Koj puas muaj teeb meem nrog koj lub plawv lub mitral valve? Cia peb tham txog Mitral Valve Disease!

Puas muaj tej lub sij hawm koj hnov ​​mob me ntsis hauv koj lub hauv siab, ua pa nyuaj, lossis hloov pauv sai sai hauv koj lub plawv dhia? Tej zaum koj yuav xav tias cov no yog tej yam ib txwm muaj. Txawm li cas los xij, tej zaum cov no yog cov tsos mob ntawm qee qhov tsis muaj zog hauv lub plawv mitral. Tsis txhob txhawj, hnub no peb yuav tham txog tus kab mob mitral valve yooj yim no ('Mitral Valve Disease') .

Lub mitral valve yog dab tsi? Nws ua haujlwm li cas hauv lub plawv?

Hais yooj yim xwb, koj lub siab yog ib lub cev zoo kawg nkaus. Nws muaj plaub lub chav tseem ceeb. Nws zoo li cov chav hauv ib lub tsev. Thaum cov ntshav mus ncig ntawm cov chav no, muaj cov rooj vag me me uas ua rau cov ntshav ntws mus rau ib qho kev taw qhia xwb. Qhov ntawd yog qhov peb hu ua cov qhov (valves ). Lub qhov mitral nyob nruab nrab ntawm lub chav sab saud ntawm sab laug ntawm koj lub siab (lub atrium sab laug) thiab lub chav qis (lub ventricle sab laug). Nws zoo li lub rooj vag me me. Nws txoj haujlwm tseem ceeb yog cia cov ntshav uas muaj oxygen ntau los ntawm lub ntsws hla los ntawm lub atrium sab laug mus rau lub ventricle sab laug. Lub ventricle sab laug ces nqus cov ntshav thoob plaws lub cev. Lub qhov mitral zoo li tus tub ceev xwm , cia cov ntshav ntws mus rau ib qho kev taw qhia xwb thiab tsis rov qab tawm. Yog li, yog tias muaj qee yam puas tsuaj rau hauv lub qhov mitral no, lossis yog tias nws tsis ua haujlwm zoo, ces nws hu ua Mitral Valve Disease . Qhov no tuaj yeem tshwm sim sai sai, lossis nws tuaj yeem tsim kho dhau sijhawm. Qee tus neeg tuaj yeem yug los nrog tus mob no (yug los).

Cov kab mob mitral valve tseem ceeb yog dab tsi?

Muaj peb hom kab mob mitral valve tseem ceeb. Cia peb saib seb lawv yog dab tsi. Xav txog koj lub mitral valve zoo li lub qhov rooj uas muaj ob lub flaps ('leaflets' lossis 'cusps'). Cov flaps no yuav tsum qhib thiab kaw kom raug kom cov ntshav hla mus. 1. Mitral Valve Stenosis: Qhov no yog thaum cov flaps tuab, tawv, thiab tsis qhib kom raug. Qhov no ua rau txoj kev rau cov ntshav los ntawm sab laug atrium mus rau sab laug ventricle nqaim. Nws zoo li cov yeeb nkab dej uas raug txhaws. Qhov no ua rau lub plawv ua haujlwm hnyav dua los tso ntshav. 2. Mitral Valve Prolapse: Qhov no yog thaum cov flaps ua rau yoog tau dhau, thiab thaum lub plawv cog lus, lawv tawm mus rau hauv sab laug atrium. Lawv sag zoo li daim ntaub qub. Qhov no tuaj yeem ua rau lub valve tsis kaw kom raug. Yog tias qhov no tshwm sim, qee zaum cov ntshav pib xau rov qab ('regurgitation'). 3. Mitral Valve Regurgitation: Qhov no feem ntau hu ua ' 'leaky valve'' lossis 'mitral insufficiency''.Nws kuj hu ua. Qhov tshwm sim ntawm no yog tias cov flaps ntawm lub valve tsis kaw ua ke kom zoo. Tom qab ntawd, qee cov ntshav uas nkag mus rau hauv sab laug ventricle xau rov qab mus rau sab laug atrium. Nws zoo li cua xau tawm ntawm lub balloon punctured. Ib txhia neeg tuaj yeem muaj ntau dua ib hom no.

