Enwetara ọrịa obi na ọrịa - aortic stenosis

Aortic stenosis, na-akpọ stenosis, aortic valvụ , ma ọ bụ aortic stenosis, na-ezo aka enwetara ọrịa obi, ọrịa nke ịbụ ihe na organic lesion obi valves, ọ partitions oké arịa na myocardium. Akpata aortic stenosis bụ na-emekarị a rheumatic endocarditis, ọ bụ ezie na ọ nwekwara ike mere site infective endocarditis na atherosclerosis.

N'ihi ya, e nwere a merging nke rheumatic endocarditis nke aortic valvụ, na ha ndim na ibelata nke oghere n'etiti n'aka ekpe ventricle obi na aorta. A mgbochi a kpụrụ mgbe ọbara na-aga n'oge mkpi nke obi si ekpe ventricle n'ime aorta, ie, aortic valvụ stenosis. N'ihi ya osote na-enweghị nchịkwa na usoro mgbe mmasị akwara arịa.

hemodynamic akwusighi

Aortic stenosis pụta na-emeghasịkwa nke hemodynamics mgbe aortic orifice ebe mbelata na 0,75-1,75 cm² na a ọnụego nke 3-4 square sentimita N'oge systole, ọbara na-ejected site n'aka ekpe ventricle, osobo ịrịba eguzogide. N'ịbụ ekpe ventricular mkpi adịghị nwere oge ịtụfu ọbara n'ime aorta na ụfọdụ ọ na-anọgide na ventricular oghere. N'oge ndị na-esonụ diastole ka ndị fọdụrụ olu nke ọbara na-ekpe ventricle ọbara na-agbakwunyere na-emebu òkè nke ekpe atrium. Nke nta nke nta ego nke ọbara na ventricle na-budata ụba, na-eduga ya ndinyanade mbịne. Nke a bufee na-eduga ná hypertrophy na dilatation nke ekpe ventricle. Mgbe ventricle si anagide ibu arọ, ọ dịghị imebi hụrụ. N'ime oge ahụ, ọ na-apụghị n'ụzọ zuru ezu izute mkpa nke akụkụ na anụ ahụ na ọbara.

adakarị picture

Na nzọụkwụ mmerụ ahụ ụgwọ atụrụ mkpesa nke onye ọrịa nwere ike ịbụ. N'ime oge ahụ, n'oge omumu pụrụ iyi na m mgbu n'obi, dizziness, na-ada mbà. Na ogbo nke decompensation mmerụ a mkpesa na-adịgide adịgide. Ke adianade do, na ọrịa na iku ume ọkụ ọkụ, nke bụ ná mmalite nkebi e a ndọlị mpiaji gbasara obi ụkwara ume ọkụ na a kwere omume ntughari ka akpa ume edema. Ọrịa na-echekarị na arọ na ihe mgbu na nri elu quadrant.

Hụrụ si ndidi ekpughe pallor Ibé akwụkwọ ruru spasm nke ọbara arịa nke anụ omume a ala obi ejection ọbara. Dị ka a n'ihi nke obi odida na mkpọchi na mmepe nke ọbara usoro na-egosi akrozianoz.

N'oge palpation nwere ike kọwaa na mesikwuru ndị apical gbasara obi na-akwadoghị akwado. Mgbe obi odida apical akwadoghị akwado na-adịkwu na gbanwere ala na-ekpe. Mgbe eduzi palpation kpebisiri systolic jitter obi mgbidi nke abụọ intercostal ohere nri, a na-akpọ a mgbaàmà nke feline purring, na Botkina m v jugular fossa.

Aortic stenosis auscultation pụta ìhè idem emem obi na-ada, na-ekewa ma ọ bụ bifurcation m pitch na ntụ ufiop systolic nātamu ntamu nke abụọ intercostal ohere nri nke sternum. Noise na-ọma rụrụ ke jugular na supraclavicular fossa, na carotid akwara.

Usu na ọbara mgbali na ụgwọ oge na-agbanwebeghị inwe mmerụ. Na mmepe nke decompensation amalite ọnụ ke systolic na usu nsogbu, obi ọnụego na-aghọ onye na-adịghị, e bradycardia.

Aortic stenosis chọpụtara iji ECG data PCG, echocardiography.

ọgwụgwọ

Conservative ọgwụgwọ nke aortic stenosis bụ na-emeso ndị kpatara nke a na ọrịa - rheumatism, ọrịa mgbasi akwara, infective endocarditis, na ngosipụta nke gbasara obi na akwara insufficiency.

Ọ bụrụ na aortic stenosis so site na-abawanye na systolic mgbali grajentị gafee valvụ nke aorta, mkpa maka ịwa ahụ aka emee. Kacha nkịtị usoro nke ịwa ahụ aka bụ a balloon dilation, ma ndị bụ isi na usoro nke na-agbazi a nkwarụ aortic valvụ.