2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Qhov kev tshawb pom lub cev classic ntawm aortic stenosis yog hnyav, lig-peaking systolic yws uas nrov tshaj plaws ntawm qhov chaw thib ob sab xis intercostal thiab radiates rau cov hlab ntsha carotid.
Yuav ua li cas yws yws yog aortic stenosis?
Stenosis ntawm lub aortic lossis pulmonic li qub yuav ua rau a systolic yws, vim cov ntshav tau tawm los ntawm qhov chaw nqaim. Hloov pauv, regurgitation ntawm tib lub li qub yuav ua rau lub diastolic yws, vim cov ntshav ntws rov qab los ntawm cov kab mob valve thaum lub ventricular pressures poob thaum so.
Puas aortic stenosis zoo ib yam li lub plawv yws?
Cov tsos mob thiab cov tsos mob feem ntau tshwm sim thaum lub valve nqaim heev. Qee cov neeg uas muaj aortic valve stenosis yuav tsis muaj tsos mob ntau xyoo. Cov tsos mob thiab cov tsos mob ntawm aortic valve stenosis tej zaum yuav muaj xws li: Lub plawv dhia tsis zoo (lub plawv yws) hnov los ntawm lub stethoscope.
Puas aortic stenosis yog Holosystolic yws?
hom kev yws no yog tshwm sim los ntawm aortic lossis pulmonic valve stenosis. Ib hom thib ob ntawm systolic yws yws yog holosystolic (qee zaus hu ua pansystolic) vim qhov kev siv zog siab thoob plaws hauv lub cev raws li qhia hauv daim duab.
Puas aortic stenosis ib txwm muaj lus yws?
Nyob rau theem me thiab nruab nrab ntawm aortic stenosis, qhov txo qis hauv cov ntshav ntws feem ntau tsis tseem ceeb txaus los ua rau cov tsos mob sab nraud. Qhov tseeb, ntau tus neeg tsis paub tias lawv muajmob lossis tej zaum yuav qhia tau tias lawv muaj lub siab yws thaum lub sijhawm kuaj xyuas.
Pom zoo:
Yuav tsum dev nrog lub plawv yws yws?
Tus dev uas muaj lub siab yws xav tau npaum li cas? Cov dev uas muaj lub plawv yws yws txog qib 4-6 xav tau txwv kev tawm dag zog peb zaug hauv ib lub lis piam kom tsis txhob tso siab rau lawv lub siab. Kev tawm dag zog lub siab zoo li cov duab dhos ua si thiab cov khoom ua si tuaj yeem muab rau txhua hnub.
Puas diastolic yws yws?
Lub suab nrov nrov, crescendo-decrescendo, midsystolic yws hnov zoo tshaj plaws nyob rau sab laug sab sternal ciam teb. Suab hais lus HOCM tsis radiate rau carotidszoo li ntawm AS. Yuav yws yws rau sab nraub qaum? Patent ductus arteriosus tuaj yeem nthuav tawm raws li kev yws yws tsis tu ncua mus rau sab nraub qaum.
Qhov kev hais lus yws yws pib li cas?
Kab mob appendicitis feem ntau pib nrog mob hauv nruab nrab ntawm koj lub plab (mob plab) uas tuaj yeem mus. Tsis pub dhau ob peb teev, qhov mob mus rau koj sab xis sab xis, uas feem ntau ntawm cov appendix nyob, thiab ua tas li thiab hnyav.
Vim li cas isosorbide mononitrate contraindicated hauv aortic stenosis?
Nitrates yog contraindicated nyob rau hauv hnyav aortic stenosis vim theoretical tseem tsis tau muaj pov thawj txaus ntshai ntawm precipitating profound hypotension. Vim li cas vasodilators contraindicated hauv aortic stenosis? Vasodilators raug suav hais tias yog contraindicated rau cov neeg mob uas muaj mob aortic stenosis vim kev txhawj xeeb tias lawv tuaj yeem ua rau muaj kev phom sij rau lub neej.
Puas aortic stenosis ua rau lub plawv tsis ua hauj lwm?
Aortic valve stenosis yuav ua rau lub plawv tsis ua hauj lwm. Cov tsos mob thiab cov tsos mob ntawm lub plawv tsis ua hauj lwm muaj xws li qaug zog, ua tsis taus pa, thiab o pob taws thiab ko taw. hom mob plawv tsis ua haujlwm ua rau aortic stenosis?
