Mitral vharuvhu kudzokorora

Mitral kudzokazve chirwere umo mitral vharuvhu kuruboshwe kwemoyo haivhare zvakanaka.

Kudzoka zvinoreva kubuda kubva muvharuvhu isinga vharike nzira yese.

Mitral kudzokororazve rudzi rwakajairika rwemoyo vharafu kusagadzikana

Ropa rinoyerera pakati pemakamuri akasiyana emoyo wako rinofanira kuyerera kuburikidza nevhavha. Iyo vharuvhu iri pakati pemakamuri maviri kuruboshwe rwemoyo wako inonzi mitral vharafu.

Kana iyo mitral vharuvhu ikasavhara nzira yese, ropa rinoyerera richidzokera kumashure kumusoro chemba yemoyo (atrium) kubva mukamuri repazasi sezvarinobvumirana. Izvi zvinoderedza huwandu hweropa inoyerera ichienda kune yese muviri. Nekuda kweizvozvo, moyo unogona kuyedza kupomba zvakanyanya. Izvi zvinogona kutungamira kukundikana kwemoyo kukundikana.

Mitral kudzokazve kunogona kutanga kamwe kamwe. Izvi zvinowanzoitika mushure mekurwadziwa kwemoyo. Kana iko kudzokorodza kusingaendi, inova yakareba-nguva (isingagumi).

Zvimwe zvakawanda zvirwere kana matambudziko anogona kunetesa kana kukuvadza vharuvhu kana nyama yemukati yakakomberedza vharuvhu. Iwe uri panjodzi yemitral vharuvhu kudzokazve kana iwe uine:

• Coronary chirwere chemoyo uye yakakwira BP
• Utachiona hwemagetsi emoyo
• Mitral vharuvhu inowedzera (MVP)
• Kazhinji mamiriro, senge isingarapwe syphilis kana Marfan syndrome
• Rheumatic chirwere chemoyo. Uku ndiko kusanzwisisika kwekusarapwa strep huro izvo zviri kuve zvishoma kujairika.
• Kuzvimba kwekamuri repazasi remukati kamuri

Chimwe chakakosha njodzi pamitral kudzokorodza kushandiswa kwekare kwepiritsi yekudya inonzi "Fen-Phen" (fenfluramine uye phentermine) kana dexfenfluramine. Mushonga uyu wakabviswa pamusika neU.S.Food and Drug Administration (FDA) muna 1997 nekuda kwekuchengetedzeka.

Zviratidzo zvinogona kutanga kamwe kamwe kana:

• Kurwadziwa kwemoyo kunokanganisa mhasuru dzakakomberedza mitral vharuvhu.
• Tambo dzinonamatira mhasuru kubhagi rekuvhara.
• Utachiona hwevhavha hunoparadza chikamu chevhavha.

Iko kazhinji hakuna zviratidzo. Kana zviratidzo zvikaitika, zvinowanzo kukura zvishoma nezvishoma, uye zvinogona kusanganisira:

• Kukosora
• Kuneta, kuneta, uye nemusoro musoro
• Kukurumidza kufema
• Kunzwa kwekunzwa kurohwa kwemoyo (kurova) kana kurova kwemwoyo nekukurumidza
• Kufema kwekufema kunowedzera nebasa uye kana wakarara pasi
• Kumuka kweawa kana kupfuura mushure mekurara nekuda kwekunetseka kufema
• Weti, yakanyanyisa usiku

Kana uchiteerera kumoyo wako nemapapu, mubatsiri wezvehutano anogona kuona:

• Kufara (kudedera) pamusoro pemoyo kana uchinzwa nzvimbo yechifuva
• Yakawedzera moyo kurira (S4 kumhanya)
• Mwoyo wakasarudzika unogunun'una
• Kutsemuka mumapapu (kana mvura ikadzokera mumapapu)

Iko kuongorora kwepanyama kunogona zvakare kuratidza:

• Ankle uye gumbo kuzvimba
• Yakawedzera chiropa
• Kubhururuka mutsipa mutsinga
• Zvimwe zviratidzo zvekurudyi-kwemoyo moyo kutadza

Iyi miedzo inotevera inogona kuitwa kuti utarise chimiro chevhavha yemoyo uye basa:

• CT scan yemoyo
• Echocardiogram (Ultrasound kuongorora mwoyo) - transthoracic kana transesophageal
• Magnetic resonance imaging (MRI)

Catheterization yemoyo inogona kuitwa kana moyo uchinge wawedzera.

