Vharuvhu yemwoyo wako yakasununguka zvishoma here? (Mitral Valve Prolapse) - Ngatikurukurei nezvazvo!

Dzimwe nguva unonzwa kubatwa zvishoma muchipfuva chako, kunetseka kufema, kana kuchinja kwemoyo wako here? Izvi zvinogona kunge zvichikonzerwa nekuchinja kudiki muvharuvhu diki mumoyo mako. Vanhu vazhinji havatombozivi nezvazvo, asi zvakakosha kuziva. Usazvidya moyo, nhasi tichataura nezvechirwere ichi (Mitral Valve Prolapse) nenzira iri nyore.

Chii chinonzi Mitral Valve Prolapse?

Zvichitaurwa zviri nyore, mwoyo wedu une vharuvhu inonzi Mitral Valve . Inoshanda semusuwo. Iri kuruboshwe rwemoyo pakati pekamuri repamusoro (atrium yekuruboshwe) nekamuri repasi (ventricle yekuruboshwe). Vharuvhu iyi inobatsira kuyerera kweropa rakachena uye rakapfuma muokisijeni kubva kuatrium yekuruboshwe kuenda kuventricle yekuruboshwe.

Fungidzira, vharuvhu iyi ine maburi maviri (mapepa) . Yakaita semasuo maviri. Nguva imwe neimwe mwoyo paunorova, maburi aya anovhurika uye anovharika. Muchirwere chinonzi Mitral Valve Prolapse (MVP), maburi aya haavharike zvakanaka, uye anokotama zvishoma akananga kuruboshwe. Zvakafanana nesuo risingavharike zvakanaka. Izvi zvinogona kukonzera kuti vharuvhu isavhare zvakanaka.

Chirwere ichi (MVP) hachina kuipa sezvaungafunga. Chinobata vanhu vaviri kusvika vatatu pavanhu zana vari muvanhu vose. Vanhu vazhinji vanorarama vasina zviratidzo uye havatombozivi kuti vanazvo. Izvi zvinodaro nekuti vharuvhu yavo ichiri kushanda zvakanaka. Zvisinei, kune vamwe vanhu, kana chirwere chacho chikanyanya kuipa, zviratidzo zvinogona kuoneka uye kurapwa kunogona kudiwa. Dzimwe nguva, pfungwa yekuvhiyiwa inogona kutyisa, asi mashoko akanaka ndeekuti kune vanhu vazhinji vakabudirira kuvhiyiwa kwerudzi urwu.

Ndezvipi zviratidzo zveizvi?

Vanhu vazhinji vane MVP havaratidzi zviratidzo, asi vamwe vanogona kuona zviratidzo zvakaita seizvi:

• Kurwadziwa pachipfuva: Hakusi kurwadziwa kwakanyanya sekurwadziwa kwemoyo, asi kunogona kunzwa sekunge kusagadzikana kana kumanikidzwa muchipfuva.
• Kuoma kufema (dyspnea): Unganzwa kushaya mweya, kunyanya paunenge uchirovedza muviri kana kukwira masitepisi.
• Dzungu: Ungangoerekana wanzwa musoro wako uchitenderera.
• Kuneta: Ungangonzwa kuneta uye kusisina hupenyu.
• Kurova kwemoyo: Izvi zvinosangana nevanhu vazhinji. Fungidzira kuti moyo wako uri kurova nekukurumidza, kana kuti unogona kunzwa moyo wako uchirova panze, kana kuti chipfuva chako chinganzwa sekunge chiri kurova.

Chinhu chakakosha ndechekuti havasi vese vane zviratidzo izvi vane chirwere chakakomba (MVP). Dzimwe nguva panogona kunge pasina hukama hwakakosha pakati pezviratidzo nekuoma kwechirwere. Zvisinei, kana uine chimwe chezviratidzo izvi, zvakakosha kubvunza chiremba.

Ndezvipi zvikonzero zve mitral valve prolapse?

