Mitral Valve Stenosis Chii? Zviratidzo, Zvinokonzera, Nekurapa

Mitral valve stenosis inoitika apo mitral valve mumoyo wako inorova, ichivhara, zvichiita kuti ropa rifambe zvakaoma kubva kurutivi rwemoyo wako rwekuruboshwe kuenda kurutivi rwemoyo wako rwerudyi. Fungidzira semusuwo usingavhurike zvizere - moyo wako unofanira kushanda nesimba kuti upompe ropa kuburikidza nepakavhurika iri diki.

Iyi chirwere chinokura zvishoma nezvishoma kwemakore mazhinji, kazhinji usingazvizivi pakutanga. Kunyange zvazvo ichinzwa yakakomba, uye inogona kuva yakakomba, vanhu vakawanda vanorarama hupenyu hwazvo hwese, hwakanaka, nekuchengetedzwa kwakakodzera kwemishonga nekutarisa.

Mitral Valve Stenosis Chii?

Mitral valve yako iri pakati pekamuri mbiri kurutivi rwemoyo wako rweruboshwe. Kazhinji, iyi valve inovhurika zvakafara kuti irege ropa rakaguta oksijeni rifambe kubva kurutivi rwemoyo wako rwekuruboshwe kuenda kurutivi rwemoyo wako rwerudyi, wozovhara zvakasimba kuti kudzivirira ropa kuti rirege kudzoka shure.

Kana uine mitral valve stenosis, mashizha e valve anova akakora, akasimba, kana kuti akabatanidzwa pamwe chete. Izvi zvinoita kuti pave nepakavhurika diki rinodzivisa kufamba kweropa. Moyo wako unozvikomborera nekushanda nesimba, asi nekufamba kwenguva, kuedza uku kunogona kukonzera matambudziko.

Chirwere ichi chinotapura vanhu vangangoita 1 pavagumi ve100,000 munyika dzakabudirira, kunyange zvazvo zvichiwanzoitika munzvimbo dzine chirwere che rheumatic fever zvichiri kuwanda. Vanhu vakawanda vanowana zviratidzo zvishoma nezvishoma, ndosaka kuonekwa kwenguva yakareba kuburikidza nekutarisa nguva dzose kunogona kubatsira zvikuru.

Zviratidzo zveMitral Valve Stenosis Ndezvipi?

Vanhu vakawanda vane mitral valve stenosis isina kukomba havaoni chero zviratidzo kwemakore kana kunyange makumi emakore. Kana zviratidzo zvikaonekwa, kazhinji zvinokura zvishoma nezvishoma sezvo pakavhurika pe valve richivhara zvakanyanya.

Zviratidzo zvakajairika zvaunogona kuona zvinosanganisira:

• Kushomeka kwemhepo, kunyanya panguva yekushanda kwemuviri kana uri kurara pasi
• Kuneta kunoratidzika kunge kwakanyanya kupfuura zvawakaita
• Kusagadzikana pachipfuva kana kuoma
• Kupuruzira kwemoyo kana kurova kwemoyo kusina kujairika
• Kuora musoro kana kunzwa kusinganzwisisiki
• Kutemwa kwematumbu, makumbo, kana makumbo
• Kuwanzoita zvirwere zvekufema

Vamwe vanhu vanonzwawo kukosora kunogara kwenguva refu, kunyanya kana vakarara, kana kuti vanogona kukosora phlegm ine ropa. Izvi zviratidzo zvinoitika nekuti ropa rinogona kudzoka kumatumbu ako kana mitral valve isingavhuriki zvakanaka.

Mumazuva mashoma, unogona kuona miromo yako kana misumari ichitora ruvara rwebhuruu, izvo zvinoitika kana ropa rako risina kutakura oksijeni yakakwana. Kana ukaona izvi, zvakakosha kutsvaka rubatsiro rwekurapa nekukurumidza.

Chii Chinokonzera Mitral Valve Stenosis?

Chikonzero chakajairika che mitral valve stenosis ndechirwere che rheumatic heart disease, chinoitika sechinetso che rheumatic fever. Iyi chirwere kazhinji chinoitika makore gumi kusvika makumi maviri mushure mekutambura ne strep throat isina kurapwa yakakonzera rheumatic fever muhudiki.

