Mitral insufficiency a me kona lapaʻau

Mitral insufficiency - he pathological kaʻina e hoʻomōhala ana i ka hapanui pinepine i ka kēia mau maʻi: rumatika, infectious endokardit.Znachitelno emi oia e hoʻomōhala ana i like me ka hopena o calcification o ka mitral apo, naau kiwikā lesions ma systemic scleroderma a systemic lupus erythematosus, like hoʻi me aortoarteritis, degenerative maʻi o ka connective'aʻaʻa - syndromes Eilers-Danlos a me Marfan. E like me complications o ka hoʻonui valvuloplasty mea i hiki i ka muli o kēia maʻi.

Mitral insufficiency e hoʻomōhala ana i aie i ka rupture o ka chord a papillary Muscle, e like me myocardial infarction. I ka hope o ka infective endocarditis hiki kokololio ka luku a me ka poho i ka nohona kiwikā leaflets. I lawe mai i ka nohona kiwikā prosthesis e hoʻomōhala complications - okoloklapannaya regurgitation.

Pili mitral insufficiency e hoʻomōhala ku pono i ke anoe keena o ka naau (ka wā myocardiodystrophy, myocarditis, cardiomyopathy, ischemic naʻau maʻi).

Aia he mau ke ano o ka mitral insufficiency: huʻi a me ka maʻi.

Ke ano symptoms o ka huʻi maʻi, he hoike ana mai o ka hema ventricular ole me ka ka piʻiʻana o ka hypotension a me pulmonary edema. Pinepine he mea atrial fibrillation, paha emi e hoʻomōhala atrial kui iho oe a.

Maʻi mitral regurgitation mea he lōʻihi manawa (ma kahi o 10 makahiki) ana i hūnāʻia. A laila, ma laila nō, ua hoopii ano o ka naʻau ole: pokole o ka hanu ma exertion, ka luhi. Paha i keʻano o nā symptoms Ortner: mea akaka hoarseness ku i ka mīkini'opihia o ka hoonee aku i ka naau recurrent nā aʻalolo. A laila hui ma ka cough a me ka hemoptysis, haanou ana ma muli o ia i ka haʻi stagnation i loko o ka poe liilii, a me ka nui holo.

I ka nana aku la au mai ia i ka hoomanawanui e loaa na lehelehe cyanosis. Kēia mitral naau maʻi ua wehewehe aku ma ka lāʻau ikiʻai wale o ka awelika maʻiʻo. Paha tachypnea. Ke pohupani hale o ka apical impulse ia lŘlŘ ma ka hema, e lilo ia eiei, a hooikaika aku la i; me ka nui mitral regurgitation ia lŘlŘ systolic jitter i loko o ka apex o ka naau.

Auscultation mitral insufficiency wehewehe aku ma ka helehelena ohumu systolic ma ka apex, a ua pono mālama 'ia i loko o ka axillary māhele' āina. Ua ua i wehewehe aku e kekahi mea hoʻonāwaliwali maoli nō i loko o ka apex o ka naʻau au i ka leo.

Mitral naau mā, a loaʻa mitral regurgitation kauoha OAXA lapaʻau, loa - maʻi asymptomatic. First kohoia diuretics (furosemide) a me kaʻike ākea vasodilators (paʻakai nitroprusside). E malama i ka hemodynamics ma mahana maʻamau, hiki ke hoʻohana 'ana i ke kūʻai-aortic hoʻonui counterpulsation.

ʻoki lāʻau lapaʻau lapaʻau ua lawe mai e lawe i ka mooolelo o ka ano o ke ahonui a me ka mea o mitral insufficiency. No ka laʻana, ma infective endocarditis huʻi mitral kiwikā insufficiency i ka ia la ae kauohaʻoki kino, a me ka myocardial infarction makakoho manaʻo o ka makeʻe kulana Inc.

Nānā 'ole o ka etiology o ka Hope pono, e lawe mai Kāohiʻana o infective endocarditis.

Hookahi o symptoms mea he PAaIEN noʻoki lāʻau lapaʻau lapaau. Hana maikai - ea mitral kiwikā. Kēia apono 'no ka synchrony nui i loko o ka hema ventricular contraction, a' aʻole i koi paʻa anticoagulation. Ma ke alo o nā calcifications noi mitral kiwikā. Annuloplasty ua hoʻohana 'ia i loko o ka iapaau ana o ka pili mitral insufficiency.