Trurguspid regurgitation

ʻO ke kahe e kahe ana ma waena o nā keʻena like ʻole o kou puʻuwai pono e hele ma waena o ka puʻuwai puʻuwai. Wehe ʻia kēia mau vaʻa i hiki i ke kahe ke kahe i loko. Hoʻopili lākou a laila, mālama i ke kahe o ke koko i hope.

Hoʻokaʻawale ka pahu tricuspid i ke keʻena puʻuwai o ka naʻau ʻākau (ka ventricle ʻākau) mai ke keʻena o ka puʻuwai luna ʻākau (atrium ʻākau).

ʻO Tricuspid regurgitation kahi maʻi kahi i paʻa ʻole ai kēia paʻa. Kuhi kēia pilikia i ke kahe o ke koko i loko o ke keena puʻuwai o luna (atrium) i ka wā e ʻaelike ai ke keʻena puʻuwai haʻahaʻa ʻākau (ventricle).

ʻO ka hoʻonui ʻana i ka nui o ka ventricle ʻākau ke kumu maʻamau o kēia ʻano. Hoʻopili ka ventricle ʻākau i ke koko i nā māmā kahi e ʻohi ai i ka oxygen. ʻO nā kūlana e kau i nā kānana keu ma kēia keʻena hiki ke hoʻonui iā ia. ʻO nā laʻana me:

• ʻO ke koko kiʻekiʻe kiʻekiʻe i loko o nā aʻa o nā akemāmā i hiki ke hele mai kahi pilikia o ka maʻi (e like me COPD, a i ʻole kahi ʻōpala i hele i nā māmā)
• ʻO nā pilikia puʻuwai ʻē aʻe e like me ka ʻuʻuku ʻana o ka ʻaoʻao hema o ka puʻuwai
• Ka pilikia me ka wehe a pani ʻana paha o kekahi o nā valves puʻuwai

Hoʻokumu ʻia a hoʻomāhuahua ʻia paha ka regurgitation Tricuspid e nā maʻi, e like me:

• Mū Rumatika
• ʻO ka maʻi o ka puʻuwai puʻuwai tricuspid, ka mea e hōʻino ai i ka nohona

ʻO nā kumu maʻamau o ka regurgitation tricuspid e komo pū me:

• ʻO kekahi ʻano kīnā o ka naʻau i kēia manawa i ka wā hānau i kapa ʻia ʻo Ebstein anomaly.
• ʻO nā tumo Carcinoid, kahi e hoʻokuʻu ai i kahi hōmona e hōʻino ai i ka nohona.
• Maʻi ʻo Marfan.
• Rheumatoid arthritis.
• Lapaʻau hoʻomākala.
• ʻO ka hana i hala o kahi pilaʻai i kapa ʻia ʻo "Fen-Phen" (phentermine a me fenfluramine) a i ʻole dexfenfluramine. Ua lawe ʻia ka lāʻau mai ka makeke i ka makahiki 1997.

ʻAʻole hiki i ka regurgitation tricuspid māmā ke hana i kekahi ʻōuli. Hiki ke loaʻa nā hōʻailona o ka puʻuwai puʻuwai, a hiki ke hoʻopili ʻia:

• Hoʻomaʻamaʻa paʻa i nā ʻāʻī o ka ʻāʻī
• Hoʻoemi i ka puka mimi
• Luhi, luhi
• Huʻi nui
• Pehu o ka ʻōpū
• ʻO ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae
• Nawaliwali

E ʻike paha ka mea mālama ola i nā mea ʻē aʻe ke kaomi mālie ʻana me ka lima (palpating) ma kou umauma. Hoʻomaopopo pū paha ka mea hāʻawi i kahi lāʻau i luna o kou ake. Hōʻike paha ka hoʻokolohua kino i ka huehue o ka ate a me ka spleen.

ʻO ka hoʻolohe ʻana i ka puʻuwai me kahi stethoscope hiki ke hōʻike i kahi namunamu a i ʻole nā ​​kani ʻē aʻe. Aia paha he mau hōʻailona o ka hoʻoulu wai i loko o ka ʻōpū.

