He aha ka Mitral Valve Stenosis? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

Hana ʻia ka mitral valve stenosis i ka wā e lilo ai ka mitral valve i loko o kou naʻau i ʻāpana a paʻakikī, e hana ana i ka paʻakikī o ke kahe ʻana o ke koko mai kou ʻākau hema i kou ventricle hema. E noʻonoʻo iā ia e like me ka puka ʻaʻole e wehe piha - pono kou naʻau e hana nui aku e puʻu i ke koko ma o kēia wehe liʻiliʻi.

Hoʻomohala mālie kēia kūlana ma nā makahiki he nui, pinepine me ka ʻike ʻole ʻana i ka mua. ʻOiai ke kani nui nei, a hiki ke lilo, he nui nā kānaka e ola ana i nā ola piha, ikaika me ka mālama lapaʻau kūpono a me ka nānā.

He aha ka Mitral Valve Stenosis?

Noho kou mitral valve ma waena o ʻelua lumi ma ka ʻaoʻao hema o kou naʻau. Ma ke ʻano maʻamau, wehe nui kēia valve e ʻae i ke koko momona-oxygen e kahe mai kou atrium hema i kou ventricle hema, a laila pani paʻa e pale aku i ke koko mai ke kahe ʻana i hope.

Ke loaʻa iā ʻoe ka mitral valve stenosis, lilo nā leaflets o ka valve i mānoanoa, paʻakikī, a hui pū ʻia. Hana kēia i kahi wehe liʻiliʻi e kaupalena i ke kahe ʻana o ke koko. Hoʻoponopono kou naʻau ma ka hana ʻana i ka ikaika, akā ma hope o kekahi manawa, hiki i kēia hana hou ke alakaʻi i nā pilikia.

Hoʻopilikia kēia kūlana ma kahi o 1 i 100,000 mau kānaka ma nā ʻāina holomua, ʻoiai ʻoi aku ka nui ma nā wahi kahi e hana pinepine ai ka maʻi rheumatic fever. Hoʻomohala mālie nā kānaka i nā hōʻailona, ʻo ia ke kumu e hiki ai i ka ʻike mua ma o nā nānā maʻamau ke kōkua nui.

He aha nā Hōʻailona o ka Mitral Valve Stenosis?

ʻAʻole ʻike nā kānaka he nui me ka mitral valve stenosis māmā i kekahi hōʻailona no nā makahiki a i ʻole nā ​​decades paha. Ke ʻike ʻia nā hōʻailona, ​​pinepine lākou e hoʻomohala mālie i ka wā e lilo ai ka wehe ʻana o ka valve i ʻāpana.

ʻO nā hōʻailona maʻamau āu e ʻike ai:

• Pōkole o ka hanu, ʻoi aku hoʻi i ka wā o ka hana kino a i ʻole ke moe pālahalaha
• Luhi e like ʻole me kou pae hana
• ʻEha umauma a i ʻole paʻa
• Nā palpitations naʻau a i ʻole ka naʻau ʻole
• Mālamalama a i ʻole māmā
• ʻEhu i kou mau wāwae, kuʻekuʻe wāwae, a i ʻole nā ​​wāwae
• Nā maʻi hanu pinepine

ʻIke kekahi poʻe i kahi ʻōhū mau, ʻoi aku hoʻi i ka wā e moe ana, a i ʻole paha e ʻōhū i ka sputum koko-tinged. Hana ʻia kēia mau hōʻailona no ka mea hiki i ke koko ke hoʻi i kou mau māmā i ka wā ʻaʻole e wehe pono ka mitral valve.

I nā hihia kakaikahi, hiki iā ʻoe ke ʻike i kou mau lehelehe a i ʻole nā ​​kui e lawe ana i kahi kala uliuli, kahi e hana ai i ka wā ʻaʻole lawa ka oxygen i kou koko. Inā ʻike ʻoe i kēia, he mea nui ia e ʻimi koke i ka mālama lapaʻau.

He aha nā Kumu o ka Mitral Valve Stenosis?

