Aortic regurgitation yog thaum lub aortic valve (ib qho ntawm koj lub plawv li qub) ua rau tsis muaj zog, thiab tso cai rau qee cov ntshav ntws rov qab rau hauv koj lub siab tom qab tau tso dej tawm hauv lub cev. Nws tuaj yeem kuaj pom los ntawm kev paub txog cov cim thiab tsos mob, nrog rau tau txais cov ntawv xeem thiab tshuaj xyuas los ntawm koj tus kws kho mob (suav nrog qhov yuav xa mus rau kws kho plawv - kws tshaj lij plawv). Hmoov zoo, yog tias aortic rov ua rau mob hnyav, nws tuaj yeem kho phais nrog kev kho lub valve lossis hloov lub valve, nyob ntawm qhov kev puas tsuaj.
Cov kauj ruam
Ntu 1 ntawm 3: Paub Cov Cim thiab Cov tsos mob
Kauj Ruam 1. Saib xyuas cov tsos mob uas tuaj yeem qhia pom ntawm aortic regurgitation
Aortic regurgitation tshwm sim thaum lub plawv valve ua los ntawm sab laug ventricle ntawm koj lub plawv mus rau aorta ua tsis muaj zog. Raws li qhov tshwm sim, qee cov ntshav uas tau tso tawm ntawm lub plawv rov qab los tom qab txhua lub plawv dhia, vim qhov ua tsis tiav ntawm lub aortic valve. Thaum xub thawj, koj yuav tsis pom cov cim lossis tsos mob ntawm aortic regurgitation. Nws tsuas yog ib zaug tus mob zuj zus thiab hnyav dua uas cov tsos mob tshwm sim. Qee cov tsos mob yuav tsum tau saib xyuas uas yuav qhia tau tias aortic regurgitation suav nrog:
- Kev qaug zog, tshwj xeeb tshaj yog qaug zog txawv txav nrog kev ua haujlwm
- Fainting los yog lightheadedness
- Palpitations (hnov koj lub plawv dhia)
- Hauv cov xwm txheej hnyav dua: ua tsis taus pa, mob hauv siab, o ntawm ko taw thiab pob taws. Yog tias koj ntsib cov tsos mob no, qhov no yog kev kho mob xwm txheej ceev thiab koj yuav tsum nrhiav kev kho mob tam sim.
Kauj Ruam 2. Mus ntsib koj tus kws kho mob yog tias koj ntseeg tias koj yuav ntsib teeb meem aortic regurgitation
Yog tias koj tab tom ntsib cov tsos mob thiab cov tsos mob saum toj no, nws yog qhov zoo tshaj rau teem sijhawm nrog koj tus kws kho mob hauv tsev sai dua tom qab - lossis qee zaum, nrhiav kev kho mob xwm txheej ceev. Koj tus kws kho mob yuav xa koj mus rau kws kho plawv (kws kho plawv tshwj xeeb) uas tuaj yeem txuas ntxiv nrog kev kuaj mob thiab tshuaj xyuas ntxiv.
- Nco ntsoov tias qee zaum aortic regurgitation nthuav tawm yam tsis muaj cim lossis tsos mob kom txog rau thaum koj pib muaj kev nyuaj ntawm lub plawv tsis ua haujlwm.
- Cov cim thiab cov tsos mob ntawm lub plawv tsis ua haujlwm suav nrog: o ntawm koj pob taws thiab taw, ua tsis taus pa, qaug zog, thiab qee zaum mob hauv siab.
- Nyob ntawm qhov mob hnyav ntawm koj cov tsos mob ntawm lub plawv tsis ua haujlwm, ob qho tib si ncaj qha mus rau Chav Kho Mob Kub Ceev (yog tias koj tab tom ua pa hnyav lossis mob hauv siab), lossis sau sijhawm teem sijhawm nyob rau hnub tom ntej lossis nrog koj tsev neeg kws kho mob kom tau txais kev kho mob tsim nyog kev tshuaj xyuas thiab kev kho mob.
