Nguva ndeyezvose
Kugadzirisa kurapwa kwemasral stenosis hakusi chinhu chisiri nyore. Chinokosha pakurapa mitral stenosis iri kuita chisarudzo chakanaka pamusoro penguva (kana kuti kana) kuita chirwere. Mukuwedzera, zvakakosha kutora matanho akakodzera kudzivirira thrombosis (blood clots) kubva pakuumba mumakamuri emwoyo.
Mitral Stenosis Kuchengetedza-Nguva Izvo Zvose
Ne mitral stenosis, mitral valve (iyo valve iri pakati pemakamuri maviri emakamuri akasiyiwa ) inowedzera uye isina simba, ichikundikana kuzarura zvachose nekudzivirira kuteura ropa.
Sezvo mitral stenosis inonyanya kusangana nechinetso chemagetsi, mhinduro yekupedzisira inofanira kuva yekuvhiya-kureva, kupindira kwekuvhiya kunoderedza kubviswa.
Saka kana uine mitral stenosis, mubvunzo unonyanya kukosha ndekusarudza kana kuvhiya uye nguva yekuita.
Nguva yekuvhiya mitral valve yakakosha zvikuru. Mitral stenosis inowanzoipisisa zvishoma nezvishoma, uye vanhu vane chirwere ichi chinogona kuramba vasina zviratidzo kwemakore mazhinji. Nepo iwe unogona kuedzwa kuti uite chirongwa chekugadzirisa pakutanga kuti urege kuva nehutano hwechirwere chepfungwa, kuita chirwere zvakanyanya kare kunogona kuunza njodzi isingakoshi.
Kune rumwe ruvoko, kumirira kwenguva yakareba kwenguva refu kuti kuvhiyiwa kunogona kutungamirira kune kukanganisa kwemwoyo kusinganzwisisiki, kuitira kuti mitral valve kuvhiyiwa hakuzogoni kushanda. Izvi zvingava kukanganisa kunopisa-nguva iyo nguva dzose.
Kusarudza panguva yakakodzera kuita mitral valve kuvhiyiwa kunowirirana nezviratidzo zvako, pamwe nechinangwa chemuitiro wekuti mitral valve yako inotanga sei uye yekumanikidzwa mukati memapuraneti yako.
Izvi zviyero zvinogona kuitwa ne echocardiogram .
Zvakakosha kuti iwe ukanyatsocherechedza zviratidzo chero zvipi zvingangodaro zvichibudirira-kunyanya kune chero dyspnea (kukurumidza kufema), kuneta, uye kuchinja mukukwanisa kwako kuzviita. Chiremba wako achakubatsira nokubvunza mibvunzo yakarurama.
(Yakadai se: Ndedzipi matanho aunogona kukwira usati wapera kufema kufema? Zvinotora nguva yakareba sei kuti ufambe rimwe bhuti? Unokoromora here kana uchizviedza?)
Kusarudza Kana Nguva Yakakodzera Kwauri
Nezvikonzero izvi, regai titarise zvimwe "mitemo" yekusarudza kuti inguva ipi yekuvhiya.
Kana iwe usina zviratidzo zvachose uye wako mitral stenosis inonzi iine unyoro, chisarudzo chikuru iwe uye chiremba wako chichaita ndechekuti kakawanda iwe unofanirwa kudzokorora kuongororwa. Zvichienderana nekuongorora kwako, echocardiograms yakaitwa gore roga roga kana makore maviri kusvika ku3 zvingave zvakakosha. Kana iwe uchinge uchinetseka kufema kana kuti kuneta mukati mekutengesa, zvakadaro, rega chiremba wako azive pakarepo.
Kana iwe uine mitral stenosis uye zviratidzo zvinyoro, chiremba wako angakukumbira kuti uve nechiito chekuita echocardiogram-kureva, kuedza kwepfungwa munguva iyo inonzi echocardiogram inoitwa. Uyu muedzo unobvumira chiremba kuti aenzanise mishonga yako yemapurmoni inomanikidzwa munguva yekurovedza muviri.
Kana iwe ukava nepamusoro pemapurisa yeropa pakunamata, chiremba wako anogona kukutaurira nezvekuvhiyiwa. Zvisinei, kazhinji, varwere vane MS nyoro vanoshandiswa kugadzirisa mitral valve chete kana vakatsvaga percutaneous balral balloon valvotomy (PMBV), chirongwa chekugadzirisa magarti ye mitral isingasviki.
