Systolic naau ohumu

Ke kŰia o systolic naau ohumu, i e maʻa i ka a pau. Aka hoi, o ko lakou alo mea noteworthy, no ka mea, i loko o ka hapanui o na hihia eʻikea au i loko o ka kāʻei kua o ka maʻi kaumaha. He Heʻano o ka meaola i kekahi hoailona e hoike ana ia mea, ua kukalaia kekahi pilikia me ka naau.

He aha ka mea i manaoia e kauka naau ohumu mai ai me

Hoʻohana 'ana i kekahi kau e like me "walaʻau", ma ka pili ana i ka naau, cardiologists aha keia acoustic kŰia hou pili i ka loli i loko o ke koko, kahe i loko o nā ipu, a me ka naau. Mawaena ano o kanaka ke halawai me ka manao ana o ka leo i loko o ka'āina o ka naau - ia mea he pilikia ano o ka noho 'ana kamaliʻi. Mākou i e ae aku - keia manao, ua kokoke ia i ka oiaio, e like me ka oi ma mua o 90% o ka ooieoeiiaeuiiai haunaele ka loaʻaʻana paa ma adolescents a me nā keiki. Akā, ma ka ia systolic'ōhumu aku ai i diagnosed a opiopio kanaka elemakule, mai 20 i ka 28 o kona mau makahiki.

Manao o na mea he nui cardiologists no ka naau'ōhumu i loko o nā mākua 'aelike: e like symptom wahi i ka kekahi cardiac pathology, a ma ka huli hoʻolako i ke kumu no ka piha cardiac haʻawina.

Kaʻia "systolic" ua pololei e pili pū ana i ka leo, a i lohe ai i loko o ka nahā i waena o mua a me ka lua o ka naʻau nanahe. Ke kani ana ia lakou iho e hana i ke koko kahe a puni i ka naau a me kona kiwikā.

Aha 'ano o ka walaau hiki e halawai

Ma ka 'inikua' ia, e like me ka mea like me ka ohumu naʻau, e māheleʻia i loko o kekahi mau waeʻano. Kēia ooieoeiiaeuiia systolic ohumu, he ai-kapaia hewaʻole, a me ke aloha, i ke alo o ka i Hōʻike he maopopo pathology.

Na hala a ka ino i no laila, i kapaʻia no ka mea, e ia ma muli o ia maʻi likeʻole, ua ole me ka naau hou pili. Kēia 'o ia hoʻi i ka mea, i ole he symptom o ka pathological ana o ka naau. Timbre i kēiaʻano o ka walaau mea palupalu, lolelua, mele, pōkole, me ka lawa haʻahaʻa pinepine '. e hoʻonāwaliwaliʻia ia ino me ka hōʻemiʻana physical hana a me ka mea, i mālama 'ia ma kēlāʻaoʻao o ka naau. Keʻano o ko lākou mau loli mea i pili i ka nanahe o ka naʻau, akā, e hilinaʻi nui ma luna o ke kulana o ke kino.

Like no me ka ke aloha ino, e ala no ka mea, o ka mea septal kina, a me ka nohona kiwikā o ( 'o ia hoʻi ke kina atrial ole ventricular septal) ka mea. Ke timbre o ka halulu hiki ke wehewehe aku i ka pilina paʻa, paʻakikī, ino. E like me ka pinepine 'ka mea, Ua lena a me ka leo nui, me ka nui lōʻihi like' ole. ua kēiaʻano o ka walaau lawe ia mawaho o ka naʻau i loko o ka armpit, a me ka interscapular māhele 'āina. Ma hope o hoʻokō 'ke aloha ino i listen a waiho waho. ka mea, eia kekahi, ma ka Akä naÿe i ka papa, e e pili me ka naau nanahe a me ka like maopopo 'enehana hou me kekahi kino kūlana.

Systolic'ōhumu nāʻano o acousticʻike manaʻo i loko o ka'āina o ka naau:

- I systolic ohumu mai ai me;

- pansystolic (holosystolic);

- hapalua like-hopena o kani;

- srednesistolicheskie leo.

