The kutsemuka vharafu iri bicuspid: zvinokonzera, zviratidzo, kurapwa

The kutsemuka vharafu iri bicuspid inzira mwoyo chirwere. Kazhinji, chirwere anotanga kuratidza vanhu vakura pazera. Maererano nenhamba, zvokurwara iyi panoonekwa munenge 2% vemo. Kutsemuka shavishavi vharafu kazhinji unoshanda pasina hemodynamic kuchinja uye achabatsirwa vachivavhiringidza mumuviri. Zvisinei, mune zvimwe zviitiko, nokuda chirwere kana vatanga aneurysm kunoitika kutsemuka stenosis.

zvokurwara Description

Tisati tichifunga kunotoda mufananidzo chirwere zvinokurudzirwa kuenda zvishoma mberi kupinda anatomi. In hwakanaka mwoyo vharafu yeropa rinoumbwa mapepa matatu, izvo zvinopa chinoramba chokubuda ropa kumuviri. Munguva kukura ari mudumbu mukati mudumbu, pamusoro vhiki worusere, Bookmark mukuru tsandanyama inotanga. Zvisinei, achifuridzirwa zvimwe zvinhu, izvi angatadza. Somugumisiro, mashoko ichibhabhamisa vaviri vatatu spliced, zvichiguma malformations. Izvi unoenderana zvokurwara chirwere "bicuspid kutsemuka vharafu" iri okurapa.

VaBennett chirwere ichi vari zvakasiyana, asi vose pamwe fetus. Vanoumba mwoyo hurongwa kunotanga mavhiki matanhatu uye inoguma nezuva rorusere. Nguva iyi ichakurukurwa kupfuura ngozi. Chero kunaka zvinoita aigona kukanganisa zvinhu zvakasiyana-siyana zviri Tab muviri nenhumbi dzayo ropa. Naizvozvo, vanachiremba zvakasimba pachii pamuviri wokutanga trimester, uchinyanya kufunga pachavo utano hwavo, kurega tsika dzakaipa, dzivisa anoshungurudza ezvinhu.

Ndezvipi zviratidzo kunoratidza chirwere?

The kutsemuka vharafu iri bicuspid, nokuti vanhu vazhinji ariko zvakawanikwa. Kwemakumi emakore, vanogona kurarama uye asingazivi pamusoro dambudziko, panguva iyoyowo vanonzwa gwindiri. Chokwadi, zvokurwara Kazhinji vanhu vari akura zera. Zvemamiriro nemamiriro vharuvhu nokufamba kwenguva chinoita pachayo sokuti. Zvichava pakupedzisira kupfeka nokuda kwazvo mutoro, zvichiguma havachanyatsogoni mabasa. Kunewo zviratidzo chirwere wokutanga. Chii?

The maitiro Kuratidza chirwere zvingasanganisira:

• Sinus tachycardia, izvo kunooneka pacharo muchimiro palpitations.
• Madzerere.
• Kuneta, kusimba muviri wose.
• pulsation Strong mumusoro. Kuwanda zviratidzo kuwedzera kana murwere anotora renhema chinzvimbo.
• Constant syncope uye dzungu kuitika mushure panyama nesimba.
• Kusagadzikana mumoyo, haina chokuita mupfungwa zviitiko.
• Zvakakomba kupfupika mweya, izvo pakutanga kunoitika pashure mumuviri nesimba, asi gare gare kuitwawo murwere wakadzikama ezvinhu.

Zviratidzo izvi anowanzoramba varwere vakura. Bicuspid kutsemuka vharafu mune vana kushanda kwete unooneka, saka mangwanani chirwere hazvibviri kutyora.

The kukonzera mwoyo abnormalities

Sezvo mukuru zvinokonzera ndiko kuremara vanachiremba anoratidza kushanda kunaka zvikonzero zviri pamusoro muviri ari pamuviri panguva apo pane Tab huru womukati nenhengo dzawo. Izvi zvingava nemwaranzi dzokupisa, zvirwere, murombo zvakatipoteredza. Chimwe predisposing chinhu ari kuputa amai vanepamuviri. Chikakananda kwakakanganisa inokanganisa kukura mudumbu mukati mudumbu. Nhaka kubatwa anewo basa kukonzera chirwere. Naizvozvo, vanachiremba vari zvakasimba zano vabereki vanga kare nechirwere kutsemuka bicuspid vharafu, pakarepo pashure pakaberekwa mwana kuomerera ongororo yake zvakakwana. Early kuonekwa chirwere kunoita kunan'anura nomazvo kurapwa, riri kanoverengeka kunowedzera mikana nokukurumidza kupora.

nzira nechirwere

Paunoona chero zviratidzo kuti chiratidzo matambudziko mumwoyo, unofanira chiremba achiona kuongorora. Maererano migumisiro ine cardiologist anogona kurayira kuongororwa zvakarurama. Kana chirwere kunoitika pasina hemodynamic kusagadzikana, murwere rwunotumirwa Ultrasound. US ambotirega kupima mashoko navanachiremba mufananidzo pathologic kwacho, ukuru kukuvadza uye kuziva pamberi aneurysm. Ichi zvikuru kuomesa inoda kuvhiyiwa. Ultrassom runowanzotaurwa nechimwe Doppler. Zvichienderana kwakaitwa kuongororwa yokurapa, chiremba prescribes kurapwa.