Chikonzero chikuru ndechekushaya simba kwe valvu yemuviri. Izvi zvinonzi myxomatous degeneration mune zvesainzi yekurapa. Hazvisi pachena kuti sei nyama iyi ichishaya simba. Dzimwe nguva inogona kunge iri nhaka. Izvi zvinoreva kuti chirwere ichi chinogona kupfuudzwa kubva kuvabereki kuenda kuvana. Vaongorori vakawana majini akati wandei ane chekuita nechirwere ichi (MVP). Semuenzaniso, majini anonzi (FLNA), (DCHS1), (DZIP1) uye (PLD1) akawanikwa aine chekuita neizvi.

Uyewo, vanhu vane mamwe matambudziko ekubatanidza nhengo dzemuviri vanogonawo kuva nechirwere ichi (myxomatous degeneration). Semuenzaniso:

• Chirwere cheMarfan
• Chirwere cheEhlers-Danlos
• Chirwere cheLoeys-Dietz

Sezvo vanhu vane zvirwere izvi vaine kusasimba munhengo dzemuviri, zvinogonawo kukanganisa mavharuvhu emwoyo.

Ndiani ari panjodzi huru yekuva nechirwere ichi (MVP)?

Kupera kweMitral Valve kunogona kukanganisa vanhu vemazera ese. Vamwe vanhu vanozvarwa vaine chirwere ichi, kunyanya avo vane zvirwere zve connective tissue zvambotaurwa. Pamusoro pezvo, zvirwere zvinotevera zvinogona kuwedzera njodzi yeMVP:

• Chirwere chemwoyo chinonzi rheumatic: Chirwere chinogona kukanganisa moyo kana chirwere chepahuro chikasarapwa nemazvo.
• Scoliosis: Chirwere chekuti musana unokombama.
• Chirwere cheGraves: Gland rethyroid rinoshanda zvakanyanya.

Kunyange zvazvo MVP ichinyanya kuwanikwa kuvakadzi, varume vane mukana mukuru wekuva ne mitral regurgitation (ropa rinobuda richidzokera kumashure) iyo inokonzerwa nayo.

Ndezvipi zvinetso zvinogona kukonzera izvi?

Dambudziko guru rinogona kuitika kuvanhu vane MVP nderekuti mitral regurgitation. Zvichitaurwa zviri nyore, vharuvhu harivharike zvakanaka, zvichiita kuti ropa ribude kubva kuruboshwe kuenda kuruboshwe. MVP ndiyo inonyanya kukonzera dambudziko iri. Kana kubuda kwacho kwakanyanya, kuvhiyiwa kana kumwe kurapwa kungadiwa kuti vharuvhu ishande zvakanaka.

Vanhu vane Mitral Valve Prolapse uye Regurgitation vari panjodzi yekusangana nematambudziko akadai se:

• Kukundikana kwemoyo: Mwoyo haugone kupomba ropa rakakwana mumuviri.
• Infective endocarditis: Utachiona hwemukati memukati kana mavharuvhu emoyo.
• Kurova kwemwoyo zvisina kurongeka: Kurova kwemoyo zvisina kurongeka.
• Kusagadzikana kwemoyo: Uku kurova kwemoyo kusina kurongeka, izvo dzimwe nguva zvinogona kukonzera rufu rwemwoyo kamwe kamwe.
• Kurohwa: Kukanganiswa kweropa rinoenda kuuropi.

Chirwere ichi (Mitral Valve Prolapse) chinoonekwa sei?

Vanachiremba vanoongorora MVP nekukuongorora uye kuita mimwe miedzo. Chiremba anogona kuziva zvakawanda nekuteerera moyo wako ne stethoscope . Kana uine MVP, chiremba wako anogona kunzwa ruzha rwekuti 'click' sezvo moyo wako uchirova, zvichiteverwa ne 'murmur' (ruzha rwakaita semhepo inofefetera ichipfuura nepakati pemoyo). Nekuda kweruzha urwu rwakasiyana, MVP inonziwo "click-murmur syndrome."

Pakukuongorora, chiremba achakurukurawo nhoroondo yako yezvekurapa uye nhoroondo yezvekurapa yemhuri . (MVP) Ruzivo urwu rwakakosha zvikuru nekuti dzimwe nguva runowanikwa mumhuri.

Kana chiremba wako achifungidzira kuti une dambudziko reMVP kana rimwe vharuvhu, achakuraira kanenge kamwe chete kuti asimbise chirwere chacho.

