Olina obuzibu ku mitral valve y’omutima gwo? Ka twogere ku bulwadde bwa Mitral Valve!

Oluusi owulira obulumi obutonotono mu kifuba, okukaluubirirwa okussa, oba enkyukakyuka ey’amangu mu sipiidi y’okukuba kw’omutima gwo? Oyinza okulowooza nti bino bintu bya bulijjo. Wabula bino oluusi biyinza okuba obubonero bw’obunafu obumu mu mitral valve mu mutima gwo. Tofaayo, leero tugenda kwogera mu ngeri ennyangu ku bulwadde buno obwa mitral valve (`Mitral Valve Disease`) .

Valiva ya mitral kye ki? Kikola kitya mu mutima?

Mu ngeri ennyangu, omutima gwo kitundu kya mubiri ekyewuunyisa. Kirina ebisenge bina ebikulu. Kiringa ebisenge mu nnyumba. Omusaayi bwe gutambula wakati w’ebisenge bino, waliwo emiryango emitonotono egigukuuma nga gukulukuta mu ludda lumu lwokka. Ekyo kye tuyita valve . Valiva ya mitral esangibwa wakati w’ekisenge ekya waggulu ku ludda olwa kkono olw’omutima gwo (omusuwa ogwa kkono) n’ekisenge ekya wansi (omusuwa ogwa kkono). Kiringa akakomera akatono. Omulimu gwayo omukulu kwe kuleka omusaayi ogulimu omukka gwa oxygen okuva mu mawuggwe okuyita okuva mu kisenge kya kkono okutuuka mu kisenge kya kkono. Olwo ekitundu kya kkono ekiyitibwa ventricle ne kikuba omusaayi mu mubiri gwonna. Valiva ya mitral eringa omuserikale w’ebidduka , ng’ereka omusaayi okutambula mu ludda lumu lwokka so si kudda mabega. Kale, singa ekintu kyonoonese mu mitral valve eno, oba bwe kitakola bulungi, olwo kiyitibwa Mitral Valve Disease . Kino kiyinza okubaawo mu bwangu, oba kiyinza okukula ng’ekiseera kigenda kiyitawo. Abantu abamu basobola okuzaalibwa n’embeera eno (congenital).

Bika ki ebikulu eby’obulwadde bwa mitral valve?

Waliwo ebika bisatu ebikulu eby’obulwadde bwa mitral valve. Ka tulabe kye bali. Lowooza ku mitral valve yo ng’oluggi olulina ebiwaawaatiro bibiri (`leaflets` oba `cusps`). Ebipapajjo bino byetaaga okugguka n’okuggalwa obulungi omusaayi okuyita. 1. Mitral Valve Stenosis: Kino we wabaawo ebisenge ebiwanvu, ne bikaluba, ne bitagguka bulungi. Kino kifunza ekkubo ly’omusaayi okuva mu kisenge kya kkono okutuuka mu kisenge kya kkono. Kiringa payipu y’amazzi ezibiddwa. Kino kireetera omutima okukola ennyo okukuba omusaayi. 2. Mitral Valve Prolapse: Kino we wabaawo ebiwaawaatiro bwe bifuuka ebigonvu ennyo, era omutima bwe gukonziba, ne bifuluma mu kisenge kya kkono. Ziwuubaala ng’olugoye olukadde. Kino kiyinza okuvaako vvaalu obutaggalawo bulungi. Kino bwe kibaawo, oluusi omusaayi gutandika okukulukuta emabega (`regurgitation`). 3. Mitral Valve Regurgitation: Kino kitera okuyitibwa ` `leaky valve`` oba ``mitral insufficiency``.Era kiyitibwa. Ekibaawo wano nti ebiwujjo bya vvaalu tebiggalawo bulungi. Olwo, omusaayi ogumu ogwagenda mu kisenge kya kkono ne gukulukuta ne gudda mu kisenge kya kkono. Kiba ng’empewo ekulukuta okuva mu bbaatule efumitiddwa. Abantu abamu basobola okuba n’ebika bino ebisukka mu kimu.

Ani afuna obulwadde bwa mitral valve? Kitera kitya?

Obulwadde buno busobola okukula ku myaka gyonna. Abalongo abamu bazaalibwa n’ekizibu kino. Abantu abakulu abamu basobola okubufuna mu bwangu, oba olw’obulwadde bw’omutima oba okulwala omutima . Wabula kitera okukula mpolampola mu bakadde nga vvaalu enafuwa. Ekika ekiyitibwa `Mitral Valve Prolapse` kisinga kubeera mu bakyala. Wabula kiyinza okuba eky’akabi katono singa kikula mu basajja, kubanga batera okuddamu okukulukuta okw’amaanyi.

