Puas muaj tej lub sij hawm koj xav tias ua tsis taus pa lossis hnyav hauv koj lub hauv siab thaum koj nkees me ntsis, lossis thaum koj nce ntaiv? Tej zaum koj tus kws kho mob tau qhia koj txog teeb meem nrog lub plawv valve. Thaum lub plawv valve tsis qhib zoo thiab raug thaiv, peb hu nws tias 'stenosis'. Hnub no peb yuav tham txog kev phais tshwj xeeb uas ua los kho tus mob no. Vim tias qhov no yog ib qho tseem ceeb heev, cia peb nkag siab txhua yam yooj yim.
Hais yooj yim xwb, qhov 'commissurotomy' no yog dab tsi?
Zoo, cia peb xub nkag siab qhov no yooj yim. Koj lub plawv muaj plaub chav loj. Xav txog lawv ua plaub chav. Yuav kom ntshav ntws los ntawm ib chav mus rau lwm chav, qhov rooj ntawm lawv yuav tsum qhib thiab kaw kom zoo. Cov qhov rooj ntawd yog qhov peb hu ua lub plawv valve .
Ib qho kev phais commissurotomy yog ib qho txheej txheem uas cuam tshuam nrog lub mitral valve hauv koj lub plawv. Nws nyob nruab nrab ntawm ob lub chambers ntawm lub plawv, sab laug atrium thiab sab laug ventricle. Qhov no yog lub qhov rooj ntawm ob lub chambers. Lub qhov rooj no muaj ob lub flaps.
Vim muaj tej yam mob, tshwj xeeb yog ib yam mob hu ua 'Mitral Valve Stenosis' , ob lub qhov rooj no tsis qhib zoo. Zoo li lub qhov rooj uas daig lawm. Ces yuav ua li cas? Cov ntshav ntws los ntawm lub qhov rooj sab saud mus rau lub qhov rooj sab hauv qab yuav txo qis. Qhov no ua rau cov ntshav rov qab los, ua rau lub plawv thiab lub ntsws muaj zog heev. Raws li lub sijhawm dhau mus, qhov no yuav ua rau muaj mob hnyav xws li lub plawv tsis ua haujlwm .
Ib qho 'commissurotomy' yog ib qho kev phais mob uas yuav tsum ua ib qho kev txiav me me thiab cais cov cheeb tsam (commissures) uas cov ntawv me me ntawm lub valve raug txhaws, ua rau lub valve qhib tau zoo dua. Qhov no ua rau cov ntshav ntws tau yooj yim dua los ntawm lub plawv.
Leej twg xav tau qhov kev phais no tiag?
Qhov kev phais no tsis yog rau txhua tus. Muaj ntau yam laj thawj tseem ceeb uas koj tus kws kho mob yuav pom zoo kom ua qhov kev phais no:
- Yog tias lwm yam kev kho mob (xws li tshuaj) uas koj tau txais tsis tau muaj txiaj ntsig zoo.
- Yog tias koj tsis haum rau txoj kev kho mob hu ua 'Balloon Valvuloplasty', uas yog siv lub balloon los ua kom lub valve dav dua.
- Yog koj muaj lwm qhov kev phais plawv, koj tuaj yeem ua qhov kev phais no tib lub sijhawm.
Tiam sis qhov tseem ceeb tshaj plaws yog qhov kev phais no yuav ua tiav li cas nyob ntawm seb ua rau koj lub plawv mitral stenosis yog dab tsi. Cia peb saib ob qho tseem ceeb ua rau.
| Dab tsi ua rau lub mitral valve prolapse? | Kev piav qhia thiab kev haum ntawm 'commissarotomy' phais |
|---|---|
| Kab Mob Plawv Rheumatic | Kev puas tsuaj rau lub plawv qhov (valve) vim yog mob rheumatic fever thaum yau. Qhov kev puas tsuaj no tshwm sim ntau xyoo tom qab. Qhov no yog qhov uas cov nplooj ntawv valve sib txuas ua ke (fused commissures). Kev phais 'commissarotomy' ua tau zoo tshaj plaws hauv qhov xwm txheej no. |
| Kev Mob Mitral Stenosis (Kev Laus) | Thaum tib neeg laus zuj zus, qee qhov ntawm lub valve yuav lwj zuj zus. Hauv qhov no, lwm qhov ntawm lub valve raug puas tsuaj dua li cov ntawv qhia valve lo ua ke. Yog li ntawd, kev phais commissurotomy feem ntau tsis haum rau cov neeg no. Lawv xav tau kev kho lwm yam valve lossis hloov pauv tag nrho ntawm lub valve (Mitral Valve Replacement) . |
Nws txhais li cas thaum lub valve cover lo?
Qhov no yooj yim to taub heev. Xav txog tias koj luag ntxhi rau ntawm daim iav nrog koj daim di ncauj kaw. Saib ntawm cov ces kaum ntawm koj daim di ncauj sab saud thiab sab hauv qab. Qhov ntawd yog qhov uas ob lub qhov ntawm lub mitral valve ntsib (cov commissures). Tam sim no xav txog tias muaj ib tug neeg tuav cov ces kaum ntawm koj daim di ncauj nrog ob tug ntiv tes. Koj puas tuaj yeem qhib koj lub qhov ncauj kom raug? Tsis tau, koj ua tsis tau? Qhov ntawd yog qhov tshwm sim thaum lub mitral valve raug thaiv. Ib qho 'commissurotomy' yog ib qho txheej txheem phais uas tso ob lub ces kaum ntawd tawm.
Koj npaj li cas ua ntej phais?
Vim qhov no yog ib qho kev phais loj, kev npaj yuav pib ua ntej ob peb lub lis piam. Koj pab neeg kho mob (kws kho mob plawv, kws phais plawv) yuav kuaj koj kom zoo.
