Isikhathi yinto yonke
Ukuphucula unyango lwe- mitral stenosis akuyona into elula. Isibalulekileyo sokunyanga i-mitral stenosis senza isigqibo esihle malunga nokuba (okanye ukuba) ukwenza utyando. Ukongezelela, kubalulekile ukuthatha amanyathelo afanelekileyo ukukhusela i-thrombosis (i-clots yegazi) ukususela kwiindawo zamagumbi ezinhliziyo.
Ukwelashwa kwe-Mitral Stenosis-Isikhathi Sonke
Nge-mitral stenosis, i-mitral valve (i-valve ephakathi kweentliziyo ezimbini ezisekhohlo ) ziyancipha kwaye zitshintshile, zihluleka ukuvula ngokupheleleyo kwaye ziphazamise ukuhamba kwegazi.
Ekubeni i-mitral stenosis ingumngcipheko omkhulu, isisombululo esona sigqirha kufuneka sibe yonyango-oko kukuthi, inyango yokuphazamisa ukukhupha umqobo.
Ngoko ukuba unetral stenosis, umbuzo obaluleke kakhulu kunokuba uthathe isigqibo sokuba ngaba utyando kunye naluphi na ukukwenza.
Ixesha lotyando lwe-mitral valve lubaluleke kakhulu. I-stralosis ye-Mitral isoloko ihamba ngokugqithiseleyo, kwaye abantu abane-disorder valve bangakwazi ukuhlala bengenazo iimpawu kwiminyaka emininzi. Ngelixa unokulingwa ukwenza utyando olusandul 'ukuqala ukukhusela ukuvelisa iimpawu ezinzulu zentliziyo, ukwenza ukuhlinzwa kwangaphambili kunokuvelisa ingozi engadingekile.
Ngakolunye uhlangothi, ulinde ixesha elide ukwenza utyando lunokubangela ukuba umonakalo wentliziyo ungapheli, ukwenzela ukuba utyando lwe-valral valve aluyi kusebenza. Le nto ingaba yiphutha elibulalayo-ixesha elifanelekileyo yinto yonke.
Ukugqiba ngexesha elifanelekileyo lokwenza utyando lwe-mitral ngokubanzi kuxhomekeka kwiimpawu zakho, kunye nemilinganiselo yemigqaliselo yendlela i-valve yakho ye-mitral evula ngayo kunye noxinzelelo ngaphakathi kwipetroli yakho.
Ezi mvavanyo zenziwa nge- echocardiogram .
Kubaluleke kakhulu ukuba unakekele ingqalelo kwiimpawu ezinokuthi ziphuhlise-ngokukodwa nakweyiphi i- dyspnea (ukuphefumula okufutshane), ukukhathala kunye noshintsho ekuziphatheni kwakho. Ugqirha wakho uya kunceda ngokubuza imibuzo efanelekileyo.
(Njengaye: Mangaphi amanyathelo onokunyuka ngaphambi kokuphefumula? Kuthatha isikhathi esingakanani ukuba uhambe ibhloko enye? Ukhohlela xa usebenza?)
Ukugqiba xa ixesha lilungele wena
Ngale ngcamango, makhe sijonge kwizinto eziqhelekileyo "imigaqo" yokugqiba ixesha lokuhlinzwa.
Ukuba awunayo impawu kuyo yonke kwaye i-mitral stenosis ithathwa njengesicatshulwa, isigqibo esisigqibo wena kunye nodokotela wakho uza kwenza ukuba kaninzi kangakanani ukuphinda uhlalutye. Ngokuxhomekeke kovavanyo lwakho, i-echocardiograms eyenziwa minyaka yonke okanye kwiminyaka emi-2 ukuya kwe-3 ingafuneka. Ukuba ufumana ukuphefumula okufutshane okanye ukukhathala phakathi kokuhlola, kunjalo, vumela ugqirha wakho azi ngokukhawuleza.
Ukuba unesifo se-mitral stenosis kunye neempawu ezinobumnene, ugqirha wakho unokucela ukuba usebenzise i-echocardiogram-oko kukuthi, uvavanyo loxinzelelo ngexesha apho i-echocardiogram eyenziwa. Olu vavanyo lugqirha ugqirha ukuba alinganise uxinzelelo lwe-pulmonary artery ngexesha lokuzivocavoca.
Ukuba uhlakulele umxinzelelo ophezulu lwepompile ngexesha lokuzilolonga, ugqirha wakho unokukuthumela ngokuhlinzwa. Nangona kunjalo, ngokuqhelekileyo, izigulane ezine-MS ezinomzimba zithunyelwa ngokulungiswa kwe-valral valve kuphela ukuba ngaba ngabaviwa kwi-balralon valvotomy (PMBV) ye-perralaneous, i-procedral valve.
