Xav txog koj lub plawv zoo li lub twj tso dej. Hauv lub twj tso dej no, muaj cov qhov rooj me me uas pab xa cov ntshav mus rau ib qho kev taw qhia xwb. Peb hu cov no ua "valves." Qee zaum ib qho ntawm cov qhov rooj no yuav tsis kaw zoo thiab tej zaum yuav qhib me ntsis. Tom qab ntawd, qee cov ntshav uas yuav tsum tau mus tom ntej yuav ntws rov qab. Ib yam li ntawd, lub qhov rooj ntawm cov chav sab saud thiab qis ntawm sab xis ntawm peb lub plawv, 'Tricuspid Valve', tsis kaw zoo thiab cov ntshav ntws rov qab, uas yog qhov peb hu ua Tricuspid Valve Regurgitation .
Hauv lus yooj yim, qhov no tshwm sim li cas?
Yuav kom nkag siab qhov teeb meem no zoo dua, cia peb saib seb lub tricuspid valve hauv peb lub plawv ua haujlwm li cas.
Lub tricuspid valve tswj cov ntshav ntws los ntawm lub chamber sab saud (Right Atrium) ntawm sab xis ntawm peb lub plawv mus rau lub chamber sab qis (Right Ventricle). Lub valve no muaj peb lub flaps. Thaum lub plawv cog (systole), cov flaps no kaw nruj nreem, tiv thaiv cov ntshav kom tsis txhob ntws rov qab mus rau hauv lub chamber sab saud. Thaum lub plawv so dua (diastole), cov flaps no qhib, cia cov ntshav ntws mus rau hauv lub chamber sab qis.
Txawm li cas los xij, rau ib tus neeg uas muaj lub qhov cua tricuspid uas xau, thaum lub plawv cog lus, cov flaps no tsis kaw tag. Tseem muaj qhov chaw me ntsis tshuav. Yog li, qee cov ntshav uas yuav tsum mus rau hauv lub ntsws yuav xau rov qab mus rau hauv chav sab saud.
Qhov tseem ceeb yog tias feem ntau cov neeg tuaj yeem muaj qhov xau me me (Trace/Trivial Regurgitation). Qhov no yog ib txwm muaj, nws tsis ua rau muaj kev phom sij, thiab tsis muaj tsos mob. Txawm li cas los xij, yog tias qhov xau no yog qhov nruab nrab lossis hnyav, lub plawv yuav tsum ua haujlwm hnyav dua.
Cov hom mob no tseem ceeb yog dab tsi?
Tricuspid valve regurgitation tuaj yeem faib ua peb hom tseem ceeb.
| Hom | Lub ntsiab lus |
|---|---|
| Thawj (Thawj/Nroj tsuag) | Hauv qhov no, qhov teeb meem yog nyob ntawm lub valve nws tus kheej. Lub valve nws tus kheej tej zaum yuav raug puas tsuaj vim yog qhov tsis zoo uas yug los (piv txwv li, Ebstein's anomaly), kev kis kab mob, lossis lwm yam ua rau. |
| Qib Thib Ob/Kev Ua Haujlwm | Ntawm no, lub qhov cua tseem zoo, tab sis vim muaj lwm yam mob plawv, lub qhov cua tsis ua haujlwm zoo. Qhov no yog hom uas feem ntau tshwm sim. |
| Cais tawm | Qhov no zoo ib yam li hom thib ob. Txawm li cas los xij, qhov ua rau mob no yog ib yam mob hu ua atrial fibrillation, uas ua rau lub plawv sab saud loj zuj zus. Qee zaum qhov no kuj tuaj yeem tshwm sim los ntawm kev ntxig lub tshuab pacemaker. |
Cov tsos mob ntawm tus mob no yog dab tsi?
Raws li tau hais ua ntej lawm, yog tias koj rov qab ntuav me ntsis, koj yuav tsis muaj tsos mob dab tsi li. Txawm li cas los xij, yog tias qhov mob no dhau los ua qhov nruab nrab lossis hnyav, koj yuav muaj qee cov tsos mob.
Cov tsos mob uas koj yuav ntsib
- Ua tsis taus pa thaum ua si, taug kev, lossis ua haujlwm.
- Xav tias nkees heev los yog tsis muaj zog tau ob peb hnub.
- O ntawm lub plab, pob luj taws, lossis ceg (o) . Qhov no tshwm sim thaum lub plawv tsis tuaj yeem tso ntshav kom zoo, ua rau dej sib sau ua ke hauv lub cev.
Cov tsos mob uas tus kws kho mob nkag siab tau
- Lub suab nrov ntawm lub plawv yog lub suab txawv txawv uas hnov thaum koj mloog koj lub plawv nrog lub stethoscope.
