Phela

Incazelo jikelele yalesi sifo

I-Mitral valve prolapse iyi-pathology lapho eyodwa noma zombili amapheshana e-mitral valve flex in the atrium kwesokunxele ngesikhathi sokuncipha kwe-ventricle yangakwesokunxele.

I-valve ye-mitral itholakala phakathi kwe-atrium yesobunxele ne-ventricle. Kungenxa ye-mitral valve lapho igazi, eselivele ligcwele umoya-mpilo, lingena ku-ventricle yangakwesobunxele futhi ukusuka lapho lisakazeka emzimbeni wonke.

Ivelufa inamakhasi, asekelwa ngamanothi; lapho ama-chords enwetshiwe, ama-cusps awela esifundeni se-atrium yangakwesokunxele bese i-prolapse iyakhula. Umsebenzi we-valve ukuvumela igazi ligeleze liye ku-ventricle lisuka e-atrium futhi lingaphinde liyikhiphe futhi.

Amathuba esifo se-MVP anda ngokuhamba kweminyaka. I-Mitral valve prolapse ithinta abesifazane abangama-75%, imvamisa ingaphezu kweminyaka engama-35 ubudala.

Izinhlobo nezimbangela zesenzeko

I-MVP ingazalwa futhi itholakale:

• ukuzala kokuzalwa kwakheka ngesikhathi sokukhula kwesisu ngenxa yezicubu ezibuthakathaka ezixhuma. Ukwehliswa okuyisisekelo kungaba yingxenye yesici sokuzalwa senhliziyo noma ukungahambi kahle kwezicubu zomzimba. Futhi, ukuthuthukiswa kwe-MVP yokuzalwa kungabangela ukwephulwa kwezinqubo ze-metabolic, ukuphambuka kwesakhiwo semisipha ye-papillary noma i-atrial septal defect.
• kutholakale ukuqhuma kwenzeka kaningi kakhulu ngenxa yezifo ezingalashwa. I-MVP etholakalayo ingadalwa yisifo senhliziyo nezinye izifo zenhliziyo, kufaka phakathi i-endocarditis esithathelwanayo, kanye nokuhlukumezeka kwe-sternum. Futhi, izizathu zokuthuthuka kokuphambuka kwesibili zibandakanya ukwehla kokuqina kwezicubu ngenxa ye-ischemia yemisipha ye-papillary kanye nokukhubazeka okungahambisani nomfutho we-hysteria ne-neuroses.^[3]… Njengomthetho, lesi sifo sitholwa ngengozi ngesikhathi sokuhlolwa kwezokwelapha.

Izimpawu ze-Mitral valve prolapse

Ngokwayo, ukuphambuka kokuzalwa akuyona ingozi, noma kunjalo, lolu hlobo lwe-MVP luvame ukuhambisana nezinye izifo, ezinjengobuhlungu esifundeni senhliziyo, ukuphefumula okuncane, ukulala okungafanele, isiyezi ngisho nokulahlekelwa ukwazi. Lezi zimpawu ziyafika zidlule ngokuzumayo. Ngaphezu kwalokho, isiguli esinokukhubazeka kokuzalwa singase sihambisane nezinye izifo ezivusa ukugula kwezicubu ezixhumene: i-myopia, i-strabismus nezinyawo eziyizicaba.

Iziguli ezine-MVP zingakhathazeka ngalezi zimpawu ezilandelayo:

1. 1 ubuthakathaka obujwayelekile;
2. 2 ukukhathala;
3. 3 ubuhlungu endaweni yenhliziyo yomlingiswa ogwazayo, ocindezelayo noma obabayo, ocasula ngokweqile ngokomzimba noma ngokomzwelo;
4. I-4 tachycardia, i-bradycardia nokuboshwa kwenhliziyo okudlulayo;
5. Ukuguquguquka kwemizwa okuvamile;
6. 6 ukuphefumula okuncane nokuzwa ukuphefumula okuncane;
7. 7 ikhanda elikhanyayo;
8. 8 ukukhathazeka okungenangqondo;
9. Ukuphazamiseka kokulala okungu-9;
10. Imfiva engu-10 ngaphandle kwezinye izimpawu;
11. 11 ikhanda elibuhlungu njalo.

I-Prolapse ingahambisana ne-hernias, scoliosis, ukukhubazeka kwesifuba.

Izinkinga

Iningi leziguli ezinalesi sifo ziphila impilo ejwayelekile, kepha-ke, lapho amapheshana egobeka ngokuqinile futhi nezinga lokuqhuma liba nokubaluleka okuthile, kungavela izinkinga.

Izinkinga ezijwayelekile ze-MVP yilezi:

• i-arterial thromboembolism;
• ukuhluleka kwenhliziyo;
• umfutho wegazi ophakeme wamaphaphu;
• i-endocarditis ethathelwanayo;
• ukudabuka kwenhliziyo;
• ushintsho lwe-myxomatous ezindongeni ze-valve;
• ukufa okungazelelwe (okungajwayelekile kakhulu).^[4]

Ukuvimbela i-mitral valve prolapse

1. Iziguli ezi-1 ezine-PMK azivunyelwe ukudlala ezemidlalo ngobungcweti, ezemidlalo ezinamandla angabalulekile zamukelekile, njengegalufu, amabhiliyade, ukudubula, i-bowling;
2. 2 ukubonwa ngudokotela wenhliziyo;
3. I-3 echocardiography kanye njalo ezinyangeni ezi-1;
4. 4 ukuyeka utshwala nokubhema;
5. 5 ukusetshenziswa okulinganiselwe kwekhofi netiye;
6. 6 ukuhambisana nombuso wokuphumula nokondleka;
7. Ukwelashwa okufika ngesikhathi kwezifo ezithathelwanayo;
8. Ukusebenza ngokweqile nokusebenza kanzima komzimba kufanele kugwenywe;
9. Ukuzivocavoca okuphefumulayo okungu-9;
10. Ukwelashwa kwe-balneological eyi-10.

Ukwelashwa emithini ejwayelekile

Iziguli lapho i-pathology i-asymptomatic noma enezimpawu ezithambile ikhonjiswa kuphela indlela yokuphila enempilo enokuvivinya umzimba okujwayelekile, kanye nokulawulwa kwemitholampilo.

Ukwelashwa kunqunyelwe ngokuya ngobukhulu bezimpawu zenhliziyo nezokuzimela. Ekwelapheni i-prolapse kunconywa ukuthi kuthuthukiswe imetabolism, ama-sedatives akhishwe nge-valerian, uma kwenzeka i-arrhythmia, i-beta-blockers inqunyelwe. Ngokuhlaselwa okuphindaphindiwe kwe-ischemic, iziguli kufanele zithathe i-aspirin. Kumele kuqashelwe ukuthi ukubhema namaphilisi okuvimbela inzalo ngomlomo kuyaphikiswa ezigulini ezinokuhlaselwa yischemic.

Kwesinye isikhathi, ukwenza ngcono okuphawulekayo esimweni sesiguli, kwanele ukuyeka izikhuthazi ngesimo sekhofi, itiye elinamandla, osikilidi notshwala.

Ezimweni ezimbi kakhulu, lapho i-tendon chord idabukile, ukuhlinzekwa kunganconywa ukuthi kwakhiwe kabusha i-mitral valve.

Qaphela!

Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!