M'chaka cha 2007 Chicago Marathon, wothamanga adagwa ndikufa, ndikupanga mutu wa dziko. Atafufuza zachipatala a Chicago, adalengeza kuti imfa yadzidzidziyi idasinthidwa chifukwa cha kutentha ndi kutentha komwe kunayambitsa mavuto ambiri pakati pa othamanga tsiku lomwelo (ndipo pamapeto pake adawathandiza kuti athetse mpikisano), koma m'malo mwake kuti " mitral valve prolapse " (MVP).
Chigamulochi chinakondweretsa kwambiri akuluakulu a kuderali kuti apitilize mpikisano ngakhale kuti nyengo ikuwopsya, ndipo ndani (chifukwa cha zolemba za autopsy) tsopano anali ndi chigamulo chokhudza imfa ya munthu uyu.
Mwachiwonekere, ife sitingathe kukhala ndi njira yodziwira chifukwa chenicheni cha imfa yomvetsa chisoni ya wothamanga. Komabe, chidziwitso chotsimikizirika chachipatala cha Chicago chinapangitsa mantha ochepa pakati pa anthu mamiliyoni 75 a ku America omwe (mwazifukwa zina) angakhale nawo MVP. Ndipo kwa masabata angapo, akatswiri a cardiologist a ku America anali atadzazidwa ndi foni.
Kufa kwa Mitral Valve Kumwalira ndi Mwadzidzidzi Imfa
Choncho, funso likuyamba kufunsa: Kodi MVP imayambitsa imfa mwadzidzidzi?
Yankho lake ndilokuti zikuoneka kuti akuwonjezeka pang'ono pangozi yofa mwadzidzidzi kuchokera ku ventricular tachycardia kapena ventricular fibrillation mwa anthu omwe ali ndi chidwi kwambiri MVP koma osati ambiri omwe adalandira matenda a MVP.
Ambiri omwe amapezeka kuti ali ndi MVP ali ndi mkhalidwe wofewa kwambiri, womwe suli ndi chiopsezo chowoneka.
Umboni woyamba kuti MVP ikhoza kugwirizanitsidwa ndi imfa yadzidzidzi inabwera makamaka kuchokera kumayendedwe autopsy. Maphunziro omwe mtima watengedwa mosamala mwa anthu omwe anafa mwadzidzidzi, umboni wa MVP ukhoza kupezeka mwa anthu ochepa.
Choncho, mwachibadwa, MVP imaganiza kuti ndiyo yomwe imayambitsa imfa yadzidzidzi.
Koma zinthu ziwiri sizinatchulidwe mu maphunziro awa. Choyamba, anthu ambiri omwe amwalira mwadzidzidzi sangathe kudziwika bwino. Chachiwiri, mutatsimikiza kupeza MVP, mudzatha kupeza umboni wochuluka wa anthu ambiri.
Pali umboni wochepa wosonyeza kuti anthu ambiri omwe amapezeka ndi MVP ali ndi chiwopsezo chowonjezereka chokha cha imfa yadzidzidzi.
Kugonjetsedwa kwa MVP
Mukamapanga mafilimu pamasewera osankhidwa mwachisawawa, malingana ndi momwe amagwiritsira ntchito, MVP ikhoza kupezeka mu 20% - 35%. Kuchuluka kwa mapuloteni enieni m'kati mwa magetsi amenewa ndi physiologically yosafunika ndipo sikungapangitse zoopsa zodziwika. Zoonadi, monga momwe zipangizo zamakono zimagwirira ntchito pazaka zambiri, zakhala zotheka kuona nthawi yaying'ono (yomwe nthawi zambiri imakhala yopanda phindu komanso yosakhalapo) yamagetsi a mitral. Akatswiri ambiri amavomereza kuti vutoli "MVP" lakhala likudziwika bwino kwambiri ndi odwala cardiologists.