• Obulwadde bwa Mitral Valve Stenosis butono katono mu nsi nga America. Wabula kisinga kubeera mu nsi omusujja gw’enkizi gye gusinga.
• Mitral Valve Prolapse esinga kubeerawo. Abantu nga 1 ku buli 33 mu Amerika ayinza okuba nabwo. Naye si buli muntu nti ajja kuba n’omusaayi ogw’amaanyi ogukulukuta.
• Mitral Valve Regurgitation nakyo kya bulijjo. Omuntu omu ku buli bantu kkumi mu Amerika kigambibwa nti alina amazzi agakulukuta mu vvaalu y’omutima. Ekika ky’okukulukuta ekisinga okubeerawo ye mitral valve.

Bubonero ki obulaga obulwadde bwa mitral valve?

Obubonero bw’olaba businziira ku kika ky’obulwadde bwa mitral valve bw’olina n’obuzibu bwabwo. Oluusi oyinza obutaba na bubonero bwonna . Oba oyinza okufuna ebintu nga:

• Obulumi mu kifuba oba okunyiga.
• Okusesema , oluusi n’omusaayi omutono.
• Okuziyira oba okuzirika.
• Obukoowu n'obukoowu (` Obukoowu` ) .
• Okukuba kw'omutima . Oyinza okuwulira omutima gwo nga gukuba amangu oba okuwulira eddoboozi ly’omutima gwo nga gukuba.
• Abantu abamu bayinza okufuna omutwe omuzito .
• Embeera eyitibwa "Mitral facies." Wano amatama we galabika nga ga langi ya pinki-purple.
• "Pleesa ekendedde mu ngeri eteredde" (`Pleesa eteredde`) . Ekyo kitegeeza okwebaka mu bwangu ng’oyimiridde.Okukkakkanya puleesa .
• Okussa obubi , naddala ng’okooye oba ng’ogalamidde.
• Okuzimba kw’amagulu, enkizi, n’ebigere .

Obubonero buno era busobola okukwatagana n’embeera z’omutima endala (okusannyalala kw’emisuwa, okulemererwa kw’omutima).

Biki ebivaako obulwadde bwa mitral valve?

Wandibaawo ensonga eziwerako eziviirako kino. Ka tulabe ebikulu:

• Obulema bw’omutima obuzaalibwa: Abantu abamu bazaalibwa n’obuzibu ku mitral valve.
• Obuzibu bw’ebitundu ebikwatagana: Eby’okulabirako mulimu embeera nga Marfan syndrome ne Ehlers-Danlos syndrome .
• Yinfekisoni z’omutima (endocarditis): Yinfekisoni eziri munda mu mutima zisobola okwonoona obuuma obuyitibwa valve.
• Okugaziwa kw’omusuwa gwa kkono: Kino kitera okuva ku bulwadde bw’omutima oba embeera nga cardiomyopathy (okunafuwa kw’ebinywa by’omutima).
• Okukaddiwa: Bw’ogenda okaddiwa, kalisiyamu asobola okuzimba mu bitundu by’omutima gwo. Kino kiyinza okuvaako vvaalu okugonza ne zitakola bulungi.
• Obujjanjabi bw’amasannyalaze: Abantu ababadde bafunye obujjanjabi bw’amasannyalaze okutuuka mu kitundu ky’ekifuba bayinza okwonooneka kw’obusuwa bw’omutima oluvannyuma lw’emyaka 10-20.
• Omusujja gw’enkizi: Guno musujja oguva ku buwuka obuleeta obuwuka. Singa tebujjanjabwa bulungi, kiyinza okwonoona obusuwa bw’omutima okumala emyaka. Edda kino kye kyasinga okuvaako obulwadde bwa Mitral Valve Stenosis. Kati olw’eddagala eritta obuwuka, kino kikendedde nnyo.

Obulwadde bwa mitral valve buzuulibwa butya?

Kino kiyinza okuzuulibwa omusawo ng'akukebera n'akola ebigezo ebimu .

Okukebera omubiri

Omusawo ajja kuteeka ekyuma ekiwuliriza ku kifuba kyo era awulirize amaloboozi g’omutima gwo. Olwo bajja kunoonya amaloboozi ag’enjawulo (murmurs) agakwatagana n’ebika eby’enjawulo eby’obulwadde bwa mitral valve.

