Mitral vharuvhu inowedzera

Mitral valve prolapse idambudziko remwoyo rinosanganisira mitral vharuvhu, iyo inopatsanura makamuri epamusoro uye ezasi erutivi rworuboshwe rwemoyo. Mune mamiriro aya, vharafu haivhare zvakajairika.

Iyo mitral vharuvhu inobatsira ropa kuruboshwe kuruboshwe kwemoyo kuyerera munzira imwechete. Inovhara kuchengetedza ropa kuti rirege kufamba richidzokera kumashure kana moyo uchirova (zvibvumirano).

Mitral valve prolapse ndiro izwi rinoshandiswa kana vharafu ikasavhara zvakanaka. Inogona kukonzerwa nezvinhu zvakawanda zvakasiyana.

Kazhinji, haina kukuvadza. Dambudziko kazhinji harigone kukanganisa hutano uye vanhu vazhinji vane chirwere ichi havazvizive. Mune mashoma kesi, iyo prolapse inogona kukonzeresa ropa kudonha neshure. Izvi zvinonzi mitral kudzokazve.

Mitral vharuvhu prolapse inowanzo bata vakadzi vatete vanogona kunge vaine hushoma chipfuva madziro akaremara, scoliosis, kana zvimwe zvinetso. Mamwe mafomu emitral vharuvhu inowira seinoita kunge inopfuudzwa kuburikidza nemhuri (nhaka).

Mitral valve prolapse inoonekwawo nezvimwe zvinokanganisa matishu akadai seMarfan syndrome uye zvimwe zvisingawanzoitika geni kusagadzikana.

Izvo zvakare dzimwe nguva inoonekwa yakazvimiririra mune vanhu vasina kujairika.

Vanhu vazhinji vane mitral vharuvhu inoputika HAVANA zviratidzo. Boka rezviratidzo dzimwe nguva rinowanikwa muvanhu vane mitral valve prolapse rakanzi "mitral valve prolapse syndrome," uye rinosanganisira:

• Kurwadziwa pachifuva (kwete kukonzerwa nechirwere chetsinga kana chirwere chemwoyo)
• Dzungu
• Kuneta
• Kutya kwekutya
• Kunzwa kwekunzwa moyo kurova (palpitations)
• Kupfupika kwemweya nekuita kana kana uchinge wakarara flat (orthopnea)

Ukama chaihwo huri pakati pezviratidzo uye dambudziko revhavha harisi pachena. Zvimwe zvezviwanikwa zvinogona kunge zvakangoitikawo.

Kana mitral kudzokazve ikaitika, zviratidzo zvinogona kunge zvine chekuita nekudonha, kunyanya kana kwakanyanya.

Anopa hutano anoita bvunzo dzemuviri uye oshandisa stethoscope kuteerera kune moyo wako nemapapu. Iye mupi anogona kunzwa kunakidzwa (kudedera) pamusoro pemoyo uye kunzwa moyo uchigunun'una uye nerumwe ruzha (midsystolic tinya). Kugunun'una kunowanzoita kureba uye kurira kwazvo paunosimuka.

Kuwedzera kweropa kunowanzoitika.

Echocardiogram ndiyo bvunzo yakajairika inoshandiswa kuongorora mitral vharuvhu kupera. Iyi miedzo inotevera inogona zvakare kushandiswa kuongorora mitral vharuvhu kuwira kana iyo inodonha mitral vharuvhu kana matambudziko kubva kune iwo mamiriro.

• Catheterization yemwoyo
• Chest x-ray
• Mwoyo CT scan
• ECG (inogona kuratidza arrhythmias senge atrial fibrillation)
• MRI scan yemoyo

Kazhinji yenguva, pane mashoma kana pasina zviratidzo uye kurapwa hakudiwe.

Munguva yakapfuura, vanhu vazhinji vane matambudziko evhavha emoyo vakapihwa maantibhakitiriya pamberi pebasa rezvemazino kana maitirwo akaita secolonoscopy kudzivirira hutachiona mumoyo. Zvisinei, mishonga inorwisa mabhakitiriya yava kushandiswa zvishoma zvishoma. Tarisa nemupi wako kuti uone kana iwe uchida maantibioti.

Kune akawanda mishonga yemoyo inogona kushandiswa kurapa maficha eichi chiitiko. Zvisinei, vanhu vazhinji havazodi chero kurapwa. Iwe ungangoda kuvhiyiwa kuti ugadzirise kana kutsiva yako mitral vharuvhu kana ikava inodonha zvakanyanya (kudzokazve), uye kana kuvuza kuchikonzera zviratidzo. Zvisinei, izvi zvingasaitika. Iwe ungangoda mitral vharuvhu kugadziriswa kana kutsiva kana:

• Zviratidzo zvako zvinowedzera.
• Iko kuruboshwe ventricle yemoyo wako yakawedzerwa.
• Basa remwoyo wako rinowedzera.

Kazhinji yenguva, mitral vharuvhu prolapse haina kukuvadza uye haina kukonzera zviratidzo. Zviratidzo zvinoitika zvinogona kurapwa uye kudzorwa nemushonga kana kuvhiyiwa.

Kumwe kurova kwemoyo zvisina kujairika (arrhythmias) kune vanhu vane mitral vharuvhu kuwanda kunogona kutyisidzira hupenyu. Kana iyo vharuvhu ichidonha ikava yakaoma, maonero ako anogona kunge akafanana neavo vanhu vane mitral regurgitation kubva kune chero chimwe chikonzero.

Fonera mupiki wako kana iwe uine:

• Chifuva kusagadzikana, kurovera moyo, kana kupera simba izvo zvinowedzera kuwedzera
• Kurwara kwenguva refu nefivha

Barlow chirwere; Floppy mitral vharafu; Myxomatous mitral vharafu; Kubvisa mitral vharafu; Systolic tinya-kugunun'una chirwere; Kufambisa mitral leaflet syndrome; Kurwadziwa pachifuva - mitral vharuvhu kuwanda

• Kuvhiya kwevhavha yemoyo - kubuda

• Mitral vharuvhu inowedzera
• 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.