He pilikia paha kou me ka mitral valve o kou puʻuwai? E kamaʻilio kākou e pili ana i ka maʻi Mitral Valve!

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha iki i kou umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka loli koke ʻana o ka wikiwiki o kou puʻuwai? Manaʻo paha ʻoe he mau mea maʻamau kēia. Eia nō naʻe, hiki i kēia ke lilo i mau hōʻailona o kekahi nāwaliwali o ka valve mitral i loko o kou puʻuwai. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i kēia maʻi valve mitral maʻalahi (ʻO ka maʻi Mitral Valve`) .

He aha ka valve mitral? Pehea kāna hana i loko o ka puʻuwai?

I ka ʻōlelo maʻalahi, he ʻōkana kupaianaha kou puʻuwai. He ʻehā ona keʻena nui. Ua like ia me nā lumi o kahi hale. I ka hele ʻana o ke koko ma waena o kēia mau keʻena, aia nā puka liʻiliʻi e hoʻomau i ke kahe ʻana o ke koko i hoʻokahi ala wale nō. ʻO ia ka mea a mākou e kapa nei he mau valves . Aia ka valve mitral ma waena o ke keʻena luna ma ka ʻaoʻao hema o kou puʻuwai (ka atrium hema) a me ke keʻena haʻahaʻa (ka ventricle hema). Ua like ia me kahi puka liʻiliʻi. ʻO kāna hana nui, ʻo ia ka hoʻokuʻu ʻana i ke koko momona i ka oxygen mai nā māmā e hele mai ka atrium hema a i ka ventricle hema. A laila e pamu ka ventricle hema i ke koko ma ke kino holoʻokoʻa. Ua like ka valve mitral me kahi mākaʻi kaʻa , e hoʻokuʻu ana i ke koko e kahe i hoʻokahi ala wale nō a ʻaʻole e hoʻi i hope. No laila, inā ua hōʻino ʻia kekahi mea i loko o kēia valve mitral, a inā ʻaʻole ia e hana pono, a laila ua kapa ʻia ʻo ia he Mitral Valve Disease . Hiki ke hana koke ʻia kēia, a i ʻole hiki ke ulu i ka hala ʻana o ka manawa. Hiki i kekahi poʻe ke hānau ʻia me kēia maʻi (congenital).

He aha nā ʻano nui o ka maʻi valve mitral?

ʻEkolu ʻano nui o ka maʻi mitral valve. E nānā kākou i ko lākou ʻano. E noʻonoʻo i kāu mitral valve e like me ka puka me ʻelua mau flaps (`leaflets` a i ʻole `cusps`). Pono kēia mau flaps e wehe a pani pono e hoʻokuʻu i ke koko. 1. Mitral Valve Stenosis: ʻO kēia ka wā e mānoanoa ai nā flaps, ʻoʻoleʻa, a ʻaʻole e wehe pono. Hoʻohaiki kēia i ke ala no ke koko mai ka atrium hema a i ka ventricle hema. Ua like ia me ka paipu wai i paʻa. Hoʻoikaika kēia i ka puʻuwai e hana ikaika e pamu i ke koko. 2. Mitral Valve Prolapse: ʻO kēia ka wā e lilo ai nā flaps i palupalu loa, a i ka wā e ʻūlū ai ka puʻuwai, puka lākou i loko o ka atrium hema. Kūlou lākou e like me ka lole kahiko. Hiki i kēia ke kumu i ka pani pono ʻole ʻana o ka valve. Inā hana ʻia kēia, i kekahi manawa hoʻomaka ke koko e kahe i hope (`regurgitation`). 3. Mitral Valve Regurgitation: ʻO ka mea maʻamau, ua kapa ʻia kēia he ` `leaky valve`` a i ʻole ``mitral insufficiency``.Ua kapa ʻia hoʻi. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole e pani pono nā ʻāpana o ka valve. A laila, hoʻihoʻi kekahi o ke koko i komo i loko o ka ventricle hema i loko o ka atrium hema. Ua like ia me ka ea e kahe ana mai kahi pōpō i puka. Hiki i kekahi poʻe ke loaʻa ma mua o hoʻokahi o kēia mau ʻano.

