Pakave nekuwanda kwekuvhiringidzika pamusoro pechinhu ichi chinowanikwa mukati memwoyo
Mitral valve prolapse (MVP) inowanzobatwa nehutano hwepfungwa. Zvinosuruvarisa, ihwowo ndewimwe yezvinonyanya kusanzwisiswa. Saka, kana iwe wakaziviswa kuti une MVP, zvakakosha kuti iwe unzwisise, ndeapi matambudziko angaita (uye kwete kukonzera), uye chii chaunofanira kuita nezvazvo.
Chii chinonzi MVP?
MVP ndeyekusanganisa kusina kukwana kunobereka huwandu hwezvigunwe pamutsetse wemagetsi (iyo valve inoparadzanisa kuruboshwe kuruboshwe kubva kuruboshwe kuruboshwe).
Izvi zvinorega kuti mitral valve ive "floppy." Somugumisiro, kana kuruboshwe rwechibvumirano chezvibvumirano, mitral valve inogona kupera zvishoma nezvishoma (kana kudzoka) kudzokera kuruboshwe rwetrium. Izvi zvinopfuudza zvinopa rimwe ropa mubhokisi rezasi riri kuruboshwe kuti ruchiyerere kumashure (kureva, kudzokerazve) kuruboshwe rwenyamu. (Kudzidza nezvemakamuri emwoyo nemagetsi zvinogona kukubatsira kuti unzwisise izvi.)
Iko kunowanzowanikwa maitiro ekugadzirwa kweMVP. Kana munhu ane MVP yezvokwadi, zvichida kuti vazhinji vanenge 30 muzana yehama dzake dzepedyo vanogonawo kuva nadzo.
MVP Inowanikwa Sei?
Kakawanda, MVP inotanga kufungidzirwa apo chiremba anonzwa chikamu che "click-murmur" inzwi paanoteerera mwoyo wemunhu. Kungofa kunokonzerwa nezwi rinoputika rakagadzirwa nekuraira kwemaster valve; kugunun'una kunokonzerwa nekudzokazve kweropa kunodzokera kuruboshwe kuruboshwe. Kuonekwa kwePVV kunosimbiswa ne echocardiogram .
Zvino zvakajeka kuti mumazana emakumi emakore ekutanga echocardiography, ma cardiologists ainyanya kuwedzera pakuongorora MVP. Ndiko kuti, vakaona chimwe chimwe chezvinhu zvavakafunga kuti mitral valve prolapse mune vanhu vane mitral valves vakanga vachinyatsoshanda mukati mehutano hwemazuva ose. Nokudaro, zviuru zvevanhu vane mwoyo yavo chaiyo chaiyo vakanga vasina kuongororwa kuti vane chirwere ichi.
Ichokwadi, mune dzimwe dzidzo kusvika 35 muzana yevanhu vose vakaedzwa vakaudzwa kuti vane MVP. Iko huwandu hwevanhu ava chaizvoizvo hwakanga husina, kana kuti huwandu huwandu, hwehutachiona hwechokwadi.
Mumakore achangobva kupfuura, chirongwa chekodzero yekuongorora MVP chakave chakasimbiswa. Zvimwe zvidzidzo zvakaratidza kuti chiitiko chaicho cheMVP "chaiyo" inenge 2 muzana kusvika ku3 muzana yevanhu vakawanda.
Zvinosuruvarisa, zvinoratidzika zvakajeka kuti vamwe vanachiremba vanowanzogara vachinyanya-kuziva chirwere ichi.
Nei MVP Inokosha?
MVP inogona kubudisa maitiro maviri akasiyana ezvinetso zvekliniki. Iyo inogona kutungamirira kumwero wakakura we mitral kudzokera zvakare , uye inogona kuita kuti munhu awedzere kugadzirisa kuwedzerwa kupererwa endocarditis (utachiona hwepfungwa yemwoyo).
Kukosha kweMVP kunenge kwakabatana zvachose nekuwandisa kwemasterral yakaita sei. Iko inokosha mitral regurgitation (iyo, zvakare, iyo inokonzera mitral valve) pakupedzisira inogona kutungamirira pakuwedzera kwemakamuri emwoyo, kuora mwoyo kwemutsipa wemwoyo, uye pakupedzisira, kunetseka kukanganisa . Nenzira yakanaka, ruzhinji rwevanhu vane MVP havakwanisi kudzorerazve-vanenge 10 muzana yevanhu vane MVP vacharamba vachikudziridza zvakanyanya mitral kudzokera munguva yavo yeupenyu.
Kunyange zvazvo vanhu vane MVP vane ngozi yakawanda yekuwedzera zvirwere zvinotapukira, chirwere ichocho chichiri chiduku. Izvozvi, nokuti endocarditis inowanzoshamisika, mazano ekupedzisira kubva kuAmerican Heart Association haasati atsigira prophylactic antibiotics kuvarwere vane MVP.
Ndezvipi Zvinorambidzwa NeMVP?
Nhamba yakawanda yevarwere vane MVP vanogona kutarisira kutungamirira hupenyu hwakakwana, pasina zviratidzo zvichienderana neMVP yavo, uye pasina kukanganisa kwekutarisira hupenyu. Muzvinyorwa zvose, kufungidzira kwakabatana zvikuru nehuwandu hwemaster regurgitation iyo iripo. Vakawanda varwere vane MVP avo vane mitral rekudzoka zvakare vane maitiro akanaka kwazvo .
