Myxoma intliziyo: isifo kwaye afumane unyango

myxoma yenye nangezilonda ixhaphakileyo. Kwezinye iimeko, le sifo kwenzeka ngenxa yofuzo. Heart Ithumba - myxoma - eqhelekileyo phakathi kwabafazi abaminyaka yobudala eyi-40 kunye namadoda abancinane.

Le Pathogenesis kwesifo

Yeyona ixhaphakileyo ithumba nabungozi wentliziyo abadala - myxoma ebantwaneni - rabdimioma.

Esi sifo ibonwa zonyango eziguquguqukayo, ngenxa yokuba izizathu livela ingaba:

1. Papilloma Virus Human.

2. Epstein-Barr yintsholongwane.

3. Herpes.

yamathumba wentliziyo zinqabile kakhulu. Ezo ntlobo zimbini:

1. yamathumba Primary zivela kwi izihlunu zomzimba nokuqina kunye nokuxhasa kwi ezindongeni ventricles zentliziyo. Uninzi lwazo ingozi.

2. Secondary wabumba xa kukho yamathumba kufuphi intliziyo. Kwakhona iiseli eziyingozi unako ukufikelela emazikweni ezikude nge igazi.

Ngowe-90% yazo zonke iimeko myxoma eyendayo intendelezo ekhohlo. Kwezinye iimeko, le sifo kwenzeka libambisene kunye nabanye, ezifana nesifo adrenal, okanye nangezilonda isikhumba elihle.

Myxoma lwentliziyo yimfuzo, ngoko abantu ingozi ivela kufuneka uphando yonyaka.

Lo mfanekiso kwezonyango sifo

Iimpawu zahlukahlukene kakhulu kwaye kuxhomekeke indawo nobukhulu nethumba. Neoplasm kunokukhokelela ukungasebenzi kwentliziyo. Ukuba Ithumba ise ezindongeni ukusilela intliziyo zenzeke.

Le miqondiso ezaziwa sifo:

• iingxaki zokuphefumla esisigxina;

• nesiyezi;

• iyangongoza intliziyo;

• dyspnea ngexesha nawuphi na umsebenzi ngokomzimba;

• ubuhlungu esifubeni;

• dyspnea ebusuku paroxysmal;

• ukufa ngequbuliso.

Kungahle ubuthathaka jikelele. Ithumba nga kuchaphazela umsebenzi kwemithambo intliziyo, okanye inxalenye encinane enokuza off, kunye negazi ukuhamba ukuya emiphungeni, ingqondo kunye Vimba isitya igazi. Kulo mzekelo, isigulana ulindele ngesibetho - lo ngumqondiso wokuqala ukuba umntu na oyile myxoma. Iimpawu ngenye indlela, iimpawu ezongezelelweyo zilandelayo zenzeke:

• kabi jikelele;

• umkhuhlane;

• iindumbisa naliphi na ilungu lomzimba;

• ukukhohlela;

• ubuhlungu bamalunga;

• iminwe sensitive, ukutshintsha imibala zabo;

• cyanosis kwesikhumba.

Kwakhona, xa kukho ukubetha kwentliziyo kakubi, niphele nasisihlo of sokuwa kunokwenzeka. Kodwa zivela kunqabile kakhulu.

Phakathi amaxhoba, abaye bafumana uhlobo yesibini sifo, kuye ukwehla kobunzima, landa ukubila.

iindlela ezisisiseko uzingela izifo

Eyona ndlela ilungileyo elula kokuxilongwa - ultrasound wentliziyo, ebizwa zobungcali echocardiography ngolwimi. Ngalo uyakwazi ukubona ubungakanani ithumba, indawo kunye ukuhamba.

Kukho iindlela ezimbini kwesi sifundo:

1. Ngoncedo uphenyo ultrasound nge esifubeni. Le ndlela efanelekileyo kakuhle ukufumana phandle apho myxoma intliziyo. Uxilongo kwakhona kugqiba ubungakanani nethumba.

2. Le ukhetho yesibini - ekuthiwa- transesophageal echocardiography. Xa le nkqubo iqalise uphenyo encinane cuke ngomlomo emphinjeni. Olu phando lwenziwa phantsi zomzimba ukukhanya ukuthintela ukugabha reflex. Le nkqubo ilungele ngenxa uxilongo yamathumba amabi, ezifana nee-.

Okwangoku ke ngakumbi Asebenzisa nokusetyenziswa ikhompyutha kunye nemagnethi livakale Itomography iimviwo intliziyo.

Ukuze uqinisekise lokufunyaniswa myxoma atrial, oogqirha isindululo kwenziwe iimvavanyo ezininzi:

• troponin;

• esifubeni X-reyi;

• ECG;

• catheterization intliziyo;

• umgangatho electrolytes egazini;

• ukubetha oximetry.

diagnosis umehluko

Myxoma intliziyo ifuna axilongwe ngokucokisekileyo. Kuquka imfuneko yokuba inkqubo enjalo, njengoko uphando umoya yemiphunga nezengekho perfusion scan usebenzisa. Oku kwenziwa ukuze kuthintelwe Embolism yemiphunga njengoko unobangela esi sifo.

diagnosis umahluko kufuneka ukwahlula iimpawu kwezinye iimeko zonyango, ezifana:

• lwegazi pulmonary eziziiprayimari;

• valve tricuspid;

• regurgitation mitral;

• stenosis mitral;

• stenosis tricuspid.

Vula ahlinzwe inhliziyo

Indlela unyango olungcono kunye ngengqiqo na nokususwa ngokupheleleyo myxoma yi uqhaqho. Ukuba ugqirha uya kunikela kuwe utyando, kufuneka ibonise elide kakhulu. Ukuze siphephe iingxaki, unyango kufuneka wenziwe ngexesha elifanelekileyo.

