Insufficiency Mitral nokuba ngonyango

insufficiency Mitral - inkqubo zophendlo lwezifo iphuhlise amaninzi ngexesha zifo zilandelayo: rheumatism, endokardit.Znachitelno esosulelayo ngaphantsi ikhulela ngenxa calcification le ring mitral, yentliziyo nokufakelwa emathunjini scleroderma systemic okanye systemic lupus zomzimba, kwakunye aortoarteritis, izifo sisiba mandundu le kwizicwili - syndromes Eilers-Danlos kunye yiMarfan. Njengoko iingxaki ibhaloni valvuloplasty kwakhona kuyenzeka ukuvela kwesi sifo.

insufficiency Mitral iphuhlise ngenxa komsipha le Isingqi okanye izihlunu papillary, ezifana iposi engabalulekanga. Isiphumo of infective endocarditis intshabalalo ekhawulezileyo okanye umonakalo ukuba isivalo amaphetshana kunokwenzeka. Ekwenzeni le afakelweyo vana lisenokuba ezinobuzaza - okoloklapannaya regurgitation.

insufficiency mitral Relative basenokuba ngenxa emagumbini ukwanda yentliziyo (myocardiodystrophy, myocarditis, cardiomyopathy, isifo kobuchopho intliziyo nini).

Kukho iindidi ezimbini insufficiency mitral: oyingozi futhi ezigulo ezondeleyo.

Iimpawu uphawu izifo ezihlasela zosulele kukho izenzo ukusilela ventricular yasekhohlo kunye ukulawula of hypotension kunye nokudumba nezengekho miphungeni. Amaxesha amaninzi kukho fibrillation atrial, okuba ukuphuhlisa ibetha atrial.

regurgitation Chronic mitral lixesha elide (malunga-10 iminyaka) zenzeka efihliweyo. Emva koko, kukho sele izikhalazo uphawu ukusilela intliziyo: ukuphelelwa umoya phezu kuso, ukudinwa. Mhlawumbi ukubonakala iimpawu Ortner: kubonakala hoarseness ngenxa ucinezelo of ngentliziyo ziphangalalisiwe luvo nezolo. Kamva bajoyine khohlo kunye hemoptysis, ukudumba ngenxa kokoma ngokukhawuleza kwendlela ejikeleza ezincinane nezinkulu.

Xa usibona enjalo isigulane amkele imilebe cyanosis. Esi sifo sentliziyo mitral luphawulwa ubume umxholo avareji. Mhlawumbi tachypnea. Ukubana abantu umlawuli angxamele apical lwenzeka ukuya ngasekhohlo, kuba kwentamo yandomeleza; nge regurgitation ebalulekileyo mitral kwenzeka jitter iSystolic kwi njengezona intliziyo.

Auscultation mitral insufficiency luphawulwa imbonakalo bambombozela iSystolic enkcochoyini, esiqhutywa kakuhle kummandla axillary. Oku linophawu buthathaka kwi njengezona ithoni kwentliziyo I.

Mitral iziphene intliziyo, eziquka regurgitation mitral kufuna unyango linegunya, ukushiywa - ezinganyangekiyo nazimpawu. womchamo wabamisela kuqala (furosemide) kunye vasodilators neuropathy (sodium nitroprusside). Ukugcina hemodynamics kwimigangatho eziqhelekileyo, ingasetyenziswa ibhaloni counterpulsation intra-aortic.

unyango Surgical ikhutshwa phandle kuthathelwa ingqalelo imeko yomguli kunye unobangela insufficiency mitral. Ngokomzekelo, xa endocarditis infective etsolo umba mitral insufficiency ngosuku olulandelayo kufuna utyando, kunye nokuphunyezwa iqhosha ephambili engabalulekanga ye kwanonyango endala.

Enoba umyalezo sobubi obuyimfuneko bokwenza zokuthintela endocarditis infective.

Ukuqala iimpawu kubonisa ukuba unyango ngotyando. Ukukhetha Operation - ivalve yeplastiki mitral. Oku kukuvumela ukuba synchrony omkhulu ventricular ucutheko lasekhohlo kwaye ayifuni anticoagulation esisigxina. Phambi calcifications izicelo valve mitral. Annuloplasty isetyenziswa kunyango insufficiency isalamane mitral.