Tricuspid Valve Regurgitation ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Tricuspid valve regurgitation ibaho iyo umuvana wa tricuspid mu mutima wawe utifunga neza, bikaba byatuma amaraso asubira inyuma. Uyu muvana uba hagati y'icyumba cy'umutima cyo hejuru (atrium y'iburyo) n'icyumba cy'umutima kiri hepfo (ventricle y'iburyo), ukora nk'umuhanda umwe gusa ugomba kureka amaraso agenda imbere.

Tekereza ko ari nk'umuyoboro w'amazi urimo kwinjiza mu gikorwa cy'umutima wawe. Iyo umuvana wa tricuspid ubaye mwinshi cyangwa wangiritse, amaraso amwe asubira inyuma aho kujya mu mwijima nk'uko bikwiye. Abantu benshi babaho bafite tricuspid regurgitation yoroheje batanabizi, mu gihe abandi bashobora kuba bakeneye ubuvuzi ku bintu bikomeye.

Ibimenyetso bya tricuspid valve regurgitation ni ibihe?

Abantu benshi bafite tricuspid valve regurgitation yoroheje nta bimenyetso na kimwe bagira. Umutima wawe ubusanzwe ugerageza neza ku bwinshi bw'amaraso asubira inyuma, cyane cyane mu ntangiriro.

Iyo ibimenyetso bigaragara, bisanzwe bigenda buhoro buhoro uko iyi ndwara igenda ikomeza. Dore ibyo ushobora kubona:

• Guhumeka nabi, cyane cyane mu gihe ukora imyitozo ngororamubiri cyangwa uri kuryamye
• Kubura imbaraga no kumva unaniwe cyane mu bikorwa bya buri munsi
• Kubyimbagira mu maguru, mu birenge, mu birenge, cyangwa mu nda
• Kumva nk'aho hari ikintu kirimo guhuruka mu gituza cyangwa mu ijosi
• Kugabanuka kw'ubushobozi bwo gukora imyitozo ngororamubiri cyangwa gukora ibikorwa
• Kumva wuzuye vuba mugihe uri kurya

Mu bintu bikomeye, ushobora kugira ibindi bimenyetso nk'ububabare mu gituza, guhindagurika, cyangwa gutera kw'umutima. Ibi bimenyetso bibaho kuko umutima wawe ukora cyane kugira ngo upompe amaraso neza iyo umuvana utifunga neza.

Ubwoko bwa tricuspid valve regurgitation ni ubuhe?

Abaganga basobanura tricuspid valve regurgitation bishingiye ku bwinshi bw'amaraso asubira inyuma n'icyo kibitera. Gusobanukirwa ubwoko bwabyo bifasha mu gupima uburyo bwiza bwo kuvura ukurikije uko uri.

Iyi ndwara isanzwe igabanywamo ibice bitatu: yoroheje, iciriritse, cyangwa ikomeye, hakurikijwe ubwinshi bw'amaraso asubira inyuma. Regurgitation yoroheje akenshi ntabimenyetso bigira kandi ishobora kudakenera kuvurwa, mu gihe ibintu bikomeye bisaba ubuvuzi.

Hariho kandi ibice bibiri by'ingenzi bishingiye ku ntandaro yabyo. Primary tricuspid regurgitation bivuga ko umuvana ubwawo wangiritse cyangwa udatunganye. Secondary tricuspid regurgitation ibaho iyo umuvana ari muzima ariko utakora neza kubera ibindi bibazo by'umutima, nk'umuvuduko mwinshi mu ruhande rw'iburyo rw'umutima.

Icyatera tricuspid valve regurgitation ni iki?

Ibintu byinshi bitandukanye bishobora gutera tricuspid valve regurgitation. Intandaro isanzwe ni ukwiyongera kw'umuvuduko mu ruhande rw'iburyo rw'umutima, bishobora gutuma umuvana urekura kandi ugatuma utifunga neza.

