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October 10, 2025
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Ukugeleza emuva kokhava le-mitral kwenzeka lapho ikhava le-mitral yenhliziyo yakho lingavalwa kahle, okuvumela igazi ukuthi ligeleze emuva ekamelweni eliphezulu elingakwesobunxele lenhliziyo yakho. Cabanga ngalo njengomnyango ongavalwa ngokuphelele - ezinye zezinto okufanele zihlale zikhona zigeleza emuva ngegebe.
Lesi simo sithinta izigidi zabantu emhlabeni jikelele futhi sihluka kusuka ezigamekweni ezilula kakhulu ezingabangeli zimpawu kuya ezinhlotsheni ezinzima kakhulu ezidinga ukunakekelwa kwezokwelapha. Izindaba ezinhle ukuthi abantu abaningi baphila impilo evamile, esebenzayo ngokugeleza emuva kokhava le-mitral, ikakhulukazi uma kubanjwe ngokushesha futhi kuphathwe kahle.
Ikhava yakho le-mitral ihlala phakathi kwamakamelo amabili ngakwesobunxele senhliziyo yakho - i-atrium (ikamelo eliphezulu) ne-ventricle (ikamelo elingaphansi). Uma isebenza kahle, le khava ivuleka ukuvumela igazi ukuthi ligeleze kusuka ku-atrium liye ku-ventricle, bese ivala ngokude ngokuqinile ukuvimbela igazi ukuthi lingagelezi emuva.
Ekugelezeni emuva kokhava le-mitral, ama-leaflet ekhava (ama-flaps avulekayo namavalayo) awavalwa ngokuphelele. Lokhu kuvumela igazi elithile ukuthi ligeleze emuva ku-atrium njalo lapho inhliziyo yakho ishaya. Inhliziyo yakho kufanele isebenze kanzima ukuze iphonse igazi elanele phambili emzimbeni wakho.
Lesi simo sithuthuka kancane ezimweni eziningi, sinikeza inhliziyo yakho isikhathi sokuzivumelanisa. Kungakho abantu abaningi bengabona izimpawu iminyaka, noma ngabe amashumi eminyaka. Noma kunjalo, abanye abantu bayithuthukisa ngokuzumayo ngenxa yokulimala noma ukutheleleka.
Abantu abaningi abane-mitral valve regurgitation elula bazizwa bevamile ngokuphelele futhi abanawo onke ama-symptom. Uma izimpawu zivele, ngokuvamile zithuthuka kancane njengoba isimo siqhubeka ngokuhamba kwesikhathi.
Izimpawu ezivamile ongazibona zihlanganisa:
Ezimeni eziphambili, ungase ube nezimpawu ezibonisa ukuthi inhliziyo yakho iluma ukugcina.
Abanye abantu bathuthukisa i-rhythm yenhliziyo ebizwa nge-atrial fibrillation, lapho amakamelo aphezulu enhliziyo yakho eshaya ngokungajwayelekile. Lokhu kungabangela izimpawu ezengeziwe njengokukhathala, ukubetha kwenhliziyo, noma ukuzizwa sengathi inhliziyo yakho iyagijima.
Odokotela bahlukanisa ukugeleza emuva kokhava le-mitral ngezindlela ezimbili eziyinhloko - ngendlela okuthuthukisa ngayo nangokuthi kubunzima kangakanani. Ukuqonda lezi zigaba kusiza iqembu lakho lokunakekelwa kwezempilo ukuthi liqonde indlela engcono kakhulu yesimo sakho esithile.
Ngokuya ngokuthi sithuthuka kanjani, kunezinhlobo ezimbili:
Ukugeleza emuva okuphambili ngokuvamile kwenzeka lapho ama-leaflet ekhava eba amahle noma aqhekekile, noma lapho izintambo ezincane eziwasekelayo zolula noma ziqhekeka. Ukugeleza emuva okwesibili ngokuvamile kwenzeka lapho umuscle wenhliziyo ubuthakathaka noma ukhulu ngenxa yezinye izimo.
