So valve a ɛwɔ wo koma nifa so no haw wo? Momma yensua Tricuspid Valve Yare no ho ade wɔ nsɛm a ɛnyɛ den mu!

So ɛtɔ mmere bi a wote nka sɛ woabrɛ ara kwa, na wo home yɛ wo yaw kakra? Anaasɛ wote nka sɛ wo nan ne wo nan ase ahonhon kakra? Ebia wote nka sɛ wo koko rebɔ denneennen, wo koma bɔ ntɛmntɛm. Ɛtɔ mmere bi a, saa nneɛma yi betumi afi sintɔ bi a ɛwɔ yɛn koma mu ntini ketewaa bi mu, titiriw tricuspid valve no mu. Enti ɛnnɛ yɛbɛka eyi ho asɛm akɔ akyiri kakra , wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne Tricuspid Valve Yare?

Sɛ yɛbɛka no tiawa a, tricuspid valve yare yɛ tebea a tricuspid valve a ɛwɔ adan abien a ɛwɔ yɛn koma nifa so (atrium nifa ne ventricle nifa) ntam no ntumi nyɛ adwuma yiye. Susuw ho hwɛ, yɛn koma yɛ afiri a ɛyɛ nwonwa. Ɛwɔ adan akɛse anan. Saa tricuspid valve yi yɛ valve anan a ɛwɔ koma no mu no mu biako. Ɛte sɛ ɔpon bi. N’adwuma titiriw ne sɛ ɛbɛma mogya akɔ ɔkwan biako pɛ so, na ɛnyɛ sɛ ɛbɛsan akɔ akyi.

Sɛ yɛbɛkyerɛkyerɛ mu kakra a, mogya a oxygen nnim boaboa ano fi nipadua no nyinaa mu kɔhyɛn atifi dan a ɛwɔ koma no fã nifa (atrium nifa) no mu. Efi hɔ no, mogya yi fa tricuspid valve no mu kɔ ɔdan a ɛwɔ fam a ɛwɔ nifa so (nifa so ventricle) no mu. Afei, wofi saa dan a ɛwɔ fam yi mu no, wɔde mogya no kɔ ahurututu no mu na ama wɔanya mframa pa. Enti sɛ saa tricuspid valve yi ntumi nyɛ adwuma yiye a, ebetumi aka mogya a ɛkɔ nipadua no mu yi nyinaa.

Dɛn ne tricuspid valve yare ahorow no?

Wobetumi akyekyɛ saa tricuspid valve haw ahorow yi mu ayɛ no ahorow abiɛsa:

1. Tricuspid Atresia a ɛwɔ nipadua no mu

Eyi yɛ komayare a ɛwɔ hɔ bere a wɔawo no. Nea ɛkɔ so wɔ ha ne sɛ ntini a ɛyɛ den bi wɔ baabi a ɛsɛ sɛ tricuspid valve no wɔ. Ɛno kyerɛ sɛ valve biara nni hɔ, ɔpon biara nni hɔ. Eyi mma mogya ntumi mfi soro nifa dan no mu nkɔ nifa fam dan no mu. Eyi nso betumi aka sɛnea nifa so dan a ɛwɔ fam no nyin. Mpɛn pii no, ɛsɛ sɛ wɔyɛ nkokoaa a wɔwɔ saa tebea yi oprehyɛn.

2. Tricuspid Regurgitation a ɛma nipadua no kɔ nipadua no mu

Nea ɛkɔ so wɔ ha ne sɛ valve no ntumi nto mu yiye. Fa no sɛ ɔpon a ɛnto mu yiye, te sɛ nea ɛda hɔ kakra. Bere biara a ɔdan a ɛwɔ fam a ɛwɔ nifa so (venttricle nifa) no bɛtwetwe no, mogya kakra tu kɔ akyi, ɔkwan a ɛnteɛ so, kɔ ɔdan a ɛwɔ soro (atrium nifa so) no mu. Ɛte sɛ nea sɛ wɔma mframa fi balloon mu a, mframa no guan. Bere a mogya no kɔ akyi no, ɔdan a ɛwɔ soro no tumi boaboa ano na ɛyɛ kɛse. Eyi betumi asakra nhyɛso a ɛwɔ koma no mu, na bere kɔ so no, ebetumi asɛe koma no.