Panguva yerheumatic fever, sisitimu yemuviri wako yekudzivirira inorwisa zvisizvo tishu dzemoyo dzakajairika, kusanganisira mitral valve. Izvi zvinokonzera kuzvimba uye kuora kwenguva refu kunogadzira valve yakakora uye yakasimba kwemakore mazhinji.

Zvimwe zvinokonzera, kunyange zvisingawanzoitika, zvinosanganisira:

• Kukanganisika kwemoyo kubva pakuzvarwa
• Calcium deposits inoungana pane valve nekuwedzera kwezera
• Zvirwere zve autoimmune senge lupus kana rheumatoid arthritis
• Mishonga yakati, kunyanya ergot alkaloids inoshandiswa pakurapa migraine
• Kurapwa kwemwaranzi kunzvimbo yechipfuva
• Infective endocarditis, chirwere chakakomba chemwoyo

Munzvimbo dzakabudirira uko rheumatic fever isingawanzoitika, kuchinja kwekuora kwakakonzerwa nekuwedzera kwezera kwave kuita chikonzero chakajairika. Dzimwe nguva, hapana chikonzero chaicho chinogona kuzivikanwa, izvo vanachiremba vanoti idiopathic mitral valve stenosis.

Rini Unofanira Kuona Chiremba Nekuda kweMitral Valve Stenosis?

Unofanira kubata nehutano hwako kana uine kushomeka kwemhepo kunogara kwenguva refu, kunyanya kana kuri kuwedzera kana kukanganisa mabasa ako ezuva nezuva. Usamirire kana uri kutambura nekufema kana uri kurara pasi kana kana ukamuka usiku uchifema nesimba.

Tsvaka rubatsiro rwekurapa nekukurumidza kana ukawana kurwadziwa pachipfuva, kuora musoro kwakanyanya, kupera simba, kana kuona miromo yako kana misumari ichichinja ruvara rwebhuruu. Izvi zviratidzo zvinogona kuratidza kuti mamiriro ako ari kuwedzera uye anoda kuongororwa nekukurumidza.

Kunyangwe zviratidzo zvako zvichiita zvishoma, zvakakosha kutaura navanachiremba vako. Kuonekwa kwenguva yakareba nekutarisa kunogona kubatsira kudzivirira matambudziko uye kuve nechokwadi chekuti unowana kurapwa kwakakodzera usati mamiriro acho aenda mberi.

Kana uine nhoroondo yerheumatic fever, kuongororwa kwemoyo nguva dzose kunokosha zvikuru, kunyangwe uchinzwa zvakanaka. Chiremba wako anogona kuona kuchinja mumoyo wako usati waona zviratidzo.

Zvinokonzera Zvirwere zveMitral Valve Stenosis Ndezvipi?

Kunzwisisa zvinokonzera zvirwere zvako kunogona kukubatsira iwe nehutano hwako kuti urambe uchiri kuona zviratidzo zve mitral valve stenosis. Zvimwe zvinhu zvaunogona kuchinja, nepo zvimwe zvisiri izvo.

Zvinokonzera zvirwere zvikuru zvinosanganisira:

• Nhoroondo yerheumatic fever, kunyanya kana isina kurapwa
• Zera pamusoro pemakore 65, sezvo kuchinja kwe valve kunogona kuitika nekuwedzera kwezera
• Kuzvarwa munzvimbo dzine rheumatic fever zvichiri kuwanda
• Nhoroondo yemhuri yechirwere che valve kana kukanganisika kwemoyo kubva pakuzvarwa
• Zvirwere zve autoimmune senge lupus kana rheumatoid arthritis
• Kurapwa kwemwaranzi kwakapfuura kuchipfuva
• Chirwere cheitsvo chinogara kwenguva refu chinoda dialysis

Vakadzi vanowanzoita mitral valve stenosis kupfuura varume, kunyanya avo vane nhoroondo yerheumatic fever. Pamuviri unogona zvakare kuwedzera mitral valve stenosis iripo nekuda kwekuwedzera kweropa uye zvinodiwa nemwoyo.

Kunyangwe usingagoni kuchinja zera rako, pabonde, kana nhoroondo yekurapa, unogona kuderedza njodzi yako nekurapa zvirwere zve strep throat nekukurumidza uye kuchengetedza hutano hwemoyo hwakanaka kuburikidza nekurovedza muviri nguva dzose uye kudya kwakanaka.