Ndedzipi bvunzo dzinoitwa pakuita izvi?

Bvunzo huru inoshandiswa kuongorora MVP i echocardiogram . Iyi inoshandisa tekinoroji ye ultrasound kuongorora chimiro uye mashandiro emwoyo. Ungave uine imwe kana ese ari maviri emhando idzi:

• Kuongororwa kwemoyo neTransthoracic: Izvi zvinosanganisira kuisa transducer ye ultrasound panzvimbo dzakasiyana-siyana pachipfuva chako kuti utore mifananidzo yemavharuvhu nemakamuri emwoyo.
• Transesophageal echocardiogram: Izvi zvinosanganisira kupfuudza ultrasound transducer diki pasi pegurokuro rako kuti utore mifananidzo yakajeka.

Pamusoro pezvo, chiremba wako anogona kuraira bvunzo dzakadai kuti adzidze zvakawanda nezvemoyo wako:

• Electrocardiography (ECG/EKG): Inoongorora mashandiro emagetsi emwoyo.
• X-ray yechipfuva.
• Kuisa catheter mumoyo: Chubhu yakatetepa inopinzwa mutsinga nemakamuri emoyo kuti iongororwe.

Izvi zvinorapwa sei?

Vanhu vazhinji vane MVP havadi kurapwa. Kana uine chirwere chisina kunyanya kuoma, chiremba wako anogona kukutarisa nguva nenguva. Vanogonawo kukupa mishonga yakaita se beta-blockers kudzora zviratidzo zvakaita sedzungu uye kurova kwemoyo.

Kana uine atrial fibrillation kana kuti wakamborwara nestroke, ungangoda kutora mishonga inorwisa ropa kuti rivhare , kana kuti mishonga inobvisa ropa rakawanda. Taura nachiremba wako kuti asarudze kuti ndeipi mishonga yakakunakira.

Kune vamwe vanhu, mushonga wakanakisa weMVP kuvhiyiwa kana kuti transcatheter.Zvinogoneka. Nzira inoshanda zvakanyanya inosiyana zvichienderana nemamiriro emunhu wega wega. Sarudzo dzekuvhiya/dzemaitiro dzinosanganisira:

• Kugadzirisa vharuvhu reMitral: Izvi zvinosanganisira kugadzirisa vharuvhu rako woridzorera kuti rishande zvakanaka. Maitiro aya anokubvumidza kuchengetedza vharuvhu rako, izvo zvinodzivirira njodzi nematambudziko anokonzerwa nevharuvhu rekugadzira.
• Kutsiva vharuvhu yeMitral: Kune vamwe vanhu, vharuvhu itsva ingave sarudzo yakanakisisa, kana isiriyo yega. Chiremba wako achatsanangura chikonzero uye mhando dzevharuvhu (dzemakanika kana dzebhayoloji) dzaunogona kuwana.
• Kugadziriswa kwevharuvhu yemitral inokuvadza zvishoma: Uku kuvhiyiwa hakunyanyi kukuvadza pane kuvhiyiwa kwemoyo wakavhurika nekuti kuvhiyiwa uku kunoitwa nekucheka kudiki.
• Kutsiva vharuvhu yemitral yeTranscatheter: Nzira iyi, iyo catheter inopfuudzwa nemutsinga yeropa, inoshandisawo kucheka kudiki pane kumwe kuvhiyiwa.

Ndeipi nzira yakanakisisa yekurapa?

Mhinduro yeizvi inosiyana kubva kumunhu nemunhu. Taura nachiremba wako nezvechirongwa chekurapa chakanakira iwe. Iva nechokwadi chekuti unonzwisisa mabhenefiti nenjodzi dzechero kurapwa (MVP). Chirongwa chekurapa chakanakira iwe chichaenderana nezvinhu zvakawanda, zvinosanganisira:

• Zera rako: Vanhu vane makore anopfuura makumi masere (80) vari panjodzi huru yekuvhiyiwa.
• Nhoroondo yako yehutano yekare.
• Mamiriro ako ehutano pari zvino.
• Kana uine mamwe matambudziko emwoyo anoda kugadziriswa: Dzimwe nguva vanachiremba vanogona kugadzirisa mavharuvhu uye nzira inonzi Coronary Artery Bypass Grafting (CABG) panguva imwe chete.

