Tricuspid regurgitation nke 1 ogo - ihe ka ọ bụ na ihe bụ omume?

Tricuspid regurgitation - bụ otu ụdị nke ọrịa obi, ọrịa bụ nke a nloghachi nke ọbara n'oge systole otutu si nri ventricle n'ime uji eze nke nri atrium. Ihe kpatara nke a bụ tricuspid (tricuspid) valvụ, ie. E. na-ezughị ezu mmechi nke ya ụzọ epupụta. Tricuspid valvụ regurgitation na-enwetara ma ọ bụ congenital.

Mmalite nke okwu

Okwu "regurgitation" si Latin gurgitare - "mmiri" - na nganiihu u, na-egosi ndị na-abụghị mmetụta, ie, ọ na-agụnye ndị na-abụghị ntụziaka nke nkịtị eruba ... Na nke a - na backflow ọbara.

Akpata congenital tricuspid regurgitation

The kasị akpata congenital anomalies bụ:

• hypoplasia valvụ mpempe akwụkwọ;
• ndiiche mmepe (nọmba) nke valvụ mpempe akwụkwọ;
• dysplasia nke connective anụ ahụ;
• Ehlers-Danlos syndrome;
• Marfan syndrome;
• Ebstein si anomaly.

Tricuspid regurgitation na nwa ebu n'afọ na-akpa iche dị nnọọ obere, ọ na-emekarị jikọtara ndị ọzọ obi ntụpọ. Nke a valvụ ọdịda nwere ike ịbụ akụkụ nke mitral-aortic-tricuspid nkwarụ.

Akpata enwetara tricuspid regurgitation

Tricuspid valvụ regurgitation enwetara ihe ndị ọzọ na-ahụkarị ihe congenital. Ọ bụ isi na sekọndrị. The isi na-akpatara ndị a na ọrịa na-agụnye rheumatism, ahụ riri, carcinoid syndrome.

1. Rheumatic fever - bụ ebutekarị ọrịa a. Na 20% nke ikpe, ya bụ ntighari rheumatic endocarditis eduga ná deformation (ndim na shortening) nke valvụ flaps na n'otu ụzọ na mgbanwe akaị eri. Ọtụtụ mgbe a na ọrịa na-ejikọrọ stenosis nke nri atrioventricular oghere. Nke a Nchikota a na-akpọ a jikọtara tricuspid nkwarụ.
2. -Agbawa nke papillary muscle nwekwara ike iduga tricuspid regurgitation. Ndị a gaps ime na myocardial infarctions, ma ọ bụ nwere ike a na-akpasasị uche si malite.
3. Carcinoid syndrome nwekwara ike ịkpata ọrịa a. Ọ na-adị na ụfọdụ ụdị nke cancer, dị ka ọrịa cancer nke obere eriri afọ, ovary, ma ọ bụ akpa ume.
4. Admission ọgwụ ike na-akpatakarị infective endocarditis, na ya onwe ya, nwere ike ime ka tricuspid regurgitation.

Akpata sekọndrị tricuspid insufficiency esonụ ọrịa ndị kasị mgbe:

• dilation nke annulus fibrosus, nke na-ebilite na dilated cardiomyopathy;
• ọkwa dị elu nke akpa ume ọbara mgbali;
• adịghị ike nke ndị ziri ezi ventricle, nke a na-achọta na-akpọ akpa ume n'obi-ya;
• ala ala obi odida;
• myocarditis;
• myocardiodystrophy.

Mgbaàmà na ụmụ

Congenital tricuspid regurgitation na ụmụ ọhụrụ na 25% nke ikpe, na-egosi dị ka supraventricular tachycardia ma ọ bụ atrial fibrillation, nwere ike mgbe e mesịrị na-ekpughe oké obi ọdịda.