Odokotela futhi baqapha ubunzima kusuka kokulula kuya kokunzima ngokuya ngokuthi igazi elingakanani eligeleza emuva. Ukugeleza emuva okulula kungase kungadingi noma yiluphi ukwelashwa, kuyilapho izimo ezinzima ngokuvamile zidinga ukungenelela ukuvimbela ukulimala kwenhliziyo.
Izimo eziningi ezahlukene zingabangela ukugeleza emuva kokhava le-mitral, nokuqonda imbangela kusiza ekuqondeni izinqumo zokwelapha. Isizathu esiyisisekelo sithinta kokubili ukuthi isimo sithuthuka ngokushesha kangakanani nezindlela zokwelapha ezisebenza kangcono.
Izimbangela ezivamile zihlanganisa:
Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa imithi ethile, ukwelashwa ngomgogodla esifubeni, noma izimo ezihlobene ne-genetic ezithinta izicubu ezihlanganayo. Ngezinye izikhathi, abantu bazalwa ngezinkinga zekhava ezibangela izinkinga kamuva ekuphileni.
Ezimeni ezingavamile, isimo singathuthuka ngokuzumayo ngenxa yentambo ye-chordae tendineae eyaqhekekile (izintambo ezisiza ikhava ukuthi ivale) noma i-endocarditis enzima. Lezi zimo ngokuvamile zidinga ukunakekelwa kwezokwelapha okusheshayo ngoba inhliziyo ayinawo isikhathi sokuzivumelanisa noshintsho oluzumayo.
Kufanele uxhumane nodokotela wakho uma uthuthukisa izimpawu ezingase zibonise izinkinga zekhava lenhliziyo, ikakhulukazi uma zithinta imisebenzi yakho yansuku zonke. Ukubheka ngokushesha kungasiza ukuvimbela izinkinga futhi kuqondise ukwelashwa okufanele.
Funani ukunakekelwa kwezokwelapha uma uhlangabezana nanoma yiziphi lezi zimpawu:
Uma usuvele wazi ukuthi une-mitral valve regurgitation, ukuvakashela okuqhubekayo kubalulekile ngisho noma uzizwa kahle. Udokotela wakho angaqapha isimo futhi abambe noma yiziphi izinguquko ngaphambi kokuba zibangele izimpawu.
Shaya ucingo ucele usizo lwezokwelapha oluphuthumayo uma uthuthukisa ubuhlungu obukhulu besifuba, ukuthukuthela komoya okukhulu ngokuzumayo, noma uma uzizwa sengathi ungase udle.
Izici ezithile zingandisa amathuba akho okuthuthukisa ukugeleza emuva kokhava le-mitral, nakuba ukuba nezici zengozi akusho ukuthi uzokuthuthukisa ngokuqinisekile isimo. Ukuqonda lezi zici kungakusiza wena nodokotela wakho ukuthi niqaphele izimpawu zokuqala.
Izici eziyinhloko zengozi zihlanganisa:
Abanye abantu bazalwa ngezimo ezenza izinkinga zekhava zibe nethuba elikhulu, njengokuthi i-mitral valve prolapse noma izimo ezihlobene ne-genetic njenge-Marfan syndrome. Lezi zici ezihlobene ne-genetic ngokuvamile zigijima emindenini.
Izici zokuphila njengokuthi uxinzelelo lwegazi olungaphathwe kahle noma i-diabetes zingase futhi zinikeze izinkinga zenhliziyo ezigcina zithinta ikhava le-mitral. Noma kunjalo, abantu abaningi abana lezi zici zengozi abazithuthukisi i-valve disease enkulu.
Uma ukugeleza emuva kokhava le-mitral kulula, izinkinga azivamile futhi abantu abaningi baphila impilo evamile ngaphandle kwezinkinga. Noma kunjalo, uma isimo sibe nzima futhi singaphathwa, singabangela izinkinga ezinzima zenhliziyo ngokuhamba kwesikhathi.
