Une dambudziko ne mitral valve yemoyo wako here? Ngatikurukurei nezve chirwere cheMitral Valve!

Dzimwe nguva unonzwa kurwadziwa muchipfuva chako, kunetseka kufema, kana kuchinja kamwe kamwe kwekurova kwemoyo wako? Ungafunga kuti izvi zvinhu zvakajairika. Zvisinei, izvi dzimwe nguva zvinogona kuva zviratidzo zvekusasimba kwe mitral valve mumoyo mako. Usazvidya mwoyo, nhasi tichataura nezvechirwere ichi chiri nyore che mitral valve (`Mitral Valve Disease`) .

Chii chinonzi mitral valve? Inoshanda sei mumoyo?

Muchidimbu, moyo wako inhengo inoshamisa. Une makamuri makuru mana. Zvakafanana nemakamuri ari mumba. Sezvo ropa richifamba pakati pemakamuri aya, kune magedhi madiki anochengetedza ropa richiyerera nenzira imwe chete. Ndizvo zvatinodaidza kuti mavharuvhu . Vharuvhu yemitral iri pakati pekamuri repamusoro kuruboshwe rwemoyo wako (atrium yekuruboshwe) nekamuri repasi (ventricle yekuruboshwe). Yakafanana negedhi diki. Basa rayo guru nderekurega ropa rine oxygen yakawanda kubva mumapapu richipfuura kubva kuatrium yekuruboshwe kuenda kuventricle yekuruboshwe. Vharuvhu yekuruboshwe inobva yapomba ropa mumuviri wese. Vharuvhu yemitral yakaita semupurisa wemotokari , ichirega ropa richiyerera nenzira imwe chete kwete kudzokera shure. Saka, kana chimwe chinhu chakakuvara muvharuvhu iyi yemitral, kana kuti chikasashanda zvakanaka, saka chinonzi Mitral Valve Disease . Izvi zvinogona kuitika kamwe kamwe, kana kuti zvinogona kukura nekufamba kwenguva. Vamwe vanhu vanogona kuzvarwa vaine chirwere ichi (congenital).

Ndeapi marudzi makuru echirwere che mitral valve?

Kune mhando nhatu huru dzechirwere che mitral valve. Ngationei kuti chii. Funga nezve mitral valve yako semusuwo une ma flaps maviri (`mapepa` kana `cusps`). Ma flaps aya anofanira kuvhurwa nekuvharwa zvakanaka kuti ropa ripinde. 1. Mitral Valve Stenosis: Apa ndipo apo ma flaps anokora, akaomarara, uye haavhurike zvakanaka. Izvi zvinoderedza nzira yeropa kubva kuruboshwe kuenda kuruboshwe. Zvakafanana nepombi yemvura yakavharika. Izvi zvinoita kuti moyo ushande nesimba kupomba ropa. 2. Mitral Valve Prolapse: Apa ndipo apo ma flaps anova akachinjika zvakanyanya, uye kana moyo wagumburwa, anobuda achipinda kuruboshwe. Anodonha sejira rekare. Izvi zvinogona kukonzera kuti vharuvhu isavhare zvakanaka. Kana izvi zvikaitika, dzimwe nguva ropa rinotanga kudonhedza mvura kumashure (`regurgitation`). 3. Mitral Valve Regurgitation: Izvi zvinowanzonzi ` ` leaky valve`` kana `` mitral insufficiency``.Zvinonziwo. Chinoitika pano ndechekuti maburi evharuvhu haavhare zvakanaka. Zvadaro, rimwe ropa rakapinda muventricle yekuruboshwe rinodzokera muatrium yekuruboshwe. Zvakafanana nemhepo inobuda mubharumu rakaboorwa. Vamwe vanhu vanogona kuva neanopfuura rumwe rwemhando idzi.

Ndiani anowana chirwere che mitral valve? Chinowanikwa kakawanda sei?

Chirwere ichi chinogona kukura chero pazera ripi zvaro. Vamwe vacheche vanozvarwa vaine dambudziko iri. Vamwe vakuru vanogona kukura kamwe kamwe, kungave nekuda kwehutachiona hwemwoyo kana kurwara nemoyo . Zvisinei, chinowanzo kukura zvishoma nezvishoma muvanhu vakuru sezvo vharuvhu ichipera simba. Rudzi rweMitral Valve Prolapse runowanzoonekwa muvakadzi. Zvisinei, runogona kuva nengozi zvishoma kana rukaitika muvarume, nekuti vanowanzova nedambudziko rekurutsa zvakanyanya.

