Kuliphi ingxaki kwaye nini?
Sibanzi
I-tricuspid regurgitation-i-"leaky" i-tricuspid valve-iyinto eqhelekileyo yokuxilongwa kwegazi. Abantu abaninzi abanokukhwabanisa ngokukrakra bayamangaliswa xa befunda ukuba banemiphumo yenqwelo yeentliziyo ngenxa yokuba baziva kakuhle. Oogqirha babo badla ngokumangalisa njengoko bekunjalo, kwaye banokungazi ukuba benze ntoni.
Ukuba uxelelwa ukuba unokwenziwa ngokutsha, oko kuthetha ukuthini?
Ufanele ugqirha njani wena nodokotela wakho ngale ngxaki kwaye kufuneka wenze ntoni ngokulandelayo?
I-Tricuspid Valve kunye neTricuspid Regurgitation
I-valve ye-tricuspid ihlukanisa i-atrium efanelekileyo kwi-ventricle efanelekileyo. Njengazo zonke iipaviti zentliziyo, injongo yervavini ye-tricuspid ukuqinisekisa ukuba igazi ligeleza entliziyweni ngexesha elifanelekileyo nangendlela efanelekileyo. Ngoko ke, xa iikontraki ezifanelekileyo, i-valve i-tricuspid iphoqelelwe ivulekile, ukuvumela igazi ukuba liqhume kwi-ventricle efanelekileyo. Ukuhlukana kweyesibini kamva, xa i-ventricle inkontileka yokulahla igazi layo kwi-pulmary artery, i-valve i-tricuspid ivala ukugcina igazi lingena kwi-backrium efanelekileyo.
Xa ulungelelanisa i-valve, i-valve ye-tricuspid ihluleka ukuvala ngokupheleleyo. Oku kuvumela ubuncinane igazi elithile ukuba ligijimele emva-oko kukuthi, ukubuyisela i-atrium elungileyo njengemvumelwano ye-ventricle.
Mngcipheko
Kuba ugqirha nje ukuthetha ngomntu ukuba bahlaziyekile, akubalulekanga kakhulu, kuba ukubaluleka kwesi sifo se-valve kunokwahluka phakathi kweyodwa kwaye kunzima. Xa kukhankanywa i-rricuspid regurgation, kubalulekile ukuba sibone indlela ebalulekileyo ngayo.
Ubuncinane ubuninzi bokuphindaphindiweyo kubonakala kuma-70 ekhulwini abantu abadala abano-echocardiograms .
Njengesivumelwano sokusebenza esilungileyo, kuthatha isikhezu okanye i-valve ye-tricuspid evaliweyo ukuvala ngokupheleleyo, kwaye ngeli thuba umfuthana omncinci wegazi uphuphuma kwi-atrium efanelekileyo. Ngobuchwephesha bwanamhlanje, i-echocardiogram ihlala ikhululekile ngokwaneleyo ukufumanisa ukuba "isondo" sesigxina segazi-kwaye abo bantu, abanamagundane abo aqhelekileyo, bahlala bexelelwa ukuba baphinde bahlaziywe, kwaye ngoko ke, ingxaki yesifo senhliziyo. (Ngaphandle, into efanayo yenzeka kwinqanaba elithile kunye ne-mitral valve, ekhokelela abantu abaninzi ukuba bangafanelekanga "kuxilongwa" kunye ne- mitral valve prolapse okanye i-MVP .)
Ngoko umbuzo wokuqala ukubuza ukuba uxelelwa ukuba unokwenjenjalo ukuphindaphinda u: Kubuhlungu kangakanani na? Ukuba impendulo "yinyameko," mhlawumbi akukho nto unokukhathazeka ngayo.
Nangona kunjalo, ukuba i-tricuspid regurgation igwetyelwa ukuba i-moderation okanye inzima, ingxaki enentliziyo ebaluleke kakhulu ukuba ikhona. Kule meko, ukuhlolwa kwenhliziyo efanelekileyo kufuneka kwenziwe ukwenzela ukuba kubonelelwe isizathu kunye nobukhulu becala lokubuyisela.
