Dib-u-habeynta Tricuspid

Dhiig qulqulaya inta udhaxeysa qolalka kala duwan ee wadnahaaga waa inuu maraa wadnaha wadnaha. Fallaaraadyadan ayaa si ku filan u furmaya si dhiiggu u dhex mari karo. Kadib way xiraan, iyagoo ka ilaalinaya dhiigga inuu gadaal u socdo.

Xakamaynta tricuspid waxay kala soocaysaa qolka wadnaha midig ee hoose (marinka saxda ah) iyo qolka wadnaha midigta sare (midig atrium)

Dib-u-habeynta Tricuspid waa cilad ku jirta taas oo waalkaani uusan u xirneyn si ku filan. Dhibaatadani waxay keentaa in dhiiggu gadaal ugu qulqulo qolka wadnaha midigta sare (atrium) markii qolka wadnaha midig ee hoose (ventricle) qandaraas yeesho.

Kordhinta cabbirka marinka saxda ah waa sababta ugu badan ee xaaladdan. Qanjirka saxda ah wuxuu dhiig ku shubaa sambabada halkaasoo uu ka soo qaato oksijiin. Xaalad kasta oo culeys dheeri ah saarta qolkan waxay sababi kartaa inuu weynaado. Tusaalooyinka waxaa ka mid ah:

• Dhiig kar aan caadi ahayn oo ku dhaca xididdada sambabaha oo ka imaan kara dhibaatada sambabada (sida COPD, ama xinjir u safartay sambabaha)
• Dhibaato kale oo wadnaha ah sida isku ururin liidata oo ah dhinaca bidix ee wadnaha
• Dhibaatada furitaanka ama xiritaanka mid kale oo ka mid wadnaha wadnaha

Dib-u-celinta Tricuspid sidoo kale waxaa sababi kara ama uga sii dari kara infekshannada, sida:

• Xumad xanuun
• Cudurka jeermiska wadnaha ee loo yaqaan 'tricuspid valve', oo sababa waxyeello u geysata qalabka

Sababaha ugu yar ee dib-u-habeynta tricuspid waxaa ka mid ah:

• Nooc cillad wadnaha ah oo jira dhalashada oo loo yaqaan Ebstein anomaly.
• Burooyinka kansarka loo yaqaan 'Carcinoid buro', oo sii daayo hormoon waxyeeleeya waalka.
• Cudurka Marfan.
• Rheumatoid arthritis.
• Daaweynta shucaaca.
• Isticmaalkii hore ee kiniinka cuntada ee loo yaqaan "Fen-Phen" (phentermine iyo fenfluramine) ama dexfenfluramine. Daawada ayaa laga saaray suuqa 1997.

Dib-u-habeynta khafiifka ah ee 'tricuspid' ma keeni karto wax calaamado ah. Calaamadaha wadnaha oo istaaga ayaa dhici kara, waxaana ka mid noqon kara:

• Garaaca firfircoon ee xididdada qoorta
• Kaadida oo yaraatay
• Daal, daal
• Barar guud
• Bararka caloosha
• Barar lugaha iyo anqawyada
• Tabar darrida

Bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu helo waxyaabo aan caadi aheyn markii uu si tartiib ah ugu cadaadiyo gacanta (taabashada) laabtaada. Bixiyaha sidoo kale wuxuu dareemi karaa garaaca wadnaha beerkaaga. Baadhitaanka jirka waxaa laga yaabaa inuu muujiyo barar iyo beeryaro.

Dhageysiga wadnaha oo leh stethoscope ayaa laga yaabaa inay muujiso gunuus ama codad kale oo aan caadi ahayn. Waxaa jiri kara calaamado dheecaan ka soo baxa caloosha.

ECG ama echocardiogram ayaa laga yaabaa inay muujiso ballaadhinta dhinaca midig ee wadnaha.Doppler echocardiography ama catheterization dhinaca midigta ah ayaa loo isticmaali karaa in lagu cabbiro cadaadiska dhiigga ee gudaha wadnaha iyo sambabada.

