Valiva y’omutima gwo eya mitral ‘esumuluddwa’ katono? (Mitral Valve Prolapse) - Ka twogere ku nsonga eno!

Oluusi owulira ng’ekifuba kikunyiga katono, ng’olina obuzibu mu kussa oba ng’omutima gukyuse? Kino kiyinza okuba nga kiva ku nkyukakyuka entono mu vvaalu entono mu mutima gwo. Abantu bangi kino tebakimanyi na, naye kikulu nnyo okukimanya. Tofaayo, leero tugenda kwogera ku mbeera eno (Mitral Valve Prolapse) mu bigambo ebyangu.

Okugwa kwa Mitral Valve kye ki?

Mu ngeri ennyangu, omutima gwaffe gulina vvaalu eyitibwa Mitral Valve . Kikola ng’oluggi. Kisangibwa ku ludda olwa kkono olw’omutima wakati w’ekisenge ekya waggulu (left atrium) n’ekisenge ekya wansi (left ventricle). Valiva eno eyamba omusaayi omungi ogulimu omukka gwa oxygen era omuyonjo okutambula okuva mu atrium ya kkono okutuuka mu ventricle ya kkono.

Kati teebereza, vvaalu eno erina ebiwaawaatiro bibiri (obupapula) . Kiringa enzigi bbiri. Buli omutima lwe gukuba, ebiwujjo bino bigguka ne biggala. Mu mbeera eyitibwa Mitral Valve Prolapse (MVP), ebiwujjo bino tebiggalawo bulungi, era bigwa katono nga byolekera ekitundu kya kkono. Kiringa oluggi olutaggalawo bulungi. Kino kiyinza okuvaako vvaalu obutaggalawo bulungi.

Embeera eno (MVP) si ya maanyi nga bw’oyinza okulowooza. Bukwata abantu nga 2 ku 3 ku buli 100 mu bantu bonna. Abantu bangi babeera nga tebalina bubonero bwonna ate nga tebamanyi na nti bulina. Kino kiri bwe kityo kubanga vvaalu yaabwe ekyakola bulungi. Kyokka eri abantu abamu, embeera eno bwe yeeyongera okukaluba, obubonero buyinza okulabika era kiyinza okwetaagisa obujjanjabi. Oluusi, ekirowoozo ky’okulongoosebwa kiyinza okukutiisa, naye amawulire amalungi gali nti waliwo abantu bangi abalongooseddwa obulungi ekika kino.

Bubonero ki obulaga kino?

Abantu abasinga abalina MVP tebafuna bubonero bwonna, naye abamu bayinza okufuna obubonero nga:

• Obulumi mu kifuba: Si bulumi ddala bwa maanyi ng’okulwala omutima, naye buyinza okuwulira ng’olina obuzibu oba okunyigirizibwa mu kifuba.
• Okukaluubirirwa okussa (okusannyalala): Oyinza okuwulira ng’ossa bulungi naddala ng’okola dduyiro oba ng’olinnya amadaala.
• Okuziyira: Oyinza okuwulira amangu ddala ng’omutwe guwuuta.
• Obukoowu: Oyinza okuwulira ng’okooye era nga tolina bulamu.
• Omutima okukuba: Kino abantu bangi kye bayitamu. Kuba akafaananyi ng’omutima gwo gukuba amangu, oba ng’owulira omutima gwo nga gukuba wabweru, oba ekifuba kyo kiyinza okuwulira ng’ekikuba.

Ekikulu nti si buli muntu alina obubonero buno nti alina embeera ey’amaanyi (MVP). Oluusi wayinza obutabaawo kakwate ka maanyi wakati w’obubonero n’obuzibu bw’embeera eyo. Kyokka bw’oba ​​olina ekimu ku bubonero buno, kikulu okwebuuza ku musawo.

Biki ebivaako okugwa kwa mitral valve?

Ekisinga okuvaako kino kwe kunafuwa kw’ebitundu bya vvaalu. Kino kiyitibwa myxomatous degeneration mu sayansi w’obusawo. Tekinnamanyika ddala lwaki ekitundu kino kinafuwa. Oluusi kiyinza okuba nga kya nsikirano. Kino kitegeeza nti embeera eno esobola okuva ku bazadde okutuuka ku baana. Abanoonyereza bazudde obuzaale obuwerako obukwatagana n’embeera eno (MVP). Okugeza, obuzaale obuyitibwa (FLNA), (DCHS1), (DZIP1) ne (PLD1) buzuuliddwa nga bwenyigidde mu kino.

