Kodi muli ndi chotupa chaching'ono mumtima mwanu? Tiyeni tiphunzire za icho popanda mantha!

Nthawi zina, tingakhale ndi mavuto m'thupi mwathu omwe sitingaganizirepo, sichoncho? Mwina mukupita kwa dokotala chifukwa cha chinthu china, kapena mwina mukuchita mayeso adzidzidzi, ndipo mumapeza kuti pali kachinthu kakang'ono mumtima mwanu, mwina chotupa chaching'ono. Mukamva mawu oti 'chotupa cha mtima', mtima wanu umadumpha nthawi yomweyo ndipo mumaopa. Koma muyenera kukumbukira kuti si zotupa zonse zomwe ndi khansa . Lero, tikambirana za mtundu wa chotupa chomwe chimakula mumtima, koma sichili khansa, koma chimafunika chisamaliro. Madokotala amatcha izi kuti papillary fibroelastoma . Ngakhale dzinalo lingawoneke lalitali pang'ono, tiyeni tikambirane mwachidule.

Kodi Fibroelastoma ya Papillary ndi chiyani?

Mwachidule, papillary fibroelastoma iyi ndi chotupa chosakhala khansa (chosaopsa) chomwe chimapezeka mumtima. Izi zikutanthauza kuti si khansa ndipo sichifalikira ku ziwalo zina za thupi. Izi zimatchedwanso kuti primary heart tumors chifukwa zimayambira mumtima. Sizibwera mumtima kuchokera kwina.

Komabe, ngakhale kuti si khansa, si yotetezeka konse. Chifukwa, chotupachi chikhoza kufalikira. Kufalikira kumatanthauza, tangoganizirani, chidutswa chaching'ono cha chotupachi chingasweke ndikuyenda ndi magazi, ndikukakamira mumtsempha wamagazi kwinakwake m'thupi. Ngati zimenezo zitachitika, pali kuthekera kwa mavuto aakulu monga sitiroko .

Nthawi zambiri, pafupifupi asanu ndi atatu mwa khumi, ma fibroelastoma a papillary amakula pa ma valve a mtima. Ndipotu, ndi mtundu wofala kwambiri wa chotupa chomwe chimayambira kuzungulira ma valve a mtima.

Ndi ma valve ati a mtima omwe ali ndi mwayi waukulu wopanga izi?

Zotupa zimenezi nthawi zambiri zimapezeka pa ma valve kumbali yakumanzere ya mtima. Izi zikutanthauza kuti, pa valavu ya aorta (yomwe imapezeka kwambiri) kapena valavu ya mitral . Nthawi zambiri, zimapangika pa valavu ya tricuspid kapena valavu ya m'mapapo kumbali yakumanja ya mtima.

Nkhani yabwino ndi yakuti ma fibroelastoma a papillary nthawi zambiri samayambitsa kusokonezeka kwakukulu kwa magwiridwe antchito a ma valve a mtima. Izi zili choncho chifukwa zotupazi zimapezeka pansi pa valavu, kutanthauza mbali yomwe magazi amadutsa valavu.

Ichi ndichifukwa chake zotupa izi zimasiyana ndi mtundu wina wa chotupa cha mtima chotchedwa cardiac myxoma . Myxoma nthawi zambiri zimakhala zazikulu ndipo zimatha kusokoneza ntchito ya ma valve kuposa papillary fibroelastomas. Chinanso n'chakuti myxoma sizimangiriridwa kwambiri ku ma valve, mosiyana ndi papillary fibroelastomas.

Kodi mtedza uwu uli kuti kwenikweni mumtima?

Monga tanenera kale, zotupa zimenezi zimapezeka kwambiri pa ma valve a mtima. Pafupifupi 95 peresenti (95%) mwa izo zili kumanzere kwa mtima.Kawirikawiri, izi zimachitika pakhoma lamkati la zipinda zamtima, makamaka ventricle yakumanzere.

Kodi fibroelastoma ya papillary imakhudza bwanji thupi?

Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kusamala nacho. Papillary fibroelastoma ingayambitse magazi kuundana ndikuyenda m'magazi. Magazi kuundana omwe amayenda motere amatchedwa emboli . Ma emboli amenewa amatha kupita ku ziwalo zosiyanasiyana za thupi ndikukakamira. Mwachitsanzo:

• Ubongo: Ngati izi zitachitika , sitiroko ikhoza kuchitika.
• Mitsempha ya mtima: Izi zingayambitse matenda a mtima .
• Impso
• Mapapu
• Ma retina a maso
• Msana

Chifukwa cha magazi kuundana ndi kutsekeka kumeneku,

• Matenda amtima
• Stroke
• Zinthu monga ventricular fibrillation (vuto lalikulu lomwe mtima umagunda molakwika komanso mwachangu) zimatha kuchitika.

