Cia peb kawm txog Mitral Valve Prolapse.

Puas muaj tej lub sij hawm koj xav tias koj lub hauv siab dhia ceev heev, koj ua tsis taus pa txawm tias koj taug kev luv luv xwb los xij, lossis koj tsuas xav tias nkees tas hnub xwb? Txawm hais tias ntau tus neeg xav tias cov no yog tej yam ib txwm muaj, tej lub sij hawm tej zaum yuav muaj teeb meem me me hauv lub plawv tom qab qhov no. Mitral Valve Prolapse yog ib qho mob uas pom ntawm ntau tus neeg, tab sis feem ntau tsis txaus ntshai. Cia peb tham txog qhov no yooj yim hnub no.

Hais yooj yim xwb, Mitral Valve Prolapse (MVP) yog dab tsi?

Xav txog koj lub siab zoo li ib lub tsev uas muaj plaub chav. Muaj cov qhov rooj ntawm cov chav no uas cia cov ntshav ntws rov qab los. Cov qhov rooj no yog yam peb hu ua "valves" hauv kev kho mob. Lawv zoo li cov qhov rooj uas tsuas qhib ib txoj kev xwb.

Lub Mitral Valve yog lub qhov rooj ntawm lub plawv sab saud (lub plawv sab laug) thiab lub plawv sab qis (lub plawv sab laug) ntawm sab laug ntawm koj lub plawv. Lub valve no qhib thiab kaw txhua zaus koj lub plawv dhia, tswj cov ntshav uas muaj oxygen ntau mus rau qhov yog.

Mitral Valve Prolapse (MVP) yog ib qho mob uas ob daim nplooj ntawm lub valve no tsis kaw zoo thiab khoov rov qab mus rau sab laug atrium. Nws zoo li lub qhov rooj uas tsis kaw zoo thiab khoov me ntsis rov qab. Qhov no qee zaum tuaj yeem tiv thaiv lub valve kom tsis txhob kaw tag.

Tiamsis tsis txhob txhawj. Qhov no yog ib qho mob uas tshwm sim ntau heev, cuam tshuam rau ntawm 2% thiab 3% ntawm cov pej xeem hauv ntiaj teb. Muaj ntau tus neeg tsis paub tias lawv muaj tus mob no vim lawv tsis muaj tsos mob dab tsi. Qhov ntawd yog vim lub valve nkhaus me ntsis, tab sis nws tseem ua haujlwm zoo.

Cov tsos mob twg uas ib tus neeg uas muaj MVP yuav muaj?

Txawm hais tias feem ntau cov neeg tsis muaj tsos mob los xij, qee tus neeg yuav muaj cov no. Cov tsos mob no tsis tshwm sim tib yam rau txhua tus.

Vim li cas ho muaj tej yam zoo li no tshwm sim?

Qhov ua rau MVP yog vim cov nqaij ntawm lub qhov ntswg tsis muaj zog. Hauv kev kho mob, qhov no hu ua "myxomatous degeneration". Hais yooj yim xwb, cov nqaij ntawm lub qhov ntswg tsis muaj zog thiab ncab tau zoo li ib txoj hlua roj hmab qub. Qhov ua rau tseeb tsis yog ib txwm pom.

• Kev xeeb tub los ntawm noob caj noob ces: Qee zaum yog tias nws khiav hauv tsev neeg, nws kuj tuaj yeem cuam tshuam rau cov menyuam yaus. Qhov no txhais tau tias muaj kev cuam tshuam los ntawm noob caj noob ces.
• Lwm yam mob: Cov neeg uas muaj qee yam mob ntawm cov nqaij sib txuas muaj feem yuav mob MVP ntau dua. Piv txwv li, cov mob xws li Marfan syndrome thiab Ehlers-Danlos syndrome.
• Lwm yam kev pheej hmoo: Cov neeg uas muaj mob xws li mob plawv rheumatic, scoliosis, thiab Graves' kab mob kuj muaj feem yuav muaj mob ntau dua me ntsis.

Qhov no puas ua rau muaj lwm yam teeb meem?

Txawm hais tias feem ntau cov neeg tsis muaj teeb meem dab tsi los xij, qee tus neeg, tshwj xeeb tshaj yog cov neeg uas muaj mob hnyav dua, yuav muaj qee qhov teeb meem.

Qhov teeb meem tseem ceeb yog ib qho mob hu ua Mitral Regurgitation . Qhov no yog thaum lub valve tsis kaw zoo, ua rau cov ntshav ntws mus rau qhov tsis raug, los ntawm sab laug ventricle rov qab mus rau sab laug atrium. Yog tias qhov kev ntws no nce ntxiv, lub plawv yuav tsum ua haujlwm hnyav dua.

