Ukuhlaziywa kweTricuspid

Igazi elihamba phakathi kwamagumbi ahlukeneyo entliziyo kufuneka lidlule kwivelufa yentliziyo. Ezi zivalo zivula ngokwaneleyo ukuze igazi liphume. Emva koko bayavala, bagcina igazi lingabuyi umva.

Ivelufa ye-tricuspid yahlula igumbi lasekunene lentliziyo (i-ventricle yasekunene) kwigumbi eliphezulu lentliziyo (i-atrium elungileyo).

Ukuphindaphinda i-Tricuspid kukuphazamiseka apho le valve ingavali ngokwaneleyo. Le ngxaki ibangela ukuba igazi lihlehle umva liye kwigumbi eliphezulu lentliziyo (i-atrium) xa igumbi lasekunene lentliziyo (i-ventricle) lisebenza.

Ukwanda kobungakanani be-ventricle elungileyo yeyona nto ixhaphakileyo kule meko. I-ventricle yasekunene impompa igazi lisiya kwimiphunga apho lithatha khona ioksijini. Nawuphi na umqathango obeka uxinzelelo olongezelelweyo kweli gumbi unokubangela ukuba wandise. Imizekelo ibandakanya:

• Uxinzelelo lwegazi ngokungaqhelekanga kwiimithambo zemiphunga ezinokuvela kwingxaki yemiphunga (njengeCOPD, okanye ihlwili eliye kwimiphunga)
• Enye ingxaki yentliziyo njengokucinezela okungalunganga kwicala lasekhohlo lentliziyo
• Ingxaki ngokuvulwa okanye ukuvalwa kwesinye sezivalo zentliziyo

Ukuphindaphinda kweTricuspid kunokubangelwa okanye kubi ngakumbi zizifo, ezinje:

• Umkhuhlane wamathambo
• Usulelo lwe-valve ye-tricuspid yentliziyo, ebangela umonakalo kwi-valve

Izizathu ezincinci eziqhelekileyo zokuphinda kwenziwe kwakhona i-tricuspid kubandakanya:

• Uhlobo lwesiphene sentliziyo esikhoyo ekuzalweni esibizwa ngokuba yi-Ebstein anomaly.
• Amathumba e-carcinoid, akhupha ihomoni eyonakalisa ivelufa.
• Isifo seMarfan.
• Irheumatoid Arthritis.
• Unyango ngemitha.
• Ukusetyenziswa kwangaphambili kwepilisi yokutya ebizwa ngokuba yi "Fen-Phen" (phentermine kunye fenfluramine) okanye i-dexfenfluramine. Iyeza lasuswa kwintengiso ngo-1997.

Ukuphinda ubuye kwakhona kwi-tricuspid akunakubangela zimpawu. Iimpawu zokusilela kwentliziyo zinokwenzeka, kwaye zinokubandakanya:

• Ukutshiza okusebenzayo kwimithambo yentamo
• Ukuncipha kwemveliso yomchamo
• Ukudinwa, ukudinwa
• Ukudumba ngokubanzi
• Ukudumba kwesisu
• Ukudumba kweenyawo namaqatha
• Ubuthathaka

Umboneleli wezempilo unokufumana ukungaqheleki xa ucofa ngobunono ngesandla (ukucofa) esifubeni sakho. Umboneleli unokuziva ebetha ngaphezulu kwesibindi sakho. Uvavanyo lomzimba lunokubonisa ukudumba kwesibindi kunye nokudakumba.

Ukumamela intliziyo nge-stethoscope kunokubonisa ukumbombozela okanye ezinye izandi ezingaqhelekanga. Kunokubakho iimpawu zokwakhiwa kolwelo esiswini.

I-ECG okanye i-echocardiogram inokubonisa ukwanda kwecala lasekunene lentliziyo.I-Doppler echocardiography okanye i-catheterization yentliziyo esecaleni ingasetyenziselwa ukulinganisa uxinzelelo lwegazi ngaphakathi kwentliziyo kunye nemiphunga.

Ezinye iimvavanyo, ezinje nge-CT scan okanye i-MRI yesifuba (intliziyo), zingabonisa ukwanda kwecala lasekunene lentliziyo kunye nolunye utshintsho.

Unyango lusenokungafuneki ukuba zimbalwa okanye akukho zimpawu. Kuya kufuneka uye esibhedlele ukuze ufumane isifo kwaye unyange iimpawu ezinzima.

Ukudumba kunye nezinye iimpawu zokusilela kwentliziyo kunokulawulwa ngamayeza anceda ukususa ulwelo emzimbeni (i-diuretics).

Abanye abantu banakho ukwenza utyando ukulungisa okanye ukubuyisela ivalic tricuspid. Ugqirha lwenziwa rhoqo njengenxalenye yenye inkqubo.

Unyango lweemeko ezithile lunokulungisa oku kuphazamiseka. Oku kubandakanya:

• Uxinzelelo lwegazi oluphezulu emiphungeni
• Ukudumba kwegumbi lasezantsi lasekunene

Ukulungiswa kwevalveji yotyando okanye ukutshintshwa kuhlala kunika unyango kubantu abafuna ungenelelo.

Imbonakalo ihlwempuzekile kubantu abaneempawu, ukubuyela kwimeko yesiqhelo kwi-tricuspid engenakulungiswa.

Fowunela umboneleli wakho ukuba uneempawu zokuphinda ubuye kwi-tricuspid.

Abantu abanezivalo zentliziyo ezingaqhelekanga okanye ezonakalisiweyo basemngciphekweni wosulelo olubizwa ngokuba yi-endocarditis. Nantoni na ebangela ukuba intsholongwane ingene kwigazi lakho inokukhokelela kolu sulelo. Amanyathelo okuphepha le ngxaki abandakanya:

• Kulumkele inaliti ezingahlambulukanga.
• Nyanga izifo ezosulelayo ngokukhawuleza ukuthintela umkhuhlane wamathambo.
• Soloko uxelela umboneleli wakho wezempilo kunye nogqirha wamazinyo ukuba unembali yesifo sentliziyo okanye isifo sentliziyo esizalwe naso ngaphambi konyango. Abanye abantu banokufuna ukuthatha ii-antibiotics ngaphambi kokuba benze inkqubo.

Unyango olukhawulezileyo lweengxaki ezinokubangela ivelufa okanye ezinye izifo zentliziyo kunciphisa umngcipheko wokuphinda ubuye kwi-tricuspid.

Ukungabikho kweTricuspid; I-valve yentliziyo-ukuphinda uhlaziye i-tricuspid; Isifo seValvular-tricuspid kwakhona

• Ukuhlaziywa kweTricuspid
• Ukuhlaziywa kweTricuspid
• Isiphene sika-Ebstein

ICarabello BA. Isifo sentliziyo seValvular. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 66.

UNishimura RA, Otto CM, uBonow RO, et al. Uhlaziyo lwe-2017 AHA / ACC olujolise kwisikhokelo se-AHA / ACC sika-2014 kulawulo lwezigulana ezinesifo sentliziyo se-valvular: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zeKlinikhi yokuziQhelanisa. Ukujikeleza. Ngo-2017; 135 (25): e1159-e1195. IINKCUKACHA: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

IPelikka PA. I-Tricuspid, i-pulmonic, kunye ne-multivalvular isifo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 70.

I-Rosengart TK, i-Anand J. Isifo sentliziyo esifunyenweyo: i-valvular. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 60.