Ndingaziva sei kana ndichida kurapwa kweMitral Valve Prolapse?

Munhu mumwe chete pavanhu gumi vane Mitral Valve Prolapse anofanira kuona chiremba wevanachiremba kuti agadzirise kana kuchinja vharuvhu yavo. Ungangoda kugadziriswa kana kutsiviwa vharuvhu kana:

• Kana zviratidzo zvako zvikawedzera nekufamba kwenguva.
• Kana valvu yako yemitral ichidonhedza ropa rakawanda (kudzokera shure kwakanyanya).
• Kana bvunzo dzichiratidza kuti moyo wako uri kukura (left ventricular uye/kana left atrial dilation), zvinhu zvakaita sematambudziko emavharuvhu uye BP zvinogona kukonzera kuti left atrium yako kana left ventricle ikure.
• Kana uine arrhythmia (kurova kwemoyo kusina kurongeka).
• Kana moyo wako usingakwanise kupomba ropa rakakwana mumuviri wako. Chikamu chako (chikamu chekubuda ropa)Kana ventricle yekuruboshwe (huwandu hweropa hunogona kupombwa neventricle yekuruboshwe panguva imwe chete) hukanyanya kuderera, zvinogona kukonzera kutadza kushanda kwemoyo.

Kupera kwe mitral valve kunogona kudzivirirwa here?

Hapana nzira chaiyo yekudzivirira Mitral Valve Prolapse. Zvisinei, unogona kuderedza njodzi yako yekuva nechirwere chevharuvhu yemwoyo sezvaunokura . Heano mamwe matipi ekukubatsira kuita izvozvo:

• Ita maekisesaizi emuviri zuva nezuva. Zvisinei, bvunza chiremba wako kana uine chero chipi zvacho chaunorambidzwa kuita.
• Rega kushandisa zvigadzirwa zvefodya.
• Jaira kudya zvine hutano pamoyo.
• Ramba uine huremu hwakanaka kwauri.
• Dzora mamiriro ezvinhu akadai seBP yakakwira uye chirwere cheshuga. Inwa mishonga yako sezvawakarairwa.
• Dzora kushushikana nenzira dzakadai seyoga, kufema zvakadzika, uye kutaura nevamwe.

Kutevedzera mazano aya kuchakubatsirawo kuti urambe wakasimba zvakakwana kuti ugadziriswe kana uchida kuvhiyiwa.

Bvunza chiremba wako kuti ndezvipi zvaunofunga kuti unogona kuita. Tanga nezvidiki, uye yeuka kuti shanduko diki dzese dzaunoita dzinogona kuwedzera kukosha mune ramangwana.

Chii chandinofanira kutarisira kana ndine Mitral Valve Prolapse?

Kazhinji, Mitral Valve Prolapse haikonzeri matambudziko, uye haudi kurapwa. MVP ingasakuvadza muviri wako. Zvisinei, kune vamwe vanhu, MVP inogona kukonzera kudzoka kwegurgitation nemamwe matambudziko.

Kana wakamboonekwa uine Mitral Valve Prolapse, taura nachiremba wako nezvekuoma kwayo uye zvaunotarisira.

Unogona kurarama kwenguva yakareba sei neMitral Valve Prolapse?

Hupenyu hwevanhu vane chirwere che (MVP) hunoenderana nezvinhu zvakawanda. Izvi zvinosanganisira:

• Kana kusvuta kwakaitika nekuda kwetsvina yakasununguka.
• Kana paine zvimwe zvirwere zvemwoyo kana zvirwere zvine chekuita nazvo.
• Kuti ucharapwa riini uye riini.

Kugadziriswa kwevharuvhu yeMitral kunogona kukubatsira kurarama kwenguva yakareba sevanhu vasina matambudziko evharuvhu. Imwe ongororo yakaratidza kuti vanhu vakagadziriswa mavharuvhu vaiva netariro yekurarama yakafanana neyevanhuwo zvavo. Izvi zvaive zvechokwadi kuvanhu vari pakati pemakore makumi mana nemakumi masere nemapfumbamwe.