3. Tricuspid Stenosis a Ɛyɛ Fɛ

Wɔ saa tebea yi mu no , tricuspid valve no bue yɛ teateaa, anaasɛ valve no nhaban no yɛ den na ɛyɛ den.Ɛte sɛ nea sɛ nsu paipu mu ntini a awuwu siw a, ɛyɛ den sɛ nsu no bɛsen. Eyi siw mogya a efi ɔdan a ɛwɔ soro no mu kɔ ɔdan a ɛwɔ fam no ano. Bere kɔ so no, ɔdan a ɛwɔ soro nifa no betumi ayɛ kɛse, na aka mogya a ɛkɔ ne nhyɛso. Eyi nso betumi atew mogya a oxygen wom a ɛfa ahurututu no mu na ɛkɔ nipadua no nyinaa mu no so.

Nea ɛho hia no, saa tricuspid valve haw ahorow yi betumi aba abom ne ɔhaw ahorow a ɛfa valve afoforo a ɛwɔ koma no mu (sɛ nhwɛso no, mitral valve anaa aortic valve) ho.

Sɛ tricuspid valve no anyɛ adwuma yiye a, dɛn na ɛba?

Sɛ tebea no mu nyɛ den a, ebia sɛnkyerɛnne anaa ɔhaw biara nni hɔ. Nanso, sɛ tebea no yɛ nea ɛkɔ fam anaasɛ emu yɛ den a, koma no betumi ayɛ kɛse na bere kɔ so no, ebetumi asɛe koraa. Enti, ɛho hia paa sɛ yehu eyi.

Dɛn ne nneɛma a ɛde tricuspid valve yare ba?

Nneɛma pii nti na ebetumi ama tebea yi aba. Ma yɛnhwɛ nea wɔyɛ:

• Carcinoid syndrome: Eyi yɛ tebea a kokoram bi a wɔntaa nhu na ɛde ba.
• Mfomso a wonya fi awo mu (wɔwoo no bere a wɔwoo no): Sɛ nhwɛso no, tebea bi a wɔfrɛ no Ebstein anomaly.
• Nifa so ahurututu a ɛtrɛw: Eyi betumi afi komayare afoforo mu aba.
• Nyarewa: Koma mu ntini mu yare te sɛ atiridiinini anaa koma mu yare.
• Nnuru bi: titiriw fenfluramine ne phentermine (nnuru kuw bi a wɔfrɛ no ‘fen-phen’ a ɛboa wo ma wo mu duru so tew).
• Ayaresa mu tebea afoforo: te sɛ lupus, Marfan syndrome, anaa ntini mu yare.
• Ahurututu mu mogya mmoroso: Nhyɛso a ɛkɔ soro wɔ ahurututu mu mogya ntini mu.
• Koma no mu ahodwiriw: Eyi betumi afi komayare, koma ntini mu nhwehwɛmu, anaa afiri a ɛma koma no bɔ kɛse a wɔde hyɛ mu.
• Mframa a wɔde sa akisikuru anaa koko no fã.

Dɛn ne tricuspid valve yare ho sɛnkyerɛnne?

Nsɛnkyerɛnne no betumi ayɛ soronko wɔ onipa biara ho. Ebia nnipa binom renkyerɛ sɛnkyerɛnne biara gye sɛ tebea no mu yɛ den. Nanso, wɔ tebea horow a emu yɛ den kosi nea emu yɛ den mu no, wubetumi anya yare no ho sɛnkyerɛnne te sɛ:

• Ɔbrɛ anaa mmerɛwyɛ kɛse a wobɛte nka.
• Koma a ɛbɔ a ɛnteɛ (Arrhythmia): Nsakrae a ɛnteɛ a ɛba sɛnea koma no bɔ ntɛmntɛm mu.
• Swelling (Edema): Yafunu, nan, anan, anaa anan a ɛho ahonhon.
• mmerɛbo a ayɛ kɛse.
• Koma mu nwiinwii: Wotumi te eyi bere a oduruyɛfo de afiri a wɔde tie asɛm tie no.
• Pulsing anaa fluttering atenka wɔ koko anaa kɔn mu, reflux.
• Ɔhome a ɛyɛ den (Dyspnea).
• Wora a ɛyɛ nwini a ɛyɛ soronko.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu.