Izinkinga ezinkulu kakhulu zihlanganisa:
Izindaba ezinhle ukuthi ukuqapha okuqhubekayo nokwelashwa ngesikhathi kungavimbela izinkinga eziningi. Inhliziyo yakho inekhono elimangalisayo lokuzivumelanisa nokugeleza emuva kokhava uma kuthuthuka kancane, kungakho abantu abaningi benza kahle iminyaka.
Ukungenelela okusheshayo, uma kufanele, kungagcina umsebenzi wenhliziyo yakho futhi kuvimbele ukulimala okungapheli. Kungakho ukuvakashela okuqhubekayo kubaluleke kakhulu, ngisho noma uzizwa kahle ngokuphelele.
Nakuba ungakwazi ukuvimbela zonke izinhlobo zokugeleza emuva kokhava le-mitral, ikakhulukazi lezo ezihlobene nobudala noma izici ezihlobene ne-genetic, ungathatha izinyathelo zokunciphisa ingozi yakho nokuthuthukisa ukukhula uma usuvele unesimo.
Izindlela zokuphila ezempilo yenhliziyo zingenza umehluko wangempela:
Uma uke waba ne-rheumatic fever, ukuthatha ama-antibiotics njengoba kunqunywe kungavimbela ukubuyela kwemivimbo engalimaza amakhava enhliziyo yakho kakhulu. Abanye abantu abanezinkinga zekhava badinga ama-antibiotics ngaphambi kwezindlela zokwelapha zamahlombe ukuvimbela ukutheleleka.
Ukuhlolwa okuqhubekayo kwezokwelapha kusiza ekutholeni izinkinga zenhliziyo ngokushesha lapho zilawuleka kakhulu. Uma unomlando womndeni wesifo sekhava lenhliziyo, xoxa nodokotela wakho ukuze akwazi ukuqapha ngokufanele.
Ukuhlola ukugeleza emuva kokhava le-mitral ngokuvamile kuqala ngodokotela wakho olalele inhliziyo yakho nge-stethoscope. Ukugeleza emuva kwegazi ngokuvamile kudala umsindo ohlukile wokugijima obizwa nge-heart murmur.
Ivivinyo elibaluleke kakhulu lokuqinisekisa nokulinganisa ukugeleza emuva kokhava le-mitral yi-echocardiogram - i-ultrasound yenhliziyo yakho. Leli vivinyo elingenabuhlungu libonisa ukuthi ikhava yakho isebenza kahle kangakanani nokuthi igazi elingakanani eligeleza emuva.
Udokotela wakho angase futhi ancome amavivinyo engeziwe ukuze athole isithombe esiphelele:
Ngezinye izikhathi udokotela wakho uzofuna ukuphinda amavivinyo ngokuhamba kwesikhathi ukuze aqaphe noma yiziphi izinguquko emsebenzini wekhava lakho. Lokhu kusiza ukuthi baqonde isikhathi esifanele sokwelashwa uma kudingeka.
Izivivinyo zegazi zingase zenziwe ukuhlola ukutheleleka noma ezinye izimo ezingase zithinte inhliziyo yakho. Ukuhlanganiswa kwazo zonke lezi zihloko kusiza iqembu lakho lezokwelapha ukuba lenze uhlelo lokwelapha olufanele kakhulu sesimo sakho esithile.
Ukwelashwa kokugeleza emuva kokhava le-mitral kuncike ekutheni isimo sakho sibunzima kangakanani, ukuthi unezimpawu yini, nokuthi inhliziyo yakho isebenza kahle kangakanani. Abantu abaningi abane-regurgitation elula abadingi noma yiluphi ukwelashwa ngaphandle kokuqapha okuqhubekayo.