ʻO wai ka mea i loaʻa i ka maʻi valve mitral? Pehea ka maʻamau?

Hiki ke ulu kēia maʻi i kēlā me kēia makahiki. Hānau ʻia kekahi mau pēpē me kēia pilikia. Hiki i kekahi mau pākeke ke ulu koke, ma muli o ka maʻi puʻuwai a i ʻole ka hōʻeha puʻuwai . Eia nō naʻe, ulu mālie ia i ka poʻe ʻelemakule i ka nāwaliwali o ka valve. ʻO ke ʻano i kapa ʻia ʻo 'Mitral Valve Prolapse' ʻoi aku ka maʻamau i nā wahine. Eia nō naʻe, hiki ke ʻoi aku ka weliweli inā ulu ia i nā kāne, no ka mea, ʻoi aku ka nui o ko lākou regurgitation koʻikoʻi.

• ʻAʻole maʻamau iki ka Mitral Valve Stenosis ma nā ʻāina e like me ʻAmelika, akā ʻoi aku ka maʻamau ma nā ʻāina kahi i loaʻa pinepine ai ka fiva rumatika .
• ʻOi aku ka maʻamau o ka Mitral Valve Prolapse . Ma kahi o 1 i loko o 33 mau kānaka ma ʻAmelika Hui Pū ʻIa e loaʻa paha iā ia. Akā, ʻaʻole e loaʻa i nā kānaka a pau ke kahe koko nui.
• He mea maʻamau nō hoʻi ka Mitral Valve Regurgitation . Ma kahi o hoʻokahi o 10 mau kānaka ma ʻAmelika Hui Pū ʻIa i ʻōlelo ʻia he leaka i loko o ko lākou valve puʻuwai. ʻO ke ʻano leaka maʻamau ka valve mitral.

He aha nā hōʻailona o ka maʻi valve mitral?

ʻO nā hōʻailona āu e ʻike ai e pili ana i ke ʻano o ka maʻi valve mitral āu e loaʻa ai a me kona koʻikoʻi. I kekahi manawa ʻaʻohe ou hōʻailona iki . A i ʻole e ʻike paha ʻoe i nā mea e like me:

• ʻEha a ʻūmiʻi paha ka umauma.
• ʻŪhū , i kekahi manawa me ke koko iki.
• Ka poniuniu a i ʻole ka māʻule ʻana.
• Luhi a me ka luhi (` Fatigue` ) .
• Nā palpitations o ka puʻuwai . E manaʻo paha ʻoe i ka wikiwiki o ka paʻi ʻana o kou puʻuwai a lohe paha i ke kani o ka paʻi ʻana o kou puʻuwai.
• Hiki i kekahi poʻe ke loaʻa i ka migraines .
• He kūlana i kapa ʻia ʻo "Mitral facies." ʻO kēia ka manawa e ʻike ʻia ai nā papālina he poni-ʻulaʻula.
• ʻO ke ʻano o ka "Orthostatic hypotension" ʻo ia hoʻi ka hāʻule koke ʻana o ke koko i ka wā e kū ana.Hoʻohaʻahaʻa i ke koko .
• Ka pōkole o ka hanu , ʻoiai ke luhi ʻoe a i ʻole ke moe ʻoe.
• Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a me nā kapuwaʻi .

Hiki ke pili pū ʻia kēia mau hōʻailona me nā maʻi puʻuwai ʻē aʻe (atrial fibrillation, heart failure).

He aha nā kumu o ka maʻi valve mitral?