Leej twg thiaj muaj tus kab mob mitral valve? Nws feem ntau tshwm sim li cas?

Kab mob no tuaj yeem tshwm sim rau txhua lub hnub nyoog. Ib txhia menyuam yaus yug los muaj qhov teeb meem no. Ib txhia neeg laus tuaj yeem tshwm sim sai sai, vim yog muaj kab mob plawv lossis mob plawv nres . Txawm li cas los xij, nws feem ntau tshwm sim maj mam rau cov neeg laus thaum lub valve tsis muaj zog. Hom hu ua 'Mitral Valve Prolapse' feem ntau tshwm sim rau cov poj niam. Txawm li cas los xij, nws tuaj yeem muaj kev phom sij ntau dua yog tias nws tshwm sim rau cov txiv neej, vim tias lawv yuav muaj kev rov qab los ntau dua.

• Mitral Valve Stenosis tsis tshua muaj ntau hauv cov tebchaws zoo li Asmeskas, tab sis nws feem ntau tshwm sim hauv cov tebchaws uas muaj tus kab mob rheumatic fever .
• Mitral Valve Prolapse yog ib qho mob uas tshwm sim ntau dua. Muaj li ntawm 1 ntawm 33 tus neeg hauv Tebchaws Meskas uas muaj qhov no. Tab sis tsis yog txhua tus neeg yuav muaj ntshav ntws tawm hnyav.
• Qhov Mitral Valve Regurgitation kuj yog ib qho uas tshwm sim ntau. Kwv yees li ib ntawm 10 tus neeg hauv Tebchaws Meskas tau hais tias muaj qhov xau hauv lawv lub plawv valve. Hom xau feem ntau yog mitral valve.

Cov tsos mob ntawm tus kab mob mitral valve yog dab tsi?

Cov tsos mob uas koj ntsib nyob ntawm seb koj muaj hom kab mob mitral valve thiab nws qhov hnyav npaum li cas. Tej zaum koj yuav tsis muaj tsos mob li . Los yog koj yuav muaj tej yam xws li:

• Mob hauv siab los yog nruj.
• Hnoos , qee zaum nrog me ntsis ntshav.
• Kiv taub hau los yog tsaus muag.
• Kev nkees thiab qaug zog (' Qaug zog' ) .
• Lub plawv dhia ceev . Tej zaum koj yuav hnov ​​koj lub plawv dhia ceev dua lossis hnov ​​lub suab ntawm koj lub plawv dhia.
• Ib txhia neeg yuav muaj mob taub hau migraines .
• Ib yam mob hu ua "Mitral facies." Qhov no yog thaum lub puab tsaig zoo li xim liab dawb.
• "Orthostatic hypotension" txhais tau tias ntshav siab poob qis tam sim ntawd thaum sawv ntsug.Txo cov ntshav siab .
• Ua tsis taus pa , tshwj xeeb tshaj yog thaum koj nkees lossis thaum koj pw.
• O ntawm ob txhais ceg, pob luj taws, thiab taw .

Cov tsos mob no kuj tseem tuaj yeem cuam tshuam nrog lwm yam mob plawv (atrial fibrillation, heart failure).

Dab tsi yog cov ua rau muaj kab mob mitral valve?

