Systolic zuciya gunaguni

The sabon abu na systolic zuciya gunaguni, na iya zama saba wa kowa da kowa. Duk da haka, kada su halarto da lura, saboda a mafi yawan lokuta su bayyana a bango na tsanani cututtuka. Yana da wani irin kwayoyin wata sigina na nuna cewa ya kasance da wasu matsaloli da zuciya.

Me ake nufi da likitoci zuciya murmurs

Amfani da wani ajali kamar "amo", dangane da zuciya, cardiologists nufin Ft Irfan sabon abu hade da canje-canje a cikin jini ya kwarara a cikin tasoshin da kuma zuciya. Daga cikin talakawa mutane na iya cin karo da ra'ayin cewa amo a yankin na zuciya - shi ne mai matsala halayyar yara. Dole mu yarda - da wannan ra'ayi shi ne kusa da gaskiya, kamar yadda fiye da 90% na aikin amo ganewa gyarawa a matasa da kuma yara. Amma a wannan systolic gunaguni kamu da matasa masu shekaru daga 20 zuwa shekaru 28 da haihuwa.

Ra'ayin da yawa cardiologists game zuciya gunaguni a manya yarda: kamar alama maki wani takamaiman cardiac Pathology, wanda a nuna na samar da wani dalilin da cikakken cardiac karatu.

Kalmar "systolic" an kai tsaye alaka amo, wanda ake ji a cikin rata tsakanin farko da na biyu zuciya sautunan. Sauti kansu haifar da jini ya kwarara a kusa da zuciya ko ta bawuloli.

Abin da iri amo za a iya hadu

A likita yanayi, irin wannan abu a matsayin zuciya gunaguni, an rarraba su zuwa dama Categories. Wannan aikin systolic gunaguni, da ake kira da laifi, da kuma kwayoyin, gaban wanda ya nuna wani takamaiman Pathology.

Innocent noises ana haka mai suna saboda su iya zama saboda cututtuka daban-daban, ba a hade da zuciya. Wannan yana nufin cewa ba su da wata alama daga wani pathological yanayin zuciyar. Timbre irin wannan amo ne m, m, music, short, ciwon isasshe low tsanani. Irin wannan noises ana raunana tare da ragewa jiki ayyukan da ba su gudanar bayan da zuciya. A yanayi na canje-canje ba su hade da sautunan na zuciya, amma shi ya dogara da wuri na jiki.

Amma ga kwayoyin noises, suka bayyana saboda septal aibi, ko wani bawul (watau cikin lahani atrial ko na ramin zuciya septal). A timbre na amo za a iya halin da barga, tukuru, m. Bisa ga tsanani su ne kaifi da kuma m, tare da gagarumin duration. Wannan irin hayaniya ne da za'ayi waje na zuciya a cikin hamata da interscapular yankin. Bayan motsa jiki kwayoyin noises ake Littafi da kuma adana. su ne ma, da bambanci ga aikin da za a hade tare da zuciya sautunan da kuma daidai a fili fita ba tare da daban-daban jiki matsayi.

Systolic gunaguni hada daban-daban na Ft Irfan mamaki a yankin na zuciya:

- Early systolic murmurs.

- pansystolic (holosystolic).

- tsakiyar marigayi amo.

- srednesistolicheskie amo.

Me ya sa a cikin zuciya akwai daban-daban iri amo

Idan ka kula da babba hayaniyar da kake tsinkaya a matsayin wata barazana ga kiwon lafiya, ya kamata a lura da cewa su suna lalacewa ta hanyar 'yan key dalilai.

Systolic zuciya gunaguni iya zama saboda aortic stenosis. A karkashin wannan ganewar asali ya kamata a fahimci nakasar ko samu aortic constriction rami da splicing ta bude yatsun da bawul kanta. Wannan tsari da ke sa shi wuya ga al'ada jini ya kwarara a cikin zuciya.

Aortic stenosis za a iya dangana ga daya daga cikin na kowa zuciya lahani da ke faruwa a manya. A wannan cuta sau da yawa ci gaba aortic da mitral insufficiency. Saboda gaskiya cewa na'urar ne ba aortic hali ya calcification (lokacin tafiya lami stenosis), ci gaba da cutar da ake kara.