Ke okenye ụmụ, ọbụna na kacha nta ibu na-egosi iku ume ọkụ ọkụ na palpitations. Nwa ahụ nwere ike mkpesa nke ihe mgbu na obi. Pụrụ hụrụ dyspeptic ọrịa (ọgbụgbọ, vomiting, flatulence), na ihe mgbu ma ọ bụ mmetụta nke arọ na nri hypochondrium. Ọ bụrụ na e mkpọchi na systemic mgbasa, mgbe ahụ, e nwere elu edema, ascites, hydrothorax ma ọ bụ hepatomegaly. All nke a bụ a dị nnọọ oké njọ ọnọdụ.

Mgbaàmà nke ọrịa na ndị okenye na

Ọ bụrụ na ndị daa ọrịa na-enwetara mgbe e mesịrị na ndụ, na mbụ ogbo nke a onye na ọ nwere ike na-adịghị ọbụna na-enyo. Nta tricuspid regurgitation pụtara nanị na ụfọdụ ọrịa, throbbing n'olu veins. Mgbaàmà ndị ọzọ nke onye ọrịa na-adịghị kwuru. Tricuspid valvụ regurgitation nke 1 ogo nwere ike anaghị egosipụta onwe. A, nke a daa ọrịa na-chọtara ohere n'oge ọzọ ọgwụ nnyocha. Ndidi gbatịrị echocardiography, ebe ọ na-ahụrụ tricuspid regurgitation 1 ogo. Gịnị bụ na ọ na - ọ chọpụtara na mgbe ule. Ndị dị otú ahụ ọrịa na-na-na-etinye na ndekọ site a cardiologist na-eche nche.

Na ọzọ oké odida nke valvụ e a ịrịba ọzịza nke jugular veins. Na nke a, ma ọ bụrụ na ikike jugular akwara -eme ka a aka, i nwere ike na-eche na shake. Na oké ikpe, na daa ọrịa pụta na nri ventricular dysfunction, atrial fibrillation, ma ọ bụ obi odida nwere ike ime ka.

nchọpụta nsogbu

Diagnosis "tricuspid regurgitation 1 ogo" ma ọ bụ ụfọdụ ihe ndị ọzọ nwere ike na-mere mgbe a nyochaa nke onye ọrịa. Iji mee nke a, na-aga site na-esonụ usoro:

• .. Physical ule usoro, ie auscultation na a stethoscope-aj u na obi murmurs;
• Echocardiography (echocardiography) - a gbasara obi ultrasound, nke na-egosipụta ọtọ na morphological ọnọdụ nke obi muscle na valves;
• ECG, nke ị nwere ike ịhụ ihe ịrịba ama nke otu ikpọ nri atrium na ventricle nke obi;
• obi x-ray - mgbe ọmụmụ nwekwara hụrụ ụba nri ventricular akụkụ, onye pụrụ ịhụ ihe ịrịba ama nke akpa ume ọbara mgbali na deformation nke mitral na aortic valves;
• mepụta Biochemical ọbara;
• zuru ọbara ọnụ;
• gbasara obi catheterization - a ọhụrụ invasive usoro eji maka nchoputa nke gbasara obi pathologies na ọgwụgwọ.

nhazi ọkwa

Anyị chọpụtara na tricuspid valvụ regurgitation etiology nwere ike congenital ma ọ bụ enwetara, bụ isi (organic) ma ọ bụ nke abụọ (ọtọ). Organic insufficiency owụt deformation valvular: ndim na wrinkling nke valvụ mpempe akwụkwọ ma ọ bụ calcification. Ọtọ impairment na-egosipụta mgbe valvụ dysfunction kpatara ọrịa ndị ọzọ, na-egosipụta-agbawa nke papillary muscle ma ọ bụ akaị chords na mebiri anulus.

n'ókè nke ọrịa

Ịmata Ọdịiche 4 degrees ọrịa, nke na-ji ogologo ọbara mgbatị laa azu ugbu a ugboelu na uji eze nke nri atrium.