No ke aha lā i loko o ka naʻau, ua acee? Iuo oeiia o ka walaau

Inā 'oe e lohe i ka nui halulu ana oe ike nei me ka hoʻoweliweli' ana i ola, ka mea e e kaulana ia mea, i kauoha ae la ia e kekahi mau kī kumu.

Systolic naau ohumu paha e ukuia i ka aortic stenosis. Ma lalo o kēiaʻike, E e maopopo congenital a lilo aortic constriction puka ma ka splicing i ka puapua o ka nohona kiwikā wale. Kēia kaʻina hana ka mea paʻakikī i ka maʻamau koko i loko o ka naau.

Aortic stenosis hiki e wahi ai i kekahi o ka loa e like me ka naau mā 'ia i loko o nā mākua. Ma keia maʻi pinepine hoʻomōhala aortic a me ka mitral insufficiency. Aie i ka mea i ka mea i noho aortic ka welelau o ka calcification (ka wā i holopono nō stenosis), kūpono 'ana o ka maʻi no ka hana.

Ma ka hapanui o na hihia i ka wa paa nui aortic stenosis, hema ventricle me ka nui loa overloaded. I keia manawa, i ka naau, a me ka lolo hoʻomaka e hana eha iaʻi mai ka nele i ke koko lako.

Aortic insufficiency hiki ke wahi no hoi i na kumu e hoʻomōhala systolic ohumu. Ke ae pā o kēia maʻi mea e hōʻoia 'ia ka aortic kiwikā mea,ʻaʻole hiki ke pani loa. Ua aortic regurgitation pinepine e hoʻomōhala ana i ma luna o ke kāʻei kua o infective endocarditis. E ho ololi i ka ulu ana o keia maʻi mea rheumatic kuni (oi ma mua o ka hapalua o na hoopii), systemic lupus erythematosus, syphilis, a me ka atherosclerosis. I ka Ia manawa ia i ala a hiki i keia kina kākaʻikahi i nā palapū a mā ka hanau ana. Systolic'ōhumu i loko o ka aorta i e hōʻike o ka hanana o ka pili insufficiency o ka aortic kiwikā. Oia kekahi ano hiki ka hopena i loko o ka hana keaka? Anoe o ka fibrous apo o ka nohona kiwikā, a me ka aorta iho.

Huʻi mitral regurgitation - o kekahi kumu o systolic halulu. Ma keia hihia ka mea, o ka kokololio neʻeʻana o ke kinowai a me kinoea, a ia lŘlŘ ma ka puha muscular hui, ma ke kaʻina hana o ka ho'ēmiʻana. Oia neʻe mea e ku pono ana i ka mea ma amau. Oia kaʻike, i loko o ka hapanui o na hihia o ka hopena o abnormalities i loko o ka paku pa.

Systolic'ōhumu i loko o ka pulmonary artery hōʻike i ke kūpono 'ana i loko o ka wahi o ka stenosis. Me ia i ka maʻi i loko o ka pulmonary artery kiwikā o ua hou'āpana o ka ventricle akau. Kēiaʻano o ka stenosis o ka hola 8-12% o nā mea a pau congenital naʻau mā. Oia halulu ua mau pu ma ka systolic jitter. No haʻi leo irradiation i na ipu'ā'ī.

Worth i olelo ia a me ka tricuspid kiwikā stenosis. Ma keia maʻi he mea he hou o ka tricuspid kiwikā. Mau loli mau loa pinepine i ka hopena o ka hopena o rheumatic mai kuni. Nā symptoms o kēia 'ano o ka stenosis nā anu ili, luhi, discomfort i loko o ka luna akau quadrant o ka abdomen, a me ka'ā'ī.

Kumu systolic'ōhumu i loko o na keiki

Makaʻu i aloha ia i ka hana o ka naau keiki ka, he hailona, akā, ma laila nō loa pinepine na kēia:

- Atrial septal kina. Ma lalo o kina hana i ka wa e kaawale aku o atrial septal'aʻaʻa, e alakai ana i ka hookuuia o ke koko. I ka nui o ka'ōlelo huna hilinaʻi nui ma luna o ka kaʻaeʻana o nā ventricles a me kina nui like 'ole.

