I-Mitral valve prolapse

I-Mitral valve prolapse yinkinga yenhliziyo ehilela i-mitral valve, ehlukanisa amakamelo aphezulu nangaphansi ohlangothini lwesobunxele lwenhliziyo. Kulesi simo, i-valve ayivali ngokujwayelekile.

I-mitral valve isiza igazi ohlangothini lwesobunxele lokugeleza kwenhliziyo ohlangothini olulodwa. Ivala ukugcina igazi lingahambeli emuva lapho inhliziyo ishaya (izinkontileka).

I-Mitral valve prolapse igama elisetshenziswa lapho i-valve ingavali kahle. Kungabangelwa izinto eziningi ezahlukene.

Ezimweni eziningi, ayinangozi. Inkinga ngokuvamile ayithinti impilo futhi abantu abaningi abanalesi sifo abazi ngayo. Ezimweni ezimbalwa zamacala, ukuqhuma kungadala ukuthi igazi livuzele emuva. Lokhu kubizwa ngokuthi yi-mitral regurgitation.

I-Mitral valve prolapse ivame ukuthinta abesifazane abancane abangahle babe nokukhubazeka okuncane kwesifuba esifubeni, i-scoliosis, noma ezinye izifo. Ezinye izinhlobo ze-mitral valve prolapse zibukeka sengathi zidluliselwa emindenini (ezuzwe njengefa).

I-Mitral valve prolapse ibuye ibonakale ngezifo ezithile zezicubu ezinjengeMarfan syndrome nezinye izifo ezingavamile zofuzo.

Futhi kwesinye isikhathi kubonakala kubodwa kubantu abangajwayelekile.

Abantu abaningi abane-mitral valve prolapse abanazo izimpawu. Iqembu lezimpawu kwesinye isikhathi elitholakala kubantu abane-mitral valve prolapse liye labizwa nge- "mitral valve prolapse syndrome," futhi lifaka:

• Ubuhlungu besifuba (abubangelwa yisifo semithambo yegazi noma isifo senhliziyo)
• Isiyezi
• Ukukhathala
• Ukuhlaselwa ukwethuka
• Ukuzwa kokuzwa ukushaya kwenhliziyo (ukushaya kwenhliziyo)
• Ukuphefumula ngomsebenzi noma lapho ulele phansi (i-orthopnea)

Ubudlelwano obuqondile buphakathi kwalezi zimpawu futhi inkinga ye-valve ayicaci. Okunye okutholakele kungahle kwenzeke ngengozi.

Lapho kwenzeka ukubuyiswa kabusha kwe-mitral, izimpawu zingahle zihlobene nokuvuza, ikakhulukazi uma kunzima.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba futhi asebenzise i-stethoscope ukulalela inhliziyo namaphaphu akho. Umhlinzeki angazizwa ejabulile (ukudlidlizela) phezu kwenhliziyo futhi ezwe inhliziyo ibubula kanye nomsindo owengeziwe (chofoza midsystolic). Ukukhononda kuvame ukuba made futhi kuzwakale lapho usukuma.

Umfutho wegazi uvame kakhulu.

I-Echocardiogram ukuhlolwa okuvame kakhulu okusetshenziselwa ukuxilonga i-mitral valve prolapse. Lezi zivivinyo ezilandelayo zingasetshenziselwa ukuxilonga i-mitral valve prolapse noma i-mitral valve evuzayo noma izinkinga ezivela kulezo zimo:

• I-catheterization yenhliziyo
• I-x-ray yesifuba
• Ukuskena kwe-Heart CT
• I-ECG (ingakhombisa ama-arrhythmias afana ne-atrial fibrillation)
• Ukuhlolwa kwenhliziyo kwe-MRI

Isikhathi esiningi, zimbalwa noma azikho izimpawu futhi ukwelashwa akudingeki.

Esikhathini esedlule, iningi labantu abanezinkinga zama-valve enhliziyo belinikezwa ama-antibiotic ngaphambi komsebenzi wamazinyo noma izinqubo ezifana ne-colonoscopy ukuvimbela ukutheleleka enhliziyweni. Kodwa-ke, ama-antibiotics manje asasetshenziswa kaningi kakhulu. Buza kumhlinzeki wakho ukuthi ngabe uyawadinga yini ama-antibiotic.

Kunemithi eminingi yenhliziyo engasetshenziswa ukwelapha izici zalesi simo. Kodwa-ke, iningi labantu ngeke lidinge ukwelashwa. Ungadinga ukuhlinzwa ukuze ulungise noma ufake enye i-mitral valve yakho uma ivuza kakhulu (ukuvuselelwa), futhi uma ukuvuza kubangela nezimpawu. Noma kunjalo, lokhu kungenzeka kungenzeki. Ungadinga ukulungiswa kwe-mitral valve noma ukushintshwa uma:

• Izimpawu zakho ziba zimbi kakhulu.
• I-ventricle yesobunxele yenhliziyo yakho ikhulisiwe.
• Ukusebenza kwenhliziyo yakho kuya ngokuya kuba kubi.

Isikhathi esiningi, i-mitral valve prolapse ayinabungozi futhi ayizibangeli izimpawu. Izimpawu ezenzekayo zingelashwa futhi zilawulwe ngemithi noma ngokuhlinzwa.

Okunye ukushaya kwenhliziyo okungajwayelekile (arrhythmias) kubantu abane-mitral valve prolapse kungasongela impilo. Uma ukuvuza kwe-valve kuba nzima, umbono wakho ungafana nowabantu abanokuvuselelwa kwe-mitral kusuka kunoma yisiphi esinye isizathu.

Shayela umhlinzeki wakho uma une:

• Ukungaphatheki kahle kwesifuba, ukushaya kwenhliziyo, noma ukuphelelwa amandla okuba kubi kakhulu
• Izifo zesikhathi eside ezinemfiva

I-Barlow syndrome; I-Floppy mitral valve; I-myxomatous mitral valve; Ukukhipha i-mitral valve; Systolic chofoza-ukububula syndrome; Ukweqa i-mitral leaflet syndrome; Ubuhlungu besifuba - i-mitral valve prolapse

• Ukuhlinzwa kwe-valve yenhliziyo - ukukhipha

• I-Mitral valve prolapse
• Ukuhlinzwa kwe-valve yenhliziyo - uchungechunge

UCarabello BA. Isifo senhliziyo seValvular. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 66.

UNishimura RA, Otto CM, uBonow RO, et al. Ukubuyekezwa okugxile kwe-2017 AHA / ACC komhlahlandlela we-2014 AHA / ACC wokuphathwa kweziguli ezinesifo senhliziyo se-valvular: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice Guidelines. Ukujikeleza. 2017; 135 (25): e1159-e1195. I-PMID: 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, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 69.