A mafi yawan lokuta idan gyarawa tsanani aortic stenosis, hagu ventricle muhimmanci dora. A wannan lokaci, da zuciya da kuma kwakwalwa fara sha daga wani rashin jini wadata.

Aortic insufficiency kuma za a iya dangana ga dalilai da cewa ci gaba systolic gunaguni. Jigon wannan cuta ne don tabbatar da cewa aortic bawul ba zai iya rufe gaba daya. Ta aortic regurgitation sau da yawa tasowa a kan bango na infective endocarditis. Don tasiri cikin ci gaban da wannan cuta ne rheumatic zazzabi (fiye da rabi daga cikin lokuta), na tsari lupus erythematosus, syphilis, kuma atherosclerosis. A daidai wannan lokaci shi ba Yunƙurin zuwa wannan aibi da wuya sa rauni ko haihuwa lahani. Systolic gunaguni a lakã iya zama nuni da abin da ya faru na dangi insufficiency na aortic bawul. Irin wannan yanayin zai iya haifar da wani ban mamaki fadada daga cikin fibrous zobe na bawul da lakã kanta.

M mitral regurgitation - shi ne wani dalili na systolic amo. A wannan yanayin shi ne m motsi na taya ko gas, wanda ya auku a cikin m murdede sashin jiki a kan aiwatar da raguwa. Irin wannan yunkuri ne m ga al'ada shugabanci. Irin wannan ganewar asali a mafi yawan lokuta shi ne sakamakon munanan a bangare katangu.

Systolic gunaguni a cikin huhu jijiya ya nuna da ci gaba a fannin stenosis. Tare da irin wannan cuta a cikin huhu jijiya bawul aka quntata fili na dama ventricle. Wannan irin stenosis ne kamar 8-12% na dukkan nakasar zuciya lahani. Irin wannan amo ne ko da yaushe tare da wani systolic jitter. Musamman furta amo sakawa a iska mai guba zuwa wuyansa tasoshin.

Daraja ambata da kuma tricuspid bawul stenosis. A wannan cuta akwai wani takaita da tricuspid bawul. Wadannan canje-canje ne mafi sau da yawa da sakamakon da tasiri na rheumatic zazzabi. A bayyanar cututtuka na irin wannan stenosis hada da sanyi fata, gajiya, rashin jin daɗi a cikin sama dama quadrant na ciki da kuma wuyansa.

Dalilan systolic gunaguni a yara

Abubuwan da rinjayen aiki na yara zuciya, mai yawa, amma akwai mafi sau da yawa da wadannan:

- Atrial septal lahani. Karkashin aibi nufi babu atrial septal nama, abu zuwa fitarwa na jini. The girma na sake saiti dogara a kan yarda da ventricles da lahani masu girma dabam.

- anomalous na huhu venous sama. Muna magana ne game da ba daidai ba samuwar na huhu jijiyoyinmu. More musamman, da na huhu jijiyoyinmu ba ruwaito da dama atrium, fadowa nan da nan a cikin dama atrium. Sau da yawa, sai su fis tare da atrium ta cikin manyan da'irar jijiyoyinmu (dama m vena Vienna, Vienna unpaired, hagu brachiocephalic akwati, da jijiyoyin zuciya sinus da venous kwarara).

- coarctation na lakã. A karkashin wannan definition boyewa a zuciya wadda tun ainahi aibi a cikin abin da akwai segmental takaita da thoracic lakã. A wasu kalmomin, da segmental aortic lumen zama karami. Wannan matsala da aka bi da tiyata. Idan wannan ganewar asali ne ba, ka dauki wani mataki, da takaita da lakã yaro zai girma da kuwa sun tsufa.

- na ramin zuciya septal lahani. Wannan matsala ne kuma daya daga cikin dalilan da tsayayyen systolic gunaguni a cikin zuciya na yaro. Wannan aibi ne halin da cewa da lahani tasowa tsakanin biyu ventricles na zuciya - hagu da kuma dama. Wannan zuciya aibi ne sau da yawa a rubuce cikin ruwan dare a jihar, ko da yake akwai lokuta lokacin da irin wannan matsala ne wani ɓangare na sauran zuciya lahani.

