He paku 'ngāwari' te takirere mitral o tō ngākau? (Mitral Valve Prolapse) - Me kōrero tātou mō tēnei!

Kei te rongo koe i te pakupaku o tō uma i ētahi wā, he uaua ki te manawa, he rerekē rānei te pao o tō ngakau? Tērā pea nā te huringa iti o te takirere iti o tō ngākau tēnei. He tokomaha te hunga kāore e mōhio ki tēnei, engari he mea tino nui kia mōhio koe. Kaua e manukanuka, i tēnei rā ka kōrero tātou mō tēnei āhuatanga (Mitral Valve Prolapse) i roto i ngā kupu māmā noa iho.

He aha te Mitral Valve Prolapse?

He whakarāpopototanga noa iho, he takirere tō te ngākau e kiia nei ko te Takirere Mitral . He rite tana mahi ki te tatau. Kei te taha maui o te ngākau i waenganui i te rūma o runga (atrium maui) me te rūma o raro (ventricle maui). Ka āwhina tēnei takirere i te rere o te toto whai hāora, ma, mai i te atrium maui ki te ventricle maui.

Whakaarohia, e rua ngā papa (ngā rau) o tēnei takirere. He rite ki ngā tatau e rua. I ia wā e pā ana te ngākau, ka tuwhera, ka kati ēnei papa. I roto i te āhua e kiia nei ko te Mitral Valve Prolapse (MVP), kāore ēnei papa e kati tika, ā, ka piko paku ki te atrium maui. He rite ki te tatau kāore e kati tika. Ka taea e tēnei te kore e kati tika te takirere.

Kāore tēnei mate (MVP) i te tino kino pērā i tō whakaaro. E pāngia ana e te 2 ki te 3 o te 100 tāngata o te taupori whānui. He tokomaha te hunga e ora ana me te kore he tohu, ā, kāore rātou e mōhio kei a rātou. Nā te mea kei te pai tonu te mahi a ō rātou takirere. Heoi, mō ētahi tāngata, ina kaha haere te mate, ka puta pea ngā tohu, ā, me rongoā pea. I ētahi wā, he mea whakamataku te whakaaro kia pokangahia, engari ko te rongo pai he tokomaha te hunga kua angitu ki tēnei momo pokanga.

He aha ngā tohu o tēnei?

Ko te nuinga o te hunga whai MVP kāore e pāngia e tetahi tohu, engari ko ētahi ka pāngia e ngā tohu pēnei i:

• Mamae o te uma: Ehara i te mamae koi pērā i te mate manawa, engari ka rite ki te mamae, ki te pēhanga rānei i roto i te uma.
• Te uaua ki te manawa (dyspnea): Tērā pea ka pōturi te manawa, inā koa kei te whakakorikori tinana koe, kei te piki arawhata rānei.
• Whatiwhati: Tērā pea ka rongo koe i te āhua e hurihuri ana tōu mahunga.
• Ngenge: Tērā pea ka ngenge noa koe, ka kore he ora.
• Te tere o te manawa: He mea tēnei e pāngia ana e te tini o te tangata. Whakaarohia kei te tere haere te pao o tō manawa, kei te rongo rānei koe i tō manawa e pao ana i waho, kei te rite rānei tō uma ki te pao.

Ko te mea nui, ehara i te mea he mate kino (MVP) tō te katoa e pāngia ana e ēnei tohu. I ētahi wā, kāore pea he hononga nui i waenga i ngā tohu me te kaha o te mate. Heoi, ki te pāngia koe e tētahi o ēnei tohu, he mea nui kia toro atu koe ki te tākuta.

He aha ngā take o te mitral valve prolapse?

Ko te tino take ko te ngoikore o te kiko takirere. I roto i te pūtaiao hauora, ka kiia tēnei ko te myxomatous degeneration . Kāore i te mārama te take e ngoikore ai tēnei kiko. I ētahi wā ka taea te tuku iho. Ko te tikanga ka taea te tuku iho i te mate mai i ngā mātua ki ngā tamariki. Kua kitea e ngā kairangahau ētahi ira e pā ana ki te mate (MVP). Hei tauira, kua kitea ko ngā ira e kiia nei ko (FLNA), (DCHS1), (DZIP1) me (PLD1) kei roto i tēnei.