ʻO ke kumu maʻamau o ka mitral valve stenosis ka maʻi naʻau rheumatic, kahi e hoʻomohala ai ma ke ʻano he pilikia o ka maʻi rheumatic fever. Hana pinepine ʻia kēia kūlana ma hope o 10 a 20 mau makahiki ma hope o ka maʻi ʻaʻole i mālama ʻia o ka maʻi strep throat i alakaʻi i ka maʻi rheumatic fever i ka wā kamaliʻi.

I ka wā o ka maʻi rheumatic fever, hoʻouka hewa ka ʻōnaehana pale o kou kino i nā pūnaewele naʻau olakino, me ka mitral valve. Hana kēia i ka mumū a me ka ʻili e hana mālie ai i ka valve mānoanoa a paʻakikī ma nā makahiki he nui.

ʻO nā kumu ʻē aʻe, ʻoiai ʻoi aku ka liʻiliʻi, ʻo ia:

• Nā hemahema naʻau congenital i hānau ʻia mai ka hānau ʻana
• Nā waihona calcium e kūkulu ʻia ma ka valve me ka makahiki
• Nā kūlana autoimmune e like me ka lupus a i ʻole ka maʻi rheumatoid arthritis
• Nā lāʻau lapaʻau, ʻoi aku hoʻi nā alkaloids ergot i hoʻohana ʻia no nā migraines
• Ka lāʻau radiation i ka ʻāpana umauma
• Infective endocarditis, kahi maʻi naʻau koʻikoʻi

Ma nā ʻāina holomua kahi e liʻiliʻi ai ka maʻi rheumatic fever, ua lilo nā loli degenerative mai ka ʻelemakule i kumu maʻamau. I kekahi manawa, ʻaʻole hiki ke ʻike ʻia ke kumu kikoʻī, kahi i kapa ʻia e nā kauka he idiopathic mitral valve stenosis.

I ka wā e ʻIke ai i ke Kauka no ka Mitral Valve Stenosis?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i ka pōkole o ka hanu mau, ʻoi aku hoʻi inā e ʻoi aku ka maikaʻi a i ʻole ke komo ʻana i kāu mau hana o kēlā me kēia lā. Mai kali inā pilikia ʻoe i ka hanu ʻana i ka wā e moe pālahalaha ana a i ʻole inā ala ʻoe i ka pō e ʻimi ana i ka ea.

E ʻimi koke i ka mālama lapaʻau inā loaʻa iā ʻoe ka ʻeha umauma, dizziness nui, nā manawa fainting, a i ʻole e ʻike i kou mau lehelehe a i ʻole nā ​​kui e huli ana i ka uliuli. Hiki i kēia mau hōʻailona ke hōʻike i ka hoʻonui ʻana o kou kūlana a pono i ka loiloi wikiwiki.

ʻOiai inā he māmā kou mau hōʻailona, ​​he mea kūpono ke kūkākūkā me kāu kauka. Hiki i ka ʻike mua a me ka nānā ke kōkua i ka pale ʻana i nā pilikia a hōʻoia iā ʻoe e loaʻa ka mālama kūpono ma mua o ka holomua ʻana o ke kūlana.

Inā loaʻa iā ʻoe kahi moʻolelo o ka maʻi rheumatic fever, he mea nui loa nā nānā naʻau maʻamau, ʻoiai inā ʻoluʻolu ʻoe. Hiki i kāu kauka ke ʻike i nā loli i kou naʻau ma mua o ka ʻike ʻana i nā hōʻailona.

He aha nā Rīkika no ka Mitral Valve Stenosis?

Hiki i ka hoʻomaopopo ʻana i kāu mau rīkika ke kōkua iā ʻoe a me kāu mea mālama ola e makaʻala no nā hōʻailona mua o ka mitral valve stenosis. ʻO kekahi mau mea hiki iā ʻoe ke hoʻopilikia, ʻoiai aia kekahi ma waho o kou mana.