- Systolic gunaguni a wani yaro yana sa zuciya za a iya hade da wani bude jijiya lahani. Muna magana ne game da wani gajeren jirgin ruwa wanda ta haɗu da na huhu jijiya da sauko lakã. Bukatar wannan physiological shunt vuya bayan baby ta farko numfashi, don haka ga 'yan kwanaki za a rufe. Amma idan wannan bai faru (cewa, a gaskiya, shi ne jigon da aibi), da jini ya ci gaba da za a shunted daga na tsari wurare dabam dabam a cikin kananan. Idan bututu ne kananan, shi ne, bisa manufa, ba zai sami wani gagarumin mummunan tasiri a kan kiwon lafiya na yaro. Amma lokacin da akayi tare da manyan patent ductus arteriosus, akwai hadarin na tsanani cardiac obalodi. Alamun wannan yanayin - yana da wani ɓangare na breathlessness. Idan kwarara ne manya-manyan (9 mm ko fiye), jariri na iya zama a cikin wani mawuyacin hali. A wannan yanayin, da systolic gunaguni a yara ba ne kawai alama - zuciya kanta za a ƙara a size. Gaggawa aiki da ake amfani da neutralize irin wannan barazana.

Dabam shi wajibi ne zuwa taba da jariri category. Zuciya yara bayan haihuwa aka ji ko da a cikin asibiti. Wannan ne yake aikata don kauce wa yiwu pathologies. Amma idan akwai aka rubuta a amo, to, kada ka yi mummunan karshe prematurely. Gaskiyar cewa a kan talakawan, kowane uku yaro gano wasu noises. Kuma ba dukan su ba su ne shaida m matakai (ba to adversely shafi ci gaban da jariri da kuma ba tare da jini wurare dabam dabam). A lokacin da ya (jini ya kwarara), da sake fasalin kudin iya samun aikin noises da yaro, wanda ma bai gabatar da wata barazana ga kiwon lafiya. A wannan jiha, a matsayin X-ray, kuma electrocardiogram zai nuna al'ada cin gaban wani jariri ta zuciya.

Amma ga amo muhimmi a cikin jarirai, suka gyarawa na farko da watanni uku bayan haihuwa. Wannan ganewar asali ya ce a lokacin fetal zuciya samuwar jaririn ba har sai karshen ci gaba da kuma, a sakamakon, yana da wasu haihuwa lahani. Idan digiri na da tasiri na zuciya rashin cin nasara a kan ci gaban da jariri zai zama da muni, yana yiwuwa cewa likitoci za su yanke shawara a kan hali na tiyata don kawar da cutar.

Features amo koli na zuciya

Tare da irin wannan amo halaye na karshen su iya bambanta dangane da hanyar da wuri na abin da ya faru.

1. M mitral bawul insufficiency. A wannan yanayin, da amo za a iya bayyana a matsayin takaice. Ya bayyana farkon (protosistolichesky). Amfani echocardiography za a iya gano hypokinesis zone Chords rata, fasali da kuma sauran kwayan endocarditis.

2. kullum mitral bawul insufficiency. Noises na irin wannan da aka cikakken shagaltar a lokacin ƙanƙancewa na ventricles (holosystolic da pansystolic). Akwai kai tsaye dogara da bawul aibi, juz'i na jini dawo ta hanyar aibi da amo hali. Systolic gunaguni a koli na zuciya a karkashin wadannan halaye an mafi kyau fita ba a kwance matsayi. Idan aibi za su ci gaba, akwai wani palpable vibration daga cikin kirji bango a lokacin systole.

3. Dangi mitral insufficiency. Idan ka ciyar da wani dogon lokaci na jarrabawa (X-ray, echocardiography), yana yiwuwa a gano dilation na hagu ventricle. Systolic gunaguni a koli a wannan harka za a iya kiyaye a ko'ina cikin tsawon na ramin zuciya ƙanƙancewa, amma zai zama mun gwada shiru. Idan alamun cunkoso a zuciya gazawar an rage, da kuma gudanar da isasshen far, da sonority na amo za a rage.

4. tabarbarewa na papillary tsokoki. A lokacin jarrabawa sau da yawa ya nuna alamun tsokar zuciya infarction, ko (ii) ischemic. Irin wannan systolic gunaguni a koli na zuciya za a iya bayyana a matsayin m. Haka kuma, shi ne halayyar bayyanar a kusa da karshen systole ko a tsakiyar rabo.

