Cudurka wadnaha helay - stenosis aortic

stenosis Aortic, sidoo kale loo yaqaan stenosis, waalka aortic , ama stenosis aortic, waxaa loola jeedaa helay cudurka wadnaha, kaas oo noqonaya nabar ah organic in khaanadaha wadnaha, waxay qoruhu weelashii weyn iyo myocardium ah. Sababta oo ah stenosis aortic sida caadiga ah waa endocarditis a rheumatic, inkastoo ay sidoo kale sabab u noqon kara endocarditis infective iyo atherosclerosis.

Sidaas darteed, waxaa jira laga guurayo ah endocarditis rheumatic ee waalka aortic, oo ay adag iyo cidhiidhi ee furitaanka u dhexeeya ventricle bidix ee wadnaha iyo quseyo. ooday A waxaa la aasaasay markii dhiig maraa inta lagu jiro foosha wadnaha ka ventricle bidix galay quseyo, ie, stenosis waalka aortic. Sayidka ku xigeenka ee geedi socodka bahal inta badan barbaro weelashii wadnaha.

xasilooni hemodynamic

Natiijooyinka stenosis Aortic in carqalad ah ee hemodynamics marka aagga kadina aortic hoos si 0,75-1,75 cm² at heerka of 3-4 sentimitir square Inta lagu guda jiro systole, dhiig la saaray by ventricle bidix, oo la kulmay iska caabin weyn. Awood foosha ventricular bidix uusan haysan waqti ay ku tuuraan dhiigga gelin quseyo iyo qaar ka mid ah waxaa ka mid ah ayaa weli ku jira saabka ventricular. Inta lagu guda jiro diastole soo socda si mug haray dhiigga ee ventricle bidix ee dhiigga lagu darayaa qaybtii caadiga ah ee bidix ka. Tartiib tartiib xaddiga dhiigga ee ventricle waxaa aad u kordhay, taasoo keentay in uu iskala. dollar Tani waxay keenaysaa in hypertrophy iyo Dilatation of ventricle bidix. Iyadoo ventricle asiibi load culus, xadgudubyada ma arkay. Waqti ka, waxay si buuxda ma buuxin karaan baahida xubnaha iyo unugyada dhiigga ku.

sawir clinical

In talaabo iin magdhow cabashooyinka bukaanku ma noqon karo. Waqti ka, inta lagu guda jiro jimicsi u muuqan kara xanuun qalbigayga, dawakhaad, diidmo. Marka marxaladdan oo ahaa iin decompensation cabashooyinka kuwaas oo noqday mid joogto ah. Intaa waxaa dheer, in bukaanka qaba neefta oo ku qabata, taas oo ku jira marxaladaha hore waxaa jira reflex duudduub ah neefta wadnaha la kala guurka ah suurto gal ah in barar sambabada. Bukaanka inta badan dareemaan baroor iyo xanuun Rubuca midig sare.

Waxaa laga arkay bukaanka ayaa muujinaya doorsoonka go'yaal sabab u dabac marinnada dhiigga ee maqaarka jawaab u ejection wadnaha yar ee dhiigga. Sidaas darteed of wadnaha oo shaqadiisa gaba la ciriiriga horumarinta nidaamka wareegga dhiigga akrozianoz muuqataa.

Inta lagu guda jiro taataabasho waxaa lagu qeexi karaa iyo xoojiyeen Suu ka Boodaynin wadnaha. Marka wadnaha oo shaqadiisa gaba Suu Boodaynin waa maqalka iyo wareejiyay hoos iyo xagga bidixda. Marka la qabanaayo taataabasho goostay jitter systolic derbiga xabadka ee meel bannaan oo intercostal labaad midig, loo yaqaan astaan u ah purring feline, at Botkina waxaan V fossa Annagaana ugsa dhaw.

auscultation stenosis Aortic daciifaan Cad ee qalbigaygu waa u dhawaaqaa, fiicnin ama bifurcation waxaan ka dhistaan iyo dhab ugu gunuustaan systolic daran bannaan ee intercostal labaad dhinaca midigta ee sternum ka. Sawaxanka si fiican loo sameeyaa fossa ku Annagaana ugsa dhaw iyo supraclavicular, on artery.

Garaaca wadnaha iyo cadaadiska dhiigga muddo magdhowga ma beddelmin iin lahayn. Iyadoo horumarinta decompensation yeesho hoos u dhac ku cadaadiska systolic iyo garaaca wadnaha, garaaca wadnaha ayaa noqonaya mid gaabis ah, waxaa jira bradycardia.

stenosis Aortic cudurka isticmaalaya PCG xogta ECG, echocardiography.

daaweynta

daaweynta Conservative ee stenosis aortic waa in la daweeyo sababta oo sababaya cudurka this - laabotooyinka, arteriosclerosis, endocarditis infective, iyo daliilka wadnaha iyo kaafi wadnaha.

Haddii stenosis aortic Ulasocto kordhiyo Wehliyaha cadaadis systolic guud ahaan waalka ah ee quseyo, baahida loo qabo in qalliin dhacdaa. Habka ugu badan ee qalliin waa furanto buufin, laakiin habka aasaasiga ah ee saxo a waalka aortic iin.