Valavu kung'ambika ndi bicuspid: zimayambitsa, zizindikiro, chithandizo

Valavu kung'ambika ndi bicuspid ndi mtundu wa matenda a mtima. Nthawi zambiri, matenda ayamba kusonyeza anthu ali okhwima. Malinga ndi kafukufuku, kudwala izi amawapeza pafupifupi 2% ya anthu. Kung'ambika gulugufe vavu bwinobwino ukugwira ntchito popanda kusintha hemodynamic ndi limodzi mwa chisokonezo mu thupi. Komabe, nthawi zina, chifukwa cha matenda kapena kukhala ndi aneurysm amapezeka kung'ambika stenosis.

kudwala Kufotokozera

Musanawerenge chithunzi matenda a matenda ndi bwino kupita patsogolo pang'ono mu thunthu la. Mu wathanzi mtima vavu msempha wapangidwa ndi timapepala ta zitatu zimene zimapereka otaya mosalekeza kwa magazi m'thupi. Pa Kukula kwa mwana wosabadwayo m'mimba, pafupi sabata chitatu, Bookmark minofu waukulu akuyamba. Komabe, mchikakamizo cha zinthu zina, ndondomeko izi zikhoza kulephera. Chifukwa, ndi kutseka kuti uchiwo usatuluke awiri a atatu spliced, chifukwa mu malformations. Izi limafanana ndi kudwala matenda "bicuspid kung'ambika vavu" mu yochizira matenda.

Zimayambitsa matenda osiyana, koma onsewa ali oyanjana ndi chitukuko yoopsa. Ndimapanga mtima wa dongosolo liyamba mu masabata asanu ndipo itha pa chitatu lapansi. Nthawiyi amaona zoopsa kwambiri. zinthu zoipa zikhoza kusokoneza zinthu zosiyanasiyana za thupi tsamba ndi mitsempha ya magazi ake. Choncho, madokotala wawauza kwa amayi apakati pa trimester, ndi mwapadera kuti umoyo wawo, kupereka zizolowezi zoipa, kupewa mavuto.

Kodi zizindikiro amasonyeza matenda?

Valavu kung'ambika ndi bicuspid, anthu ambiri anapeza weniweni. Kwa zaka zambiri, iwo akhoza kukhala ndi sindikudziwa za vutoli, nthawi yomweyo kumva mwangwiro wathanzi. Ndithudi, kudwala zambiri ena mwa anthu ali okhwima. Nthenda Kapangidwe ka valavu ndi kupita kwa nthawi umatipanga lokha anamva. Izo popitirira kuvala chifukwa katundu kwambiri, chifukwa mu ntchito mkhutu. Ndiye pali zizindikiro woyamba wa matendawa. Kodi?

Mawonetseredwe khalidwe la matenda ingakhale monga iyi:

• Nkusani tachycardia, amene kumaonekera mwa mawonekedwe a palpitations.
• Amaona masomphenya.
• Kutopa, kufooka thupi lonse.
• Amphamvu pulsation mutu. Mphamvu ya zizindikiro kwambiri pamene wodwala zimatenga kunama malo.
• Zonse syncope ndi chizungulire zimachitika pambuyo zofuna kukhetsa thukuta.
• Kusapeza mu mtima, ndi kumphatikiza ndi zokumana nazo maganizo.
• Aakulu kupuma movutikira, amene poyamba pambuyo zofuna kukhetsa thukuta, koma kenako umabweretsa mtima mu mkhalidwe bata.

zizindikiro izi zikusonyeza kuti odwala mukadzakula. Bicuspid kung'ambika vavu ana pafupifupi kuwonetsera yokha, matenda oyambirira sizingatheke kuphwanya.

Zimayambitsa chachikulu cha kuvutika mtima

Chimayambitsa choyambirira cha asing'anga chilema akusonyeza mmene zinthu zoipa pa chamoyo wa pakati panthawi imene pali tsamba waukulu mkati machitidwe limba. Izi zikhoza kukhala cheza padzuwa, matenda, chilengedwe osauka. Wina zifukwa zinanso ndi kusuta mayi woyembekezera. Chikonga zikuwononga kumakhudzanso Kukula kwa mwana wosabadwayo m'mimba lapansi. Cholowa kutengera za alinso ndi udindo kuchititsa matenda. Choncho, madokotala mwamphamvu analangiza makolo amene kale anapezeka ndi kung'ambika vavu bicuspid, nthawi yomweyo pambuyo pa kubadwa kwa mwana kugwira Kupenda wonse. kuzindikira mwamsanga matenda chimathandiza tisonyezeni mankhwala woyenera, amene ali kangapo kumawonjezera mwayi kuchira mwamsanga.