• Kurwara kweMitral Valve Stenosis hakunyanyi kuitika munyika dzakadai seAmerica, asi kwakajairika munyika dzine chirwere cherheumatic fever .
• Kubuda kweMitral Valve Prolapse kwakajairika. Munhu mumwe chete pavanhu makumi matatu nevatatu muUnited States anogona kunge anako. Asi havasi vese vanobuda ropa zvakanyanya.
• Kubuda kweMitral Valve kwakajairikawo. Munhu mumwe chete pavanhu gumi muUnited States anonzi ane kubuda kweropa muvharuvhu yemwoyo wake. Rudzi rwakajairika rwekubuda kweropa ivharuvhu yemitral.

Ndezvipi zviratidzo zvechirwere che mitral valve?

Zviratidzo zvaunoona zvinoenderana nerudzi rwechirwere chemitral valve chaunacho uye kuoma kwacho. Dzimwe nguva ungasave nezviratidzo zvachose . Kana kuti ungasangana nezvinhu zvakaita se:

• Kurwadziwa kwechipfuva kana kusimba.
• Kukosora , dzimwe nguva neropa shoma.
• Dzungu kana kufenda.
• Kuneta uye kuneta (' Kuneta' ) .
• Kurova kwemoyo . Unganzwa moyo wako uchirova nekukurumidza kana kunzwa ruzha rwekurova kwemoyo wako.
• Vamwe vanhu vanogona kubatwa nemigraines .
• Chirwere chinonzi "Mitral facies." Apa ndipo apo matama anotaridzika ruvara rwepinki-pepuru.
• "Orthostatic hypotension" zvinoreva kudzikira kweBP kamwe kamwe kana wamira.Kuderedza BP .
• Kushaya mweya wekufema , kunyanya kana wakaneta kana kuti wakarara pasi.
• Kuzvimba kwemakumbo, zvitsitsinho, netsoka .

Zviratidzo izvi zvinogonawo kusanganiswa nezvimwe zvirwere zvemoyo (atrial fibrillation, kushaya simba kwemoyo).

Ndezvipi zvikonzero zvechirwere che mitral valve?

Panogona kunge paine zvikonzero zvakawanda zveizvi. Ngatitarisei zvikuru:

• Zvirwere zvemwoyo zvekuzvarwa nazvo: Vamwe vanhu vanoberekwa vaine matambudziko ne mitral valve.
• Matambudziko ekubatana kwenhengo dzemuviri: Mienzaniso inosanganisira zvirwere zvakaita seMarfan syndrome neEhlers -Danlos syndrome .
• Utachiona hwemwoyo (endocarditis): Utachiona huri mukati memoyo hunogona kukuvadza mavharuvhu.
• Kukura kwetsinga yekuruboshwe: Izvi zvinogona kukonzerwa nechirwere chemwoyo kana chirwere chakadai se cardiomyopathy (kusasimba kwetsandanyama yemwoyo).
• Kukwegura: Sezvaunokura, calcium inogona kuungana mumavharuvhu emwoyo wako. Izvi zvinogona kukonzera kuti mavharuvhu akobvuke uye asashande zvakanaka.
• Kurapa nemwaranzi: Vanhu vakamborapwa nemwaranzi panzvimbo yechipfuva vanogona kukuvara kwevharuvhu yemoyo mushure memakore gumi kusvika makumi maviri.
• Fivha ine rheumatic: Iyi ifivha inokonzerwa nehutachiona hwebhakitiriya. Kana ikasarapwa zvakanaka, inogona kukuvadza mavharuvhu emwoyo kwemakore. Kare, iyi ndiyo yaive chikonzero chikuru cheMitral Valve Stenosis. Iye zvino, nekuda kwemishonga inorwisa mabhakitiriya, izvi zvadzikira zvakanyanya.

Chirwere che mitral valve chinoonekwa sei?

Izvi zvinongoonekwa chete nachiremba achikuongorora uye achikuitira mimwe miedzo .