- Anomalous pulmonary venous hoʻi. Mākou e kamaʻilio e pili ana i ka hewa kahua o ka pulmonary aa koko. More manaʻoi, ka pulmonary aa koko ka mea, i hoike ma ka atrium akau, haule koke i loko o ka atrium akau. Pinepine no laila, i ka mea, kaula hō'ā i ka atrium ma ka nui kaiapili aa koko (pono kūlana vena Vienna, Vienna unpaired, hema brachiocephalic kumu, ka coronary sinus a me ka venous pele).

- coarctation o ka aorta. Ma lalo o kēia ho'ākāka 'ana hūnā iā he congenital naau kina ma i he mea segmental hou o ka thoracic aorta. Ma nā hua'ōlelo, ka segmental aortic lumen lilo uuku. Keia pilikia ua malamaia lakou nei, eʻoki kino. Inā keiaʻike, ua ole, e lawe i kekahi hana, e ulu i ka hou ana o ka aorta keiki i ko lakou ulu ana mua.

- Ventricular septal kina. Kēia pilikia o kekahi i kekahi o na kumu i haka systolic'ōhumu i loko o ka naʻau o ke keiki. Kēia kina Ua wehewehe aku ma ka mea ana i ke kina e hoʻomōhala ana i waena o nā ventricles elua o ka naau - ma ka hema a me ka pololei. Keia naau kina Ua pinepine kākau i loko o ka noho kaʻawale moku'āina, eia nae e haule ana na hihia ka wā e like me ke kina o kekahi hapa o nā naʻau mā.

- Systolic'ōhumu i loko o ke keiki ke kumu o ka naau i ke pili me ka hamama arterial kina. Mākou e kamaʻilio e pili ana i ka pōkole moku i hoʻohuiʻia ka pulmonary artery a me ka iho aorta. Ka nele no keia physiological shunt nalo ma hope o ka pēpē i ka hanu mua, no laila, no kekahi mau lā ka mea e e paa. Akā, inā keia 'ole e hana (ia, ma ka mea, o ka pā o ke kina), i ke koko mau ia e shunted mai ka systemic holo i loko o ka meaʻuʻuku. Inā ka leki uea mea uuku, ia mea, ma ka rula, e ole i ka nui hopena maikaʻi 'ole ma ke ola ana o ke keiki. Akā, Hana me ka nui iaoaioa ductus arteriosus ia, aia no he pilikia o ia mea cardiac overload. Symptoms o keia kulana - ia ka hapa o ka breathlessness. Inā ka pele ka loa nui (9 mm o a oi), ke keiki e ia i loko o ka pilikia ke ano. Ma keia hihia, no ka systolic'ōhumu i loko o na keiki nei i ka wale symptom - e mahuahua naau iho, e ka nui. Pilikia ana ua hoʻohana 'ia e neutralize ia i ka hoʻoweliweli' nui.

Kaawale ia mea e pono e hoopa aku i ke keiki waeʻano. Heart keiki ma hope o ka hānau ua lohe a hiki i loko o ka haukapila. Keia ua hana e pale aku hiki pathologies. Akā, inā loaʻa i hoʻopaʻa i ka leo, alaila, e ole e io hopena a prematurely. Ka mea i ma awelika, o kela mea keia kolu o ke keiki e hōʻike ana i kekahi mau ino. A he höʻike läkou i hoʻopōʻino keʻano o ka hanaʻana (ʻaʻole ia he kūlana maikaʻiʻole i ke kūpono 'ana o ke keiki a me ka mea i hele pu me ia ma ke koko holo) i a pau o ia mau mea. Ua ua i kona (koko), i ka ka kūkuluʻana i i ooieoeiiaeuiuo ino i ke keiki, ka poe no hoi i ole ho oweliweli i ka hoʻoweliweli 'ana i ola. Ma keia wahi, e like me ka X-Ray a me ka electrocardiogram, e hōʻike i ka maʻamau kūpono 'ana o ke keiki ka naau.