Waihoki, ka taea e te hunga whai mate kiko honohono te whakawhanake i tēnei āhuatanga (myxomatous degeneration). Hei tauira:

• Te mate Marfan
• Te mate Ehlers-Danlos
• Te mate Loeys-Dietz

I te mea he ngoikore ngā kiko honohono o te tinana o te hunga whai mate nei, ka pā anō hoki ki ngā takirere o te ngākau.

Ko wai te hunga tino mōrearea ki te whakawhanake i tēnei (MVP)?

Ka pāngia te hunga o ngā tau katoa e te Mitral Valve Prolapse. Ka whānau mai ētahi tāngata me tēnei mate, inā koa ko te hunga e pāngia ana e ngā mate hononga o te kiko kua whakahuatia i mua ake nei. Hei tāpiri, ka taea e ēnei mate te whakanui ake i te mōrearea o te MVP:

• Mate manawa rūmātiki: He mate ka pā ki te manawa i muri mai mēnā kāore e rongoatia tika te mate korokoro.
• Scoliosis: He āhuatanga e piko ai te tuaiwi.
• Te mate a Kerei: He repe tairoi e mahi nui ana.

Ahakoa he nui ake te kitea o te MVP i roto i ngā wāhine, he nui ake te tūponotanga o ngā tāne ki te pāngia e te mitral regurgitation kino (te turuturu o te toto ki muri) e puta mai ana i tēnei.

He aha ngā raruraru ka pā mai i tēnei?

Ko te raruraru matua ka pā ki te hunga whai MVP ko te mitral regurgitation. Ki te kī māmā, kāore te takirere e kati tika, ka taea ai te toto te turuturu mai i te ventricle maui ki te atrium maui. Ko te MVP te tino take o tēnei āhuatanga. Mēnā he nui te turuturu, me mahi pea he pokanga, he maimoatanga rānei kia pai ai te mahi a te takirere.

Ko te hunga e pāngia ana e te Mitral Valve Prolapse me te Regurgitation kei te mōrearea ki te whakawhanake i ngā raruraru pēnei i:

• Te ngoikore o te ngākau: Kāore e taea e te ngākau te pupuhi i te toto e ranea ana ki te tinana.
• Te mate puku o te ngākau: He mate pāwera o te arai o roto, o ngā takirere rānei o te ngākau.
• Te fibrillation atrial: He tauira o te ngakau koretake.
• Ngā arrhythmias ventricular: He pākia hoki tēnei e te ngakau, ka taea ai te mate ohorere i ētahi wā.
• Te whiu: Te aukati i te rere o te toto ki te roro.

Me pēhea te tautuhi i tēnei mate (Mitral Valve Prolapse)?

Mā te tirotiro i a koe me te mahi i ētahi whakamātautau ka tātarihia e ngā tākuta te MVP. He maha ngā mea ka taea e te tākuta te mōhio mā te whakarongo ki tō ngākau me te stethoscope . Mena kei a koe te MVP, tera pea ka rongo tō tākuta i te tangi 'pāwhiri' i a koe e patupatu ana i tō ngākau, ā, muri iho ka rongohia he 'murmur' (he tangi pērā i te hau mārie e pupuhi ana i roto i te ngākau). Nā tēnei tangi motuhake, ka kiia hoki te MVP ko te "click-murmur syndrome".

I a koe e tirotiro ana i a koe, ka kōrerohia hoki e te tākuta tō hītori hauora o mua me tō hītori hauora whānau . (MVP) He mea tino nui tēnei mōhiohio nā te mea ka puta mai i roto i ngā whānau i ētahi wā.

