Aortic regurgitation

Aortic regurgitation yog lub plawv mob valve uas lub aortic valve tsis kaw nruj. Qhov no tso cai rau cov ntshav ntws los ntawm aorta (hlab ntshav loj tshaj plaws) mus rau sab laug ventricle (ib chav kuaj ntawm lub plawv).

Ib qho xwm txheej twg uas thaiv aortic valve los ntawm kev kaw kom meej yuav ua rau muaj qhov teeb meem no. Thaum lub valve tsis kaw txhua txoj kev, qee cov ntshav rov qab los txhua zaus lub siab mob siab.

Thaum cov ntshav rov qab los ntau, lub plawv yuav tsum sib zog ua haujlwm kom muaj ntshav txaus kom tau raws li lub cev xav tau. Chav sab laug hauv qab ntawm lub plawv loj (sib zog) thiab lub plawv dhia zoo heev (ua rau cov mem tes muaj zog). Ua haujlwm dhau sijhawm, lub siab yuav tsis muaj peev xwm muab ntshav txaus rau hauv lub cev.

Sij hawm dhau los, rheumatic kub taub hau yog qhov tseem ceeb ntawm tus mob aortic regurgitation. Kev siv tshuaj tua kab mob los kho tus mob hnoos tau ua rau mob rheumatic ua npaws tsawg dua. Yog li no, aortic regurgitation ntau dua vim muaj lwm yam. Cov no suav nrog:

• Ankylosing spondylitis
• Aortic kev faib tawm
• Congenital (tam sim no thaum yug) qhov teeb meem valve, xws li bicuspid valve
• Endocarditis (mob rau ntawm lub plawv)
• Ntshav siab
• Marfan mob siab
• Reiter syndrome (tseem hu ua kev mob caj dab)
• Syphilis
• Txheej txheem lupus erythematosus
• Kev raug mob rau lub hauv siab

Aortic tsis muaj txhij txhua feem ntau rau cov txiv neej hnub nyoog 30 thiab 60.

Tus mob feem ntau tsis muaj tsos mob rau ntau xyoo. Cov tsos mob yuav los txog qeeb lossis dheev. Lawv suav nrog:

• Bounding mem tes
• Hauv siab mob zoo ib yam li angina (tsis tshua muaj)
• Tsaus muag
• Nkees
• Palpitations (kev tso siab ntawm lub siab ntaus)
• Ua tsis taus pa nrog ua ub no lossis thaum pw
• Tsa cov pa ua tsis taus pa qee lub sijhawm tomqab tsaug zog tag
• O o txhais ceg, ceg, los sis plab
• Tsis sib xws, nrawm nrawm, nrawm, lossis qog cov mem tes
• Kev tsis muaj zog uas yog qhov tshwm sim ntau dua nrog kev ua si

Cov cim tej zaum yuav muaj:

• Lub siab yws uas tuaj yeem hnov ​​los ntawm lub mloog stethoscope
• Kev siv zog ntaus heev ntawm lub siab
• Bobbing ntawm lub taub hau nyob rau hauv lub sij hawm nrog lub siab lub plawv
• Tawv nyuaj hauv txhais caj npab thiab txhais ceg
• Tsawg ntshav diastolic ntshav siab
• Qhov pom ntawm ntshav hauv lub ntsws

Aortic regurgitation tej zaum yuav pom ntawm kev ntsuam xyuas xws li:

• Aortic angiography
• Echocardiogram - kev kuaj mob hauv lub plawv
• Lub plawv dhia catheterization
• MRI lossis CT scan ntawm lub plawv
• Transthoracic echocardiogram (TTE) lossis transesophageal echocardiogram (TEE)

Txoj kev xoo duab ntawm lub hauv siab yuav pom qhov o ntawm sab laug hauv plawv sab hauv.

Kev kuaj sim tsis tuaj yeem kuaj pom qhov tsis txaus aortic. Txawm li cas los xij, lawv yuav pab txiav txim txog lwm qhov laj thawj.

Koj yuav tsis xav tau kev kho mob yog tias koj tsis muaj tsos mob lossis tsuas muaj mob me me. Txawm li cas los xij, koj yuav tsum tau ntsib tus kws kho mob saib xyuas kev noj qab haus huv li niaj zaus echocardiograms.

Yog tias koj cov ntshav siab poob siab, koj yuav tsum noj cov tshuaj ntshav siab los pab ua kom qhov kev thim rov qab ntawm aortic muaj zog dua.

Cov tshuaj Diuretics (dej noj tshuaj) tuaj yeem kho rau cov tsos mob ntawm lub plawv tsis ua haujlwm.

Yav dhau los, feem ntau cov neeg muaj teeb meem lub plawv tau muab cov tshuaj tiv thaiv ua ntej ua haujlwm kho hniav lossis txheej txheem sib kis, xws li mob hnyuv laus. Cov tshuaj tua kab mob tau muab los tiv thaiv tus kab mob ntawm lub plawv puas. Txawm li cas los xij, tshuaj tua kab mob tam sim no siv tsawg dua.

Koj yuav tsum txwv txoj haujlwm uas xav tau haujlwm ntau los ntawm koj lub siab. Tham nrog koj tus kws kho mob.

Kev phais los kho lossis hloov aortic valve kho aortic regurgitation. Kev txiav txim siab kom muaj qhov hloov aortic valve hloov yog nyob ntawm koj cov tsos mob thiab tus mob thiab kev ua haujlwm ntawm koj lub siab.

Koj yuav tseem yuav phais los kho lub aorta yog tias nws ua kom dav.

Kev phais mob tuaj yeem kho aortic tsis txaus thiab daws cov tsos mob, tsuas yog koj txhim kho lub plawv tsis ua lossis lwm yam mob ntxiv. Cov neeg muaj mob angina lossis mob plawv heev vim yog mob aortic regurgitation ua tsis tau zoo uas tsis kho.

Teeb meem yuav suav nrog:

• Txawv lub plawv rhythms
• Lub plawv tsis ua hauj lwm
• Kab mob hauv lub plawv

Hu rau koj tus kws khomob yog:

• Koj muaj cov tsos mob ntawm aortic regurgitation.
• Koj muaj qhov tsis txaus aortic thiab koj cov tsos mob hnyav zuj zus lossis cov tsos mob tshiab tshwm sim (tshwj xeeb yog mob hauv siab, ua pa nyuaj, lossis o).

Ntshav siab tswj yog qhov tseem ceeb heev yog tias koj muaj qhov txaus ntshai rau aortic regurgitation.

Aortic valve prolapse; Aortic tsis muaj txhij txhua; Lub plawv valve - aortic regurgitation; Cov kab mob tuag tes tuag taw - aortic regurgitation; AI - aortic tsis txaus

• Aortic tsis txaus

Carabello BA. Lub plawv mob muaj txiaj ntsig. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 66.

Lindman BR, Bonow RO, Otto CM. Aortic valve kab mob. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 68.

Nishimura RA, Otto CM, Bonow RO, li al. 2017 AHA / ACC tsom rau kev hloov kho tshiab ntawm 2014 AHA / ACC cov txheej txheem rau kev tswj hwm cov neeg mob plawv mob plawv: ib daim ntawv tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm Kev Siv Tshuaj Ua Haujlwm. Kev ncigCov. 2017; 135 (25): e1159-e1195. PMID: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

Otto CM. Lub sijhawm muaj tseeb regurgitation. Hauv: Otto CM, ed. Phau Ntawv Qhia ntawm EchocardiographyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2018: chap 12.