Regurgitation Tricuspid of 1 degree - maxay tahay iyo waxa daaweynta?

regurgitation Tricuspid - waa hal foom oo ah cudurka wadnaha, taas oo ay jirto laabto dhiig inta lagu guda jiro tuuro systole ka ventricle midig galay saabka of Atrium saxda ah. Sababta tani waa tricuspid ah (tricuspid) waalka, ie. E. xiritaanka aan dhammeystirneyn of caleemo albaabka ay. regurgitation waalka Tricuspid waxaa helay ama lagu dhasho.

Asalka ereyga

Erayga "regurgitation" ka timaadaa gurgitare ee Laatiin - "daadkii" - iyo dib horgalaha, taasoo muujinaysa saamayn ka soo horjeeda, ie, waxa ay ku lug leedahay dhinaca ka soo horjeeda ee socodka caadiga ah ... Xaaladdan oo kale - noqoshada dhiigga.

Sababaha regurgitation tricuspid lagu dhasho

Sababaha ugu badan ee cillado lagu dhasho waa:

• waraaqo waalka hypoplasia;
• horumarka aan caadi ahayn (tiro) waraaqo waalka,
• Kobac la'aanta of unugyo;
• Ehlers-Danlos syndrome,
• syndrome Marfan;
• logu Ebstein ee.

regurgitation Tricuspid in ilmaha caloosha ku jira go'doomin waa mid aad dhif u ah, sida caadiga ah waxaa ay weheliso cillado kale ee wadnaha. failure waalka Tani waxay qayb ka mid ah iin mitral-aortic-tricuspid waxaa laga yaabaa.

Sababaha regurgitation tricuspid helay

regurgitation waalka Tricuspid helay aad uga badan yihiin ee lagu dhasho. Waa hoose iyo kuwa sare. Sababaha aasaasiga ah ee cudurka waxa ka mid ah laabotooyinka, qabatinka, carcinoid syndrome.

1. qandho Rheumatic - waa sababta ugu badan ee cudurkan. In 20% ee kiisaska, kuwaas oo endocarditis rheumatic soo noq keenaysaa in lahayo ku (dhagid iyo yaraynta) ee qaybood waalka hab iyo isbedelka seed isla dunta ah. Inta badan cudurkaan ku xiran yahay stenosis ee furitaanka xaq atrioventricular. isku darka Tan waxaa lagu magacaabaa iin weheliso tricuspid.
2. Dillaaca muruqa papillary sidoo kale keeni karta in regurgitation tricuspid. nusqaamaha ka dhacaan infarctions myocardial, ama waxaa laga yaabaa asal ahaan ku dhibaysa.
3. Carcinoid syndrome sidoo kale waxay keeni kartaa cudur this. Waxay ku dhacdaa noocyo ka mid ah kansarka, sida kansarka xiidmaha, ugxan, ama sambabada yar.
4. Admission daroogada adag inta badan keenta in infective endocarditis, oo uu, ka bacdi, waxay keeni kartaa regurgitation tricuspid.

Sababaha kaafi tricuspid sare socda cudurada inta badan waa:

• furanto of fibrosus annulus ah, kaas oo soo baxdo in cardiomyopathy u furmo,
• gob of hypertension pulmonary;
• itaaldarrada ventricle saxda ah, oo waxaa laga helaa waxa loogu yeero wadnaha sambabada;
• wadnaha chronic,
• myocarditis;
• myocardiodystrophy.

Calaamadaha carruurta

regurgitation tricuspid Congenital carruurta in 25% ka mid ah xaaladaha, teedu sida tachycardia supraventricular ama wadne, ka dib muujiyo daran wadnaha.

In carruurta waaweyn, xitaa at load ugu yaraan u muuqataa neefta oo ku qabata iyo wadno garaac. waxaa laga yaabaa in ilmahaaga ayaa ka cabanaya xanuunka ee wadnaha. laga dheehan karo xanuunada dyspeptic (yalaalugo, matag, yaaqyaaqsi), iyo xanuun ah ama dareen ah in caloolxumo hypochondrium saxda ah. Haddii uu jiro ciriiriga in wareegga systemic, ka dibna waxaa jira barar durugsan, ascites, hydrothorax ama hepatomegaly. All tani waa xaalad aad u daran.

Calaamadaha cudurka ee dadka waaweyn

Haddii cudurada la helay waqti dambe ee nolosha, bilowga hore ee uu qofku ku dul karin xitaa ka shakisan tahay. regurgitation tricuspid yar dhacdaa kaliya in bukaanka qaar ka mid ah, taagan xididdada luqunta. Calaamadaha kale waxaa ka mid ah bukaanka oo aan la xusay. regurgitation waalka Tricuspid of 1 degree ma qaaddeen muujin karo. Caadi ahaan, cudurada this waxaa laga helaa by fursad lagu jiro baaritaanka caafimaad ee soo socda. Bukaanka kordhiyay echocardiography, halkaas oo la ogaado regurgitation tricuspid 1 degree. Waa maxay - uu ka soo helaa oo keliya baaritaanka ka dib. bukaanka noocan oo kale ah waxaa badanaa lagu saaray diiwaanka by wadnaha iyo watch.

