Ese valvu ya mitral y'umutima wawe 'irarekuye' gato? (Mitral Valve Prolapse) - Reka tuvuge kuri ibi!

Ese hari igihe wumva ufunganye gato mu gituza, ugorwa no guhumeka, cyangwa ukagira impinduka mu mutima? Ibi bishobora guterwa n'impinduka nto mu mugozi muto mu mutima wawe. Abantu benshi ntibabizi, ariko ni ingenzi cyane kubimenya. Ntugahangayike, uyu munsi turaganira kuri iyi ndwara (Mitral Valve Prolapse) mu magambo make.

Mitral Valve Prolapse ni iki?

Mu magambo make, umutima wacu ufite valve yitwa Mitral Valve . Ikora nk'urugi. Iherereye ibumoso bw'umutima hagati y'icyumba cyo hejuru (atrium y'ibumoso) n'icyumba cyo hasi (ventricle y'ibumoso). Iyi valve ifasha amaraso meza kandi akize cyane ava muri atrium y'ibumoso ajya muri ventricle y'ibumoso.

Tekereza noneho, iyi valve ifite udupapuro tubiri . Imeze nk'inzugi ebyiri. Igihe cyose umutima ukubita, utu dupapuro turafunguka kandi tugafunga. Mu ndwara yitwa Mitral Valve Prolapse (MVP), utu dupapuro ntabwo dufunga neza, kandi tumanuka gato tugana ku gice cy'ibumoso cy'umubiri. Ni nk'urugi rudafunga neza. Ibi bishobora gutuma valve idafunga neza.

Iyi ndwara (MVP) ntabwo ikomeye nkuko ushobora kubitekereza. Ifata abantu bagera kuri 2 kugeza kuri 3 mu 100 mu baturage muri rusange. Abantu benshi babaho badafite ibimenyetso kandi ntibazi ko bayirwaye. Ibi biterwa nuko valve yabo ikomeje gukora neza. Ariko, kuri bamwe, iyo indwara irushijeho gukomera, ibimenyetso bishobora kugaragara kandi bikaba ngombwa ko ubuvuzi buvurwa. Hari igihe igitekerezo cyo kubagwa gishobora gutera ubwoba, ariko inkuru nziza ni uko hari abantu benshi bakorewe ubu bwoko bw'ubuvuzi neza.

Ni ibihe bimenyetso by'ibi?

Abantu benshi barwaye MVP nta bimenyetso na bimwe bagaragaza, ariko bamwe bashobora kugira ibimenyetso nk'ibi bikurikira:

• Ububabare bwo mu gituza: Ntabwo ari ububabare bukabije nk'ubwo mu ndwara y'umutima, ariko bushobora kumvikana nk'aho umuntu atameze neza cyangwa afite igitutu mu gituza.
• Guhumeka bigoranye (dyspnea): Ushobora kumva ufite ikibazo cyo guhumeka nabi, cyane cyane iyo uri gukora imyitozo ngororamubiri cyangwa uzamuka ingazi.
• Kuzungera: Ushobora kumva umutwe wawe umeze nk'aho uri kuzunguruka.
• Umunaniro: Ushobora kumva unaniwe kandi nta buzima ufite.
• Umutima utera cyane: Iki ni ikintu abantu benshi bahura nacyo. Tekereza ko umutima wawe utera cyane mu buryo butunguranye, cyangwa wumva umutima wawe utera hanze, cyangwa igituza cyawe gishobora kumva gisa n'aho kirimo gutera.

Igikuru ni uko atari buri wese ufite ibi bimenyetso ufite indwara ikomeye (MVP). Hari igihe nta sano igaragara hagati y’ibimenyetso n’uburemere bw’iyo ndwara. Ariko, niba ufite kimwe muri ibi bimenyetso, ni ngombwa kugisha inama muganga.

Ni izihe mpamvu zitera prolapse ya mitral valve?