Tej zaum yuav muaj ntau yam ua rau qhov no. Cia peb saib cov laj thawj tseem ceeb:

• Cov teeb meem plawv yug los: Ib txhia neeg yug los muaj teeb meem nrog lub mitral valve.
• Cov kab mob ntawm cov nqaij sib txuas: Piv txwv li suav nrog cov mob xws li Marfan syndrome thiab Ehlers-Danlos syndrome .
• Kab mob plawv (endocarditis): Kab mob sab hauv lub plawv tuaj yeem ua rau lub plawv puas tsuaj.
• Sab laug ventricular loj hlob: Qhov no feem ntau tuaj yeem tshwm sim los ntawm kev mob plawv lossis mob xws li cardiomyopathy (kev qaug zog ntawm cov leeg nqaij plawv).
• Kev laus: Thaum koj laus zuj zus, cov calcium tuaj yeem sib sau ua ke hauv koj cov hlab ntsha plawv. Qhov no tuaj yeem ua rau cov hlab ntsha plawv tuab thiab tsis ua haujlwm zoo.
• Kev Kho Mob Hluav Taws Xob: Cov neeg uas tau kho mob hluav taws xob rau thaj tsam hauv siab yuav raug mob plawv 10-20 xyoo tom qab.
• Mob pob qij txha caj dab: Qhov no yog mob pob qij txha caj dab uas tshwm sim los ntawm kev kis kab mob. Yog tias tsis kho kom zoo, nws tuaj yeem ua rau lub plawv puas tsuaj tau ntau xyoo. Yav dhau los, qhov no yog qhov ua rau Mitral Valve Stenosis tseem ceeb. Tam sim no, vim yog tshuaj tua kab mob, qhov no tau txo qis ntau heev.

Yuav kuaj mob li cas rau tus kab mob mitral valve?

Qhov no tsuas yog tus kws kho mob kuaj koj thiab ua qee yam kev kuaj xwb thiaj li paub tseeb.

Kev kuaj lub cev

Tus kws kho mob yuav muab lub stethoscope tso rau ntawm koj lub hauv siab thiab mloog koj lub suab plawv. Tom qab ntawd lawv yuav nrhiav cov suab tshwj xeeb (murmurs) uas cuam tshuam nrog ntau hom kab mob mitral valve.

• Hauv 'Mitral Valve Stenosis' : Koj yuav hnov ​​​​​​lub suab thaum cov ntshav hla dhau lub valve nqaim thiab lub suab "snap" thaum lub valve qhib.
• Hauv 'Mitral Valve Prolapse' : Tej zaum yuav hnov ​​​​​​lub suab 'nias', ua raws li 'murmur'. Qhov no kuj hu ua 'click-murmur syndrome'.
• Hauv 'Mitral Valve Regurgitation' : Ib qho 'murmur' hnov ​​​​​​thaum cov ntshav ntws rov qab.

Ntxiv mus, lawv yuav nug txog koj cov tsos mob thiab seb puas muaj leej twg hauv koj tsev neeg muaj kab mob plawv.

Kev kuaj mob

Ib qho kev kuaj echocardiogram (echo) yog qhov kev kuaj zoo tshaj plaws rau qhov no. Nws tuaj yeem saib ntau yam, xws li qhov xwm txheej ntawm cov qhov plawv, qhov loj ntawm lub plawv, thiab nws ua haujlwm li cas. Nws zoo li kev ntsuas ultrasound. Tsis tas li ntawd, nws tuaj yeem ua cov kev kuaj xws li:

• Kev kuaj hluav taws xob (ECG/EKG): Qhov no ntsuas qhov ua haujlwm hluav taws xob ntawm lub plawv.
• X-ray hauv siab: Qhov no siv tau los xyuas seb puas muaj qhov loj ntawm sab laug ventricle thiab kev sib sau ua ke ntawm cov kua dej hauv lub ntsws.
• Kev Siv Tshuaj Rau Lub Plawv: Muab ib lub raj me me ntxig rau hauv lub plawv los ntawm cov hlab ntsha los ntsuas qhov siab hauv lub plawv. Qhov no tuaj yeem pab kuaj xyuas seb puas muaj mitral valve stenosis. Qhov no kuj ua ua ntej phais mob kom kuaj xyuas seb puas muaj teeb meem nrog cov hlab ntsha hauv lub plawv.

Yuav kho tus kab mob mitral valve li cas?