Ɔkwan bɛn so na wohu sɛ obi anya tricuspid valve yare?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ahwɛ wo. Ɛno kyerɛ sɛ:

• Merebisa wo sɛnkyerɛnne ahorow no ho asɛm.
• Ka wo nyarewa a atwam ne nnuru a wonom ho asɛm.
• Wɔte ntini a ɛwɔ wɔn kɔn mu no nka.
• Sɛ wode afiri a wɔde tie asɛm tie koma no.
• Wɔbɛsusuw wo mogya mmoroso.

Wɔ nhwehwɛmu a edi kan yi akyi no, sɛ wosusuw sɛ wowɔ komayare bi a, obetumi de wo akɔma komayare ho oduruyɛfo anaasɛ ɔhyɛ sɛ wɔnyɛ nhwehwɛmu pii, te sɛ:

• Mogya mu nhwehwɛmu.
• Koma mu catheterization (a wɔsan frɛ no koma cath anaa angiogram).
• X-ray a wɔde yɛ koko.
• Echocardiogram: Eyi te sɛ koma no mu ultrasound scan.
• Electrocardiography (EKG) a wɔde yɛ adwuma.
• Apɔw-mu-teɛteɛ adwennwen sɔhwɛ.
• Koma mu MRI.
• Transesophageal echocardiography a wɔde yɛ adwuma.

Saa sɔhwɛ ahorow yi betumi ama woate wo koma tebea ne sɛnea wo ntini ahorow no yɛ adwuma no ase pefee.

Ɔkwan bɛn so na wɔsa tricuspid valve yare?

Oduruyɛfo no bɛkamfo ayaresa nhyehyɛe a egyina wo nhwehwɛmu no mu aba ne wo sɛnkyerɛnne ahorow so akyerɛ.

• Ebia nea ehia ara ne sɛ wobɛkɔ wo duruyɛfo nkyɛn mpɛn pii, ayɛ nhwehwɛmu, na woahwɛ wo tebea no so (sɛ nhwɛso no, asram asia biara anaa pɛnkoro afe biara).
• Ebia wo duruyɛfo bɛkyerɛw nnuru bi ama wo de atew yare no ho sɛnkyerɛnne so anaasɛ asiw nsɛnnennen ano:
• Nnuru a wɔde ko tia apɔw-mu-teɛteɛ.
• Nnuru a esiw angiotensin-dannan enzyme (ACE) ano.
• Nnuru a ɛko tia mogya a ɛtwetwe mogya.
• Digoxin, a wɔde ma wɔ komayare ho.
• Nnuru a ɛma nsu fi nipadua no mu (a wɔsan frɛ no ‘nsu aduru’) boa ma woyi nsu a ɛboro so fi nipadua no mu.

Sɛ tebea no mu yɛ den anaasɛ emu yɛ den a, ebia ɛho behia sɛ wɔyɛ oprehyɛn (tricuspid valve oprehyɛn) de siesie valve no anaasɛ wɔsesa.

So wobetumi asiw tricuspid valve yare ano?

Mpɛn pii no, ɛyɛ den sɛ yebesiw tebea yi ano koraa, efisɛ nneɛma bi a ɛde ba (te sɛ awo mu dɛmdi) yɛ nea yentumi nyɛ ho hwee.Nanso, sɛ wowɔ aduruyɛ mu tebea afoforo a ebetumi ama yare yi aba (sɛ nhwɛso no, atiridiinini, mogya mmoroso) a, ɛho hia sɛ wunya saa tebea horow no ho ayaresa a ɛfata na wudi wo duruyɛfo afotu akyi. Afei nso, mpɛn pii no, asetra pa a wobedi akyi no ye ma koma no.

Anidaso bɛn na wubetumi anya sɛ wowɔ tricuspid valve yare a?

Mpɛn pii no, ɛyɛ yiye sɛ wobɛtra ase pa wɔ tricuspid valve yare ho. Nnipa dodow no ara di ho dwuma yiye denam wɔn duruyɛfo a wɔkɔ wɔn nkyɛn daa ne nnuru a ɛfata a wɔde ma no so. Sɛ ɛho hia a, mpɛn pii no wobetumi asiesie tebea no denam oprehyɛn a wɔde besiesie anaa wɔbɛsesa valve no so.