Mena kei te whakapae tō tākuta kei a koe te MVP, tētahi atu raruraru rānei o te takirere, ka tonoa e rātou kia kotahi te whakamātautau hei whakaū i te mate.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ko te whakamātautau matua e whakamahia ana hei tautuhi i te MVP ko te echocardiogram . Ka whakamahia e tēnei te hangarau ultrasound hei tirotiro i te hanganga me te mahi a te ngākau. Tērā pea kei a koe tētahi, e rua rānei o ēnei momo:

• Te echocardiogram transthoracic: Ko te whakatakoto i tētahi transducer ultrasound ki ngā wāhi rerekē o tō uma hei tango pikitia o ngā takirere me ngā rūma o te manawa.
• Transesophageal echocardiogram: Ko te tikanga tēnei he tuku i tētahi transducer ultrasound iti ki raro i tō esophagus hei tango pikitia mārama ake.

Hei tāpiri, ka tono pea tō tākuta i ngā whakamātautau pēnei hei ako atu mō tō ngākau:

• Te hiko o te ngakau (ECG/EKG): Ka tirohia te mahi hiko o te ngākau.
• X-ray o te uma.
• Te whakaurunga o te catheter o te ngākau: Ka tukuna he ngongo angiangi ki roto i ngā uaua me ngā rūma o te ngākau hei tirotiro i a rātou.

Me pēhea te rongoā mō tēnei?

Ko te nuinga o te hunga e pāngia ana e te MVP kāore e hiahiatia he maimoatanga. Mena he mate ngawari tōu, ka tirotirohia pea koe e tō tākuta i ia wā. Ka tohua pea e rātou he rongoā pēnei i ngā beta-blockers hei whakahaere i ngā tohu pēnei i te whanoke me te palpitations.

Mena he atrial fibrillation tōu, kua pāngia rānei koe e te whiu i mua, me tango pea koe i ngā rongoā anticoagulants , i ngā rongoā whakangawari toto rānei. Kōrero ki tō tākuta kia whakatau ai koe ko tēhea rongoā te mea tika māu.

Mō ētahi tāngata, ko te maimoatanga pai mō te MVP he pokanga, he tukanga transcatheter rānei.Tērā pea. Ka rerekē te tikanga tino whai hua i runga i te āhuatanga o ia tangata. Ko ngā kōwhiringa pokanga/tikanga ko:

• Te whakatikatika i te takirere mitral: Kei roto i tēnei ko te whakatikatika i tō ake takirere me te whakahoki i tōna mahi tika. Mā tēnei tikanga ka taea e koe te pupuri i tō ake takirere, ka karohia ai ētahi o ngā mōrearea me ngā raruraru e pā ana ki te takirere horihori.
• Whakakapinga takirere mitral: Mō ētahi tāngata, ko te takirere hou te mea pai rawa atu, ki te kore koia anake. Ma tō tākuta e whakamārama te take me ngā momo takirere (ā-ringa, ā-koiora rānei) ka taea e koe te tiki.
• Te whakatikatika i te takirere mitral iti rawa te whakaekenga: He iti ake te whakaekenga o tēnei i te pokanga ngākau tuwhera nā te mea ka mahia te pokanga mā te tapahi iti ake.
• Te whakakapinga o te takirere mitral transcatheter: Ko tēnei tikanga, e tukuna ai he catheter mā roto i te oko toto, ka whakamahia he tapahi iti ake i ētahi atu pokanga.

He aha te maimoatanga pai rawa atu mōku?

He rerekē te whakautu i ia tangata, i ia tangata. Kōrero ki tō tākuta mō te mahere maimoatanga pai rawa atu māu. Kia mārama koe ki ngā painga me ngā mōrearea o tētahi maimoatanga (MVP). Ko te mahere maimoatanga pai rawa atu māu ka whakawhirinaki ki ngā āhuatanga maha, tae atu ki:

• Tō tau: Ko te hunga neke atu i te 80 tau te pakeke he nui ake te mōrearea ki te pokanga.
• Tō hītori hauora o mua.
• Tō āhua hauora o nāianei.
• Ahakoa he raruraru ngākau kē atu āu e hiahia ana kia whakatikahia: I ētahi wā ka taea e ngā taote pokanga te mahi i te whakatika takirere me te tikanga e kiia nei ko te Coronary Artery Bypass Grafting (CABG) i te wā kotahi.