Aia paha he nui nā kumu no kēia. E nānā kākou i nā mea nui:

• Nā kīnā puʻuwai hānau: Hānau ʻia kekahi poʻe me nā pilikia me ka valve mitral.
• Nā maʻi pili pili: ʻO nā hiʻohiʻona e pili ana i nā kūlana e like me ka Marfan syndrome a me ka Ehlers-Danlos syndrome .
• Nā maʻi puʻuwai (endocarditis): Hiki i nā maʻi i loko o ka puʻuwai ke hōʻino i nā valves.
• Ka hoʻonui ʻia ʻana o ka ventricular hema: Hiki ke hana pinepine ʻia kēia e ka hōʻeha puʻuwai a i ʻole kahi kūlana e like me ka cardiomyopathy (nāwaliwali o ka ʻiʻo o ka puʻuwai).
• Ka ʻelemakule ʻana: I kou wā ʻelemakule, hiki i ka calcium ke hōʻiliʻili i loko o kou mau kiwikā puʻuwai. Hiki i kēia ke hoʻomānoanoa i nā kiwikā a hana pono ʻole.
• Lapaʻau radiation: ʻO ka poʻe i loaʻa i ka radiation therapy ma ka umauma e loaʻa paha ka hōʻino ʻana o ka valve puʻuwai 10-20 mau makahiki ma hope.
• Fiva Rheumatic: He fiva kēia i hoʻokumu ʻia e kahi maʻi bacteria. Inā ʻaʻole mālama pono ʻia, hiki iā ia ke hōʻino i nā valves o ka puʻuwai i nā makahiki. I ka wā ma mua, ʻo ia ke kumu nui o ka Mitral Valve Stenosis. I kēia manawa, ma muli o nā antibiotics, ua emi nui kēia.

Pehea e ʻike ʻia ai ka maʻi valve mitral?

Hiki ke hoʻoholo ʻia kēia e ke kauka e nānā ana iā ʻoe a hana i kekahi mau hoʻokolohua .

Hoʻokolokolo kino

E kau ke kauka i kahi stethoscope ma kou umauma a hoʻolohe i nā leo o kou puʻuwai. A laila e nānā lākou i nā leo kikoʻī (murmurs) e pili ana i nā ʻano maʻi mitral valve like ʻole.

• I ka `Mitral Valve Stenosis` : E lohe paha ʻoe i kahi kani i ka wā e hele ai ke koko ma o ka valve i haiki a me kahi kani ``snap`` i ka wā e wehe ai ka valve.
• I ka `Mitral Valve Prolapse` : Hiki ke lohe ʻia kahi leo `click`, a ukali ʻia e kahi `murmur`. Ua kapa ʻia hoʻi kēia ʻo `click-murmur syndrome`.
• I ka `Mitral Valve Regurgitation` : Lohe ʻia kahi `murmur` i ka wā e kahe ana ke koko i hope.

Eia kekahi, e nīnau lākou e pili ana i kāu mau hōʻailona a inā he maʻi puʻuwai kekahi o kou ʻohana.

Nā hoʻokolohua diagnostics

ʻO ka echocardiogram (echo) ka hoʻāʻo maikaʻi loa no kēia. Hiki iā ia ke nānā i nā mea he nui, e like me ke kūlana o nā valves o ka puʻuwai, ka nui o ka puʻuwai, a pehea e hana ai. Ua like ia me kahi scan ultrasound. Eia kekahi, hiki iā ia ke hana i nā hoʻokolohua e like me:

• Electrocardiography (ECG/EKG): Ke ana kēia i ka hana uila o ka puʻuwai.
• ʻO ke kiʻi X-ray o ka umauma: Hiki ke hoʻohana ʻia kēia e nānā i ka hoʻonui ʻia ʻana o ka ventricle hema a me ka hōʻiliʻili ʻana o ka wai i loko o nā māmā.
• Catheterization Cardiac: Hoʻokomo ʻia kahi ʻōmole liʻiliʻi i loko o ka puʻuwai ma o kahi kīʻaha koko e ana i ke kaomi i loko o ka puʻuwai. Hiki i kēia ke kōkua i ka nānā ʻana i ka stenosis valve mitral. Hana ʻia kēia ma mua o ke ʻoki ʻana e nānā i nā pilikia me nā aʻa coronary.

Pehea e mālama ʻia ai ka maʻi valve mitral?