Tricuspid regurgitation nke 1 ogo - ihe ọ bụ? Na nke a, nloghachi otutu ọbara bụ ntakịrị na o siri ike na kpebisiri ike. Na nke a, ọrịa n'agbanyeghị ihe na-adịghị mkpesa. The adakarị picture na-efu efu.

Mgbe nchoputa nke "ogo tricuspid regurgitation 2" reverse ugboelu mgbatị ọbara pụtara n'ime 2 cm nke valvụ mgbidi. Clinic na a ogbo nke ọrịa bụ fọrọ nke nta na-anọghị, ọ nwere ike na-agụghị oké owụt pulsation jugular veins.

Regurgitation tricuspid valvụ 3 kpebisiri ike site ogo agbara ugbu regurgitation ọbara n'ihi na ihe karịrị 2 cm si tricuspid valvụ. Ọrịa ma e wezụga ripple n'olu veins nwere ike iche na palpitations, n'adịghị ike na ike ọgwụgwụ, ọbụna a nta iku ume ọkụ ọkụ nwere ike ime na ala emega ahụ.

The ọrịa e ji oké ọkwa 4 ugboelu reverse ọbara nēfe ruo ogologo anya si valvụ n'ime uji eze nke nri atrium. Na oké ọrịa na-mgbaàmà nke oké obi odida na akpa ume ọbara mgbali pụrụ hụrụ (akpa ume na tricuspid regurgitation). Na nke a, ihe mgbaàmà e depụtara n'elu, sonyeere ndị ọzọ. Ya bụ, ala N'ịdị edema, na-eche pulsation ekpe sternum, nke enwekwu inspiratory, mkpọchị obi na-ada, oyi na nsọtụ, ikpọ imeju, ascites (ọmụmụ ìgwè ke abdominal uji eze), abdominal mgbu, na maka rheumatic ọdịdị nke ọrịa a pụrụ hụrụ aortic ma ọ bụ mitral.

ọgwụgwọ

Ọgwụgwọ nhọrọ adabere na ogo nke ọrịa, nakwa dị ka ma ọ na-esonyere ndị ọzọ obi ntụpọ na abnormalities ma ọ bụ. Mgbe nchoputa "tricuspid valvụ regurgitation 1 ogo" ọgwụgwọ bụ n'ozuzu nweghị ebubo. Ndị dị otú ahụ a ọnọdụ ndị dọkịta na-ewere dị ka a nkịtị variant. Ọ bụrụ na tricuspid regurgitation nke 1 ogo ruru ụfọdụ ọrịa, dị ka akpa ume ọrịa, rheumatism ma ọ bụ infective endocarditis, ọ ga-abụ na ọgwụ ọrịa provocateur. Ọ bụrụ na Bibie nke kpatara ọrịa, na-akwụsị n'ihu deformation nke tricuspid valvụ. Ya mere, tricuspid regurgitation 1 ogo - ihe ọ bụ na otú na-emeso ya, ọ bụ ugbu a doro anya. Tụlee ọzọ ogbo nke ọrịa.

Tricuspid valvụ regurgitation ọkwa 2 mgbe adịghị achọ ọgwụgwọ. Ọ bụrụ na ndị daa ọrịa jikọtara ndị ọzọ malformations, ma ọ bụ gbasara obi ọrịa ndị dị ka congestive obi ọdịda, ọ dị mkpa na-emeso na mgbanwe ụzọ. N'ihi nke a, diuretics na-eji iji belata ọkọ na preparations, atụrụ ndụ na-eji ire ụtọ mọzụlụ nke ọbara arịa (vasodilators). Ndị ọzọ jikoro tricuspid regurgitation ọkwa 2 na-achọrọ.