Me pēhea taku mōhio mēnā me rongoā ahau mō te Mitral Valve Prolapse?

Tata ki te 1 i roto i te 10 tāngata e pāngia ana e te Mitral Valve Prolapse me toro atu ki te taote pokanga hei whakatika, hei whakakapi rānei i ō rātou takirere. Tērā pea me whakatika, me whakakapi rānei te takirere mēnā:

• Mena ka kino haere ō tohumate i te roanga o te wā.
• Mena he nui rawa te toto e turuturu mai ana i tō takirere mitral (he nui te ruaki toto).
• Mena ka whakaatuhia e ngā whakamātautau kei te rahi haere tō ngākau (te whānui haere o te ventricle maui me/ranei te atrium maui), ka nui haere pea tō atrium maui, tō ventricle maui rānei i ngā āhuatanga pēnei i ngā raruraru takirere me te toto toto tiketike.
• Mena he arrhythmia tōu (he pākia o te ngakau e te koretake).
• Ki te kore e taea e tō ngākau te pupuhi i te toto e ranea ana ki tō tinana. Tō (ejection fraction)Ki te iti rawa te toto e taea ana e te ventricle maui (te nui o te toto ka taea e te ventricle maui te papu i te wā kotahi), ka arahi pea ki te ngoikore o te ngakau.

Ka taea te ārai i te hekenga o te takirere mitral?

Kāore he huarahi tino tika hei ārai i te Mitral Valve Prolapse. Heoi, ka taea e koe te whakaiti i tō tupono ki te pāngia e te mate takirere ngākau i a koe e pakeke haere ana . Anei ētahi tohutohu hei āwhina i a koe ki te whakatutuki i tēnā:

• Whakakorikori tinana i ia rā. Heoi, pātai atu ki tō tākuta mēnā he here kei a koe.
• Kati te whakamahi i ngā hua tupeka.
• Whakamātauria ki tētahi kai hauora mō te ngākau.
• Kia mau tonu tō taumaha hauora.
• Whakahaerehia ngā mate pēnei i te toto toto tiketike me te mate huka. Tangohia ō rongoā kia rite ki te whakahaunga.
• Whakahaerehia te ahotea mā roto i ngā tikanga pēnei i te yoga, te manawa hōhonu, me te kōrero ki ētahi atu.

Mā te whai i ēnei tohutohu ka āwhina i a koe kia kaha tonu ki te tū atu ki te pokanga mēnā e hiahiatia ana.

Pātai atu ki tō tākuta he aha ngā huringa e whakaaro ana koe ka taea e koe te mahi. Tīmatahia i te iti, ā, kia maumahara ko ia huringa iti ka taea e koe te whai pānga nui ā muri ake nei.

He aha ngā mea ka tumanakohia e au mēnā kei a au te Mitral Valve Prolapse?

I te nuinga o te wā, kāore he raruraru e puta mai i te Mitral Valve Prolapse, ā, kāore koe e hiahia ki te maimoatanga. Kāore pea te MVP e whara i tō tinana. Heoi, mō ētahi tāngata, ka taea e te MVP te whakaputa i te ruaki me ētahi atu raruraru.

Mena kua tāpaetia koe kei te Mitral Valve Prolapse, kōrero ki tō tākuta mō tōna kaha me ngā mea e tika ana kia tumanakohia e koe.

Kia pēhea te roa ka taea e koe te ora me te Mitral Valve Prolapse?

Ko te roanga o te oranga o te hunga whai mate pāwera (MVP) e whakawhirinaki ana ki ētahi āhuatanga. Kei roto i ēnei:

• Mena i puta te ruaki i te ruaki nā te paru o te tūtae.
• Ahakoa he mate manawa, he āhuatanga hauora rānei e pā ana ki tēnei mate.
• Mehemea ka whiwhi koe i te maimoatanga me te wā.

Mā te whakatikatika i te takirere mitral ka taea e koe te ora roa pērā i te hunga kāore he raruraru takirere. I whakaatuhia e tētahi rangahau he rite te roa o te oranga o te hunga i whakatikatikaina he takirere ki te taupori whānui. He pono tēnei mō te hunga i waenga i te 40 me te 89 tau te pakeke.