In failure daran ee waalka jiro barar weyn oo ka mid ah xididdada Annagaana ugsa dhaw. Xaaladdan oo kale, haddii xaq u leeyihiin inay ka ugsa dhaw xididka dhuunta gacan ka dhigi, waxa aad dareemi kartaa eegmo ah. Xaaladaha daran, natiijooyinka pathology in cillad xaq ventricular, wadne, ama wadnaha oo shaqadiisa gaba waxay keeni kartaa.

Baadhista xanuunada

Cilad-"tricuspid regurgitation 1 degree" ama qaar ka mid kale oo la samayn karaa ka dib markii baaritaan buuxa bukaanka kaliya. Si arrintan loo sameeyo, maraan habka soo socda:

• .. habka baaritaanka jirka, auscultation ie leh codadka qalab iyo murmurs qalbigaaga ku jirta,
• Echocardiography (echocardiography) - ultrasound ah wadnaha, taas oo cadaynaysa xaaladda functional iyo morphological muruqyada wadnaha iyo khaanadaha,
• ECG, taas oo aad ka arki kartaa calaamadaha ah Atrium balaartay xaq iyo ventricle wadnaha;
• xabadka x-ray - marka daraasadda ayaa sidoo kale ka helay oo kordhay dhinacyada ventricular midig, mid ka arki kartaa calaamadaha hypertension pulmonary iyo calaamadaha lahayo ee mitral iyo filtarka aortic;
• soo saaro dhiiga lagmamaarmaanna;
• complete count dhiig;
• sanka wadnaha - this habka ugu dambeeyay invasive loo isticmaalo cudurka of heley wadnaha iyo daaweynta.

kala soocidda

Waxaan ogaaday in etiology regurgitation waalka tricuspid waxaa laga yaabaa in lagu dhasho ama helay, aasaasiga ah (organic) ama dugsiga sare (functional). kaafi Organic muujiyay valvular lahayo ku: dhagid iyo wrinkling waraaqo biiyaha ama kalshum. laxaadka la muujiyey markii cillad waalka sababa cudurada kale, muujiyey dillaac ah murqaha ama seed chords papillary iyo anulus xadgudub.

xadka cudurka

Kala 4 darajo cudurada, kuwaas oo lagu gartaa shubay dhiig dheer beddeli jet hadda in saabka of Atrium saxda ah.

regurgitation Tricuspid of 1 degree - waa maxay? Xaaladdan oo kale, dhiig soo laabtay tuuro waa qiimo lahayn oo si dhib leh ka go'an. Xaaladdan oo kale, bukaanka aan loo eegayn waxa aan ka cabanaya. Sawirka caafimaad oo ka maqan.

Marka cudurka of "degree of regurgitation tricuspid 2" reverse dhiig loo shubay jet dhacdaa gudahood 2 cm oo derbiyadaada waalka. Clinic marxaladdan cudurka durba waa ka maqan, waxaa laga yaabaa in si liidata muujiyay pulsation xididdada Annagaana ugsa dhaw.

Regurgitation waalka tricuspid 3 waxaa lagu go'aamiyaa heerka uu regurgitation dambe hadda dhiig muddo ka badan 2 cm ka waalka tricuspid. Bukaan-socodka laga reebo xididada qoorta Cabidkariin dareemi karaa wadno, daciifnimo iyo daal, xitaa neefta yar ee neefta laga yaabaa in la wahsiga dhacaan.

Cudurku waxa lagu gartaa fasalka 4 dambe jet socodka dhiigga daran saarayay waayo masaafo dheer waalka galay saabka of Atrium saxda ah. In aad u daran calaamadaha bukaanka ee wadnaha daran iyo dhiig-karka pulmonary laga dheehan karo (pulmonary iyo regurgitation tricuspid). Xaaladdan oo kale, calaamadaha kor ku qoran, ku biiray by dadka kale. Magac ahaan, ku bararka addinka hoose, dareen pulsation tagay sternum, taas oo kordhinaysa inspiratory ah, wadnaha oo yaraada codadka, jirka qabow, beerka balaartay, ascites (dheecaan in saabka caloosha), calool xanuun, iyo dabeecadda rheumatic cudurkan laga dheehan karo aortic ama mitral.

daaweynta

Xulashada Daaweynta ku xiran tahay darnaanta cudurka, iyo sidoo kale in waxaa ku weheliyay cillado kale ee wadnaha iyo cilladaha ama ma. Marka cudurka "regurgitation waalka tricuspid 1 degree" daaweynta guud waa lacag la'aan. dhakhaatiirta xaalad noocan oo kale ah waxaa loo tixgeliyaa sida duwanaansho caadi ah. Haddii regurgitation tricuspid of 1 degree ay sabab u tahay cudurka qaar ka mid ah, sida cudurka sambabada, laabotooyinka ama endocarditis infective, waa inay noqdaan therapy cudurada provocateur. Haddii laga takhaluso cudurka sababaya, iyo joojiyaan lahayo ku dheeraad ah waalka tricuspid. Sidaas daraaddeed, regurgitation tricuspid 1 degree - waxa iyo sida loo daaweeyo, waa cad yihiin haatan. Tixgeli wareega xiga ee cudurka.