Like no ka walaau hoʻomaopop 'ana i loko o na kamalii uuku, ka mea, ua paa no ka mea mua ekolu mahina ma hope o ka hanau ana. Uaʻike mai nei ia iloko o fetal naau ho okumu ana o ke keiki,ʻaʻole i hiki i ka hopena o ke ana, a, me ka hopena, i kekahi hanau mā. Inā ke degere o ka hopena o ka naau ole i ke kūpono 'ana o ke keiki, e nui kiʻekiʻe e, he mea hiki i na kumu, e hooholo i ka hana o keʻoki kino, e hoʻopau i ka maʻi.

Features leo apex o ka naau

Me kēiaʻano o ka walaʻau 'ano o ka hope e oko ma luna o ke kumu a me ka wahi o ka hanana.

1. huʻi mitral kiwikā insufficiency. Ma keia hihia, ka halulu hiki ke ho'ākāka 'ia me pōkole. He mea akaka i kakahiaka nui (protosistolichesky). E ho ohana i echocardiography hiki ke hōʻike 'hypokinesis ciia Chords nahā i, hiʻona a me nā mea koʻohune endocarditis.

2. maʻi mitral kiwikā insufficiency. Ino o kēia 'ano ua maopopo ku i ka contraction o na ventricles (holosystolic a me ka pansystolic). Aia ka he pololei kaukaʻi o ka nohona kiwikā o kina, i ka buke o ke koko hoʻiʻana ma ka kina, a me ka leo ano. Systolic'ōhumu ma ka apex ana o ka naau ma lalo o kēia mau 'ano i' oi 'enehana hou i loko o ka papamoe kūlana. Inā ke kina e holomua, aia no he palpable kamakawiwoʻole o ka pahu pa i systole.

3. E pili mitral insufficiency. Inā e lilo i ka wā lōʻihi o ka hoike (X-Ray, echocardiography), ia mea hiki ke kuhikuhi i ka dilation o ka ventricle hema. Systolic'ōhumu ma ka apex ma keia hihia hiki ke mālama 'ia ma ke au o ka ventricular contraction, akā, e e kŘpa a malie. Inā e hoemiia na hoailona o ka congestion i loko o ka naʻau o ka hoʻokō 'ole, a me ka hana kūpono Inc, e hoemiia ka sonority o ka leo, e.

4. Dysfunction o ka papillary nāʻiʻo. Iloko o ka hookolokolo ana pinepine hōʻike hoailona o myocardial infarction, 'ole (II) ischemic. Oia ka systolic'ōhumu ma ka apex o ka naau hiki ke ho'ākāka 'ia e like me ka mea lolilua. Eia hoʻi, ia mea he ano helehelena kokoke i ka hopena o ka systole a ma ka hapa waena.

5. Mitral kiwikā prolapse. He hiki i ka hui malu pu ana o ka lohi systolic'ōhumu aku ai. Bugged i kēiaʻano mea maikaʻi i loko o ka pono kūlana. Oia halulu ke kaumaha ma muli o ka ano o ka hoʻomanawanui i ĸokoĸa ana nä pane nunui. Ia systolic'ōhumu ma ka apex ua wehewehe aku ma ka hoike ana mai o ka waenakonu hapa o systole (ka ai-kapaia mezosistolichesky kaomi).

Ino ma ka hema o ka sternum (wahi Botkina)

I ka halulu o kēia 'ano, he mea kekahi mau kumu:

- Ventricular septal kina. Ka'ākeʻakeʻa lulu umauma i systole ma ka hema o ka sternum. I ka leo ano o ke kina nuiʻaʻohe like me ia. Cardiac kuapuʻu ua 'akomi i loko o 100% o ka hihia. Paa apuupuu systolic ohumu, i ninoaaeyao i ka pau ana o systole, a ua paa ia ma nā mea a pau oihana. Me ke kōkua o X-Ray ke hoike dilatation o ka aortic e pio mai a me ka pulmonary congestion.

- Congenital pulmonary stenosis. Kekahi o na kumu nui hiʻona - he symptom o feline purring. I ka nānā akula au i kekahi 'naʻau kuapuʻu (protrusion thorax). Lua o ka leo o ka pulmonary artery ua hoʻonāwaliwaliʻia.