5. Mitral bawul prolapse. Yana yiwuwa tare da hade da wani marigayi systolic gunaguni. Bugged irin wannan ne mafi kyau a cikin wani mike matsayi. Irin wannan amo dangane da yanayin haƙuri iya bambanta da yawa. Irin wannan systolic gunaguni a koli ne halin da buɗi na tsakiya na systole (abin da ake kira mezosistolichesky click).

Noises a kan hagu na sternum (ma'ana Botkina)

A amon irin wannan akwai dalilai da dama:

- na ramin zuciya septal lahani. Fili girgiza kirji a lokacin systole zuwa hagu na sternum. A amo halaye na aibi size yana da wani sakamako. Cardiac hump aka gano a cikin 100% na lokuta. Kafaffen m systolic gunaguni, wanda ya mamaye dukan na systole da aka gudanar a duk sassan. Da taimakon X-ray iya bayyana dilatation na aortic baka da na huhu cunkoso.

- nakasar na huhu stenosis. Daya daga cikin manyan siffofin - wani alama na feline purring. Lokacin da kyan gani, m zuciya hump (protrusion thorax). Biyu sautin na huhu jijiya aka raunana.

- Obstructive Cardiomyopathy. Systolic gunaguni a Botkin na irin wannan ne wani talakawan kuma zai iya bambanta a tsanani dangane da matsayin jiki lokacin da wani mutumin da daraja - yakan, kwance a jihar - kwanta.

- Tetarda halyard. Wadannan noises ana bambanta da shunt hade da hagu zuwa dama ɗakunan ajiya na zuciya saboda wani aibi a cikin septum tsakanin ventricles da na huhu jijiya takaita. The sauti ne m, tare da kam na systolic jitter. Noises ana ji mafi kyau a mafi ƙasƙanci batu na sternum. Tare da taimakon da ECG za a iya gyarawa ãyõyin dama ventricle hypertrophic canje-canje. Amma tare da taimako na X-haskoki bayyana Pathology zai yi aiki ba. Lokacin da wani kaya aka bayyana cyanosis.

Amo da dama daga cikin sternum

A wannan lokaci (II intercostal sarari) auscultated aortic lahani. Amo a cikin art ƙawãta samu constriction ko ciwon nakasar Farawa.

Irin wannan systolic gunaguni yana da wasu halaye:

- mafi m wuri domin ta ganewa - shi ne na 4 da 5 intercostal sarari to hagu na sternum.

- pensistolichesky, m, m kuma sau da yawa scraping amo.

- ne da za'ayi a gefen hagu daga cikin kirji, kuma ya kai baya.

- a zaune wuri qara amo.

- X-ray jarrabawa tana gano fadada aortic calcification ta bawul na'ura da kuma wani karuwa a hagu ventricle.

- bugun jini yana da matalauta abun ciki da kuma ma rare.

Ci gaban aibi take kaiwa zuwa fadada daga cikin bar na ramin zuciya arterio-ramukan. A wannan halin da ake ciki, akwai yiwuwar sauraron biyu daban-daban amo. Idan systolic gunaguni aka jawo da nakasar stenosis, shi zai gabatar da wani ƙarin fitar da sautin, wanda shi ne saboda concomitant aortic rugurgitatsiey.

Zuciya gunaguni a lokacin daukar ciki

A lokacin haihuwa iya faruwa sistalicheskih amo. Mafi sau da yawa, su ne da aikin a cikin yanayi da kuma saboda sharply ƙara load a kan zuciya da mace mai ciki. Irin wannan jiha ne mafi halayyar da na uku trimester. Idan amo aka gyarawa, wannan shi ne wani alama da su dauki ciki jiha (kodan, kaya dosing, jini) a karkashin hankali iko.

Idan duk wadannan bukatu suna daidai hadu, to, akwai kowane damar cewa ciki, kazalika da haihuwa, zai zama tabbatacce, babu illar a kan zuciya.

ganewar asali da amo

Da farko, da yadda za a fara aiwatar da diagnosing cututtukan zuciya - da definition na rashi, ko kuma kasancewar wani zuciya gunaguni. A wannan yanayin, auscultation na zuciya ne da za'ayi a kwance ko a tsaye matsayi, bayan motsa jiki, a gefen hagu, kazalika da a tsawo na inhalation da exhalation. Irin matakan da suke bukata domin systolic zuciya gunaguni, da Sanadin wanda zai iya zama mabanbanta, an daidai gano.