Ezimeni ezilula ngaphandle kwezimpawu, udokotela wakho cishe uzoncoma:
Uma izimpawu zithuthuka noma ukugeleza emuva kuya kuba nzima, imithi ingasiza ekulawuleni isimo. Lokhu kungase kuhlanganise ama-diuretics ukunciphisa ukwakheka kwamanzi, imithi yoxinzelelo lwegazi ukunciphisa ukucindezela enhliziyweni yakho, noma ama-blood thinners uma uthuthukisa i-atrial fibrillation.
Ngokugeleza emuva kokhava le-mitral okunzima, ukulungiswa noma ukufakwa kwekhava ngokuvamile kuyindlela engcono kakhulu. Ukulungiswa kokhava le-mitral ngokuvamile kukhethwa uma kungenzeka ngoba kulondoloza izicubu zakho zekhava futhi ngokuvamile kunemiphumela emihle yesikhathi eside kunokufakwa.
Izindlela ezintsha ezincane zokungenelela, kuhlanganise ukulungiswa okuhlobene ne-catheter, ziyaqala ukuba khona kubantu abangase babe sengozini enkulu yokwelashwa kwesiko. I-cardiologist yakho ne-cardiac surgeon bazosebenzisana ukuze baqonde indlela engcono kakhulu yesimo sakho esithile.
Ukulawula ukugeleza emuva kokhava le-mitral ekhaya kugxile ekusekeleni impilo yakho yenhliziyo nokubheka izinguquko ezimpawu zakho. Lezi zindlela zokunakekela ngokwakho zingakusiza uzizwe kangcono futhi zingase zihambe kancane ukukhula kwesimo.
Imikhuba yansuku zonke engenza umehluko ihlanganisa:
Qaphela umzimba wakho futhi ugcine ulandelela noma yiziphi izinguquko ezimpawu zakho. Uma uqaphela ukuthukuthela komoya okwandayo, ukukhula, noma ukukhathala, xhumana nomhlinzeki wakho wezempilo kunokulinda isikhathi sakho esilandelayo.
Abanye abantu bayithola ilungele ukugcina idayari yesimpawu, bebhala imisebenzi ebangela ukuthukuthela komoya noma ukukhathala. Lolu lwazi lungaba lubalulekile kudoctor wakho ekuqondeni ukuthi isimo sakho siqhubeka kanjani.
Hlala usesikhathini ngokugoma okuconyiwe, ikakhulukazi ama-flu nama-pneumonia vaccines, njengoba ukutheleleka kungaba nzima kakhulu uma une-valve disease yenhliziyo. Udokotela wakho angase futhi ancome ama-antibiotics ngaphambi kwezinye izindlela zokwelapha zamahlombe noma zezokwelapha.
Ukulungiselela isikhathi sakho sokuvakashela kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu esikhathini sakho nomhlinzeki wakho wezempilo. Ukulungiselela okuhle kungasiza udokotela wakho ukuthi aqonde kangcono isimo sakho futhi enze izincomo zokwelapha ezinhle kakhulu.
Ngaphambi kokuvakashela kwakho, buza ulwazi olubalulekile:
Cabanga ngezimpawu zakho ngemininingwane. Zenzeka nini? Yini eyenza zibe ngcono noma zibe zimbi? Zithinta kanjani imisebenzi yakho yansuku zonke? Lolu lwazi lusiza udokotela wakho ukuthi aqonde ukuthi isimo sithinta kanjani impilo yakho.
Cabanga ngokuletha ilungu lomndeni noma umngani ekuvakasheni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngesikhathi soxoxa ngezindlela zokwelapha.
Ungangabazi ukubuza imibuzo mayelana nanoma yini ongayiqondi. Iqembu lakho lezokwelapha lifuna ukukusiza wenze izinqumo ezilwemi mayelana nokukhathalelwa kwakho, nokuqonda isimo sakho kuyiyingxenye ebalulekile yaleyo nqubo.