Ate era, abantu abalina obuzibu obumu obw’ebitundu ebiyunga nabo basobola okufuna embeera eno (myxomatous degeneration). Okugeza nga:

• Obulwadde bwa Marfan syndrome
• Obulwadde bwa Ehlers-Danlos
• Obulwadde bwa Loeys-Dietz

Okuva abantu abalina endwadde zino bwe baba n’obunafu obumu mu bitundu ebiyunga omubiri, era kiyinza okukosa obusuwa bw’omutima.

Ani asinga okubeera mu bulabe bw’okulwala kino (MVP)?

Mitral Valve Prolapse esobola okukwata abantu ab’emyaka gyonna. Abantu abamu bazaalibwa n’embeera eno naddala abo abalina endwadde z’ebitundu ebiyunga ebyo bye twayogeddeko emabegako. Okugatta ku ekyo, embeera zino wammanga zisobola okwongera ku bulabe bwa MVP:

• Obulwadde bw’omutima obuyitibwa Rheumatic heart disease: Embeera eyinza okukosa omutima oluvannyuma singa obulwadde bw’emimiro tebujjanjabwa bulungi.
• Obulwadde bwa Scoliosis: Embeera omugongo mwe gukoona.
• Obulwadde bwa Graves: Endwadde ya thyroid ekola ekisusse.

Wadde nga MVP esinga kubeera mu bakyala, abasajja batera okufuna obulwadde bwa mitral regurgitation obw’amaanyi (omusaayi okukulukuta emabega) obuvaamu.

Kino kiyinza okuleeta bizibu ki?

Ekizibu ekikulu ekiyinza okubaawo mu bantu abalina MVP ye mitral regurgitation. Mu ngeri ennyangu, vvaalu teggalawo bulungi, ekisobozesa omusaayi okukulukuta okudda okuva mu kisenge kya kkono okuyingira mu kisenge kya kkono. MVP y’esinga okuvaako embeera eno. Singa okukulukuta kuba kwa maanyi, kiyinza okwetaagisa okulongoosebwa oba obujjanjabi obulala okusobola okufuula vvaalu okukola obulungi.

Abantu abalina Mitral Valve Prolapse ne Regurgitation zombi bali mu bulabe bw’okufuna ebizibu nga:

• Omutima okulemererwa: Omutima tegusobola kussa musaayi gumala mu mubiri.
• Infective endocarditis: Obulwadde bw’omutima ogw’omunda oba obusuwa bw’omutima.
• Atrial fibrillation: Enkola y’okukuba omutima etali ya bulijjo.
• Ventricular arrhythmias: Kino nakyo kikuba omutima mu ngeri etategeerekeka, oluusi ekiyinza okuvaako omutima okufa amangu.
• Stroke: Okutaataaganyizibwa mu kutambula kw’omusaayi mu bwongo.

Obulwadde buno (Mitral Valve Prolapse) buzuulibwa butya?

Abasawo bazuula MVP nga bakukebera ne bakola ebigezo ebimu. Omusawo asobola okumanya bingi ng'awuliriza omutima gwo ng'akozesa ekyuma ekiwuliriza . Bw’oba ​​olina MVP, omusawo ayinza okuwulira eddoboozi lya ‘click’ ng’omutima gwo gukuba, n’eddirirwa ‘murmur’ (eddoboozi ng’empewo ennyogovu efuuwa mu mutima). Olw'eddoboozi lino ery'enjawulo, MVP era eyitibwa "click-murmur syndrome."

Omusawo bw’aba akukebera, era ajja kwogera ku byafaayo byo eby’obujjanjabi eby’emabega n’ebyafaayo by’obujjanjabi bw’amaka go . (MVP) Amawulire gano makulu nnyo kubanga oluusi gatambulira mu maka.

Singa omusawo wo ateebereza nti olina ekizibu kya MVP oba ekizibu ekirala ekya vvaalu, ajja kulagira waakiri okukeberebwa omulundi gumu okukakasa nti ozudde.