Yog tias Mitral Regurgitation hnyav zuj zus, cov teeb meem hauv qab no yuav tshwm sim:

• Lub plawv tsis ua haujlwm
• Kev kis kab mob ntawm lub qhov ntswg ('Infective endocarditis')
• Lub plawv dhia tsis xwm yeem, piv txwv li '(Atrial fibrillation)'
• Mob stroke
• Tsis tshua muaj, qhov teeb meem loj heev ntawm lub plawv dhia tsis xwm yeem ('Ventricular arrhythmias') tuaj yeem ua rau tuag taus tam sim ntawd.

Koj nrhiav tau qhov no li cas, Kws Kho Mob?

Thaum koj mus ntsib kws kho mob, nws yuav nug koj txog koj cov tsos mob thiab seb puas muaj leej twg hauv koj tsev neeg muaj kab mob plawv. Tom qab ntawd nws yuav mloog koj lub hauv siab nrog lub stethoscope.

Thaum mloog lub plawv ntawm ib tug neeg uas muaj MVP, tus kws kho mob yuav hnov ​​​​​​ib lub suab tshwj xeeb. Nws yog lub suab 'click', ua raws li lub suab 'whoosh' (lub suab murmur) . Qhov no yog vim li cas qee tus neeg hu qhov mob no ua 'click-murmur syndrome'.

Yog koj hnov ​​lub suab no, koj tus kws kho mob yuav pom zoo kom kuaj ntxiv ntau zaus kom paub meej tias tus mob yog dab tsi thiab txiav txim siab seb nws mob hnyav npaum li cas.

Cov kev kho mob rau qhov no yog dab tsi?

Qhov xov xwm zoo yog tias feem ntau cov neeg uas muaj MVP tsis tas yuav kho mob dab tsi li . Koj tus kws kho mob yuav qhia koj kom tuaj kuaj mob tsis tu ncua. Thaum mus ntsib kws kho mob ntawd, lawv yuav ua echocardiogram los saib seb qhov xwm txheej ntawm lub plawv puas tau hloov pauv.

• Tshuaj rau cov tsos mob: Yog tias koj muaj cov tsos mob xws li kiv taub hau thiab mob hauv siab, koj tus kws kho mob yuav sau ntawv rau cov tshuaj xws li beta-blockers los tswj lawv.
• Cov tshuaj los tiv thaiv cov ntshav txhaws: Yog tias koj muaj mob zoo li atrial fibrillation lossis tau muaj mob stroke yav dhau los, koj yuav tau txais cov tshuaj hu ua anticoagulants los tiv thaiv cov ntshav txhaws.
• Kev Phais Mob: Yog tias qhov rov qab ua kua dej ntau heev thiab cuam tshuam rau lub plawv, tej zaum yuav tsim nyog phais mob.
• Kho lub plawv dhia tsis txav: Thaum twg ua tau, cov kws kho mob yuav sim kho koj lub plawv dhia tsis txav. Qhov no yog qhov kev xaiv zoo tshaj plaws.
• Kev hloov pauv Mitral valve: Yog tias lub valve puas lawm uas kho tsis tau, qhov kev xaiv yog hloov nws nrog lub valve tshiab (mechanical lossis biological).

Nrog rau cov thev naus laus zis niaj hnub no, cov kev phais mob no tuaj yeem ua tiav los ntawm kev phais me me (kev phais mob minimally invasive) yam tsis tau qhib lub hauv siab tag.

Kuv yuav paub li cas tias kuv puas yuav tsum tau phais mob thiab?

Tsis yog txhua tus neeg uas muaj MVP yuav tsum tau phais. Kwv yees li ib tug ntawm 10 tus neeg yuav tsum tau phais. Tej zaum koj yuav tsum tau phais yog tias:

• Yog tias koj cov tsos mob hnyav zuj zus tuaj .
• Yog tias lub valve xau ntshav (regurgitation) ntawm qib hnyav heev .
• Yog tias cov duab scan qhia tau tias lub plawv loj dua ('sab laug ventricular thiab/lossis sab laug atrial dilation').
• Yog koj lub plawv dhia tsis xwm yeem (arrhythmia).
• Yog tias lub plawv tsis muaj peev xwm tso ntshav txaus rau lub cev (qhov feem ntawm kev ejection raug txo qis).

Thaum twg kuv yuav tsum nrhiav kev kho mob sai sai?

Nco ntsoov mus kuaj mob tsis tu ncua raws li koj tus kws kho mob hais. Txawm li cas los xij, yog tias cov tsos mob hauv qab no tshwm sim tam sim ntawd, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd .

• Mob hauv siab tam sim ntawd, mob hnyav.
• Tsis nco qab, kiv taub hau heev, lossis qaug zog heev.
• Ua pa nyuaj sai sai, hnyav heev.
• Yog tias koj noj tshuaj uas tiv thaiv cov ntshav txhaws thiab muaj xwm txheej xws li ntog , mus ntsib kws kho mob tam sim ntawd, txawm tias tsis muaj qhov raug mob pom tseeb sab nraud los xij, vim tias muaj kev pheej hmoo ntawm kev los ntshav sab hauv.