Mitral stenosis

Stenosis ntawm lub mitral valve yog tus kab mob ntawm lub plawv, pom tau rau ntawm qhov qis ntawm atrioventricular orifice. Feem ntau cov kab mob pathology no muaj nrog lub vices ntawm lwm tus li qub. Txo qhov chaw ntawm lub lumen ntawm lub mitral valve tiv thaiv cov ntshav khiav tsis zoo. Yog li ntawd, qhov nce ntxiv ntawm txoj cai atrium ua rau decompensation ntawm lub voj voog loj ntawm ntshav, thiab, tom qab, lub plawv tsis ua hauj lwm.

Ua rau ntawm stenosis ntawm lub mitral valve

Ntawm cov teeb meem nrog rau kev loj hlob ntawm mitral valve stenosis, muaj:

Cov tsos mob ntawm tus mob stenosis ntawm lub mitral valve

Thaum pib kab mob ntawm cov kab mob, cov kev mob hnyav ntawm stenosis tsis tuaj lawm, thiab pom ntawm tus neeg mob tsis tshua tau hloov. Maj mam muaj qee zaus ua tsis taus pa, plhaw siab, siab qaug zog. Qee zaum hnoos thiab hemoptysis raug cim tseg. Yog hais tias tus dyspnea yog qhov muaj teeb meem nrawm, ces txoj kev loj hlob ntawm kev mob ntsws ntawm paj hlwb yog ua tau. Tus neeg mob lub ntsej muag ua xim daj ntseg; Qhov ntxeev ntawm lub qhov ntswg, daim di ncauj, pob ntseg thiab txhais tes muaj hneev cyanotic. Nyob rau sab qis dua ntawm qhov qog nqaij hlav, qhov sib "lub plawv dhia" yog tsim. Cov neeg mob yog cov ua cim los ntawm atrial fibrillation .

Auscultation nrog stenosis ntawm lub mitral valve tseem ceeb heev hauv kev kuaj mob. Ib tus kws kho mob tshwj xeeb thaum kuaj, txawm tias muaj kev pab los ntawm cov pa phonenoscope, tuaj yeem kuaj xyuas, ntes tau "nias" thaum qhib lub mitral valve, uas tshwm sim los ntawm oscillation ntawm nws cov compacted li qub. Thaum lub cheeb tsam ntawm stenosis hlob, muaj ib lub suab nrov thiab thaum mloog cov diastole. Qhov tseem ceeb tshaj plaws hauv kev hloov cov hemodynamics hloov ntshav siab muaj lub siab thiab leeg ntawm lub ntsws, vim kev sib kis ntawm cov pa oxygen thiab cov roj carbon dioxide.

Kev kho mob ntawm mitral valve stenosis

Kev pabcuam yog qhov tseem ceeb ntawm txoj kev khomob rau lub cev ntawm lub qhov txhab. Kev ua haujlwm yog pom zoo kom thiaj li rov qab tau cov ntshav khiav tsis zoo. Kev mob hlab ntsws coronary artery bypass grafting yog tam sim no. Raws li txoj cai, tom qab ib txoj kev phais mob nrog kev koom tes zoo nrog kev siv cov tshuaj tua kab mob thiab kev npaj kho kom rov qab tau cov ntaub so ntswg, rov qab los.

Yog tias qhov kev lag luam ua tsis tau, tus neeg mob yuav tsum tau txais kev pab kho mob kom tsis txhob muaj kev tiv thaiv.

Tseem ceeb! Cov neeg mob uas mob stenosis ntawm mitral valve yuav tsum tau ntsuas rau hauv cov kev ua ub no thiab xyuas dej-ntsev seem.