Kino kigezo ki ekikolebwa?

Ekigezo ekikulu ekikozesebwa okuzuula MVP ye echocardiogram . Kino kikozesa tekinologiya wa ultrasound okwekenneenya ensengekera n’enkola y’omutima. Oyinza okuba n’ekimu oba byombi ku bika bino:

• Transthoracic echocardiogram: Kino kizingiramu okuteeka ekyuma ekikyusa amaloboozi mu bifo eby’enjawulo ku kifuba kyo okukuba ebifaananyi by’obusuwa n’ebisenge by’omutima.
• Transesophageal echocardiogram: Kino kizingiramu okuyisa akatono akakyusa amaloboozi aga ultrasound wansi mu nnywanto yo okukuba ebifaananyi ebitegeerekeka obulungi.

Okugatta ku ekyo, omusawo ayinza okulagira okukeberebwa nga bino okumanya ebisingawo ku mutima gwo:

• Electrocardiography (ECG/EKG): Ekebera enkola y’amasannyalaze g’omutima.
• X-ray y’ekifuba.
• Cardiac catheterization: Tubu ennyimpi eyisibwa mu misuwa n’ebisenge by’omutima okugikebera.

Kino kikwatibwa kitya?

Abantu abasinga abalina MVP tebeetaaga bujjanjabi bwonna. Bw’oba ​​olina obulwadde obutono, omusawo ayinza okukulondoola buli kiseera. Bayinza n’okuwandiika eddagala nga beta-blockers okufuga obubonero ng’okuziyira n’okukuba omukka.

Bw’oba ​​olina obulwadde bw’okusannyalala kw’emisuwa oba nga wali ofunye stroke emabegako, kiyinza okwetaagisa okumira eddagala eriziyiza okuzimba omusaayi , oba eddagala erikendeeza omusaayi. Yogerako n’omusawo wo asalewo eddagala erikusaanira.

Ku bantu abamu, obujjanjabi obusinga obulungi ku MVP kwe kulongoosa oba okuyita mu nkola ya transcatheter.Kisoboka. Enkola esinga okukola obulungi ejja kwawukana okusinziira ku mbeera ya buli muntu. Enkola z’okulongoosa/enkola z’okulongoosa mulimu:

• Okuddaabiriza vvaalu ya Mitral: Kino kizingiramu okuddaabiriza vvaalu yo n’ogizza mu nkola entuufu. Enkola eno ekusobozesa okukuuma vvaalu yo, ekikwewala ebimu ku bulabe n’ebizibu ebiva mu vvaalu ey’ekikugu.
• Okukyusa vvaalu ya Mitral: Ku bantu abamu, vvaalu empya eyinza okuba nga y’esinga obulungi, bwe kiba nga si yokka. Omusawo ajja kunnyonnyola lwaki n’ebika bya vvaalu (eby’ebyuma oba eby’obulamu) by’osobola okufuna.
• Minimally invasive mitral valve repair: Kino tekiyingirira nnyo okusinga okulongoosa omutima oguggule kubanga okulongoosa kukolebwa nga bayita mu kitundu ekitono.
• Transcatheter mitral valve replacement: Enkola eno, nga catheter eyisibwa mu musuwa, nayo ekozesa okusala okutono okusinga okulongoosa okulala.

Bujjanjabi ki obusinga okunkwatako?

Eky’okuddamu mu kino kyawukana okusinziira ku muntu. Yogerako n’omusawo wo ku nteekateeka y’obujjanjabi esinga obulungi gy’oli. Kakasa nti otegedde emigaso n’akabi akali mu bujjanjabi bwonna (MVP). Enteekateeka y’obujjanjabi esinga obulungi gy’oli ejja kusinziira ku bintu bingi, omuli:

• Emyaka gyo: Abantu abasukka mu myaka 80 bali mu bulabe bwa maanyi okulongoosebwa.
• Ebyafaayo byo eby’obulamu eby’emabega.
• Embeera y’obulamu bwo mu kiseera kino.
• Oba olina ebizibu by’omutima ebirala ebyetaaga okuddaabirizibwa: Oluusi abasawo abalongoosa basobola okuddaabiriza vvaalu n’enkola eyitibwa Coronary Artery Bypass Grafting (CABG) mu kiseera kye kimu.