Matambudziko Anogona Kuitika eMitral Valve Stenosis Ndezvipi?

Kana mitral valve stenosis ichifambira mberi isina kurapwa, matambudziko akawanda anogona kuitika sezvo moyo wako uchiedza kupomba ropa zvinobudirira. Aya matambudziko kazhinji anokura zvishoma nezvishoma, ndosaka kuongororwa nguva dzose kuchikosha zvikuru.

Matambudziko akajairika anosanganisira:

• Atrial fibrillation, kurova kwemoyo kusina kujairika kunowedzera njodzi yekurohwa
• Kukundikana kwemoyo, uko moyo wako usingakwanisi kupomba ropa zvinobudirira
• Pulmonary hypertension, kuwedzera kweropa mumitsinga yeropa yematumbu
• Zvidimbu zveropa zvinogona kufamba kuenda kuuropi rwako, zvichikonzera kurohwa
• Pulmonary edema, kuunganidzwa kwemvura yakawanda mumatumbu ako
• Infective endocarditis, chirwere chakakomba chemwoyo

Mumazuva akakomba, unogona kuwana izvo vanachiremba vanoti "mitral facies" - chitarisiko chechiso chine makwai machena nemavara ebhuruu akakonzerwa nekufamba kweropa kusina kunaka. Vamwe vanhu vanonzwawo kuoma kurira nekuda kwe atrium yakakura ichimanikidza tsinga yekutaura.

Zvisingawanzoitika, mitral valve stenosis yakakomba inogona kukonzera kufa kwemoyo kamwe kamwe, kunyange zvazvo izvi zvichiwanzoitika kune vanhu vasina kugamuchira kurapwa kwakakodzera. Mashoko akanaka ndeawo kuti nekurapwa kwakakodzera nekutarisa, matambudziko mazhinji aya anogona kudzivirirwa kana kutarisirwa zvinobudirira.

Mitral Valve Stenosis Inoziviswa Sei?

Chiremba wako anotanga nekuteerera moyo wako ne stethoscope, achiongorora murmur yemoyo inonzwika senge rumbling yakaderera. Iyi murmur kazhinji ndiyo nhanho yekutanga inoratidza mitral valve stenosis, kunyangwe usati waona zviratidzo.

Kuongororwa kwakakosha kwazvo ndiko echocardiogram, inoshandisa mafungu ekuita mifananidzo inofamba yemoyo wako. Iyi bvunzo isina kurwadza inoratidza kuti mitral valve yako inovhurika sei uye inovhara, inoyerera saizi yekuvhurika, uye inoyera kuti moyo wako uri kushanda nesimba sei.

Chiremba wako anogona zvakare kukurudzira bvunzo dzakawedzerwa senge:

• Chest X-ray kuongorora kukura kwemoyo kana kuunganidzwa kwemvura mumatumbu
• Electrocardiogram (ECG) kuona kurova kwemoyo kusina kujairika
• Exercise stress test kuona kuti moyo wako unopindura sei kune zvemuviri
• Cardiac catheterization mumamiriro ezvinhu akaoma kuyera kumanikidza zvakananga
• Transesophageal echocardiogram ye mifananidzo yakajeka, yakadzama

Kuongororwa kweropa kunogona kubatsira kubvisa zvimwe zvirwere uye kutarisa zviratidzo zvekuzara kana kuzvimba. Kana uri kuronga kuvhiya, bvunzo dzakawedzerwa senge pulmonary function studies dzinogona kudiwa kuve nechokwadi chekuti uri munhu akanaka wekuvhiya.

Kurapa kweMitral Valve Stenosis Ndeapi?

Kurapa kwe mitral valve stenosis kunoenderana nekuti mamiriro ako akakomba sei uye kana uri kuona zviratidzo. Kana stenosis yako isina kukomba uye unonzwa zvakanaka, chiremba wako anogona kukurudzira kuongororwa nguva dzose ne echocardiograms nguva nenguva.

Kune zviitiko zvine zviratidzo kana zvakakomba, sarudzo dzekurapa dzinosanganisira mishonga, maitiro, nekurapa. Timu yako yekurapa ichaita basa newe kuti uone nzira yakanaka zvichienderana nemamiriro ako chaiwo nehutano hwako hwese.

