Munguva pfupi yapfuura, anenge makore makumi matanhatu apfuura, yakave yakakwanisa kuitisa kuongorora kwe ultrasound yemwoyo. Achitenda kwaari, chirwere chakadai semetral valve prolapse chakaratidzwa-chii ichocho, uye chii chinokuvadza ichi chiitiko chezvechiremba chiri kuverengwa kusvika ikozvino. Kuwedzerwa kufarira mukurapa kunokonzerwa nekuti hazvibviri kuwana zvikonzero chaiwo uye nzira dzekusimudzirwa kwayo.
Chii chinonzi kupera kwebivalve kana mitral valve yemwoyo, uye zvinoratidzwa sei?
Chokutanga unoda kuziva kuti mitral valve pachayo ndeyei.
Pakati peatrium uye ventricle yehafu yakasara yemwoyo ndeye septa mumhando yeplate kubva kumagetsi. Iyi ndiyo mitral valve, inosanganisira 2 valve flexible - mberi uye kumashure. Izvo zvakagadzirirwa kuchengetedza kudzoka-kukanda ropa (kudzorerazve) kuruboshwe rwetrimu panguva yekushanda kwebasa (systole) yemhepo yakasara ye ventricle.
Kupera kwemaster valve kunoperekedzwa nekuvhiringidzwa mubasa kana sarudzo yemagetsi. Somugumisiro, vanopinda munzvimbo yebato rerikuri ne systole yebhokisi rezasi, izvo zvinokonzera kuchinja kwechimwe ropa.
Zvinosuruvarisa, hazvishamisi kuona hutachiona pamusana pekutanga uye, sekutonga, nekukanganisa. Kuenderera mberi mumatambudziko akawanda kusina kumira, nguva nenguva chete zviratidzo zvinotevera zvinowanikwa:
- manzwiro ekushayikwa kwemhepo;
- kurwadziwa murutivi rworuboshwe rwechipfuva;
- syncope , kutangira mari uye chizivo;
- misoro, kunyanya usiku uye mangwanani;
- kuwedzera kuduku kwekushisa kwemuviri;
- manzwiro echinhu chisingawanzoitiki kana kazhinji kacho.
Zvakakosha kuziva kuti, zvichienderana nehupamhi hwekukanganiswa kwemitral valve uye yehutta yeropa inodzokera shure kuruboshwe rwechirwere, chirwere chacho chakakamurwa kuva 3 degrees:
- Kusvika 5mm kubva pasi kubva kumhete yevhavhavha.
- 5 kusvika 10 mm pasi pevharo yevhavha.
- Kupfuura 10 mm mukati.
Inoputika mitral valve ye1 degree?
Kana iyo inorondedzwa chirwere ichi isingatenderwi nezviratidzo chero chipi zvacho, kwete kunyange kurapwa kwakakosha kunorayirwa. Chinhu chimwe chete chinogona kuva nengozi ndiko kupera kweruboshwe kana mitral valve ye-degree yepamusoro-kusagadzikana kwakasimba kwe mwoyo rhythm uye kusanzwisisika kunonzwa mumwoyo. Mumamiriro ezvinhu akadaro, iwe unoda kutora sedatives, kudzidzisa nzira yekuzvivaraidza. Nekucherechedza mitemo yezvokudya zvinovaka muviri, mararamiro ehupenyu, basa nekuzorora kwehurumende, chirevo chacho hachina kunaka.
Inoputika mumtra valve yechipiri chechipiri here?
Mukati yeongororo dzakawanda dzechiremba nekucherechedza kwemapoka ekudzora evarwere, zvakawanikwa kuti kunopera kusvika 1 cm yakadzika hakuiti kutyisidzira kwakakomba kune utano kana hupenyu.
Kunyange zvakadaro, zvirwere zvinowanzotangira kufambira mberi, kunyanya nezera. Saka, vanhu vane chirwere chechipiri chechipiri vanokurudzirwa kushanyira kadhidiologist nguva dzose, prophylactic ultrasound yemwoyo uye ECG. Hazvina kufanira kutevera mazano pamusoro pesangano rezvokudya uye mararamiro, maitiro (zvishoma nezvishoma).
Ndeipi migumisiro yekuputika kwemaster valve yegiredhi 3?
Kune zvinetso zvakakomba izvo zvinofungidzirwa zvinoshamisa zvinotungamirira zvinowanzoitika, chete mu2-4% mhosva inogona kuva nemigumisiro yakadaro:
- mitral insufficiency (acute, chronic);
- thromboembolism ;
- bhakitiriya endocarditis;
- arrhythmia;
- kufa kamwe kamwe.
Asi zvinetso zvakarongerwa zvinogona kudziviswa, kutevera mitemo yemagetsi, kushanyira miedzo yekudzivirira.
Kana zvikaitika zvakanyanya uye kuputika kwemagetsi kunopfuura 1.5 cm, chirwere chokuvhiya kudzorera mabasa e mitral valve chinogona kukurudzirwa.