Omusaayi gukulukuta emabega nga guyita mu vvaalu y’omutima gwo? (Pulmonic Valve Regurgitation) Ka twogere ku nsonga eno!

Omutima gwaffe kitundu kya mubiri ekyewuunyisa, si bwe kiri? Kirina ebitundu ebitonotono ebiringa oluggi munda mu kyo, bye tuyita vvaalu . Valiva zino nkulu nnyo okusobola okukola obulungi okusindika omusaayi mu mubiri gwaffe. Oluusi, singa emu ku vvaalu zino teggalawo bulungi, omusaayi ogumu guyinza okukulukuta ne gudda emabega. Eyo y’embeera gye tugenda okwogerako leero, pulmonary valve regurgitation . Teweeraliikiriranga, kino ka tukinnyonnyole mu ngeri ennyangu.

Pulmonic Valve Regurgitation kye ki?

Mu ngeri ennyangu, lino lye linnya eriweebwa embeera nga vvaalu y’amawuggwe mu mutima gwo teggala bulungi, ekivaako omusaayi omutono okukulukuta mu kkubo erikyamu, kwe kugamba, okudda emabega, wakati w’okukuba kw’omutima.

Teebereza omutima gwaffe gulina ebisenge bina, era okutambula kw’omusaayi wakati w’ebisenge bino kufugibwa vvaalu nnya. Valiva y’amawuggwe ye vvaalu eyookubiri mu mutima gwo efuga entambula y’omusaayi. Wano omusaayi we guva mu kisenge kya ddyo . Olwo omusaayi guno guyita mu misuwa gy’amawuggwe okutuuka mu mawuggwe go, gye gulonda omukka gwa oxygen ne gufulumya kaboni dayokisayidi.

Kati bw’oba ​​olina embeera eno (Pulmonic Regurgitation), omusaayi gwonna ogusindikibwa okuva mu ventricle eya ddyo tegugenda mu mawuggwe. Ebimu bidda mu kisenge kya ddyo. Kiki ekibaawo olwo? The right ventricle has to work harder , okusika omusaayi ogwo ogw’enjawulo. Ekiseera bwe kigenda kiyitawo, omulimu guno ogw’enjawulo guyinza okuleetera ekitundu kya ddyo okugaziwa, kinafu, era okukkakkana nga kivuddeko embeera eyitibwa Right-sided Heart Failure .

Amannya amalala agayitibwa kino ge gayitibwa Pulmonic Regurgitation, Pulmonary Valve Regurgitation oba Pulmonary Regurgitation.

Embeera eno ya bulijjo etya? Ani asinga okukikulaakulanya?

Mu butuufu, embeera eno (Pulmonic Regurgitation) etera nnyo okusinga bw’oyinza okulowooza. Kigambibwa nti wakati w’ebitundu 30% ne 75% ku bantu bayinza okubufuna. Alipoota ezimu zigamba nti omuwendo guno gusingako awo. Kyokka ebiseera ebisinga, omusaayi guno ogukulukuta guba mutono nnyo ne kiba nti tegulaga bubonero bwonna . Abantu bangi tebamanyi na nti ekintu kino balina, okutuusa lwe kizuuliddwa mu butanwa mu kugezesebwa okumu.

Wabula okuddamu okuzimba amawuggwe okw’ekigero oba okw’amaanyi nakyo kiyinza okubaawo olw’ensonga ezitali zimu. Olw’okuba ebivaako bingi nnyo, kizibu okwogera ddala engeri embeera zino ez’amaanyi gye zitera okubeerawo.

Ani asinga okukosebwa kino?

• Ku bavubuka: Embeera eno bw’eba mu bavubuka, etera kuva ku kulongoosebwa okutereeza embeera y’omutima gye baazaalibwa nga bakyali bato.
• Ku bantu abakulu: Abantu abakulu abasukka mu myaka 75 batera okufuna puleesa mu mawuggwe (pulmonary hypertension) . Embeera eno esobola okuleeta oba okwongera okuleetawo okuzimba amawuggwe.

Bubonero ki obulaga kino?

