Cikakken maganin basus din shi ne cuta na zuciya, wanda aka bude tafin hagu na daskararru. Wannan farfadowa tana nufin daya daga cikin siffofin cututtukan zuciya. Haka kuma cutar tana haifar da rushewar jini, wanda aka ciyar da shi daga hagu na hagu zuwa ventricle na hagu. Harkokin cututtuka na iya zama a cikin takaddama, kuma a cikin yanki da aka zaɓa, amma akwai wasu lokuta na lalacewa ga sauran ɓoye.
Bisa ga kididdigar, yawancin lokutta na ɓacin hanzari na ɓarna a cikin mata. Daga mutane 100,000, yana faruwa a cikin mutane 80.
Ana nuna cututtukan cututtuka a ƙarshen shekaru kimanin shekaru 50 kuma suna da jinkiri. Abubuwan da suka shafi bazuwar abu ne mai wuya.
Dalilin da yaduwar ilimin kwayoyin halitta
Daga cikin magunguna masu mahimmanci na ɓacin hanyoyi guda biyu:
- A mafi yawancin lokuta, matsalar da ake tasowa ta sha wahala a rheumatism - 80% na lokuta cutar ta haifar da cututtuka na zuciya.
- A wasu lokuta, kuma wannan shine 20%, dalilin shi ne kamuwa da kamuwa da cutar (daga cikinsu akwai ciwon zuciya, cutocarditis da sauransu).
An kafa cutar a lokacin ƙuruciya, kuma yana kunshe da wani ɓangaren aiki na bawul, wadda take tsakanin ventricle da atrium. Don fahimtar ainihin cutar, dole ne a san cewa wannan isar ɗin yana buɗewa zuwa cikin diastole, kuma tare da shi jini na jini na hagu na hagu yana kai tsaye zuwa ga ventricle na hagu. Wannan bawul din yana kunshe da ɓoye guda biyu, kuma lokacin da akwai stenosis, waɗannan ɓaɓɓuka suna ɗaukar nauyi, da kuma ramin da jini yake gudana, ya ragu.
Saboda wannan, matsa lamba a hagu na hagu yana ƙaruwa - jinin daga hannun hagu na atrium ba shi da lokacin yin fitarwa.
Hemodynamics tare da mitral stenosis
Lokacin da matsa lamba a hagu na hagu ya ƙaru, daidai da haka, yana ƙarawa a cikin haƙiƙƙiyar dama, sannan kuma a cikin arteries, kuma, gano wani hali na duniya, a cikin wani karamin zagaye jini. Saboda matsin lamba, myocardium na hypertrophies na hagu. Atrium saboda wannan yana aiki a cikin yanayin ƙarfafa, kuma an aiwatar da tsari zuwa dama a dama. Bugu da ari, matsa lamba yana tasowa a cikin huhu da kuma cikin arteries.
Bayyanar cututtukan cututtuka
Cutar cututtuka tare da stenosis na basral valve farko bayyana kansu a cikin nau'i na rashin ƙarfi na numfashi saboda da hannu da huhu a cikin wannan tsari, to, akwai:
- hare-haren ƙwayar cutar asibiti saboda rashin rushewar musayar gas;
- tari, wanda zai iya zama tare da ƙulla ko phlegm;
- ƙãra karuwa, raguwa;
- "Zuciyar zuciya" - zub da jini a cikin zuciyar zuciya a kan kirji - yana faruwa ne saboda hypertrophy na dama ventricle.
Binciken asali na stenosis
An gano stenosis na Mitral ta amfani da hanyoyi masu zuwa:
- Zane-zane na X-ray - an gudanar da shi don bayyana karuwa a cikin ɗakin ɗakunan zuciya da kuma ƙayyade ma'anar tasoshin.
- Electrocardiogram - yana taimakawa wajen gano hypertrophy na hannun dama na ventricle da hagu na atrium, da kuma ƙayyade dabi'ar zuciya.
- Hanya na phonocardiogram wajibi ne don ƙayyade amplitude na sautin oscilla.
- Echocardiogram - ƙayyade motsin motsi na valve, wanda zai iya rufe ƙwanƙolin gyaran fuska da kuma girman ɓangaren hagu na hagu.
Jiyya na stenosis m
Yin jiyya na ƙwaƙwalwar motsi ba shi da ƙayyadaddu, kuma an tsara shi ne don kulawa da zuciya da ƙaddararta, da kuma ƙayyade yanayin jini.
Alal misali, idan akwai rashin wurare dabam-dabam, masu kwantar da hankalin ACE, glycosides na cardiac, diuretics, magunguna da suka inganta gurasar gishiri-ruwa.
Idan akwai rheumatic tafiyar matakai, to, sun daina yin amfani da kwayoyi antirheumatic.
Lokacin da farfadowa ba ya kawo sakamakon da ake bukata, kuma akwai barazanar rai, to, ana nuna aikin tiyata - musacci.