- Obstructive Cardiomyopathy. Systolic ohumu ma Botkin o kēiaʻano o ka awelika, a hiki oko a ma ka pinepine 'ke kaumaha ma muli o kaʻoihana o ke kino i ka wa a ke kanaka ke kumukuai o - pii, e moe ana ma ka moku'āina - ka emi.

- Tetarda halyard. Mau ino i kapa hoʻohanohanoʻia shunt pu ana o ka haʻalele i ka akau keena o ka naʻau ma muli o ia i kina i loko o ka septum ma waena o nā ventricles, a me ka pulmonary artery hou. Ke kani He la ino, a me ka fixation o systolic jitter. i lohe kahi momona a ino ma ka lalo wahi o ka sternum. Me ke kōkua o ke ECG hiki ke paa na hoailona o ka akau ventricle hypertrophic loli. Akā, me ke kōkua o ka X-na kukuna hōʻike i ka pathology Aʻole e holopono ana. A i kekahi e haawe ua hoikeia cyanosis.

Noise ma ka akau o ka sternum

I keia wahi (II intercostal makahiki) auscultated aortic mā. Noise i loko o ke akamai paipai loaa constriction a ka congenital Kin.

Oia systolic'ōhumu loaʻa kekahi mau 'ano:

- loa mea eʻoi aʻe wahi no kona ka loaʻaʻana - ka 4 a me ka 5 intercostal hakahaka ma ka hema o ka sternum;

- pensistolichesky,, pili, ino a me ka pinepine hamoʻia kani;

- Ua lawe mai ma kaʻaoʻao hema o ka pahu, a hiki i ka hope;

- i loko o ka noho ana kulana maoli he kani;

- X-Ray keia hookolokolo ana huai ae? Anoe? Aortic calcification kona kiwikā i hoʻomākaukauʻia, a ka ulu i loko o ka ventricle hema;

- ka lāʻau ikiʻai, ua ilihune maʻiʻo a no hoi pohihihi;

Holomua kina hele aku ai i? Anoe? O ka haʻalele ventricular arterio-puka. Ma keia kulana, aia no he manawa kūpono o ka hoʻolohe mai o nāʻokoʻa halulu. Inā systolic'ōhumu i triggered e congenital stenosis, ka mea e haawi aku ai ia i nā expulsion o ka leo, i mea no i concomitant aortic rugurgitatsiey.

Heart ohumu i hāpai keiki

Ma ka hanau keiki kānāwai sistalicheskih leo. Loa pinepine, ka mea i ooieoeiiaeuiiai ma ka ano a me ka manawa i ikaika nui ae haawe ana ma luna o ka naʻau o ka wahine hapai. Oia ka moku'āina mea ano loa o ke kolu o ka trimester. Inā walaʻau i paa, keia mea he hōʻailona ia o ka, e lawe hapai moku'āina (nā puʻupaʻa, e haawe dosing, ke koko,) ma lalo o akahele ana.

Inā a pau kēia mau koi i pololei halawai, alaila, he mea na manawa i ka hāpai keiki me ka pono me ka nahunahu hanau, e 'oluʻolu e,ʻaʻohe hopena maikaʻi' ole ma luna o ka naʻau.

ʻike, o ka walaau

Mua, pehea e hoʻomaka i ke kaʻina hana o ka diagnosing naau mai - ka wehewehena o ka wa e kaawale aku ai imua o ka ohumu naau. Ma keia hihia, auscultation o ka naau ua lawe mai i loko o ka papamoe a vertical kulana, ma hope o hoʻokō, ma kaʻaoʻao hema, a me ma ka wahi kiʻekiʻe o ka inhalation a me ka exhalation. Oia ana i e pono ai i ka mea i systolic naau ohumu, i e loa okoa na kumu o ka a, ka mea i pololei hōʻike '.

Inā mākou e kamailio e pili ana i nā meaʻino o ka mitral kiwikā, i ka loa a pau e pono wahi no ka hoʻolohe i ka leo o keia hihia ka mea, o ka wēlau o ka naau. Ma ka hihia o mā o ka aortic kiwikā e hoʻolohe i ke kolu o ka intercostal makahiki i koe o ka sternum ka lua ma kaʻaoʻao'ākau paha. Inā 'oe i ka hana a me nā meaʻino o ka tricuspid kiwikā, i ka systolic ohumu hoolohe maikaʻi i ke kino o ka sternum lalo lihi.