Ntegeera ntya oba nneetaaga obujjanjabi bwa Mitral Valve Prolapse?

Abantu nga 1 ku buli 10 abalina obulwadde bwa Mitral Valve Prolapse ajja kwetaaga okulaba omusawo alongoosa okuddaabiriza oba okukyusa valve ye. Oyinza okwetaaga okuddaabiriza oba okukyusa vvaalu singa:

• Singa obubonero bwo bweyongera okusajjuka okumala ekiseera.
• Singa mitral valve yo ekulukuta omusaayi mungi (severe regurgitation).
• Singa okukebera kulaga nti omutima gwo gugenda gweyongera obunene (left ventricular and/or left atrial dilation), ebintu nga obuzibu mu valve ne puleesa bisobola okuvaako omutima gwo ogwa kkono oba left ventricle okukula.
• Bw’oba ​​olina obuzibu bw’okukuba kw’omutima (omutima okukuba obutasalako).
• Singa omutima gwo tegusobola kussa musaayi gumala mu mubiri gwo. (ekitundu kyo eky’okugoba) .Singa omusuwa gwa kkono (omuwendo gw’omusaayi omusuwa gwa kkono gwe gusobola okupampagira omulundi gumu) gukendeera nnyo, kiyinza okuvaako omutima okulemererwa.

Okugwa kwa mitral valve kuyinza okuziyizibwa?

Tewali ngeri nkakafu ey’okuziyiza Mitral Valve Prolapse. Kyokka, osobola okukendeeza ku bulabe bw’okufuna obulwadde bw’omutima obufunibwa ng’okaddiwa . Wano waliwo amagezi agayinza okukuyamba okukola ekyo:

• Weenyigire mu kukola emirimu gy’omubiri buli lunaku. Kyokka buuza omusawo wo bw’oba ​​olina obukwakkulizo bwonna.
• Mulekere awo okukozesa ebintu ebikolebwa mu taaba.
• Weemanyiize emmere eyamba omutima.
• Kuuma omugejjo omulungi gy’oli.
• Fuga embeera nga puleesa ne sukaali. Eddagala lyo limira nga bwe likulagiddwa.
• Dukanya situleesi ng’oyita mu nkola nga yoga, okussa ennyo, n’okwogera n’abalala.

Okugoberera amagezi gano era kijja kukuyamba okusigala ng’oli mugumu okusobola okwolekagana n’okulongoosebwa bw’oba ​​weetaaga.

Buuza omusawo wo nkyukakyuka ki z’olowooza nti osobola okukola. Tandika mu butono, era jjukira nti buli nkyukakyuka entono gy’okola esobola okugatta ku kinene ky’okola mu biseera eby’omu maaso.

Kiki kye nsuubira singa mba nnina obulwadde bwa Mitral Valve Prolapse?

Ebiseera ebisinga, Mitral Valve Prolapse tereeta buzibu bwonna, era teweetaaga bujjanjabi. MVP eyinza obutakola bulabe ku mubiri gwo. Wabula eri abantu abamu, MVP esobola okuleeta okuzimba amazzi n’ebizibu ebirala.

Bw’oba ​​ozuuliddwa n’obulwadde bwa Mitral Valve Prolapse, yogerako n’omusawo wo ku buzibu bwayo ne by’osaanidde okusuubira.

Osobola okumala bbanga ki nga olina obulwadde bwa Mitral Valve Prolapse?

Obulamu bw’abantu abalina (MVP) businziira ku bintu ebiwerako. Mu bino mulimu:

• Oba okuddamu okufulumya amazzi (regurgitation) kubaddewo olw’omusulo ogutambula.
• Oba waliwo endwadde z’omutima endala oba embeera z’obujjanjabi ezikwatagana nazo.
• Oba era ddi lw’onoofuna obujjanjabi.

Okuddaabiriza vvaalu ya Mitral kiyinza okukuyamba okuwangaala ng’abantu abatalina buzibu bwa vvaalu. Okunoonyereza okumu kwalaga nti abantu abaali baddaabiriza vvaalu baalina obulamu obufaananako n’obw’abantu bonna. Kino kyali kituufu ku bantu abali wakati w’emyaka 40 ne 89.