Impamvu nyamukuru ni intege nke z'imitsi y'amaraso. Ibi byitwa myxomatous degeneration muri siyansi y'ubuvuzi. Ntibiramenyekana neza impamvu iyi mitsi icika intege. Hari igihe ishobora kuba umurage. Ibi bivuze ko iyo ndwara ishobora guhererekanywa ku babyeyi no ku bana. Abashakashatsi bavumbuye jeni nyinshi zifitanye isano n'iyo ndwara (MVP). Urugero, jeni zitwa (FLNA), (DCHS1), (DZIP1) na (PLD1) byagaragaye ko zigira uruhare muri ibi.

Nanone, abantu bafite indwara zimwe na zimwe z’imitsi ishobora kurwara iyi ndwara (myxomatous degeneration). Urugero:

• Indwara ya Marfan
• Indwara ya Ehlers-Danlos
• Indwara ya Loeys-Dietz

Kubera ko abantu bafite izi ndwara bafite intege nke mu ngingo z'umubiri, bishobora no kugira ingaruka ku mitsi y'umutima.

Ni nde uri mu kaga gakomeye ko kurwara iyi ndwara (MVP)?

Kurwara Mitral Valve Prolapse bishobora kwibasira abantu b'imyaka iyo ari yo yose. Hari abantu bavukana iyi ndwara, cyane cyane abafite indwara zo mu ngingo zavuzwe haruguru. Byongeye kandi, izi ndwara zikurikira zishobora kongera ibyago byo kurwara MVP:

• Indwara y'umutima ya rubagimpande: Indwara ishobora kugira ingaruka ku mutima nyuma iyo indwara yo mu muhogo idavuwe neza.
• Scoliosis: Indwara aho umugongo ugorama.
• Indwara ya Graves: Indwara ya tiroyide ikora cyane.

Nubwo MVP ikunze kugaragara cyane ku bagore, abagabo bafite amahirwe menshi yo kurwara indwara yo kuruhuka cyane (gutera amaraso inyuma) bitewe na yo.

Ni izihe ngorane ibi bishobora gutera?

Ingorane nyamukuru ishobora kubaho ku bantu bafite MVP ni ugusubira inyuma kw'imitsi. Muri make, valve ntifunga neza, bigatuma amaraso ava mu gice cy'ibumoso cy'amaraso ajya mu gice cy'ibumoso cy'amaraso. MVP ni yo mpamvu nyamukuru y'iyi ndwara. Iyo amazi avanze cyane, hashobora kuba hakenewe kubagwa cyangwa ubundi buryo bwo kuvura kugira ngo valve ikore neza.

Abantu bafite Mitral Valve Prolapse na Regurgitation bashobora kugira ingorane nka:

• Umutima unanirwa: Umutima ntushobora kohereza amaraso ahagije mu mubiri.
• Indwara yandura: Indwara y'imbere mu mutima cyangwa mu bice by'imbere by'umutima.
• Gutera umutima mu buryo budasanzwe: Uburyo umutima utera butari bwo.
• Kudatera neza kw'umutima mu mitsi: Ibi kandi ni ugutera umutima mu buryo budasanzwe, rimwe na rimwe bishobora gutera urupfu rutunguranye rw'umutima.
• Stroke: Guhagarika amaraso ajya mu bwonko.

Iyi ndwara (Mitral Valve Prolapse) ipimwa ite?

Abaganga bapima indwara ya MVP bagusuzuma kandi bakagukorera ibizamini bimwe na bimwe. Umuganga ashobora kumenya byinshi akurikije uburyo umutima wawe umeze akoresheje stethoscope . Niba ufite MVP, umuganga wawe ashobora kumva ijwi rya 'click' umutima wawe utera, hagakurikiraho 'murmur' (ijwi nk'umuyaga woroshye uhuha mu mutima). Kubera iryo jwi ridasanzwe, MVP yitwa kandi "click-murmur syndrome."

Mu gihe cyo kugusuzuma, muganga azakubwira amateka yawe y'ubuzima bwa kera n'amateka y'ubuzima bw'umuryango wawe . (MVP) Aya makuru ni ingenzi cyane kuko rimwe na rimwe agaragara mu miryango.

Niba muganga wawe akeka ko ufite ikibazo cya MVP cyangwa ikindi kibazo cya valve, azagutegeka nibura ikizamini kimwe kugira ngo yemeze ko ari indwara.