Kuongororwa kwemuviri

Chiremba achaisa stethoscope pachipfuva chako oteerera manzwi emwoyo wako. Vachabva vatsvaga manzwi chaiwo (kunyunyuta) ane chekuita nemarudzi akasiyana echirwere chemitral valve.

• Mu `Mitral Valve Stenosis` : Unogona kunzwa ruzha ropa parinopfuura nepavharuvhu yakamanikana uye ruzha rwekuti `snap`` sezvo vharuvhu ichivhurika.
• Mu `Mitral Valve Prolapse` : Ruzha rwe`click` runogona kunzwika, rwuchiteverwa ne`murmur`. Izvi zvinonziwo `click-murmur syndrome`.
• Mu "Mitral Valve Regurgitation" : "Murmur" inonzwika ropa richibuda richidzokera kumashure.

Pamusoro pezvo, vachakubvunza nezvezviratidzo zvako uye kana paine munhu mumhuri mako ane chirwere chemwoyo.

Kuongororwa kwezvirwere

Echocardiogram (echo) ndiyo nzira yakanakisisa yekuongorora izvi. Inogona kutarisa zvinhu zvakawanda, zvakaita semamiriro emavharuvhu emwoyo, saizi yemoyo, uye mashandiro awo. Zvakafanana neultrasound scan. Pamusoro pezvo, inogona kuita bvunzo dzakadai se:

• Electrocardiography (ECG/EKG): Iyi inoyera mashandiro emagetsi emwoyo.
• X-ray yechipfuva: Izvi zvinogona kushandiswa kutarisa kukura kwe ventricle yekuruboshwe uye kuungana kwemvura mumapapu.
• Kugadziriswa kwemoyo: Kachubhu kadiki kanopinzwa mumoyo kuburikidza netsinga yeropa kuti kayere kumanikidzwa kuri mukati memoyo. Izvi zvinogona kubatsira kutarisa kana paine mitral valve stenosis. Izvi zvinoitwawo usati wavhiyiwa kuti utarise matambudziko ari mutsinga dzemwoyo.

Chirwere che mitral valve chinorapwa sei?

Kana usina zviratidzo, pamwe haudi kurapwa. Chiremba wako achakutarisa nguva dzose uye achatarisa mamiriro ako ezvinhu. Kana uine zviratidzo, zvichada kurapwa. Kurapa kunoenderana nezvinhu zvakawanda, zvakaita semamiriro ako ezvinhu, zera, uye kana uine zvimwe zvirwere. Kune nzira dzakawanda dzekurapa:

• Mishonga:

Chiremba wako anogona kukupa mishonga inobatsira kudzora zviratidzo zvako. Semuenzaniso, mishonga inobvisa mvura mumuviri, beta-blockers kana calcium channel blockers , uye mishonga yeBP. Vanogonawo kukupa mishonga inobvisa ropa kana anticoagulants kuderedza njodzi yekugwamba kweropa.

• `Kubvisa bharumu`:

Izvi zvinoitirwa vanhu vane `Mitral Valve Stenosis`. Katheta kadiki kakaita sebharumu kanopfuudzwa nemutsinga yeropa kuenda kumoyo, uye bharumu rinofuridzirwa pedyo nevharuvhu rakavharika, zvichivhura vharuvhu uye zvichiita kuti nzira yeropa iwedzere.

• Kuvhiyiwa kwekugadzirisa vharuvhu yeMitral:

Pose pazvinogoneka, vanachiremba vanoedza kugadzirisa vharuvhu pane kuibvisa. Izvi zvinokutendera kuti uchengetedze vharuvhu yako uye kudzivirira mamwe matambudziko anouya nevharuvhu yekugadzira.

• Kuvhiyiwa kwekutsiva vharuvhu yeMitral:

Dzimwe nguva, kana vharuvhu yakakuvara zvakanyanya zvekuti haigone kugadziriswa, inofanira kubviswa uye kuiswa vharuvhu yekugadzira.

• Kuvhiyiwa kusingapindi zvakanyanya (`Kugadziriswa kwevharuvhu yemitral inopindira zvishoma`):

Nzira idzi dzinoita kuti munhu akurumidze kupora nekuti kuvhiyiwa uku kunoitwa nekucheka zvidimbu zvidiki pane kucheka kukuru. Kune nzira dzakadai se `Right mini-thoracotomy` , `partial upper sternotomy` , uye `robotically-assisted repair` .