Sarudzo dzemishonga dzinoenderana nekutarisira zviratidzo uye kudzivirira matambudziko:

• Diuretics kuderedza kuunganidzwa kwemvura uye kuita kuti kufema kuve nyore
• Beta-blockers kudzikisa kumhanya kwemoyo kwako uye kuvandudza kuzadza
• Blood thinners kana ukawana atrial fibrillation
• Antibiotics usati waita mabasa ezino kudzivirira chirwere chemwoyo
• Digoxin kusimbisa kuita kwemoyo mukukundikana kwemoyo

Kana mishonga isina kukwana, zviito zvekuita zvinova zvakakosha. Balloon valvuloplasty inosanganisira kuisa catheter ine balloon tip kumoyo wako uye kuipomba kuti uwedzere valve. Iyi sarudzo isingakuvadzi inoshanda zvakanaka kune varwere vechidiki vane valves dzakapfava.

Sarudzo dzekurapa dzinosanganisira kugadzirisa valve kana kuchinja. Chiremba wako anogona kukurudzira ma valves emagetsi anogara kwenguva refu asi anoda blood thinners kwenguva refu, kana ma valves e biological kubva kune tishu dzemhuka dzisingadi blood thinners asi dzinogona kudiwa kuchinjwa nekukurumidza.

Nzira Yekuzvichengeta Sei neMitral Valve Stenosis?

Kuzvichengeta kumba kunotamba basa rinokosha mukugadzirisa mitral valve stenosis uye kuchengetedza hupenyu hwako hwakanaka. Sarudzo diki dzezuva nezuva dzinogona kuita musiyano mukuru mukunzwa kwako uye kuti moyo wako unoshanda sei.

Tarisisa pane zvisarudzo zvemararamiro ehutano hwemoyo zvinotsigira sisitimu yako yemoyo. Idya kudya kwakapfuma mumazai, miriwo, zviyo zvizere, uye mapuroteni mashoma uchideredza sodium kubatsira kudzivirira kuunganidzwa kwemvura uye kuderedza kunetseka pamoyo wako.

Rambai muchiita zvimwe sezvinoita zviratidzo zvenyu, asi teerera kumusoro wenyu. Kurovedza muviri kwakapfava senge kufamba, kushambira, kana kusvetuka kwakapfava kunogona kusimbisa moyo wako, asi dzivisa mabasa akasimba anokukonzera kushomeka kwemhepo. Gara uchikurukura nezvirongwa zvako zvekuita zvemuviri nachiremba wako.

Tarisa zviratidzo zvako zvakanyatsonaka uye chengeta chinyorwa chekuchinja chero kupi. Zviyerere zuva nezuva uye uudze chiremba wako nezvekuwedzera kurema kwakapfupi, sezvo izvi zvingaratidza kuunganidzwa kwemvura. Tora mishonga yako sezvakanyorwa, kunyangwe uchinzwa zvakanaka.

Ita kuchengetedza mazino kwakanaka uye uudze vanachiremba vese nezvemamiriro ako e valve. Ungada antibiotic prophylaxis usati waita mabasa ezino kana kurapwa kudzivirira zvirwere zvemoyo.

Ungagadzirira Sei Kune Chiremba Wako?

Kuagadzirira chiremba wako kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva panguva yako nehutano hwako. Tanga nekugadzira zviratidzo zvako zvese, kunyangwe izvo zvinoita sekusina hukama, kusanganisira pavakatanga uye zvinobatsira sei kana zvakanyanya.

Gadzira runyorwa rwakazara remishonga yese, zvinowedzerwa, uye mavhitamini auri kutora, kusanganisira zvikamu. Uya nemigumisiro yekuedzwa yapfuura, kunyanya echocardiograms kana mamwe maonero emwoyo, kana uri kuona chiremba mutsva.

Gadzira mibvunzo yekubvunza timu yako yekurapa:

• Mitral valve stenosis yangu yakakomba sei?
• Ndezvipi zviratidzo zvandinofanira kutarisa zvinoratidza kuwedzera?
• Nguva yakawanda sei ndinofanira kuita misangano yekutevera uye bvunzo?
• Ndezvipi zviitiko zvakachengeteka zvandinoita?
• Ndinoda antibiotic prophylaxis yebasa rezino here?
• Rini ndinogona kudiwa kuvhiya kana mamwe maitiro?