Yog tias koj tsis muaj tsos mob, tej zaum koj tsis tas yuav kho mob. Koj tus kws kho mob yuav saib xyuas koj tsis tu ncua thiab saib xyuas koj tus mob. Yog tias koj muaj tsos mob, lawv yuav tsum tau kho. Kev kho mob nyob ntawm ntau yam, xws li koj tus mob, hnub nyoog, thiab seb koj puas muaj lwm yam mob. Muaj ntau txoj kev xaiv kho mob tseem ceeb:

• Cov Tshuaj:

Koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj los pab tswj koj cov tsos mob. Piv txwv li, cov tshuaj diuretics, beta-blockers lossis calcium channel blockers , thiab cov tshuaj ntshav siab. Lawv kuj tseem yuav sau ntawv kom cov tshuaj thinners ntshav lossis anticoagulants kom txo qhov kev pheej hmoo ntawm cov ntshav txhaws.

• `Kev Siv Lub Tshuab Nqus Pa Balloon`:

Qhov no yog ua rau cov neeg uas muaj 'Mitral Valve Stenosis'. Ib lub catheter me me uas zoo li lub npas yuav raug muab tso rau hauv lub plawv los ntawm cov hlab ntsha, thiab lub npas yuav raug tshuab ze ntawm lub valve uas raug thaiv, qhib lub valve thiab ua kom txoj kev hla ntshav dav dua.

• Kev phais kho lub mitral valve:

Thaum twg ua tau, cov kws kho mob yuav sim kho lub valve es tsis txhob tshem nws tawm. Qhov no cia koj khaws koj lub valve thiab zam qee qhov teeb meem uas los nrog lub valve dag.

• Kev phais hloov pauv ntawm lub mitral valve:

Qee zaum, yog tias lub valve puas lawm kho tsis tau, nws yuav tsum tau tshem tawm thiab muab lub valve cuav tso rau.

• Kev phais mob me me ('Kev kho lub plawv mitral valve me me'):

Cov txheej txheem no ua rau kom rov zoo sai dua vim tias kev phais mob yog ua los ntawm kev txiav me me es tsis yog txiav loj. Muaj cov txheej txheem xws li 'Right mini-thoracotomy' , 'partial upper sternotomy' , thiab 'robotically-assisted repair '.

• Kev cuam tshuam percutaneous:

Cov kev kho mob no yog siv lub catheter. Lawv zoo heev rau cov neeg uas lub plawv loj thiab tsis muaj zog. Rau cov neeg uas muaj 'Mitral Valve Regurgitation', ib lub cuab yeej me me hu ua 'MitraClip™' tuaj yeem txuas rau lub valve, ua rau nws kaw zoo thiab txo cov ntshav rov qab.

• Kev hloov pauv ntawm lub plawv mitral:

Rau cov neeg uas muaj feem yuav phais mob tab sis lawv muaj qhov chaw tso pa tawm uas tsim nyog, qee zaum yuav muaj ib lub qhov pa tawm tshiab los ntawm sab hauv lub qhov pa tawm qub uas muaj kab mob.

Qhov tseem ceeb tshaj plaws yog tham txog txoj kev kho mob uas zoo tshaj plaws rau koj nrog koj tus kws kho mob.

Tej yam teeb meem uas yuav tshwm sim thaum lub sijhawm kho mob

Cov kev phais thiab kev kho mob no feem ntau ua tau zoo heev. Qhov kev pheej hmoo ntawm cov teeb meem yog tsawg. Txawm li cas los xij, ib yam li kev phais plawv, cov hauv qab no tuaj yeem tshwm sim:

• Lub plawv dhia tsis xwm yeem ('Arrhythmia')
• Los ntshav
• Cov ntshav txhaws
• Mob plawv nres
• Lub plawv thaiv
• Kev kis kab mob

Cov kev pheej hmoo no sib txawv nyob ntawm seb koj tau txais kev kho mob thiab koj tus mob li cas, yog li ntawd nrog koj tus kws kho mob tham txog qhov no thiab.

Puas tiv thaiv tau kab mob mitral valve?