Hōʻike paha kahi ECG a echocardiogram paha i ka hoʻonui ʻana o ka ʻaoʻao ʻākau o ka puʻuwai.Hiki ke hoʻohana ʻia ka Doppler echocardiography a i ʻole ka catheterization cardiac ʻaoʻao ʻākau e ana i ke kaomi koko i loko o ka puʻuwai a me nā māmā.

Nā hōʻike ʻē aʻe, e like me CT scan a i ʻole MRI o ka umauma (puʻuwai), e hōʻike paha i ka hoʻonui ʻana o ka ʻaoʻao ʻākau o ka puʻuwai a me nā hoʻololi ʻē aʻe.

ʻAʻole pono ka mālama ʻana inā he kakaikahi a ʻaʻole paha nā ʻōuli. Pono paha ʻoe e hele i ka haukapila e hōʻoia a mālama i nā hōʻailona koʻikoʻi.

Hiki ke mālama ʻia ka pehu ʻana a me nā ʻōuli ʻē aʻe o ka hōʻele puʻuwai me nā lāʻau e kōkua i ka lawe ʻana i nā wai mai ke kino (diuretics).

Hiki paha i kekahi poʻe ke ʻoki poepoe e hoʻoponopono a hoʻololi paha i ka nohona tricuspid. Hana pinepine ʻia ke ʻoki kino ma ke ʻano he ʻāpana o kahi hana ʻē aʻe.

ʻO ka mālama ʻana i kekahi mau ʻano e hoʻoponopono paha i kēia maʻi. Pākuʻi ʻia kēia mau mea:

• ʻO ke kiʻekiʻe o ke koko i nā akemāmā
• ʻO ka pehu ʻana o ke keʻena puʻuwai haʻahaʻa ma lalo pono

Hoʻololi pinepine ka pulupili ʻokiʻoki a i ʻole pani hakahaka i kahi lāʻau i nā poʻe e pono ai i kahi komo.

He maikaʻi ʻole ka nānā aku no ka poʻe i loaʻa i nā hōʻailona, ​​regurgitation tricuspid koʻikoʻi hiki ʻole ke hoʻoponopono ʻia.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka regurgitation tricuspid.

ʻO ka poʻe me nā kīleʻa puʻuwai a i ʻole pohō paha e makaʻu no ka maʻi i kapa ʻia endocarditis. ʻO nā mea āpau e komo i nā koʻohune i loko o kou kahawai ke alakaʻi i kēia maʻi. Nā ʻanuʻu e hōʻalo ai i kēia pilikia me:

• Hōʻalo i nā inikia haumia.
• E mālama koke i nā maʻi o ka maʻi strep e pale aku ai i ka fiva rumatika.
• E haʻi mau i kāu mea mālama ola a me kāu kauka niho inā loaʻa iā ʻoe ka mōʻaukala o ka maʻi puʻuwai puʻuwai a i ʻole ka maʻi puʻuwai congenital ma mua o ka mālama ʻana. Pono paha kekahi poʻe e lawe i nā lāʻau ʻaloʻolika ma mua o ka loaʻa ʻana o kahi kaʻina hana.

ʻO ka mālama koke ʻana i nā maʻi e hiki ai ke kumu i ka puka a i ʻole nā ​​maʻi puʻuwai ʻē aʻe e hōʻemi i kou makaʻu i ka regurgitation tricuspid.

Ka lawa ʻole o Tricuspid; Puʻuwai puʻuwai - regurgitation tricuspid; ʻO ka maʻi Valvular - regurgitation tricuspid

• ʻO Tricuspid Regurgitation
• ʻO Tricuspid Regurgitation
• ʻO anomaly ʻo Ebstein

ʻO Carabello BA. Maʻi maʻi valvular. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 66.

Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA / ACC nānā i ka hoʻohou o ka 2014 AHA / ACC alakaʻi no ka mālama ʻana i nā mea maʻi me ka maʻi puʻuwai valvular: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines. Kaapuni. 2017; 135 (25): e1159-e1195. PMID: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

Pelikka PA. ʻO Tricuspid, pulmonic, a me nā maʻi multivalvular. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 70.

Rosengart TK, Anand J. Loaʻa nā maʻi puʻuwai: valvular. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 60.