Idan muka magana game da Mũnãnan ayyuka na mitral bawul, mafi kyau duka wuri don sauraron da amo a cikin wannan harka shi ne tip na zuciya. A cikin hali na lahani na aortic bawul kamata kula da uku intercostal sarari bar na sternum, kuma na biyu a gefen dama. Idan ka yi aiki da su Mũnãnan ayyuka na tricuspid bawul, da systolic gunaguni saurare mafi alhẽri ga jikin sternum kasa baki.

Da yake jawabi game da halaye na amo, shi ne ya kamata a lura da cewa su iya daban-daban Phase (systolic da diastolic), duration, volatility da watsin. Daya daga cikin key kalubale a wannan mataki ne a daidai definition of daya ko fiye na epicenters na amo. Yana da muhimmanci a yi la'akari da amo sautin, tun da wannan factor nuna takamaiman matakai. Idan sauki systolic gunaguni portends tsanani matsaloli, m, sawing, scraping nuna stenosis na aortic ko na huhu aortic. Bi da bi, da hurawa amo da ake gyarawa a infective endocarditis da mitral insufficiency. Dauki la'akari da kundinta da kuma sautin na da tushe da kuma tip na zuciya.

Yana da muhimmanci sosai a lokacin da na farko bincike matakan ware extracardiac amo, wato, da tushen wanda aka located waje na zuciya. A mafi yawan lokuta, wadannan noises za a iya ji a lokacin da pericarditis. Amma shi ne m da irin wannan Ft Irfan sabon abu kawai a lokacin systole. Kamar yadda wani togiya, za su iya saurare zuwa lokacin diastole.

Ga ganewar asali na zuciya yanayin yin amfani da daban-daban fasahar. Su aikace-aikace ne zama dole, tun da karshe kõma a kan tushen da ya samu jiki binciken, batun tabbatar. Don cimma wannan manufar masana amfani PCG, ECG, X-ray na zuciya a uku girma, echocardiography, ciki har da transesophageal.

Kamar yadda wani banda ga masu cin zali bincike dabaru ana amfani da tsananin yanayi (gabansa, da kuma sauran bambanci hanyoyin.).

Don auna tsanani da zuciya sautina yin amfani da wasu samfurori:

- jiki da kaya (Yanar gizo, isotonic da carpal dynamometry).

- numfashi (karuwa a amo daga hagu da kuma dama zuciya exhale)

- atrial fibrillation da atrial wanda bai kai lashe.

- positional canje-canje (dagawa kafafu a tsaye, da canji na haƙuri ta jiki matsayi da kuma zama a-rubucen).

- Valsalva rawar daji (clamping numfashi tare da rufaffiyar baki da kuma hanci) da sauransu.

key binciken

Da farko yana da muhimmanci a fahimta da dacewar na zamani bincikowa a gaban wata zuciya gunaguni. Its tilas ne ya bayyana da cewa systolic gunaguni iya ba portend ri kiwon lafiya matsaloli, amma a lokaci guda shi ne iya zama wata alama tsanani cuta.

Saboda haka, da wani amo da aka gano a cikin zuciya, dole ne a yi bayani ta hanyar m likitoci (wajibi ne a gano dalilin competently kuma daidai). A gaskiya ma, ko da yaushe suna da wani zuciya gunaguni mutum halaye dangantawa da shekaru da alaka lokaci. Wani amo a cikin zuciya na kirki likita. Da ya faru na zuciya murmurs a mace mai ciki ne dalilin isa ya tsayar da m iko a kan ta yanayin.

Ko da a cikin babu wani matsaloli da zuciya ko bayyanar cututtuka na wani munanan, dole ne lokaci-lokaci ake shãmakancẽwa ne. An sau da yawa m systolic amo faruwa da ka. Saboda haka, a lokaci-lokaci da ganewar asali ne iya gane wani Pathology a mataki a lokacin da watakila tasiri magani.