N’olwekyo, bw’oba ​​olina obulwadde bwa Mitral Valve Prolapse, kikulu nnyo okwekebejjebwa buli kiseera n’okubuulira omusawo wo ku bubonero bwonna obupya oba obukyuka. Mu ngeri eno, osobola okufuna obujjanjabi ng’obwetaaga.

Abantu abalina okuzimba amazzi amangi ennyo abatalongoosebwa vvaalu boolekagana n’ebizibu eby’amaanyi. Balina emikisa gya 20% egy’okufa mu mwaka gumu ate 50% egy’okufa mu myaka etaano.

Omusawo asobola okukubuulira ku mbeera yo n’engeri gy’ogenda okulagula mu biseera eby’omu maaso.

Ddi lwe nsaanidde okweraliikirira ku Mitral Valve Prolapse?

Yogerako n’omusawo wo ku by’osuubira ne ddi lw’osaanidde okweraliikirira. Kya bulijjo abantu abalina obulwadde bwa Mitral Valve Prolapse okuwulira nga beeraliikirivu olw’embeera yaabwe. Naye emirundi egisinga, obubonero obutono si bweraliikiriza. Omusawo ayinza okukuwa eddagala eriyamba okufuga obubonero ng’omutima okukuba amangu oba okukuba.

Kyokka kikulu okumanya obubonero bwe bubaawo. Tewali kabonero konna katono nnyo okuloopa omusawo wo. Ne bw’oba ​​olowooza nti kabonero kokka, buulira omusawo wo ky’owulira. Bajja kukukebera nga kyetaagisa era bakole enteekateeka okukwanguyira obulamu bwo obwa bulijjo.

Kiki kye nsaanidde okwewala singa mba nfunye (Mitral Valve Prolapse)?

Abantu abamu abalina obulwadde bwa Mitral Valve Disease bayinza okwetaaga okwewala emirimu egy’amaanyi. Kikulu okwogera n’omusawo wo ku buzibu obukukwatako n’engeri gy’ozuddemu obulwadde. Ebiziyiza emirimu bisinziira ku bintu ebiwerako. Mu bino mulimu:

• Wali ozirikako emabegako?
• Ebimu ku bizibu by’okutambula kw’omusaayi, gamba nga supraventricular tachycardia .
• Okudda emabega okw’amaanyi okwa mitral valve.
• Okukendeera kw’ekitundu ky’okufuluma kw’omusuwa gwa kkono.
• Ebyafaayo by'omusaayi okuzimba emabegako .
• Ebyafaayo by’amaka eby’okufa kw’omutima okw’amangu okwekuusa ku Mitral Valve Prolapse.

Tewali bukwakkulizo ku mirimu eri abantu abalina MVP. Wabula weegendereze era buuza omusawo nga tonnatandika pulogulaamu yonna empya ey’okukola dduyiro.

Mitral Valve Prolapse yeeyongera okusajjuka n’emyaka?

Mitral Valve Prolapse eyinza okweyongera okusajjuka ng’okaddiwa. Eno y’ensonga lwaki kikulu okukwatagana n’enteekateeka z’omusawo. Basobola okulondoola vvaalu yo ne boogera naawe ku ngeri y’okujjanjaba bwe kiba kyetaagisa.

Obulwadde bwa Valve businga kubeera mu bantu abasukka emyaka 65. Ensonga emu lwaki kino kivaako kwe kunyigirizibwa omutima gwo kwe gubuteekako mu bulamu obwa bulijjo. Naye ebizibu by’omutima nga obulwadde bw’emisuwa gy’omutima oba okulemererwa kw’omutima nabyo bisobola okukosa vvaalu zo naddala mitral valve. Kino kituufu naddala ku bantu abasukka mu myaka 75.

Yogerako n’omusawo wo okumanya ebisingawo ku ngeri okukaddiwa gye kukosaamu mitral valve yo.

Nze nneerabirira ntya?

Omusawo wo osanga ajja kukugamba okumulaba buli kiseera, n’okukola emirimu gy’omubiri buli kiseera. Osobola n’okwewala ebintu ebikuleetera situleesi ku mutima, gamba nga:

• Ebyokunywa ebitamiiza.
• Ebintu ebikolebwa mu taaba.
• Ebiragalalagala ebimira okwesanyusaamu.

