Momma yensua Mitral Valve Prolapse ho ade.

So ɛtɔ mmere bi a wote nka sɛ wo koko rebɔ, sɛ worekɔ akyirikyiri mpo a, ɛyɛ den ma wo sɛ wobɛhome, anaasɛ wote nka sɛ woabrɛ da mũ nyinaa kɛkɛ? Ɛwom sɛ nnipa pii susuw sɛ eyinom yɛ nneɛma a ɛfata de, nanso ɛtɔ mmere bi a, ebia ɔhaw ketewaa bi wɔ koma no mu wɔ eyi akyi. Mitral Valve Prolapse yɛ tebea a nnipa pii hu, nanso mpɛn pii no ɛnyɛ asiane. Momma yɛnka eyi ho asɛm nnɛ ara kwa.

Sɛ yɛbɛka no tiawa a, dɛn ne Mitral Valve Prolapse (MVP)?

Fa wo koma sɛ ofie a ɛwɔ adan anan. Apon wɔ saa adan yi ntam a ɛma mogya tu kɔ anim ne akyi. Saa apon yi ne nea yɛfrɛ no "valves" wɔ aduruyɛ mu. Wɔte sɛ apon a ebue ɔkwan biako pɛ.

Mitral Valve yɛ ɔpon a ɛda ɔdan a ɛwɔ soro (benkum so atrium) ne ɔdan a ɛwɔ fam (benkum so ventricle) a ɛwɔ wo koma benkum so no ntam. Saa valve yi bue na ɛto mu bere biara a wo koma bɛbɔ, na ɛhwɛ mogya a oxygen pii wom a ɛkɔ ɔkwan pa so no so.

Mitral Valve Prolapse (MVP) yɛ tebea a ɛma saa valve yi nkrataa abien no ntoto yiye na mmom ɛkɔ akyi, kɔ benkum so atiridiinini no. Ɛte sɛ ɔpon a ɛnto mu yiye na ɛkotow kɔ akyi kakra. Ɛtɔ mmere bi a eyi betumi asiw valve no ano koraa.

Nanso mma ɛnhaw wo. Eyi yɛ tebea a abu so yiye, ɛka wiase nnipa dodow 2% kosi 3%. Nnipa pii nnim mpo sɛ wɔwɔ bi efisɛ wonni sɛnkyerɛnne biara. Ɛte saa efisɛ valve no abɔ kakra, nanso ɛda so ara yɛ adwuma yiye.

Nsɛnkyerɛnne bɛn na obi a ɔwɔ MVP betumi anya?

Ɛwom sɛ nnipa dodow no ara nni yare no ho sɛnkyerɛnne de, nanso nnipa binom betumi anya saa nneɛma yi. Saa sɛnkyerɛnne ahorow yi mma obiara wɔ ɔkwan koro so.

Dɛn nti na biribi a ɛte sɛɛ si?

Nea ɛde MVP ba titiriw ne sɛnea valve no ntini no yɛ mmerɛw. Wɔ aduruyɛ mu no, wɔfrɛ eyi ``myxomatous degeneration''. Sɛ yɛbɛka no tiawa a, valve no ntini no yɛ mmerɛw na ɛtrɛw te sɛ rɔba dedaw bi. Ɛnyɛ bere nyinaa na wohu nea ɛde ba ankasa.

• Awosu: Ɛtɔ da bi a, sɛ ɛkɔ so wɔ abusua no mu a, ebetumi aka mmofra nso. Eyi kyerɛ sɛ awosu mu nkɛntɛnso bi wɔ hɔ.
• Ayaresa mu tebea afoforo: Nnipa a wɔwɔ ntini a ɛka bom yɛ adwuma no wɔ asiane kɛse mu sɛ wobenya MVP. Sɛ nhwɛso no, tebea horow te sɛ Marfan yare ne Ehlers-Danlos yare.
• Asiane afoforo: Nnipa a wɔwɔ tebea horow te sɛ akisikuru, scoliosis, ne Graves yare nso wɔ asiane mu kakra.

So eyi betumi de nsɛnnennen afoforo aba?

Ɛwom sɛ nnipa dodow no ara nhyia ɔhaw biara de, nanso nnipa binom, titiriw wɔn a wɔwɔ tebea a emu yɛ den kɛse no, betumi anya ɔhaw ahorow bi.

Ɔhaw titiriw a ɛde ba ne tebea bi a wɔfrɛ no Mitral Regurgitation . Eyi ne bere a valve no ntumi nto mu yiye, na ɛma mogya tu kɔ ɔkwan a ɛnteɛ so, fi benkum ventricle no mu san kɔ benkum atrium no mu. Sɛ saa nsu a ɛtwetwe yi kɔ soro a, ɛsɛ sɛ koma no yɛ adwumaden kɛse.