Inā ʻaʻohe ou hōʻailona, ​​ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau. E nānā mau kāu kauka iā ʻoe a nānā i kou kūlana. Inā loaʻa iā ʻoe nā hōʻailona, ​​​​pono lākou e mālama ʻia. Pili ka lāʻau lapaʻau i nā kumu he nui, e like me kou kūlana, ka makahiki, a inā he mau maʻi ʻē aʻe kāu. Aia kekahi mau koho lapaʻau nui:

• Nā lāʻau lapaʻau:

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kōkua i ka kaohi ʻana i kāu mau hōʻailona. No ka laʻana, nā diuretics, nā beta-blockers a i ʻole nā ​​calcium channel blockers , a me nā lāʻau lapaʻau koko. Hiki iā lākou ke kuhikuhi i nā mea hoʻokahe koko a i ʻole nā ​​​​anticoagulants e hōʻemi i ka pilikia o nā clots koko.

• ʻO ka Baluna Valvotomy:

Hana ʻia kēia no ka poʻe me ka `Mitral Valve Stenosis`. Hoʻokomo ʻia kahi catheter liʻiliʻi e like me ka pōpō ma o kahi kīʻaha koko i loko o ka puʻuwai, a hoʻopiha ʻia ka pōpō kokoke i ka valve i paʻa, e wehe ana i ka valve a hoʻonui i ke ala no ke kahe ʻana o ke koko.

• ʻO ke ʻoki hoʻoponopono valve mitral:

I nā manawa hiki, hoʻāʻo nā kauka e hoʻoponopono i ka valve ma mua o ka wehe ʻana. ʻAe kēia iā ʻoe e mālama i kāu valve ponoʻī a pale i kekahi o nā pilikia e hele mai me kahi valve hana.

• ʻO ke ʻoki hoʻololi valve mitral:

I kekahi manawa, inā ua hōʻino loa ka valve e pono ai ke hoʻoponopono, pono e wehe ʻia a hoʻokomo ʻia kahi valve hana.

• ʻO ke ʻoki kino liʻiliʻi loa ('Hoʻoponopono valve mitral liʻiliʻi loa'):

ʻAe kēia mau ʻano hana i ka hoʻōla wikiwiki ʻana no ka mea hana ʻia ke ʻoki ʻana ma o nā ʻoki liʻiliʻi ma mua o nā ʻoki nui. Aia nā ʻano hana e like me ka 'Right mini-thoracotomy' , 'partial upper sternotomy' , a me ka 'robotically-assisted repair' .

• Nā hana komo ʻili:

He mau lāʻau lapaʻau kēia e hoʻohana ana i kahi catheter. He kūpono loa ia no ka poʻe me nā puʻuwai i hoʻonui ʻia a nāwaliwali. No ka poʻe me ka `Mitral Valve Regurgitation`, hiki ke hoʻopili ʻia kahi mea liʻiliʻi i kapa ʻia ʻo `MitraClip™` i ka valve, e pani pono ai a e hōʻemi ana i ke kahe koko.

• Hoʻololi i ka valve mitral percutaneous:

No ka poʻe i pilikia nui no ke ʻoki kino akā loaʻa iā lākou kahi kūlana kūpono o ka valve, i kekahi manawa ua hoʻokomo ʻia kahi valve hou mai loko mai o ka valve kahiko a maʻi.

ʻO ka mea nui loa, ʻo ia ke kūkākūkā ʻana i ke ʻano lapaʻau kūpono loa iā ʻoe me kāu kauka.

Nā pilikia hiki ke loaʻa i ka wā o ka mālama ʻana

Ma keʻano laulā, ua holomua loa kēia mau ʻoki kino a me nā lāʻau lapaʻau. He haʻahaʻa ka pilikia o nā pilikia. Eia nō naʻe, e like me nā ʻoki kino puʻuwai āpau, hiki ke hana ʻia kēia mau mea:

• Puʻuwai puʻuwai kūpono ʻole ('Arrhythmia')
• Ke kahe ʻana o ke koko
• Nā ʻūpā koko
• Maʻi hohola
• Poloka puʻuwai
• Maʻi

ʻOkoʻa kēia mau pilikia ma muli o ka lāʻau āu e loaʻa ai a me kou kūlana olakino, no laila e kamaʻilio pū me kāu kauka e pili ana i kēia.