ʻO nā rīkika nui:

• Moʻolelo o ka maʻi rheumatic fever, ʻoi aku hoʻi inā ʻaʻole i mālama ʻia
• Makahiki ma luna o 65, e like me ka loli ʻana o ka valve me ka ʻelemakule maʻamau
• Hānau ʻia ma nā wahi kahi e maʻamau ai ka maʻi rheumatic fever
• Mōʻaukala ʻohana o ka maʻi valve a i ʻole nā ​​hemahema naʻau congenital
• Nā kūlana autoimmune e like me ka lupus a i ʻole ka maʻi rheumatoid arthritis
• Ka lāʻau radiation mua i ka umauma
• Ka maʻi puʻupaʻa maʻi e pono ai ka dialysis

Hoʻomohala pinepine nā wahine i ka mitral valve stenosis ma mua o nā kāne, ʻoi aku hoʻi nā mea me kahi moʻolelo o ka maʻi rheumatic fever. Hiki i ka hāpai ke hoʻonui i ka mitral valve stenosis no ka nui o ke koko a me nā koi naʻau.

ʻOiai ʻaʻole hiki iā ʻoe ke hoʻololi i kou makahiki, kāne, a i ʻole moʻolelo lapaʻau, hiki iā ʻoe ke hoʻemi i kou pilikia ma ka mālama koke ʻana i nā maʻi strep throat a mālama i ka olakino naʻau maikaʻi ma o ka hoʻoikaika maʻamau a me ka ʻai olakino.

He aha nā Pilikia o ka Mitral Valve Stenosis?

Ke holomua ka mitral valve stenosis me ka mālama ʻole, hiki ke hoʻomohala i nā pilikia he nui i ka wā e hakakā ai kou naʻau e puʻu i ke koko me ka maikaʻi. Hoʻomohala pinepine ʻia kēia mau pilikia mālie, ʻo ia ke kumu e nui ai ka nānā mau.

ʻO nā pilikia maʻamau:

• Atrial fibrillation, kahi naʻau ʻole e hoʻonui i ka pilikia stroke
• Ka hāʻule naʻau, kahi ʻaʻole hiki i kou naʻau ke puʻu i ke koko me ka maikaʻi
• Pulmonary hypertension, ke koko kiʻekiʻe i kou mau arteries māmā
• Nā clots koko e hiki ke hele i kou lolo, e hana ana i ka stroke
• Pulmonary edema, kahi wai wai weliweli i kou mau māmā
• Infective endocarditis, kahi maʻi naʻau koʻikoʻi

I nā hihia koʻikoʻi, hiki iā ʻoe ke hoʻomohala i ka mea i kapa ʻia e nā kauka he "mitral facies" - kahi helehelena helehelena me nā papalina rosy a me nā lehelehe uliuli i hana ʻia e ka holo koko maikaʻi ʻole. ʻIke kekahi poʻe i ka leo ʻole ma muli o ka atrium hema nui e kaomi ana i ka nerve vocal cord.

Kakaikahi, hiki i ka mitral valve stenosis koʻikoʻi ke alakaʻi i ka make naʻau koke, ʻoiai ʻoi aku ka nui o kēia i nā kānaka i loaʻa ʻole ka mālama lapaʻau kūpono. ʻO ka lono maikaʻi, me ka mālama kūpono a me ka nānā, hiki ke pale ʻia a i ʻole ke hoʻokele pono ʻia ka hapa nui o kēia mau pilikia.

Pehea ka Diagnosis ʻana o ka Mitral Valve Stenosis?

E hoʻomaka kāu kauka ma ka hoʻolohe ʻana i kou naʻau me ka stethoscope, e nānā ana i kahi murmur naʻau kūikawā e kani ana e like me ka rumbling haʻahaʻa. ʻO kēia murmur pinepine ka ʻōlelo mua e hōʻike ana i ka mitral valve stenosis, ʻoiai ma mua o kou hoʻomohala ʻana i nā hōʻailona.

ʻO ka ho'āʻo diagnostic nui loa ka echocardiogram, kahi e hoʻohana ai i nā nalu leo ​​e hana i nā kiʻi neʻe o kou naʻau. Hōʻike kēia ho'āʻo ʻeha ʻole i ka maikaʻi o ka wehe a me ka pani ʻana o kou mitral valve, ke ana i ka nui o ka wehe ʻana, a loiloi i ka ikaika o kou naʻau.