Sɛ Mitral Regurgitation mu yɛ den a, nsɛnnennen a edidi so yi betumi aba:

• Koma a entumi nyɛ adwuma yiye
• Nyarewa a ɛba valve no mu (`Infective endocarditis`) .
• Koma a ɛbɔ daa, sɛ nhwɛso no `(Atrial fibrillation)`
• Nnwodwoɔ
• Ɛntaa mma sɛ koma no nnyigyei a ɛnkɔ so pɛpɛɛpɛ (`Ventricular arrhythmias`) betumi ama koma no awu mpofirim.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo wo yare no ho sɛnkyerɛnne ne sɛ ebia obi wɔ w’abusua mu a ɔwɔ komayare anaa. Afei ɔde afiri a wɔde tie asɛm bɛtie wo moma so.

Sɛ oduruyɛfo retie obi a ɔwɔ MVP koma a, ebia ɔbɛte nnyigyei bi a ɛda nsow. Ɛyɛ ‘klik’ nnyigyei, na ‘whoosh’ nnyigyei (nwiinwii) di akyi . Eyi nti na nnipa binom frɛ saa tebea yi ‘click-murmur syndrome’ no.

Sɛ wote saa nnyigyei yi a, wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii bio na ama woahu sɛnea tebea no mu yɛ den.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Asɛmpa no ne sɛ nnipa dodow no ara a wɔwɔ MVP no nhia ayaresa biara . Wo duruyɛfo bɛka akyerɛ wo sɛ bra mu nkɔhwɛ wo daa. Wɔ saa nsrahwɛ ahorow no mu no, wɔbɛyɛ echocardiogram de ahwɛ sɛ ebia valve no tebea asesa anaa.

• Nnuru a wɔde sa yare no ho sɛnkyerɛnne: Sɛ wowɔ sɛnkyerɛnne te sɛ adwenemhaw ne wo koko mu yaw a, ebia wo duruyɛfo bɛkyerɛw nnuru te sɛ beta-blockers ama wo de adi so.
• Nnuru a wɔde siw mogya a ɛbɛtɔ ano: Sɛ wowɔ tebea bi te sɛ atrial fibrillation anaasɛ woadi kan anya akisikuru a, wɔbɛma wo nnuru a wɔfrɛ no anticoagulants a ɛbɛma mogya ansiw.
• Oprehyɛn: Sɛ mogya a ɛsan kɔ koma no mu no mu yɛ den na ɛka koma no a, ebia ɛho behia sɛ wɔyɛ oprehyɛn.
• Mitral valve a wosiesie: Bere biara a ɛbɛyɛ yiye no, nnuruyɛfo bɛbɔ mmɔden sɛ wobesiesie w’ankasa valve. Eyi ne ɔkwan a eye sen biara.
• Mitral valve a wɔde besi ananmu: Sɛ valve no asɛe dodo sɛ wobetumi asiesie a, ɔkwan a wobetumi afa so ne sɛ wɔde valve foforo (mfiri anaa abɔde a nkwa wom) besi ananmu.

Ɛdenam nnɛyi mfiridwuma a ɛkɔ anim so no, wobetumi afa ɔkwan ketewaa bi a wɔatwa (oprehyɛn a wɔmfa nhyɛ mu pii) so ayɛ oprehyɛn ahorow yi a wɔremmue koko no koraa.

Mɛyɛ dɛn ahu sɛ me nso ebehia sɛ wɔyɛ me oprehyɛn?

Ɛnyɛ obiara a ɔwɔ MVP na ohia oprehyɛn. Nnipa bɛyɛ 10 biara mu biako behia oprehyɛn. Ebia ebehia sɛ wɔyɛ wo oprehyɛn sɛ:

• Sɛ wo sɛnkyerɛnne ahorow no mu yɛ den bere kɔ so a .
• Sɛ mogya retu (regurgitation) wɔ valve no mu wɔ ɔkwan a emu yɛ den so a .
• Sɛ scans kyerɛ sɛ koma no ayɛ kɛse (`benkum ventricular ne/anaasɛ benkum atrial dilation`).
• Sɛ wo koma bɔ a ɛnteɛ (arrhythmia).
• Sɛ koma no ntumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu a (ɛtew ejection fraction so).

Bere bɛn na ɛsɛ sɛ mehwehwɛ aduruyɛ mu afotu a egye ntɛmpɛ?

Hwɛ hu sɛ wobɛkɔ akɔhwɛ wo daa sɛnea wo duruyɛfo de afotu ama wo no. Nanso, sɛ sɛnkyerɛnne ahorow a edidi so yi da adi mpofirim a, kɔ ayaresabea bi Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara .

• Koko mu yaw a emu yɛ den mpofirim.
• Nhumu a ɛyera, adwenemhaw a ɛtra so, anaa mmerɛwyɛ a ɛtra so.
• Ɔhome a ɛyɛ den mpofirim a emu yɛ den.
• Sɛ worenom nnuru a ɛmma mogya ntumi nkɔ na wunya akwanhyia te sɛ asehwe , kɔ oduruyɛfo nkyɛn ntɛm ara, sɛ mpo apirakuru biara nni akyi a wotumi hu a, efisɛ asiane wɔ hɔ sɛ mogya bɛtu wo mu.