• Mu `Mitral Valve Stenosis` : Oyinza okuwulira eddoboozi nga omusaayi guyita mu valve efunda n'eddoboozi lya ``snap`` nga valve eggulawo.
• Mu `Mitral Valve Prolapse` : Eddoboozi lya `click` liyinza okuwulirwa, ne ligobererwa `murmur`. Kino era kiyitibwa `obulwadde bw'okunyiga-okwemulugunya`.
• Mu `Mitral Valve Regurgitation` : `Okwemulugunya` kuwulikika ng'omusaayi gukulukuta emabega.

Ng’oggyeeko ekyo, bajja kukubuuza ku bubonero bwo n’okumanya oba waliwo omuntu yenna mu maka go alina obulwadde bw’omutima.

Okukebera okuzuula obulwadde

Echocardiogram (echo) kye kigezo ekisinga obulungi ku kino. Kisobola okutunuulira ebintu bingi, gamba ng’embeera y’obusuwa bw’omutima, obunene bw’omutima, n’engeri gye gukolamu. Kiba ng’okukebera mu ngeri ya ultrasound. Okugatta ku ekyo, esobola okukola ebigezo nga:

• Electrocardiography (ECG/EKG): Kino kipima amasannyalaze g’omutima.
• X-ray y’ekifuba: Kino osobola okukikozesa okukebera oba ekitundu kya kkono kigaziye n’okukuŋŋaanyizibwa kw’amazzi, gamba ng’amazzi, mu mawuggwe.
• Cardiac Catheterization: Akatundu akatono akayingizibwa mu mutima nga kayita mu musuwa okupima puleesa eri munda mu mutima. Kino kiyinza okuyamba okukebera oba mitral valve stenosis. Kino nakyo kikolebwa nga tebannalongoosebwa okukebera oba waliwo obuzibu ku misuwa gy’omutima.

Obulwadde bwa mitral valve bujjanjabwa butya?

Bw’oba ​​tolina bubonero, osanga teweetaaga bujjanjabi. Omusawo ajja kukulondoola buli kiseera era alondoole embeera yo. Bw’oba ​​olina obubonero, bujja kwetaaga okujjanjabibwa. Obujjanjabi buno businziira ku bintu bingi, gamba ng’embeera yo, emyaka gyo, n’okumanya oba olina embeera endala ez’obujjanjabi. Waliwo obujjanjabi obukulu obuwerako:

• Eddagala:

Omusawo ayinza okukuwa eddagala okukuyamba okufuga obubonero bwo. Okugeza, eddagala eriweweeza ku musulo, erya beta-blockers oba calcium channel blockers , n’eddagala lya puleesa. Bayinza n’okuwandiika eddagala erikendeeza omusaayi oba eriweweeza ku kuzimba omusaayi okukendeeza ku bulabe bw’okuzimba omusaayi.

• `Okukola Valvotomy ya bbaatule`:

Kino kikolebwa ku bantu abalina obulwadde bwa `Mitral Valve Stenosis`. Akatundu akatono akalinga bbaatule kayisibwa mu musuwa ne kayingira mu mutima, era bbaatule n’efuuwa okumpi ne vvaalu ezibiddwa, ne kiggulawo vvaalu n’egaziya omukutu omusaayi okukulukuta.

• Okulongoosa okuddaabiriza vvaalu ya Mitral:

Buli lwe kiba kisoboka, abasawo bagezaako okuddaabiriza vvaalu mu kifo ky’okugiggyamu. Kino kikusobozesa okukuuma vvaalu yo n’okwewala ebimu ku bizibu ebijja ne vvaalu ey’ekikugu.

• Okulongoosa okukyusa valve ya Mitral:

Oluusi, vvaalu bw’eba eyonoonese nnyo okuddaabiriza, erina okuggyibwamu ne bassaamu vvaalu ey’ekikugu.

• Okulongoosa okutali kwa maanyi nnyo (`Okuddaabiriza mitral valve okutali kwa maanyi`):

Enkola zino zisobozesa okuwona amangu kubanga okulongoosa kukolebwa nga bayita mu bitundu ebitonotono okusinga okusala ebinene. Waliwo enkola nga `Right mini-thoracotomy` , `partial upper sternotomy` , ne `robotically-assisted repair` .

