I-Mitral regurgation (MR) , "i- valve " ye- mitral valve , iyona hlobo oluqhelekileyo lwesifo senhliziyo. Abanye abantu abaneMM kaninzi abanakho iimpawu, kwaye banokuhlala bezinzile iminyaka emininzi kwaye kaninzi babo ubomi. Nangona kunjalo, kwabanye abantu uMnu ekugqibeleni uvelisa umonakalo wentliziyo, kwaye ukuphumelela kwentliziyo kubangelwa. Kwiimeko ezinjalo ukuhluleka kwentliziyo akunakubuyiselwa.
Iqhinga lokuthintela ukungaphumeleli kwentliziyo kunye noMasipala kukubona ixesha apho intliziyo iqala ukuhlaziya, kodwa ngaphambi kokuba iimpawu zentliziyo yehluleka .
Ngoko ukuba unomntu kubaluleke kakhulu ukuba uhlolisise rhoqo ugqirha wakho ukujonga ubungakanani bemibuzo yakho, kwaye ukhangele ukuba imeko yakho isigxina okanye ingaba iya kuba nzima. Le nqubo ibizwa ngokuba "isiteji" MR.
Ukugqiba isigaba seM MR kunokukunceda wena kunye nodokotela wakho ukuba anqume ukuba unokufuna unyango ophandwayo, kwaye, kubaluleke kakhulu, ukuchonga ixesha elifanelekileyo lokunyangwa ngonyango xa ufuna.
Amanyathelo okuPhepha kweMigration engapheliyo
I-Cardiologists ihlula uMasipala ongapheliyo "kwizigaba" ezintathu. Ukuqaphela isigaba seM MR yakho kukunceda i-cardiologist yakho ukuba yenze isigqibo sokuba kwaye kufuneka i-valral operation valve.
IsiGqibo esiNcedisiweyo. Kwinqanaba le-MR, intliziyo kunye ne-cardiovascular system "yatshintshile" kwixabiso elongezelelweyo lomthwalo elibekwe kwi-ventricle ngekhohlo.
Intliziyo ihlaziya ngokunyusa, kodwa i-muscle ye-heart inclination isebenza ngokuqhelekileyo. Abantu abanemali ehlawuliswayo ngokubanzi abakuchazi izimpawu, nangona amandla abo okusebenza ngokubanzi aphendulelwa ukuba kuncitshiswe xa kuhlolwa uvavanyo . Izigulane ezininzi ezinomzimba omnene, ongapheliyo zihlala kwinqanaba elihlawulelwayo.
Isigaba seTshintsho. Ngenxa yezizathu ezingabonakaliyo, abanye abantu abaneMMI baya kuguquka ngokuthe ngcembe "kwenguqu" ukusuka kwisihlawulelo esikhatywayo. Ngokufanelekileyo, ukuhlinzwa ngokugqithisezela i-valves kufuneka kwenziwe ngeli nqanaba lesigxina, xa umngcipheko wokuhlinzwa uphantsi kwaye iziphumo zintle.
Kwinqanaba lesigxina intliziyo iqala ukwandisa, ukunyuka kwengcinezelo yomoya, kunye neqhekeza ejection iyawa. Ngelixa izigulane kweli nqanaba zinokuthi zichaze iimpawu ze- dyspnea kunye nokunyamezela kokunyamezela umzimba, abaninzi abanakuboni iimpawu ezimbi ukuza kuthi uMnu wabo uphumelele kwisigaba sesithathu. Le ngxaki, ekubeni ukulibazisa ukuhlinzwa kuze kube yilapho isigaba esicatshulwayo sinokuphumela kwisiphumo esibi.
Iingcali ezininzi zikholelwa ukuba i-fibrillation ye -rial ifumaneka phambi kwe-MR, ingakumbi ukuba inxulumene nokuhluthwa kwe-atrium ekhohlo, loo nto yedwa kufuneka ibonise ukuba isigaba sentshintsho sifikile, kwaye ngoko ke, ukuba utyando lwe-valve ukulungiswa kufuneka ukuba ubuncinane kuqwalaselwe.
IsiGqibo seNqununu. Izigulane kwisigaba esicatshulwa ngokukhawuleza sinobuchule obukhulu kakhulu benhliziyo, kunye neempawu ezibalulekileyo zokuhluleka kwentliziyo. Emva kokuba isiteji esivuliwe senzekile, isifo senhliziyo (umonakalo kwisisu senhliziyo) sikhona, kwaye siya kuhlala sikhona nokuba i-valral mitral isilungisiwe.
Ngoko ukuhlinzwa kwe-valves kuyingozi kakhulu, kwaye akunakwenzeka ukuvelisa umphumo owamkelekileyo.
Ukubaluleka koMnxeba kaMasipala
Kubaluleke kakhulu ukuba "ubambe" isigaba sesigxina seM MR ngaphambi kokuba siqhubekele phambili kwisigaba esincinciweyo. Ngenxa yesi sizathu, ukuba unemibuzo kufuneka ube neyokujonga esweni. Phakathi kwezinye izinto, kubalulekile ukuba ugqirha wakho ahlole ngokucophelela ukuba naziphi na iimpawu ezintsha ezinokuthi uhlangabezana nazo ngenxa kaMasipala. Ukongezelela, i- echocardiograms ngezihlandlo zifunekayo ukunceda ugqirha wakho ukuvavanya isimo se-mitral valve kunye namakamelo enhliziyo.
Ukuba unemiMasipala, kufuneka uqiniseke ukuba ugqirha wakho wenza oku kubeka iliso elifanelekileyo-kwaye wena ngokwakho kufuneka uhlawule ingqalelo kuyo nayiphi na impawu yokuphefumula okufutshane, okanye ukwazi ukunciphisa amandla.
Imithombo:
Bonow, RO, Carabello, BA, Chatterjee, K, et al. Ukuhlaziywa okugxininisiweyo ka-2008 kufakwe kwi-ACC / AHA 2006 izikhokelo zokulawula izigulane ezinesifo senhliziyo: iNgxelo ye-American College of Cardiology / i-American Heart Association Task Force kwi-Practice Guidelines (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.
I-Vahanian, A, i-Baumgartner, H, i-Bax, i-J, ne-al. Izikhokelo zokulawulwa kwezifo zentliziyo ye-valvular: IQela lokuSebenza kwi-Valvular Heart Disease ye-European Society of Cardiology. I-Eur Heart J 2007; 28: 230.