Dore intandaro nyamukuru zishobora kugira ingaruka kuri tricuspid valve yawe:

• Umuvuduko mwinshi w'amaraso mu mitsi y'ibihaha (pulmonary hypertension)
• Gucika intege kw'umutima wo ku ruhande rw'ibumoso bisubiza umuvuduko ku ruhande rw'iburyo
• Indwara y'umutima iterwa na rhumatisme biturutse ku ndwara y'ibicurane bidafashwe
• Infective endocarditis (ubwandu bw'imivana y'umutima)
• Ibibazo by'umutima byavutse ukiri mu nda
• Carcinoid syndrome (indwara zidafite aho zibogamiye zituma imisemburo imwe n'imwe isohorwa)
• Imiti imwe n'imwe, cyane cyane imiti imwe yo kugabanya ibiro cyangwa imiti yo kuvura migraine
• Gukomeretsa mu gituza cyangwa mu mutima

Mu bindi bihe bidafite aho bibogamiye, umuvana ushobora kwangirika kubera radiotherapy, indwara ziterwa na système immunitaire, cyangwa ingaruka ziterwa no kubaga umutima. Rimwe na rimwe, intandaro nyayo isigara itaramenyekana, abaganga bakayita idiopathic tricuspid regurgitation.

Ni ryari ukwiye kujya kwa muganga kubera tricuspid valve regurgitation?

Wagomba kuvugana na muganga wawe niba ugize ibimenyetso bishobora kugaragaza ibibazo by'imivana y'umutima. Kumenya hakiri kare bishobora gufasha mu kwirinda ingaruka mbi no kugufasha kubona ubuvuzi bukwiye.

Tegura gahunda yo kujya kwa muganga niba ubona guhumeka nabi buri gihe, cyane cyane niba bigenda bikomeza cyangwa bikubuza gukora ibikorwa byawe bya buri munsi. Kubyimbagira mu maguru, mu birenge, cyangwa mu nda bidakwiye kandi bisaba ubuvuzi, kuko bishobora kugaragaza amazi yiyongereye kubera ibibazo by'umutima.

Shaka ubuvuzi bw'ihutirwa niba ugize guhumeka nabi cyane, ububabare mu gituza, guta ubwenge, cyangwa gutera kw'umutima kwihuta. Ibi bimenyetso bishobora kugaragaza ikibazo gikomeye cy'umutima gisaba ubuvuzi bw'ihutirwa.

Ibyago byo kurwara tricuspid valve regurgitation ni ibihe?

Ibintu bimwe na bimwe bishobora kongera ibyago byo kurwara tricuspid valve regurgitation. Gusobanukirwa ibyo byago bishobora kugufasha wowe na muganga wawe gukurikirana ubuzima bw'umutima wawe neza.

Ibi bintu n'ibihe bishobora kukugira mu kaga:

• Umuvuduko mwinshi w'amaraso mu bihaha (pulmonary hypertension)
• Gucika intege kw'umutima wo ku ruhande rw'ibumoso cyangwa izindi ndwara z'umutima
• Amateka ya rhumatisme cyangwa indwara z'ibicurane kenshi
• Ibibazo by'umutima byavutse ukiri mu nda
• Ubwandu bwakubayeho mbere ku mivana y'umutima
• Kunywa imiti imwe n'imwe nka imiti yo kugabanya ubwishyu cyangwa ergot alkaloids
• Kunywa ibiyobyabwenge binyuze mu mitsi, bikongera ibyago by'ubwandu
• Amateka y'umuryango w'ibibazo by'imivana y'umutima

Imyaka ishobora kandi kugira uruhare, kuko imivana y'umutima isaza buhoro buhoro. Kugira ibyago byinshi ntibihamya ko uzahura n'iyi ndwara, ariko bisobanura ko gukurikirana ubuzima bw'umutima kenshi biba byiza.

Ingaruka zishoboka za tricuspid valve regurgitation ni izihe?

Iyo idavuwe, tricuspid valve regurgitation ikomeye ishobora gutera ingaruka mbi zikomeye. Umutima wawe ushobora kugorana gupompa amaraso neza, ibyo bikaba bigira ingaruka ku buzima bwawe rusange n'imibereho yawe.