- Kev kuaj lub cev tag nrho
- Kev kuaj ntshav
- Tham ntev txog koj cov tsos mob thiab keeb kwm kev kho mob
Koj tseem yuav raug kuaj seb puas muaj kev thaiv hauv koj lub mitral valve thiab lwm cov hlab ntsha hauv koj lub plawv, xws li:
- Echocardiography - Qhov no yog kev tshuaj xyuas lub plawv.
- Kev luam theej duab CT
- Kev kuaj mob plawv
Yog tias koj muaj lus nug lossis kev txhawj xeeb txog kev phais, nrog tus kws kho mob tham thiab ua kom koj lub siab tus.Yog koj haus luam yeeb, nws yog ib qho tseem ceeb uas yuav tsum tso tseg tag ua ntej phais. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm kev phais.
Yuav ua li cas thiaj phais tau?
Qhov no yog kev phais plawv qhib. Nov yog cov xwm txheej uas tshwm sim hauv chav phais:
1. Koj yuav tau txais tshuaj loog kom koj tsaug zog tag.
2. Yuav muab ib qho kev phais tso rau hauv nruab nrab ntawm lub hauv siab (sternum).
3. Koj yuav raug txuas nrog lub tshuab cardiopulmonary bypass . Qhov no yog los muab cov ntshav thiab oxygen rau koj lub cev thaum koj lub plawv nres thaum lub sijhawm phais.
4. Tus kws phais qhib lub plawv sab laug thiab kuaj xyuas lub mitral valve.
5. Cov kev txiav me me yog ua rau hauv cov commissures ntawm lub valve kom tso lawv tawm.
6. Ces koj yuav raug tshem tawm ntawm lub tshuab ua pa plawv thiab koj lub plawv yuav rov pib dua.
7. Thaum kawg, yuav tsum tau kuaj lub plawv los ntawm txoj hlab pas (transesophageal echocardiogram) kom paub tseeb tias lub plawv ua haujlwm zoo.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais tas, koj yuav tsum tau nyob hauv tsev kho mob li ib lub lim tiam. Rau thawj hnub lossis ob hnub, koj yuav raug khaws cia rau hauv chav saib xyuas mob hnyav (ICU) thiab saib xyuas ze heev.
Ua ntej koj tawm hauv tsev kho mob, koj tus kws kho mob yuav qhia koj txog cov hauv qab no:
- Kev Kho Mob Plawv: Qhov no pab tau zoo heev rau kev rov qab muaj zog thiab siv tau rau lub neej ib txwm tom qab phais.
- Yuav saib xyuas qhov txiav li cas: Qhov no tseem ceeb heev kom tiv thaiv kev kis kab mob thiab kho qhov txhab sai.
- Txog thaum twg koj tuaj yeem pib tsav tsheb thiab ua haujlwm dua .
Cov txiaj ntsig, kev pheej hmoo, thiab thaum twg yuav tsum mus ntsib kws kho mob
Kev phais qhib lub plawv mitral commissurotomy muaj feem pua ntawm kev vam meej siab heev. Nws ua rau cov ntshav ntws zoo dua thiab txo cov tsos mob ntau heev. Txawm li cas los xij, nws tsis yog kev daws teeb meem mus tas li. Ntau tus neeg uas muaj cov txheej txheem no yuav xav tau kev phais hloov lub valve rau qee lub sijhawm yav tom ntej.
Ib yam li txhua qhov kev phais mob, muaj qee qhov kev pheej hmoo.
- Mitral Regurgitation
- Los ntshav ntau heev
- Kev kis kab mob
- Kev tsis sib xws ntawm lub plawv dhia (Arrhythmia)
- Mob stroke
Txawm li cas los xij, cov kev pheej hmoo no raug txo kom tsawg hauv tsev kho mob loj uas muaj cov kws phais neeg uas muaj kev paub dhau los. Yog tias koj muaj mob xws li ntshav qab zib, kab mob raum, lossis rog dhau, qhov kev pheej hmoo yuav siab dua me ntsis. Tham nrog koj tus kws kho mob txog qhov no.
Yog koj muaj cov tsos mob no, qhia rau koj tus kws kho mob tam sim ntawd:
- Ua npaws
- Liab, o, lossis kua paug ze ntawm qhov txiav
- Mob hauv siab rov tshwm sim los yog muaj kev nyuaj siab
Yog tias koj muaj cov tsos mob ntawm kev mob plawv tam sim ntawd (mob hauv siab hnyav, ua pa nyuaj) lossis cov tsos mob ntawm kev mob stroke (hais lus tsis meej, ib sab ntawm lub ntsej muag poob qis), hu rau 1990 tam sim ntawd thiab mus rau chav kho mob ceev (ETU) ntawm tsev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib qho 'commissarotomy' yog ib qho kev phais qhib lub plawv uas ua los kho qhov mitral valve uas raug thaiv kom rov ua haujlwm tau zoo.
- Qhov ua rau muaj tus mob no yog kev puas tsuaj rau lub plawv valve vim yog tus mob rheumatic fever thaum yau.
- Txawm hais tias qhov no yog ib qho kev phais mob uas ua tau zoo heev los, nws feem ntau yog ib qho kev daws teeb meem ib ntus thiab lub valve yuav tsum tau hloov yav tom ntej.
- Cov kev pab cuam kho lub plawv tseem ceeb heev rau kev rov zoo tag nrho tom qab phais.
- Nws yog ib qho tseem ceeb heev uas yuav tsum nug koj tus kws kho mob txog txhua lo lus nug uas koj muaj txog koj tus mob, qhov kev phais, thiab nws cov kev pheej hmoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus