Nthawi ndi nthawi
Kukhazikitsa chithandizo cha mitral stenosis si chinthu chophweka. Chinsinsi chochizira mitral stenosis ndikupanga chisankho chabwino pa (kapena ngati) kuchita opaleshoni. Kuwonjezera apo, ndizofunikira kuti tipeze njira zoyenera kuteteza thrombosis (magazi otsekemera) popanga zipinda za mtima.
Mitral Stenosis Kuchiza-Nthawi Yonse Ndizochita Zonse
Ndi mitral stenosis, valve mitral (valve yomwe ili pakati pa zipinda ziwiri zapansi za mtima ) imakhala yowonjezereka ndi yosasunthika, osatsegula kwathunthu ndi kutaya magazi.
Popeza mitral stenosis ndi vuto lalikulu, njira yothetsera vutoli ndiyofunika kupaleshoni.
Kotero ngati muli ndi mitral stenosis, funso lovuta koposa ndilo kusankha ngati opaleshoni ndi nthawi yochita.
Nthawi ya opaleshoni ya mitral ndi yofunika kwambiri. Mitral stenosis imayamba kuchepa pang'onopang'ono, ndipo anthu omwe ali ndi matendawa amatha kukhalabe opanda zizindikiro kwa zaka zambiri. Ngakhale mutayesedwa kuti muchite opaleshoni yoyamba mwamsanga kuti musakhale ndi zizindikiro zazikulu za mtima, kuchita opaleshoni mofulumira kwambiri kungabweretse chiopsezo chosafunikira.
Komabe, kuyembekezera motalika kwambiri kuti achite opaleshoni kungayambitse kuwonongeka kwa mtima, kotero kuti opral valve opaleshoni sikungakhalenso yothandiza. Izi zikhoza kukhala kulakwa kwakukulu-nthawi yake ndi chirichonse.
Kusankha pa nthawi yoyenera kuchita opaleshoni ya mitral kumadalira kwambiri zizindikiro zanu, komanso momwe mungagwiritsire ntchito mitsempha yanu yoyenera komanso momwe mungapangitsire mankhwala .
Miyeso iyi ikhoza kuchitidwa ndi echocardiogram .
Ndikofunika kwambiri kuti muzisamala kwambiri zizindikiro zilizonse zomwe zingakhale zikukulirakulira makamaka makamaka ku dyspnea (kupuma pang'ono), kutopa, ndi kusintha komwe mumatha kuchita. Dokotala wanu adzakuthandizani pakufunsa mafunso abwino.
(Monga: Ndi masitepe angati omwe mungakwere musanapite nthawi yochepa kupuma?) Zimatenga nthawi yaitali bwanji kuti muyende limodzi?
Kusankha Pamene Nthawi Ili Yolondola Kwa Inu
Poganizira izi, tiyeni tiwone "malamulo" akuluakulu posankha nthawi yoti opaleshoni ifike.
Ngati mulibe zizindikiro nonse komanso kuti mitral stenosis yanu ikhale yofatsa, chisankho chachikulu chomwe inu ndi dokotala mungapange ndi nthawi yomwe muyenera kubwereza kuyesedwa. Malinga ndi momwe mumayendera, ma echocardiogram amachitidwa chaka chilichonse kapena zaka ziwiri kapena zitatu zingakhale zofunikira. Ngati mutapuma mpweya kapena kutopa pakati pa ma check, dokotala wanu adziwe mwamsanga.
Ngati muli ndi mitral stenosis yofatsa ndi zizindikiro zochepa, dokotala wanu angakufunseni kuti muyesetse kuchita masewera olimbitsa thupi-kutanthauza, kuyesedwa kwapanikizika pamene pulojekiti imachitika. Chiyesochi chimalola dokotala kulingalira kuti mitsempha yanu ya pulmonary imapanikizika pa nthawi yochita masewera olimbitsa thupi.
Ngati mukulitsa mitsempha yambiri yamapiritsi pamene mukuchita masewera olimbitsa thupi, dokotala wanu angakulozereni chifukwa cha opaleshoni. Komabe, ambiri omwe ali ndi MS wochepa amatumizidwa kukonzanso mavitral ngati amagwiritsidwa ntchito pamatuni a valvotomy (PMBV), omwe amatha kusintha njira zowonongeka.
