Mitral vharuvhu inowedzera: chii icho, maitiro ekuchiona nekuchibata

Zvemukati

• Zviratidzo zvikuru
• Iko mitral vharuvhu inowedzera zvakanyanya?
• Zvinokonzera mitral vharuvhu kupera
• Maitiro ekuongorora
• Kurapwa kunoitwa sei

Iyo mitral vharuvhu prolapse ishanduko iripo mu mitral vharuvhu, inova iyo yemoyo vharuvhu yakaumbwa nemapepa maviri, ayo, kana akavharwa, anoparadzanisa kuruboshwe atrium kubva kuruboshwe ventricle yemoyo.

Iyo mitral vharuvhu inoputika inoratidzirwa nekutadza kuvhara mapepa emitral, uko rimwe kana maviri mapepa anogona kuunza kusanzwisisika kwekufambisa panguva yekudzvanywa kweiyo ventricle yekuruboshwe. Kuvhara kwakasarudzika kunogona kuita kuti kufamba kweropa zvisirizvo kubva kuruboshwe kuruboshwe kuenda kuruboshwe atrium, inozivikanwa semitral regurgitation.

Iko shanduko yakajairika uye muzviitiko zvakawanda ndeye asymptomatic uye haina kukuvadza hutano, uye inogona kuitika mune vese varume nevakadzi.

Zviratidzo zvikuru

Muzviitiko zvakawanda, mitral vharuvhu prolapse haina chiratidzo uye inowanikwa panguva yechinyakare echocardiogram. Kana iko kutsvaga kwe ultrasound kwekuwedzera kuchisanganiswa nekuvapo kwezviratidzo uye kusimudzira kwemoyo kugunun'una, zvinozozivikanwa semitral prolapse syndrome.

Zviratidzo zvikuru zvinogona kuve zvinoratidza mitral vharuvhu kuputika marwadzo echipfuva, kurova marwadzo, kushaya simba uye kupfupika kwemweya mushure mekushingirira, chiveve mumakumbo uye kunetseka kufema wakarara pasi. Dzidza nezve zvimwe zviratidzo zvemitral vharuvhu kupera.

Iko mitral vharuvhu inowedzera zvakanyanya?

Kufambira mberi kweiyo mitral vharuvhu muzviitiko zvakawanda haina kunyanyisa uye haina zviratidzo, uye nekudaro haifanire kukanganisa mararamiro nenzira yakaipa. Kana zviratidzo zvikaonekwa, vanogona kurapwa nekudzorwa nemushonga uye nekuvhiyiwa. Chete 1% yevarwere vane mitral vharuvhu prolapse inowedzera dambudziko, uye ingangoda kuvhiyiwa kuitira kuti ichinje vharuvhu mune ramangwana.

Kana iyo mitral prolapse yakakura kwazvo, pane njodzi huru yeropa inodzokera kuruboshwe atrium, iyo inogona kuwedzera mamiriro acho zvishoma. Muchiitiko ichi, kana ikasarapwa nenzira kwayo, inogona kukonzeresa kumatambudziko akadai sekutapukirwa kwemavharuvhu emoyo, kuvuza kwakanyanya kwemitral vharafu uye kurova kwemoyo zvisina kujairika, ine arrhythmias yakaoma.

Zvinokonzera mitral vharuvhu kupera

Kufambiswa kwemitral vharuvhu kunogona kuitika nekuda kwekuchinja kwemajini, kutapurirwa kubva kuvabereki kuenda kuvana, kuchionekwa sechinhu chinogarwa nhaka, kana nekuda kwezvikonzero zvisingazivikanwe, zvichionekwa pasina chikonzero (chikuru chikonzero).

Uye zvakare, mitral vharuvhu prolapse inogona kuitika nekuda kwekubatana nezvimwe zvirwere, zvakaita seMaritima's syndrome, chirwere chemwoyo, Ehlers-Danlos syndrome, hosha dzakakomba, polycystic itsvo chirwere uye rheumatic fever. Uye zvakare, zvinogona kuitika mushure mekuvhiyiwa kwemitral vharuvhu.

Maitiro ekuongorora

Kuongororwa kwemitral valve prolapse kunoitwa neye cardiologist zvichibva pane yemurwere nhoroondo yekiriniki uye zviratidzo, mukuwedzera kune bvunzo dzakadai echocardiography uye auscultation yemoyo, umo kudzora uye kutenderera mafambiro emoyo anoongororwa.

Munguva yemoyo auscultation, ruzha rwunobuda rwunonzi mesosystolic kubatika runonzwika nguva pfupi mushure mekutanga kwechibvumirano che ventricle. Kana ropa richidzokera kuruboshwe atrium nekuda kwekuvharwa kwevhavha isiriyo, kugunun'una kwemoyo kunogona kunzwika mushure mekudzvanya.

Kurapwa kunoitwa sei

Kurapa kwemitral vharuvhu kuwira kazhinji hakudiwe kana pasina zviratidzo. Zvisinei, kana zviratidzo zvikaonekwa, cardiologists inogona kukurudzira kushandiswa kwemimwe mishonga kudzora zviratidzo, senge antiarrhythmic zvinodhaka, semuenzaniso, izvo zvinobatsira kudzora zvisina kujairika moyo kurova uye kudzivirira ventricular tachycardia iyo inogona kuitika mune zvimwe zvisingawanzo zviitiko zvemitral valve prolapse.

Uye zvakare, kushandiswa kwemishonga yedhiureti kunogona kukurudzirwa kubatsira kubvisa zvakawandisa mvura inodzokera mumapapu, beta-blockers, kana pachipfuva kurwara kana kurwadziwa, uye maanticoagulants, ayo anobatsira kudzivirira kuumbwa kwemachira.

Mune zviitiko zvakakomba zvakanyanya, uko kune kubuda kukuru kweropa muatrium yekuruboshwe, kuvhiya kunodiwa kugadzirisa kana kutsiva mitral vharuvhu.