Abantu bangi abalina okuzimba amawuggwe tebafuna bubonero bwonna kubanga omusaayi ogukulukuta mutono nnyo. Obubonero butera okulabika singa okukulukuta kuba kwa kigero oba kwa maanyi. Bino bitera okufaananako n’obubonero obulabibwa mu kulemererwa kw’omutima. Mulimu:

• Obuzibu mu kussa (Dyspnea) .
• Obukoowu, obukoowu
• Okuwulira ng’aziyira, ng’omutwe guzibye
• Okubulwa amagezi
• Omutima okukuba obutasalako oba amangu (Heart Palpitations) .
• Okuzimba olubuto, amagulu oba enkizi

Bw’oba ​​olina obulwadde bwa Pulmonic Regurgitation (PR) oba embeera endala, oyinza okuba n’obubonero obulala. Obubonero buno bujja kwawukana okusinziira ku mbeera endala.

Kiki ekivaako embeera eno?

Waliwo ebintu bingi ebiyinza okuvaako Pulmonic Regurgitation. Bino bye bimu ku byo:

• Obulwadde bw’omutima obw’enkizi: Omusujja gw’enkizi mbeera eva ku bulwadde bwa bakitiriya obutajjanjabiddwa era nga buyinza okwonoona obusuwa bw’omutima gwo. Businga kubeera mu nsi ezikyakula.
• Puleesa y’amawuggwe: Kino we wabaawo puleesa mu misuwa mu mawuggwe go yeeyongera. Puleesa eno enkulu esobola okukosa omusuwa gw’amawuggwe, nga eno gye guva ku mutima. Puleesa eno enkulu esobola okuleetera omusuwa ne vvaalu byombi okugolola, ekivaako omusaayi okukulukuta okuyita mu vvaalu.
• Obuzibu mu buzaale: Okuddamu okutambula kw’amawuggwe kusinga kubeera mu bantu abalina obuzibu obumu mu buzaale, gamba nga Marfan Syndrome .
• Carcinoid Tumors: Kino kika kya kookolo ekikula mpola, ekitali kya bulijjo. Ebiseera ebisinga kitandikira mu nkola y’okugaaya emmere. Kookolo ow’ekika kino asobola okuleetera ebitundu ebiyitibwa carcinoid tissue okusula mu mutima, ne biziyiza omusaayi okutambula.
• Endocarditis: Buno buzimba mu bitundu by’omutima eby’omunda. Kiva ku yinfekisoni. Abantu abali ku dialysis , abo abalina emiryango egy’enkalakkalira egy’okuyingiza emisuwa (IV), n’abo abakuba empiso z’eddagala eritali mu mateeka bali mu bulabe bwa maanyi.
• Obuvune: Si bulijjo nnyo, obuvune mu kifuba kyo buyinza okwonoona vvaalu y’amawuggwe.
• Ebizibu by’obuzaale: Embeera y’obuzaale bwe buzibu bw’ozaalibwa nabwo. Okugeza, okuzaalibwa n’embeera eyitibwa Tetralogy of Fallot , okuzaalibwa nga tolina vvaalu y’amawuggwe, oba okuba n’okufunda kw’ensuwa y’amawuggwe gy’ozaalibwa nayo (Congenital Pulmonic Stenosis) .
• Obujjanjabi bw’abasawo:Okuddamu okufulumya amawuggwe kuyinza okubaawo oluvannyuma lw’emyaka oluvannyuma lw’okulongoosebwa oba obujjanjabi obulala ku ndwadde z’omutima ezizaalibwa, gamba nga Tetralogy of Fallot oba Pulmonic Stenosis.
• Idiopathic: Oluusi tewali kivaako kiyinza kuzuulibwa.

Kino kikwata?

Nedda, Pulmonic Regurgitation si ya kusiigibwa . Wabula kiyinza okuva ku yinfekisoni esaasaana ku mutima oba yinfekisoni ereeta endwadde z’omutima ez’enkizi.

Kino okitegeera otya?

Oluusi kiyinza okuba ekizibu okuzuula obulwadde bwa Pulmonic Regurgitation (PR). Kisinziira ku buzibu bw’ekizibu n’obubonero bwo. Ebiseera ebisinga kizingiramu okukebera omubiri n’okukebera ebifaananyi ebiwerako.