Funga nezvekutora nhengo yemhuri kana shamwari kukubatsira kuyeuka ruzivo rwakakosha rwakakurukurwa panguva yekuona chiremba. Usanetseka kubvunza kuti ujekese kana chimwe chinhu chisingaoneki.

Chii Chinonyanya Kukosha Nezve Mitral Valve Stenosis?

Mitral valve stenosis mamiriro anogona kutarisirwa kana aonekwa uye kurapwa zvakanaka. Kunyange zvazvo ichigona kuva yakakomba kana isina kurapwa, vanhu vakawanda vane iyi mamiriro vanorarama hupenyu hwazvo hwese, hwakanaka, nekuchengetedzwa kwakakodzera kwemishonga nekugadzirisa mararamiro.

Chinhu chakakosha kwazvo chekuyeuka ndechekuti kuonekwa kwenguva yakareba nekutarisa nguva dzose kunokosha zvikuru mumagumisiro. Kana uine zvinokonzera zvirwere kana kuwana zviratidzo, usanetseka kutaura navanachiremba vako.

Nezvisarudzo zvemazuva ano zvekurapa, kusanganisira mishonga uye nzira dzekurapa dzakakurumbira, tarisiro yevanhu vane mitral valve stenosis inoramba ichivandudzika. Kushanda pedyo netimu yako yekurapa uye kutora basa rakakosha mukuchengetedza kwako kunokupa mukana wakanaka wekuguma kwakanaka.

Mibvunzo InowanzoBvunzwa Nezve Mitral Valve Stenosis

Mitral valve stenosis inogona kupora zvachose here?

Mitral valve stenosis haigone "kupora" nemishonga, asi inogona kurapwa zvinobudirira uye kunyangwe kugadziriswa nemaitiro kana kuvhiya. Balloon valvuloplasty inogona kuvandudza basa re valve zvakanyanya, nepo kugadzirisa valve kana kuchinja kunogona kudzoreredza kufamba kweropa kwakajairika. Chinhu chikuru ndechekugamuchira kurapwa kwakakodzera usati waona matambudziko.

Zvakachengeteka here kurovedza muviri kana ndine mitral valve stenosis?

Kutamba kwakachengeteka kunoenderana nekuti mamiriro ako akakomba sei nezviratidzo zvako. Vanhu vane stenosis isina kukomba vanogona kazhinji kurovedza muviri zvakajairika, nepo avo vane stenosis yakanyanya kudiwa vanogona kudiwa kuderedza mabasa akasimba. Cardiologist yako inogona kuita exercise stress test kuti uone nhanho dzekurovedza muviri dzakachengeteka chaizvo kwauri.

Nguva yakareba sei munhu anogona kurarama ne mitral valve stenosis isina kurapwa?

Kufambira mberi kunoenderana zvikuru pakati pevanhu. Vamwe vanhu vane stenosis isina kukomba vangamboda kurapwa, nepo vamwe vane stenosis yakakomba vanogona kuwana matambudziko anotyisa mukati memwedzi kana isina kurapwa. Kana zviratidzo zvikaonekwa mu stenosis yakakomba, hupenyu hwepakati husingarapwi kazhinji huri makore maviri kusvika mashanu, ndosaka kuchengetedzwa kwemishonga nekukurumidza kuchikosha zvikuru.

Ndichada here kutora blood thinners kwenguva refu?

Havasi vese vane mitral valve stenosis vanoda blood thinners. Ungazoda kana ukawana atrial fibrillation kana kana wakagamuchira mechanical valve replacement. Zvisinei, kana uine kugadzirisa valve kana biological valve replacement pasina atrial fibrillation, blood thinners kwenguva refu hazvingadiwi.

Pamuri unogona kuwedzera mitral valve stenosis here?

Hongu, pamuviri unogona kuwedzera mitral valve stenosis nekuda kwekuwedzera kweropa uye zvinodiwa nemwoyo. Vakadzi vane stenosis yakanyanya kudiwa vanofanira kukurukura nezvekugadzira mhuri nachiremba wemoyo vasati vava nepamuviri. Nekutarisa kwakakodzera nekutarisirwa, vakadzi vakawanda vane stenosis isina kukomba vanogona kuva nepamuviri yakachengeteka, asi kutarisirwa kwakakomba kwemishonga kunokosha.