Tricuspid Regurgitation (Tricuspid Valve lawa ʻole)

Anter

• ʻIke i nā hōʻailona a me nā ʻōuli o ka regurgitation tricuspid
• He aha ke kumu o ka regurgitation tricuspid?
• Hoʻolahalaha ventricle ʻākau
• Maʻi kīnā
• Nā lāʻau ʻai
• Nā kumu ʻē aʻe
• Pehea ke kuhi ʻia ka regurgitation tricuspid?
• Nā koho lapaʻau no ka regurgitation tricuspid
• Nā pilikia lōʻihi loa
• Kāohi i ka regurgitation tricuspid

He aha ka regurgitation tricuspid?

I mea e maopopo ai i ka regurgitation tricuspid, kōkua ia e hoʻomaopopo i ka anatomy kumu o kou puʻuwai.

Māhele ʻia kou puʻuwai i ʻehā mau paukū i kapa ʻia nā keʻena. ʻO nā keʻena luna ka atrium hema a me ka atrium ʻākau, a ʻo nā keʻena ma lalo ka ventricle hema a me ka ventricle ʻākau. Hoʻokaʻawale ʻia nā ʻaoʻao hema a ʻākau hoʻi o ka puʻuwai e ka paia o ka mākala i kapa ʻia ʻo ka septum.

Pili nā keʻena luna (atria) a me lalo (ventricle). ʻO nā puka i kapa ʻia nā kiwikā e hoʻoponopono i ke kahe o ke koko i loko a i waho o ka puʻuwai a ma waena o nā keʻena. Hiki ke noʻonoʻo ʻia nā valves e like me nā faucets wai. E wehe paha lākou a ʻae i ke kahe o ke koko e holo manuahi, a i ʻole pani a hoʻokū loa i ke kahe.

ʻO kāu kiwikā tricuspid ke kiwikā e hoʻokaʻawale ai i kou atrium ʻākau a me ka ventricle ʻākau. Kū ka regurgitation Tricuspid ke pani ʻole kēia valve. Hiki i kēia ke kahe i ke koko e hoʻi i luna i ke atrium akau ke ʻaelike ka ventricle ʻākau. Ma hope o ka manawa, hiki i kēia ʻano ke hoʻonāwaliwali i kou puʻuwai.

ʻO ka regurgitation Tricuspid kahi i ʻike ʻia me ka lawa ʻole o ka tricuspid valve.

ʻIke i nā hōʻailona a me nā ʻōuli o ka regurgitation tricuspid

ʻAʻole hiki i ka regurgitation Tricuspid ke hana i kekahi mau hōʻailona ʻike ʻia i ka mua. E ʻike paha ʻoe i nā ʻōuli inā loaʻa pū kekahi i ka pulmonary hypertension a i ʻole ke kiʻekiʻe o ke koko.

Nā hōʻailona o ka regurgitation tricuspid i:

• ʻōpū ʻōpū
• hoʻemi i ka puka mimi
• pehu ka wāwae a me ka wāwae
• nāwaliwali laulā
• he pāʻina puʻuwai kūpono ʻole
• pehu i loko o ke kino
• ke kuʻi nei i kou aa ʻāʻī
• luhi luhi ʻole

He aha ke kumu o ka regurgitation tricuspid?

ʻEkolu kumu nui o ka regurgitation tricuspid:

Hoʻolahalaha ventricle ʻākau

ʻO ke kumu maʻamau o ka regurgitation tricuspid ka hoʻolaha ventricle ʻākau. ʻO ka ventricle kūpono ke kuleana no ka pauma ʻana i ke koko mai kou puʻuwai i kou mau māmā. Ke koi ʻia ka ventricle ʻākau e hana ʻoi aku ka ikaika ma kēia hana, hiki iā ia ke hoʻonui (a lilo i ʻoi aku ka nui) e uku. Hiki i kēia ke kumu i ke apo o kaʻiʻo e kākoʻo ana i ka hiki i ka valve tricuspid e wehe a kokoke hoʻi i ka dilate pū kekahi.

Hiki i ka hoʻonui ʻana ke lilo i komplication o nā ʻano maʻi like ʻole, e like me:

• kahawai
• pulmonary hypertension
• nā maʻi puʻuwai ʻaoʻao hema
• stenosis pulmonic

Maʻi kīnā

Hiki i nā maʻi ke hōʻeha pono i ka valve tricuspid, i ka hopena e alakaʻi i ka regurgitation tricuspid. ʻO ka maʻamau o kēia mau maʻi he endocarditis infective.

Nā lāʻau ʻai

ʻO nā lāʻau lapaʻau phentermine a me fenfluramine - i ʻike ʻia ʻo "Fen-Phen" - ua hoʻopili ʻia i ka regurgitation tricuspid. Eia kēia mau lāʻau i waho o ka makeke a ʻaʻole ia he kumu maʻamau no ka regurgitation tricuspid.