Ni ibihe bizamini bikorwa kuri ibi?

Ikizamini nyamukuru gikoreshwa mu gusuzuma MVP ni echocardiogram . Ibi bikoresha ikoranabuhanga rya ultrasound kugira ngo basuzume imiterere n'imikorere y'umutima. Ushobora kuba ufite bumwe muri ubu bwoko cyangwa byombi:

• Gupima umutima hakoreshejwe ikoranabuhanga rya "Transthoracic echocardiogram": Ibi bikubiyemo gushyira icyuma gipima umutima hakoreshejwe ikoranabuhanga rya "ultrasound" ahantu hatandukanye ku gituza cyawe kugira ngo gifate amafoto y'uturemangingo tw'umutima n'ibyumba by'umutima.
• Echocardiogram ya Transesophageal: Ibi bikubiyemo kohereza transducer nto ya ultrasound mu muhogo wawe kugira ngo ufate amashusho asobanutse neza.

Byongeye kandi, muganga wawe ashobora gutumiza ibipimo nk'ibi kugira ngo amenye byinshi ku mutima wawe:

• Electrocardiography (ECG/EKG): Isuzuma imikorere y'amashanyarazi y'umutima.
• X-ray yo mu gituza.
• Gukoresha catheter mu mutima: Umuyoboro muto woherezwa mu mitsi no mu byumba by'umutima kugira ngo ubisuzume.

Ibi bivurwa bite?

Abantu benshi barwaye MVP ntibakeneye ubuvuzi ubwo aribwo bwose. Niba ufite ikibazo cyoroheje, muganga wawe ashobora kugukurikirana buri gihe. Bashobora kandi kukwandikira imiti nka beta-blockers kugira ngo bagenzure ibimenyetso nko kuzungera no gutera ubwoba.

Niba ufite ikibazo cyo kugabanuka k'amaraso mu maraso cyangwa ukaba warigeze kugira ikibazo cyo gucika intege mu maraso, ushobora gukenera gufata imiti igabanya amaraso cyangwa imiti igabanya amaraso. Vugana na muganga wawe kugira ngo agufashe guhitamo umuti ukubereye.

Kuri bamwe, uburyo bwiza bwo kuvura MVP ni ukubagwa cyangwa gukorerwa transcatheter.Birashoboka. Uburyo bwiza cyane buzatandukana bitewe n'imimerere ya buri muntu. Uburyo bwo kubaga/gukora burimo:

• Gusana valve ya Mitral: Ibi bikubiyemo gusana valve yawe no kuyisubiza mu kazi kayo. Ubu buryo bugufasha kugumana valve yawe, ibyo bikaba birinda zimwe mu ngaruka n'ingorane zijyanye na valve y'ubukorano.
• Gusimbuza valve ya Mitral: Kuri bamwe, valve nshya ishobora kuba amahitamo meza, niba atari yo yonyine. Muganga wawe azagusobanurira impamvu n'ubwoko bwa valves (za mekanike cyangwa iz'ibinyabuzima) ushobora kubona.
• Gusana valve ya mitral igabanya ubukana: Ibi ntibigabanya ubukana nk'uko bikorwa mu kubaga umutima ufunguye kuko kubaga bikorwa binyuze mu gukata gato.
• Gusimbuza valve ya mitral ya Transcatheter: Ubu buryo, aho catheter inyuzwa mu mitsi y'amaraso, bunakoresha uburyo bwo gukata buto ugereranyije n'ubundi buryo bwo kubaga.

Ni ubuhe buryo bwiza bwo kuvura kuri njye?

Igisubizo kuri ibi kiratandukanye bitewe n'umuntu ku wundi. Vugana na muganga wawe ku byerekeye gahunda nziza yo kuvura. Menya neza ko usobanukiwe ibyiza n'ingaruka zo kuvurwa (MVP). Gahunda nziza yo kuvura izaterwa n'ibintu byinshi, birimo:

• Imyaka yawe: Abantu barengeje imyaka 80 bari mu kaga gakomeye ko kubagwa.
• Amateka yawe y'ubuzima yabanje.
• Uko ubuzima bwawe buhagaze ubu.
• Waba ufite ibindi bibazo by'umutima bigomba gusanwa: Hari igihe abaganga babaga bashobora gusana valves no gukora igikorwa cyitwa Coronary Artery Bypass Grafting (CABG) icyarimwe.

