloha ano.

Ma ka hihia mua, ole o ka mitral kiwikā? Acaeoey? I? Anoe? Aiey i ka buke o ka ventricle hema me ka hopena o myocardial ka maʻi. Oia maʻi hoʻonāukiuki aku i ke kahua o hemodynamic overload o ka naau Muscle Oihana.

Ke kumu o kēia 'ano o ka hoʻokō' ole 'paha e autonomic dystonia a papillary Muscle leo ka ho'ēmiʻana.

It E e hoʻomaopopo i ka ooieoeiiaeuiiai kāna hana i pili i ka naau mai.

Ka nele ana o ke aloha 'ano o ka mitral kiwikā o ia lŘlŘ like me ka hopena o anatomical lesion a tendons kona pae' ana ia ia iho.

Ka maʻi hiki ke hoʻolaha like huʻi paha maʻi.

Ma ka hihia mua o ka hoʻokō 'ole' o kekahi no o ka poho i kona apo ma ke kahua o ka abscess ma luna o ke kāʻei kua o infective endocarditis a me nā palapū (ʻano nui iʻoki kino). A, i ke kumu o ka huʻi maʻi i lilo pele puapua ano hoopono kue i ka hopena o ka perforation a me ka make, atrial myxoma.

Oia ka hooulu ana i ka maʻi, a ua wehewehe aku ma dysfunction o paha poho a hiki i ka papillary nāʻiʻo.

Maʻi maʻi aicieeaao ku e hoʻoʻino (scleroderma, rheumatic kuni, systemic lupus erythematosus) a me ka degenerative (calcification o ka annulus fibrosus, Ehlers-Danlos maʻi pale a me Marfan ka, pseudoxanthoma) hou. Keiki innate a Kin. No na hihia e e haawiia fibroelastosis endocarditis, transposition o na moku nui, ka anomaly i loko o ka ulu ana o ka hema coronary artery. Maʻi ole ia lŘlŘ iʻaihue hoʻokuʻi pū ma fetal primordia ho okumu kiwikā. Nolaila, aohe mea i hui endocardial cushions. Myxomatous degeneration o ka mitral kiwikā o (kona puapua) ua kekahi ulu i loko o ka maʻi palapala.

O ka holo ana, ke kue o ka papa panina i ke triggered a mall loli. Ka mea, ka hoike, IeAUPIIe, IAa IO ma hypertrophic cardiomyopathy, wanaao ae Chords tendons (kūpono ma kiʻekiʻe myocardial infarction, prolapse, traumas, e like me noho'na makaainana i ulu) paraproteznoy fistula i kupu mai ma muli o ka pele o sutures.

Maʻi ole e ho i infective endocarditis, i hanaʻia i loko o ke kanaka a me prosthetic kiwikā.

Ke kaumaha ma muli o ka oolea o ka regurgitation i ekolu degere.

First - unexpressed - ua wehewehe aku ma ka ka loaʻaʻana o ke koko hoʻi noi i ka nohona kiwikā wale. A hiki aku i ka mana lua o ka malama lōpū anoe atrium. Ke'ōlelo mai postback ano o kona waena hapa.

Ma ke kolu o ke degere he mea nui dilatation. Penei reguritatsii au i ke hiki aku i ka hope māhele o ka pa i loko o ka atrium hema.