Ngati muli ndi mitral stenosis yochepa kwambiri komanso muli ndi zizindikiro, ndipo mitsempha yanu yapamwamba imakakamizika kuti mupume kapena mukamachita masewera olimbitsa thupi, muyenera kuchitidwa opaleshoni. Pachifukwa ichi mwinamwake mutumizidwe kwa PMBV ngati njirayi n'zotheka. Ngati sizingatheke, mutumizidwa kwa opaleshoni ya mitral stenosis.
Ngati muli ndi mitral stenosis yamphamvu komanso zofunikira kwambiri, vutoli silikutanthauza kuti vutoli ndi lokwanira kuti achite opaleshoni, koma ngati lasintha kuposa pamene opaleshoni ikanakhala yothandiza.
Kusankha izi kungakhale kovuta, ndipo kawirikawiri kumakhudza kukhuta mtima kwa mtima wonse ndi kuyankhulana kwapafupi ndi kukambirana pakati pa inu, katswiri wanu wa opaleshoni ndi opaleshoni ya mtima.
Ngati idzakhala nthawi yopaleshoni, iwe ndi madokotala anu muyenera kusankha kuti ndi njira iti ya opaleshoni ya mitral stenosis yomwe ingakhale yabwino kwa inu.
Kodi Mankhwala Osokoneza Ubongo Angathandize Mitral Stenosis?
Mankhwala othandiza a mitral stenosis amafunika kuthetsa thanzi labwino, koma chithandizo chamankhwala chingapereke ubwino wina.
Diuretics (mapiritsi a madzi), kawirikawiri mphamvu zolimbitsa thupi zamphamvu monga Lasix kapena Bumex, zingathandize kupuma pang'ono kapena kusungidwa kwa madzi. Kugwiritsa ntchito mankhwala osokoneza bongo pofuna kuteteza matenda a rheumatic fever n'kofunika, makamaka kwa odwala achinyamata, ngati mitral stenosis imayamba chifukwa cha matenda a mtima.
Kawirikawiri, kugwiritsa ntchito mankhwala osokoneza bongo omwe amathandiza kuteteza matenda opatsirana pogonana sikuthandizidwanso kwa anthu omwe ali ndi MS.
Popeza kuti matenda a atrial akuyambitsa matenda amachititsa kuti odwala ali ndi mitral stenosis kusiyana ndi odwala omwe alibe, amachititsa kuti agwiritse ntchito mankhwalawa.
Kupewa Kuvala Magazi
Anthu omwe ali ndi mitral stenosis ali ndi chiopsezo chowonjezereka cha thromboembolism (magazi amkati m'mitsempha ya mitsempha kapena mtima umene umachoka ndikupangitsa kuwonongeka kwa minofu monga kupweteka ). Mu mitral stenosis, thrombus (clot) imayamba kupanga mbali ya kumanzere. Kuopsa kwa thromboembolism kumawonjezeka kwambiri ngati mankhwala akufa alipo.
Pa chifukwa ichi, kugonana ndi Coumadin kumalimbikitsa odwala omwe ali ndi mitral stenosis omwe ali ndi zotsatirazi:
- Mbiri ya chithunzithunzi cham'mbuyo, makamaka kukwapulidwa
- Kuchokera ku thribusti ya atrial (yomwe ingakhoze kudziwika ndi echocardiogram)
- Matenda a atrial
- Malingana ndi akatswiri ena, kutambasuka kwakukulu kwa atrium (komwe kumatululidwanso ndi echocardiogram)
Mfundo Yofunika Kwambiri
Mitral stenosis ndi chikhalidwe cha mtima umene umasamalidwa bwino umafuna kugwirizana pakati pa inu ndi dokotala wanu. Komabe, ndi chisamaliro chabwino chachipatala ndi opaleshoni, anthu omwe ali ndi mitral stenosis ambiri angathe kuyembekezera zotsatira zabwino kwambiri.
Zotsatira:
Bonow, RO, Carabello, BA, Chatterjee, K, ndi al. Kukonzekera kwa 2008 kunaphatikizidwa mu ACC / AHA 2006 Malangizo Othandizira Odwala Odwala Valvular Heart Disease: Lipoti la American College of Cardiology / American Heart Association Ntchito Yogwiritsa Ntchito Malangizo Othandizira (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.