Valve yomthambo i-aorta kuyinto bicuspid: izimbangela, izimpawu, ukwelashwa

Valve yomthambo i-aorta kuyinto bicuspid kuwuhlobo isifo senhliziyo. Ezimweni eziningi, lesi sifo iqala ukubonisa abantu zisencane ovuthiwe. Ngokwezibalo, lokhu zokugula sitholakale mayelana 2% wesibalo sabantu. Yomthambo i-aorta butterfly valve ngokuvamile usebenza ngaphandle kwezinguquko hemodynamic futhi kuhambisana thuthuva emzimbeni. Nokho, kwezinye izimo, ngenxa yesifo noma ukuthuthukisa useshonile kwenzeka stenosis yomthambo i-aorta.

zokugula incazelo

Ngaphambi kokucabangela isithombe emitholampilo ye isifo kungcono ukuya kancane okunye ku anatomy. Ngendlela enempilo inhliziyo valve aorta yakhiwa amapheshana amathathu, okunikeza ukugeleza okuqhubekayo kwegazi emzimbeni. Phakathi ukuthuthukiswa umbungu ngaphakathi esibelethweni, mayelana kwesonto lesishiyagalombili, ubeke uphawu imisipha eyinhloko iqala. Nokho, ngaphansi kwethonya izici ezithile, le nqubo lungaphela. Ngenxa yalokho, laba ababili enezinto we ezintathu spliced, okuholela kombungu. Lokhu kulingana uphethwe zokugula "bicuspid umphini yomthambo i-aorta" zokwelapha.

Izimbangela yalesi sifo zihlukile, kodwa bonke elihlobene ne kwengane esiswini. Owenza inhliziyo uhlelo iqala emasontweni ayisithupha futhi iphela ngo-lesishiyagalombili. Le nkathi kubhekwa ayingozi kakhulu. Noma yiziphi ezinye izinto ezingakhi zibulale izakhi ezihlukahlukene zomzimba ithebhu futhi imithambo yegazi yayo. Ngakho-ke, odokotela sinconywa kwabesifazane abakhulelwe e senyanga yokuqala, ukunakekela okukhethekile impilo yabo, ukuyeka imikhuba emibi, gwema nezimo ezicindezelayo.

Yiziphi izimpawu zibonisa isifo?

Valve yomthambo i-aorta kuyinto bicuspid, ngoba abantu abaningi kuyinto ukutholakala sangempela. Sekungamashumi eminyaka INcwadi Yonyaka bangaphila baphinde basebenze ukuthi ngenkinga, ngesikhathi esifanayo uzizwe ngokuphelele ziphilile. Ngempela, zokugula uvame ukubonakala kubantu zisencane ovuthiwe. isakhiwo okungavamile we INGAPHANDLE kwesikhathi kwenza ngokwayo wazizwa. Iyogcina ngenxa umthwalo ngokweqile, okuholela imisebenzi kahle. Khona-ke kukhona izimpawu zokuqala zesifo. Yini?

I ukubonakaliswa nobuntu isifo kungabandakanya:

• Itheku tachycardia, esizibonakalisa ngesimo palpitations.
• angaboni kahle.
• Ukukhathala, ubuthaka umzimba wonke.
• okusizwa ukushaya oqinile ekhanda. I ukuziyisa phambili izimpawu ukwandisa lapho isiguli kuthatha isikhundla amanga.
• nakwisyncope njalo nesiyezi okuyokwenzeka ngemva kokuvivinya umzimba.
• Kabi inhliziyo, ongakaphathelani nakho ngokomzwelo.
• kufushane okunzima umoya, okuyinto ekuqaleni kwenzeka ngemva kokuvivinya umzimba, kodwa kamuva esihambisana nesineke esimweni ezolile.

Lezi izimpawu ejwayelekile iziguli umuntu omdala. Bicuspid umphini yomthambo i-aorta in nezingane cishe hhayi ukuzibonakalisa, ngakho ekuhlonzweni akunakwenzeka ukuhlukumeza.

Ziyini izimbangela eziyinhloko zalokhu of kwezinso inhliziyo

Njengoba izimbangela eyinhloko odokotela isici abonisa umthelela ezintweni ezingezinhle ku umzimba we abakhulelwe ngesikhathi uma kukhona ithebhu eyinhloko yangaphakathi isitho izinhlelo. Lokhu kungaba njalo yokuchayeka emisebeni ye, izifo ezithathelwanayo, imvelo abampofu. Esinye isici ungalokothi uphuze ukubhema umama okhulelwe. I-nicotine kubathinta kabi ukuthuthukiswa umbungu ngaphakathi esibelethweni. nezici ezithile Ukubambezeleka Ubuye indima ekwenzeni abantu isifo. Ngakho-ke, odokotela uyakhuthazwa abazali abaye ngaphambili ukuthi nginesifo yomthambo i-aorta ne-valve bicuspid, ngokushesha ngemva kokuzalwa kwengane ukubamba ekuhloleni kwakhe okuphelele. Ukusheshe sifo kwenza uqoke ukwelashwa abanekhono, okuyinto izikhathi eziningana kwandisa amathuba okuthi ukululama ngokushesha.

izindlela ukuxilongwa

Uma ubona izimpawu ukuthi izinkinga isignali enhliziyweni, kudingeka uye kudokotela uyofuna icebiso alandele luhlolo. Ngokusho imiphumela wenhliziyo inganquma i ukusazi ngokunembile isifo esikuphethe. Uma lesi sifo kwenzeka ngaphandle kokuntengantenga kwezomnotho hemodynamic, isiguli ithunyelwa ultrasound. US ivumela kulinganiswa isithombe basemtholampilo inqubo pathologic, izinga lomonakalo futhi ukukhomba ebukhoneni useshonile. Lena inkinga okunzima edinga ukuhlinzwa. Ultrasound ngokuvamile kwahambisana Doppler. Ngokusekelwe imiphumela lapho ngihlolwa, udokotela ekunika imithi yokwelashwa.