Ukugeleza emuva kokhava le-mitral kuyisimo esilawuleka esithinta abantu abaningi, kusuka ezimeni ezilula ezidinga nje ukuqapha kuya ezinhlotsheni ezinzima kakhulu ezinzuza ekwelapheni. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukutholakala ngokushesha nokukhathalelwa okufanele kungakusiza ugcine ikhwalithi enhle yokuphila.
Abantu abaningi abane-mitral valve regurgitation baphila impilo esebenzayo, evamile, ikakhulukazi uma basebenzisana eduze neqembu labo lezokwelapha futhi balandela ukwelashwa okuconyiwe. Ukuhlolwa okuqhubekayo kuvumela udokotela wakho ukuthi aqaphe isimo futhi angene ngesikhathi esifanele uma kudingeka.
Uma unezimpawu ezingase zibonise izinkinga zekhava lenhliziyo, ungangabazi ukufuna ukubheka kwezokwelapha. Ukuhlolwa okusheshayo kukunika wena nodokotela wakho ithuba elihle kakhulu lokulawula isimo ngokuphumelelayo nokuvimbela izinkinga.
Khumbula ukuthi ukuba ne-mitral valve regurgitation akusho ukuthi impilo yakho kufanele ishintshe kakhulu. Ngokunakekelwa okufanele kwezokwelapha nezindlela zokuphila ezempilo yenhliziyo, abantu abaningi baqhubeka bejabulela imisebenzi yabo evamile nobuhlobo ngenkathi bephethe lesi simo ngempumelelo.
Ukugeleza emuva kokhava le-mitral ngokuvamile akupheli ngokwalo, ikakhulukazi uma kubangelwa izinkinga zesakhiwo ngekhava. Noma kunjalo, ukugeleza emuva okulula ngokuvamile kuhlala kuzinzile iminyaka ngaphandle kokuba sibi. Ezimeni ezingavamile lapho ukugeleza emuva kubangelwa izimo zesikhashana njengokutheleleka, kungase kuthuthuke ngokwelashwa kwesizathu esiyisisekelo.
Abantu abaningi abane-mitral valve regurgitation elula kuya ephakathi bangazivocavoca ngokuphephile futhi kufanele bahlale besebenza ngokomzimba. Noma kunjalo, uhlobo nobunzima bokuzivocavoca kufanele kuqondiswe udkt wakho. Bangase bancome ukugwema imisebenzi enzima kakhulu noma imidlalo yokuncintisana, kuye ngobunzima besimo sakho nokuthi inhliziyo yakho isebenza kahle kangakanani.
Ukuhlinzwa akudingi bonke abantu abane-mitral valve regurgitation. Abantu abaningi abane-regurgitation elula kuya ephakathi baqapha njalo ngaphandle kokudingi ukuhlinzwa. Ukuhlinzwa ngokuvamile kunconywa lapho ukugeleza emuva kunzima futhi noma kubangela izimpawu noma kubonisa izimpawu zokuthinta umsebenzi wenhliziyo, ngisho noma kungabikho zimpawu.
Abesifazane abaningi abane-mitral valve regurgitation elula kuya ephakathi bangaba nokukhulelwa okuphephile ngaphansi kokunakekelwa okufanele kwezokwelapha. I-cardiologist yakho ne-obstetrician bazosebenzisana ukuze baqaphe ngesikhathi sokukhulelwa. Ezimeni ezinzima, ukwelashwa kungase kunconywe ngaphambi kokukhulelwa ukunciphisa izingozi kubomama nabantwana.
Ukuvamile kwemihlangano yokulandelela kuncike ekutheni ukugeleza emuva kwakho kunzima kangakanani kanye nezimpawu zakho. Abantu abane-regurgitation elula bangadinga ukuhlolwa njalo eminyakeni emi-2-3, kuyilapho labo abane-regurgitation ephakathi ngokuvamile badinga ukuvakashela minyaka yonke. Ukugeleza emuva okunzima ngokuvamile kudinga ukuqapha okuvamile, ngezinye izikhathi izinyanga ezi-6, ukuqapha izinguquko ezingase zibonise isidingo sokwelashwa.
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