njira matenda

Pamene inu muwona zizindikiro za kuti mavuto chizindikiro mu mtima, muyenera kukaonana ndi dokotala chokuchititsani bwino. Malinga ndi zotsatira za cardiologist akhoza kuyitanitsa ndi matenda zolondola. Ngati matendawa amapezeka popanda Kusakhazikika hemodynamic, mtima wa imatumizidwa ultrasound ndi. US amalola kuyerekeza chithunzi matenda a ndondomeko pathologic, mlingo wa zowonongeka ndi kuzindikira kupezeka kwa aneurysm lapansi. Ichi ndi vuto moti ankafunika opaleshoni. Ultrasound kawirikawiri lowonjezera ndi Doppler. Yachokera pa zotsatira za kumfunsafunsa dokotala, dokotala n'kukulemberani chithandizo.

Bicuspid kung'ambika vavu akuluakulu nthawi zina limodzi ndi regurgitation. Iyi ndi kudwala kwambiri, imene magazi ikuyenda zosiyana mwakale. Kuchokera pa matenda ichi, anyamata zaka asilikali ayenera kupeza reprieve ku Army. Komanso lamanja kusamukira ku malo ndi kulembetsa wotsatira wa ndani khadi amalembedwa kuti "Category B, pang'ono zoyenera." Ngati zizindikiro regurgitation akhala kuzindikiridwa, matenda si chopinga kwa amodzi a usilikali.

Zosintha mankhwala

Kusalekerera zizindikiro kwathunthu Mzimuyo mankhwala. Ngati, pamaso pa ndime ya kumupima wodwala sanali matenda, thupi chinaperekedwa kwa mavuto thupi, mankhwala yeniyeni chofunika. Komabe, pambuyo chitsimikiziro cha matenda dotolo ali kuyika pa nkhani matenda, chimene chimafuna kangapo pachaka pochitika mndandanda wa mayesero.

njira ina amafuna mawonekedwe choopsa cha matenda. Wodwala zikusonyeza ntchito ndi unsembe wa apulasitiki vavu kung'ambika. Opaleshoni sasamalira mpheto lotseguka pachifuwa. njira zamakono n'zotheka kukhazikitsa ndi prosthesis kudzera pakhungu. The m'mimba ndi anaikapo mwa subclavian kapena mtsempha wamagazi femoral. Pambuyo pa opaleshoni, mtima ulipo kwa mlingo zonse mankhwala othandiza kuti magazi clotting.

Kuti madokotala ananena zawo kwa odwala ndiponso malangizo madokotala

Ndi angati mukhoza kukhala woleza mtima ndi matenda a "bicuspid vavu kung'ambika?" Chithandizo ndi implantation wa prosthesis ndi kumawonjezera viability zanyengo 80% odwala. Ndi kusintha kwakukulu mu thupi ndi aakulu kulephera mtima angayembekezere kwa zaka zingapo, osasamala moyo. Monga ulamuliro, chithunzi ichi si upambana pakhomo la zaka 2.

Ngati zinchito kudwala sikumangotikhudza kayendedwe ka moyo, madokotala amalangiza kupewa mavuto mitsempha ndi nkhawa. Komanso, muyenera kusunga ulamuliro wa ntchito ndi kupuma, koposa kuyenda mu mpweya wabwino. Kuonjezera madokotala ananena zawo za moyo, akatswiri amalangiza kuti nawonso kuthana ndi kupewa matenda monga endocarditis ndi vuto la misempha.

Bicuspid kung'ambika valavu ndi Masewero

Odwala ena nkhawa ngakhale za matenda ndi masewera. Madokotala sangapereke yankho kotsimikizika, chifukwa izo zonse zimadalira mmene kuwonongeka kwakukulu ndi ndondomeko pathological. Ndithudi, mpira kwa odwala matenda amenewa si malo. zolimbitsa thupi amaika angalimbitse akudwala ndi zotsatira zoipa sizingasinthe. Popeza chikhalidwe cholowa cha matenda, zikhoza apezeke pa zaka 10-15. Choncho, makolo kudziwa ngati matenda ayenera nthawi kuyendetsa mwanayo kafukufukuyu. Zolakwika mu mtima wa dongosolo ndi contraindication kuti masewera. Pankhaniyi bwino kusankha njira zochepa zoopsa (anati yoga, pilates). Mulimonsemo, muyenera kukaonana ndi dokotala, ndipo musanyalanyaze malangizo ake.

Pomaliza

Bicuspid kung'ambika valavu, zizindikiro zomwe zafotokozedwa pamwamba chabe - ichi ndi matenda aakulu. matenda panthawi yake limakupatsani kusankha mulingo woyenera chithandizo strategy. Compliance ndi malangizo onse dokotala ndi chinsinsi wosangalala ndi moyo wautali.