Le umba aortic yi bicuspid: oonobangela, iimpawu, unyango

Le umba aortic yi bicuspid luhlobo nesifo sentliziyo. Kwiimeko ezininzi, esi sifo uqala ukubonisa abantu kwiminyaka oqolileyo. Ngokutsho manani, esi leengxaki banesifo malunga-2% yabemi. Aortic ibhabhathane vana ngokwesiqhelo isebenza ngaphandle utshintsho hemodynamic kwaye lukhatshwa yokuphazamiseka emzimbeni. Noko ke, kwezinye iimeko, ngenxa yesifo okanye zokuvelisa kwemithambo kwenzeka stenosis aortic.

zokugula Inkcazelo

Phambi kokuba kucingwe umfanekiso kwezonyango sifo kucetyiswa ukuya phambili umganyana kungena nokwakheka. Abaphile yentliziyo nokufakelwa aorta ubunjwe amaphetshana ezintathu, olunikezela eyayinethombo eqhubekekayo wegazi umzimba. Ngexesha nophuhliso Umbungu ngaphakathi esizalweni, malunga kwiveki yesibhozo, ukubhukmakha umsipha eyintloko iqala. Nangona kunjalo, phantsi kwempembelelo yeemeko ezithile, le nkqubo ukuze fail. Ngenxa yoko, ukuba beziya ezimbini bathathu spliced, leyo malformations. Oku uhambelana isifo ngezifo "bicuspid umba aortic" kwi yezonyango.

Oonobangela kwesi sifo yahlukile, kodwa bonke bephela zinxulunyaniswa Palsy. Ndiyila intliziyo nkqubo iqala kwiiveki ezintandathu kwaye iphela ngomhla wesibhozo. Eli xesha ithathwa kuyingozi kakhulu. Naziphi na iimeko ezimbi ezinokuchaphazela kakubi izinto ezahlukeneyo umzimba isithuba nempahla yayo negazi. Ngoko ke, oogqirha Kucetyiswa ngamandla ukuba abasetyhini abakhulelweyo kwithuba leenyanga ezintathu yokuqala, kunye ingqalelo ekhethekileyo impilo yabo, ukuyeka imikhwa emibi, izimo uxinezeleko.

Ziziphi iimpawu zibonisa izifo?

Le umba aortic kukuba bicuspid, kuba abantu abaninzi i ezifunyanwa wokwenene. Amashumi eminyaka, aphile kwaye bazi ngale ngxaki, kwangaxeshanye Sinokungaziva siphilile ngokugqibeleleyo. Enyanisweni, lo ngezifo ngokuqhelekileyo kubonakala kubantu kwiminyaka oqolileyo. isakhiwo okuthile ivalve ngokuhamba kwexesha uzenza ngayo. Ekugqibeleni iya kuphelelwa ngenxa yokuba umthwalo ngokugqithisileyo, oko kukhokelele imisebenzi kakuhle. Ngoko kukho iimpawu zokuqala zesi sifo. Ntoni?

Wabonakala uphawu isifo zibandakanya:

• Sinus tachycardia, esizibonakalisa ngohlobo iyangongoza.
• ukungaboni.
• Ukudinwa, ubuthathaka umzimba uphela.
• pulsation Strong kwi intloko. Ngobunzulu okanye amandla iimpawu kwandisa xa isigulane kuthatha indawo ilele.
• syncope rhoqo nesiyezi kwenzeka emva amandla omzimba.
• Kabi entliziyweni, sinxulumana namava ngokweemvakalelo.
• ukuphelelwa ezimandundu ngumphefumlo, leyo kwenzeka ekuqaleni emva amandla omzimba, kodwa kamva ihamba isigulana zikwimeko ezolileyo.

Ezi mpawu mava kwizigulane sele umdala. ivalve Bicuspid aortic ebantwaneni Oku hayi ukuzibonakalisa, ngoko isigulo kwangethuba ayikho kuphula kunokwenzeka.

Eyona eziphambili ezibangela ezingaqhelekanga intliziyo

Njengoko oyena nobangela amagqirha isiphako zibonisa nemiphumela yeemeko elibi eziphilayo kwe abakhulelweyo ngethuba kukho isithuba esikhulu iinkqubo omzimba lwangaphakathi. Oku kunokuba exposure radiation, izifo ezosulelayo, bume kakuhle. Enye into predisposing ukutshaya isigarethe sikanina. Wenicotine kuchaphazela ngokungalunganga nophuhliso Umbungu ngaphakathi esiswini. nezici ilifa unalo indima ebangela isifo. Ngoko ke, amagqirha bayacetyiswa ngamandla abazali abaye ngaphambili ukuba unesifo umba aortic bicuspid, ngoko nangoko emva kokuzalwa komntwana ukubamba zeemviwo ngokupheleleyo. ukubhaqwa esi sifo yenza kumisela unyango ofanelekileyo, nto leyo amaxesha amaninzi kwandisa amathuba ibuyambo ekhawulezileyo.