• Kupindira kwePercutaneous:

Aya ndiwo marapirwo anoshandisa catheter. Akakodzera vanhu vane moyo wakakura uye usina simba. Kune vanhu vane `Mitral Valve Regurgitation`, mudziyo mudiki unonzi `MitraClip™` unogona kubatanidzwa pavharuvhu, zvichiita kuti ivharwe zvakanaka uye kuderedza kubuda kweropa.

• Kutsiva vharuvhu ye mitral yeganda rakavhurika:

Kune avo vari panjodzi huru yekuvhiyiwa asi vane nzvimbo yakakodzera yevharuvhu, dzimwe nguva vharuvhu itsva inoiswa mukati mevharuvhu yekare, ine chirwere.

Chinhu chinonyanya kukosha ndechekukurukura nachiremba wako nezvenzira yekurapa yakakunakira.

Matambudziko anogona kuitika panguva yekurapwa

Kuvhiyiwa uku uye kurapwa kunowanzo budirira zvikuru. Njodzi yematambudziko yakaderera. Zvisinei, sezvinoitwa nekuvhiyiwa kwemoyo kupi zvako, zvinotevera zvinogona kuitika:

• Kurova kwemoyo kusina kurongeka (`Arrhythmia`)
• Kubuda ropa
• Kugwamba kweropa
• Kumira kurova kwemoyo
• Kuvharika kwemoyo
• Utachiona

Njodzi idzi dzinosiyana zvichienderana nekurapwa kwaunowana uye mamiriro ehutano hwako, saka taura nachiremba wako nezvazvo futi.

Chirwere che mitral valve chinogona kudzivirirwa here?

Zvinowanzova zvakaoma kudzivirira zvirwere izvi zvevharuvhu. Zvisinei, pane zvimwe zvaunogona kuita kuti uderedze njodzi yako sezvaunokura:

• Ramba uine huremu hwakanaka. Zvinobatsira zvikuru pamoyo wako netsinga dzeropa.
• Tora mishonga inorwisa mabhakitiriya yawakanyorerwa nachiremba wako pazvinhu zvakaita se strep throat kana scarlet fever panguva yakatarwa.
• Enda kuna chiremba kanenge kamwe chete pagore kuti uongorore hutano hwako .

Kana uine pamuviri kana kuti uchironga kubata pamuviri, taura nachiremba wako nezvezvinhu zvaunogona kuita kuderedza njodzi yemwana wako yekuve nechirwere chemwoyo chaakaberekwa nacho. Angangokukurudzira kuti usasvuta, doro, uye zvinodhaka. Kana mumwe munhu mumhuri yako aine nhoroondo yechirwere chemwoyo chaakaberekwa nacho kana chirwere che connective tissue, ungangoda kufunga nezvekuongorora majini .

Unogona kurarama kwenguva yakareba sei nechirwere chemitral valve?

Izvi zvinoenderana nezvinhu zvakawanda, kusanganisira rudzi rwechirwere chaunacho, kuoma kwacho, kukuvara kwacho kwakakonzera mwoyo wako, uye kuti unorapwa riini. Saka, taura nachiremba wako nezvemamiriro ako ezvinhu.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo zvechirwere chemitral valve, enda kuna chiremba nekukasika . Kuonekwa nekukurumidza kunogona kubatsira kudzivirira matambudziko akakomba gare gare. Kana chirwere chako chisina kunyanyisa, chiremba wako angangokukumbira kuti uuye nguva nenguva kuzotarisa mamiriro ako. Usakanganwa kuenda kunoongororwa mushure mekurapwa.

Nyaya dzinoda kurapwa nekukurumidza

Kana chimwe chinhu chakadai chikaitika, unofanira kufonera 1990 nekukasika kana kuenda kuchipatara chiri pedyo:

• Kurwadziwa kwakanyanya pachipfuva.
• Kurasikirwa nepfungwa, dzungu, kana kushaya simba zvakanyanya.
• Kana moyo uchirova nekukurumidza kana kuti zvisina kurongeka.
• Kutadza kufema zvakanaka kamwe kamwe.
• Kana ukasangana nemhedzisiro isingatarisirwi kubva pamushonga wauri kutora.

