Abadlali beMitral Valve Prolapse - I-MVP Akunakuyifunayo
Sibanzi
I-valral valve ikhona kwi-ventricle yentliziyo yekhohlo phakathi kwamagumbi aphezulu naphantsi. Le valve inesahlulo sokunene nekhohlo evulekileyo ukuvumela igazi ukuba lihambe ukusuka kwi-atrium ephezulu kunye ne-ventricle engezantsi kwicala lasekhohlo lentliziyo, ize ivale ukukhusela ukuphuma kwegazi.
I-valves evamile iyanqabile kwaye ivula kwaye ivala ngokupheleleyo.
I-prolapse yegama ithetha ukuba i-valve ayinayo kunye ne-floppy encinci ukuze ingavali ngokukhawuleza njengoko kufanelekile. Ingavalwa ngokuqhafaza, okanye uvumele ixabiso elincinci legazi ukuvuza, ukuvelisa intliziyo. I-prolapse enkulu inokuvumela igazi ukuba libuyele ngaphakathi kwinqanaba eliphezulu lentliziyo. Oku kubizwa ngokuthi i-mitral regurgitation.
Ziyintoni eziqhelekileyo kwixabiso leMitral Prolapse?
Kuqikelelwa ukuba iipesenti ezimbini ukuya kwezine zabemi zine-valve mitral prolapse yezinga elithile. Kwakhona kunokwenzeka ukuba kukho inxalenye yezofuzo kwi-MVP kuba ibonakala ihamba kwiintsapho.
Iimpawu
Abantu abaninzi baphila ubomi babo bonke ngaphandle kwempawu. Abo banezibonakaliso banokuva iintliziyo , iintlungu zesifuba, ukuphelelwa amandla, ukuphefumula okufutshane , ukunciphisa amandla, okanye ukukhathala ngamaxesha obuthathaka.
Iziphumo zexesha elide
Iinkalo ezibini ezibalulekileyo kulabo abane-MVP yimiba yexesha elide lokutshintshwa kwe- mitral kunye nokuphuhliswa kwentliziyo yesifo sokuthi isifo se-endocarditis.
I-Mitral Regurgitation : I-backflow yegazi ukusuka kwi-ventricle ukuya kwi-atrium (ukuhlaziywa kwakhona) kunokukhokelela ekwandiseni kwamagumbi ezinhliziyo kunye nokubuthathaka kwenhliziyo. Oku kunokukhokelela ekuphelelweni kwentliziyo. Oku kunqabile, nangona kunjalo, kwaye kuphela ama-5 ekhulwini kulabo abane-MVP banokwenziwa ngokutsha ngokukhawuleza kubangele nayiphi na ingxaki.
- Endocarditis : Umngcipheko wokuhlaselwa kwesifo senhliziyo kuthiwa i-endocarditis ayiyinto engavamile kodwa kwenzeka ukuba naluphi na ixesha kukho intliziyo ephazamisayo. Ukunciphisa umngcipheko wale ntsholongwane, oogqirha banikezela ngamayeza okulwa nezigulane nge-MVP ngaphambi kokuba nayiphi na inkqubo enokuthi ivelise ibhaktheriya kumlambo wegazi. Ngokomzekelo, abaninzi abantu abane-MVP bafumane i-antibiotics phambi komsebenzi wamazinyo.
Ukuzivocavoca kunye neMetroral Valve Prolapse
Inhliziyo iyimisipha kwaye, njengaluphi na umsizi, uqina ngakumbi ngokuzivocavoca. Umsebenzo we-Aerobic uyomeleza intliziyo kwaye yenza ukuba iphumelele kwaye ixhaswa ngokubanzi kulabo abane-MVP. Ukuzilolonga kwe-Aerobic kuquka ukuhamba, ukugijima, ukubhukuda, okanye ukuhamba ngebhayisekile, ngezinga elilinganayo lemizuzu engama-30 ngelixesha yindlela ekhuselekileyo yokuqalisa umzimba. Umntu onomdla we-MVP kufuneka alandele izinga lentliziyo kunye nezinye iimpawu kwaye atyeke xa evakalelwa intliziyo yakhe okanye epholileyo okanye ephelile.
I-Mitral valve prolapse ngokuqhelekileyo ayithathwa njengobungozi bokuphila okanye imeko eqhubekayo. I-MVP inokuba yiyona nto inobuninzi beentlobo ezahlukeneyo zeentliziyo ezibubulayo. Kukho imeko, nangona kunjalo, apho i-MVP ibangela iingxaki ezibalulekileyo zempilo kwaye kula maxesha ukutshintshwa kwe-valves kuya kuqwalaselwa.
Mngcipheko
Impendulo emfutshane kule mbuzo kukuba akukho mntu uyayazi ngokwenene, kodwa kubonakala ngathi ukuba kukho nayiphi na ingozi yokufa ngokukhawuleza, kuncinci kakhulu. Uphando oludibanisa le mibini lusekelwe kwiziphumo ze-autopsy ezibonisa ukuba malunga neepesenti ezili-10 zabantu abafa ngokuzumayo babe ne-MVP.
Ngokutsho kwengcali yesifo senhliziyo, uRichard Fogoros, MD, "ininzi yezigulane ezine-MVP azizange ziboniswe ukuba zinomngcipheko ophezulu wokufa ngokukhawuleza kunabantu bonke."
Unyango
Abo bafumana iintlungu zesifuba, iintlungu zentliziyo okanye ezinye iimpawu ezibalulekileyo ze-MVP ngamanye amaxesha zinikezwa i-beta-blockers ukunciphisa izinga lentliziyo ngexesha lokuzivocavoca.
Ngokuqhelekileyo umntu odimazekile ekusebenziseni umzimba ngenxa ye-mitral valve prolapse. Njengoko kunjalo, ukuvuthwa kwe-aerobic ngenye yezinto ezikhuthazwayo kubantu ababenjalo. Utyando lwe-MVP luyahlukahluka ngokuxhomekeka kumlinganiselo we-prolapse, ngoko kubalulekile ukuxoxa ngeempawu zakho kunye nodokotela wakho.
Ukufumana ukuchonga ngokuchanekileyo
Ukuba uxelelwe ukuba unayo i-MVP, unokufuna ukuba uqiniseke ukuba ufumene i-diagnosis. Ngokutsho kukaDkt. Fogoros, i-MVP iyaphunyezwa. Unika iingcebiso malunga nalabo bafumene i-MVP malunga nokufumana i-diagnostic eyiyo.
I-Mitral valve prolapse ingafumaneka kuphela ngugqirha. Njengamaxesha onke, khangela iingcebiso zonyango ngaphambi kokuba uqalise nayiphina inkqubo entsha yokuzilolonga.
Umthombo:
UkuPhumela nokuPhumela kweMiphumo ye-Mitral-Valve Prolapse, Freed et al. I-New England Journal of Medicine, uMqulu 341: 1-7, Julayi 1, 1999, iNombolo 1.