Dore ingaruka nyamukuru zishobora kuza mu gihe kirekire:

• Gucika intege kw'umutima wo ku ruhande rw'iburyo kuko imitsi y'umutima iruhukira kubera gukora cyane
• Gutera kw'umutima kudakozwe neza, cyane cyane atrial fibrillation
• Amazi yiyongereye mu nda, mu maguru, no mu bindi bice by'umubiri
• Ibibazo by'umwijima biturutse ku maraso asubira inyuma mu mitsi y'umwijima
• Ibyago byiyongereye byo kugira amaraso akabana n'impanuka
• Kugabanuka kw'ubushobozi bwo gukora imyitozo ngororamubiri n'imibereho myiza

Mu bihe bidafite aho bibogamiye, tricuspid regurgitation ikomeye idavuwe ishobora kuba ikintu gishobora kwica. Ariko, hamwe no kuvurwa neza no gukurikirana, abantu benshi bashobora gucunga iyi ndwara neza no kwirinda izo ngaruka mbi zikomeye.

Tricuspid valve regurgitation ishobora kwirindwa gute?

Nubwo udashobora kwirinda ibintu byose bya tricuspid valve regurgitation, ushobora gufata ingamba zo kugabanya ibyago byawe no kurinda ubuzima bw'umutima wawe. Kwiringira kwirinda ni ukwita ku bibazo by'ingenzi bikunze gutera ibibazo by'imivana.

Gucunga umuvuduko w'amaraso yawe no kuvura vuba ibibazo by'umutima bishobora gufasha mu kwirinda ukwiyongera kw'umuvuduko ukunze gutera tricuspid regurgitation. Niba ufite umuvuduko mwinshi w'amaraso, korana na muganga wawe kugira ngo umucunge neza binyuze mu miti, indyo, n'impinduka mu mibereho.

Kwiringira kwirinda ubwandu na byo ni ingenzi. Sohoka imiti yose y'antibiotique yatanzwe kugira ngo wirinde rhumatisme. Niba uri mu kaga gakomeye ko kwandura imivana y'umutima, muganga wawe ashobora kugutegeka antibiotique mbere y'ibikorwa bimwe na bimwe by'amenyo cyangwa ubuvuzi.

Kwirinda kunywa ibiyobyabwenge binyuze mu mitsi no kwitonda ku miti ishobora kugira ingaruka ku mivana y'umutima na byo bifasha mu kugabanya ibyago byawe. Gusuzuma buri gihe bituma muganga wawe akurikirana ubuzima bw'umutima wawe kandi agahita amenya ibibazo.

Tricuspid valve regurgitation ipima ite?

Kumenya tricuspid valve regurgitation bisanzwe bitangira muganga wawe yumvise umutima wawe akoresheje stethoscope. Yumva ijwi runaka ryitwa murmur, rishobora kugaragaza amaraso asubira inyuma binyuze mu muvana.

Echocardiogram ni ikizamini nyamukuru gikoreshwa mu kwemeza ibyavuye mu isuzuma no kumenya uko regurgitation ikomeye. Iyi ultrasound y'umutima wawe igaragaza uko imivana yawe ikora neza n'ubwinshi bw'amaraso asubira inyuma. Nta kuribwa kandi itanga amashusho arambuye y'imiterere n'imikorere y'umutima wawe.

Muganga wawe ashobora kandi gutegeka ibindi bizamini nka electrocardiogram (EKG) kugira ngo arebe uko umutima wawe ukora, amashusho ya X-ray yo kureba ingano y'umutima wawe, cyangwa isuzuma ry'amaraso kugira ngo arebe ibimenyetso byo gucika intege kw'umutima. Mu bihe bimwe na bimwe, ibizamini byihariye nka cardiac catheterization cyangwa MRI bishobora kuba bikenewe kugira ngo umenye neza ubuzima bw'umutima wawe.

Ubuvuzi bwa tricuspid valve regurgitation ni ubuhe?

Ubuvuzi bwa tricuspid valve regurgitation biterwa n'ukuntu iyi ndwara ikomeye n'icyo iyitera. Abantu benshi bafite regurgitation yoroheje bakeneye gukurikiranwa gusa nta buvuzi bw'ihutirwa.

