An samo cututtukan zuciya - aortic stenosis

Aortic stenosis, wanda kuma ake kira stenosis, aortic bawul , ko aortic stenosis, yana nufin samu cututtukan zuciya, wanda sune Organic rauni a zuciya bawuloli, shi partitions babban tasoshin da myocardium. Hanyar aortic stenosis ne yawanci a rheumatic endocarditis, ko da yake za a iya lalacewa ta hanyar infective endocarditis da kuma atherosclerosis.

A sakamakon haka, akwai wani tattara abubuwa masu kyau na rheumatic endocarditis na aortic bawul, da mai kauri, kuma takaita da bude tsakanin hagu ventricle na zuciya da kuma lakã. A shamaki da aka kafa a lokacin da jini ya wuce a lokacin da ƙanƙancewa na zuciya daga hagu ventricle cikin lakã, watau, aortic bawul stenosis. Kamar wancan ne mataimakin a cikin pathological aiwatar sau da yawa kõma jijiyoyin zuciya tasoshin.

hemodynamic rashin zaman lafiya

Aortic stenosis sakamakon a cikin rushewa daga hemodynamics a lokacin da aortic orifice yanki rage-rage zuwa 0,75-1,75 cm² a wani kudi na 3-4 square santimita A lokacin systole, da jini da cewa an fitad da hagu ventricle, ya gana da gagarumin juriya. Karfafuwa hagu na ramin zuciya ƙanƙancewa ba shi da lokacin da za a jefa fitar da jini a cikin lakã da kuma wasu daga shi ya zauna a cikin kogo na ramin zuciya. A lokacin da wadannan diastole da sauran ƙarfi da jini a hagu ventricle da jini da aka kara wa saba wa rabo daga bar atrium. A hankali da adadin jini a cikin ventricle aka muhimmanci ƙãra, abu don ya mikewa. Wannan obalodi take kaiwa zuwa hypertrophy da dilatation na hagu ventricle. Duk da yake ventricle copes da nauyi kaya, babu keta kiyaye. A tsawon lokaci, shi ba zai iya cikakken hadu da bukatun da gabobin da kyallen takarda a cikin jini.

asibiti hoto

A mataki lahani sakamakon koke-koken da haƙuri ba zai iya zama. A tsawon lokaci, a lokacin motsa jiki na iya bayyana jin zafi a zuciya, juwa ko jiri, aka rufe da mãgãgi. A mataki na decompensation lahani wadannan gunaguni zama dindindin. Bugu da kari, a cikin marasa lafiya da nakasa daga 'ya'yan numfashi, wanda shi ne a farkon matakai akwai wani alagammana reflex cardiac fuka da zai yiwu miƙa mulki ga huhu edema. Marasa lafiya sau da yawa jin nauyi da kuma zafi a cikin dama babba quadrant.

Gani daga haƙuri bayyana pallor zanen gado saboda spasm na jini da fata a mayar da martani ga wani low zuciya ejection na jini. A sakamakon zuciya rashin cin nasara tare da cunkoso a cikin ci gaban da jijiyoyi bayyana akrozianoz.

A lokacin palpation za a iya bayyana da kuma karfafa da apical cardiac turu. Lokacin da zuciya rashin cin nasara apical turu aka Littafi da kuma canja saukar da hagu. Lokacin gudanar da palpation m systolic jitter kirji bango a karo na biyu intercostal sarari ga dama, da ake kira mai alama na feline purring, a Botkina I v lakar fossa.

Aortic stenosis auscultation bayyananne weakening na zuciya sauti, tsagawa ko bifurcation na kafa da kuma m m systolic gunaguni a karo na biyu intercostal sarari to da dama daga cikin sternum. Amo ne da ya yi a cikin lakar da supraclavicular fossa, a kan carotid jijiya.

Pulse da jini a cikin diyya lokacin da aka canza ba aibi. Tare da ci gaban decompensation tasowa karu a systolic da kuma bugun jini matsa lamba, zuciya rate zama jinkirin, akwai bradycardia.

Aortic stenosis kamu amfani ECG data PCG, echocardiography.

magani

Conservative magani daga aortic stenosis ne mu bi tamkar hanyar wannan cuta - rheumatism, arteriosclerosis, infective endocarditis, da kuma bayyananen na cardiac da jijiyoyin zuciya insufficiency.

Idan aortic stenosis tare da wani karuwa a systolic matsa lamba dan tudu a fadin bawul na lakã, da bukatar m baki ya auku. Mafi na kowa Hanyar daga m baki ne da balan-balan dilation, amma ainihin Hanyar gyara wani aibi aortic bawul.