Hiki i kāu kauka ke paipai i nā ho'āʻo hou aku e like me:

• Chest X-ray e nānā i ka hoʻonui ʻana o ka naʻau a i ʻole ka congestion māmā
• Electrocardiogram (ECG) e ʻike i nā naʻau ʻole
• Ho'āʻo hoʻoikaika kino e ʻike i ka pane ʻana o kou naʻau i ka hana kino
• Cardiac catheterization i nā hihia paʻakikī e ana pololei i nā kaomi
• Transesophageal echocardiogram no nā kiʻi maopopo a kikoʻī hou aku

Hiki i nā ho'āʻo koko ke kōkua i ka hoʻopau ʻana i nā kūlana ʻē aʻe a nānā i nā hōʻailona o ka maʻi a i ʻole ka mumū. Inā hoʻolālā ʻoe i ka ʻoki kino, pono paha nā ho'āʻo hou aku e like me nā haʻawina hana māmā e hōʻoia iā ʻoe he moho maikaʻi.

He aha ka Lapaʻau no ka Mitral Valve Stenosis?

Aia ka lapaʻau no ka mitral valve stenosis i ka nui o kou kūlana a inā ʻike ʻoe i nā hōʻailona. Inā māmā kou stenosis a maikaʻi kou manaʻo, hiki i kāu kauka ke paipai i ka nānā mau me nā echocardiograms manawa.

No nā hihia symptomatic a i ʻole koʻikoʻi, ʻo nā koho lapaʻau e komo pū ana i nā lāʻau lapaʻau, nā kaʻina hana, a me ka ʻoki kino. E hana pū kāu hui mālama ola me ʻoe e hoʻoholo i ke ala maikaʻi loa ma muli o kou kūlana kikoʻī a me kou olakino holoʻokoʻa.

Nānā nā koho lāʻau lapaʻau i ka hoʻokele ʻana i nā hōʻailona a pale aku i nā pilikia:

• Diuretics e ho'emi i ka wai wai a ho'oluʻolu i ka hanu
• Beta-blockers e ho'emi i kou naʻau a ho'omaikaʻi i ka hoʻopihapiha
• Nā mea ho'ōla koko inā loaʻa iā ʻoe ka atrial fibrillation
• Nā lāʻau lapaʻau ma mua o nā kaʻina hana niho e pale aku i ka maʻi naʻau
• Digoxin e hoʻoikaika i nā contractions naʻau i ka hāʻule naʻau

Ke lawa ʻole nā ​​lāʻau lapaʻau, lilo nā hana procedural i mea pono. Hoʻokomo ʻia ka balloon valvuloplasty i kahi catheter me kahi piko balloon i kou naʻau a hoʻonui ʻia e hoʻonui i ka valve. Hana maikaʻi kēia koho liʻiliʻi ʻole no nā poʻe ʻōpio me nā valves pliable.

ʻO nā koho ʻoki kino e komo pū ana i ka hoʻoponopono a i ʻole ka hoʻololi ʻana o ka valve. Hiki i kāu kauka ʻoki ke paipai i nā valves mechanical e lōʻihi aku akā pono i nā mea hoʻōla koko ola, a i ʻole nā ​​valves biological mai nā pūnaewele holoholona ʻaʻole pono i nā mea hoʻōla koko akā pono paha e hoʻololi koke.

Pehea e Mālama ai iā ʻOe iho me ka Mitral Valve Stenosis?

Ke mālama nei iā ʻoe iho ma ka home he kuleana nui ia i ka hoʻokele ʻana i ka mitral valve stenosis a mālama i kou maikaʻi o ke ola. Hiki i nā koho liʻiliʻi o kēlā me kēia lā ke hana i kahi ʻokoʻa nui i kou manaʻo a me ka maikaʻi o ka hana ʻana o kou naʻau.

