Kutshanje, malunga neminyaka engama-60 edlulileyo, kwaba lula ukuqhuba uvavanyo lwe-ultrasound lentliziyo. Ndiyabulela kuye, isifo esinjenge-mitral valve prolapse sibonakalisiwe - yintoni na, kwaye yintoni enye ingozi le nzobugcisa isacutshungulwa kwangoku. Intshisekelo eyongezelelekileyo kwi-pathology ingenxa yokuba akunakwenzeka ukufumana izizathu ezichanekileyo kunye neendlela zokuphuhliswa kwayo.
Iyintoni i-prolapse ye-bivalve okanye i-valral valve yentliziyo, kwaye ibonakala njani?
Okokuqala kufuneka ufumane ukuba i-valral valral yona yintoni.
Phakathi kwe-atrium kunye ne-ventricle yesigxina sekhohlo senhliziyo yi-septa kwifomu yamacwecwe avela kwizicubu ezinxibelelwano. Eli yi-mitral valve, equkethe ii-valves eziguquguqukayo-phambili nangemuva. Zenzelwe ukukhusela i-back-casting yegazi (ukuphindaphinda kwakhona) kwi-atrium ekhohlo ngexesha loqhawulo lomsebenzi (systole) lwe-ventricle ekhohlo.
I-prolapse ye-valve valve ihamba kunye nokuphazamiseka emsebenzini okanye kwisakhiwo se-valve. Ngenxa yoko, bahlala kwi-atrium ekhohlo kunye ne-systole ye-ventricle engasekhohlo, eyenza i-current current of some blood.
Ngelishwa, akunqabile ukufumanisa i-pathology kwinqanaba lokuqala kwaye, ngokomthetho, ngengozi. Ukunyuka kwamaxesha amaninzi kuyinto engabonakaliyo, ngezinye iinkcukacha ezi zilandelayo zibonakaliswa:
- ukuvakalelwa ngomoya;
- intlungu kwicala lasekhohlo;
- i-syncope , ukutshatyalaliswa kwangaphambili kunye nesisu;
- intloko, ikakhulu ebusuku kwaye kusasa;
- ukwanda kancinci kumbindi womzimba;
- uvakalelwa yintliziyo engabonakaliyo okanye engaqhelekanga rhoqo.
Kubalulekile ukuba uqaphele ukuba, ngokuxhomekeke ekujuleni kwe-valve mitral kunye nomthamo wegazi ojikelezayo ukuya kwi-atrium yekhohlo, lesi sifo sabiwe ngama-3 degrees:
- Ukufika kwi-5 mm phantsi ukusuka kwindandatho ye-valve.
- 5 ukuya kwi-10 mm ngaphantsi kwindandatho ye-valve.
- Ngaphezu kwe-10 mm.
Ngaba uyaphumelela i-mitral valve ye-1 degree?
Ukuba isifo esichazwayo asihambelani nayiphi na impawu, kungekhona nonyango olulodwa olumiselweyo. Into eyona nto ingabungozi yiprojekiti yesigxina okanye i-mitral valve ye-degree ye-degree-stable violation of heart rhythm kunye neentlungu ezingenakuzikhusela entliziyweni. Kwiimeko ezinjalo, kuya kufuneka uthabathe amanyathelo, uqeqesho lobuchule bokuzihlaziya. Nangona ukugcina imithetho yokutya okunomsoco, indlela yokuphila, ukusebenza kunye nokuphumla kombuso, i-forecast is more than favorable.
Ngaba uyaphumelela kwi-valve mitral ye-2 degree?
Kwinkqubo yezifundo ezininzi zezokwelapha kunye nokuqwalaselwa kwamagqeba okulawula izigulane, kwafunyaniswa ukuba i-prolapse kuya kwi-1 cm enzulu ayiyiyo ingozi enkulu kwimpilo okanye ubomi.
Nangona kunjalo, ukukhubazeka ngokuqhelekileyo kufudukela kwinkqubela phambili, ingakumbi ngokudala. Ngoko ke, abantu abanesifo se-2 degree bayacetyiswa ukuba batyelele i-cardiologist rhoqo, i-prophylactic ultrasound yentliziyo kunye ne-ECG. Akunangqiqo ukulandela iingcebiso malunga nokutya kwondlo kunye nendlela yokuphila, ukuzivocavoca (ngokulinganayo).
Yiyiphi imiphumo yomlomo we-mitral valve ebangeni lesi-3?
Kwiingxaki ezinzulu ezithatyathwa ngolu hlobo zikhokelela ngokungaqhelekanga, kuphela kwiimeko ezi-2-4% kukho imiphumo enjalo:
- ukungasebenzi (mithambo, isifo esingapheliyo);
- thromboembolism ;
- endocarditis yebhakteria;
- i-arrhythmia;
- ukufa ngokukhawuleza.
Kodwa iingxaki ezidwelisweyo zingagwenywa, zilandele imimiselo ye-cardiologist, ukuhambela iimviwo zokukhusela.
Xa kunokwenzeka ukuba i-prolapse enamandla kunye nokugqithwa kweephiniveshini ezingaphezu kwama-1.5 cm, ukuhlinzwa okubuyiselwa kwimisebenzi ye-valve mitral kunganconywa.