Pakhala chisokonezo chochuluka pa matendawa a mtima wamba
Mitral valve prolapse (MVP) ndi yowona mtima wamaganizo. Tsoka ilo, ndilo limodzi mwa anthu omwe samamvetsetsa bwino. Choncho, ngati mwauzidwa kuti muli ndi MVP, nkofunika kuti mumvetsetse, ndi mavuto ati omwe angayambitse (osati chifukwa), ndi zomwe muyenera kuchita nazo.
Kodi MVP n'chiyani?
MVP ndi chinthu chosabadwa bwino chomwe chimapanga minofu yambiri pa mitral valve (valavu yomwe imasiyanitsa mbali ya kumanzere kumbali ya kumanzere).
Izi zimapangitsa kuti valve mitral isanduke "floppy." Chifukwa chake, pamene makontrakita otsekemera amachoka, mitsempha yotchedwa mitral valve imatha kubwerera (kapena kubwerera) kubwalo lamanzere. Kupweteka uku kumapangitsa magazi ena kumbali ya kumanzere kuti alowe kumbuyo (kutanthauza kuti, regurgitate) kumalo otsekemera. (Kuphunzira za zipinda za mtima ndi valve kungakuthandizeni kumvetsetsa njirayi.)
Kawirikawiri zimakhala zowonongeka kuti zikhale ndi MVP. Ngati munthu ali ndi MVP yeniyeni, ndiye kuti pafupifupi 30 peresenti ya achibale ake apamtima angakhale nawo.
Kodi MVP Amadziwika Bwanji?
Kawirikawiri, MVP amayamba kukayikira pamene dokotala amamva phokoso lakale loti "phokoso-phokoso" pamene akumvetsera mtima wa munthu. Kuwombera kumayambitsidwa ndi phokoso lomveka lopangidwa ndi kutuluka kwa valve ya mitral; kudandaula kumayambitsidwa ndi kubwezeretsedwa kwa magazi kumbuyo kwa atrium kumanzere. Kudziwa kwa MPV kumatsimikiziridwa ndi echocardiogram .
Ziri bwino tsopano kuti zaka zoyambirira za zojambulajambula, akatswiri a cardiologist anali owonjezera kwambiri pozindikira kuti MVP. Izi zikutanthauza kuti anazindikira kuti iwo ankaganiza kuti ndi mitral valve prolapse pakati pa anthu omwe magalasi awo amagwira ntchito moyenera. Chifukwa chake, zikwi zambiri za anthu omwe mitima yawo inali yachilendo anali atapezeka kuti ali ndi matendawa.
Ndipotu, m'maphunziro ena mpaka 35 peresenti ya anthu onse omwe anayesedwa anauzidwa kukhala ndi MVP. Ambiri mwa anthuwa analibe, kapena ndalama zochepa chabe, za pulojekiti yeniyeni.
Zaka zaposachedwapa, zoyenera kudziwa kuti MVP ikuyesa yakhazikika. Kafukufuku wotsatira asonyeza kuti chiwerengero chenicheni cha MVP "yeniyeni" ndi pafupifupi 2 peresenti mpaka 3 peresenti ya anthu ambiri.
Mwamwayi, zikuwoneka kuti madokotala ena amazoloŵeratu kuganizira za vutoli.
Chifukwa chiyani MVP Ndi yofunika kwambiri?
MVP ikhoza kupanga mitundu iwiri yovuta ya matenda. Zingachititse kuti thupi liziyambiranso kwambiri , ndipo limapangitsa munthu kukhala ndi kachilombo koyambitsa matenda (mtima wa valve).
Kufunika kwa MVP kumagwirizana kwambiri ndi kuchuluka kwa kusintha kwazomwe zikuchitika. Kuthamanga kwambiri kwa mitral (yomwe, kachiwiri, ndi yotchipa ya mitral) kumapeto kumatha kuwongolera zipinda za mtima, kufooka kwa minofu ya mtima, ndipo pamapeto pake, kukhumudwa mtima . Mwamwayi, anthu ambiri omwe ali ndi MVP alibe kuthamangitsidwa kwakukulu-pafupifupi 10 peresenti ya anthu omwe ali ndi MVP adzalimbikitsidwa kwambiri pa moyo wao wonse.
Ngakhale kuti anthu omwe ali ndi MVP ali ndi chiopsezo chowonjezereka chotenga matenda opatsirana pogonana, chiopsezocho chikadali chochepa. Ndipotu, chifukwa chakuti endocarditis ndi yosavomerezeka, malangizo atsopano ochokera ku American Heart Association salinso ndi mankhwala othandizira odwala omwe ali ndi MVP.
Kodi Chizindikiro ndi MVP N'chiyani?
Odwala ambiri omwe ali ndi MVP angathe kuyembekezera kukhala ndi moyo wathanzi, popanda zizindikiro chifukwa cha MVP yawo, ndipo popanda kuchepa kwa moyo wawo. Kawirikawiri, zizindikirozo zimagwirizana kwambiri ndi kukula kwa mitral regurgitation yomwe ilipo. Odwala ambiri omwe ali ndi MVP omwe ali ndi mphamvu zochepetsera mitral ali ndi mbiri yabwino .
Kodi Ndi Mavuto Ena Amtundu Wotani Amene Aperekedwa kwa MVP?
