Ukuphinda ubuye kwakhona kwi-Aortic

Ukubuyiselwa kwakhona kwe-aortic sisifo sentliziyo esivelisi apho ivalve ye-aortic ingavali ngokuqinileyo. Oku kuvumela igazi ukuba liphume kwi-aorta (elona gazi likhulu legazi) liye kwi-ventricle yasekhohlo (kwigumbi lentliziyo).

Nawuphi na umqathango othintela ivelufa yokuvaleka ngokupheleleyo kunokubangela le ngxaki. Xa ivalve ingavali yonke indlela, elinye igazi liyabuya rhoqo xa intliziyo ibetha.

Xa isixa esikhulu segazi sibuya, intliziyo kufuneka isebenze nzima ukunyanzela igazi elaneleyo ukuhlangabezana neemfuno zomzimba. Igumbi elisezantsi lasekhohlo lentliziyo liya landa (liyangxama) kwaye intliziyo ibetha ngamandla (ukubopha ukubetha). Ixesha elingaphezulu, intliziyo iye ingakwazi ukubonelela ngegazi elaneleyo emzimbeni.

Kwixesha elidlulileyo, i-rheumatic fever yayiyeyona nto iphambili ekubuyiseni i-aortic. Ukusetyenziswa kwee-antibiotics ukunyanga ukusuleleka kwi-strep fever kwenza i-rheumatic fever ingaqhelekanga. Ke ngoko, ukuphindaphinda kwe-aortic kuxhaphake kakhulu ngenxa yezinye izizathu. Oku kubandakanya:

• I-Ankylosing spondylitis
• Ukuqhekeka kwe-aortic
• Iingxaki zokuzala (ezikhoyo ngokuzalwa) iingxaki zevalvu, ezinje ngevalic bicuspid
• I-Endocarditis (usulelo lweentliziyo zentliziyo)
• Igazi elonyukayo
• Isifo seMarfan
• I-Reiter syndrome (ekwabizwa ngokuba sisifo samathambo esisebenzayo)
• Igcushuwa
• Inkqubo ye lupus erythematosus
• Umothuko esifubeni

Ukungabikho kwe-aortic kuxhaphake kakhulu emadodeni aphakathi kweminyaka engama-30 nama-60.

Imeko ihlala ingenazo iimpawu iminyaka emininzi. Iimpawu zinokuza kancinci okanye ngequbuliso. Banokubandakanya:

• Ukubetha ukubetha
• Intlungu yesifuba efana ne-angina (inqabile)
• Ukufa isiqaqa
• Ukudinwa
• Iipalpitations (imvakalelo yokubetha kwentliziyo)
• Ukuphefumla kancinci ngomsebenzi okanye xa ulele
• Ukuvuka uphefumle kancinci emva kokulala
• Ukudumba kweenyawo, imilenze, okanye isisu
• Ukubetha okungalinganiyo, okukhawulezayo, okomdyarho, ukubetha okanye ukubetha
• Ubuthathaka obunokwenzeka ukuba benzeke ngomsebenzi

Iimpawu zinokubandakanya:

• Ukumbombozela kwentliziyo okunokuviwa ngestethoscope
• Ukubetha okunamandla kakhulu kwentliziyo
• Ukuqhekeka kwentloko ngexesha kunye nokubetha kwentliziyo
• Imichilo enzima engalweni nasemilenzeni
• Uxinzelelo lwegazi olusezantsi
• Iimpawu zolwelo emiphungeni

Ukuphinda kusebenze kwakhona kwi-aortic kunokubonwa kwiimvavanyo ezinje:

• I-aortic angiography
• Echocardiogram - iimviwo ultrasound intliziyo
• I-catheterization yentliziyo yasekhohlo
• I-MRI okanye i-CT yokuskena kwentliziyo
• I-Transthoracic echocardiogram (TTE) okanye i-transesophageal echocardiogram (TEE)

I-x-ray yesifuba inokubonisa ukudumba kwegumbi lentliziyo lasekhohlo.

Uvavanyo lwelebhu alunakufumanisa ukungonelanga kwe-aortic. Nangona kunjalo, banokukunceda ukulawula ezinye izizathu.

Awunakudinga unyango ukuba awunampawu okanye iimpawu ezibuthathaka kuphela. Nangona kunjalo, kuyakufuneka ubone umboneleli wokhathalelo lwempilo kwii-echocardiograms eziqhelekileyo.

Ukuba uxinzelelo lwegazi luphezulu, kungafuneka uthathe amayeza oxinzelelo lwegazi ukunceda ukucothisa ukuwohloka kokuphindaphindeka kwakhona kwe-aortic.

I-diuretics (iipilisi zamanzi) inokumiselwa kwiimpawu zokusilela kwentliziyo.

Kwixesha elidlulileyo, uninzi lwabantu abaneengxaki zentliziyo yevalvu banikwa i-antibiotics ngaphambi komsebenzi wamazinyo okanye inkqubo engenayo, njenge-colonoscopy. Amayeza okubulala iintsholongwane anikwe ukuthintela usulelo lwentliziyo eyonakeleyo. Nangona kunjalo, ii-antibiotics ngoku zisetyenziselwa kakhulu.

Kuya kufuneka ubeke umda kwimisebenzi efuna umsebenzi ongakumbi entliziyweni yakho. Thetha nomboneleli wakho.

Ugqirha ukulungisa okanye ukubuyisela i-aortic valve ukulungisa i-aortic regurgitation. Isigqibo sokutshintsha i-aortic valve kuxhomekeke kwiimpawu zakho kunye nemeko kunye nokusebenza kwentliziyo yakho.

Unokufuna kwakhona utyando ukulungisa i-aorta ukuba yandiswa.

Utyando lunokunyanga ukungabikho ngokwaneleyo kwe-aortic kunye nokunciphisa iimpawu, ngaphandle kokuba uvelisa ukusilela kwentliziyo okanye ezinye iingxaki. Abantu abane-angina okanye ukungaphumeleli kwentliziyo ngenxa yokuphindaphindeka kwe-aortic benza kakubi ngaphandle konyango.

Iingxaki zinokubandakanya:

• Isingqisho sentliziyo esingaqhelekanga
• Ukumelwa yintliziyo
• Usulelo entliziyweni

Fowunela umnikezeli wakho ukuba:

• Unempawu zokuphinda ubuye kwakhona.
• Unokusilela kwe-aortic kwaye iimpawu zakho ziya zisiba mbi okanye ukukhula kweempawu (ngakumbi iintlungu zesifuba, ukuphefumla nzima, okanye ukudumba).

Ulawulo lwexinzelelo lwegazi lubaluleke kakhulu ukuba usemngciphekweni wokuphindaphinda kwe-aortic.

I-aortic valve prolapse; Ukungabikho kwe-aortic; Isivalo senhliziyo - ukuphinda ubuye kwakhona; Isifo seValvular - ukuphindaphinda kwe-aortic; I-AI-ukungonelanga kwe-aortic

• Ukungabikho kwe-aortic

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ILindman BR, iBonow RO, i-Otto CM. Isifo sevalve seAortic. 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 68.

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/.

I-Otto CM. Ukuphinda usebenze kwakhona. Ku: Otto CM, ed. Incwadi yesikhokelo seKlinikhi ye-Echocardiography. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2018: isahluko 12.