Okukebera omubiri

Omusawo atera okukola ebintu bino:

• Endabika: Obubonero obumu bulabika, gamba ng’okuzimba mu lubuto oba amagulu.
• Okukwata: Omusawo ayinza okuwulira ng’azimba amagulu oba mu lubuto. Era ziyinza okukulengejja mu nkoona, okunyiga ku lubuto lwo, n’okukebera oba emisuwa gy’omu bulago gibumbulukuka mu bulago. Kino kiyinza okubaawo nga waliwo ekizibu nga puleesa mu mawuggwe, ekiyinza okuvaako emisuwa gy’omu bulago okubumbulukuka.
• Okuwuliriza: Osobola okuwuliriza omutima gwo ng’okozesa ekyuma ekiwuliriza . Bw’oba ​​olina okuzimba amawuggwe okw’ekigero oba okw’amaanyi, oyinza okuwulira okwemulugunya kw’omutima . Gano maloboozi ga kyewuunyo agabeerawo n’okukuba kw’omutima olw’omusaayi okukulukuta mu kkubo erikyamu. Eno y’engeri ennungi ey’okukwatamu embeera eno ng’obubonero tebunnalabika mu kukeberebwa kw’abasawo buli mwaka.

Ebigezo bya ngeri ki ebikolebwa?

Ebigezo by’oyinza okwetaaga okukola okuzuula embeera eno bye bino:

• Okukebera omutima mu byuma (ECG oba EKG) .
• X-ray y’ekifuba
• Echocardiogram - Kino kye kigezo ekisinga obukulu. Kiba ng’okukebera omutima mu ultrasound.

Mu mbeera enzibu, omusawo ayinza n’okulagira okukeberebwa kuno:

• Okussaamu Cathetering ku Mutima ogwa Ddyo
• Okukuba ebifaananyi mu magineeti y’omutima (Heart MRI) .

Kijjanjabwa kitya? Kisobola okuwona?

Okuddamu okufulumya amawuggwe kutera okujjanjabibwa . Okusinziira ku kivaako, oluusi kiyinza okuwona ddala . Kyokka singa tebuba bwa maanyi, nga tebulina bubonero oba byombi, ebiseera ebisinga tebwetaagisa bujjanjabi. Ne bwe kiba kya maanyi naye nga tekirina bubonero, ekigendererwa ky’obujjanjabi kwe kukomya embeera eno okweyongera n’okuziyiza okwonooneka okw’olubeerera ku ludda olwa ddyo olw’omutima.

Eddagala n’obujjanjabi bwa ngeri ki obukozesebwa?

Singa embeera (Pulmonary Regurgitation) eva ku bulwadde obulala, .Ekisooka kwe kujjanjaba oba okuwonya embeera endala. Kino kijja kutera okukomya omusaayi okudda emabega, oba waakiri okukendeeza ku kukulukuta, okukendeeza ku bizibu n’obubonero.

Ekyo bwe kitakomya kuvaamu musaayi, ekiddako kwe kugujjanjaba butereevu. Obujjanjabi n’okuwonya okuzimba amawuggwe byombi bizingiramu okukyusa vvaalu yennyini. Kino kiyinza okukolebwa mu ngeri bbiri:

• Okulongoosa: Mu nkola eno, omusawo alongoosa asobola okutuuka ku mutima gwo butereevu n’akyusa vvaalu. Valiva empya esobola okuggyibwa ku muntu agigaba, oba eyinza okuba eya biosynthetic (ekoleddwa okuva mu kugatta ebintu ebikolebwa n’ebitundu ebiramu - ebiseera ebisinga okuva mu mbizzi oba ente).
• Transcatheter Pulmonary Valve Replacement (TPVR): Mu nkola eno, ekyuma ekiyitibwa catheter kikozesebwa okukyusa valve eri munda mu mutima. Kino okukikola, omusawo asala akatundu akatono mu musuwa omunene mu bulago oba mu kisambi ekya waggulu n’ayingizaamu ekituli. Olwo ekyuma ekiwanvu ekiringa ttanka kilungamizibwa mu mutima, ng’ensonga yaakyo eteekebwa waggulu wa vvaalu eriwo. Olwo vvaalu empya eggulwawo, era vvaalu enkadde eyonoonese n’enyiga wansi waayo. Valiva eziteekebwa mu ngeri eno zitera kuba za bioprosthetic. Zisobola okumala emyaka nga 15.

Bw’oba ​​ojjanjaba embeera eno, obubonero obusinga okukutawaanya nabwo bujjanjabibwa. Eddagala lino litera okukola nga liggya amazzi agasukkiridde mu mubiri, okuwummuza emisuwa okulongoosa entambula y’omusaayi, oba okufuga oba okuziyiza okukuba kw’omutima okutali kwa bulijjo (arrhythmias) . Bw’oba ​​tosobola kulongoosebwa olw’ensonga ezimu, eddagala liyinza okuyamba ku bubonero bwo, naye eddagala lyokka terijja kuwonya mbeera eyo.