Chifukwa chakuti MVP imapezeka kawirikawiri (ngakhale ikapanda kukhalapo), yakhala ikugwirizana ndi zinthu zambiri zomwe mwina sizikugwirizana ndi MVP yokha. Kusokonezeka kunayambira m'masiku oyambirira a zojambula zojambula zithunzi, pamene MVP inali kuwonetseredwa kwambiri. Nthawi iliyonse wodwalayo atadandaula ndi zizindikiro kapena mavuto ena, madokotala amatha kulamula echocardiogram-ndipo pafupifupi 35 peresenti ya nthawiyo, amapeza "MVP." Mavuto ochulukirapo ochulukirapo amachititsa kuti MVP iwonongeke kwa zaka makumi angapo zapitazi, Chiyanjano sichingakhalepo konse.
Pano pali mikhalidwe yowonjezereka yomwe yakhala ikugwirizana ndi MVP, koma ubale wawo weniweni ndi MVP ndi wovuta kwambiri:
Nkhawa, kupweteka pamtima , palpitations . Ngakhale kuti anthu ambiri amakhulupirira kuti MVP imayambitsa zizindikirozi, anthu ambiri omwe ali ndi MVP samawadziwa, ndipo anthu ambiri omwe ali ndi nkhawa, kupweteka pachifuwa, ndi kupopera alibe MVP. Kusonkhana kwenikweni ndi MVP sikunayambe kawonetsedwe.
Kukwapulidwa kapena kufa mwadzidzidzi. Sizinayambe zisonyezedwa kuti MVP ngokhayo imayambitsa stroke kapena imfa yadzidzidzi, kapena kuti chiwerengero cha MVP ndi choposa kuposa chizolowezi kwa odwala omwe akukumana ndi mavutowa. Ngakhale odwala omwe ali ndi vuto lalikulu lokhalanso ndi vuto linalake ali ndi chiopsezo chowonjezereka cha kupwetekedwa ndi kufa mwadzidzidzi, awo omwe ali ndi MVP wofatsa amakhala ndi chiwonongeko chofanana ndi anthu ambiri. Werengani zambiri za MVP ndi imfa yadzidzidzi .
Matenda a dysautonomia . Matenda a dysautonomia, omwe amachititsa zinthu monga kutopa kwa matenda , vasovagal (kapena neurocardiogenic) syncope , kuthamanga kwa mantha , fibromyalgia , ndi matenda osokoneza bongo , nthawi zambiri amatchedwa MVP. Sitikuonekeratu kuti anthu omwe ali ndi MVP ali ndi chiopsezo chowonjezereka chokhala ndi zizindikiro zothandizana ndi dysautonomias (monga palpitations, nkhawa, kutopa, aches, ndi zopweteka). Koma pakukhumba kwawo kuti adziwe kuti odwala akudandaula za zizindikilo zoterezi, ndipo potero amachititsa mayesero onse kudziwika kwa munthu, madokotala apeza (mwachibadwa) kuti chiwerengero cha odwala ovutawo ali ndi MVP. Madokotala asankha mawu akuti "Mitral Valve Prolapse Syndrome" kuti afotokoze. Kaya MVP palokha imakhudzana ndi zizindikiro izi ndizosakayikitsa.
Mawu Ochokera
Ngati mwauzidwa kuti muli ndi MVP, muyenera kutsimikiza kuti mukumvetsa kuchokera kwa dokotala wanu digiri ya mitration yomwe mukuyambiranso, komanso kuti dokotala wanu adalemba ndondomeko yowunika zotsatila. Ngati simunayambe kubwezeretsa, muyenera kuonetsetsa kuti mukuyenera kuyang'anitsitsa zaka zisanu kapena zisanu. Ngati pali chiwerengero chofunika kwambiri chotsitsimutsa, chaka chilichonse ziyenera kuganiziridwa.
Ngati muli ndi zizindikiro monga kupweteka pamtima kapena zizindikiro, zizindikirozi ziyenera kuonedwa ngati zosiyana. Ngati adokotala amangolemba zizindikiro izi chifukwa cha MVP, osayesa kufufuza, yang'anani kufunafuna lingaliro lina.
Ngati mukuganiza kuti muli ndi syndromes ya dysautonomia, onetsetsani kuti adokotala amadziwa bwino momwe angayendetsere. Musataye nthawi ndi dokotala yemwe akuwoneka kuti akufunitsitsa kulemba zizindikiro zanu ngati "gawo limodzi la MVP." Dysautonomias ndi matenda enieni, omwe ndi osiyana-siyana ndi a MVP, omwe amayenera kuchitidwa osatulutsidwa.
> Zotsatira:
> Avierinos, JF, Gersh, BJ, Melton LJ 3rd, et al. Mbiri Yachilengedwe Yopanda Kusintha Mitral Valve Ikupita Kumidzi. Kuyendayenda 2002; 106: 1355.
> Kim, S, Kuroda, T, Nishinaga, M, et al. Kugwirizana Pakati pa Kuopsa kwa Mitral Kugonjetsa Ndi Kugonjetsa Kwa Mitral Valve Pulogalamu: Kufufuza Kwambiri Kuphunzira. Amtima J 1996; 132: 348.
> Nishimura RA, Otto CM, Bonow RO, ndi al. 2014 Ata / Malangizo Othandizira Otsogolera Odwala Odwala Valvular Heart Disease: Lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63: e57.