Bicuspid kutsemuka vharafu nedzevakuru dzimwe nguva aine regurgitation. Iyi haisi zvokurwara ropa riyerere iri kufamba negwara yavanofanira dzose,. Kubva musi chirwere ichi, majaya muchiuto zera vanofanira kuwana reprieve kubva Army. Inopawo kodzero kutamira Reserve pamwe haizopereri vanyorwa kadhi anozivikanwa "Category B, ubatanidzwewo hwakanaka." Kana regurgitation zviratidzo kunge kuzivikanwa, chirwere haisi chipingamupinyi nokuda kunonosa rechiuto.

kurapa mikana

Kwokuomerwa zviratidzo zvachose anosarudza kurapwa. Kana, pamberi kwemutemo kuongororwa murwere akanga asiri zvoutano, muviri akanga pasi zvikuru mumuviri kushushikana, chaiyo kurapa kunodiwa. Zvisinei, mushure nokusimbisa nechirwere chiremba anofanira ndokuiisa chiremba nyaya, chinoda kanoverengeka gore zvakaitika nhevedzano nemiedzo.

Imwe nzira kunoda kwazvo chimiro zvirwere. Murwere inoratidza kushanda pamwe kugadzwa prosthetic kutsemuka vharuvhu. Kuvhiya haripi rakazaruka zvitinakire pechipfuva. Modern nzira kuti zvibvire kuisa prosthesis kuburikidza ganda. The kudyara iri akaiswa kuburikidza subclavian kana femoral tsinga. Pashure pokuvhiyiwa, murwere itungamirirwe kuramba dose mishonga yokuderedza kweropa.

The fungidziro varwere uye vanachiremba 'audzwa

vazhinji sei kurarama murwere ane chirwere che "bicuspid kutsemuka vharafu?" Treatment kubudikidza muchibereko pamusoro prosthesis kunowedzera chinhanho kunotarisirwa muna 80% wevarwere. With kuchinja mumuviri uye zvikuru mwoyo nokukundikana unogona kutarisira kwemakore mashoma, kumbotamba upenyu. Kazhinji, nhamba iyi hazvirevi kusapfuudza pachikumbaridzo 2 years.

Kana dzichipfekeka zvokurwara asingadi kukanganisa mutinhimira upenyu, vanachiremba vanoti tichidzivisa tsinga kunototiomesera uye mupfungwa. Uyezve, iwe unofanira kucherechedza hurumende basa uye kuzorora, kupfuura kufamba yakachena mhepo. Kuti uvandudze fungidziro youpenyu, nyanzvi angarayira kuti neniwo pamwe kudzivirira zvirwere zvakadai endocarditis uye rheumatism.

Bicuspid kutsemuka vharafu uye Sports

Vamwe varwere vari kunetseka kugarisana chirwere ichi uye mitambo. Vanachiremba havagoni kupa mhinduro chaicho, nokuti zvose kunobva pakuti kukuvara uye kwokuomerwa ari pathological muitiro. Zvechokwadi, mune zvemitambo nyanzvi varwere vane chirwere kwakadaro haisi nzvimbo. Kunwisa muviri kunogona kusimbisa panguva chirwere uye kutungamirira kusingarapiki nemigumisiro. Vakapiwa nhaka yezvakaita chirwere, rinogona chirwere aine makore 10-15. Saka, vabereki, vachiziva chirwere chakadaro nguva nenguva kutyaira mwana kuti ongororo. Zvarakasiya pamoyo gadziriro iri contraindication kuti mutambo. Muchiitiko ichi zviri nani kuti vasarudze zvishoma dzechimwe chisarudzo (yoga, pilates). Chero zvazvingava, unofanira bvunza chiremba wako, uye usarera munzwewo ayo.

mhedziso

Bicuspid kutsemuka vharafu, zviratidzo izvo zvinotsanangurwa chete pamusoro - ichi chirwere chakakomba zvikuru. Panguva Chaiyo chirwere unokubvumira kusarudza Zvakanyanya Kunaka Panguva Yepamuviri kurapwa nzira. Zvaidiwa ose chiremba mirayiridzo iri kiyi nemaonero akanaka uye noupenyu.