He wa he raruraru, he aha te wa kaore?
Aronga
Turuspid regurgitation-he "teaky" tricuspid valve-he tohu tino cardiac noa. Ko te nuinga o nga tangata e mau ana ki te whakahirahira tricuspid he tino miharo ki te ako kei te whai i te raru o te ngakau na te mea he pai. Ko o ratou kaitohutohu he maha tonu o ratou maere, me te kore pea e mohio ki te aha.
Mena ka korerotia ki a koe kei te pai koe ki te whakahaere i te tinihanga, he aha te tikanga?
Me pehea koe me to taakuta e whakaaro ana ki tenei raruraru, me aha koe ka whai ake?
Ko te Tricuspid Valve me te Tricuspid Regurgitation
Ka wehewehe te hiko tricuspid i te atrium tika mai i te haurangi tika. Ka rite ki nga paera katoa o te ngakau, ko te take o te hiku tricuspid ko te whakarite kia rere te toto i roto i te ngakau i te wa tika me te huarahi tika. Na, ka waitohu te kirimana i te tika, ka kaha te whakatuwhera o te wairangi tricuspid, kia tukua ai te toto kia rere ki te haurangi tika. He wahanga tuarua i muri iho, ka tukuna e te haurangi tika te toto i roto i te kaha o te ngako, ka tutakina te puera tricuspid ki te pupuri i te toto mai i te hokinga ki roto ki te taha matau.
Ma te korenga o te tinihangatanga, kaore e taea te kati i te taura tricuspid. Ka taea e tenei te tuku i te toto kia rere whakamuri-ko te mea, ki te whakahou-ki roto i te matau tika rite nga kirimana ventricle tika.
Risk
Mo te kaitohutohu anake ki te korero ki tetahi kaore i te tino pai te awhina, no te mea he rereke te nui o tenei raruraru ki te kore tetahi me te kino. I te wa e tautuhia ana te whakahaere o te tricuspid, he mea nui kia mohiohia te nui o te mea.
Kei te kitea etahi o nga mahi whakahirahira tricuspid ki te 70 ōrau o ngā pakeke e whai ana i te echocardiograms .
Ka rite ki nga kirimana ventricle tika, he wa poto, he rua ranei mo te kapi tricuspid noa ki te kati, a, i taua wa, ka pakaru te toto o te iti o te toto ki te taatau matau. Ki te hangarau o tenei ra, he nui te nui o te rorohiko ki te kite i taua "taiao" o te toto-me enei taangata nei, he mea tino tika noa iho o ratou tohu, he mea he piripiri taatau a raatau, a, na reira, he raru raruraru ngakau. (I tua atu, ko te mea ano e tupu ana i te waahanga me te taraihu miihini, e arai ana i te nuinga o te iwi ki te kaore i te tika "kua kitehia" me te whakakore i te miihana a te MVP .)
Na, ko te patai tuatahi ki te ui mai ki te korerohia ki a koe ko te whakahekenga tricuspid he: He pehea te kino? Mena he "tino ngawari" te whakautu, kaore he mea ki a koe ki te manukanuka.
Engari, ki te mea ka whakatauhia te whakahaere o te tricuspid kia tino pai, ka nui ranei te raruraru, ka nui pea te raru o te ngakau. I tenei keehi, me mahi he aromatawai hinengaro tino hei whakatau i te take me te nui o te whakahaeretanga o te tricuspid.
Nga take
Ka taea e te paheketanga ki te paera tricuspid te mea ka taea te whakahaere i te rerenga tricuspid. Ko nga tikanga ka taea te kino i te hiko tricuspid:
- Te mutunga endocarditis
- Te pakaru o te kaituhi i te taha o te hauora
- Te whakahekenga o te paera (rite ki te MVP)
- Ko te mate mai i te kaitautoko me te kaiwhakahaere o te kaiwhakahaere tawhito
- Mate Marfan
- Carcinoid syndrome
- Nga mate pukupuku
Heoi, ko te take nui ake o te whakarahi i te tinihangatanga, na te tawhiti, ko te raruraru "mahi" o te tohu tricuspid. Ma te kaha o te whakahaere i te tricuspid, he tino tika te puera. Ko te pupuhi i runga i te hiko ka puta mai no te mea he raruraru te ngakau o te ngakau o te ngakau i te ngakau-hei tauira, ka whakauruhia te atrium tika me te ventricle tika i tetahi ara e kore e taea te kati te tricuspid.
Ko nga raruraru o te hinengaro e whai hua ana i te whakahaere i te tricuspid mahi:
- Te whakaheke toto o te tahumaero
- Ko te ngoikore o te ngakau
- Mitral stenosis or mitral regurgitation
- Ko te whakahirahira o te kaupapa
- Te Hyperthyroidism
Ko te nuinga o nga tangata e kaha ana ki te whakahaere i nga mahi tinihanga, ka puta ke tetahi o enei raruraru e whakaputa ana i te whakahaere o te tricuspid mahi, me te aromatawai katoa ka hiahiatia hei tautuhi i te raruraru o raro.
Nga tohu
Ko te nuinga o nga tāngata e mau ana ki te whakaheke i te tricuspid kahore he tohu e taea ana ki te raru i te raruraru. Ko tetahi tohu, ki te mea kei konei, he maha nga tikanga e puta mai ana i te ahua o te mea e whakaputa ana i te raru raruraru.