Kana iwe uine moderation kusvika kune simba mitral stenosis uyewo une zviratidzo, uye mishonga yako yemapiritsi inokurudzirwa yakakwirira kana pakuzorora kana panguva yekurovedza muviri, iwe unofanirwa kuvhiyiwa. Muchiitiko ichi iwe uchada kutumirwa kune PMBV kana iyo nzira inogoneka. Kana iyo isingakwanisi, iwe uchatumirwa kune imwe mitral stenosis chirwere-nzira yakasununguka yekugadzirisa kana kugadzirisa mitral valve yako.
Kana iwe uine mitral stenosis yakaoma uye inokosha zvikuru zviratidzo, nyaya yacho haisisiri zvakare kana dambudziko rakakura zvakakwana kuti riite chirwere, asi kana rakapfuurira mberi kwepamusoro pokuvhiyiwa kwaizova rubatsiro chero rupi zvaro.
Kuita sarudzo iyi kunogona kuva yakaoma, uye inowanzobatanidza kukanganisa kwemwoyo wose uye kubvunzurudzwa kwepedyo nekukurukurirana pakati pako, chiremba chako chechirwere uye chiremba wechiremba wemwoyo.
Kana ikava nguva yekuvhiya, iwe nevarapi vako vachada kusarudza kuti ndeapi yemhando yekuvhiya mitral stenosis ingakunakira iwe.
Zvinodhaka Zvinogona Kubatsira Mitral Stenosis Here?
Kutaura kwechirwere chemaster stenosis kunoda kuti muviri udzimise kubviswa, asi kurapwa kwechiremba kunogona kupa zvimwe zvinobatsira.
Diuretics (mapiritsi emvura), kazhinji anonzi diuretics ane simba zvakadai saLasix kana Bumex, anogona kubatsira nekufema kwepfupi kana kuti kuchengetedza mvura. Kushandisa zvinodhaka kudzivirira rheumatic fever kunokosha, kunyanya kuvarwere vaduku, kana mitral stenosis inokonzerwa nechirwere chemwoyo.
Muzhinji, kushandisa zvinodhaka zvinobatsira kudzivirira kupererwa endocarditis hakuchinazve kukurudzirwa kuvanhu vane MS.
Sezvo kushaya firati inouraya kunowedzera kukonzera zviratidzo zvakanyanya kune varwere vane mitral stenosis kupfuura kune varwere vasina iyo, kushungurudzwa kwechisimba kutonga iyi arrhythmia inofanira kushandiswa.
Kudzivirira Kuvhara Ropa
Vanhu vane mitral stenosis vane ngozi yakawedzerwa ye thromboembolism (ropa inopinza mukati memidziyo yeropa kana mwoyo inoparara uye inokonzera kukanganisa kwenyama sezvakaita sitiroko ). Mu mitral stenosis, thrombus (clot) inowanzoita muchero wekurima. Ngozi ye thromboembolism inowedzera zvakanyanya kana chirwere chepereyfridza chiripo.
Nokuda kwechikonzero ichi, anticoagulation neCourmadin inokurudzirwa kune varwere vane mitral stenosis vane chimwe cheizvi:
- Nhoroondo yezvakaitika kare, zvakanyanya kurohwa
- Kuruboshwe kwepatrial thrombus (iyo inogona kuonekwa ne echocardiogram)
- Atrial fibrillation
- Maererano nedzimwe nyanzvi, yakawedzerwa zvikuru kuruboshwe atrium (yakaonekwawo ne echocardiogram)
The Bottom Line
Mitral stenosis chirwere chemwoyo chinonyatsogadziriswa chinoda kubatana kwakasimba pakati pako nachiremba wako. Zvisinei, nekutarisira kwakanaka uye kurapwa, vanhu vane mitral stenosis vanogona kutarisira mamiriro akanaka kwazvo.
Sources:
Bonow, RO, Carabello, BA, Chatterjee, K, et al. 2008 Inotarisa Kuvandudzwa Yakabatanidzwa muAAC / AHA 2006 Mirayiridzo yekutungamira kwevarwere neValvular Heart Disease: Mushumo weAmerican College of Cardiology / American Heart Association Task Force pamusoro pekushandisa mazano (Komiti yekunyora kuongorora mazano e 1998 ekutungamira Varwere Vane Valvular Heart Disease): vanobvumirwa neSosaiti yeCrodiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, uye Society of Thoracic Surgeons. Circulation 2008; 118: e523.