iindlela isifo

Xa ubona naziphi na iimpawu ukuba iingxaki umqondiso entliziyweni, kufuneka udibane nogqirha ukuba bangenele uviwo. Ngokutsho iziphumo cardiologist inokuyalela ukuxilongwa. Ukuba isifo lwenzeka ngaphandle ukungazinzi hemodynamic, isigulane sithunyelwa kwi-ultrasound. US ikuvumela ulinganisele umfanekiso lwezonyango yenkqubo pathologic, iqondo lomonakalo uchonge phambi kwemithambo. Le ingxaki ezinzima kufuneka uqhaqho. Ultrasound kudla zincediswe Doppler. Ngokusekelwe kwiziphumo axilongwe, ugqirha umisela unyango.

ivalve aortic Bicuspid abadala maxa wambi kuhambisana regurgitation. Esi ngezifo kakhulu, apho ukuhamba kwegazi ihamba kwicala malunga yesiqhelo. Ngokusekelwe kule sifo, abafana yobudala emkhosini kufuneka ufumane ziphole Army. Kwakhona unika ilungelo lokutshintshela reserve kunye nobhaliso elandelayo sekhadi ebhalwe "Udidi B, ngokomkhethe kufanelekile." Xa iboniwe mpawu regurgitation ukuba, esi sifo na umqobo ukuba ukumiswa kwetyala emkhosini.

ongakhetha therapy

Ubukhali iimpawu igqiba ngokupheleleyo unyango. Ukuba, phambi kokuba sicatshulwa koviwo isigulane na iingxaki zempilo, lo mzimba phantsi koxinzelelo olukhulu emzimbeni, unyango oluthile iyafuneka. Noko ke, emva kokuqinisekisa uxilongo ugqirha kufuneka wayifaka engcongolweni akhawunti lwezonyango, nto leyo endinga amaxesha amaninzi ngonyaka Kwathi uthotho lweemvavanyo.

Enye indlela kufuna kakhulu lwe sifo. Isigulane ibonisa nokusebenza kunye nokufakelwa ivalve angoozenzele aortic. Surgery ayiboneleli nokuqhathwa evulekileyo esifubeni. ubuchule Modern kwenza kube lula ukufaka i afakelweyo ngesikhumba. Le uyofaka kufakwa ngokusebenzisa subclavian okanye umthambo femoral. Emva kotyando, isigulane wabelwa ukuba idosi rhoqo amayeza ukunciphisa ekunqandeni igazi.

I-ALS kwizigulane kunye nezincomo oogqirha '

Zingaphi angaphila nomonde unesifo "vana bicuspid aortic?" Unyango yi umzila we-afakelweyo kwandisa uzinzo kuqikelelo lwemozulu kwi-80% yezigulane. Ndikunye utshintsho emzimbeni kunye nokusilela intliziyo kakhulu nga nethemba iminyaka embalwa, ubomi akakhathazeki. Ngokuqhelekileyo, eli nani ayidluli umbundu engama-2.

Ukuba zoxilongo esebenza aluchaphazeli isingqisho yobomi, oogqirha bacebisa kukuphepha luvo uhlobo noxinezeleko. Ukongeza, kufuneka bagcine ulawulo lomsebenzi kwaye uphumle, ngaphezu bahamba ngumoya. Ukuphucula ALS yobomi, iingcali ukucebisa ukuba kuqhubana ekuthinteleni izifo ezifana endocarditis kunye rheumatism.

valve Bicuspid aortic and Sports

Ezinye izigulane banenkxalabo malunga zokungahambisani esi sifo kunye nemidlalo. Oogqirha akanako ukunika impendulo ecacileyo, kuba konke oko kuxhomekeke kubungakanani umonakalo nobukhali inkqubo yezifo. Kakade ke, xa lezemidlalo kwizigulane unesifo onjalo indawo. umthambo kakhulu nga tiyisa ngexesha ukugula kwaye kungakhokelela ekubeni neziphumo vuhlayiseki. Ngenxa yobume ilifa zesi sifo, inokubuyiselwa kwafunyaniswa eneminyaka engama-10-15. Ngoko ke, bazali, esazi malunga diagnosis enjalo ngamathuba athile ndinigxothe kwisaveyi umntwana. Ezinxaxhileyo entliziyweni nkqubo a contraindication kwezemidlalo. Kule meko ke kungcono ukuba ukhetha i kukho esibuhlungu (yoga, Pilates). Enoba kunjalo, kufuneka udibane nogqirha wakho, uze musa ngoyaba izindululo.

isiphelo

ivalve Bicuspid aortic, iimpawu ezo zichazwe nje ngentla - oku sisifo esibi kakhulu. isigulo kwangethuba ikuvumela ukuba ukhethe icebo ngokupheleleyo unyango. Ukuthobela yonke imiyalelo kagqirha ngundoqo sengqondo esifanelekileyo yaye ubomi obude.