Nō reira, ki te mea kei a koe te Mitral Valve Prolapse, he mea tino nui kia tirotirohia e koe tō hauora i ia wā, me te kōrero ki tō tākuta mō ngā tohu hou, ngā tohu rerekē rānei. Mā tēnei, ka taea e koe te whiwhi maimoatanga ina hiahiatia.

Ko te hunga e ruaki kino ana, engari kāore e whakatikahia te takirere, ka pāngia e ngā pānga kino. E 20% te mōrearea o te mate i roto i te tau kotahi, ā, e 50% te mōrearea o te mate i roto i ngā tau e rima.

Ka taea e tō tākuta te kōrero ki a koe mō tō āhua me tō matapae ā muri ake nei.

Āhea ahau me āwangawanga mō te Mitral Valve Prolapse?

Kōrero ki tō tākuta mō ngā mea hei tumanako atu, me te wā e tika ana kia āwangawanga koe. He mea noa te manukanuka o te hunga whai Mitral Valve Prolapse mō tō rātou āhua. Engari i te nuinga o te wā, kāore he take e āwangawanga ai ngā tohu ngawari. Ka tohua pea e tō tākuta he rongoā hei āwhina i te whakahaere i ngā tohu pēnei i te tere o te ngakau, te tere rānei o te palpitations.

Heoi, he mea nui kia mōhio koe ki ngā tohu ina puta mai. Kāore he tohu iti rawa hei whakaatu ki tō tākuta. Ahakoa ki tō whakaaro he tohu noa iho, me kōrero ki tō tākuta mō ō kare ā-roto. Ka tirotirohia koe e rātou ina hiahiatia, ā, ka whakarite kia māmā ake ai tō oranga o ia rā.

He aha ngā mea me karohia e au mēnā kei a au te (Mitral Valve Prolapse)?

Ko ētahi tāngata e pāngia ana e te Mate Mitral Valve, me karo pea i ngā mahi uaua. He mea nui kia kōrero koe ki tō tākuta mō ngā here e pā ana ki a koe me tō mate. Ko ngā here mahi e whakawhirinaki ana ki ētahi āhuatanga. Kei roto i ēnei ko:

• Kua hemo koe i mua?
• Ko ētahi arrhythmias, pērā i te supraventricular tachycardia .
• Te ruaki nui o te takirere mitral.
• Kua whakaitihia te wāhanga ejection ventricular maui.
• He hītori o ngā toto toto o mua.
• He hītori whānau o te matenga ohorere o te ngākau e pā ana ki te Mitral Valve Prolapse.

Kāore he herenga mahi mō te hunga whai MVP. Heoi, kia tūpato, me pātai atu ki tō tākuta i mua i te tīmatanga o tētahi kaupapa whakakori tinana hou.

Ka kino haere te Mitral Valve Prolapse i te pakeketanga?

Ka kino haere te Mitral Valve Prolapse i a koe e pakeke haere ana. Koia te mea nui kia whai tonu koe i ngā wā whakarite a tō tākuta. Ka taea e rātou te aroturuki i tō takirere me te kōrero ki a koe mō ngā kōwhiringa maimoatanga mēnā e tika ana.

He nui ake te kitea o te mate takirere i roto i te hunga neke atu i te 65 tau te pakeke. Ko tētahi take mō tēnei ko te taumahatanga e pā ana ki te ngākau i roto i te oranga o ia rā. Engari ko ngā raruraru ngākau pēnei i te mate uaua coronary, te ngoikore rānei o te ngākau ka pā ki ō takirere, inā koa te takirere mitral. He pono rawa tēnei mō te hunga neke atu i te 75 tau te pakeke.

Kōrero ki tō tākuta kia mōhio ai koe ki te pānga o te koroheketanga ki tō takirere mitral.

Me pēhea taku tiaki i ahau anō?