Namenya nte ko nkeneye kuvurwa na Mitral Valve Prolapse?

Umuntu umwe kuri 10 ufite Mitral Valve Prolapse azakenera kubonana na muganga w’inzobere mu kubaga kugira ngo abasane cyangwa abasimbuze valve. Ushobora gukenera gusana valve cyangwa kuyisimbuza iyo:

• Niba ibimenyetso byawe birushaho kwiyongera uko igihe kigenda gihita.
• Niba valve yawe ya mitral iva amaraso menshi cyane (gusubira inyuma cyane).
• Niba ibizamini byerekanye ko umutima wawe urimo gukura (kwaguka kw'imitsi y'ibumoso cyangwa ibumoso), ibintu nk'ibibazo by'imitsi n'umuvuduko ukabije w'amaraso bishobora gutuma atrium y'ibumoso cyangwa ventricle y'ibumoso ikura.
• Niba ufite arrhythmia (umutima utari usanzwe).
• Niba umutima wawe udashobora kohereza amaraso ahagije mu mubiri wawe. (Igice cyawe cyo gusohora amaraso)Iyo ventricle y'ibumoso (ingano y'amaraso ventricle y'ibumoso ishobora gukompa icyarimwe) ibaye mike cyane, bishobora gutera umutima guhagarara neza.

Ese prolapse ya mitral valve ishobora kwirindwa?

Nta buryo bwizewe bwo kwirinda Mitral Valve Prolapse. Ariko, ushobora kugabanya ibyago byo kurwara indwara y'umutima uko ugenda usaza . Dore inama zimwe na zimwe zagufasha kubikora:

• Kora imyitozo ngororamubiri ya buri munsi. Ariko, baza muganga wawe niba hari ibyo ubuza.
• Hagarika gukoresha ibikomoka ku itabi.
• Imenyere indyo yuzuye umutima.
• Komeza kugira ibiro bizima kuri wewe.
• Genzura indwara nk'umuvuduko ukabije w'amaraso na diyabete. Fata imiti yawe uko wabitegetswe.
• Gucunga imihangayiko binyuze mu buryo nka yoga, guhumeka cyane, no kuganira n'abandi.

Gukurikiza izi nama bizagufasha gukomeza kugira imbaraga zo guhangana n'ukubagwa niba ubikeneye.

Baza muganga wawe impinduka ubona ushobora gukora. Tangira ku ntoya, kandi wibuke ko buri mpinduka nto uzakora ishobora kugira ingaruka zikomeye mu gihe kizaza.

Ni iki nkwiye kwitega mu gihe mfite Mitral Valve Prolapse?

Kenshi na kenshi, Mitral Valve Prolapse ntabwo itera ikibazo, kandi ntukeneye kuvurwa. MVP ishobora kutagira ingaruka ku mubiri wawe. Ariko, kuri bamwe, MVP ishobora gutera ubwiyongere bw'ibinure n'ibindi bibazo.

Niba waranduye Mitral Valve Prolapse, ganira na muganga wawe ku buremere bwayo n'icyo wakwitega.

Ushobora kumara igihe kingana iki ufite Mitral Valve Prolapse?

Ubuzima bw'abantu bafite (MVP) buterwa n'ibintu byinshi. Muri byo harimo:

• Niba hari ubwo kwituma nabi byatewe n'imyanya idafunguye.
• Niba hari izindi ndwara z'umutima cyangwa indwara zifitanye isano nabyo.
• Niba uzahabwa ubuvuzi n'igihe uzabuhabwa.

Gusana valve ya Mitral bishobora kugufasha kubaho igihe kirekire nk'abantu badafite ibibazo bya valve. Ubushakashatsi bumwe bwagaragaje ko abantu basana valve bari bafite igihe cyo kubaho kingana n'icy'abaturage muri rusange. Ibi byari ukuri ku bantu bari hagati y'imyaka 40 na 89.

