Tricuspid kiwikā: hōʻikeʻano, me nā hale, oihana, a loaa mā

Ma kānaka, i ka tricuspid kiwikā ua pono ai me ka preservative, i mea e pale aku i ke koko hope iho ka neʻeʻana. Waiho pūʻia ihola ma luna o ke kaawale ana laina o ka atrium akau, a me ka AYEIE ventricle. ka nohona kiwikā 'ole ua haku o ka ai pili aku papa. Kue ana i kana hana, he pilikia i kanaka ola.

'ole

Tricuspid kiwikā, e like me ka 'epekema moʻokalaleo, i kapa tricuspid. A hiki i ke noi ana o ka naau, a pau keʻano o ka hanaʻana ana ka poʻe. Inā he blockage ia lŘlŘ oihana mailuilu haalele manawa, koke ke kino Kahalaopuna me ka nui loa hoʻololi moku'āina. Ka moku'āina o ke ola kino ua deteriorating, hoʻokahi houʻana, ka mea i hiki ole i ka hanu a me ka ole, e neʻe.

Tricuspid kiwikā mea ma ka hema o ka sternum. He hapa o ka pumping'ōnaehana e EII ni koko. He Heʻano o ka chap e wehe ma lalo o ka puʻe o kipaku koko. He welo 'mea pono ke reflux o ka loli koa akomi manawa i ka puʻe ma ka ili o ka lau.

Hapa panina o ka tricuspid kiwikā o ia lŘlŘ pono e hoʻomaha ana o ka naau Muscle ka wā i mea ole hou hiki ke kuleana pili i pono. Ma muli o ka 'aʻe' ana i ka redistribution o na malihini hoʻomaka e uhai iho i ka'aʻaʻa, kūpono ana ma ke kahua o ka naau mai Hoʻoweliweli 'o ia. maʻi kekahi mau instigators o ia pathology.

kino hana

Tricuspid kiwikā o ka hapa o ke kanaka koko holo. A nui ka nui o ke koko e hele mai ana, mai ka naʻau i loko o ka aorta haʻina, maalo ae la oia ma a pau na arteries a me capillaries, e hōʻike ana i na keena me ka o oxygen, a loaa ana o carbon dioxide. Me keia saturation ia lŘlŘ palaho huahana mai hoʻokō 'mea pōhaku micronutrient i pouli. Ua kapaʻia kēia koko venous.

Next ka mea, he redistribution ma ka aina akau a ma ka naau, me ka hou neʻeʻana ia lŘlŘ i loko o nā arteries o na maʻiʻaʻai no o oxygen enrichment. Tricuspid kiwikā ua oi aku kekahi manawa kūpono o ka aʻeʻikena wahi. He mea pono no ke kaawale ana o ka hana pu: haʻalele, ventricles akau a me ka atria.

Koko hoopiha i ka haʻalele māhele o ka naʻau, a laila, mai ka atrium e kahe ana i loko o ka ventricle. Ma hope iho o ia he mea holo o ka holo. A hoʻi hou aʻela venous koko a hiki i ka atrium akau, laila, i loko o ka ventricle akau, a hele mai i loko o ka pulmonary holo. Ma hope o ua hai hou oxygenation nui kaiapili kalapona ma nā atrium hema a me ka ventricle.

kiwikā oihana

Mai kaʻaoʻao hema a me ka pololei o ka naau synchronously hana, e pono nana e hooleʻikena manawa ano ma waena o oihana. Ma hope o ke koko pumping kalapona ia lŘlŘ: aia no he manawa o ka loli ma ka ventricle, i ukali ia e kekahi ejection ikaika o ke koko i loko o ka aorta. Ka nohona kiwikā'ōnaehana eaaaony pololei hana:

• Aia ma ka hema wahi o ka naau ua haawiia keia i like mitral.
• Triskupidalny.
• Ka nohona kiwikā i loko o ka pulmonary artery.
• Aortic like kaula hō'ā lua kahua.

Kauka hoʻohana manao regurgitation, e hoike ana i ka kŰia o ke koko i loko o ka aʻe ala e hiki aku ma ka nohona kiwikā. E pale i kēia, i kāheaʻia blockers i manawa e hooko i ka keia mau rula:

• Mitral kiwikā Ua hamama i ka manawa o ka pumping koko mai ka atrium hema i loko o ka AYEIE ventricle wale. E pani i ka wa, kuu ae hoʻonui fluids i loko o ka aorta. Ka nohona kiwikā 'ole o ka makana mau puapua.
• Tricuspid aortic kiwikā pani i ka hooholo ma waena o ka atrium akau, a me ka AYEIE ventricle. Jobs like i ka mitral. Ke 'ole i ekolu leaflets.
• Pulmonary pili i ka wahi ma waena o ka pulmonary kumu, a me ka ventricle'ākau. Ua lawelawe 'ana i ke hoʻololi i ka he ano i loko o ka manawa o ka hoʻomaha o ka naau Muscle.
• Aortic aia ma ka mākeke wai o ka ventricle hema. He pani i ka backflow o ke koko mai ka aorta i ka manawa o ka hoʻomaha o ka naau Muscle. Ua ninoieo o ekolu semilunar cusps.