Kana uri kutora mishonga inobvisa ropa (anticoagulants), tsvaga rubatsiro rwechiremba nekukasika kana ukadonha. Zvakakosha kuenda kunoongororwa, kunyangwe usingaone zviratidzo zvekukuvadzwa, sezvo paine njodzi yekubuda ropa mukati memuviri.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Kana wangoonekwa uine chirwere chemitral valve, zvakakosha kuti udzidze zvakawanda nezvacho. Bvunza chiremba wako mibvunzo yakaita seiyi:

• Dambudziko rangu rakaipa sei?
• Izvi zvingawedzera kuipa nekufamba kwenguva here?
• Ndinofanira kuvhiyiwa here? Kana zvakadaro, riini?
• Ndingavhiyiwa zvishoma here kana kurapwa necatheter?
• Vharuvhu yangu inogona kugadziriswa here, kana kuti ndinofanira kuwana vharuvhu itsva?
• Maitiro ekurapa ari sei?
• Ndezvipi njodzi uye mabhenefiti ekurapwa uku?
• Zvinotora nguva yakareba sei kuti munhu apore?
• Ndinofanira kuuya kuzotevera kangani?
• Ndichafanira kunwa mishonga here iye zvino kana mushure mekurapwa? Kwenguva yakareba sei?
• Ndezvipi zvandinofanira kuchinja muhupenyu hwangu?

Kugadzirisa mavharuvhu inzira yakaoma, saka zvakakosha zvikuru kutsvaga nyanzvi ine ruzivo.

Ndingazvitarisira sei?

Chiremba wako achakupa mazano zvichienderana nemamiriro ako ezvinhu. Kazhinji, zvinhu izvi zvakakosha:

• Inwa mushonga wako sezvawakarairwa.
• Chengetedza mazino ako nematadza zvakanaka. (Utano hwemuromo hunokanganisawo moyo)
• Rovedza muviri sezvinotaurwa nachiremba.
• Dzivisa kusvuta, doro, uye zvinodhaka.
• Dzora kushushikana .
• Rara zvakanaka.

Gadziridza kadhi rako reruzivo rwezvekurapa panguva yekukurumidzira.

Kana uine chirwere chevharuvhu, unofanira kuudza vanachiremba vako vese navanachiremba vemazino. Ungangoda kutora mishonga inorwisa mabhakitiriya usati waita mamwe maitiro emazino kana ekurapwa. Zvakakoshawo kuti ugare uine kadhi reruzivo rwekurapa rwekukurumidzira . Rinofanira kunge riine ruzivo runotevera:

• Zita rako rakazara nezuva rekuzvarwa.
• Nhamba yefoni yemunhu wekuzivisa kana paine dambudziko.
• Ruzivo rwachiremba wako wekutanga.
• Kurwara kwako.
• Mushonga wese waunotora.
• Rudzi rwechirwere chevharuvhu chaunacho.
• Wakagadzirisa here kana kuti wakatsiva vharuvhu?
• Kana uchitora mishonga inobvisa ropa.

Kana usingazive maitiro ekuita izvi, bvunza chiremba wako. Unogona kunyora ruzivo urwu pakadhi kadiki woruchengeta mubhegi rako kana muwallet.

Pakupedzisira, ndinofanira kutaura kuti... (Mharidzo yekuenda nayo kumba)

Chirwere cheMitral valve hachibate munhu wese zvakafanana. Vamwe vanhu vangasava nezviratidzo. Vamwe vanogona kusangana nematambudziko makuru nemabasa avo ezuva nezuva. Chinhu chakakosha ndechekuona chiremba wako nguva dzose uye kutarisa hutano hwako. Udza chiremba wako nekukasika kana ukaona zviratidzo zvitsva kana shanduko muzviratidzo zvako. Kunyangwe chirwere chevalve chisingadzivirirwi muzviitiko zvakawanda, kutora mararamiro ane hutano hwemoyo kunogona kubatsira kuchengetedza kwete mavalve ako chete asiwo moyo wako wese uine hutano. Usanetseke, nemazano akakodzera ekurapa uye kurapwa, iwewo unogona kubata chirwere ichi zvakanaka uye kurarama hupenyu hune hutano! Chirwere cheMitral Valve, Chirwere cheMwoyo, Chirwere cheValve, Kuoma Kwekufema, Marwadzo eChipfuva, Kuvhiyiwa kweMwoyo, Chirwere cheMitral Valve