Nā kumu ʻē aʻe

Aia kekahi mau kumu ʻē aʻe o regurgitation tricuspid, ʻoiai he kākaʻikahi loa lākou. Pākuʻi ʻia lākou:

• kekahi mau eha
• tumors carcinoid
• lupus ʻōnaehana
• hānau kīnā o ka nohona kiwikā
• ʻO ka anomaly o Ebstein (kahi maʻi puʻuwai congenital)
• tricuspid kiwikā prolaps
• hoʻohaʻahaʻa myxomatous
• Maʻi maʻi ʻo Marfan
• fever fever
• rumatika

Pehea ke kuhi ʻia ka regurgitation tricuspid?

Manaʻo paha kāu kauka he regurgitation tricuspid kāu inā ʻike ʻoe i nā hōʻailona a i ʻole he maʻi ʻē aʻe kāu i ʻike ʻia e alakaʻi i kēia maʻi.

I kāu koho ʻana, e hoʻomaka kāu kauka me kahi hoʻokolokolo kino. E hoʻolohe hoʻi kāu kauka i kou puʻuwai no ke kū ʻana o kahi ʻōhumu naʻau. Hiki i kēia leo naʻau puʻuwai ke hōʻike ke kahe nei ke koko i hope mai ka puʻuwai puʻuwai.

Ma hope o ka hoʻolohe ʻana i kou puʻuwai, hiki i kāu kauka ke kauoha i nā hoʻokolohua diagnostics. Hiki i kēia mau mea ke kōkua i kāu kauka e nānā i nā kiʻina o kou puʻuwai. Pili pū paha kēia mau hoʻāʻo:

• uila uila
• umauma X-ray
• echocardiogram
• echocardiogram transesophageal
• catheterization puʻuwai
• ʻōkuhi radionuclide
• MRI

Nā koho lapaʻau no ka regurgitation tricuspid

ʻAʻole pono ka regurgitation Tricuspid i ka mālama mau. Inā ʻaʻole koʻikoʻi kou ʻano, hiki i kāu kauka ke paipai wale iā ʻoe e nānā i kou olakino puʻuwai i nā manawa maʻamau e ʻike ʻole ʻaʻole e holomua ke ʻano.

Kau kauka paha kāu kauka i kahi lāʻau inā loaʻa ʻoe i kahi puʻuwai kūlike ʻole. Tricuspid regurgitation ma muli o ka puʻuwai ʻole hiki ke mālama ʻia me nā lāʻau e hoʻoikaika i kou puʻuwai puʻuwai. Hiki ke mālama ʻia ka pehu me nā diuretics e hāpai i ka nalo ʻana o ka wai.

Hiki ke kōkua i ka mālama ʻana i nā ʻano olakino kumu, e like me ke koko kiʻekiʻe, e hōʻemi i nā hōʻailona e pili ana i ka regurgitation tricuspid.

I kekahi mau manawa, koi ka regurgitation tricuspid i ka hoʻoponopono ʻoki. Hiki i nā kauka lāʻau ke hoʻololi i ke kiwikā o tricuspid.

Nā pilikia lōʻihi loa

Inā haʻalele ʻole ʻia, hiki i ka regurgitation tricuspid ke hoʻonui i kāu makaʻu o ka puʻuwai puʻuwai. Hiki paha iā ia ke alakaʻi i ka pohō kaumaha, lilo ʻana o ka makemake, a me ka cirrhosis o ke ake.

ʻO ka poʻe me ka regurgitation tricuspid ka mea i ʻoi aku ka makaʻu no ka endocarditis, kahi maʻi o ka puʻuwai.

Kāohi i ka regurgitation tricuspid

Inā loaʻa iā ʻoe kahi pilikia me kāu kiwikā tricuspid, he mea nui e hana i nā hana e hōʻemi ai i kou makaʻi o ka endocarditis.

• E mālama pono i kou mau niho a me nā niho.
• E haʻi i kāu kauka a me nā kauka niho āpau he maʻi valve kāu.
• Lawe i nā antibiotic e pale aku i ka maʻi ma mua o nā hana olakino invasive a i ʻole nā ​​hana niho.
• E hoʻomaopopo i kāu kauka inā ʻike ʻoe i nā ʻōuli o ka maʻi, e like me ke kuni, ka ʻāʻī, a me nā ʻeha o ke kino.

E kamaʻilio me kāu kauka inā ʻike ʻoe i nā ʻōuli o ka regurgitation tricuspid i hiki iā ʻoe ke kōkua i ke olakino o kou puʻuwai.