Engari, ki te mea he nui te whakaoranga o te tricuspid, ka puta pea he tohu. Ka taea e enei te whakauru i te ahua o te pupuhi rereke i roto i te kaki, i te mamae me te pupuhi. Engari, ahakoa te kaha o te whakaheke i te tinihanga, he maha nga tohu e pa ana ki nga raruraru a te hinengaro.
Te whakamātautau
Ko nga take matua e rua i muri i te whakahaere a te tricuspid ka kitea ko:
- He aha te take nui?
- He pehea te kino?
He mea nui enei e rua ki te whakatau i te pehea-me te aha-ki te tukino i te raru raruraru.
I roto i te nuinga o nga take, ka whakautuhia enei paatai e rua i te wa e mahi ana te taakuta i te hītori hauora me te whakamatautau tinana, a ka whiwhi i te rechocardiogram teitei. I taua wa, ka taea te whakawhanake i tetahi mahere whakahaere.
Whakahaere
Ko te taahiraa tino nui i roto i te whakahaere i te whakahaere o te tinihangatanga tinihanga, ko te tautuhi me te hamani i te take whaitake. He mea tino nui tenei ki te whakahaere i te tricuspid mahi, kei reira tonu te putea tricuspid.
Ko te nuinga o nga mahi a te tricuspid regurgitation e tino nui ana i te whakaheke toto. Ko te maimoatanga o te whakaheke toto ka taea te whakapai ake i te whakahaeretanga tricuspid. Na, ko nga take whakaari o te whakawhitinga o te tahumahu-kaore rawa i te hinengaro o te ngakau, te mate o te valve muru, te potae taraiwa-kia tika te tukinotanga.
Mena kaore i te mahi te whakahaere o te tricuspid-na, ko te raruraru i roto i te raru o te tricuspid-te whakahaere i te nuinga o te nuinga i runga i te kaha o te whakahaeretanga me nga tohu e whai ana.
Ko nga tangata e mau ana i te tikanga o te taraiwa o te tricuspid me te kore o etahi atu raruraru mate pukupuku o te nuinga o te waa, he mea tino tika tonu, a, mehemea kaore he waahanga i muri mai, kaore he "whakahaere" i te katoa.
Ahakoa he tino pai, he kino ranei te whakawhitinga o te tinihanga o te tinihanga, kaore he tohu, ka whakaatu hoki te echocardiogram i te mahi a te hinengaro me te kaha o te hinengaro o te ngakau, kaore he whakawhitinga mo te mahi whakakori tinana. Ko te "tino whakahaere" anake ko te arotake-a-wa-poto me te kaimatai rorohiko.
Maimoatanga
He torutoru nga wahanga e tika ana kia whakaaroarohia te waahi o te valve i roto i nga tangata e mau ana i te whakahekenga tricuspid.
Me mahi te taahiraa i te waahanga mehemea ka whakatauhia te mana o te tricuspid ano he tohu nui.
Kei te taunakitia hoki te waahi mo te taraiwa a Tricuspid mo nga tangata e whai ana i te whakaheke i te tinihangatanga tinihanga me te mahi pokanga hei whakahou, hei whakakapi ranei i tetahi motuka hiko mate. I tenei wa ka mahihia nga tohu e rua i te wa kotahi. Ko tenei, i tawhiti, ko te take tino nui mo te mahi i te taraiwa o te taura tricuspid.
I te nuinga o te wa ka hiahiatia te pokanga, ka taea te whakarereketanga o te hiku tricuspid i nga wa katoa e taea ai te mahi i te waahanga.
Whakarāpopoto
Mena ka korerotia ki a koe kei te maatau koe i te whakahaere i te tinihanga, ko te maatau mo taau taote kia whakatau i te take me te kaha o te raruraru. He pai, ehara i te mea he uaua, he waahi hoki te tukanga.
Ko te nuinga o nga tangata kua rongohia ki te whakahaere i te tricuspid, ka puta te ahua o te mate, kaore he raruraru tino. Ko te hunga e puta ke ana te ahuatanga o te tricuspid he take tino nui, ka raruraru te nuinga ki te raruraru raruraru i puta mai i tetahi atu mate pukupuku-me a raatau maimoatanga me tino kaha te whakahaere i taua raruraru. Kaore e hiahiatia ana te taahiraa mo te whakahaere i te tricuspid.
> Mahinga:
> Kara I, Koksal C, Erkin A, et al. Nga Hua o te Maama ki te Tricuspid Mahi Maamaa Whakaritea Te Whakanohonoho i Nga Tangata I Nga Whakaritea Whakanui Motuhake: A Meta-Analysis of 2,488 Patients. Ann Thorac Surg 2015; 100: 2398.
> Nishimura RA, Otto CM, Bonow RO, et al. 2014 He Aratohu AHA / ACC mo te Whakahaere o Nga Tangata me te Hauora Valvular Heart: he Ripoata a te Kaitohutohu Mahi Karauna a Amerika mo te Mahi Hinengaro / Amerika Heart Association. J Am Coll Cardiol 2014; 63: e57.