• Okuyingira mu nsonga nga bayita mu lususu:

Zino bujjanjabi obukozesa ekituli. Zisaanira nnyo abantu abalina emitima egyagazi n’enafu. Ku bantu abalina `Mitral Valve Regurgitation`, ekyuma ekitono ekiyitibwa `MitraClipTM` kisobola okuteekebwa ku valve, ne kigifuula okuggalawo obulungi n'okukendeeza ku kudda emabega kw'omusaayi.

• Okukyusa vvaalu ya mitral okuyita mu lususu:

Ku abo abali mu bulabe obw’amaanyi obw’okulongoosebwa naye nga balina ekifo ekituufu ekya vvaalu, oluusi bateekebwamu vvaalu empya munda mu vvaalu enkadde era endwadde.

Ekisinga obukulu kwe kuteesa ku nkola y’obujjanjabi ekusinga obulungi n’omusawo wo.

Ebizibu ebiyinza okubaawo mu kiseera ky’obujjanjabi

Okutwalira awamu okulongoosa n’obujjanjabi buno biba bya buwanguzi nnyo. Obulabe bw’okufuna ebizibu butono. Kyokka, nga bwe kiri ku kulongoosa omutima kwonna, bino wammanga bisobola okubaawo:

• Omutima okukuba obutasalako (`Arrhythmia`) .
• Okuvaamu omusaayi
• Okuzimba omusaayi
• Omutima okulwala
• Omutima okuzibikira
• Ekirwadde

Obulabe buno bwawukana okusinziira ku bujjanjabi bw’ofuna n’embeera y’obulamu bwo, n’olwekyo yogerako n’omusawo wo ku nsonga eno nakyo.

Obulwadde bwa mitral valve busobola okuziyizibwa?

Kitera okuba ekizibu okuziyiza endwadde zino eza valve. Kyokka waliwo ebintu by’oyinza okukola okukendeeza ku bulabe bw’olina ng’okaddiwa:

• Kuuma omugejjo omulungi. Kirungi nnyo eri omutima gwo n'emisuwa gyo.
• Mirira eddagala eritta obuwuka omusawo ly’akulagira ku bintu nga strep throat oba scarlet fever mu kiseera kyennyini ky’olagiddwa.
• Laba omusawo waakiri omulundi gumu mu mwaka okwekebejjebwa .

Bw’oba ​​oli lubuto oba ng’oteekateeka okufuna olubuto, yogerako n’omusawo wo ku bintu by’oyinza okukola okukendeeza ku bulabe bw’omwana wo okubeera n’obulemu bw’omutima obuzaalibwa. Kirabika ajja kukuwa amagezi okwewala okunywa sigala, omwenge n’ebiragalalagala. Singa omuntu mu maka go alina ebyafaayo by’obulwadde bw’omutima oba obulwadde bw’ebitundu ebiyunga, oyinza okulowooza ku kukebera obuzaale .

Osobola okumala bbanga ki ng’olina obulwadde bwa mitral valve?

Kino kisinziira ku bintu bingi omuli ekika ky’obulwadde bw’olina, obuzibu bwabwo, obungi bw’okwonoona omutima gwo, ne ddi lw’ofuna obujjanjabi. N’olwekyo, yogerako n’omusawo wo ku mbeera gy’olimu.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina obubonero bw’obulwadde bwa mitral valve, laba omusawo amangu ago . Okuzuula amangu kiyinza okuyamba okuziyiza ebizibu eby’amaanyi oluvannyuma. Singa embeera yo eba ya maanyi, omusawo ajja kukusaba okuyingira buli kiseera okulondoola embeera yo. Tewerabira okugenda okulambula okugoberera oluvannyuma lw’okujjanjabibwa.

Emisango egyetaaga obujjanjabi obw’amangu

Singa ekintu nga kino kibaawo, olina okukuba amangu ddala ku 1990 oba okugenda mu ddwaaliro erikuli okumpi:

• Obulumi obw’amaanyi mu kifuba.
• Okubulwa amagezi, okuziyira oba okunafuwa ennyo.
• Singa omutima gukuba mangu oba mu ngeri etali ya bulijjo.
• Obuzibu obw’amaanyi obw’amangu mu kussa.
• Singa ofuna ekizibu ky’otosuubira okuva mu ddagala ly’omira.

Bw’oba ​​omira eddagala eriweweeza ku musaayi (anticoagulants), genda mangu omusawo amagezi singa ogwa. Kikulu okwekebejjebwa, ne bw’oba ​​tolaba bubonero bwonna obw’ebweru obulaga nti kyonoonese, kuba waliwo akabi k’okuvaamu omusaayi munda.