Bicuspid umphini yomthambo i-aorta e abadala ngezinye izikhathi zihambisana regurgitation. Lena zokugula sina, lapho ukugeleza kwegazi ihamba kolunye uhlangothi sibe nokuphila okuvamile. Kubhekwe le uphethwe, amadoda abasebasha abasezingeni lokuya empini Kufanele uthole nkululeko kusukela Army. Liphinde lunikeze ilungelo ukuze uthumele kuze kufike endaweni ebekelwe ne ukubhaliswa alandelayo sekhadi kwaphawula "Isigaba B, kancane kufanelekile." Uma izimpawu regurgitation sezihlonziwe, lesi sifo akusona isithiyo sokuthi kuhlehliswe senkonzo yezempi.

ongakhetha yokwelapha

Ubucayi izimpawu ngokuphelele inquma ukwelashwa. Uma, ngaphambi ukudlula luhlolo lesi siguli hhayi izinkinga zezempilo, umzimba yabekwa zokucindezeleka okukhulu ngokomzimba, imishanguzo ethile liyadingeka. Nokho, ngemva isiqinisekiso uphethwe udokotela kufanele awubeka akhawunti yomtholampilo, edinga izikhathi eziningana ngonyaka kudlule kokuxilongwa.

Enye indlela kudinga ifomu okunzima isifo. Isiguli ikhombisa ukusebenza nge ukufakwa kwe-wokufakelwa valve yomthambo i-aorta. Ukuhlinzwa alinikezi zokukhwabanisa evulekile kwesifuba. Izinqubo zanamuhla enze kube nokwenzeka ukuba ufake sokwenziwa ngesikhumba. Nolwelwesi is eyayifakwa subclavian noma Umthambo femoral. Ngemva kokuhlinzwa, isiguli inikezwe umthamo njalo imithi enciphisa igazi ekunqandeni.

Onalesi sifo iziguli kanye nezincomo odokotela '

Bangaki bangaphila nesineke kwathiwa unesifo "bicuspid umphini yomthambo i-aorta?" Ukwelashwa nge-yenzeka we sokwenziwa kwandisa ukusebenza sezulu e-80% eziguli. Nezinguquko eziphawulekayo emzimbeni futhi ezinzima inhliziyo ukwehluleka ongethemba iminyaka embalwa, ukuphila uhlala engenazinkathazo. Njengomthetho, lesi sibalo ingeqi embundwini engu-2.

Uma zokugula obusebenzayo akuphazamisi isigqi wokuphila, odokotela batusa ukugwema ezinzwa ubunzima ukucindezeleka. Ngaphezu kwalokho, kumelwe uzigcine umbuso yomsebenzi kanye nokuphumula, ezingaphezu kuka ukuhamba emoyeni opholile. Ukuze uthuthukise Izibikezelo wokuphila, ochwepheshe ukweluleka futhi ukubhekana nokuvinjelwa kwezifo ezifana endocarditis futhi rheumatism.

Bicuspid umphini yomthambo i-aorta ne-Ezemidlalo

Ezinye iziguli bakhathazekile kwedivayisi yalesi sifo kanye nemidlalo. Odokotela abakwazi ukunikeza impendulo ecacile, ngoba konke kuncike sezingeni ukulimala nokugasela ngamandla inqubo sokugembula. Yiqiniso, phambili lezemidlalo iziguli kokutshelwa ngokukhubazeka kwengane akuyona indawo. umsebenzi ngokweqile kungaqinisa ngesikhathi egula futhi kungaholela emiphumeleni engelapheki. Ubujamo bezobulelesi lezinceku isifo, kungaba lapho ethola ukuthi unesifo eneminyaka engu-eminyakeni 10-15. Ngakho-ke, abazali, azi mayelana kokutshelwa ngokukhubazeka kwengane kumele ngezikhathi ukushayela ingane inhlolovo. Ngeziphambeko inhliziyo ohlelweni kuyinto contraindication ukuze kwezemidlalo. Kulokhu kungcono ukuphuma kukho ngaphansi kuhlasimulise (yoga, pilates). Kunoma ikuphi, kufanele uxhumane nodokotela wakho, futhi musa ukuyiziba izincomo zayo.

isiphetho

Bicuspid valve yomthambo i-aorta, izimpawu ezichazwe ngenhla nje - le isifo esiyingozi kakhulu. Imiphumela yaloku kuhlola okungenhla Esifike Ngesikhathi ikuvumela ukuba ukhethe isu ukwelashwa elilungile. Ukuhambisana zonke imiyalelo kadokotela kuyisihluthulelo sokuba nombono oqondile futhi uphile isikhathi eside.