E nānā i nā koho ola olakino naʻau e kākoʻo i kou ʻōnaehana cardiovascular. E ʻai i ka ʻai momona i nā hua, nā mea kanu, nā huaola holoʻokoʻa, a me nā protein liʻiliʻi ʻoiai e kaupalena ana i ka sodium e kōkua i ka pale ʻana i ka wai wai a hoʻemi i ka pilikia ma kou naʻau.

E noho ikaika e like me kāu mau hōʻailona e ʻae ai, akā e hoʻolohe i kou kino. Hiki i ka hoʻoikaika māmā e like me ka hele wāwae, ka ʻauʻau, a i ʻole ka holo paikikala māmā ke hoʻoikaika i kou naʻau, akā e pale aku i nā hana ikaika e hana iā ʻoe i ka pōkole o ka hanu loa. E kūkākūkā mau i kāu mau hoʻolālā hoʻoikaika kino me kāu mea mālama ola.

E nānā pono i kou mau hōʻailona a mālama i nā loli. E kaupaona iā ʻoe iho i kēlā me kēia lā a hōʻike i ka hoʻonui koke ʻana o ke kaupaona i kāu kauka, ʻoiai hiki i kēia ke hōʻike i ka wai wai. E lawe i kāu mau lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia, ʻoiai inā ʻoi aku kou maikaʻi.

E hoʻomaʻamaʻa i ka mālama niho maikaʻi a e haʻi aku i nā mea mālama ola a pau e pili ana i kou kūlana valve. Pono paha ʻoe i ka prophylaxis antibiotic ma mua o kekahi mau kaʻina hana niho a i ʻole lapaʻau e pale aku i nā maʻi naʻau.

Pehea ʻoe e Hoʻomākaukau ai no kāu Appointmen Kauka?

Ke hoʻomākaukau nei no kāu appointment ke kōkua e hōʻoia iā ʻoe e loaʻa ka nui loa mai kou manawa me kāu mea mālama ola. E hoʻomaka ma ka kākau ʻana i kou mau hōʻailona a pau, ʻoiai nā mea i ʻike ʻole ʻia, me ka wā i hoʻomaka ai lākou a me ka mea e hoʻomaikaʻi ai a i ʻole ka ʻino.

E hana i kahi papa inoa piha o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā huaora āu e lawe nei, me nā dosages. E lawe mai i nā hopena ho'āʻo mua, ʻoi aku hoʻi nā echocardiograms a i ʻole nā ​​haʻawina naʻau ʻē aʻe, inā ʻike ʻoe i kahi kauka hou.

E hoʻomākaukau i nā nīnau e nīnau i kāu hui mālama ola:

• Pehea ka nui o kaʻu mitral valve stenosis?
• He aha nā hōʻailona e pono ai au e nānā aku e hōʻike ana i ka hoʻonui ʻana?
• Pehea ka pinepine e pono ai au e loaʻa nā appointment a me nā ho'āʻo hoʻomau?
• He aha nā hana palekana iaʻu e hana ai?
• Pono anei iaʻu ka prophylaxis antibiotic no ka hana niho?
• I ka wā hea paha e pono ai iaʻu ka ʻoki kino a i ʻole nā ​​kaʻina hana ʻē aʻe?

E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui i kūkākūkā ʻia i ka wā o ka appointment. Mai kānalua e noi i ka wehewehe inā ʻaʻole maopopo kekahi mea.

He aha ka Key Takeaway e pili ana i ka Mitral Valve Stenosis?

He kūlana hoʻokele ʻia ka mitral valve stenosis ke ʻike pono ʻia a mālama ʻia. ʻOiai hiki ke koʻikoʻi inā waiho ʻia me ka mālama ʻole, he nui nā kānaka me kēia kūlana e ola ana i nā ola piha, ikaika me ka mālama lapaʻau kūpono a me nā hoʻoponopono ola.

ʻO ka mea nui loa e hoʻomanaʻo ai ʻo ka ʻike mua a me ka nānā mau ke hana i kahi ʻokoʻa nui i nā hopena. Inā loaʻa iā ʻoe nā rīkika a i ʻole hoʻomohala i nā hōʻailona, ​​mai kānalua e kūkākūkā me kāu mea mālama ola.

