Me ako tātou mō te Mitral Valve Prolapse.

Kei te pēhia tō uma i ētahi wā, kei te uaua te manawa ahakoa he poto noa te hikoi, kei te ngenge noa rānei koe i te rā katoa? Ahakoa he maha ngā tāngata e whakaaro ana he mea noa ēnei, i ētahi wā he raruraru iti kei roto i te ngākau kei muri i tēnei. Ko te Mitral Valve Prolapse he āhuatanga e kitea ana i roto i te tini tāngata, engari he maha ngā wā kāore i te mōrearea. Me kōrero noa tātou mō tēnei i tēnei rā.

He aha te Mitral Valve Prolapse (MVP)?

Whakaarohia tō ngākau he whare e whā ngā rūma. He tatau kei waenganui i ēnei rūma e taea ai e te toto te rere whakamuri, whakamuri. Ko ēnei tatau te mea e kiia nei e tātou he "takirere" i roto i te rongoā. He rite ki ngā tatau e tuwhera ana i te ara kotahi.

Ko te Takirere Mitral te tatau i waenganui i te rūma o runga (atrium maui) me te rūma o raro (ventricle maui) i te taha maui o tō ngākau. Ka tuwhera, ka kati hoki tēnei takirere i ia wā e pā ana tō ngākau, hei whakahaere i te rere o te toto whai hāora ki te huarahi tika.

Ko te Mitral Valve Prolapse (MVP) he āhuatanga e kore ai e kati tika ngā rau e rua o tēnei takirere, engari ka piko whakamuri, ki te atrium maui. He rite ki tētahi tatau kāore e kati tika, ā, ka piko paku whakamuri. I ētahi wā ka ārai tēnei i te kati katoa o te takirere.

Kaua e manukanuka. He mate tino noa tēnei, e pāngia ana i waenga i te 2% me te 3% o te taupori o te ao. He tokomaha te hunga kāore e mōhio kei a rātou tēnei mate nā te mea kāore he tohu o te mate. Nā te mea he paku piko te takirere, engari kei te pai tonu te mahi.

He aha ngā tohu ka pā ki te tangata whai MVP?

Ahakoa kāore he tohu o te nuinga o te tangata, tera pea ētahi e pāngia e ēnei tohu. Kāore ēnei tohu e puta i te huarahi kotahi mō te katoa.

He aha i puta ai tēnei mea?

Ko te tino take o te MVP ko te ngoikore o te kiko takirere. I roto i te kupu hauora, ka kiia tēnei ko te "myxomatous degeneration". He māmā noa iho, ka ngoikore, ka totoro te kiko takirere, pērā i te here rapa tawhito. Kāore i te kitea tonu te tino take.

• Ira Tuku Iho: I ētahi wā, ki te ahu mai i roto i te whānau, ka pā anō hoki ki ngā tamariki. Ko te tikanga he awe ira.
• Ētahi atu āhuatanga hauora: Ko te hunga whai mate kiko honohono he nui ake te mōrearea ki te whakawhanake i te MVP. Hei tauira, ko ngā āhuatanga pēnei i te Marfan syndrome me te Ehlers-Danlos syndrome.
• Ētahi atu āhuatanga mōrearea: He nui ake te mōrearea o te hunga whai mate pēnei i te mate manawa rūmātiki, te scoliosis, me te mate Graves.

Ka taea e tēnei te whakaputa i ētahi atu raruraru?

Ahakoa kāore te nuinga o te iwi e pāngia e ngā raruraru, tera pea ētahi tāngata, inā koa ko te hunga he mate kino ake tō rātou.

Ko te raruraru matua ko te āhua e kiia nei ko te Mitral Regurgitation . Koinei te wā kāore e kati tika te takirere, ka turuturu te toto i te huarahi hē, mai i te ventricle maui ki te atrium maui. Mēnā ka nui haere tēnei turuturu, me kaha ake te mahi a te ngākau.