Kuphatikiza apo, ngati chotupacho chili pa valavu ya aorta, chingatseke mitsempha ya mtima yomwe imapereka magazi kumtima. Izi zingayambitse angina , kupweteka pachifuwa komwe kumachitika mtima ukapanda kulandira magazi okwanira, panthawi yochita masewera olimbitsa thupi. Palinso chiopsezo cha imfa yadzidzidzi ya mtima .

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a papillary fibroelastomas nthawi zambiri amapezeka mwa akuluakulu azaka zopitirira 40. Nthawi zambiri, matendawa amapezeka ali ndi zaka pafupifupi 60. Nthawi zambiri, zotupazi zimathanso kukula mwa makanda ndi ana aang'ono omwe ali ndi vuto la mtima lobadwa nalo .

Kodi fibroelastoma ya papillary ndi yofala bwanji?

Matenda oyamba a mtima, omwe amayamba mumtima, ndi osowa kwambiri. Amakhudza anthu osakwana m'modzi mwa anthu 2,000. Mwa matenda oyamba a mtima awa, mitundu iwiri yofala kwambiri yopanda khansa ndi papillary fibroelastoma ndi cardiac myxoma. Koma n'zovuta kunena momwe alili ofala, chifukwa nthawi zambiri amapezeka munthu atamwalira .

Kodi zizindikiro zake ndi ziti?

Chodabwitsa n'chakuti, anthu opitirira theka la anthu omwe ali ndi vutoli sasonyeza zizindikiro zilizonse. Anthu omwe ali ndi zizindikiro angakumane ndi zinthu monga:

• Angina: Kupweteka pachifuwa kapena kusapeza bwino.
• Kusazindikira: Kutaya chidziwitso.
• Kupuma movutikira.
• Kuukira kwa Ischemic kwa Nthawi Yaitali (TIA) kapena Stroke: TIA ndi kuchepa kwakanthawi kwa magazi kupita ku ubongo, mofanana ndi sitiroko yaying'ono, ndipo zizindikiro zimatha pakangopita mphindi zochepa.

Kodi chifukwa chake ndi chiyani?

Chomwe chimayambitsa matenda a papillary fibroelastomas sichinadziwikebe. Komabe, asayansi ambiri amakhulupirira kuti amayamba chifukwa cha kuwonongeka kwa maselo a endothelial omwe ali mkati mwa mtima. Akuganiza kuti magazi ang'onoang'ono amasonkhana, kupita kumalo komwe kwawonongeka, ndipo pang'onopang'ono amapanga chotupa chonga chotupa.

Kodi mumazindikira bwanji izi?

Nthawi zambiri, papillary fibroelastoma imapezeka mwangozi. Izi zikutanthauza kuti, dokotala amapeza chotupacho panthawi yoyezetsa yomwe mukuchita pazifukwa zina. Kapena, chingapezeka pamene wina wadwala sitiroko ndipo akuyesera kupeza chomwe chayambitsa.

Chiyeso chachikulu chodziwira izi ndi echocardiography . Ichi ndi scan ya mtima.

• Choyamba, madokotala nthawi zambiri amachita echo ya transthoracic , zomwe zikutanthauza kuti imachitidwa pamwamba pa chifuwa.
• Koma nthawi zina, kuti aone ngati pali zotupa zazing'ono kwambiri kapena kuti aone bwino malo omwe akhudzidwa , transesophageal echo (TEE) ikhoza kuchitika. Izi zimaphatikizapo kuyika chubu chaching'ono chokhala ndi kamera kudzera mu mkodzo kuti aone mtima.

Kodi chotupa ichi chimawonekera bwanji pa Echo?

Pa echocardiogram, papillary fibroelastoma iyi imaoneka ngati sea anemone! Izi zili choncho chifukwa ili ndi tinthu tating'onoting'ono tofanana ndi nthambi totchedwa papillary frunds tomwe timafalikira pamwamba pake.

Chipatsochi nthawi zambiri chimakhala chaching'ono (chosakwana 1 cm). Komanso, chimadulidwa ndi phesi/tsinde . Phesili limalola chipatsocho kuyenda bwino, ndiko kuti, chimasuntha .

Kodi chithandizo chake ndi chiyani?

Chithandizo cha papillary fibroelastoma ndi opaleshoni. Pa opaleshoni, dokotala wa opaleshoni:

• Chotupa chonsecho chachotsedwa.
• Amafufuza mbali zina za mtima kuti aone ngati pali zotupa zina.
• Ngati chotupacho chawononga gawo lililonse la mtima, chidzakonzedwanso. Izi zingaphatikizepo kukonza ma valavu kapena kusintha ma valavu.

Chofunika ndichakuti, ngakhale mutakhala kuti mulibe zizindikiro, dokotala wanu angakulangizeni opaleshoni kuti muchepetse mavuto omwe angakhalepo mtsogolo.