Izizathu
Ukulimala kwintsimbi ye-tricuspid ngokwayo kungabangela ukuba i-tricuspid regurgity. Imiqathango engonakalisa i-valve ye-tricuspid ibandakanya:
- Endocarditis
- I-myocardial infarction echaphazela i-ventricle efanelekileyo
- Ukuchithwa kwe-Myxomatous ye-valve (efana ne-MVP)
- Ukulimala kwi- pacemaker okanye i- defibrillator ekhuselweyo
- Marfan syndrome
- I-carcinoid syndrome
- Izifo zesifo senhliziyo
Nangona kunjalo, imbangela eqhelekileyo yokubuyiswa kwe-tricus, ekude, kukuphazamiseka "kokusebenza" kwe-valve ye-tricuspid. Ngokusebenza ngokutsha, i-valve ngokwayo iyinto evamile. Ukuvuza kuluhlu lwe-valve kubangelwa kukuba i-heart disorder yohlobo oluthile luphazamisa intliziyo-ngokomzekelo, xa i-atrium okanye ilungelo le-ventricle liyancipha ngendlela ekhusela i-valve ye-tricuspid ukuvala ngokupheleleyo.
Iingxaki zeentliziyo ezivame ukubangela ukuba usebenze ngokuphindaphindiweyo zibandakanya:
- Umthambo we-pulmonary hypertension
- Ukumelwa yintliziyo
- I-Mitral stenosis okanye i- mitral regurgitation
- Ukugqithiswa kwepulmonary
- Hyperthyroidism
Uninzi lwabantu abanomsebenzi obuninzi olusisigxina luya kuba neengxaki ezinokusebenza ngokutsha, kwaye kuya kuvavanywa uvavanyo olupheleleyo lokuchonga ingxaki.
Iimpawu
Uninzi lwabantu abanokuphinda bahlaziyiweyo bangenalo iimpawu ezinokuthi zenzeke kwi-valve disorder ngokwayo. Nasiphi na iimpawu, ukuba zikhona, zidla ngokubangelwa yimeko esezantsi evelisa inkinga ye-valve.
Nangona kunjalo, ukuba i-tricuspid regurgity iyanzima, inokuvelisa ngokuthe ngqo impawu. Ezi ziquka ukuvakalelwa kokungaqhelekanga entanyeni, okanye ubuhlungu besisu nokuvuvukala. Kodwa nangona kunzima ukuvuselelwa kwakhona, iimpawu zibangelwa ziintlungu ezinxulumene neengqondo.
Ukuxilongwa
Imibuzo emibini ebalulekileyo emva kokuphindaphindiweyo kwe-tricuspid diagnosity kufuneka ukuba:
- Yintoni ebangela isizathu?
- Kunzima kangakanani na?
Zibini zombini le mibuzo zibalulekile ekunqumeni indlela-kwaye nokuba ingaba-ukuphatha ingxaki yeviniki.
Kwiimeko ezininzi, le mibuzo emibili iphendulwa ngokukhawuleza xa ugqirha enza imbali yonyango ngokucophelela kunye nokuhlolwa komzimba, kwaye ufumana i-echocardiogram ephezulu. Ngelo xesha, isicwangciso solawulo singaphuhliswa.
Lawulo
Inyathelo ebalulekileyo ekulawuleni i-tricuspid regurgitation kukuchonga kwaye uphathe isisombululo esisisiseko. Oku kubaluleke ngokukhethekileyo ngokusebenza ngokuphindaphindiweyo, apho i-valve ye-tricuspid iqhelekileyo ngokuqhelekileyo.