Kauj Ruam 3. Kom koj tus kws kho mob tshuaj xyuas koj lub plawv dhia
Yog tias koj xav tias koj yuav muaj ntshav hlab ntshav rov qab los, koj tus kws kho mob yuav tshawb xyuas qhov hu ua "kev mob plawv." Lub plawv dhia tshwm sim thaum koj cov ntshav siab systolic (lub zog ntawm cov ntshav tiv thaiv phab ntsa ntawm cov hlab ntshav thaum koj lub plawv sib cog lus) yog qhov siab dua li koj cov ntshav siab diastolic (lub zog ntawm cov ntshav tiv thaiv phab ntsa hlab ntshav thaum koj lub plawv so).
Lub plawv dhia tau yooj yim tshaj plaws ntawm cov hlab ntsha carotid ntawm sab laug
Kauj Ruam 4. Ntsuas koj cov ntshav siab
Yog tias koj muaj aortic regurgitation, koj cov ntshav siab systolic yuav zoo li qub tab sis koj cov ntshav diastolic (siab thaum koj lub plawv so) yuav zoo li qis dua qub. Koj tus kws kho mob yuav ntsuas koj cov ntshav siab hauv chaw ua haujlwm, thiab yuav tshuaj xyuas seb koj puas muaj ntshav siab diastolic (tus lej hauv qab) qis.
Yog tias nws qis, qhov no yuav yog ib qho cim qhia tias koj muaj aortic tsis txaus, thiab koj tus kws kho mob yuav tshuaj xyuas thiab tshuaj xyuas ntxiv
Ntu 2 ntawm 3: Tau Txais Kev Tshuaj Ntsuam Xyuas
Kauj Ruam 1. Kom koj tus kws kho mob mloog koj lub plawv nrog lub tshuab raj
Yog tias koj muaj mob hlab ntsha tawg aortic, koj tus kws kho mob yuav muaj peev xwm tuaj tos lub plawv yws yws thaum nws mloog koj lub plawv nrog lub tshuab raj mloog. Lub plawv yws yws vim yog cov ntshav rov qab los ntawm koj lub aorta (cov hlab ntshav) rov qab rau hauv koj lub ventricle sab laug (chav ntawm koj lub plawv) vim tsis muaj zog ntawm lub aortic valve.
Nws yuav yog "diastolic yws" uas koj tus kws kho mob tab tom nrhiav, lub ntsiab lus tias qhov yws yws yuav hnov zoo li koj lub plawv so (thiab thaum cov ntshav ntws rov qab rau hauv koj lub plawv vim aortic valve tsis muaj zog)
Kauj Ruam 2. Tau txais ib qho electrocardiogram
Koj tus kws kho mob tseem yuav xaj lub tshuab electrocardiogram (EKG lossis ECG) los tshuaj xyuas koj lub plawv dhia, saib cov cim ntawm qis lossis tsis muaj ntshav lossis oxygen hauv lub plawv, thiab tsis suav lwm qhov ua rau pom cov tsos mob. Cov ntaub ntawv hluav taws xob yuav raug xa los ntawm cov hluav taws xob txuas rau koj cov tawv nqaij. Tej zaum koj yuav tsum tau nyob twj ywm thiab/lossis taug kev ntawm lub treadmill lossis pedal lub tsheb kauj vab nyob ruaj ruaj.
Kauj Ruam 3. Tau txais lub echocardiogram los ntsuas koj lub aortic valve
Ib qho echocardiogram yog hom ultrasound uas tshwj xeeb saib ntawm koj lub plawv. Nws yuav tuaj yeem ntsuas qhov loj me thiab kev ua haujlwm ntawm koj lub plawv, nrog rau kev qhia rau koj tus kws kho mob qhia txog cov ntshav ntws hauv plawv thiab kev ua haujlwm ntawm txhua lub li qub.
- Yog tias koj lub aortic valve ua haujlwm tsis zoo, echocardiogram yuav qhia cov ntshav ntws rov qab rau hauv plawv tom qab txhua qhov kev cog lus.