Ukuba unomlinganiselo ophezulu ukuya kwi-mitral stenosis kwaye unempawu, kwaye umthamo wakho we-pulmonary uxinzelelo luphakanyisiwe okanye ekuphumeni okanye ngexesha lokuzivocavoca, kufuneka utyando. Kule meko mhlawumbi uya kubhekiselwa kwi-PMBV ukuba loo nkqubo inokwenzeka. Ukuba ayinakwenzeka, uya kuthunyelwa kwenye inqubo yokuhlinzwa yokuhlinzwa-inkqubo evulekileyo yokulungiswa okanye ukutshintsha i-valve yakho ye-mitral.
Ukuba unesifo esinamandla se-mitral stenosis kunye neempawu ezibalulekileyo, umba awusekho ukuba ingxaki inzima ngokwaneleyo ukwenza utyando, kodwa nokuba uye waphuma ngaphaya kwendawo apho utyando luya kuba luncedo.
Ukwenza esi sigqibo sinokuba nzima, kwaye ngokuqhelekileyo kubandakanya ukunyaniseka kweengqondo kunye nokubonisana ngokufutshane kunye nengxoxo phakathi kwakho, yakho ye-cardiologist kunye nodokotela ohlinzayo.
Ukuba kuba yithuba lotyando, wena kunye noogqirha bakho kuya kufuneka ukuba unqume ukuba zeziphi iintlobo zokuhlinzwa kwi-mitral stenosis kuya kuba ngcono kuwe.
Ngaba Izidakamizwa Zinokunceda I-Mitral Stenosis?
Ulwaphulo oluchanekileyo lwe-mitral stenosis ludinga ukukhupha umzimba, kodwa unyango lonyango lunokunikela ngeenzuzo ezithile.
I-Diuretics (iipilisi zamanzi), ngokuqhelekileyo i-diuretics ezinamandla ezinjengeLasix okanye i-Bumex, inokukunceda ngokuphefumula okanye ukugcinwa kwamanzi. Ukusebenzisa iziyobisi ukukhusela i- rheumatic fever kubalulekile, ngakumbi kwizigulane ezincinci, ukuba i-mitral stenosis ibangelwa zizifo zentliziyo ye-rheumatic.
Ngokuqhelekileyo, ukusebenzisa iziyobisi ezikunceda ukukhusela i- endocarditis esithatheleneyo ayisaphakanyiswa kubantu abane-MS.
Ekubeni i-fibrillation ye-agriythi ivame ukubangela iimpawu ezimbi kwizigulane ezine-stralosis ye-mitral kunezigulane ezingenawo, unyango olunefuthe lokulawula le-arrhythmia kufuneka lisetyenziswe.
Ukuthintela izambatho zegazi
Abantu abane-mitral stenosis banomngcipheko ophezulu we- thromboembolism (i-blood clots ngaphakathi kwemithambo yegazi okanye intliziyo ephukayo kwaye ibangele umonakalo wezinto ezifana nesisu ). Kwi-mitral stenosis, i-thrombus (i-clot) idla ukwenza kwifom ye-leftrium. Umngcipheko we-thromboembolism unyuke kakhulu ukuba i-fibrillation ye-agriyo ikhona.
Ngenxa yoko, i-anticoagulation neCourmadin iyanconywa kwizigulane ezine-mitral stenosis ezinezi zinto zilandelayo:
- Imbali yesiganeko sangaphambili se-thromboembolic, ikakhulukazi isifo
- I-thrombus ye-arriyo yekhohlo (engabonwa yi-echocardiogram)
- I-fibrillation ye-Atrial
- Ngokwezinye iingcali, i-atrium eyandisiweyo kakhulu (kwakhona ifunyenwe yi-echocardiogram)
Ngaphantsi
I-stralosis ye-Mitral yimeko yesimo somoya apho ulawulo olufanelekileyo ludinga ukubambisana okufutshane phakathi kwakho kunye nogqirha wakho. Nangona kunjalo, ngokunyamekela unyango kunye nokunyangwa, abantu abane-mitral stenosis ngokubanzi banokulindela isiphumo esihle kakhulu.
Imithombo:
Bonow, RO, Carabello, BA, Chatterjee, K, et al. Ukuhlaziywa okugxininisiweyo ka-2008 kubandakanywe kwi-ACC / AHA 2006 Izikhokelo zoLawulo lwabaguli abane-Valvular Heart Disease: Ingxelo ye-American College of Cardiology / i-American Heart Association Umsebenzi wamaKhokelo eMigaqo-nkqubo (iKomiti yokuBhala ukuHlola izikhokelo zoLawulo lwe-1998 Izigulane nge-Valvular Heart Disease): zivunywe nguMbutho wee-Cardiovascular Anesthesiologists, uMbutho wee-Cardiovascular Angiography kunye neNongenelo, kunye noMbutho weeNgcali zeTriracic. Uhambo luka-2008; 118: e523.