Ukusebenza ngokutsha kwezinto eziqhelekileyo kubangelwa yi-pulmonary artery hypertension. Ukunyanga i-pulmonary hypertension kunokuphucula kakhulu ukubuyiswa kwe-tricus. Ngoko, iziphumo ezibangelwa ukuphelelwa komfutho we-pulmonary-ingakumbi ukuhluleka kwentliziyo, isifo se-mitral valve, okanye i-pulmonary embolus-kufuneka iphathwe kakubi.
Ukuba i-tricuspid regurgation ayisebenzi-oko kukuthi, kubangelwa ingxaki yangaphakathi kunye ne-valve ye-tricuspid ngokwalo-ulawulo ngokuqhelekileyo kuxhomekeke kubuqili bokubuyiswa kwakhona kunye nayiphina impawu ehambelana nayo.
Abantu abanobubele obunzima kakhulu ngaphandle kokunye iingxaki zengqondo zivame ukuba zizivalo eziqhelekileyo eziqhelekileyo, kwaye, ngaphandle kweemviwo zokulandelela ngezikhathi ezithile, azidingeki "ulawulo" nonke.
Nangona i-intrinsic i-tricuspid regurgitation i-moderation okanye inzima, ngokungakhathaliseki ukuba akukho zibonakaliso kwaye i-echocardiogram ibonisa umsebenzi oqhelekileyo wentliziyo kunye nokunyanzeliswa kwentliziyo eqhelekileyo, akufuneki kubekho umda wokubekwa komsebenzi. Ulawulo oluphela loqobo "ulawulo" luhlolwa kwakhona ngokuphindaphindiweyo kunye ne-cardiologist.
Unyango
Kukho iimbalwa ezimbalwa apho utyando lwe-valve kufuneka lucatshangelwe kubantu abanobuqili bokubuyisela.
Ugqirha kufuneka ube yinto ekhethekileyo ukuba i-tricuspid regurgation ngokwawo igwetywa ukuba ibangela iimpawu ezibalulekileyo.
I-tricuspid yokuvuthwa kwe-valve iphinde ikhuthazwe kubantu abanesifo esinzima sokuvuselela kwaye baphezulu ukulungiswa okanye ukutshintsha i-valve ye-mitral. Kule meko zombini iiguvane zijongana nayo ngexesha lomsebenzi omnye. Oku, ngokude, isizathu esona siqhelekileyo sokwenza utyando lwe-valve.
Ngokuqhelekileyo xa utyando olufunekayo, naluphi na ukulungiswa kwe-valve ye-tricuspid kunqunyulwa kwi-valve esikhundleni.
Isishwankathelo
Ukuba uxelelwa ukuba unobungozi obushushu, into ebalulekileyo kukuba ugqirha wakho ukuba achaze isizathu esibangeleyo kunye nobunzima beengxaki. Ngethamsanqa, oku akusoloko kuyinkqubo enzima okanye echitha ixesha.
Uninzi lwabantu abaxilongwa ngokuba ne-tricuspid regurgitation luya kuba nehlobo oluthile lwesifo, okanye akukho nkathazo yangempela kubo bonke. Kwalabo abanobugqwetha obuthathwe ngokugqithisiweyo kubonakala beyona nto ebalulekileyo, ininzi iya kuba ne-valve engxaki yokusebenza eyenza enye ingxaki ye-cardiovascular disorder-kwaye unyango lwayo luya kufuna ukuphathwa ngokugqithiseleyo loo ngxaki. Ugqirha lwe-tricuspid regurgation ayifuni ngokuqhelekileyo.
> Imithombo:
> Kara I, uKoksal C, u-Erkin A, et al. Iziphumo zoMoya oMnxeba oMgangatho oSebenzayo Ulungelelaniso olusisigxina kwizigulane ezithatha iMetroral Valve UkuSebenza: Uhlalutyo lwe-Meta-2,488. U-Ann Thorac Surg 2015; 100: 2398.
> Nishimura RA, Otto CM, Bonow RO, et al. 2014 I-AHA / ACC Isikhokelo soLawulo lwezigulane nge-Valvular Heart Disease: Ingxelo ye-American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63: e57.