Olelo ana e pili ana i na ano o ka leo, e pono ke kūʻai 'ana i kumumanaʻo ka mea i ka mea, ke i kekahi pae (systolic a me ka diastolic), lōʻihi like' ole, a me ka volatility conductivity. Kekahi o na ki hana nui loa ia ma keia kahua o ka kūlike loa ka wehewehena o kekahi a oi o ka epicenters o ka leo. Ua mea i nui, e lawe i ka mooolelo o ka halulu leo, mai keia ololi Hōʻike i ka ho'ākāka 'ia i keʻano o ka hanaʻana. Inā oluolu systolic ohumu portends pilikia nui, hoʻonaninani, i oloʻia, hamoʻia i ka 'stenosis o ka aortic a pulmonary aortic. I huli ai oe, o ka puhi leo ua paa i ka infective endocarditis a me ka mitral insufficiency. Ia i loko o no o ka buke a me ka leo o ka waihona ipu, a me ka maka o ka naau.

He mea nui iloko o ka loiloi mua PalekanaEND_LINK ana e hookaawale ia extracardiac walaʻau,ʻo ia hoʻi, ke kumu o ka i ua aia mawaho mai o ka naau. Ma ka hapanui o na, mau ino hiki ke lohe ia pericarditis. Akā, ka mea, ua nānā 'ia e ia acoustic kŰia wale i systole. E like me ka koe, ka mea hiki ke hoolohe mai i ka i diastole.

No ka meaʻike, o ka naau ke ano o ka hoʻohana 'ana i kekahi mau loea. Kā lākou palapala noi mea pono, mai ka hopena a e holo ana ma luna o ke kumu o ka loaa physical haʻina, malalo ia e hooiaio ai. E loaʻa ai i kēia Pahuhopu poe akamai i hoʻohana PCG, ECG, X-Ray o ka naau i ka ekolu Ana, echocardiography, me transesophageal.

Me he koe i invasive PalekanaEND_LINK i kūpono i hoʻohana 'ia ma o ka ikaika o keia (kaʻimiʻana, a me nā Akä naÿe epekema.).

E ana i ka nui o ka naau kani hoʻohana kekahi Eia kekahi laʻana:

- physical haawe (isometric, isotonic a me ka carpal dynamometry);

- ha (mahuahua ma ka leo, mai ka hema a me ka akau naau Exhale)

- atrial fibrillation a atrial premature kui iho oe a;

- positional loli (hookiekie ana wāwae i loko o ke kū kulana, i ka loli ana o ka hoʻomanawanui ka kino kulana a me ka noho-UPS);

- Valsalvaʻoihana kaʻa (ka hopuʻana ha me ka paʻa ka waha a me ka ihu,) a me na mea e ae.

Key haʻina

Mua o nā mea a pau ia mea nui e maopopo i ka pilina o kēia lapaʻau 'ana i loko o ke alo o ka ohumu naau. Kona mea, ua wehewehe ia e ka mea i systolic'ōhumu aku ai i ole portend tangible ola pilikia, akā, i ka mea ia manawa, ua hiki ia ia ke kīnā o ia mea maʻi.

No laila, i kekahi halulu mea i 'akomi i loko o ka naau, pono e hoakaka ia e palapala hōʻoia no kauka (ia mea pono e hooholo i ka mea competently a me ka pololei). I ka mea, mau i ka naau ohumu kanaka ano pili me ka makahiki-pili manawa. Kekahi leo i loko o ka naʻau pono kauka. Ka hanana o ka naau. Ohumu iho i loko o ka wahine hapai ka kumu lawa e hookupaa nui ae i paʻa mana ma luna o kona kulana.

E like ma ka wa e kaawale aku o kekahi pilikia me ka naau a symptoms o kekahi abnormalities, pono kekahi manawa e loiloi. Ua Ua pinepine ka hōʻike systolic leo ia lŘlŘ randomly. Penei, he papa'āweʻaweʻa kemikaʻike, mea hiki ke huai ae i kekahi pathology ma ke kahua ka wā paha ka hoʻokō lapaau.