Ukubaluleka Kwezifo Zesivinini Senhliziyo
Inhloso yezinsimbi ezine zenhliziyo (i-tricuspid, pulmonary, mitral, ne-valor valves) ukuqinisekisa ukuthi lapho inhliziyo ishaya, igazi ligeleza ngokukhululekile ngendlela efanele. Uma i-valve eyodwa noma ngaphezulu isifo, noma ukugeleza kwegazi mahhala ngenhliziyo kuyavinjelwa (stenosis), noma igazi lingase livule emuva emuva kwe-valve ewonakele (ukuphindaphinda) -noma kokubili. Noma yiluphi uhlobo lwezinkinga, uma lingalindelwa njalo futhi luphathwa kahle, lungabangela ukwehluleka kwenhliziyo , kanye nezinye izinkinga zenhliziyo.
Imiphumela yesifo se-valve sencike ekutheni ama-valve ahilelekile, kungakhathaliseki ukuthi inkinga enkulu yi-stenosis noma i-regurgation, kanye nokulimala kwe-valvular. Uma une-valvular isifo senhliziyo, udinga ukusebenza eduze ne-cardiologist yakho ukuze uqinisekise ukuthi isimo se-valvular disorder yakho, nesidingo sokwelashwa, sihlaziywa njalo.
Ama-valves amane enhliziyo nalokho abakwenzayo
> Bheka ama-valve enhliziyo amane.
Inhliziyo inezinkambo ezine-i-atria engakwesokunxele nesobunxele, ne-ventricle kwesokudla nangesobunxele. I-valve ngayinye ikhona ekuvuleni phakathi kwamakamelo amabili futhi inamathele ekuvuleni ngendandatho enobumba, ebizwa ngokuthi i-annulus. Okufakwe ku-annulus kukhona amapheshana amabili noma amathathu (ngezinye izikhathi abizwa ngokuthi ama-cusps) asebenza njenge "amaphuphu." I-valve ye-mitral inezinhlamvu ezimbili; zonke ezinye izigqoko zinamapheshana amathathu.
Njengoba inhliziyo ishaya, amaqabunga avuleka futhi avaliwe. Lapho amaqabunga evulekile, igazi lingadlulela kulo lonke i-valve. Uma amaqabunga avaliwe, igazi ligeleza kuzo zonke iziteshi ze-valve.
I-ventricle efanele iyalondolozwa amagagasi e-tricuspid ne-pulmonary . I-valve ye-tricuspid iphakathi kwe-atrium efanele ne-ventricle efanele. Uma izinkontileka ze-atrium ezifanele, i-valve ye-tricuspid ivula futhi ivumela igazi ukungena kwi-ventricle efanele. Khona-ke, lapho izinkontileka ze-ventricle ezifanele, i-valve ye-tricuspid ivala (ukuvimbela igazi ukuthi lingabuyeli e-atrium elungile), futhi i-valve ye-pulmonary ivula ukuvumela igazi liqhutshelwa yi-ventricle elungile ukugeleza emthini we-pulmonary kuze kube amaphaphu.
I-ventricle yangakwesokunxele igcinwa i- valve mitral kanye nama-valve aortic . I-valve ye-mitral, ephakathi kwe-atrium kwesokunxele futhi ishiya i-ventricle, ivula lapho izinkontileka ze-atrium ezisele zivumela ukugeleza kwegazi kungene kwe-ventricle kwesokunxele. Lapho i-ventricle yesokunxele ivutha, i-valve valve ivala futhi i-valve ye-aortic ivuleka ukuqondisa igazi elipompiwe e-aorta nasezikhungwini zomzimba.
Yiziphi izinhlobo zezinkinga ezingaba nomthelela ku-Valves Heart?
Ukuphinda, i-valves yenhliziyo ifeza izinto ezimbili ezibalulekile: Ziqinisekisa ukuthi lapho inhliziyo ishaya, igazi ligeleza ngenhliziyo ngokukhululekile futhi lihamba ngendlela efanele.
Ngakho-ke kunengqondo ukuthi uma ama-valve enhliziyo eba yisifo, izinhlobo ezimbili zezinkinga ziphumela.