Nanso, wɔ nnipa a wɔwɔ yare a emu yɛ den a wonnya ayaresa fam no, tebea no betumi asɛe kɛse. Wɔ tebea horow a ɛtete saa mu no, nneɛma a edidi so yi betumi asi:

• Nsɛnkyerɛnne a ɛreyɛ kɛse nkakrankakra.
• Nsuo a ɛboaboa ano wɔ yafunu mu (Ascites).
• Mogya a ɛtwetwe.
• Mmerɛbo a ɛsɛe esiane komayare (Cardiac cirrhosis) nti.
• Koma no sɛe daa.
• Koma a entumi nyɛ adwuma yiye.

Enti, sɛ wowɔ yare no ho sɛnkyerɛnne bi a, nyansa wom sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara.

Sɛ mewɔ tricuspid valve yare a, mɛyɛ dɛn ahwɛ me ho?

Nnipa a wɔwɔ tricuspid valve yare no wɔ asiane mu sɛ wobenya koma valve yare a wɔfrɛ no endocarditis, enti ɛho hia sɛ woyɛ nneɛma yi de bɔ wo ho ban:

• Sɛ wunya yare no ho sɛnkyerɛnne te sɛ nipadua mu yaw, atiridiinini, anaa menewa a ɛyɛ wo yaw a, frɛ wo duruyɛfo ntɛm ara.
• Fa aduruyɛ krataa a ɛkyerɛ sɛ wowɔ valve yare bere nyinaa sɛ ebia wuhia ayaresa a egye ntɛmpɛ a.
• Ka kyerɛ akwahosan ho adwumayɛfo a wɔsa wo yare nyinaa, a wo sẽ ho oduruyɛfo ka ho, sɛ wowɔ valve yare.
• Kwati ɔyare mmoawa a ɛbɛba sẽ ne anom, efisɛ saa nyarewa yi betumi afa mogya no mu akɔ koma no mu ntini ahorow no mu. Kɔ sẽ ho oduruyɛfo nkyɛn daa na hohoro wo sẽ yiye.
• Bisa wo koma ho ɔyaresafo sɛ ɛsɛ sɛ wonom nnuru a ekum ɔyare mmoawa ansa na woayɛ wo sẽ ayaresa, aduruyɛ, ne oprehyɛn a ebetumi ama mogya atu wo anaa.

Dɛn bio na ɛsɛ sɛ mibisa me duruyɛfo fa tricuspid valve yare ho?

Sɛ wowɔ tricuspid valve yare a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo nsɛm yi:

• Dɛn na ɛde tebea yi reba me so?
• So ɛsɛ sɛ yɛhwɛ tebea yi ara kwa, fi ase nom nnuru, anaa yesusuw oprehyɛn ho?
• Bere bɛn na ɛsɛ sɛ mekɔ ayaresabea ntɛm ara?

Nsɛmmisa yi akyi no, bisa wo duruyɛfo no biribiara a wowɔ ho asɛm.

Awiei koraa no, kae (Take-Home Message) .

Tricuspid valve yare yɛ ɔhaw a ɛwɔ yɛn koma mu valve anan no biako ho. Saa valve yi ntumi ntoto yiye, na ɛma mogya tu kɔ akyi (regurgitation), anaasɛ valve no betumi ayɛ teateaa na asiw mogya no kwan (stenosis). Eyi betumi ama yare no ho sɛnkyerɛnne te sɛ ɔbrɛ, ahome a ɛyɛ tiaa, ahohoro, koko mu yaw, na bere kɔ so no, ebetumi asɛe koma no.

Sɛ wowɔ saa nsɛnkyerɛnne yi a, mma wo ho nnyɛ wo hu na ntwentwɛn wo nan ase, kɔ w’abusua oduruyɛfo anaa komayare ho oduruyɛfo nkyɛn. Obetumi ahwehwɛ wo tebea no mu na sɛ ɛho hia a, wahwɛ wo akɔ akyiri, akyerɛw wo nnuru a wode bedi wo sɛnkyerɛnne ahorow no so, anaasɛ ɔkamfo oprehyɛn a wɔde besiesie/sesa valve no. Mma wo werɛ mmfi sɛ sɛ wosa wo yare yiye na wudi wo duruyɛfo akwankyerɛ akyi a, wubetumi atra ase a ahoɔden wom!

` Tricuspid valve yare, koma valve yare, komayare, ahome a ɛyɛ tiaa, koko mu yaw, nan a ɛho ahonhon, koma a ɛbɔ