yurak tug’ma nuqsonlari-congenital heart disease

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врожденные пороки сердца yurak tug’ma nuqsonlari - congenital heart disease yurak tug’ma poroklari yoki congenital heart disease – bu odam tug’ilganida mavjud bo’lgan tomirlar va yurak nonormal anatomiyasi yoki nonormal funksiyalari bilan xarakterlanovchi kasalliklarning katta guruxi (xattoki ular klinik jixatdan kech yuzaga kelsa ham). chd klinikada qanday namoyon bo’ladi? sianoz (rangparlik yoki «ko’karish» –diffuz sianoz,kislota-asos balansining buzilishi,rivojlanishda to’xtab qolish) yurak yetishmovchiligi o’pka gipertenziyasi boshqalar – infeksion endokardit, yurak to’xtash xolati, to’satdan o’lim) yurak tug’ma poroklari oq ko’k left-to-right shunts atrial septal defect atrioventricular (av) septal defect ventricular septal defect patent ductus arteriosus aorticopulmonary septal defect persistent truncus arteriosus coronary arteriovenous fistula anomalous pulmonary origin of the coronary artery aortic sinus aneurysm and fistula valvular and vascular lesions with or without right-to-left shunt (1) aortic arch obstruction localized juxtaductal coarctation hypoplasia of the aortic arch congenital valvular aortic stenosis discrete subaortic stenosis supravalvular aortic stenosis hypoplastic left heart syndrome congenital aortic …

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positions of the heart and cardiac apex other conditions congenital pericardial defects single atrium single ventricle (univentricular atrioventricular connection) congenital arrhythmias congenital complete heart block supraventricular tachycardia embrionda (33-37 kunda – а,в, с, д) va tug’ilgan zahotidaki (е) yurak bo’lmachasi sxemasi odam embrioni yuragining sxematik kesmasi(embrionda o’lchami 15 – umumiy qorinchalar, embrionda 19 мм o’lchamli to’siq paydo bo’lishi) bola embrionida yirik tomirlarning rivojlanishi odam embrionida qon aylanishi yurak tug’ma poroklarining rivojlanish sabablari bu genetik anomaliyalar bilan bog’liq, sababi quyidagilar bo’lishi mumkin: nasliy omillar embrion rivojlanishining 1-trimestrida xromosoma aparatiga ta’sir etish va b.. - tyg’ma yurak poroklari rivojlanishida ma’lum sabablar bo’lajak onada xomiladorlikning birinchi trimestrida virusli infeksiya (asosan – qizilcha) xomiladorlik vaqtida alkogol qabul qilish xomiladorlik paytida ba’zi dori preparatlarini qabul qilish (litiy, talidomid) xomiladorlik vaqtida onada sle tug’ma yurak poroklari chastotasi– 8:1000 ba’zi tug’ma yurak poroklarini solishtirma o’girligi (в %%) ventricular septal defect 30.5 atrial septal defect 9.8 patent ductus …

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efects, e = central muscular defects, f = inlet defect, g = apical muscular defects. дмжп (схема кровотока) дмжп – ko’krak qafasi rg (sharsimon yurak) дмжп (эхокг) ochiq arterial yo’l (qon oqish sxemasi) оchiq arterial yo’l – ko’krak qafasi rg – yo’l oxaklanishining ko’rinishi ochiq arterial yo’l – transvenoz kirib borish orqali operativ yordam operatsiyaga bemorni tayyorlash: fizik yuklamani cheklash respirator kasalliklar profilaktikasi infeksion endokardit profilaktikasi aaf ingibitiri jarroxlik yo’li bilan davolashga obsolyut ko’rsatma –o’ng qorincha xajmining 2 marta oshishi agar bemor o’z vaqtida operatsiya qilinmasa: i etap - xajmga bog’liq o’pka gipertenziyasi kichik qon aylanish doirasi tomirlarining organik o’zgarishi rivojlanishi natijasida qaytmas jarayonga transformatsiyalanadi ii etap – o’ng kameradaki bosim chapiga teng yoki keyinchalik undan yuqori bo’lganda – defekt orqali qon oqimi yo’nalishi o’zgaradi eyzenmenger sindromi eyzenmenger sindromi eyzenmenger sindromi bor bemorlarni davolash fizik yuklamalarni cheklash oksigenoterapiya nitratlar (+ no ingalatsiyasi) antiagregantlar gemoglobin miqdori 170 g/l dan oshganda – …

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врожденные пороки сердца yurak tug’ma nuqsonlari - congenital heart disease yurak tug’ma poroklari yoki congenital heart disease – bu odam tug’ilganida mavjud bo’lgan tomirlar va yurak nonormal anatomiyasi yoki nonormal funksiyalari bilan xarakterlanovchi kasalliklarning katta guruxi (xattoki ular klinik jixatdan kech yuzaga kelsa ham). chd klinikada qanday namoyon bo’ladi? sianoz (rangparlik yoki «ko’karish» –diffuz sianoz,kislota-asos balansining buzilishi,rivojlanishda to’xtab qolish) yurak yetishmovchiligi o’pka gipertenziyasi boshqalar – infeksion endokardit, yurak to’xtash xolati, to’satdan o’lim) yurak tug’ma poroklari oq ko’k left-to-right shunts atrial septal defect atrioventricular (av) septal defect ventricular septal defect patent ductus arteriosus aorticopulmonary septal defec...

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