Ekikulu: Bw’oba ​​olina vvaalu etali ya kikula kya muntu, kiyinza okwetaagisa okumira eddagala erigonza omusaayi obulamu bwo bwonna. Eddagala lino liremya okuzimba omusaayi okwetooloola vvaalu. Kino kikendeeza ku bulabe bw’ebizibu nga stroke oba pulmonary embolism.

Bizibu ki/ebizibu ebiva mu bujjanjabi bye biruwa?

Obuwanguzi bwa TPVR mu kujjanjaba embeera eno buli waggulu nnyo . Okulongoosa kwa TPVR kukola bulungi mu bitundu 94% ku 98%. Ebizibu bya TPVR nabyo tebitera nnyo, bibaawo mu bitundu 3% ku 6% (ebizibu ebisinga okubeerawo bwe bulwadde bw’emisuwa oba endocarditis olw’okukwatibwa yinfekisoni).

Ebizibu ebirala ebiyinza okuvaamu oba ebizibu ebiyinza okuvaamu bye bino:

• Omutima obutakuba bulungi (Arrhythmias) .
• Obulwadde okwetooloola ekifo we balongoosebwa
• Okuvaamu omusaayi okuva ebweru wa vvaalu
• Okubeera nga olina okuddamu okukyusa vvaalu ekyusiddwa
• Ebizibu oba ebizibu ebiva mu ddagala (bino bikwata nnyo ku ddagala ly’omira, kale omusawo wo y’asinga okukubuulira ku nsonga eno)

Nnyinza ntya okwerabirira/okuddukanya obubonero?

Embeera eno eyinza okufaananako embeera endala nnyingi ez’omutima eziyinza okutta omuntu, n’olwekyo togezaako kuzizuula n’okuzijjanjaba ggwe kennyini . Bw’oba ​​oteebereza nti olina ekizibu kino, laba omusawo amangu ddala nga bwe kisoboka. Asobola okuzuula oba olina embeera eno n’akuwa amagezi ku ngeri y’obujjanjabi.

Nja kuwulira mangu ki nga mmaze okujjanjabibwa? Kinatwala bbanga ki okuwona?

Ekiseera ky’okuwona embeera eno kisinziira ku bujjanjabi. Okulongoosa si bwe bujjanjabi obusinga okukozesebwa, era era butwala ekiseera ekiwanvu okuwona. Abantu abalongoosebwa (Pulmonic Regurgitation) basobola okutwala wiiki oba emyezi okuwona. (TPVR) recovery time is much shorter , era ojja kutandika okuwulira obulungi mu nnaku ntono.

Kino nsobola okukiziyiza? Nnyinza ntya okukendeeza ku bulabe?

Pulmonic Regurgitation (PR) mbeera etasobola kuziyizibwa kubanga ebaawo mu ngeri etasuubirwa. Naddala nga kiva ku mbeera ze wazaalibwa nazo. Ekintu kyokka ky’osobola okukola kwe kukendeeza ku bulabe bwo nga weewala embeera oba embeera eziyinza okubuleetera.

Engeri yokka ey'okukendeeza ku bulabe kwe kwewala yinfekisoni eziyinza okuleeta kino . Ekyo kitegeeza nti yinfekisoni yonna naddala okulumwa emimiro nga strep throat, erina okujjanjabibwa amangu ddala nga bwe kisoboka. Kino kiyinza okutangira obulwadde buno okufuuka obulwadde bw’omutima obuyitibwa rheumatic heart disease oba okusaasaana butereevu ku mutima ne gugwonoona.

Embeera eno etunuuliddwa etya?

Abantu abasinga abalina obulwadde bw’amawuggwe (pulmonary regurgitation) baba n’omusaayi mutono nnyo ogukulukuta okuva mu vvaalu. Ku bo, endowooza nnungi , era obulamu bwabwe bulina okufaananako n’obw’abantu abatalina mbeera.

Ne bwe kiba nti okukulukuta kwa kigero, endowooza etera okuba ennungi singa ezuulibwa n’ejjanjabwa nga bukyali , naddala nga waliwo ekivaako ekiyinza okuwona oba okukyusibwa.

Bw’oba ​​olina okukulukuta okw’amaanyi, endowooza esinziira nnyo ku ngeri gye kizuulibwamu amangu n’okujjanjabibwa. Okutwalira awamu, okuzuula amangu obulwadde n’okujjanjaba byongera emikisa gy’okuwonya embeera eno, oba waakiri okukendeeza ku bikolwa byayo . Omusawo asobola okukubuulira endowooza yo era ky’oyinza okukola okugitereeza.