Me nā koho lapaʻau o kēia lā, me nā lāʻau lapaʻau a me nā ʻenehana ʻoki kino holomua, ke hoʻomaikaʻi mau nei ka manaʻolana no nā kānaka me ka mitral valve stenosis. Ke hana pū nei me kāu hui mālama ola a lawe i kahi kuleana ikaika i kou mālama ʻana e hāʻawi iā ʻoe i ka manawa maikaʻi loa no ka hopena maikaʻi.

Nā Nīnau Pinepine e pili ana i ka Mitral Valve Stenosis

Hiki ke ho'ōla piha ʻia ka mitral valve stenosis?

ʻAʻole hiki ke "ho'ōla" ʻia ka mitral valve stenosis me nā lāʻau lapaʻau, akā hiki ke mālama pono ʻia a hoʻoponopono ʻia me nā kaʻina hana a i ʻole ka ʻoki kino. Hiki i ka balloon valvuloplasty ke hoʻomaikaʻi nui i ka hana valve, ʻoiai hiki i ka hoʻoponopono a i ʻole ka hoʻololi ʻana o ka valve ke hoʻihoʻi i ke kahe koko maʻamau. ʻO ke kī ka loaʻa ʻana o ka mālama kūpono ma mua o ka hoʻomohala ʻana o nā pilikia.

Palekana anei ka hoʻoikaika kino inā loaʻa iaʻu ka mitral valve stenosis?

Aia ka palekana hoʻoikaika kino i ka nui o kou kūlana a me kou mau hōʻailona. Hiki i nā kānaka me ka stenosis māmā ke hoʻoikaika pinepine maʻamau, ʻoiai pono paha nā mea me ka stenosis waena a koʻikoʻi e kaupalena i nā hana kiʻekiʻe. Hiki i kāu cardiologist ke hana i kahi ho'āʻo hoʻoikaika kino e hoʻoholo i nā pae hana palekana no ʻoe.

Pehea ka lōʻihi e hiki ai i kekahi ke ola me ka mitral valve stenosis ʻaʻole i mālama ʻia?

Hoʻololi nui ka holomua ma waena o nā kānaka. Hiki i kekahi poʻe me ka stenosis māmā ke pono ʻole i ka mālama, ʻoiai hiki i nā mea ʻē aʻe me ka stenosis koʻikoʻi ke hoʻomohala i nā pilikia weliweli i loko o nā mahina inā waiho ʻia me ka mālama ʻole. Ke hoʻomohala ʻia nā hōʻailona i ka stenosis koʻikoʻi, ʻo ka ola maʻamau me ka mālama ʻole ʻana he 2-5 mau makahiki maʻamau, ʻo ia ke kumu e nui ai ka mālama lapaʻau koke.

Pono anei au e lawe i nā mea hoʻōla koko no ke ola?

ʻAʻole pono nā kānaka a pau me ka mitral valve stenosis i nā mea hoʻōla koko. Pono paha ʻoe iā lākou inā loaʻa iā ʻoe ka atrial fibrillation a i ʻole inā loaʻa iā ʻoe kahi hoʻololi valve mechanical. Eia naʻe, inā loaʻa iā ʻoe ka hoʻoponopono valve a i ʻole ka hoʻololi ʻana o ka valve biological me ka ʻole o ka atrial fibrillation, ʻaʻole pono paha nā mea hoʻōla koko lōʻihi.

Hiki i ka hāpai ke hoʻonui i ka mitral valve stenosis?

ʻAe, hiki i ka hāpai ke hoʻonui i ka mitral valve stenosis no ka nui o ke koko a me nā koi naʻau. Pono nā wahine me ka stenosis waena a koʻikoʻi e kūkākūkā i ka hoʻolālā ʻohana me ka cardiologist ma mua o ka hāpai ʻana. Me ka nānā pono a me ka mālama, hiki i nā wahine he nui me ka stenosis māmā ke loaʻa nā hāpai palekana, akā he mea nui ka nānā lapaʻau kokoke.