Ku bintu byoroheje, muganga wawe ashobora kugutegeka gukurikiranwa buri gihe kugira ngo arebe impinduka zose. Ushobora kuba ukeneye echocardiogram buri myaka mike kugira ngo ube wizeye ko iyi ndwara idakomeza. Kuvura ibibazo by'ingenzi nka umuvuduko mwinshi w'amaraso cyangwa gucika intege kw'umutima akenshi ni cyo kintu nyamukuru.

Ibintu biciriritse cyangwa bikomeye bishobora gusaba imiti ifasha umutima wawe gukora neza. Ibyo bishobora kuba diuretics kugira ngo bigabanye amazi yiyongereye, imiti yo kugenzura gutera kw'umutima, cyangwa imiti igabanya umutwaro ku mutima wawe. Muganga wawe azahitamo uburyo bw'imiti ukurikije ibyo ukeneye n'ibimenyetso.

Tricuspid regurgitation ikomeye rimwe na rimwe isaba kubagwa. Ibyo bishobora kuba gukosora umuvana uriho cyangwa kuwusimbuza undi muvana wa mekaniki cyangwa wa biologique. Uburyo bushya, budakoresha ubuvuzi buhambaye, buhari kandi kuri bamwe, harimo uburyo bwo gukosora umuvana binyuze mu mbuto nto cyangwa ndetse binyuze mu mitsi y'amaraso.

Uko wakwitwara mu rugo ufite tricuspid valve regurgitation

Kwitwara mu rugo ufite tricuspid valve regurgitation bisobanura gukora amahitamo y'ubuzima bwiza bw'umutima no gukurikiza amabwiriza ya muganga wawe. Ibi bintu bishobora kugufasha kumva neza kandi bishobora kugabanya uko iyi ndwara igenda ikomeza.

Kugira indyo nzima y'umutima ifite umunyu muke bishobora gufasha mu kugabanya amazi yiyongereye no koroshya umutwaro ku mutima wawe. Gerageza kugira munsi ya 2.300 milligramu ya sodium ku munsi, cyangwa ndetse n'ibindi bike niba muganga wawe abikugira inama. Fata imbuto, imboga, ibinyampeke byuzuye, na poroteyine zoroheje.

Gukora imyitozo ngororamubiri buri gihe, yemerewe na muganga wawe, bishobora gufasha mu gukomeza umutima wawe no kunoza ubuzima bwawe rusange. Tangira buhoro buhoro kandi wiyongereze mu bikorwa. Koga, kugenda, no gutwara igare byoroshye akenshi ni byiza, ariko buri gihe ubanze ubaze itsinda ryawe ry'ubuvuzi.

Kwita ku kuremererwa kwawe buri munsi no kubwira muganga wawe ibyiyongereye bitunguranye, kuko bishobora kugaragaza amazi yiyongereye. Kwita ku miti yawe uko yategetswe no gukurikiza gahunda zose zo gukurikirana ni ingenzi mu gucunga iyi ndwara neza.

Uko wakitegura kujya kwa muganga

Kwitoza kujya kwa muganga bishobora kugufasha gukoresha neza igihe cyawe na muganga wawe kandi bikaguha amakuru yose ukeneye. Tangira wandike ibimenyetso byawe byose, nubwo bigaragara bito cyangwa bidafite aho bihuriye.

Andika urutonde rw'imiti yose unywa, harimo imiti yo mu maduka n'ibindi. Zana ibisubizo by'ibizamini byabanje cyangwa imyirondoro y'ubuvuzi yerekeye indwara y'umutima wawe. Niba wabonye abandi baganga ku kibazo, komeza imyirondoro yabo.

Andika ibibazo ushaka kubabaza muganga wawe. Ibyo bishobora kuba ibibazo ku ndwara yawe, uburyo bwo kuvura, impinduka mu mibereho, cyangwa icyo witeze mu gihe kizaza. Ntukabe umuntu w'ikibazo - muganga wawe ashaka kugufasha gusobanukirwa indwara yawe.