Kubwibyo, niba ufite Mitral Valve Prolapse, ni ngombwa cyane kwisuzumisha kwa muganga buri gihe no kubwira muganga wawe ibimenyetso bishya cyangwa bihinduka. Muri ubu buryo, ushobora kubona ubuvuzi igihe ubukeneye.

Abantu bafite ikibazo gikomeye cyo kongera kunwa cyane ariko badakorerwa isuku y'imitsi bahura n'ingaruka zikomeye. Bafite ibyago bya 20% byo gupfa mu mwaka umwe na 50% byo gupfa mu myaka itanu.

Muganga wawe ashobora kukubwira uko indwara yawe imeze n'uko izabaho mu gihe kizaza.

Ni ryari nkwiye guhangayikishwa na Mitral Valve Prolapse?

Vugana na muganga wawe ku byo ushobora kwitega n'igihe ugomba kugira impungenge. Ni ibisanzwe ko abantu barwaye Mitral Valve Prolapse bumva bahangayikishijwe n'uburwayi bwabo. Ariko akenshi, ibimenyetso byoroheje si byo bitera impungenge. Muganga wawe ashobora kukwandikira imiti igufasha kugenzura ibimenyetso nko gutera k'umutima vuba cyangwa gutera cyane.

Ariko, ni ngombwa kumenya ibimenyetso iyo bigaragaye. Nta kimenyetso na kimwe kidakomeye ku buryo udashobora kubimenyesha muganga wawe. Nubwo waba ubona ko ari ikimenyetso gusa, bwira muganga wawe uko wumva. Bazagusuzuma igihe bibaye ngombwa kandi bagufashe gahunda zo koroshya ubuzima bwawe bwa buri munsi.

Ni iki nkwiye kwirinda mu gihe mfite (Mitral Valve Prolapse)?

Bamwe mu bantu barwaye indwara ya Mitral Valve bashobora gukenera kwirinda gukora imirimo ivunanye. Ni ngombwa kuvugana na muganga wawe ku nzitizi zikureba ndetse n'indwara yawe. Imipaka y'ibikorwa iterwa n'ibintu byinshi. Muri byo harimo:

• Ese wigeze ucika intege mbere?
• Amwe mu majwi atera kugabanuka kw'umutima, nka tachycardia yo mu mutwe .
• Gusubirana cyane kwa valve ya mitral.
• Igice cyo gusohora amaraso mu mva y'ibumoso cyagabanutse.
• Amateka y'amaraso yabanje kubyimba .
• Amateka y'umuryango w'abantu bapfuye umutima utunguranye bifitanye isano na Mitral Valve Prolapse.

Nta mbogamizi zo gukora imyitozo ngororamubiri zihari ku bantu bafite MVP. Ariko, witondere kandi ubaze muganga wawe mbere yo gutangira gahunda nshya y'imyitozo ngororamubiri.

Ese Mitral Valve Prolapse irushaho kwiyongera uko umuntu asaza?

Kugabanuka kwa Mitral Valve bishobora kwiyongera uko ugenda usaza. Niyo mpamvu ari ngombwa gukomeza gahunda za muganga. Bashobora gukurikirana valve yawe no kukuganiriza ku buryo bwo kuyivura nibiba ngombwa.

Indwara ya valive ikunze kugaragara cyane ku bantu barengeje imyaka 65. Impamvu imwe ni uko umutima wawe utera umuvuduko mu buzima bwa buri munsi. Ariko ibibazo by'umutima nk'indwara y'imitsi itera umutima cyangwa kunanirwa k'umutima nabyo bishobora kugira ingaruka ku valive zawe, cyane cyane valive ya mitral. Ibi ni ukuri cyane cyane ku bantu barengeje imyaka 75.

Vugana na muganga wawe kugira ngo umenye byinshi ku bijyanye n'uburyo gusaza bigira ingaruka ku mugozi wawe wa mitral.

Nitwara nte?

Muganga wawe ashobora kukubwira ko umusura buri gihe, kandi ugakora imyitozo ngororamubiri buri gihe. Ushobora kandi kwirinda ibintu bigutera stress ku mutima, nka:

• Ibinyobwa bisindisha.
• Ibikomoka ku itabi.
• Ibiyobyabwenge bifatwa mu kwidagadura.