Kurapa kunoenderana nezviratidzo zvauinazvo, ndeipi mamiriro akakonzeresa kudzikiswa kwemavharuvhu, kunyatsoshanda kwemoyo, uye kana moyo wawedzera.

Vanhu vane BP yakakwira kana isina kusimba yemwoyo tsandanyama vanogona kupihwa mishonga yekudzora kushushikana kuri pamoyo uye kurerutsa zviratidzo.

Iyi inotevera zvinodhaka inogona kupihwa kana mitral kudzokorodza zviratidzo zvanyanya.

• Beta-blockers, ACE inhibitors, kana calcium chiteshi blockers
• Ropa rakapfava (anticoagulants) kubatsira kudzivirira kuwanda kweropa kune vanhu vane atrial fibrillation
• Zvinodhaka zvinobatsira kudzora zvisina kuenzana kana zvisina kujairika kurova kwemoyo
• Mapiritsi emvura (diuretics) kubvisa zvakawandisa mvura mumapapu

Kudya kwakaderera-sodium kunogona kubatsira. Iwe ungangoda kudzora rako basa kana zviratidzo zvichikura.

Kamwe kuongororwa kwacho kwaitwa, iwe unofanirwa kushanyira mupi wako nguva dzose kuti utarise zviratidzo zvako uye nemoyo basa.

Ungangoda kuvhiyiwa kugadzirisa kana kutsiva vharuvhu kana:

• Basa remwoyo rakashata
• Mwoyo unowedzera (kuwedzerwa)
• Zviratidzo zvinowedzera kuwedzera

Mhedzisiro yacho inosiyana. Kazhinji yenguva yacho mamiriro acho akapfava, saka hapana kurapwa kana kurambidzwa kunodiwa. Zviratidzo zvinogona kazhinji kudzorwa nemushonga.

Zvinetso zvinogona kukura zvinosanganisira:

• Asina kujairika moyo mutserendende, kusanganisira atrial fibrillation uye pamwe zvakatonyanya, kana kutyisidzira hupenyu zvisirizvo
• Mavhinga anogona kuenda kune dzimwe nzvimbo dzemuviri, senge mapapu kana huropi
• Kubatwa kwevhavha yemoyo
• Kutadza kwemoyo

Fonera waunopa kana zviratidzo zvikawedzera kana kusavandudza nemushonga.

Danaidzawo mupi wako kana iwe uri kurapwa kweichi chiitiko uye nekudziridza zviratidzo zvehutachiona, izvo zvinosanganisira:

• Kutonhora
• Kupindwa nechando
• Kazhinji kurwara kunzwa
• Kutemwa nemusoro
• Tsvina inorwadza

Vanhu vane zvipingaidzo zvemwoyo zvisina kujairika kana zvakakanganisika vari panjodzi yekutapukirwa inonzi endocarditis. Chero chinhu chinokonzera mabhakitiriya kupinda muropa rako chinogona kutungamira kuhutachiona. Matanho ekudzivirira dambudziko iri anosanganisira:

• Dzivisa majekiseni asina kuchena.
• Bata strep hutachiona nekukurumidza kudzivirira rheumatic fever.
• Nguva dzose udza mupi wako uye chiremba wemazino kana iwe uine nhoroondo yehosha yemoyo vharuvhu kana yakazvarwa yemoyo chirwere usati warapwa. Vamwe vanhu vangangoda maantibayotiki pasati maitwa mazino kana kuvhiyiwa.

Mitral vharuvhu kudzokazve; Mitral vharuvhu kusakwana; Mwoyo mitral kudzokazve; Valvular mitral kudzokazve

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Kuvhiya kwevhavha yemoyo - akateedzana

Carabello BA. Valvular chirwere chemoyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsamba 66.

Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA / ACC yakatarisa kugadzirisa kweiyo 2014 AHA / ACC nhungamiro yevatungamiriri vevarwere vane valvular chirwere chemoyo: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro. Kutenderera. 2017; 135 (25): e1159-e1195. PMID: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

Thomas JD, Bonow RO. Mitral valve chirwere. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 69.