Olu hlobo lotyando yeyona ndlela ixhaphakileyo. uqhaqho lwemiphunga yentliziyo Vula ziquka:

1. Esa igazi.

2. Valvuloplasty.

3. Ukutshintsha kwemithambo.

4. Abohlukeneyo.

5. Utyando nokuqondisa isifo sentliziyo naso.

EUnited States, oogqirha benza malunga 750.000 Intliziyo evulekileyo ukuhlinza ngonyaka ngamnye. Le nkqubo ifuna zomzimba jikelele kunye kokuhlala esibhedlele, nto leyo isusela ukusuka kwiintsuku ezintathu ukuya ezilishumi, kuxhomekeka msebenzi. Kwezinye iimeko, isigulana ubekwa esibhedlele ngaphezu kwenyanga enye.

iinkqubo zotyando

Kuba uqhaqho lwemiphunga yentliziyo evulekileyo, ugqirha yenza liqatywe elide kwicala longitudinal kunye phezulu breastbone ngaphantsi oko ngesikhumba kunye inyama uze namarhela ukungena lweHo- esifubeni. retractors ezizodwa uyibambile ivuliwe. Ukuze sifikelele intliziyo, ugqirha kufuneka ukuvula pericardium, lo sac ezikhuselayo pericardial ezingqonge intliziyo.

Amaxesha amaninzi, ukuba usele kwindawo ivulekile emva kokuba usebenzo lugqityiwe. Oku kuyimfuneko ukunciphisa ixesha intsebenziswano ukunciphisa ingozi kubunzima postoperative.

Kuba ukungenelela kuhlinzwa kuyinto ukuze kwaneliswe le miqathango ilandelayo:

• ukusetyenziswa ecaleni cardiopulmonary;

• Zonke izinto kufuneka zicocwe.

Emva kokugqitywa kotyando, ugqirha Úyawubuyisa ukuhamba kwegazi entliziyweni yenkqubo. Amagqirha ukunciphisa ubushushu bomzimba isantya umsebenzi wawo umzimba. Lincitshiswe kwegazi kunye nezinga intliziyo. Ugqirha ubeka amalungu apho kuyimfuneko (baya kuba zibonakale iminyaka embalwa).

Xa kususwe uqhaqho myxoma intliziyo yaba yimpumelelo, isigulane sithunyelwa kwi iwadi uyiqwalasela ngakumbi.

Ziintoni ezinobuzaza angenzeka izigulane?

Surgery uhlala ngaphandle iingxaki. Ngamanye amaxesha, umsebenzi yesibini efunekayo. Ukususwa myxoma kufuneka iqela elungileyo oogqirha kunye nezinye oogqirha, ngoko yonke into kwinqanaba eliphezulu.

Neengxaki ngethuba utyando:

1. Ukopha ngenxa anticoagulation.

2. Embolism Air ngexesha yokucima cardiopulmonary enokukhokelela stroke.

3. Ubunzima kwezinga kwentliziyo achache.

4. imposiso ugqirha.

5. mgaqweni Engalindelekanga yokwakheka hayi ngaphambili andibhaqwa.

iingxaki jikelele kungavela emva kotyando:

1. Ukopha waya kwendawo ukusebenza okanye kumphezulu sutures yotyando.

2. Gciwane.

3. egazi ezinokubangela Embolism yemiphunga, stroke.

4. Arrhythmia.

5. Lwegazi kunye nokungaphumeleli intliziyo.

Ukuze ngokukhawuleza ukuphendula naziphi na iingxaki ngasentla, isigulana usele phantsi kweliso abasebenzi bezonyango zotyando kwentliziyo labagula kakhulu iiyure 12-48.

Kuya kwenzeka ntoni ukuba ngaba asebenzise uqhaqho?

izigulane ezininzi azifuni uqhaqho. Ngokomthetho isizathu ngokusilela ukoyika ukufa phezu kwetafile yotyando. Kodwa ke ukuba ngaba angayibambi ibhola, myxoma intliziyo ikhokelele kwinani yeengxaki:

1. Embolism zomzimba.

2. Arrhythmia.

3. nokudumba miphungeni.

Esi sifo yamathumba ebubonisayo abekiwe ngaphakathi entliziyweni. Xabisa iimpawu, kuba oko kunokukhokelela kwintlekele.

Nangona Ithumba nabungozi, oko akuthethi ukuba akukho mfuneko ukunyanga. Ukukhula yamathumba ngaphakathi entliziyweni ingakuvimba ukuhamba kwegazi nge ivelufa mitral zibangele iintlobo izalathi si zokunikwa stenosis mitral.

Ukuba wena okanye naliphi na ilungu lendlu yakho lifumana iimpawu zesi sifo, qhagamshelana nogqirha wakho ngoko nangoko.

utshintsho Outlook yokuphila

Intelekelelo emva kotyando open-intliziyo kuxhomekeke kakhulu unobangela lokuhlasela. Abantu abaninzi kakade emva kweenyanga ezimbini ukubuyela imisebenzi yesiqhelo, kodwa ukutyelela ugqirha kuyimfuneko. Ukuba nokwenzeka iingxaki yehliswe kwexesha.

Abaninzi, phezu koko, kuyimfuneko ukwenza utshintsho oluthile kwindlela yokuphila. Ngokuqhelekileyo, kufikwa ukutya kunye umthambo. Cardiologists uncoma ukutya idayethi baphumeze uqeqesho yemihla ngemihla, ekuye kwagqitywa ngamnye.