Ka hooulu ana o ka naau maʻi

Tricuspid kiwikā o alakai ana i ke koko regurgitation paha e hoole kona kahe ala mai ka atrium a hiki i ka ventricle. Kēia ia lŘlŘ i ka manawa o ka systole (ka akau ventricle hua). Nanea wale kāʻei sag ma lalo o ka manaʻo koikoi o ke koko.

Oia ka moku'āina hiki ke hanaʻia ia e kekahi me mechanical blockage o ka aorta. i ko lakou wa e ola nā mea maʻi pinepine kuai i ka maʻi. Akā, he mau examples o congenital naʻau mā.

pathologies

'Aʻe' ana i ka nohona kiwikā aie i ka mea kēia mau kumu:

• Ka nele ana o micronutrients i loko o ke kino, ma i ka pa apŘ a me ka elasticity o nā'aʻaʻa, ho okumu ana i ka nohona kiwikā papa.
• iaea ooieoeiiaeuiiai hoʻohuikau o ka tricuspid kiwikā kānāwai ma muli o ka hoʻokō 'ole' ana i ke kokoke loa o ka naau.

Aie i ka stagnation o ke koko i loko o ke kino, ua kāpili panina o ka tricuspid naau kiwikā. Ua hiki ke alakai i kekahi kanaka i loko o ka moku'āina o ka incapacity. Hypertrophic atrial paia i hanaʻia ma ka dilation (ke anoe) o ka ventricle akau. Laila i hanaʻia stagnant keʻano o ka hanaʻana i loko o ka arteries a me aa koko.

Pathology hiki ke 'akomi e na ka waiʻona ma ke a haanou ana o na aa koko i loko o kona'ā'ī, i ka manawa o ka ejection o ke koko mai o ka naau. Venous puʻe ua ana mahuahua. Ke ake ua nui mahuahua.

Kumu a me nā symptoms

Mawaena o ka hoʻokumu kumu o ka mea hoʻonāwaliwali maoli nō o ka tricuspid kiwikā i ka penei:

• Carcinoid maʻi pale.
• Hopena o ka ulu ana o rheumatic mai kuni.
• Endocarditis o infectious kumu.
• Mechanical poino ole rupture o papillary Muscle chord.
• No o ka hana o ka myocarditis.
• Ma hope o cardiomyopathy.
• No o ke kaumaha Hawaii o thyrotoxicosis.

Congenital olelo pinepine ana pū me nā abnormalities i loko o ka 'ole o ka naʻau. Tricuspid kiwikā stenosis e alakai i ka retraction o ka pahu, i ke kauka huai ae ma palpation. nui halulu i systole (ejection o ke koko mai ka ventricle) i ikea oiai hoʻolohe i Kal.

Eia naʻe, halulu hiki ke 'akomi i wale i ka hihia o ka huʻi ole. pinepine emi loa symptoms i haʻalele unattended. No ka pololeiʻike, ua koi 'ia vocal study i na manao ona.

ki ina hana like o kaʻike,

A hiki aku i kaʻike, ka nui systolic'ōhumu i inhalation. Kēia e hōʻike mai i ka tricuspid kiwikā. 'Ōlelo Aʻo, nae, i keia kŰia mea i mau, a hiki ia i kekahi manawa, e nalo loa. E hookoiaʻi ka ka muaʻike, hana electrocardiogram.

Ma ka kūpono pakuhi me ka pathology malama:

• pono uila (axis) haiahū kūmau;
• mahuahua i ka nui o ka niho P (i loko o ka lua a me ke kolu thoracic derivations).

Nō hoʻi, X-kukuna hiki ke hoʻohana. Ke kiʻiʻelua ventricular dilatation paha atrium. Deviations hiki ma echocardiography kiʻi, a kau'āno'ē noi o cardiac septa. Ma ka Ikepili o ke ahonui o ka ana, noonoo i ka i kēia:

• Kind o ka walaau, a me ka laulā o kona hoike ana.
• Ke Ana o ka naau, ka mea, ua pinepine mahuahua.
• Ke alo aku o ka stagnation i loko o ka holo koʻikoʻi a hanohano.
• Ka waiwai o venous puʻe.
• Ana o ke akepaʻa.
• Kūlana o ka pahu.
• Pono atrial puʻe.

physical maʻi

Hou o ka nohona kiwikā puka ua kapaia stenosis. O kŰia ia lŘlŘ ma lalo o ka aoao o rheumatic ke kuni, congenital malformations, e like me ka lōʻihi me mechanical loa. E like me ka hopena, i ka maʻi o ka hua o ka puʻe ma luna o ka naʻau paia. Maoli he atrium. Hoʻomaka stagnation i loko o ka circulatory nenoaiu.

No ka iapaau ana o mehana hihia o ka maʻi i lawe mai kāohi hana. Mai ka lua o ka oolea, uaʻoki kino paipai. Ua lapaau ana i ka nohona kiwikā me ka scalpel, o ka hopena ua pinepine koi lilo i ka papa 'ole haʻalele kahi o ka ekolu wale elua. Wahi a ka 'ikepili helu, ma kahi o 14% o nā mea maʻi mai i ola ma hope o ka hana.

Akā, hiki ma hope holomua lapaʻau, ka hoʻomanawanui ua ano e loaa i ke kīnā o ke kino. Ua Ua koi 'ia e pale aku physical exertion, a me undergo papa'āweʻaweʻa kemika nana i ka mea e pale hou Holomua o ka maʻi.