- Ib qho echocardiogram tuaj yeem siv los txheeb xyuas kev mob ntshav qab zib aortic thiab qhia qhov qhia txog qhov hnyav ntawm qhov teeb meem (me me, nruab nrab, hnyav).
- Nws kuj tseem tuaj yeem siv ua cov cuab yeej los saib xyuas aortic regurgitation (lossis lwm yam kev mob plawv), yog li koj tus kws kho mob paub thaum xav tau kev pab ntxiv lossis kho mob ntxiv.
Kauj Ruam 4. Xaiv rau qhov ntsuas kev tawm dag zog
Kev ntsuas kev tawm dag zog ib txwm muaj xws li mus rau ntawm lub treadmill thiab maj mam nce qhov hnyav (pib ntawm kev taug kev qeeb thiab txuas ntxiv mus rau kev dhia lossis dhia) kom txog rau thaum koj qaug zog dhau mus ntxiv, lossis txog thaum koj lub plawv pib qhia pom tias muaj kev nyuaj siab li cas raws li cov cuab yeej ntsuas koj yuav raug nqes mus. Lub hom phiaj ntawm kev ntsuas kev tawm dag zog lub cev yog saib seb koj lub plawv teb li cas hauv kev nyuaj siab ntawm kev siv lub cev, thiab kos cov lus xaus raws li qhov hais txog koj li kev ua haujlwm hauv lub plawv tag nrho.
- Yog tias koj muaj aortic regurgitation, koj lub siab yuav muaj peev xwm tsawg dua li ib txwm ntawm kev teb rau kev ntxhov siab ntawm kev ua haujlwm.
- Koj yuav yuav qaug zog sai dua, thiab koj lub plawv yuav pib pom cov cim ntawm kev ntxhov siab vim tsis muaj peev xwm tso ntshav txaus txaus txaus (vim qhov rov qab los ntawm cov ntshav mus rau hauv lub plawv vim yog lub qhov dej xau).
- Los ntawm cov ntsuas no, kev ntsuas kev tawm dag zog tuaj yeem pab hauv kev kuaj mob ntawm aortic regurgitation.
Kauj Ruam 5. Nug koj tus kws kho mob kom paub MRI plawv
Lub plawv MRI yog lwm txoj hauv kev rau cov kws kho mob kom pom koj lub plawv thiab pom qhov txawv txav. Qhov txawv txav uas tuaj yeem tshwm sim nyob rau hauv cov xwm txheej ntawm aortic regurgitation suav nrog cov leeg sab laug loj (lub tsev loj tshaj plaws ntawm lub plawv tau nthuav dav vim yog cov ntshav rov qab ua rau muaj kev ntxhov siab hauv lub plawv), ntxiv rau hloov mus rau aortic valve thiab rau aorta (cov hlab ntshav loj tawm hauv plawv).
Kauj Ruam 6. Muaj xoo hluav taws xob hauv siab txhawm rau ntsuas dej hauv lub ntsws thiab/lossis lub plawv loj dua
Lwm qhov kev sim uas tuaj yeem pab hauv kev kuaj mob ntawm aortic regurgitation yog xoo hluav taws xob hauv siab. Hauv qhov mob hnyav dua ntawm aortic regurgitation, koj tuaj yeem pib txhim kho lub plawv loj thiab/lossis kua dej hauv lub ntsws vim yog lub siab muaj ntshav ntau hauv lub plawv ib zaug. Cov no yog cov teeb meem ntawm aortic regurgitation uas tuaj yeem nqa nrog lub hauv siab xoo hluav taws xob.
