Mitral insufficiency chacho kurapwa

Mitral insufficiency - a pathological muitiro hwapedyo kakawanda munguva inotevera zvirwere: rheumatism, kutapuriranwa endokardit.Znachitelno zvishoma anova somugumisiro calcification pamusoro mitral mhete, mwoyo vharafu maronda nechirwere chinonzi systemic scleroderma kana chinonzi systemic lupus erythematosus, uyewo aortoarteritis chinopedza zvirwere connective tishu - syndromes Eilers-Danlos uye Marfan. Sezvo zvakaoma kunzwisisa zviri chibharuma valvuloplasty Zvinogonekawo kuti chidzoke chirwere ichi.

Mitral insufficiency hwapedyo nokuda atsamwira yacho Chord kana papillary tsandanyama, akadai myocardial infarction. Magumisiro infective endocarditis kuparadzwa nokukurumidza zvinogoneka kana kukuvadza Valve mapepa. Paaiita vharuvhu prosthesis anogona kuva zvakaoma kunzwisisa - okoloklapannaya regurgitation.

Hama mitral insufficiency anogona kuva nokuda pakuwedzera Makamuri mwoyo (kana myocardiodystrophy, myocarditis, cardiomyopathy, ischemic mwoyo chirwere).

Kune mhando mbiri mitral insufficiency: chakasimba uye chisingaperi.

The maitiro zviratidzo rikwanise chirwere vari kuratidzwa kuruboshwe ventricular kukundikana pamwe accession pamusoro hypotension uye pulmonary edema. Kazhinji hapana atrial fibrillation, kashoma kutanga atrial anorova.

Chirwere mitral regurgitation wanonoka (anenge 10 years) kuitika zvakavanzika. Zvadaro, pane kare zvichemo runozivisa mwoyo nokukundikana: kupfupika mweya pamusoro nesimba, kurukutika. Zvichida kuonekwa zviratidzo Ortner: anozviratidza hoarseness nokuda compression pamusoro rakawedzerwa mwoyo idzokororo tsinga. Naizvozvo vakabatana chikosoro uye hemoptysis, kuzvimba yakafanira kune raidudzwa kurega kunotanga iri zviduku kufamba kweropa.

Kana ukatarira kwakadaro murwere agamuchire miromo cyanosis. chirwere mwoyo ichi mitral kunoratidzwa kurova kwemwoyo ari avhareji kugutsikana. Zvichida tachypnea. The misha yose iri apical chido kunoitika kuruboshwe, zvinova diffuse uye kusimbiswa; pamwe chinokosha mitral regurgitation kunoitika systolic jitter ari chakaderedzwa mutengo mwoyo.

Auscultation mitral insufficiency dzinoratidzwa chitarisiko systolic kutsutsumwa panguva chakaderedzwa mutengo, izvo zvakanaka kwakaitwa axillary nharaunda. Zvinonzi zvakare dzinoratidzwa kwakaderera iri chakaderedzwa mutengo mwoyo I matauriro.

Mitral mwoyo kuremara, izvo zvinosanganisira mitral regurgitation zvinoda fanira kurapwa, chokudzingwa - chisingaperi asymptomatic. diuretics First yakatarwa (furosemide) uye peripheral vasodilators (sodium nitroprusside). Chokuchengeta hemodynamics panguva dzekudya mumatunhu, inogona kushandiswa intra-kutsemuka chibharuma counterpulsation.

Kuvhiya kurapwa rinoitwa kufungisisa ezvinhu omurwere uye kukonzera mitral insufficiency. Somuenzaniso, mune infective endocarditis chakasimba mitral vharafu insufficiency zuva raitevera zvinoda vavhiyiwa, uye myocardial infarction kukoshesa Implementation ane kuchinja mishonga.

Pasinei etiology dzezvakaipa zvakakodzera kuti tiite kudzivirira infective endocarditis.

Kutanga zviratidzo kunoratidza kuti kuvhiya kurapwa. Operation kusarudza - epurasitiki mitral vharafu. Izvi zvinoita kuti synchrony zvikuru kuruboshwe ventricular marwadzo uye haatarisiri zvachose anticoagulation. In pamberi calcifications vakashandisa mitral vharafu. Annuloplasty inoshandiswa pakurapa hama mitral insufficiency.