Iti hoki Mitral me tona maimoatanga

iti hoki Mitral - whakawhanake tino maha he tukanga pathological i roto i te mate e whai ake nei: rūmātiki, endokardit.Znachitelno hopuhopu iti whakawhanake ia kia rite ki te hua o te calcification o te mowhiti mitral, pāpaka piha ngakau i roto i te Scleroderma pūnahanaha erythematosus lupus pūnahanaha ranei, me te aortoarteritis, mate degenerative o te kiko tūhonohono - syndromes Eilers-Danlos me Marfan. Ka rite ki fifi o te opupu valvuloplasty ko ano hoki e taea te putanga o tenei mate.

whakawhanake iti hoki Mitral tika ki whaturama o te rauoro uaua papillary ranei, pērā i infarction myocardial. endocarditis te putanga o te infective whakangaromanga tere taea kino ki te piha pānui kōrero ranei. I roto i te whakahaere i te prosthesis takirere kia whakawhanake pōauautanga - okoloklapannaya regurgitation.

kia whakawhanake Pātahi iti hoki mitral tika ki nga ruma roha o te ngakau (ina myocardiodystrophy, myocarditis, cardiomyopathy, manawa toto pūroto).

E rua ngā momo o te iti hoki mitral: whakapeka, me te ma'i.

Ko te tohu āhuatanga o te mate whakapeka he faaiteraa o te kore ventricular maui ki te rironga o te hypotension me edema pūkahukahu. E mea pinepine i reira he fibrillation Atrial, iti iho pea ki te whakawhanake i ngā patu Atrial.

Ma'i regurgitation mitral ko te roa te wa (e pā ana ki 10 tau) anoo huna. Na, i reira e kua amuamu āhuatanga o te kore ngakau: hāhā o te manawa i runga i te oma, te rohirohi. Pea te ahua o tohu Ortner: puta tahi fifi e tika ana ki te kōpeketanga o te ngakau rahi karere recurrent. I muri piri e mare me hemoptysis, huamo tika ki te stagnation korerotia i roto i te tohanga iti, me te nui.

A, no te tirohia i taua kia riro te manawanui nga ngutu cyanosis. āhuatanga tēnei mate ngakau mitral e te pini o te ihirangi toharite. Pea tachypnea. Ko te displacement o te hihiko apical puta ki te maui, riro te reira E ruia ana, me te whakakaha; ki regurgitation mitral nui puta jitter systolic i te tihi o te ngakau.

iti hoki Auscultation mitral āhuatanga e te ahua amuamu systolic i te tihi, kei te pai i whakahaeretia i roto i te rohe axillary. Kei te hoki āhuatanga i te reira e te paruparu i roto i te tihi o te oro ahau ngakau.

Mitral melé ngakau, e ngā regurgitation mitral rapua e maimoatanga whakahauanga, whakarerenga - ma'i asymptomatic. Diuretics Tuatahi whakaritea (furosemide) me vasodilators piringa (konutai nitroprusside). Ki te mau tonu te hemodynamics i ngā taumata noa, e taea te whakamahi counterpulsation poihau kōtuitui-te pūtahi o.

kawea maimoatanga hāparapara te i tango ki pūkete te huru o te manawanui me te take o te iti hoki mitral. Hei tauira, i roto i te endocarditis infective whakapeka iti hoki takirere mitral i te ra i muri mai rapu pokanga, me myocardial whakatinanatanga infarction matua o te therapy momo.

Ahakoa o te etiology o tuarua e tika ana ki te kawe i roto i te ārai o endocarditis infective.

Tīmatanga o tohu ko te tohu mo te maimoatanga hāparapara. kōwhiringa mahi - kirihou piha mitral. Tenei taea hoki he synchrony nui i roto i te hukihuki ventricular maui, me e kore e rapua e anticoagulation tūturu. I roto i te aroaro o calcifications tono piha mitral. whakamahia Annuloplasty te i roto i te maimoatanga o te iti hoki mitral whanaunga.