Video: Aortic stenosis yws yws mus rau qhov twg?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov hluav taws xob . Thaum yws feem ntau mob siab rau ntawm ib qho kev mloog tshwj xeeb tshaj tawm, lawv feem ntau hluav taws xob mus rau lwm qhov mloog cov lus lossis thaj chaw ntawm lub cev. Piv txwv li, cov yws yws ntawm aortic stenosis cov tsos mob nquag hluav taws xob rau cov hlab ntsha carotid thiab yws yws ntawm mitral regurgitation hluav taws xob mus rau sab laug axillary cheeb tsam.
Ib sab ntawm no, qhov twg aortic stenosis tawg?
Aortic Stenosis Lub suab nrov ntawm qhov yws txav mus rau S2 raws li qhov chaw nqaim. Classical, cov aortic stenosis cov tsos mob yws yws yog hnov zoo tshaj ntawm sab xis sab qaum sab qaum (qhov twg nws hnyav thiab nrov nrov). Nws hluav taws xob mus rau thaj tsam supraclavicular txoj cai.
Ib yam nkaus, puas aortic stenosis ua rau yws? Hauv Loj Aortic Stenosis muaj pob zeb diamond zoo li systolic yws yws uas kav thoob plaws systole. Cov yws yws yog suab nrov thiab siab tshaj qhov tshaj yws yws ntawm me ntsis aortic stenosis cov tsos mob . Nws yog ua los ntawm calcification aortic hlab ntsha ntawv leaflets.
Qhov thib ob, vim li cas aortic stenosis nthuav tawm rau cov carotids?
Aortic stenosis Tus mob tau piav qhia raws li hnyav crescendo-decrescendo systolic yws hnov zoo tshaj plaws ntawm txoj cai sab sauv sab sauv, nrog hluav taws xob ntawm kev yws rau cov carotid cov hlab ntsha. Tej zaum nws yuav tshwm sim los ntawm kev ntsuas dej hauv lub sijhawm dhau los vim yog kev laus lossis kom muaj menyuam hauv plab bicuspid aortic hlab ntsha valve.
Koj nyob qhov twg Auscultate lub plawv yws?
Auscultation Cov Chaw rau Lub Plawv Murmur Suab
| Aortic Valve Cheeb Tsam | Qhov thib ob txoj cai intercostal qhov chaw (ICS), sab xis sternal ciam teb |
|---|---|
| Erb's Point Cov | Thib peb sab laug ICS, sab laug sternal ciam teb |
| Tricuspid Valve Cheeb Tsam | Plaub sab laug ICS, sab laug sternal ciam teb |
| Mitral Valve Cheeb Tsam | Thib tsib ICS, sab laug kab nruab nrab-clavicular |
Pom zoo:
Lub plawv yws yws hauv cov menyuam mos yug los yog dab tsi?
Lub plawv dhia yog lub suab ntawm lub li qub kaw. Lub plawv yws yws yog lub suab ntxiv uas tau hnov thaum kws kho mob mloog nrog lub mloog pob ntseg. Qhov no cov ntshav ib txwm yog hu ua ib tug dawb huv, los yog ib txwm, yws yws. Ntau tshaj 66 feem pua ntawm tag nrho cov me nyuam, thiab kwv yees li 75 feem pua ntawm tag nrho cov me nyuam mos, muaj lub plawv yws yws
Lub plawv yws yws li cas?
Systolic yws raug muab qhab nia los ntawm kev siv zog (nrov nrov) los ntawm 1 txog 6, nrog lub mloog pob ntseg tshem tawm me ntsis hauv siab. Ib qib 1 ntawm 6 yog qaug zog, hnov tsuas yog siv zog tshwj xeeb. Qib 6 ntawm 6 (6/6) nrov heev, thiab tuaj yeem hnov nrog lub stethoscope txawm tias me ntsis tshem tawm ntawm lub hauv siab
Puas yog systolic yws yws txaus ntshai?
Lub plawv valve uas ua haujlwm tsis raug feem ntau ua rau lub suab tsis zoo. Lub plawv yws yws raug cais raws li "dawb huv" lossis "txawv txav." Lub plawv dawb huv yws tsis txaus ntshai thiab feem ntau yuav tsum tsis muaj kev kho mob. Lawv tuaj yeem tshwm sim los ntawm anemia, kub taub hau lossis hyperthyroidism, ntawm lwm yam
Dab tsi yws hnov hauv aortic stenosis?
Aortic stenosis yws yog pob zeb diamond-puab thiab systolic thiab radiates raws txoj hlab ntshav tawm. Lub suab nrov ntawm qhov yws txav mus rau S2 raws li qhov chaw nqaim. Classically, aortic stenosis yws yws zoo tshaj plaws nyob rau sab xis sab sauv ciam teb (qhov twg nws hnyav thiab nrov)
Dab tsi yog lub plawv yws yws?
Lub plawv palpation thiab kuaj mob… tuaj yeem xav tias yog qhov zoo siab los ntawm lub teeb palpation hla lub hauv siab ntawm phab ntsa. Kev zoo siab yog qhov ua rau hnov ntawm daim tawv nqaij ua rau thaj tsam muaj kev kub ntxhov thiab qhia tias lub plawv yws yws feem ntau tshwm sim los ntawm lub plawv tsis muaj peev xwm