Otu esi amata mitral stenosis na ọgwụgwọ

Ndinaya

• Mgbaàmà nke mitral stenosis
• Isi ihe kpatara ya
• Kedu ka esi eme nchoputa
• Esi na-emeso
• Enwere ike nsogbu

Mitral stenosis kwekọrọ na ndọtị na nhazi nke valvụ mitral, na-eme ka oghere oghere na-eme ka ọbara ghara isi na atrium gaa na ventricle. Mkpụrụ mitral ahụ, nke a makwaara dị ka valve bicuspid, bụ ihe gbasara obi na-ekewa atrium aka ekpe na aka ekpe.

Dika ogo nke nkpuchi na, n'ihi ya, uzo nke uzo maka obara obara, enwere ike ichikota mitral stenosis n'ime:

• Nwayọọ mitral stenosis, onye mmeghe maka uzo nke ọbara site na atrium na ventricle dị n'etiti 1.5 na 4 cm;
• Ọnọdụ mitral stenosis, nke mmeghe ya dị n'etiti 1 na 1.5 cm;
• Ọrịa siri ike mitral, nke mmeghe ya erughị 1 cm.

Mgbaàmà na-amalitekarị ịpụta mgbe stenosis dị oke oke ma ọ bụ dị njọ, ebe ọbara nke ọbara na-amalite isi ike, na-akpata mkpụmkpụ ume, ike ọgwụgwụ na obi mgbu, dịka ọmụmaatụ, chọrọ nleta na onye ọkà mmụta sayensị maka nkwenye. malitere.

Mgbaàmà nke mitral stenosis

Mitral stenosis anaghị enyekarị ihe mgbaàmà, agbanyeghị ụfọdụ nwere ike ịmalite mgbe emechara ahụ, dị ka:

• Mfe ike ọgwụgwụ;
• Mmetụta nke mkpụmkpụ, karịsịa n'abalị, na-ehi ụra ịnọdụ ma ọ bụ dinara ala;
• Ntughari mgbe ị na-ebili;
• Obi mgbu;
• Ọbara nwere ike ịdị nkịtị ma ọ bụ belata;
• Pink ihu.

Na mgbakwunye, onye ahụ nwere ike ịnwe iti onwe ya na ụkwara ume ọbara ma ọ bụrụ na mgbawa nke akwara ma ọ bụ capillaries nke ngụgụ. Mara isi ihe na-akpata ụkwara ọbara.

Isi ihe kpatara ya

Isi ihe na-akpata mitral stenosis bụ ọrịa ogbu na nkwonkwo, nke bụ ọrịa na-ebutekarị nje bacteria Streptococcus pneumoniae, nke na mgbakwunye na-akpata mbufụt na akpịrị, na-akpata usoro ahụ ji alụso ọrịa ọgụ ịmepụta autoantibodies, nke na-eduga na mbufụt nke nkwonkwo na, mgbanwe gbasara obi. Hụ otu esi amata ma gwọọ ọrịa ịba mba.

Obere oge, mitral stenosis bụ ihe ebumpụta ụwa, ya bụ, amụrụ ya na nwa, enwere ike ịmata ya na nyocha emere n'oge adịghị anya amụrụ nwa. Ihe ndị ọzọ na-akpata mitral stenosis nke dị ụkọ karịa ọrịa ebumpụta ụwa bụ: systemic lupus erythematosus, ọrịa ogbu na nkwonkwo, ọrịa Fabry, ọrịa Whipple, amyloidosis na akpụ obi.

Kedu ka esi eme nchoputa

Ihe nchoputa a bu nke onye na-eme ihe banyere obi site na nyocha nke ihe mgbaàmà nke onye oria a kowara, gbakwunyere na ime ihe nlere ufodu, dika redio obi, electrocardiogram na echocardiogram. Hụ ihe ọ bụ maka na otu esi eme echocardiogram.

Na mgbakwunye, n'okwu banyere congenital mitral stenosis, dọkịta nwere ike ime nchoputa site na auscultation nke obi, nke a nwere ike ịnụ obi ntamu njirimara nke ọrịa. Hụ otu esi amata ịtamu obi.

Esi na-emeso

A na-eme ọgwụgwọ maka stenosis mitral dị ka nkwanye obi onye ọkà mmụta banyere obi, na-egosi ụdị ọgwụ dị iche iche dịka mkpa onye ọrịa ahụ si dị. A na-ejikarị ọgwụgwọ eme ihe site na iji beta blockers, calcium antagonists, diuretics na anticoagulants, nke na-ekwe ka obi rụọ ọrụ nke ọma, belata mgbaàmà ma gbochie nsogbu.

N'okwu kachasị njọ nke mitral stenosis, ndị ọkà mmụta obi nwere ike ịkwado ịwa ahụ iji rụzie ma ọ bụ dochie valvụ mitral. Chọpụta ihe post-operative na mgbake si gbasara obi ịwa ahụ dị ka.

Enwere ike nsogbu

Dika mitral stenosis enwere ihe isi ike n'inweta obara site na atrium rue ventricle, aka ekpe ventricle aka ma nogide na nha ya. Agbanyeghị, ebe enwere nnukwu ọbara na atrium aka ekpe, oghere a na-arịwanye elu, nke nwere ike ịkwado ọdịdị nke arrhythmias gbasara obi dịka atr fibrillation nke atrial, dịka ọmụmaatụ. N'okwu ndị a, onye ọrịa ahụ nwere ike iji ọgwụ mgbochi ọgwụ iji belata ihe egwu nke ọrịa strok.

Na mgbakwunye, dịka atrium aka ekpe na-enweta ọbara site na ngụgụ, ọ bụrụ na enwere ọbara na atrium ekpe, ngụgụ ga-esiri ya ike izipu ọbara ruru ya na obi. Ya mere, ngụgụ ahụ na - eme ka ọbara jupụta ọtụtụ ọbara ma, n'ihi ya, ọ nwere ike ịmịkọrọ mmiri, na - ebute oke edema pulmon. Mụtakwuo banyere nnukwu akpa ume edema.