Ni ryari ngomba kubonana na muganga wanjye?

Muganga wawe azakubwira inshuro ugomba kuza gusura muganga. Ni ingenzi cyane kujya kuri buri gahunda. Ushobora kandi gukenera gukorerwa ibizamini byo gupima indwara kugira ngo urebe uko valve yawe ya mitral imeze.

Ni ryari nkwiye kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ?

Hamagara 911 cyangwa inomero y'ubutabazi yo mu gace utuyemo niba ubonye kimwe muri ibi bimenyetso:

• Kubabara mu gituza.
• Kuzunguruka, kubabara umutwe, cyangwa intege nke zikabije.
• Guhumeka bitunguranye kandi bikomeye.
• Ingaruka mbi zitunguranye ziturutse ku muti wawe.

Niba ufata imiti igabanya amaraso (anticoagulants) ukagwa, shaka ubufasha kwa muganga vuba. Imiti igabanya amaraso yongera ibyago byo kuva amaraso imbere. Nubwo waba wumva umeze neza, ni ngombwa ko muganga agusuzuma. Kuva amaraso imbere bishobora kwica iyo bitavuwe.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba umaze kumenya ko ufite Mitral Valve Prolapse, ushobora kuba ufite ibibazo byinshi nk'ibi:

• Indwara yanjye ikomeye gute?
• Nigute nakira ibimenyetso byanjye?
• Ese nkeneye gusana valve cyangwa kuyisimbura? Niba ari byo, ushobora kunsobanurira buri ntambwe y'igikorwa no kuyigarura?
• Nigute nakwirinda ko indwara yanjye irushaho kuba mbi?
• Ni iyihe mirimo ngomba gukora siporo nkwiye kwirinda?
• Ni kangahe ngomba kuza gukurikirana?
• Ese hari itsinda ry'ubufasha ryo mu gace cyangwa kuri interineti nshobora kwinjiramo?

Ese Mitral Valve Prolapse ifatwa nk'indwara y'umutima?

Yego, Mitral Valve Prolapse ni ubwoko bw'indwara y'umutima . Indwara y'umutima iterwa n'indwara z'umutima. Indwara z'umutima ni indwara iyo ari yo yose ifata umutima wawe cyangwa imiyoboro y'amaraso.

Gucika kw'imitsi ya Mitral Valve rimwe na rimwe byitwa "floppy valve syndrome." Ni ubwoko bw'indwara ya myxomatous valve. Ibi bivuze ko ingingo ziri mu dupapuro twa mitral valve yawe ziba zigoramye ku buryo budasanzwe, bigatuma zicika intege.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Kugabanuka k'imitsi mu buryo bwa Mitral Valve (MVP) ni indwara ikunze kugaragara idahindura byinshi ku buzima bwawe. Ariko, ishobora gutera mitral regurgitation.Niba ufite valve isohora amaraso inyuma, ushobora kuba ufite impungenge zo kubagwa kugira ngo usane valve yawe. Vugana na muganga wawe ku byiza n'ingaruka zo gusana valve, kandi umenye amahitamo yose aboneka.

Niba ukeneye gusana valve, ni ngombwa guhitamo ibitaro bikora ubwo bwoko bw'ubu buvuzi buri munsi. Ibitaro binini bifite ibikoresho byo gukoresha ikoranabuhanga rigezweho kugira ngo bigabanye ibyago byawe kandi biguhe ibisubizo byiza bishoboka.

Jya kwisuzumisha kwa muganga buri gihe, witondere ibimenyetso, kandi ubeho ubuzima bwiza. Hanyuma ushobora gukomeza kugira ubuzima bwiza nubwo waba ufite iyi ndwara (MVP).

` Kugabanuka kwa Mitral Valve, Indwara z'Umutima, Indwara z'Umutima Valve, Ububabare bwo mu Gituza, Kugorwa no Guhumeka, Gutera Igitsina mu Mutwe, (Mitral Valve Prolapse), (MVP), Ubuzima bw'Umutima