Kauj Ruam 7. Tau txais kev xa mus rau lub plawv dhia plawv
Yog tias cov kev ntsuas saum toj no tsis muaj tseeb raws li qib ntawm kev mob plab aortic uas koj tab tom ntsib, koj tus kws kho mob tuaj yeem xaj kom muaj kev sim ntau dua hu ua cardiac catheterization. Hauv qhov kev sim no, ib lub raj tso rau hauv cov hlab ntshav hauv koj txhais caj npab lossis txhais ceg thiab dhau los ntawm cov leeg ntawd kom txog thaum nws mus txog hauv plawv. Thaum nws yog ntawm lub plawv, cov xim raug txhaj. Tom qab ntawd siv lub tshuab xoo hluav taws xob kom pom qhov kev txav ntawm cov zas xim thiab, thaum muaj aortic regurgitation, qhov no tuaj yeem qhia rau koj tus kws kho mob raws li qib thiab qhov hnyav ntawm koj txoj hlab ntshav, tso cai rau koj tus kws kho mob txiav txim siab kho mob zoo tshaj rau koj. rau pem hauv ntej.
Ntu 3 ntawm 3: Kho Aortic Regurgitation
Kauj Ruam 1. Xaiv "tos tos" thiab echocardiograms tsis tu ncua
Yog tias koj cov hlab ntsha hauv plab tsis hnyav heev, koj tus kws kho mob lossis kws kho plawv tuaj yeem pom zoo tias koj tsis xaiv rau cov txheej txheem (xws li kev phais), tab sis theej, uas koj txuas ntxiv saib xyuas koj lub aortic valve dhau sijhawm thiab kho nws phais tsuas yog qhov ntawd dhau los. tsim nyog Koj yuav tau txais kev qhia kom tau txais echocardiograms li niaj zaus los tshuaj xyuas qhov xwm txheej thiab kev ua haujlwm ntawm koj lub aortic valve, thiab nws yog ib qho tseem ceeb uas koj ua raws nrog cov sijhawm teem tseg no vim tias kev poob qis hauv koj lub aortic valve yuav tsis pom rau koj.
- Koj tus kws kho mob kuj tseem tuaj yeem ceeb toom nrog kev ua haujlwm, thiab zam kev ua haujlwm hnyav kom tsis txhob ua rau koj lub siab thiab koj lub plawv aortic tsis raug.
- Koj yuav zoo li yuav tau hais qhia txuas ntxiv nrog kev tawm dag zog lub cev vim muaj txiaj ntsig kev noj qab haus huv ntau heev uas qhov no muab.
Kauj Ruam 2. Noj tshuaj kom tiv thaiv koj cov tsos mob tsis zoo
Yog tias koj cov ntshav siab, koj tus kws kho mob yuav pom zoo kom koj noj tshuaj ntshav siab kom txo nws rov qab mus rau qhov qub. Qhov no yog vim tias cov ntshav siab yog ib qho ntawm cov teeb meem tseem ceeb rau kev ua rau lub cev tsis zoo zuj zus tuaj.
Yog tias koj tab tom muaj cov tsos mob ntawm lub plawv tsis ua haujlwm los ntawm koj txoj hlab ntshav rov los, koj yuav tau txais "ACE inhibitors" thiab lossis "diuretics" (ob chav tshuaj) los pab kho cov tsos mob thiab tshem tawm cov kua ntau hauv koj lub cev
Kauj Ruam 3. Tau txais kev phais kom "kho" aortic regurgitation
Ib thiab tsuas yog qhov tseeb "kho" rau aortic regurgitation yog kom nws kho phais. Qhov no tuaj yeem ua tiav nrog kev kho lub aortic valve, lossis hloov aortic valve (nyob ntawm qhov kev puas tsuaj rau lub valve). Feem ntau, rau aortic regurgitation, yuav tsum tau hloov pauv tag nrho aortic valve.
- Rau kev phais, koj yuav raug tso tshuaj loog dav, uas txhais tau tias koj yuav tsis nco qab txog kev ua haujlwm.
- Koj yuav tau txais kev phais plawv qhib thiab koj lub aortic valve yuav raug hloov nrog lub valve tshiab.
- Lub sijhawm rov zoo tom qab kev phais feem ntau cuam tshuam nrog ib lub lim tiam hauv tsev kho mob, tom qab plaub mus rau rau lub lis piam so hauv tsev ua ntej rov qab mus ua haujlwm. Tej zaum koj yuav xav tau anticoagulation tom qab kev phais txhawm rau tswj lub valve.