Saka, kana uine Mitral Valve Prolapse, zvakakosha kuti ugare uchiongororwa nachiremba uye kuudza chiremba wako nezvezviratidzo zvitsva kana kuti zviri kuchinja. Nenzira iyi, unogona kuwana kurapwa kana uchida.

Vanhu vane dambudziko guru rekubuda ropa vasingagadziriswe mavharuvhu vanosangana nematambudziko akakomba. Vane mukana wekufa ne20% mukati megore rimwe chete uye mukana wekufa ne50% mukati memakore mashanu.

Chiremba wako anogona kukuudza nezvemamiriro ako ezvinhu uye fungidziro yeramangwana.

Ndirini pandinofanira kunetseka nezveMitral Valve Prolapse?

Taura nachiremba wako nezvezvaunotarisira uye nguva yaunofanira kunetseka nayo. Zvakajairika kuti vanhu vane Mitral Valve Prolapse vanzwe kunetseka nezvechirwere chavo. Asi kazhinji, zviratidzo zvishoma hazvisi chikonzero chekunetseka. Chiremba wako anogona kukupa mishonga yekubatsira kudzora zviratidzo zvakaita sekurova kwemoyo nekukurumidza kana kurova kwemoyo zvakanyanya.

Zvisinei, zvakakosha kuziva zviratidzo kana zvikaitika. Hapana chiratidzo chidiki zvekuti haugone kuudza chiremba wako. Kunyangwe uchifunga kuti chiratidzo chete, udza chiremba wako nezvezvauri kunzwa. Vachakutarisa kana zvichidikanwa uye vagoita zvirongwa zvekuita kuti hupenyu hwako hwezuva nezuva huve nyore.

Chii chandinofanira kudzivisa kana ndiine (Mitral Valve Prolapse)?

Vamwe vanhu vane Mitral Valve Disease vangada kudzivisa kuita mabasa anorema. Zvakakosha kutaura nachiremba wako nezvezvipingamupinyi zvinoshanda kwauri uye chirwere chako. Zvirambidzo zvemabasa zvinoenderana nezvinhu zvakati wandei. Izvi zvinosanganisira:

• Wakambofenda here kare?
• Mamwe ma arrhythmias, akadai se supraventricular tachycardia .
• Kudzokera kwevharuvhu yemitral zvakanyanya.
• Chikamu chekubuda kweropa mu ventricular yekuruboshwe chakaderedzwa.
• Nhoroondo yeropa rakambogwamba.
• Nhoroondo yemhuri yekufa kamwe kamwe kwemwoyo ine chekuita neMitral Valve Prolapse.

Hapana mitemo yekurovedza muviri inorambidza vanhu vane MVP. Zvisinei, chenjera uye bvunza chiremba wako usati watanga chero chirongwa chitsva chekurovedza muviri.

Ko Mitral Valve Prolapse inowedzera kuipa nekukwegura here?

Kudonha kweMitral Valve kunogona kuwedzera kana uchikura. Ndosaka zvichikosha kuti urambe uchitevera nguva yawakapihwa nachiremba. Vanogona kutarisa vharuvhu yako uye kutaura newe nezvenzira dzekurapa kana zvichidikanwa.

Chirwere chevharuvhu chinowanzoitika kuvanhu vane makore anopfuura 65. Chimwe chikonzero cheizvi ndechekuti mwoyo wako unomanikidzwa sei muhupenyu hwezuva nezuva. Asi matambudziko emwoyo akadai sechirwere chetsinga dzeropa kana kutadza kushanda kwemoyo anogonawo kukanganisa mavharuvhu ako, kunyanya vharuvhu yemitral. Izvi zvinonyanya kuitika kuvanhu vane makore anopfuura 75.

Taura nachiremba wako kuti udzidze zvakawanda nezvekuti kukwegura kunokanganisa sei mitral valve yako.

Ndinozvitarisira sei?

Chiremba wako angangokuudza kuti umuone nguva dzose, uye kuti uite maekisesaizi emuviri nguva dzose. Unogonawo kudzivirira zvinhu zvinoisa mwoyo wako mudambudziko, zvakaita se:

• Zvinwiwa zvinodhaka.
• Zvigadzirwa zvefodya.
• Zvinodhaka zvinotorwa senzira yekuzorora.

