University of Split. University Department of Health Studies.
Abstract
Razlikujemo stečene i prirođene srčane greške.
Sve srčane greške koje nastaju kao posljedica bolesti zalistaka, kao i sve druge koje čovjek stekne u tijeku života, nazivamo stečene srčane greške. Srčane greške s kojima se čovjek rodi nazivaju se prirođene ili urođene srčane greške.
Srčane greške koje se javljaju na mitralnom zalisku su mitralna stenoza, mitralna insuficijencija, prolaps mitralnog zaliska i miješana mitralna bolest.
Navedene srčane greške dijagnosticiramo elektrokardiografijom, rendgenogramom, ehokardiografijom, te kateterizacijom srca i angiokardiografijom. Liječenje svih bolesti mitralnog zaliska može biti medikamentozno, te kirurško. Prije i nakon kirurškog liječenja vrlo je bitna rehabilitacija bolesnika. Fizioterapeutski preoperativni postupci obuhvaćaju procjenu kroz fizioterapeutski karton i edukaciju bolesnika, dok u postoperativnoj fazi koristimo različite tehnike poput dijafragmalnog disanja, CLINFLO aparata, položajne drenaže, pozicioniranja pacijenata u krevetu, vježbi cirkulacije, perkusije, vibracije i inhalacijske terapije.
Za uspješnu rehabilitaciju pored fizioterapeutskih znanja i vještina, najvažnija je aktivna suradnja s bolesnikom, jer ga tako možemo maksimalno rehabilitirati i pripremiti za aktivnosti svakodnevnog života.We discriminate acquired and congenital heart disease.
All heart defects that arise as a result of valvular disease, as well as any others that we may acquire in the course of life, we call acquired heart defects. Cardiac diseases with which man is born are called congenital heart defects.
Heart defects that occur in the mitral valve are mitral stenosis, mitral regurgitation, mitral valve prolapse and mixed mitral disease.
These heart defects could be diagnosed by electrocardiography, x-ray, echocardiography, and cardiac catheterization and angiocardiography. The treatment of mitral valve disease may be hormonal and surgical. Before and after surgical treatment is very important to rehabilitate the patient. Physiotherapy preoperative procedures include assessment through physiotherapy card and patient education, while in the post-operative phase we use various techniques such as inferior breathing, apparatus CLINFLO, positional drainage, positioning patients in bed, circulation excercises, percussion, vibration and inhalation therapy.
For successful rehabilitation physiotherapy in addition to knowledge and skills, the most important is active cooperation with the patient, because like that we can rehabilitate maximum and prepare for activities of daily living