Opaleshoniyi nthawi zambiri imachitika pogwiritsa ntchito njira zachikhalidwe zotsegula mtima, koma kwa anthu ena , njira za robotic zosavulaza kwambiri zimagwiritsidwa ntchito.Mungagwiritsenso ntchito. Lankhulani ndi dokotala wanu kuti mudziwe njira yabwino kwa inu.

Mofananamo , ngati opaleshoni ndi yoopsa kwambiri kwa inu, dokotala wanu angasankhe kukupatsani mankhwala oletsa magazi kuundana, kapena mankhwala ochepetsa magazi , kuti achepetse chiopsezo cha magazi kuundana.

Kodi vuto limakhala bwanji mutalandira chithandizo? (Zomwe zimachitika)

Anthu omwe adachitidwa opaleshoni yochotsa papillary fibroelastoma ndi abwino kwambiri. Chiwopsezo choti chotupacho chibwererenso n'chochepa kwambiri. Komanso, popeza sichili khansa, palibe chiopsezo choti chifalikire ku ziwalo zina za thupi.

Ndiyenera kupita kwa dokotala liti?

Mitundu iyi ya zotupa mumtima nthawi zambiri imapezeka mwangozi. Ndicho chifukwa chake ndikofunikira kusunga nthawi zonse zomwe mwakumana nazo kuchipatala komanso kutsatira malangizo. Kuzindikira msanga zotupa n'kosavuta kuchiza. Ngati sizikuchiritsidwa, ma fibroelastomas a papillary amatha kukula ndikuyambitsa mavuto aakulu.

Ngati mwachitidwa opaleshoni ya mtima kuti muchotse chotupa, thupi lanu lifunika nthawi kuti muchire. Lankhulani ndi dokotala wanu za zomwe simuyenera kuchita komanso zoletsa zochita zomwe muyenera kutsatira kwa milungu ingapo mutachitidwa opaleshoni. Muthanso kutumizidwa ku pulogalamu yothandiza anthu odwala matenda a mtima kuti ikuthandizeni kupezanso mphamvu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Ngati mwapezeka ndi papillary fibroelastoma, funsani dokotala mafunso awa:

• Kodi chotupacho ndi chachikulu bwanji?
• Chili kuti?
• Kodi zimandikhudza bwanji mtima wanga?
• Kodi ndikufunika opaleshoni? Ngati ndi choncho, ndi nthawi yanji?
• Kodi ndingakonzekere bwanji opaleshoniyi?
• Kodi nthawi yochira imakhala bwanji?
• Kodi zoopsa za opaleshoni ndi ziti?
• Kodi vuto langa lidzakhala bwanji ndikalandira chithandizo?
• Kodi zitenga nthawi yayitali bwanji kuti ndibwererenso kukayezetsa?

Kodi kuuma kwa mtima kumatanthauza chiyani?

Chotupa pamtima panu ndi kukula kulikonse kosazolowereka (chotupa) mumtima. Madokotala amatcha izi zotupa za mtima . Zotupa za mtima izi zitha kukhala khansa kapena zosakhala khansa. Zingayambenso mumtima (choyamba) kapena kufalikira kumtima kuchokera kwina m'thupi (metastatic).

N'zosowa kwambiri kuti chotupa chiyambe mumtima. Koma pa zotupa zomwe zimayambitsa, papillary fibroelastoma ndiyo mtundu wofala kwambiri, pamodzi ndi cardiac myxoma.

Ndizachilendo kuchita mantha mukauzidwa kuti muli ndi chotupa cha mtima. Koma nkhani yabwino ndi yakuti papillary fibroelastoma si khansa, sifalikira ku ziwalo zina za thupi, ndipo nthawi zambiri imachiritsidwa ndi opaleshoni. Lankhulani ndi dokotala wanu za njira yabwino kwambiri yothandizira komanso zomwe mungayembekezere mtsogolo.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Tsopano mutha kumvetsetsa pang'ono za Papillary Fibroelastoma yomwe tidakambirana. Ngakhale kuti iyi si khansa, ndi vuto lomwe limafuna chisamaliro chifukwa limakhala ndi chiopsezo cha magazi kuundana ndi kuyenda.

• Anthu ambiri sasonyeza zizindikiro, choncho mayeso azachipatala ndi ofunikira.
• Izi zimazindikirika makamaka pogwiritsa ntchito mayeso a echocardiography.
• Chithandizo nthawi zambiri chimakhala opaleshoni, zomwe zimapereka zotsatira zabwino kwambiri.
• Ngati mwapeza kuti muli ndi vutoli , musachite mantha. Kambiranani momasuka ndi dokotala wanu, funsani mafunso aliwonse omwe muli nawo, ndipo pezani mfundo zolondola.

Chofunika kwambiri ndichakuti mukhale ndi thanzi labwino!

Fibroelastoma ya papillary , matenda a mtima, zotupa za mtima, ma valve a mtima, sitiroko, matenda a mtima, echocardiogram, opaleshoni ya mtima, chotupa chosaopsa, thanzi la mtima