Ddi lwe nnina okulaba omusawo wange?

Omusawo ajja kukubuulira emirundi gy’olina okujja okulambula okugoberera. Kikulu nnyo okugenda ku buli appointment. Era oyinza okwetaaga okukeberebwa ebifaananyi buli kiseera okukebera obulamu bwa mitral valve yo.

Ddi lwe nnina okugenda mu kitongole ky’abalwadde ab’amangu (ETU) ?

Kuba 911 oba ennamba y’amangu mu kitundu kyo bw’oba ​​ofunye obubonero buno:

• Obulumi mu kifuba.
• Okuziyira, okuziyira oba okunafuwa ennyo.
• Okukaluubirirwa okussa okw’amangu era okw’amaanyi.
• Ekizibu ekitali kisuubirwa okuva mu ddagala lyo.

Bw’oba ​​omira eddagala eriweweeza ku musaayi (anticoagulants) n’ogwa, genda mangu omusawo amagezi. Eddagala eriweweeza ku musaayi byongera obulabe bw’okuvaamu omusaayi munda. Ne bw’oba ​​owulira bulungi, kikulu omusawo okukukebera. Okuvaamu omusaayi munda kuyinza okutta omuntu singa tekujjanjabwa.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’oba ​​waakazuula nti olina obulwadde bwa Mitral Valve Prolapse, oyinza okuba n’ebibuuzo bingi nga:

• Embeera yange ya maanyi etya?
• Nkwata ntya obubonero bwange?
• Nze nneetaaga okuddaabiriza vvaalu oba okukyusa? Bwe kiba bwe kityo, osobola okunnyonyola buli mutendera gw’enkola n’okuwona?
• Nnyinza ntya okuziyiza embeera yange okweyongera?
• Mirimu ki egy’omubiri gye nsaanidde okwewala?
• Mirundi emeka gye nneetaaga okujja okugoberera?
• Waliwo ekibiina ky’obuyambi eky’omu kitundu oba ku yintaneeti kye nsobola okwegatta?

Mitral Valve Prolapse etwalibwa ng’obulwadde bw’omutima?

Yee, Mitral Valve Prolapse kika kya bulwadde bwa valve y’omutima . Obulwadde bwa heart valve bugwa wansi w’ekigambo umbrella obulwadde bw’emisuwa n’emisuwa. Obulwadde bw’emisuwa n’emisuwa y’embeera yonna ekosa omutima gwo oba emisuwa gyo.

Mitral Valve Prolapse oluusi eyitibwa "obulwadde bwa floppy valve syndrome." Kika kya bulwadde bwa myxomatous valve. Kino kitegeeza nti ebitundu ebiri mu bipapula byo ebya mitral valve biba biwanvuye mu ngeri etaali ya bulijjo, ekibireetera okusumululwa.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Mitral Valve Prolapse (MVP) mbeera ya bulijjo era emirundi mingi tekola njawulo nnene mu bulamu bwo. Wabula kiyinza okuvaako okuzimba emisuwa (mitral regurgitation).Bw’oba ​​olina vvaalu ekulukuta omusaayi emabega, oyinza okweraliikirira okulongoosebwa okuddaabiriza vvaalu yo. Yogerako n’omusawo wo ku migaso n’akabi akali mu kuddaabiriza vvaalu, era oyige ku ngeri zonna ezisobola okukozesebwa.

Bw’oba ​​weetaaga okuddaabiriza vvaalu, kikulu okulonda eddwaaliro erikola okulongoosa okw’ekika kino buli lunaku. Amalwaliro agakola emirimu egy’amaanyi galina ebikozesebwa okukozesa tekinologiya ow’omulembe okukendeeza ku bulabe bwo n’okukuwa ebivaamu ebisinga obulungi.

Genda okwekebejjebwa abasawo buli kiseera, faayo ku bubonero, era obeere n’obulamu obulungi. Olwo osobola okusigala nga oli mulamu bulungi ne bw’oba ​​olina embeera eno (MVP).

` Mitral Valve Prolapse, Obulwadde bw’omutima, Obulwadde bwa Heart Valve, Obulumi mu kifuba, Okukaluba okussa, Omutima okukuba, (Mitral Valve Prolapse), (MVP), Obulamu bw’omutima