Tekereza kuzana umuntu wo mu muryango cyangwa inshuti kugira ngo aguhe inkunga yo kwibuka amakuru yavuzwe mu gihe cy'isura. Bashobora kandi kugutera inkunga yo mu mutima no kugufasha kuvugira ibyo ukeneye niba bibaye ngombwa.

Icyo ukwiye kumenya kuri tricuspid valve regurgitation

Tricuspid valve regurgitation ni indwara ishobora kuvurwa ikora ku bantu benshi, akenshi idatera ibimenyetso bikomeye. Ikintu nyamukuru ni ukumenya neza no gukurikiza amabwiriza ya muganga wawe yo gukurikirana no kuvura.

Abantu benshi bafite tricuspid regurgitation yoroheje bashobora kubaho ubuzima busanzwe, bukora, hamwe no gukurikiranwa buri gihe n'impinduka mu mibereho. Nubwo abafite ibibazo bikomeye bafite uburyo bwinshi bwo kuvura, harimo imiti n'ubuvuzi niba bikenewe.

Wibuke ko kumenya hakiri kare no kuvura ibibazo by'umutima bishobora kwirinda tricuspid regurgitation gutera cyangwa kuba mbi. Gukorana na itsinda ryawe ry'ubuvuzi, gukurikiza gahunda yo kuvura, no kugira imyifatire myiza y'umutima biguha amahirwe meza yo kugira umusaruro mwiza.

Ibibazo byakenshi bibazwa kuri tricuspid valve regurgitation

Ese tricuspid valve regurgitation ni ikintu gishobora kwica?

Tricuspid valve regurgitation yoroheje akenshi ntabwo ari ikintu gishobora kwica kandi abantu benshi babaho ubuzima busanzwe bafite iyi ndwara. Ariko, ibintu bikomeye bishobora gutera gucika intege kw'umutima n'izindi ngaruka mbi niba bitavuwe. Gukurikirana buri gihe no kuvurwa neza bishobora kwirinda ingaruka mbi.

Ese tricuspid valve regurgitation ishobora gukira yonyine?

Tricuspid valve regurgitation isanzwe ntigikira yonyine, ariko ishobora kuguma imeze kimwe imyaka myinshi idakomeza. Mu bihe bimwe na bimwe, kuvura intandaro yabyo (nk'umuvuduko mwinshi w'amaraso) bishobora kugabanya ubukana bwa regurgitation. Gukurikirana buri gihe bifasha mu gukurikirana impinduka zose mu ndwara yawe.

Ni ibihe biribwa nkwiye kwirinda mfite tricuspid valve regurgitation?

Fata umunyu muke kugira ngo ugabanye amazi yiyongereye kandi woroshye umutwaro ku mutima wawe. Kwirinda ibiryo bitegurwa, ibiryo byo muri resitora, n'ibiribwa byapfunyitse bifite umunyu mwinshi. Kandi gabanya inzoga na kafeyin, bishobora kugira ingaruka ku gutera kw'umutima. Muganga wawe ashobora gutanga amabwiriza yihariye yo kurya ukurikije uko uri.

Ese nakora imyitozo ngororamubiri mfite tricuspid valve regurgitation?

Abantu benshi bafite tricuspid regurgitation yoroheje cyangwa iciriritse bashobora gukora imyitozo ngororamubiri neza bafite uburenganzira bwa muganga wabo. Tangira ukoreshe ibikorwa byoroshye nko kugenda cyangwa koga, kandi wiyongereze mu bikorwa uko ubyumva. Buri gihe ubanze ubaze itsinda ryawe ry'ubuvuzi, cyane cyane niba ufite ibimenyetso cyangwa regurgitation ikomeye.

Ngahe nkwiye kujya gukurikiranwa?

Ubwinshi bw'isura biterwa n'ubukana bw'indwara yawe. Abantu bafite regurgitation yoroheje bashobora kuba bakeneye gukurikiranwa buri myaka 3-5, mu gihe abafite ibintu biciriritse cyangwa bikomeye bashobora kuba bakeneye isura buri mezi 6-12. Muganga wawe azahitamo gahunda ikwiye ukurikije uko uri n'ibimenyetso.