Kukwanitsa kuzindikira kuchuluka kwa MVP ngati muyang'anitsitsa mozama kungakhale kosavuta kwa madokotala (kapena chifukwa chake, kwa olamulira), chifukwa zingathe kuwathetseratu kuti afotokoze zizindikiro kapena zochitika zomwe ziripo zovuta kapena zosokoneza kupeza kapena kusamalira ( dysautonomia kukhala otchuka kwambiri).
Choncho, nthawi zambiri zimakhala zolimbikitsa kwambiri kuti mudziwe zambiri za MVP.
Kuzindikira MVP moyenera
Mu 2008, pozindikira kuti matenda a MVP adakula mwakuya kuti afike mliri, American College of Cardiology ndi American Heart Association inafotokozera mfundo zowonjezereka zogwiritsira ntchito MVP. Pogwiritsira ntchito njira zoyenerazi kuti apeze matendawa, pali zowonjezereka zowonjezera chiopsezo cha mtima wamaganizo ndi imfa yadzidzidzi, ngakhale kuti chiopsezo chachikulucho chikadali chochepa.
Ndipotu, chiopsezo chachikulu cha anthuwa sichikufa mwadzidzidzi, koma kulimbikitsa kubwezeretsa kwamtundu wamtundu wambiri komanso kutayika kwa mtima .
Kwa anthu awa, chiopsezo cha imfa mwadzidzidzi chimakweradi-koma chiwerengero chokha chomwe chimakwezedwa kwa wina aliyense amene ali ndi mitral yowonongeka, pa chifukwa china chilichonse.
Kufalikira kwa mtundu uwu wa MVP (ndiko, weniweni, wofunika MVP) mwa anthu ambiri amakhala pafupi 1-2% ndipo osati 35%. Ndipo ngakhale pakati pa owerengeka ochepa kwambiri a odwala omwe ali ndi MVP, osachepera 1 pa 20 adzakhala ndi mfundo zazikulu zamagetsi.
Mawu Ochokera
Chofunika kwambiri n'chakuti sichikudziwika bwino kuti MVP-yochepa, mtundu wochepa wa MVP umene ambiri amapezeka kuti ali ndi vutoli-akugwirizananso ndi imfa yadzidzidzi, osakhala chifukwa cha imfa yadzidzidzi.
Kwa odwala ambiri omwe auzidwa kuti ali ndi MVP, chiopsezo cha imfa mwadzidzidzi sikula kuposa anthu ambiri, ndipo zovuta ngati za ku Chicago siziyenera kuwadetsa nkhawa.
Ngati mwauzidwa kuti muli ndi MVP, muyenera kudziwa kuchokera kwa katswiri wanu wa matenda a mtima ngati matendawa akugwiritsidwa ntchito pogwiritsa ntchito njira zatsopano zowunikira, kapena ngati chithandizochi chinapangidwa kale, komwe mungapeze MVP pafupifupi aliyense ngati mumayang'ana mozama.
> Zotsatira:
> Bonow RO, Carabello BA, Chatterjee K, et al. Kukonzekera Kwambiri kwa 2008 Kuwonjezeredwa M'chaka cha 2006 / Zomwe Zilikutsogolera Otsogolera Odwala Ndi Matenda a Mtima wa Valvular: Lipoti la American College of Cardiology / American Heart Association Ntchito Yogwiritsa Ntchito Malangizo Otsogolera (Komiti Yolemba Kukonzekera Malangizo a 1998 a Ulamuliro Odwala Amene Ali Ndi Matenda a Mtima wa Valvular): Ovomerezedwa ndi Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, ndi Society of Thoracic Surgeons. Kuyendayenda kwa 2008; 118: e523.
> Sriram CS, Syed FF, Ferguson ME, ndi al. Mafuta Osautsa Mitral Valve Prolapse Syndrome Mwa Odwala Osagwiritsa Ntchito Idiopathic Out-Of-Hospital Achimwene a Cardiac Akamangidwa. J ndi Coll Cardiol 2013; 62: 222.