Hiki ke pale ʻia ka maʻi valve mitral?

He mea paʻakikī pinepine ka pale ʻana i kēia mau maʻi valve. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia i kou wā ʻelemakule:

• E mālama i ke kaumaha olakino. He mea maikaʻi loa ia no kou puʻuwai a me nā kīʻaha koko.
• E lawe i nā lāʻau antibiotic i kuhikuhi ʻia e kāu kauka no nā mea e like me ka ʻāʻī strep a i ʻole ka fiva ʻulaʻula no ka manawa kūpono.
• E ʻike i ke kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka nānā ʻana i ke olakino .

Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, e kamaʻilio me kāu kauka e pili ana i nā mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia o kāu pēpē i ka loaʻa ʻana o kahi kīnā puʻuwai hānau. E aʻo paha ʻo ia iā ʻoe e pale i ka puhipaka, ka waiʻona, a me nā lāʻau lapaʻau. Inā loaʻa i kekahi o kou ʻohana kahi moʻolelo o ka maʻi puʻuwai hānau a i ʻole ka maʻi pili o nā ʻiʻo, makemake paha ʻoe e noʻonoʻo i ka hoʻāʻo ʻana i ka genetic .

Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me ka maʻi valve mitral?

Aia kēia i nā kumu he nui, me ke ʻano o ka maʻi āu i loaʻa ai, kona koʻikoʻi, ka nui o ka pōʻino i hana ʻia i kou puʻuwai, a me ka wā e loaʻa ai iā ʻoe ka lāʻau lapaʻau. No laila, e kamaʻilio me kāu kauka e pili ana i kou kūlana.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi valve mitral, e ʻike koke i ke kauka . Hiki i ka ʻike mua ʻana ke kōkua i ka pale ʻana i nā pilikia koʻikoʻi ma hope. Inā he akahai kou kūlana, e noi paha kāu kauka iā ʻoe e hele pinepine mai e nānā i kou kūlana. Mai poina e hele no nā kipa hahai ma hope o ka mālama ʻana.

Nā hihia e pono ai ka mālama ʻana i ka pilikia

Inā loaʻa kekahi mea e like me kēia, pono ʻoe e kāhea koke i ka 1990 a i ʻole e hele i ka haukapila kokoke loa:

• ʻEha nui o ka umauma.
• Ka nalowale o ka ʻike, ka poniuniu, a i ʻole ka nāwaliwali loa.
• Inā paʻi wikiwiki a ʻano ʻē paha ka puʻuwai.
• Paʻakikī koke ka hanu ʻana.
• Inā loaʻa iā ʻoe kahi hopena ʻaoʻao i manaʻo ʻole ʻia mai kahi lāʻau āu e lawe nei.

Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko (anticoagulants), e ʻimi koke i ke kōkua lapaʻau inā hāʻule ʻoe. He mea nui e nānā ʻia, ʻoiai inā ʻaʻole ʻoe e ʻike i nā hōʻailona o waho o ka hōʻino, no ka mea, aia ka pilikia o ke kahe ʻana o ke koko i loko.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke ʻike ʻia ʻoe me ka maʻi valve mitral, he mea nui e aʻo hou e pili ana i ia mea. E nīnau i kāu kauka i nā nīnau e like me kēia:

• Pehea ka ʻino o koʻu kūlana?
• Hiki paha i kēia ke lilo i mea ʻino aʻe i ka hala ʻana o ka manawa?
• Pono anei au i ke ʻoki kino? Inā pēlā, āhea?
• Hiki iaʻu ke hana i ke ʻoki kino minimally invasive a i ʻole ka lāʻau lapaʻau ma o kahi catheter?
• Hiki ke hoʻoponopono ʻia koʻu valve, a i ʻole pono wau e kiʻi i kahi valve hou?
• Pehea ke kaʻina hana lapaʻau?
• He aha nā pilikia a me nā pono o kēia lāʻau lapaʻau?
• ʻEhia ka lōʻihi e hoʻōla ai?
• ʻEhia pinepine e pono ai iaʻu e hele mai no ka nānā ʻana?
• Pono anei au e lawe i kekahi mau lāʻau lapaʻau i kēia manawa a i ʻole ma hope o ka mālama ʻana? No ka lōʻihi?
• He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?