Feem ntau nws nyuaj rau tiv thaiv cov kab mob valve no. Txawm li cas los xij, muaj qee yam koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo thaum koj laus zuj zus:

• Tswj koj qhov hnyav kom noj qab nyob zoo. Nws zoo heev rau koj lub plawv thiab cov hlab ntsha.
• Noj cov tshuaj tua kab mob uas koj tus kws kho mob sau ntawv rau tej yam xws li mob caj pas lossis mob ntshav liab rau lub sijhawm kom raug.
• Mus ntsib kws kho mob tsawg kawg ib xyoos ib zaug rau kev kuaj xyuas kev noj qab haus huv .

Yog tias koj cev xeeb tub lossis npaj yuav cev xeeb tub, nrog koj tus kws kho mob tham txog tej yam koj ua tau los txo qhov kev pheej hmoo ntawm kev muaj teeb meem plawv txij thaum yug los. Nws yuav qhia koj kom tsis txhob haus luam yeeb, haus dej cawv, thiab siv yeeb tshuaj. Yog tias ib tug neeg hauv koj tsev neeg muaj keeb kwm ntawm tus kab mob plawv txij thaum yug los lossis tus kab mob ntawm cov nqaij sib txuas, tej zaum koj yuav xav txog kev kuaj noob caj noob ces .

Koj tuaj yeem nyob ntev npaum li cas nrog tus kab mob mitral valve?

Qhov no nyob ntawm ntau yam, suav nrog hom kab mob uas koj muaj, nws qhov hnyav, nws ua rau koj lub plawv puas tsuaj npaum li cas, thiab thaum twg koj tau txais kev kho mob. Yog li, tham nrog koj tus kws kho mob txog koj qhov teeb meem.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj cov tsos mob ntawm tus kab mob mitral valve, mus ntsib kws kho mob tam sim ntawd . Kev kuaj pom thaum ntxov tuaj yeem pab tiv thaiv cov teeb meem loj tom qab. Yog tias koj tus mob tsis hnyav heev, koj tus kws kho mob yuav hais kom koj tuaj xyuas koj tus mob tsis tu ncua. Tsis txhob hnov ​​​​​​qab mus ntsib kws kho mob tom qab kho tas.

Cov xwm txheej uas xav tau kev kho mob thaum muaj xwm txheej ceev

Yog tias muaj tej yam zoo li no tshwm sim, koj yuav tsum hu rau 1990 tam sim ntawd lossis mus rau tsev kho mob ze tshaj plaws:

• Mob hauv siab hnyav heev.
• Tsis nco qab, kiv taub hau, lossis qaug zog heev.
• Yog tias lub plawv dhia ceev lossis tsis xwm yeem.
• Ua pa nyuaj heev tam sim ntawd.
• Yog tias koj ntsib teeb meem tsis tau xav txog los ntawm cov tshuaj uas koj tab tom noj.

Yog koj noj tshuaj ua kom cov ntshav nyias (anticoagulants), nrhiav kev pab kho mob tam sim ntawd yog tias koj ntog. Nws yog ib qho tseem ceeb uas yuav tsum tau mus kuaj mob, txawm tias koj tsis pom muaj cov cim qhia txog kev puas tsuaj sab nraud los xij, vim tias muaj kev pheej hmoo ntawm kev los ntshav sab hauv.

Kuv yuav tsum nug tus kws kho mob li cas?

Thaum koj tau kuaj pom tias muaj kab mob mitral valve, nws yog ib qho tseem ceeb kom paub ntau ntxiv txog nws. Nug koj tus kws kho mob cov lus nug zoo li no:

• Kuv tus mob phem npaum li cas?
• Qhov no puas yuav phem zuj zus mus raws sijhawm?
• Kuv puas yuav tsum tau phais? Yog tias yog, thaum twg?
• Kuv puas tuaj yeem phais mob me me lossis kho mob los ntawm kev siv catheter?
• Puas kho tau kuv lub valve, los yog kuv puas yuav tsum tau yuav lub valve tshiab?
• Cov txheej txheem kho mob zoo li cas?
• Cov kev pheej hmoo thiab cov txiaj ntsig ntawm kev kho mob no yog dab tsi?
• Yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
• Kuv yuav tsum tuaj xyuas koj ntau npaum li cas?
• Kuv puas yuav tsum tau noj tshuaj tam sim no lossis tom qab kho mob lawm? Yuav tsum tau noj ntev npaum li cas?
• Kuv yuav tsum hloov dab tsi hauv kuv txoj kev ua neej?