waalka Tricuspid regurgitation fasalka 2 badanaa uma baahna daaweyn. Haddii cudurada la xidhiidha curyaanimo kale, ama cudurada wadnaha sida gabsiiya wadnaha, waxaa lagama maarmaan ah in lagu daweeyo hababka muxaafidka ah. Ujeedada this, diuretics waxaa loo isticmaalaa si loo yareeyo bararka iyo diyaarinta, nasashada ee muruqyada siman ee xididdada dhiigga (vasodilators). Tallaabooyinka kale ee regurgitation tricuspid fasalka 2 looma baahna.

Daaweynta fasalka 3 iyo 4 waxaa sidoo kale la faray in ay baabi'inta cudurka, regurgitation sababay. Haddii aysan u shaqeeyaan, qaliin lagu tilmaamayaa. Marka wax caag this waxaa la siiyaa qaybood waalka, annuloplasty ay (podshivanie siddo oo dabacsan ama adag ayaa sidoo kale suurto gal ah ee giraanta tollin waalka by suturing) ama sanaaci.

regurgitation mitral

Marka failure of waalka mitral, marka qaybood ay xiran yihiin si adag u xidh ku filan, waxaa jira socodka dambe ee dhiig ka ventricle bidix galay bidix inta lagu jiro systole. xaalad Tan waxaa lagu magacaabaa regurgitation mitral ama dhicida waalka mitral. Tani cudurada sida regurgitation tricuspid waxaa laga yaabaa in sidoo kale lagu dhasho ama heleen. Sababaha iyo ogaanshaha in cudurka of "mitral" iyo "regurgitation tricuspid" sidoo kale waa la mid ah. Ilaa xad, loo ogaado heerka uu gaarsiisan yahay cudurka, kaliya 4, waxay ku xiran tahay xaddiga dhiigga hadda dambe:

• 1 digrii - regurgitation mitral yar;
• 2 degree - regurgitation mitral dhexdhexaad ah;
• 3 degree - muujiyay regurgitation mitral weyn;
• 4 degree - regurgitation mitral daran waxay badanaa ka dhacdaa silica.

mitral aan qiimo lahayn, tricuspid regurgitation 1 degree keenaya wax cabasho Ujeedada bukaanka, daaweynta ma loo baahan yahay. daaweynta Daaweynta waa la fuliyay in cudurka adag, tus, rabshooyin garaaca wadnaha ama sanbabka. qalliin ayaa la tilmaamay in kaafi mitral daran ama ba'an, mararka waxay ka dhigi caag ama tubada bedalay.

isku dhafan ee mitral iyo yaridu tricuspid

Inta badan mitral iyo regurgitation tricuspid ayaa lagu ogaadaa in mid ka mid ah bukaanka waqti isku mid ah. Wadnaha kadib markii baaritaan faahfaahsan iyo falanqaynta natiijada qaadan doonaa go'aan ku saabsan xeeladaha daawaynta bukaanka. Haddii failure ee filtarka wax yar ka muujiyey waxaa laga yaabaa in daaweyn ma loo baahan yahay, laakiin waa in la xilliyo gaar arkay by wadnaha iyo noqotay baaritaanada lagama maarmaanka ah.

Haddii qarka u saaran inuu ka dhigi of failure ee filtarka, waxa lagu meelaynayaa daaweynta daweyn loogu talagalay baabi'inta cudurka provocateur. Maqnaanshaha dhaqdhaqaaqa wanaagsan ee daaweynta waxaa lagu tilmaamay regurgitation qalitaan. Sida caadiga ah tani waa in cudurka wayn oo aad u daran.

Bukaanka maray daaweynta qalliin kaafi waalka, sida caadiga ah u magacaabay by dhaweynta ee xinjirowga lidka ku ah si aan toos ahayn.

Odoroska

regurgitation Sare waxaa loo arkaa ugu prognostically allifey. dhimashada bukaanada kiiskan sida caadiga ah dhacdaa ka Wadnaxanuun myocardial, sii kordhaya wadnaha, pneumonia ama lungemboli.

Sida laga soo xigtay tirakoobka, ka dib markii daaweyn qalliin qalbiga la'aan waalka badbaadada bukaanka ilaa 5 sano iyo in ka badan 65% ka dib markii sanaaci ah iyo 70% ka dib markii annuloplasty.

saadaal wanaagsan ee cudurka "regurgitation tricuspid of 1 degree." Waa maxay, bukaannada inta badan u ogaato oo kaliya inta lagu guda jiro baaritaanada ka hortag ah. failure khatar yar oo si toos ah nolosha Marka ma aha ee filtarka qalbiga ku jira.

gunaanad

Ka Hortagga kaafi ah mitral iyo tricuspid waa ka hortaga cudurada in ka cadhaysiinina failure of filtarka. Magac ahaan, daaweynta cudurrada laabotooyinka iyo kale waxyeelo loo geysto filtarka qalbiga ku jira.