I-Mitral valve prolapse

I-Mitral valve prolapse yingxaki yentliziyo ebandakanya i-mitral valve, eyahlula amagumbi aphezulu nasezantsi kwicala lasekhohlo lentliziyo. Kule meko, ivelufa ayivali ngokwesiqhelo.

Ivalve ye-mitral inceda igazi kwicala lasekhohlo lokuhamba kwentliziyo kwicala elinye. Ivala ukugcina igazi lingashukumi lihlehle umva xa intliziyo ibetha (izivumelwano).

I-Mitral valve prolapse ligama elisetyenzisiweyo xa ivalve ingavali kakuhle. Inokubangelwa zizinto ezininzi ezahlukeneyo.

Kwiimeko ezininzi, ayinabungozi. Ingxaki ngokubanzi ayichaphazeli impilo kwaye uninzi lwabantu abanale meko abayazi. Kwimeko encinci yamatyala, ukubuyela umva kunokubangela ukuba igazi livuza ngasemva. Oku kubizwa ngokuba yi-mitral regurgitation.

I-Mitral valve prolapse ihlala ichaphazela abafazi abancinci abanokuba neziphene ezincinci zodonga lwesifuba, i-scoliosis, okanye ezinye iingxaki. Ezinye iindlela ze-mitral valve prolapse zibonakala ngathi zidluliswa kwiintsapho (ezizuzwe njengelifa).

I-Mitral valve prolapse ikwabonwa kunye nokuphazamiseka kwezicubu ezinje ngeMarfan syndrome kunye nezinye iingxaki ezinqabileyo zemfuza.

Kwakhona ngamanye amaxesha kubonakala kubodwa kubantu abaqhelekileyo.

Abantu abaninzi abane-mitral valve prolapse ABANAYO impawu. Iqela leempawu ngamanye amaxesha ezifumaneka kubantu abane-mitral valve prolapse ibizwa ngokuba yi "mitral valve prolapse syndrome," kwaye ibandakanya:

• Intlungu yesifuba (ayibangelwa sisifo semithambo okanye isifo sentliziyo)
• Ukuba nesiyezi
• Ukudinwa
• Uloyiko
• Imvakalelo yokuziva ukubetha kwentliziyo (ukubetha kwentliziyo)
• Ukuphefumla okufutshane kunye nomsebenzi okanye xa ulele (flat orthopnea)

Ubudlelwane ngqo buphakathi kwezi mpawu kwaye ingxaki yevalve ayicacanga. Ezinye zezinto ezifunyanisiweyo zinokuba ngamabona-ndenzile.

Xa ukubuyiswa kwe-mitral kwenzeka, iimpawu zinokunxulumana nokuvuza, ngakumbi xa kunzima.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye asebenzise i-stethoscope ukumamela intliziyo yakho kunye nemiphunga. Umboneleli unokuziva onwabile (ukungcangcazela) ngaphezulu kwentliziyo kwaye uve ukugcuma kwentliziyo kunye nesandi esongezelelweyo (ucofa phakathi). Ukumbombozela kudla ngokuthatha ixesha elide kwaye kuyakhwaza xa sukuma.

Uxinzelelo lwegazi luhlala luqhelekileyo.

I-Echocardiogram lolona vavanyo luqhelekileyo lusetyenziselwa ukufumanisa i-mitral valve prolapse. Ezi mvavanyo zilandelayo zingasetyenziselwa ukuxilonga i-mitral valve prolapse okanye i-mitral valve evuzayo okanye iingxaki ezivela kule miqathango:

• Ukucinywa kwentliziyo
• I-x-ray yesifuba
• Ukuskena kwentliziyo kwe-CT
• I-ECG (inokubonisa ii-arrhythmias ezinje nge-atrial fibrillation)
• Ukuvavanywa kwentliziyo ye-MRI

Uninzi lwexesha, zimbalwa okanye akukho zimpawu kwaye unyango alufuneki.

Kwixesha elidlulileyo, uninzi lwabantu abaneengxaki ze-valve zentliziyo babenikwa i-antibiotics ngaphambi komsebenzi wamazinyo okanye iinkqubo ezifana ne-colonoscopy ukukhusela intsholongwane entliziyweni. Nangona kunjalo, ii-antibiotics ngoku zisetyenziselwa kakhulu. Jonga umboneleli wakho ukuba ngaba ufuna i-antibiotics.

Maninzi amayeza entliziyo anokusetyenziselwa ukunyanga imeko yale meko. Nangona kunjalo, uninzi lwabantu aluyi kufuna naluphi na unyango. Unokufuna utyando ukuze ulungise okanye ubeke endaweni yakho i-mitral valve ukuba iyavuza kakhulu (ukuphinda ubuye kwakhona), kwaye ukuba ukuvuza kuye kubangele iimpawu. Nangona kunjalo, oku akunakwenzeka. Unokufuna ukulungiswa kwevalve mitral okanye ukutshintshwa ukuba:

• Iimpawu zakho ziba zibi.
• I-ventricle yasekhohlo yentliziyo yakho yandiswa.
• Umsebenzi wentliziyo yakho uya usiba mbi.

Uninzi lwexesha, i-mitral valve prolapse ayinabungozi kwaye ayibangeli zimpawu. Iimpawu ezenzekayo zinokunyangwa kwaye zilawulwe ngamayeza okanye ngoqhaqho.

Ezinye iintliziyo ezingaqhelekanga (arrhythmias) kubantu abane-mitral valve prolapse banokubusongela ubomi. Ukuba ukuvuza kwevalvevu kusiba nzima, imbonakalo yakho inokufana naleyo yabantu abanokuphinda bahlaziye mitral nakweyiphi na enye into.

Fowunela umnikezeli wakho ukuba unayo:

• Ukungonwabi kwesifuba, ukubetha kwentliziyo, okanye ukuphelelwa ngamandla okuya kusiba mandundu
• Izigulo zexesha elide ezineemfiva

Isifo seBarlow; Floppy mitral ivelufa; Ivalve ye-mitral ye-mitral; Ukucoca ivalve mitral; Isystolic cofa-ukumbombozela kwesifo; Ukuqhubela phambili i-mitral leaflet syndrome; Intlungu yesifuba-i-mitral valve prolapse

• Utyando lwevalvu yentliziyo - ukukhutshwa

• I-Mitral valve prolapse
• Utyando lwevalvu yentliziyo-uthotho

ICarabello BA. Isifo sentliziyo seValvular. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 66.

UNishimura RA, Otto CM, uBonow RO, et al. Uhlaziyo lwe-2017 AHA / ACC olujolise kwisikhokelo se-AHA / ACC sika-2014 kulawulo lwezigulana ezinesifo sentliziyo se-valvular: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zeKlinikhi yokuziQhelanisa. Ukujikeleza. Ngo-2017; 135 (25): e1159-e1195. IINKCUKACHA: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

UThomas JD, uBonow RO. Isifo seMitral valve. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 69.