Kev kho lub valve yog ib qho txheej txheem nyuaj, yog li nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav tus kws tshwj xeeb uas muaj kev paub dhau los.

Kuv yuav saib xyuas kuv tus kheej li cas?

Koj tus kws kho mob yuav qhia koj raws li koj tus mob. Feem ntau, cov no yog cov tseem ceeb:

• Noj koj cov tshuaj raws li tau qhia.
• Saib xyuas koj cov hniav thiab cov pos hniav kom zoo. (Kev noj qab haus huv ntawm qhov ncauj kuj cuam tshuam rau lub plawv)
• Ua si nawv raws li kws kho mob hais.
• Tsis txhob haus luam yeeb, haus cawv, thiab siv yeeb tshuaj.
• Tswj kev ntxhov siab .
• Pw tsaug zog zoo.

Hloov kho koj daim npav cov ntaub ntawv kho mob thaum muaj xwm txheej ceev.

Yog tias koj muaj kab mob ntawm lub qhov ntswg, koj yuav tsum qhia rau koj cov kws kho mob thiab cov kws kho hniav. Tej zaum koj yuav tsum tau noj tshuaj tua kab mob ua ntej qee qhov kev kho hniav lossis kev kho mob. Nws tseem ceeb heev uas yuav tsum khaws daim npav qhia txog kev kho mob thaum muaj xwm txheej ceev nrog koj. Nws yuav tsum muaj cov ntaub ntawv hauv qab no:

• Koj lub npe tag nrho thiab hnub yug.
• Tus xov tooj ntawm ib tus neeg uas yuav tsum ceeb toom thaum muaj xwm txheej ceev.
• Cov ntaub ntawv ntawm koj tus kws kho mob thawj zaug.
• Koj cov kev ua xua.
• Txhua yam tshuaj uas koj noj.
• Hom kab mob ntawm lub valve uas koj muaj.
• Koj puas tau kho lossis hloov lub valve?
• Seb koj puas noj cov tshuaj uas ua rau cov ntshav nyias.

Yog koj tsis paub yuav ua li cas, nug koj tus kws kho mob. Koj tuaj yeem sau cov ntaub ntawv no rau ntawm daim npav me me thiab khaws cia rau hauv koj lub hnab nyiaj lossis hnab nyiaj.

Thaum kawg, kuv yuav tsum hais tias... (Cov Lus Coj Mus Tsev)

Kab mob Mitral valve tsis cuam tshuam rau txhua tus tib yam. Tej zaum ib txhia neeg yuav tsis muaj tsos mob dab tsi. Lwm tus yuav muaj teeb meem loj nrog lawv cov dej num txhua hnub. Qhov tseem ceeb tshaj plaws yog mus ntsib koj tus kws kho mob tsis tu ncua thiab saib xyuas koj txoj kev noj qab haus huv. Qhia rau koj tus kws kho mob tam sim ntawd yog tias koj pom muaj cov tsos mob tshiab lossis kev hloov pauv hauv koj cov tsos mob. Txawm hais tias kab mob valve tsis tuaj yeem tiv thaiv tau feem ntau, kev ua neej noj qab haus huv rau lub plawv tuaj yeem pab tsis yog koj cov valve xwb tab sis koj lub plawv tag nrho noj qab haus huv. Tsis txhob txhawj, nrog cov lus qhia kho mob thiab kev kho mob kom zoo, koj kuj tuaj yeem tswj hwm qhov mob no zoo thiab ua neej noj qab haus huv! Kab mob Mitral Valve, Kab mob plawv, Kab mob Valve, Ua pa nyuaj, Mob hauv siab, Phais plawv, Kab mob Mitral Valve