Tijaabooyinka kale, sida CT scan ama MRI ee laabta (wadnaha), ayaa laga yaabaa inay muujiyaan ballaadhinta dhinaca midig ee wadnaha iyo isbeddelada kale.

Daaweynta looma baahna haddii ay jiraan calaamado yar ama aan lahayn. Waxaa laga yaabaa inaad u baahato inaad aaddid cisbitaalka si loo ogaado oo loo daaweeyo astaamaha daran.

Barar iyo calaamadaha kale ee wadnaha oo istaaga waxaa lagu maamuli karaa daawooyin caawiya in dheecaanada jirka laga saaro (diuretics).

Dadka qaar ayaa laga yaabaa inay awoodaan in lagu sameeyo qalliin lagu dayactiro ama lagu beddelo waalka 'tricuspid valve'. Qalliinka badiyaa waxaa loo sameeyaa iyada oo qayb ka ah hawl kale.

Daaweynta xaaladaha qaarkood ayaa laga yaabaa inay saxdo cilladan. Kuwaas waxaa ka mid ah:

• Dhiig karka sambabaha
• Barar ku dhaca qolka wadnaha midig ee hoose

Dayactirka waalka qalliinka ama beddelaadda ayaa inta badan daawo siisa dadka u baahan wax ka qabashada.

Aragtida ayaa liidata dadka qaba calaamado, dib-u-cusboonaysiin adag oo aan la sixi karin.

Wac daryeel bixiyahaaga haddii aad isku aragto astaamo dib-u-cusboonaysiinta tricuspid.

Dadka qaba cillad wadnaha aan caadiga ahayn ama dhaawacan waxay halis ugu jiraan infekshin loo yaqaan endocarditis. Wax kasta oo sababa in bakteeriyadu ku dhacdo socodka dhiigaaga waxay u horseedi kartaa infakshankan. Tallaabooyinka looga hor tagayo dhibaatadan waxaa ka mid ah:

• Ka fogow irbado aan nadiif ahayn.
• Si dhakhso ah u daawee infekshannada ku dhaca faleebada si looga hortago qandho-xanuunka.
• Had iyo jeer u sheeg daryeel bixiyahaaga caafimaadka iyo dhakhtarka ilkaha haddii aad taariikh u leedahay cudurka wadnaha wadnaha ama cudurada wadnaha ee lagu dhasho ka hor daaweynta. Dadka qaar ayaa laga yaabaa inay u baahdaan inay qaataan antibiyootiko ka hor intaan la sameyn qalliin.

Daaweynta degdega ah ee cilladaha sababi kara waalka ama cudurrada kale ee wadnaha ayaa yareynaya halista dib-u-celinta tricuspid.

Yaraanta Tricuspid; Wadnaha wadnaha - dib u soo celinta tricuspid; Cudurka 'Valvular Disease' - Tricuspid regurgitation

• Dib-u-Celinta Tricuspid
• Dib-u-Celinta Tricuspid
• Cillad-xumada Ebstein

Carabello BA. Cudurka wadnaha ee wadnaha. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 66.

Nishimura RA, Otto CM, Bonow RO, iyo al. 2017 AHA / ACC waxay cusbooneysiisay cusbooneysiinta 2014 AHA / ACC tilmaamaha loogu talagalay maareynta bukaannada qaba cudurrada wadnaha ee wadnaha: warbixinta Kulliyadda Caafimaadka Wadnaha ee Mareykanka / Ururka Wadnaha ee Wadnaha ee Mareykanka ee Tilmaamaha Tababarka Caafimaadka. Wareegga. 2017; 135 (25): e1159-e1195. PMID: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

Pelikka PA. Tricuspid, sambabada, iyo cudurada kaladuwan. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 70.

Rosengart TK, Anand J. Cudurka wadnaha ee la helay: valvular. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 20aad. Philadelphia, PA: Elsevier; 2017: cutubka 60.