Mitral regurgitation (MR) , a "leaky" mitral valve , ndiyo inonyanya kuwanda yemwoyo yevhavhavha yezvirwere. Vamwe vanhu vane MR kazhinji havana zviratidzo, uye vanogona kuramba vakagadzikana kwemakore akawanda uye kazhinji nokuda kwehupenyu hwavo hwose. Zvisinei, kune vamwe vanhu MR pakupedzisira anounza kuderedzwa kwemwoyo, uye kusagadzikana kwemwoyo kunoguma. Mumamiriro ezvinhu akadaro mwoyo kukanganisa hakugoni kuchinjwa.
Nenzira yekudzivirira mwoyo kusakwanisa naMM ndeyekuziva nguva iyo moyo unotanga kubhadhara, asi zvisati zvaitika zviratidzo zvemoyo zvinokanganisa zvinoitika.
Saka kana iwe une MR zvakakosha kuti iwe ugare uchitsvaga nachiremba wako kuti uone kutarisana kwaMM yako, uye kuona kana mamiriro ako akasimba kana kuti ari kuwedzera. Izvi zvinonzi "staging" MR.
Kusarudza gadziriro yaMM kunogona kukubatsira iwe nachiremba wako kusarudza kana iwe ungada chirwere chekuvhiya, uye, zvakakosha, kuziva nguva yakakwana yokurapa kana iwe uchida.
Nhanho dze Chronic Chronic Mitral Kudzokorora
Cardiologists vanoparadzanisa MR asingagumi mu "matanho matatu". Kusarudza nzvimbo ye MR yako kunobatsira nyanzvi yako yekuongorora chirwere inogona kudiwa uye kana chirurgical valve chirwere chinogona kudii.
The Compensated Stage. Muchikamu chakabhadharwa chaM MR, mwoyo uye nemwoyo mamiriro ehurumende "yakagadziriswa" kune imwe yakawandisa yemutoro inowanikwa kuruboshwe rweseririkiti nevhavha yakaora.
Mwoyo unobhadhara nekuwedzera kwechimwe chinhu, asi mutsara wemwoyo wakaneta unoshanda zvisingawanzoitiki. Vanhu vane chikwereti MR havaregi zviratidzo, kunyange zvazvo simba ravo rekushandisa rinowanzoita kuti riwedzere kana kuedzwa kwepfungwa kuchiitwa. Varwere vakawanda vane unyoro, asingagumi MR vanoramba vari muchengeti wechirwere muupenyu hwavo hwose.
The Transitional Stage. Nokuda kwezvikonzero zvisinganzwisisi, vamwe vanhu vane MR vachakurumidza "kuchinja" kubva kune chikwereti chemamiriro ekubhadhara. Zvakanaka, chirwere chekugadzirisa magetsi chinofanira kuitika munguva iyi yechinguvana, apo ngozi yekuvhiya yakaderera uye migumisiro yakanaka.
Muchikamu chemukati chemoyo mwoyo unotanga kuwedzera, kushushikana kwemoyo kunomuka, uye chikamu che ejection chinowira. Kunyange zvazvo varwere vari munharaunda ino vane mikana yekuratidza zviratidzo zveDyspnea uye kusavhiringidzwa kwekurovedza muviri, vazhinji havaoni kuora mwoyo zviratidzo kusvikira MR yavo yafambira mberi kusvika padanho rechitatu. Iri dambudziko, sezvo kunonoka kuvhiyiwa kusvikira danho rakarambidzwa rinogona kubhadhara migumisiro yakaipa.
Nyanzvi dzakawanda dzinofunga kuti kana chirwere chepachirwere chinoputika chiripo pamberi paM MR, kunyanya kana chichibatanidza nekutsvaira kwerutivi rworuboshwe, icho icho choga chinofanira kuratidza kuti chirwere chemukati chinosvika, uye naizvozvo, kuti chirongwa chekugadzirisa vhavha chinofanira kunge chiri inofungidzirwa.
The Decompensated Stage. Varwere muchechi yakaderedzwa inenge nguva dzose inowedzera kuwedzera kwemoyo, uyewo zviratidzo zvinoshamisa zvekushaya mwoyo. Kana imwe nguva chirongwa chekudzikinurwa chaitika, chirwere chepfungwa (kukuvara kumutsipa wemwoyo) chiripo, uye chicharamba chiripo kunyange kana mitral valve ichigadzirwa.
Saka kuvhenekera kugadzirwa kwemagetsi kunowedzera ngozi, uye hazvibviri kubereka chibereko chakanaka.
Kukosha kwekugadzira MR
Zvakakosha zvakanyanya kuti "kubata" danho remukati reMM risati rafambira mberi kusvika pakugadziriswa. Nokuda kwechikonzero ichi, kana iwe une MR unofanirwa kuva nehutano hwekurapa. Pakati pezvimwe zvinhu, zvakakosha kuti chiremba wako aongorore zvakanyatsoona kana zviratidzo zvitsva zvingangodaro zviri kuitika ndezvikonzero zveMM. Mukuwedzera, periodic echocardiograms dzinodiwa kubatsira chiremba wako kuti aongorore nyika ye mitral valve yako nemakamuri emwoyo.
Kana iwe une MR, iwe unofanira kufunga kuti chiremba wako ari kuita izvi zvakakodzera kutarisa - uye iwe pachako unoda kubhadhara zvakanyanya chero zviratidzo zvekufema kwepfupi, kana kukwanisa kuderedza kuzviita.
Sources:
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Vahanian, A, Baumgartner, H, Bax, J, et al. Nhungamiro pamusoro pekutungamirirwa kwechirwere chepfungwa chevhirivular: The Task Force pamusoro pekutungamira kweValvular Heart Disease yeEuropean Society of Cardiology. Eur Heart J 2007; 28: 230.