- Hnov qhov kev hloov pauv ntawm txoj kev uas koj lub plawv dhia hauv koj lub caj dab lossis thaj tsam siab.
Vim li cas qhov no thiaj tshwm sim? Cov laj thawj tseem ceeb yog dab tsi?
Feem ntau, qhov ua rau muaj tus mob no yog kev hloov pauv ntawm cov qauv uas tshwm sim rau sab xis ntawm lub plawv. Hais yooj yim xwb, yog tias muaj kev siab siab tas li lossis ntshav ntws mus rau sab xis ntawm lub plawv ntau dhau, cov chav ntawm sab ntawd (lub atrium thiab ventricle) pib loj zuj zus.
Xav txog seb yog qhov qhib ntawm lub qhov rooj loj dua, lub qhov rooj yuav kaw tsis tau zoo. Ib yam li ntawd, thaum cov chav ntawm lub plawv loj dua, lub annulus uas tuav cov valve leaflets nyob rau hauv qhov chaw kuj ncab thiab loj dua. Tom qab ntawd peb daim leaflets yuav kaw tsis tau zoo ua ke. Qhov no yog qhov peb hu ua secondary regurgitation.
Ua rau sab xis ntawm lub plawv loj tuaj:
- Kev mob plawv dhia tsis xwm yeem
- Cardiomyopathy - qhov tsis muaj zog ntawm cov leeg nqaij plawv
- Kab Mob Ntshav Siab
- Kev ua haujlwm ntawm sab laug ntawm lub plawv tsis zoo (Left Ventricle Failure)
- Mob ntshav siab hauv lub ntsws
- Teeb meem loj heev nrog rau cov mitral lossis aortic valves ntawm lub plawv
Tsis tshua muaj, qhov xau no kuj tuaj yeem tshwm sim los ntawm kev puas tsuaj rau lub valve stem nws tus kheej. Qhov no yog qhov peb hu uaQhov xau thawj zaug .
Tej yam ua rau lub valve stem puas tsuaj:
- Kab Mob Plawv Rheumatic
- Kab mob plawv (Infective Endocarditis)
- Cov teeb meem uas muaj txij thaum yug los (piv txwv li Ebstein's Anomaly)
- Cov teeb meem ntawm kev ntxig cov khoom siv xws li pacemakers
- Kev kho mob hluav taws xob rau lub hauv siab
- Kev raug mob hauv siab hnyav los ntawm qhov xwm txheej loj
- Qee cov tshuaj
Qhov no ua rau muaj teeb meem dab tsi?
Yog tias qhov mob no tsis kho thiab hnyav zuj zus, nws tuaj yeem cuam tshuam rau lwm yam kabmob.
- Kev Ua Tsis Taus ntawm Lub Raum
- Kev Ua Tsis Tau Zoo ntawm Lub Siab
- Kev Ua Tsis Taus Lub Plawv Sab Xis
Tus kws kho mob kuaj mob li cas tiag?
Koj tus kws kho mob yuav kuaj koj ua ntej. Nws yuav mloog koj lub plawv nrog lub stethoscope thiab kuaj koj lub plawv dhia hauv koj lub caj dab thiab lub plab.
Tom qab ntawd, qhov kev kuaj mob tseem ceeb los xyuas kom meej tias muaj tus kab mob yog kev kuaj echocardiography . Qhov no zoo li kev luam theej lub plawv. Qhov no tuaj yeem txiav txim siab tau ntau yam, xws li qib ntawm qhov xau ntawm lub plawv, seb puas muaj kev hloov pauv ntawm cov duab ntawm lub plawv, thiab seb cov chav plawv puas loj dua.
Tsis tas li ntawd xwb, cov kev ntsuam xyuas hauv qab no tuaj yeem ua tau los nrhiav qhov ua rau:
- Kev Ntsuas Ntshav
- Kev X-ray hauv siab
- Kev kuaj ECG
- Kev kuaj mob plawv MRI
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb koj tus mob hnyav npaum li cas thiab ua rau mob li cas. Koj tus kws kho mob yuav muab txoj kev kho mob zoo tshaj plaws rau koj.
1. Tswj cov tsos mob nrog tshuaj: Piv txwv li, cov tshuaj diuretics tuaj yeem muab tau los txo cov dej khaws cia hauv lub cev.
2. Kho qhov ua rau muaj qhov xau: Yog tias qhov ua rau muaj qhov xau yog ntshav siab, kho nws, thiab lwm yam. Yog tias qhov ua rau yog mob plawv, kho nws.
