Stenosis ea valve ea pulmonary
Pulmonary valve stenosis ke boloetse ba valve ba pelo bo amanang le valve ea pulmonary.
Ena ke sephahla se arolang ventricle e nepahetseng (e 'ngoe ea likamore tse ka pelong) le methapo ea methapo. Mothapo oa methapo o isa mali a se nang oksijene matšoafong.
Stenosis, kapa ho fokotseha, ho etsahala ha valve e sitoa ho bula ka ho lekaneng. Ka lebaka leo, mali a fokolang a phallela matšoafong.
Ho khutsufatsa belofo ea pulmonary hangata ho ba teng nakong ea tsoalo (congenital). E bakoa ke bothata bo hlahang ha lesea le hlaha ka popelong pele le hlaha. Sesosa ha se tsejoe, empa liphatsa tsa lefutso li ka nka karolo.
Ho khutsufatsa ho hlahang ka har'a valve ka boeona ho bitsoa pulmonary valve stenosis. Ho kanna ha ba le ho fokotseha pele kapa ka mora phunyang.
Bothata bo ka hlaha bo le bong kapa ka liphoso tse ling tsa pelo tse teng nakong ea tsoalo. Boemo bo ka ba bobebe kapa bo matla.
Pulmonary valve stenosis ke boloetse bo sa tloaelehang. Maemong a mang, bothata bo hlaha ka malapeng.
Maemo a mangata a "stenosis" ea "pulmonary valve a bobebe 'me ha a bake matšoao. Bothata bo fumanoa hangata ho masea ha ho korotla ha pelo ho utluoa nakong ea tlhahlobo ea pelo e tloaelehileng.
Ha valve e fokotsa (stenosis) e itekanetse ho ea matla, matšoao a kenyeletsa:
- Ho senya mpa
- Mmala o boputsoa letlalong (cyanosis) bathong ba bang
- Takatso e fosahetseng ea lijo
- Bohloko ba sefuba
- Ho akheha
- Mokhathala
- Ho nona hampe kapa ho se atlehe ho masea a nang le thibelo e matla
- Phefumoloho e khutšoanyane
- Lefu la tšohanyetso
Matšoao a ka mpefala le ho ikoetlisa kapa ho ikoetlisa.
Mofani oa tlhokomelo ea bophelo a ka utloa ho honotha ha pelo ha a mametse pelo a sebelisa stethoscope. Ho korotla ho ntse ho foka, ho honotha, kapa ho utloa melumo e utloahala nakong ea ho otla ha pelo.
Liteko tse sebelisetsoang ho fumana pulmonary stenosis li ka kenyelletsa:
- Catheterization ea pelo
- X-ray sefubeng
- ECG
- Echocardiogram
- MRI ea pelo
Mofani oa thepa o tla beha boima ba valve stenosis ho rera kalafo.
Ka linako tse ling, kalafo e kanna ea se hlokehe haeba lefu lena le le bobebe.
Ha ho boetse ho na le liphoso tse ling tsa pelo, meriana e ka sebelisoa ho:
- Thusa phallo ea mali ho pholletsa le pelo (prostaglandins)
- Thusa pelo hore e otle ka matla
- Thibela maqeba (tšesaane ea mali)
- Tlosa mokelikeli o feteletseng (lipilisi tsa metsi)
- Phekola ho otloa ha pelo le morethetho o sa tloaelehang
Balloon ea pulmonary pulmonary dilation (valvuloplasty) e ka etsoa ha ho se na liphoso tse ling tsa pelo.
- Tsamaiso ena e etsoa ka methapo ea methapo.
- Ngaka e romela phaephe e tenyetsehang (catheter) e nang le balune e hokelletsoeng qetellong ho fihla pelong. Ho sebelisoa li-x-ray tse khethehileng ho thusa ho tataisa catheter.
- Balune e otlolla pulo ea valve.
Batho ba bang ba kanna ba hloka ho buuoa ka pelo ho lokisa kapa ho nkela sephahla sa pulmonary sebaka. Sephahla se secha se ka etsoa ka thepa e fapaneng. Haeba valve e sa lokisoe kapa e nchafatsoa, ho ka hlokahala mekhoa e meng.
Batho ba nang le lefu le bobebe ha ba mpefale le ho feta. Leha ho le joalo, ba nang le mafu a itekanetseng ho isa ho a matla ba tla mpefala. Phello hangata e ntle haholo ha ts'ebetso ea opereishene kapa ea ballo e atleha. Mathata a mang a pelo a tsoaloang e ka ba sesosa ponong.
Hangata, li-valve tse ncha li ka nka lilemo tse mashome. Leha ho le joalo, tse ling li tla tsofala 'me li hloka tse ling.
Mathata a ka kenyelletsa:
- Ho otla ha pelo ka tsela e sa tloaelehang (arrhythmias)
- Lefu
- Ho hloleha ha pelo le ho holisoa ha lehlakore le letona la pelo
- Ho lutla ha mali ho khutlela ventricle e nepahetseng (pulmonary regurgitation) kamora ho lokisoa
Bitsa mofani oa hau haeba:
- U na le matšoao a stenosis ea valve ea pulmonary.
- U se u kile ua alafshoa kapa ua ba le lefu la "stenosis" la "pulmonary" le sa alafshoang 'me ua ba le ho ruruha (maqaqailaneng, maoto kapa mpa), ho hema ka thata kapa matšoao a mang a macha.
Stenosis ea methapo ea methapo; Stenosis ea valve ea pelo ea pulmonary; Stenosis ea pulmonary; Stenosis - valve ea pulmonary; Balloon valvuloplasty - pulmonary
- Ho buuoa ka valve ea pelo - ho tsoa
- Li-valve tsa pelo
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Pellikka PA. Tricuspid, pulmonic le maloetse a mangata. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 70.
Therrien J, Marelli AJ. Congenital lefu la pelo ho batho ba baholo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 61.
Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital lefu la pelo ho motho e moholo le mokuli oa bana. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 75.