Ndinofanira kuona chiremba wangu rini?

Chiremba wako achakuudza kuti unofanira kuuya kangani kuzotevera. Zvakakosha kuenda kune imwe nguva yekusangana. Ungangodawo kuongororwa mifananidzo nguva nenguva kuti uone hutano hwe mitral valve yako.

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Fonera 911 kana nhamba yako yekukurumidzira yemuno kana ukaona chimwe chezviratidzo izvi:

• Kurwadziwa kwechipfuva.
• Dzungu, kusuruvara, kana kushaya simba zvakanyanya.
• Kutadza kufema kamwe kamwe uye zvakaoma.
• Mhedzisiro isingatarisirwi kubva pamushonga wako.

Kana uri kutora mishonga inobvisa ropa mumuviri (anticoagulants) wobva wadonha, tsvaga rubatsiro rwechiremba nekukasika. Mishonga inobvisa ropa mumuviri inowedzera njodzi yekubuda ropa mukati memuviri. Kunyangwe uchinzwa zvakanaka, zvakakosha kuti chiremba akuongorore. Kubuda ropa mukati memuviri kunogona kuuraya kana kukasarapwa.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana uchangobva kuziva kuti une Mitral Valve Prolapse, ungave nemibvunzo yakawanda yakaita seiyi:

• Dambudziko rangu rakakomba zvakadii?
• Ndingaita sei kuti ndigadzirise zviratidzo zvangu?
• Ndinoda kugadziriswa kana kutsiviwa kwevharuvhu here? Kana zvakadaro, munogona kunditsanangurira nhanho imwe neimwe yemaitiro uye kupora?
• Ndingadzivirira sei kuti dambudziko rangu risanyanya kuipa?
• Ndezvipi zvinhu zvemuviri zvandinofanira kudzivisa?
• Ndinofanira kuuya kuzotevera kangani?
• Pane boka rekutsigira remunharaunda kana repamhepo randingabatana naro here?

Mitral Valve Prolapse inoonekwa sechirwere chemwoyo here?

Ehe, Mitral Valve Prolapse rudzi rwechirwere chevharuvhu yemwoyo . Chirwere chevharuvhu yemoyo chinowira pasi pezita rekuti chirwere chemwoyo. Chirwere chemwoyo chero chirwere chinokanganisa moyo wako kana tsinga dzeropa.

Mitral Valve Prolapse dzimwe nguva inonzi "floppy valve syndrome." Imhando yechirwere che myxomatous valve. Izvi zvinoreva kuti nyama iri mumapepa ako e mitral valve inonamira zvisina kujairika, zvichiita kuti irege kusimba.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kupera kweMitral Valve (MVP) chirwere chinowanzoitika chisinganyanyi kukanganisa hupenyu hwako. Zvisinei, chinogona kukonzera kudzoka kwegurgitation.Kana uine vharuvhu inodonhedza ropa kumashure, unganetseka nezvekuvhiyiwa kuti ugadzirise vharuvhu yako. Taura nachiremba wako nezvemabhenefiti nenjodzi dzekugadzirisa vharuvhu, uye dzidza nezvesarudzo dzese dziripo.

Kana uchida kugadziriswa kwemavharuvhu, zvakakosha kusarudza chipatara chinoita maoparesheni akadai zuva nezuva. Zvipatara zvakawanda zvine hunyanzvi hwekushandisa tekinoroji yemazuva ano kuderedza njodzi dzako uye kukupa mhedzisiro yakanaka kwazvo.

Enda kunoongororwa nachiremba nguva dzose, nyatsoteerera zviratidzo, uye rarama hupenyu hune hutano. Ipapo unogona kuramba uine hutano hwakanaka kunyangwe uine chirwere ichi (MVP).

Kudonha kweMitral Valve, Chirwere cheMwoyo, Chirwere cheMavharuvhu eMwoyo, Marwadzo eChipfuva, Kunetseka Kufema, Kurova Kwemwoyo, (Kudonha kweMitral Valve), (MVP), Hutano hweMwoyo