3. Kho lossis hloov lub qhov valve: Yog tias qhov mob hnyav heev, yuav tsum tau phais kho lub qhov valve lossis hloov nws nrog lub qhov valve tshiab.
4. Kev Kho Mob Transcatheter: Cov no yog cov txheej txheem niaj hnub uas kho lub valve yam tsis tas phais, los ntawm kev nkag mus rau hauv lub plawv los ntawm ib lub raj uas ntxig los ntawm ceg lossis caj npab.
Peb ua tau dab tsi los txo qhov kev pheej hmoo?
Txawm hais tias qhov mob no yeej tsis tuaj yeem tiv thaiv tau tas li, kev tswj kom lub plawv noj qab haus huv zoo tuaj yeem txo qhov kev pheej hmoo tau zoo heev.
- Kev noj zaub mov zoo rau lub plawvUa raws li. (Piv txwv li: Mediterranean Diet)
- Ua kom tsawg kawg yog 150 feeb ntawm kev tawm dag zog nruab nrab hauv ib lub lim tiam.
- Tsum tsis txhob siv cov khoom haus luam yeeb kiag li.
- Tsum los yog txwv kev haus cawv .
- Mus ntsib kws kho mob tsawg kawg ib xyoos ib zaug rau kev kuaj mob .
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Ua raws li koj tus kws kho mob cov lus qhia kom meej thiab mus rau cov chaw kho mob raws sijhawm. Tsis tas li ntawd, nco ntsoov txog cov hauv qab no:
| Lub cib fim | Yuav ua li cas |
|---|---|
| Hu rau koj tus kws kho mob: | |
| Yog tias cov tsos mob tshiab tshwm sim los yog cov tsos mob uas twb muaj lawm hnyav zuj zus. | Piv txwv li, yog tias koj ua pa nyuaj lossis o ntawm koj ob txhais ceg nce ntxiv. |
| Yog tias koj cov tsos mob cuam tshuam rau koj cov dej num txhua hnub. | Yog tias koj xav tias nkees txawm tias tom qab taug kev me ntsis lawm los yog koj muaj teeb meem nce ntaiv. |
| Mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd: | |
| Yog tias koj muaj cov tsos mob ntawm kev mob plawv lossis mob stroke. | Uas yog, mob hauv siab tam sim ntawd, ua pa nyuaj heev, thiab tsis nco qab ib sab ntawm lub cev. |
| Yog koj ntog (tshwj xeeb tshaj yog tias koj tsoo koj lub taub hau) thaum noj cov tshuaj thinner ntshav. | Muaj kev pheej hmoo ntxiv ntawm kev los ntshav sab hauv thaum noj hom tshuaj no. |
| Tom qab phais plawv, yog tias qhov txhab phais pom cov cim qhia tias muaj kev kis kab mob. | Yog li ntawd, qhov txhab yuav o, liab, lossis kub thaum kov. |
Xaus lus, qhov mob tricuspid valve regurgitation tuaj yeem yog qhov teeb meem me me rau qee tus neeg, thiab ua rau lwm tus tuag taus. Qhov tseem ceeb tshaj plaws yog kom tau txais kev kho mob kom zoo. Koj tus kws kho mob yuav saib xyuas koj lub plawv kom zoo. Yog li, yog tias muaj teeb meem, nws tuaj yeem kuaj pom thiab kho ua ntej nws loj hlob tuaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tricuspid valve regurgitation yog thaum lub qhov rooj hauv lub plawv tsis kaw zoo, ua rau cov ntshav ntws rov qab.
- Feem ntau cov neeg muaj qhov xau me me (me ntsis/me ntsis xwb) feem ntau tsis txaus ntshai. Nws tsis tas yuav kho, tab sis nws yog ib qho tseem ceeb uas yuav tsum nyob hauv kev saib xyuas ntawm tus kws kho mob.
- Yog koj muaj cov tsos mob xws li ua pa nyuaj thiab koj ob txhais ceg o, qhov no yuav yog ib qho mob nruab nrab lossis hnyav. Yog li ntawd, mus ntsib kws kho mob tam sim ntawd.
- Qhov no feem ntau yog tshwm sim los ntawm lwm yam mob plawv, yog li nws tseem ceeb heev uas yuav tsum kho qhov ua rau ntawd.
- Nrog kev nce qib ntawm cov tshuaj niaj hnub no, qhov mob no tuaj yeem tswj tau zoo los ntawm kev siv tshuaj, phais, thiab lwm txoj hauv kev. Yog li ntawd, tsis txhob ntshai, tsuas yog ua raws li cov lus qhia kho mob kom raug.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus