Sidee Xaaladda Cuncunka Cuncunku Dhibaato u Leeyahay Cudurka Wadnaha
Cudurka wadnaha ee rheumatic waa dhibaato halis ah oo qandho jaban ah . Waxay loola jeedaa dhaawaca wadnaha ee joogtada ah ee wadnaha ku dhaca kaas oo horumarin kara sanado kadib qandho qandho jaban, badanaa keena wadnaha oo aan shaqeynin haddii aan la daaweyn.
Xumad rheumatic ah waa cudurka infalawanso- mareenka infalawansada kaas oo ku dhici kara natiijo ka yimaada xummad dhuunta ah ama xummad casaan .
Marka tani dhacdo, nidaamka difaaca ayaa si aan caadi aheyn uga jawaab celiya caabuqyada daba-dheeraaday iyo si tartiib-tartiib ah udubdhiga kalsiyumka ku jira gudaha iyo hareeraha qalabka wadnaha.
Xumad rheumatic ah ayaa ugu badan carruurta iyo dhallinyarada. Inkasta oo xinjirta strepku ay ku badan tahay Maraykanka, xummad rheumatic ah ayaa loo arkaa inay naadir tahay waddamada horumaray.
Sababta Cudurka Wadnaha
Xummadda rheumatic ah waxay kicin kartaa wadno xanuunka, ama dusha sare ee wadnaha ( pericarditis ), gudaha wadnaha ( endocarditis ), ama lugta muruqa laftiisa ( miyokarditis ).
Dadka qaba dhibaatada endokarditis-ka, jawaab-celinta ayaa keeni karta dhaawac joogta ah hal ama in ka badan oo ka mid ah afarta qalabka wadnaha . Marka waxyeellada noocan ahi dhacdo, waxay caadiyan ka sii dartaa wakhti ka dambeeya.
Cudurka wadnaha ee rheumatic wuxuu ku dhacaa qiyaastii kala bar dadka oo dhan oo ku dhacay qandho daran oo rheumatic ah. Kiisaska intooda badan waxaa lagu ogaadaa 10 ilaa 20 sano kaddib marka ay dhacdo dhacdo rheumatic ah.
Kuwa ka soo jeeda qulqulado badan ayaa ah khatar ugu weyn.
Calaamadaha Cudurka Wadnaha Rheumatic
Cudurka wadnaha ee Rheumatic wuxuu kuusoo gudbin karaa dhibaatooyin kala duwan iyadoo ku xiran hadba nooca caarada la saameeyey iyo sida habka loo xirxiray.
Waxaa ka mid ah noocyada ugu caamsan ee cudurka wadnaha ee rheumatic ah:
- Cudurka mitral-mareenku wuxuu loola jeedaa deebaajiga xad-dhaafka ah ee kalsiyum saaran mitral mitral ah. Galka mitralku waa qalab kaas oo u ogolaanaya socodka dhiigga ka yimaada bidixda bidix illaa xuubka bidix. Rugta calcium waxay ka hortagi kartaa in gaaska laga furo gebi ahaanba ( mitral stenosis ) ama furan yahay. Tan ugu dambeyntii waxay keenaysaa xiro cufan, oo badanaa loo yaqaan ' regretting mitral' .
- Cudurka Aortic valve waa mid ka mid ah qulqulka calciumka xad-dhaafka ah uu saameeyo xirmidda aortiska ee ka soocaya xuubka bidix ee ka soo baxa duufaanka. Miisaaniyadani waxay u horseedi kartaa horumarinta aortic stenosis , aortic regurgitation , ama labadaba.
- Dib-u-hagaajinta Tricuspid waxay ku lug leedahay quwadda tricuspid ee ka soocaysa xagalka saxda ah ee ka soo galaya xuubka bidixda. Xaaladdu caadi ahaan waxay la socotaa cudurada aortic iyo / ama mitral ah.
- Qalitaanka garaaca wadnaha, heerka wadnaha oo aan caadi ahayn oo joogto ah oo ay sababto hoos u dhaca dhiigga, ayaa inta badan lala xiriiriyaa mitral-dareenka mitral ah.
Daweynta Cudurka Wadnaha Rheumatic
Sida cad, habka ugu wanaagsan ee wax looga qaban karo xaalad sida cudurada wadnaha ee rheumatic waa in laga hortago. Tani waxay u baahan tahay isticmaalka gardarada ah ee antibiyootigga si loo daaweeyo xinjirta fidsan ama xummad guduudan, labadaba waxaa keena kooxo jeermiska 'streptococcal' ah.
Marka uu qofku yeeshay qandho jaban, waxaa muhiim ah in laga hortago dhacdooyinka mustaqbalka. Dadka qaba caddaynta cudurada wadnaha ee rheumatic, daaweynta antibiyootiga oo joogto ah ayaa loo isticmaali karaa qaab daaweyneed (ka hortag) ah . Si loo yareeyo barar, aspirin, steroids, ama daroogooyinka aan infakshanka lahayn (NSAIDs) ayaa loo qori karaa.
Dadka ku dhacay qandhada rheumatic ah waa inay maraan imtixaan jirka ah sanadkiiba si ay u eegaan muruqa wadnaha ee suurta galka ah ama wax kale oo aan caadi ahayn ee wadnaha.
Haddii lagaa helo cudurka wadnaha ee rheumatic, waxaa muhiim ah in xaaladdaada si joogta ah loola socdo lala socdo echocardiogram iyo qalabka kale ee lagu ogaanayo. Maaddaama dhibaatooyinka wadnaha wadnaha ay u muuqdaan kuwo ka sii daraya waqti ka dib, imtixaannada joogtada ah waxay kaa caawin karaan in la go'aamiyo haddii iyo marka qalitaanka isugeynta loo baahan yahay.
Waqtiga qalliinka beddelka ayaa muhiim u ah in aad rabto in aad sameyso qalliinka ka hor intaan qofka tayada noloshu si dhab ah u dhicin, laakiin maahan waqti hore markaa khatarta qofka ku nool ee dheeraadka ah ee nadiifinta farshaxanka .
> Ilo:
> Rothenbühler, M .; O'Sullivan, C .; Stortecky, S. et al. "Kormeer firfircoon oo loogu talagalay Cudurka Wadnaha Rheumatic ee Gobollada Endemic: Dib-u-eegis nidaamsan iyo Muuqaal-Falanqeyn ee Meel-marinta Carruurta iyo Dhalinyarada." Lancet Glob Health. 2014; 2: e717. DOI: 10.1016 / S2214-109X (14) 70310-9.
> Watkins, D .; Johnson, C .; Colquhoun, S. et al. "Global, Regional, iyo National Burden ee Cudurka Wadnaha Rheumatic, 1990-2015." N Engl J Med . 2017; 377: 713. DOI: 10.1056 / NEJMoa1603693.
> Zühlke, L .; Engel, M .; Karthikeyan, G. et al. "Astaamaha, Dhibaatooyinka, iyo Nusqaamaha Hawlaha Taageerada ku Salaysan ee Cudurka Wadnaha ee Rheumatic ah: Diiwaanka Global Rheumatic Heart Disease (Daraasad REMEDY)." Eur Heart J. 2015; 36: 1115. DOI: 10.1093 / eurheartj / ehu449.