Tērā pea ka kī atu tō tākuta kia kite koe i a ia i ngā wā katoa, me te mahi i ngā mahi ā-tinana i ngā wā katoa. Ka taea hoki e koe te karo i ngā mea e whakararu ana i tō ngākau, pēnei i:

• Ngā inu waipiro.
• Ngā hua tupeka.
• Ngā raau taero i tangohia mō te whakangahau.

Āhea ahau me toro atu ki taku tākuta?

Mā tō tākuta koe e kī atu ki te auau o tō haerenga mai mō ngā tirotiro whai muri. He mea tino nui kia haere koe ki ia wā tirotiro. Me whai whakamātautau whakaahua auau pea koe hei tirotiro i te hauora o tō takirere mitral.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Waea atu ki te 911, ki tō nama urupare ā-rohe rānei mēnā ka pāngia koe e ēnei tohu:

• Mamae o te uma.
• Pōuriuri, māuiui, ngoikore rawa rānei.
• Te uaua ohorere me te uaua ki te manawa.
• He pānga taha ohorere mai i tō rongoā.

Mena kei te tango koe i ngā rongoā whakaheke toto (anticoagulants) ā, ka hinga koe, rapua tonutia he tohutohu hauora. Ka whakanui ake ngā rongoā whakaheke toto i te mōrearea o te toto o roto. Ahakoa kei te pai koe, he mea nui kia tirohia koe e te tākuta. Ka mate pea te toto o roto mena kāore e rongoatia.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kua kitea e koe kei te pāngia koe e te Mitral Valve Prolapse, tera pea he maha āu pātai pēnei i:

• He pēhea te kino o tōku āhua?
• Me pēhea taku whakahaere i aku tohumate?
• Me whakatika, me whakakapi rānei te takirere? Mena koinā, ka taea e koe te whakamārama mai i ia taahiraa o te tukanga me te whakaora?
• Me pēhea taku ārai i te kino haere o tōku āhua?
• He aha ngā mahi ā-tinana me karo e au?
• Kia pēhea te auau o taku haerenga mai mō te tirotiro whai muri?
• He rōpū tautoko ā-rohe, ā-ipurangi rānei ka taea e au te whakauru atu?

E kiia ana te Mitral Valve Prolapse he mate manawa?

Ae, ko te Mitral Valve Prolapse he momo mate takirere ngākau . Kei raro i te kupu matua te mate takirere ngākau, arā, te mate cardiovascular. Ko te mate cardiovascular tetahi āhuatanga e pā ana ki tō ngākau, ki ō oko toto rānei.

Ko te Mitral Valve Prolapse e kiia ana i ētahi wā ko te "floppy valve syndrome." He momo mate takirere myxomatous. Ko te tikanga o tēnei he tino ngāwari te kiko i roto i ngā rau takirere mitral, ka wetekina ai.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate noa te Mitral Valve Prolapse (MVP) kāore e nui te pānga ki tō oranga. Heoi, ka taea e ia te whakapūnga i te mitral regurgitation.Mena he takirere tōu e turuturu ana te toto ki muri, tera pea ka āwangawanga koe mō te pokanga hei whakatika i tō takirere. Kōrero ki tō tākuta mō ngā painga me ngā mōrearea o te whakatika takirere, me te ako mō ngā kōwhiringa katoa e wātea ana.

Mena kei te hiahia koe ki te whakatika i te takirere, he mea nui kia whiriwhiria he hōhipera e mahi ana i ēnei momo pokanga i ia rā. Kua rite ngā hōhipera nui ki te whakamahi i ngā hangarau hou hei whakaiti i ō mōrearea me te hoatu ki a koe ngā hua pai rawa atu.

Me tirotiro hauora i ia wā, me aro ki ngā tohu, me te noho i tētahi momo oranga hauora. Kātahi ka taea e koe te noho hauora ahakoa tēnei mate (MVP).

` Te Mitral Valve Prolapse, Mate Manawa, Mate Mitral Valve, Mamae Uma, Uauatanga ki te Manawa, Ngā Pāpātanga o te Manawa, (Mitral Valve Prolapse), (MVP), Hauora Manawa