Bibuuzo ki bye nnina okubuuza omusawo?

Bw’omala okuzuulibwa nti olina obulwadde bwa mitral valve, kikulu okumanya ebisingawo ku bulwadde. Buuza omusawo wo ebibuuzo nga bino:

• Embeera yange mbi etya?
• Kino kiyinza okweyongera okusajjuka ng’ekiseera kigenda kiyitawo?
• Nze nneetaaga okulongoosebwa? Bwe kiba bwe kityo, ddi?
• Nsobola okulongoosebwa mu ngeri etali ya maanyi nnyo oba okujjanjabibwa nga mpita mu katebe?
• Valiva yange esobola okuddaabirizibwa, oba nneetaaga okufuna vvaalu empya?
• Enkola y’obujjanjabi eri etya?
• Obulabe n’emigaso ki ebiri mu bujjanjabi buno?
• Kitwala bbanga ki okuwona?
• Mirundi emeka gye nneetaaga okujja okugoberera?
• Nnaaba nnina okumira eddagala lyonna kati oba oluvannyuma lw’okujjanjabwa? Okumala bbanga ki?
• Nkyukakyuka ki ze nneetaaga okukola mu bulamu bwange?

Okuddaabiriza vvaalu nkola nzibu, n’olwekyo kikulu nnyo okufuna omukugu alina obumanyirivu.

Nnyinza ntya okwerabirira?

Omusawo ajja kukuwabula okusinziira ku mbeera gy’olimu. Okutwalira awamu, ebintu bino bikulu:

• Eddagala lyo limira nga bwe likulagiddwa.
• Labirira bulungi amannyo n’ennyindo. (Obulamu bw’omu kamwa nabwo bukosa omutima)
• Dduyiro ng’omusawo bw’agamba.
• Weewale okunywa sigala, omwenge n’ebiragalalagala.
• Fuga situleesi .
• Weebake bulungi.

Okulongoosa kaadi yo ey’amawulire agakwata ku bujjanjabi obw’amangu.

Bw’oba ​​olina obulwadde bwa valve bwonna, olina okubutegeeza abasawo bo bonna n’abasawo b’amannyo. Oyinza okwetaaga okumira eddagala eritta obuwuka nga tonnaba kukola mitendera egimu egy’amannyo oba egy’obujjanjabi. Era kikulu nnyo okukuuma kaadi y’amawulire agakwata ku bujjanjabi obw’amangu . Lirina okubaamu ebikwata ku nsonga eno wammanga:

• Amannya go mu bujjuvu n’olunaku lw’amazaalibwa.
• Ennamba y’essimu y’omuntu okutegeeza mu mbeera ey’amangu.
• Ebikwata ku musawo wo omukulu.
• Allergy zo.
• Buli ddagala lyomira.
• Ekika ky’obulwadde bwa valve bw’olina.
• Valiva wagiddaabiriza oba wagikyusa?
• Oba omira eddagala erikendeeza omusaayi.

Bw’oba ​​tomanyi ngeri ya kukola kino, buuza omusawo wo. Ebintu bino osobola okubiwandiika ku kaadi entono n’obiteeka mu nsawo yo oba mu waleti yo.

Nsembayo, nnina okugamba... (Obubaka bwa Take-Home)

Obulwadde bwa Mitral valve tebukwata buli muntu kye kimu. Abantu abamu bayinza obutaba na bubonero bwonna. Abalala bayinza okufuna ebizibu eby’amaanyi mu mirimu gyabwe egya bulijjo. Ekisinga obukulu kwe kulaba omusawo buli kiseera n’okulondoola obulamu bwo. Buulira omusawo mu bwangu singa olaba obubonero obupya oba enkyukakyuka mu bubonero bwo. Wadde ng’obulwadde bwa valve tebusobola kuziyizibwa mu mbeera ezisinga obungi, okwettanira obulamu obulungi eri omutima kiyinza okuyamba okukuuma si valve zo zokka wabula n’omutima gwo gwonna nga mulamu bulungi. Teweeraliikiriranga, bw’ofuna amagezi n’obujjanjabi obutuufu obw’abasawo, naawe osobola okuddukanya obulungi embeera eno n’obeera n’obulamu obulungi! Obulwadde bwa Mitral Valve, Obulwadde bw’omutima, Obulwadde bwa Valve, Obuzibu mu kussa, Obulumi mu kifuba, Okulongoosa omutima, Obulwadde bwa Mitral Valve