Tricuspid stenosis prevents and prognostic _'s prevention and health care

Tricuspid stenosis prevents and prognostic _'s prevention and health care
Prognosis: Tricuspid stenosis nearly always amalgamates a pathological change of bicuspid valve and aorta. So, to not only it have bicuspid valve sum (or) A pathological change person of the aorta is more serious and more extensive, so prognostic difference. Need the surgery of conduct to treat, otherwise die from the going on right heart and decline, lung infarction or pulmonary embolism.
Prevent: Wind worry can carry on effective prevention, the main measure includes:
1.Effective first and second class prevention
Effective first class prevention: Refer to the first outbreak which prevents rheumatic fever, the more important thing is to diagnose and treat first chain amygdaline pharyngitis in early days, select medicine as penicillin for the first time. Yellow to shake east scholar, launch colony the intersection of rheumatic fever and first grade with prevent from, study, find first chain amygdaline pharyngitis and go on medicines interfere from in early days in early days, its result reveals, it can make first chain amygdaline pharyngitis case in the colony reduced and up to 95.4% - 100% to intervene for half a year, reach the colony first class prevention result of rheumatic fever.
Second positive prevention: Refer to the recurring of preventing rheumatic fever, it is essential for once suffering from the hot or existing rheumatism patient of wind heart. Rheumatic fever recured and saw in the first 5 years after breaking out for the first time at most, the persons who recured only accounted for 5% 5 years later. It prevent target refer to not it is be clear to having by rheumatic fever medical history mainly and ( Or) Wind worry patient making a definite diagnosis of it. To sending to rheumatic fever and patient without inflammation of heart for the first time, prevent for 5 years after the last rheumatic fever break out, extend to 18- 20 at least; If the person who has inflammation of heart, should lengthen even all one's life. To chronic rheumatism disease of heart valve patient, prevent from time limit take long, generally to 50 year old even all one's life; Even PBMV ( Puncture the bicuspid valve sacculus and expand the skill by the skin) Or changing postoperative one will still prevent rheumatism activity.
2.Main point of the precautionary measures
Prevent rheumatic fever: It is a key, need individuals while using medicines. Inject penicillin, want, watch out for anaphylactic emergence of shock especially, when the clinic is injected, there should be corresponding first aid facilities.
Avoid crowdedly: Especially the intersection of family and bedroom and the intersection of school and classroom, keep, ventilate while being good, unsuitable to come in and go out the intersection of people and crowded place more. Because spreading fast between person and people of first streptococcus, may offer more opportunities that infected.
Make arrangements for the daily life and work rationally: Pay attention to striking a proper balance between work and rest, avoiding spirit and physical overworking and bad and stimulating, being excited, having enough sleep etc., give up smoking and drinking, avoid eating and drinking immoderately and ultra weight. The complete one of heart function should avoid moving vigorously and exerting oneself suddenly, such as running, swimming, weight lifting, drove a cart etc.. Grade person can basically pass normal people's life in heart function, but unsuitable to participate in the sports physical exertion; In the person who greater than or equal toes 2 grade of the heart function should be avoided, heavy manual labor, if does not adapt to having a rest and treating in time. Women patient heart function - 2 grade can consideration gestation, need to observe tightly within pregnancy period, heart function grade more than should not gestation.
Check regularly: The main target is a person who compensates function of heart, 2 grade or the above patient should pay and get involved and surgical treatment actively.
The self- health care ability to master rheumatic fever and wind worry: Patient, worry of wind, want, learn some simple preventive treatment knowledge and skill, examine body temperature, count pulse, listen to heart rate, examine blood pressure, the intersection of quantity and the intersection of urine and quantity, weigh, the intersection of less salt and diet,etc.. And is familiar with rheumatism activity, main clinical manifestation such as membrane inflammation in artery thromboembolism and infective heart in heart failure.
Prevent complication and amalgamate disease: Focal point to prevent in heart failure, patient of wind worry the intersection of less salt and diet, avoid overexertion, work tired, continue, send, infect, arrhythmia very important. Replace to a skill patient a pathological change of the aorta or artificial valve, often use antibiotic to prevent membrane inflammation in the infective heart if necessary.
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