Video: Dab tsi yws hnov hauv aortic stenosis?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov aortic stenosis yws yog pob zeb diamond-puab thiab systolic thiab radiates raws tus aortic hlab ntsha txoj kev tawm. Qhov peaking ntawm yws txav mus rau S2 raws li cheeb tsam valve nqaim. Classicically, lub aortic stenosis yws yws zoo tshaj plaws ntawm txoj cai sab sauv sab qaum (qhov uas nws hnyav thiab nrov nrov).
Ntawm no, yam yws yws hnov nrog aortic stenosis?
Cov yws ntawm aortic stenosis cov tsos mob feem ntau yog ib nrab-systolic ejection yws , hnov qhov zoo tshaj plaws ntawm aortic hlab ntsha cheeb tsam” los yog txoj cai thib ob intercostal qhov chaw, nrog hluav taws xob mus rau hauv caj dab sab xis.
Ib yam li ntawd, puas yog lub plawv yws ib yam li aortic stenosis? Stenosis ntawm aortic hlab ntsha lossis pulmonic li qub yuav ua rau a systolic yws , raws li cov ntshav tau tawm los ntawm qhov nqaim nqaim. Hais txog mitral thiab tricuspid li qub, stenosis yuav ua rau muaj diastolic yws thiab regurgitation a systolic yws . Lwm yam yws yuav tham txog hauv lawv cov ntu.
Ua qhov no hauv kev txiav txim siab, dab tsi yws hnov hauv mitral stenosis?
Raws li qhov hnyav ntawm mitral stenosis nce, lub siab nyob rau sab laug atrium nce, thiab lub mitral valve qhib ua ntej hauv ventricular diastole. Ib nrab-diastolic rumbling yws nrog presystolic accentuation yuav hnov tom qab qhib snap . Kev yws yog qhov zoo tshaj plaws hnov ntawm thaj tsam apical thiab tsis tawg.
Puas yog aortic stenosis ua rau yws yws?
Hauv Loj Aortic Stenosis muaj pob zeb diamond zoo li systolic yws uas kav thoob plaws systole. Cov yws yog suab nrov thiab siab tshaj qhov tshaj yws ntawm me ntsis aortic stenosis . Nws yog ua los ntawm calcification aortic hlab ntsha ntawv leaflets.
Pom zoo:
Aortic stenosis yws yws mus rau qhov twg?
Cov hluav taws xob. Thaum yws yws feem ntau mob siab rau ntawm ib qho kev mloog tshwj xeeb, lawv feem ntau xa mus rau lwm qhov kev mloog lus lossis thaj chaw ntawm lub cev. Piv txwv li, yws ntawm aortic stenosis nquag tawg mus rau cov hlab ntsha carotid thiab yws ntawm mitral regurgitation radiates mus rau thaj tsam axillary sab laug
Yam kev hnov lus tsis zoo dab tsi hauv kev hais lus hauv kev hnov lub suab hnov suab ntsuas?
Kev hais lus audiometry yog ib qho cuab yeej tseem ceeb hauv kev ntsuas kev hnov lus. Ua ke nrog lub suab ntshiab suab, nws tuaj yeem pab txiav txim siab qib thiab hom kev hnov lus tsis hnov lus. Speech audiometry muab cov ntaub ntawv ntawm kev lees paub lo lus thiab hais txog kev tsis xis nyob lossis ua siab ntev rau kev hais lus
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
Dab tsi yog hnov hauv aortic stenosis?
Qhov kev yws yws ntawm aortic stenosis yog qhov siab, 'pob zeb diamond zoo li' crescendo-decrescendo, midsystolic ejection yws hnov zoo tshaj plaws ntawm sab xis sab sauv ciam teb radiating rau caj dab thiab cov hlab ntsha carotid (saib daim duab hauv qab). Hauv me me aortic stenosis, yws peaks nyob rau hauv thaum ntxov systole
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