Esingamahlalakhona Mitral kanye nokwelashwa kwayo

esingamahlalakhona Mitral - inqubo sokugembula eba avame ngesikhathi lezi zifo ezilandelayo: rheumatism, endokardit.Znachitelno ezithathelwanayo kancane ikhulela ngenxa calcification esiyingini mitral, inhliziyo umphini izilonda e scleroderma letindzala noma omzimba izicubu erythematosus, kanye aortoarteritis, izifo esiwohlozayo we ezicutshini - syndromes Eilers-Danlos futhi Marfan. Njengoba yezinkinga ibhaluni valvuloplasty zingenza ukuvela kwalesi sifo.

esingamahlalakhona Mitral eba ngenxa ukudabuka we kuzithinta noma imisipha papillary, ezifana isilethikusebenza. Umphumela infective endocarditis kungenzeka ukubhujiswa okusheshayo noma ukulimala valve amapheshana. Lapho efeza lo sokwenziwa umphini angagcina yezinkinga - okoloklapannaya regurgitation.

Isihlobo esingamahlalakhona mitral angagcina ngenxa emakamelweni ukunwetshwa inhliziyo (lapho myocardiodystrophy, myocarditis, zenhliziyo, ischemic isifo senhliziyo).

Zimbili izinhlobo esingamahlalakhona mitral: oyingozi futhi ezingalapheki.

Izimpawu sici isifo oyingozi zenzo ziwukubonakaliswa kwesokunxele ventricular ukwehluleka ne ukubusa hypotension futhi edema yamaphaphu. Ngokuvamile kukhona fibrillation atrial, mancane amathuba okuthi ukuthuthukisa amabhithi atrial.

Okungalapheki regurgitation mitral uyisikhathi eside (eminyakeni engaba ngu-10) zenzeka kufihlwe. Khona-ke, kukhona kakade izikhalazo isici senhliziyo: iphika ku ukuzikhandla, ukukhathala. Mhlawumbe ukubonakala izimpawu Ortner: livela hoarseness ngenxa yokucinana ka inhliziyo ivuvukale emsipheni yansukuzonke. Ngemva kwalokho bajoyine ukukhwehlela futhi hemoptysis, ukuvuvukala ngenxa yokujama tsi okukhulu kwegazi ezincane nezinkulu.

Uma kubhekwa ezifana isiguli amukele izindebe cyanosis. Lokhu mitral isifo senhliziyo libhekene pulse okuqukethwe isilinganiso. Mhlawumbe tachypnea. I displacement nesifiso apical kwenzeka kwesobunxele, kuba ehlasela umzimba futhi kwaqinisa; ephawulekayo regurgitation mitral kwenzeka jitter systolic e sokudlondlobala inhliziyo.

Auscultation mitral esingamahlalakhona libhekene ukubukeka nokububula systolic ngesikhathi sokudlondlobala, okuyinto kahle iqhutshwe esifundeni axillary. Liphinde elinesimo kuyadamba e sokudlondlobala ithoni inhliziyo mina.

Mitral inhliziyo yayo yayinezinkinga ezicini, okuyinto zihlanganisa regurgitation mitral zidinga ukwelashwa saziso, ukukhishwa - ezingamahlalakhona asymptomatic. isisu kuqala lesisihlabelelo (furosemide) kanye vasodilators neuropathy (sodium nitroprusside). Ukuze silondoloze hemodynamics emazingeni evamile, ingasetshenziswa naphakathi-yomthambo i-aorta ibhaluni counterpulsation.

ukwelashwa Steel Kwenziwa ikhumbula ngezimo zesiguli futhi imbangela esingamahlalakhona mitral. Ngokwesibonelo, e endocarditis infective acute umphini mitral esingamahlalakhona ngosuku olulandelayo kudingeka uhlinzwe futhi esivimba amanzi infarction kuqala ukuqaliswa yokwelapha olandelanayo.

Kungakhathaliseki etiology sobubi idingekile ukuze nokuvimbela endocarditis infective.

Lapho kuqala izimpawu kuyinkomba ngoba impatho kuhlinzwa. Ukusebenza okukhethayo - plastic valve mitral. Lokhu kuvumela okwesikhathi synchrony mkhulu kwesokunxele ventricular ukusikwa futhi ayidingi anticoagulation unomphela. Ephambi kwezinduna calcifications isicelo valve mitral. Annuloplasty isetshenziswa ekwelapheni isihlobo esingamahlalakhona mitral.