Mena ka kaha te Mitral Regurgitation, ka puta pea ngā raruraru e whai ake nei:

• Te ngoikore o te ngākau
• Te mate o te takirere ('Infective endocarditis')
• Te pā o te manawa kāore i te tika, hei tauira `(Atrial fibrillation)`
• Whiu
• I ētahi wā, ka taea e ngā raruraru nui o te manawa o te ngakau ('Ventricular arrhythmias') te arahi ki te mate ohorere o te ngakau.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō ō tohumate, me te mea kei roto i tō whānau he mate manawa. Kātahi ka whakarongo ia ki tō uma mā te whakamahi i te stethoscope.

Ina whakarongo te tākuta ki te ngākau o te tangata whai MVP, ka rongo pea ia i tētahi tangi motuhake. He tangi 'pāwhiri', ā, muri iho ka puta he tangi 'whoosh' (he murmur) . Koia te take e kīia ai tēnei āhuatanga e ētahi tāngata ko te 'click-murmur syndrome'.

Ki te rongo koe i tēnei oro, ka tūtohu tō tākuta i ētahi atu whakamātautau hei whakaū i te āhua me te whakatau i tōna kaha.

He aha ngā maimoatanga mō tēnei?

Ko te rongo pai, ko te nuinga o te hunga whai MVP kāore e hiahia ki tētahi maimoatanga . Ka kī atu tō tākuta kia haere mai koe ki te tirotiro i ia wā. I aua haerenga, ka mahia e rātou he echocardiogram hei tirotiro mēnā kua rerekē te āhua o te takirere.

• Rongoā mō ngā tohumate: Mena kei a koe ngā tohumate pēnei i te whanoke me te mamae o te uma, ka tohua pea e tō tākuta he rongoā pēnei i ngā beta-blockers hei whakahaere i aua tohumate.
• Ngā rongoā hei ārai i ngā toto totoka: Mena he mate tōu pēnei i te atrial fibrillation, kua pāngia rānei koe e te whiu i mua, ka hoatu ki a koe ngā rongoā e kiia nei ko ngā anticoagulants hei ārai i ngā toto totoka.
• Pokanga: Mena he kino rawa te ruaki, ā, ka pā ki te ngākau, me pokanga pea.
• Te whakatikatika i te takirere mitral: I ngā wā katoa e taea ai, ka ngana ngā tākuta ki te whakatika i tō ake takirere. Koinei te kōwhiringa pai rawa atu.
• Te whakakapinga o te takirere mitral: Mena kua tino pakaru te takirere, kāore e taea te whakatika, ko te kōwhiringa ko te whakakapi ki tētahi takirere hou (ā-ringa, ā-koiora rānei).

Mā te hangarau matatau o ēnei rā, ka taea te mahi i ēnei pokanga mā te tapahi iti (pokanga iti rawa te whakaekenga) me te kore e whakatuwhera katoa i te uma.

Me pēhea taku mōhio mēnā ka hiahiatia he pokanga anō hoki?

Kāore te katoa e pāngia ana e te MVP e hiahia ana ki te pokanga. Tata ki te 1 i roto i te 10 tāngata ka hiahia ki te pokanga. Tērā pea ka hiahia koe ki te pokanga mēnā:

• Mena ka kino haere ō tohumate i te roanga o te wā .
• Mena kei te turuturu toto te takirere (regurgitation) i te taumata nui .
• Mena ka whakaatuhia e ngā matawai kua rahi te ngākau ('te whakawhanuitanga o te ventricle maui me/ranei te whakawhanuitanga o te atrium maui').
• Mena he koretake te pā o te ngakau (arrhythmia).
• Mena kāore e taea e te ngākau te papu i te toto e ranea ana ki te tinana (ka whakaitihia te wāhanga ejection).

Āhea ahau me rapu tohutohu hauora tere?

Kia mahara ki te tirotiro i tō hauora i ia wā, i ia wā, e ai ki ngā tohutohu a tō tākuta. Heoi, ki te puta ohorere mai ngā tohu e whai ake nei, haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU) .

• Te mamae ohorere, te mamae nui o te uma.
• Te ngaronga o te māramatanga, te whanoke nui, te ngoikore nui rānei.
• Te uauatanga ohorere, te uaua ki te manawa.
• Mena kei te tango koe i te rongoā hei ārai i te toto totoka, ā, ka pāngia koe e tētahi aituā pēnei i te hinganga , me toro atu ki te tākuta tonu, ahakoa kāore he whara e kitea ana, nā te mea kei te tūpono te toto o roto.