Embeera eno ejja kumala bbanga ki?

Singa tebujjanjabwa, Pulmonary Regurgitation etera okuba embeera ey’obulamu bwonna .

Ddi lwe nsobola okudda ku mulimu/okusoma?

Abantu abasinga beetaaga okubeera mu ddwaaliro okumala ennaku nnya oba ttaano zokka okusobola okufuna TPVR, era abantu bangi basobola okudda ku mirimu amangu ddala nga bamaze okukola. Bw’oba ​​olongooseddwa mu kifo ky’okukozesa TPVR, kiyinza okukutwalira wiiki, wadde emyezi, okudda engulu n’okudda mu mirimu gyo egya bulijjo. Omusawo ajja kusobola okukubuulira ddi lw’osobola okudda ku mulimu, ku ssomero oba ku mirimu gyo egya bulijjo.

Embeera eno etta abantu?

Pulmonic Regurgitation si ya kufa ku bwayo . Wabula, kiyinza okuvaako embeera endala eziyinza okutta omuntu ng’ekiseera kigenda kiyitawo. Y’ensonga lwaki kikulu nnyo okuzuulibwa n’okujjanjabibwa amangu.

Nze nneerabirira ntya?

Omusawo asobola okukubuulira ddala ky’olina okukola ne ky’oyinza okukola okuddukanya obubonero bwo n’okwerabirira. Okutwaliza awamu, olina okukola ebintu bino:

• Eddagala lyo limira mu butuufu: Eddagala lyo limira ddala nga bwe likulagidde. Just take it nga ojjukira, era togibuuka just because it’s convenient.
• Laba omusawo wo: Ne bw’oba ​​tolina bujjanjabi, omusawo wo ajja kutegeka essaawa z’okugoberera okulondoola embeera yo. Okumulaba nga bwe kiragirwa kiyinza okuyamba okukwata obubonero obusooka obw’ebizibu oba ebizibu.
• Tokola nnyo: Omusawo ayinza okukugamba nti okendeeze ku mirimu gyo. Kino kijja kukuyamba okwewala okussa akazito ku mutima gwo ekiyinza okwonoona obubonero oba embeera yo.
• Faayo ku ngeri gy’owuliramu: Okufaayo ku mubiri gwo n’obubonero kiyinza okukuyamba okukwata obubonero obusooka obw’obuzibu n’okunoonya obujjanjabi ng’embeera eno tennaleeta buzibu bwa lubeerera.

Ddi lwe nnina okukuba essimu oba okulaba omusawo wange?

Singa obubonero bwo buddamu oba okukyuka nga tosuubira, olina okwogera n’omusawo wo. Kino kikulu nnyo naddala singa enkyukakyuka ziba za mangu oba singa obubonero butandika okutaataaganya emirimu gyo egya bulijjo .

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

Olina okugenda mu ddwaaliro singa oba olina obubonero buno wammanga. Buno buyinza okuba obubonero bw’omutima okulemererwa, okulwala omutima oba embeera endala ez’amaanyi ez’omutima:

• Obuzibu mu kussa (Dyspnea) .
• Okuziyira enfunda eziwera oba okuzirika mu bwangu
• Omutima okukuba obutasalako oba amangu (Heart Palpitations) .
• Okuzimba okupya mu lubuto oba amagulu n’enkizi

N’ekisembayo, obubaka obutwala awaka:

Okuddamu okufulumya amawuggwe mbeera ya bulijjo era eri abantu abasinga obungi si kyeraliikiriza. Kyokka singa buba buzibu, buyinza okukuleetera obubonero obutaataaganya obulamu bwo. Singa tebujjanjabwa, oluvannyuma kiyinza okuvaako ebizibu eby’amaanyi, n’okufa.

Ekirungi, embeera eno etera okujjanjabibwa - era oluusi n’okuwona . Era, obuwanguzi bw’obujjanjabi obusinga okukozesebwa buli waggulu nnyo. Kale, bw’oba ​​olina okubuusabuusa kwonna ku nsonga eno, tolwawo kunoonya magezi ga musawo.

` Pulmonic Valve Okudda emabega, obulwadde bwa valve y’omutima, omusaayi okudda emabega, ventricle eya ddyo, omutima okulemererwa, puleesa y’amawuggwe, okussa obubi