Ọgwụgwọ nke ọkwa 3 na 4 na-eduzi ndị n'ikpochapụ ọrịa, regurgitation mere. Ọ bụrụ na ọ naghị arụ ọrụ, ịwa gosiri. Mgbe a plastic ihe onwunwe a na-nyere valvụ flaps, ha annuloplasty (podshivanie mgbanwe ma ọ bụ isiike yiri mgbaaka na-ikekwe nke valvụ agịga mgbanaka site suturing) ma ọ bụ prosthesis.

mitral regurgitation

Mgbe odida nke mitral valvụ, mgbe ya flaps na-emechi tightly ezu, e nwere a reverse oruru ọbara si ekpe ventricle n'ime ekpe atrium n'oge systole. A na ọnọdụ a na-akpọ mitral regurgitation ma ọ bụ mitral valvụ prolapse. Nke a daa ọrịa dị ka tricuspid regurgitation nwere ike ma congenital ma ọ bụ enwetara. Akpata na nchoputa na nchoputa nke "mitral" na "tricuspid regurgitation" bụkwa yiri. N'ókè, chọpụta ogo nke ọrịa, na 4, ha na-adabere na ego nke ọbara agbara ugbu a:

• 1 ogo - nta mitral regurgitation;
• 2 ogo - agafeghị oke mitral regurgitation;
• 3 ogo - owụt ịrịba mitral regurgitation;
• 4 ogo - oké mitral regurgitation abụkarị morbidity.

Ntakịrị mitral, tricuspid regurgitation 1 ogo eme dịghị ebumnobi mkpesa nke onye ọrịa, ọ dịghị ọgwụgwọ a chọrọ. Therapeutic ọgwụgwọ a rụrụ na mgbagwoju anya ọrịa, e.g., obi n'afọ iri na ụma na-enwe nsogbu ma ọ bụ akpa ume ọbara mgbali. Ịwa ahụ aka na-owụt ke oké ma ọ bụ oké mitral insufficiency, na okwu ikpe ndị a na-eme ka plastic ma ọ bụ prosthetic valvụ.

The Nchikota mitral na tricuspid insufficiency

Ọtụtụ mgbe, ndị mitral na tricuspid regurgitation na-chọpụtara na otu ime n'otu oge. Cardiologist mgbe a zuru ezu nnyocha na analysis nke ga-arụpụta ga-ewere a mkpebi na eme nke ọgwụgwọ nke ọrịa. Ọ bụrụ na odida nke valves ubé kwuru nwere ike dịghị ọgwụgwọ a chọrọ ma a ga-oge hụrụ a cardiologist na ruo ndị dị mkpa ule.

Ọ bụrụ na-eme ka nke odida nke valves, ọ ga-ekenye gwọọ ya ọrịa iji na iwepu provocateur ọrịa. Na-anọghị nke oma Ọnọdụ nke ọgwụgwọ na-owụt regurgitation surgically. Emekarị nke a bụ nnọọ na oké ọrịa.

Ọrịa ndị na-wara awa ahụ ọgwụgwọ nke valvụ insufficiency, na-emekarị họpụtara n'ikuku nke anọ anticoagulants.

ele ihe anya

Secondary regurgitation a na-ewere ndị kasị prognostically ọjọọ. Ọnwụ nke ọrịa na nke a na-emekarị emee si myocardial infarction, na-amụba obi ọdịda, oyi baa ma ọ bụ akpa ume embolism.

Dị ka ọnụ ọgụgụ, mgbe ịwa ahụ ọgwụgwọ nke obi valvụ insufficiency ndidi lanarị ruo 5 afọ na ndị ọzọ karịa 65% mgbe prosthesis na 70% mgbe annuloplasty.

Mma prognosis na nchoputa "tricuspid regurgitation nke 1 ukwuu." Ihe ọ bụ, ndị ọrịa na-emekarị chọpụta nanị n'oge mgbochi ule. Mgbe a obere ọdịda kpọmkwem ihe iyi egwu ndụ abụghị nke obi valves.

ọgwụgwụ

Prevention nke mitral na tricuspid insufficiency bụ mgbochi nke ọrịa na akpasu odida nke valves. Ya bụ, ọgwụgwọ nke rheumatism na ọrịa ndị ọzọ na-eme ka mmebi nke obi valves.