He hana paʻakikī ka hoʻoponopono ʻana i ka valve, no laila he mea nui loa ka loaʻa ʻana o kahi loea akamai.

Pehea e hiki ai iaʻu ke mālama iaʻu iho?

E aʻo aku kāu kauka iā ʻoe ma muli o kou kūlana. Ma keʻano laulā, he mea nui kēia mau mea:

• E lawe i kāu lāʻau lapaʻau e like me ke kauoha.
• E mālama pono i kou mau niho a me kou mau ʻāʻī. (Hoʻopilikia pū ke olakino waha i ka puʻuwai)
• E hoʻoikaika kino e like me ka ʻōlelo a ke kauka.
• E hōʻalo i ka puhi paka, ka waiʻona, a me nā lāʻau lapaʻau.
• E kāohi i ke kaumaha .
• Hiamoe maikaʻi.

E hōʻano hou i kāu kāleka ʻike lapaʻau pilikia.

Inā loaʻa iā ʻoe kekahi maʻi valve, pono ʻoe e haʻi i kāu mau kauka a me nā kauka niho āpau. Pono paha ʻoe e lawe i nā antibiotics ma mua o kekahi mau kaʻina hana niho a lapaʻau paha. He mea nui loa hoʻi e mālama i kahi kāleka ʻike lapaʻau pilikia me ʻoe. Pono e loaʻa i loko kēia ʻike:

• Kou inoa piha a me kou lā hānau.
• ʻO ka helu kelepona o kekahi e hoʻomaopopo ai i kahi pilikia.
• Nā kikoʻī o kāu kauka mālama mua.
• ʻO kou mau maʻi ʻaleka.
• ʻO kēlā me kēia lāʻau lapaʻau āu e lawe ai.
• Ke ʻano o ka maʻi valve i loaʻa iā ʻoe.
• Ua hoʻoponopono a pani paha ʻoe i ka valve?
• Inā ʻoe e lawe i nā lāʻau hoʻokahe koko.

Inā ʻaʻole ʻoe ʻike pehea e hana ai i kēia, e nīnau i kāu kauka. Hiki iā ʻoe ke kākau i kēia mau kikoʻī ma kahi kāleka liʻiliʻi a mālama iā ia i loko o kāu ʻeke kālā a i ʻole ka ʻeke kālā.

ʻO ka mea hope loa, pono wau e ʻōlelo... (Leka Lawe-Home)

ʻAʻole like ka hopena o ka maʻi valve mitral i nā kānaka a pau. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona. Hiki i kekahi ke loaʻa nā pilikia koʻikoʻi me kā lākou hana o kēlā me kēia lā. ʻO ka mea nui loa, ʻo ia ke ʻike mau i kāu kauka a nānā i kou olakino. E haʻi koke aku i kāu kauka inā ʻike ʻoe i kekahi mau hōʻailona hou a i ʻole nā ​​​​loli i kāu mau hōʻailona. ʻOiai ʻaʻole hiki ke pale ʻia ka maʻi valve i ka hapa nui o nā hihia, ʻo ka lawe ʻana i kahi nohona olakino puʻuwai hiki ke kōkua i ka mālama ʻana i kāu mau valves akā i kou puʻuwai holoʻokoʻa. Mai hopohopo, me ka ʻōlelo aʻoaʻo lapaʻau kūpono a me ka mālama ʻana, hiki iā ʻoe ke hoʻokele maikaʻi i kēia kūlana a ola i ke ola olakino! Maʻi Valve Mitral, Maʻi Puʻuwai, Maʻi Valve, Paʻakikī Hanu, ʻEha Umauma, ʻoki Puʻuwai, Maʻi Valve Mitral