Valavu mitral: mitundu chachikulu cha kuphwanya zochitika zawo

Aliyense akudziwa kuti mtima ndi chiwalo chofunika kwambiri kuti amapereka magazi kwa gulu lonse ndi zipangitsa makope ake mosalekeza. Zochita zachipatala nthawi zambiri amapezeka chosayenerera valavu mitral, umene ndi kugawa pakati pa ventricle awiri ndi atrium. Ntchito yaikulu ya izo ndi kuonetsetsa kuti magazi kulowa ku ventricle kumanzere mu msempha. Choncho, ndi kupewedwa kuyenda kubwerera atrium lapansi.

Ngati valavu mitral ndi osakhazikika, ndiyo nthenda yotaya magazi ikuchitika malangizo onse, tikhoza kulankhula za kukhalapo kwa matenda monga wachiwiri. Pachiopsezo anthu akuvutika ndi vuto la misempha. Asayansi asonyeza kuti aukire kamodzi kokha kwa enaake ophwanya endocarditis mu mtima wa valavu mitral ndi olumala, izo zimakhala zochepa zotanuka, mwina ngakhale sag. Wakutali kubadwa zopindika, koma milandu n'zochepa.

vavu Mitral akhoza kugawidwa mu zitatu zikuluzikulu:

• zovuta malformation
• stenosis
• mitral insufficiency

Mawonekedwe ambiri wofatsa matendawa amati mitral regurgitation, monga zilibe kuwononga kwambiri minofu mtima okha vavu wotaya magwiridwe ake. Stenosis amalimbikitsa chilonda lomenyera atrium lapansi. A malformation zovuta ndi aakulu mawonekedwe a matenda, chifukwa Chili awiri Mabaibulo m'mbuyomu.

Ndi matenda, monga prolapse wa valavu mitral. Kwenikweni umenewu chagona pa mapiko sagging, chifukwa kukula yawo yaikulu. Monga ulamuliro, mavuto izi sangabweretse. mawonetseredwe Symptomatic Komanso si matenda prolapse ndi kuunikidwa wonse. Wodwala sikutanthauza chithandizo chapadera, koma amafuna kuyendera cardiologist, amene ayenera mungawononge mphamvu ya kusintha mavavu kuti mupewe mavuto.

Mofanana ndi matenda aliwonse a dongosolo mtima, valavu mitral wa chachikulu angachititse kupuma movutikira, mofulumira kugunda mungoli, simungakhoze kuchita popanda kumva kulasalasa nthawi. Mbali kutchulidwa vuto akuti ndi diso kugwira mtundu zimene zimawoneka zachilendo pa maziko a woyera, ngakhale cyanotic nkhope. Cyanosis limapezeka pa nsonga ya mphuno ndi makutu, komanso amadwala mbale misomali. Nthawi zambiri, zonse zizindikiro zimenezi akhoza limodzi ndi kuchepa lakuthwa mu kuthamanga, chifuwa, kapena kutupa kwa nthambi.

Nthawi zambiri kuchitira valavu mitral si chofunika, makamaka ngati ndi kuphwanya ntchito suufa, ndipo sichipezeka. Koma pamene chotero kukanika kungayambitse matenda atsopano, owopsa, ayenera kuthandizapo mwachangu. Malinga ndi kukula kwa katswiri matenda amasankha njira yabwino mankhwala. Popeza chiwonongeko okha imakupiza valavu akhoza kugwiritsa ntchito njira kumanganso, mankhwala amakono limachititsa kuti agwire ntchito ngati amenewa popanda chiopsezo moyo wake wodwalayo. Koma mapangidwe minofu yovulazidwa pa mapiko, madokotala zambiri analimbikitsa kuika prosthesis, kutanthauza kuti m'malo vavu mitral ndi mapiko yokumba. Valavu latsopano mwina makina kapena tizilombo chiyambi. Mawotchi ali ndi mwayi ngati moyo wautali utumiki. The kwachilengedwenso vavu akonzedwa, monga ulamuliro, anthu okalamba (zaka 70), monga kwambiri amachepetsa chiopsezo thrombus mapangidwe.

Ngati nthawi kupeza ndi kukonza chilema bwino, ndiye zambiri mavuto simungathe kusokonezedwa. Ndi kuteteza vuto limeneli, muyenera kunyalanyaza thupi chitukuko osati minofu ya thupi, koma kuwonjezera mphamvu ya minofu mtima.