Ndezvipi Zvimwe Zvimwe Zvimwe Zvimwe Zvitano Zvakave Zvakatarisirwa kuMVP?
Nokuti MVP inowanzozivikanwa (kunyange iyo ingasave iripo), yave ichibatanidzwa nehuwandu hwemamiriro ezvinhu ayo zvichida haana chaanoita neMVP pachayo. Kuvhiringidzika kwakamuka mumazuva ekutanga echocardiography, apo MVP yakanga iri kunyanya kuongororwa. Chero pose apo murwere ainetseka nezvimwe zviratidzo kana matambudziko, vanachiremba vairaira echocardiogram-uye vanenge 35 muzana yenguva, vaizowana "MVP." Zvakawanda zvinetso zvekliniki zvakanzi MVP mumakumi emakumi apfuura, apo kushamwaridzana kungasavepo zvachose.
Heano mamiriro ezvinhu akawanzana akabatanidzwa neMVP, asi ukama hwavo hwechokwadi neMVP hunotyisa zvikuru:
Kuzvidya mwoyo, kurwadziwa kwepfupa , palpitations . Kunyange zvazvo inowanzofungidzirwa kuti MVP inokonzera zviratidzo izvi, vanhu vakawanda vane MVP havazvioni, uye vanhu vazhinji vane kushushikana, kurwadziwa kwepfupa, uye palpitations havana MVP. Iko kushamwaridzana kwechokwadi neMVP hakuna kumbobviswa.
Kushungurudzika kana kufa kamwe kamwe. Izvo hazvina kumbobvira zvaratidzwa kuti MVP pachayo inokonzera kushungurudza kana kufa kamwe kamwe, kana kuti chiitiko cheMVP chakakwirira pane chinowanzoitika kune varwere vanoona zvinetso izvi. Kunyange zvazvo varwere vane mutral yakanyanya kudzoka kubva kune chimwe chikonzero vane ngozi yakawanda yekurohwa uye kamwe kamwe rufu, avo vane MVP vane mwero vane pangozi imwe chete sevanhu vakawanda. Verenga zvakawanda pamusoro peMVP nekufa kamwe kamwe .
Dysautonomia syndromes . Dysautonomia syndromes, iyo inosanganisira zvinhu zvakadai sekusingaperi kuneta kwechirwere , vasovagal (kana neurocardiogenic) syncope , panic kushungurudza , fibromyalgia , uye kushungurudza chirwere chemawere , zvinowanzopiwa mhosva kuMVP. Hazvisi pachena kuti vanhu vane MVP vane ngozi yekuwedzera zviratidzo zvinosanganiswa nemaDysautonomias (zvakadai se palpitations, kuzvidya mwoyo, kuneta, aches, uye kurwadziwa). Asi mukutsamwa kwavo kuti vaongororwe nevarwere vachigunun'una nezvezviratidzo zvakadaro, uye nokudaro vachirayira kuedza kwose kuzivikanwa kumunhu, vanachiremba vakawana (zvakangoita) kuti chikamu chevarwere ava vakaoma vane MVP. Vanachiremba vakaita saizvozvo mutsara unoti "Mitral Valve Prolapse Syndrome" kuti uitsanangure. Pasinei nokuti MVP pachayo pachayo inobatanidzwa zvachose nezviratidzo izvi hazvina chokwadi.
Shoko Rinobva
Kana wakamboudzwa kuti une MVP, iwe unofanirwa kuve nechokwadi kuti unonzwisisa kubva kuchiremba wako chiyero chemaster regurgitation iwe, uye kuti chiremba wako akanyora purogiramu yekuongororwa kwekuongorora. Kana usina mitral kudzokera shure, iwe unongoda kuve nekuongororwa kwemuviri kwemakore mashanu kana kupfuura. Kana pane imwe yero yekubata mitral kudzoka, gore negore echocardiogram inofanira kufungwa.
Kana iwewo une zviratidzo zvakadai sekurwadziwa kwepfupa kana palpitations, zviratidzo izvi zvinofanira kuongororwa sezvikamu zvakasiyana. Kana chiremba wako achinyora zviratidzo izvi kunze kwekuda kweMVP, asina kumbobvira aita sarudzo yakazara, funga kutsvaga imwe pfungwa.
Kana iwe uchifunga kuti unogona kuva nedysautonomia syndromes, ita nechokwadi kuti chiremba wako anonyatsoziva mukugadzirisa mitemo iyi. Usapedza nguva nechiremba anoita seanodawo kunyora zviratidzo zvako se "chikamu cheMVP." Dysautonomias ndeyechokwadi, kutendeseka-kune-kunaka physiologic zvinetso, izvo zvakasiyana neMVP, uye zvinokodzera kurapwa uye kwete kubviswa.
> Sources:
> Avierinos, JF, Gersh, BJ, Melton LJ 3rd, et al. Nhoroondo Yemazuva Ekutadza Kuchinja Mitral Valve Inofa MuMunharaunda. Circulation 2002; 106: 1355.
> Kim, S, Kuroda, T, Nishinaga, M, et al. Kuwirirana Pakati Pekuda KweMitral Kudzoka Uye Kufuratira KweMitral Valve Prolapse: Echocardiographic Kucherechedza Chidzidzo. Ndiwo Moyo J 1996; 132: 348.
> Nishimura RA, Otto CM, Bonow RO, et al. 2014 Aha / Acc Guideline For The Management Of Patients With Valvular Heart Disease: A Report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63: e57.