Okokuqala, izinkinga ze-valve yenhliziyo zingabangela ukuba i-valve ivinjiswe kancane, ukuze igazi lingaphumi ngokukhululekile kuwo wonke umuntu. Lesi simo sibizwa ngokuthi i- valvular stenosis . Uma i-valve yenhliziyo iba stenotic, igumbi le-cardia elimele liqhube igazi ngaphesheya kwe-valve encane kufanele lisebenze kanzima ukuze lisuse igazi ngaphandle. Lokhu kubangela ukuba ingcindezi kulelo kamelo yande, okugcina ekubangela ukuba imisipha yezinhliziyo iqhube (ukuze ibe "hypertrophic"), futhi ekugcineni ingabangela ukuthi imisipha ihluleke.
Okwesibili, isifo se-valve senhliziyo singabangela ukuthi i-valve ibe yinto engafanele; okungukuthi, i-valve ihluleka ukuvala ngokuphelele futhi igazi likwazi ukugeleza emuva emuva kwe-valve uma kufanele livaliwe. Lesi simo sibizwa ngokuthi i- valvular regurgitation . Ukuziphindaphinda kubangela ukuthi i-ventricle ethintekile iqhube ivolumu enkulu kunegazi evamile, okungaholela ekwehlisweni kwamagumbi ezinhliziyo, ekudambiseni imisipha yenhliziyo, futhi ekugcineni, ukwehluleka kwenhliziyo.
Ngakho, kokubili i-valvular stenosis kanye nokuvuselelwa kwe-valvular kungaholela ekuhlulekeni kwenhliziyo. Ngaphezu kwalokho, isifo se-valve senhliziyo sihlotshaniswa kakhulu nengozi ye- arrhythmias ye- cardiac , ikakhulukazi i-fibrillation ye-atrial .
Noma yimaphi ama-valve enhliziyo amane angaba yi-stenotic noma i-regurgitant, kanti amanye amagalavu enhliziyo angabonisa kokubili lezi zinkinga ngesikhathi esisodwa. Ubukhulu besifo se-valve senhliziyo sincike ekutheni inani le-stenosis noma ukuphindaphinda okukhiqizwayo. Njengoba kunezinhlobo eziningi ze-valvular isifo senhliziyo, ubukhulu besimo-nomphumela walo emsebenzini wenhliziyo-kungathuthuka kakhulu njengoba isikhathi sihamba. Ngisho nesifo se-valve senhliziyo "emnene" kufanele sithathwe ngokungathí sina futhi silandelwe ngezikhathi ezithile udokotela onolwazi.
Yiziphi Izimo Ezibangela Izifo Zenhliziyo Yesivinini?
Isifo senhliziyo se-valvular singabangela izimo eziningi zezokwelapha ezahlukene. Izimbangela ezivame kakhulu zezifo ze-valve yenhliziyo zifaka:
- I-Valvular Calcification: Imali ye-calcium ingafakela ku-valves yenhliziyo, ngaphandle kwesizathu esicacile, ngokuhambisana nokuguga. I-Valvular calcification ijwayele ukuba ikakhulukazi nge-valve mitral futhi, ngezinga elincane, nge-valve ye-aortic. Ezimweni eziningi, ukubalwa kwe-valvular akubange kubangele ushintsho oluphawulekayo emsebenzini we-valve. Kodwa ingaveza noma yi-stenosis noma ukuphindaphinda, ngakho-ke noma ubani onama-valvular calcification kudingeka alandelwe njalo ukuze aphinde ahlole isimo.
- I-Cardiac Dilation: Uma ikamelo le-cardiac lihlanjululwa, lingagcina lidale ukuthi i-valve ye-valve ye-cardiac ehlotshaniswa iphinde ihlanjululwe, okungeke ikwazi ukuvimbela amapheshana e-valve ukuba angavale ngokuphelele. Ukuvuselelwa kukaValvular kungaholela. Ukwehliswa kwe-cardiac kungenzeka ngezinhlobo eziningi zesifo senhliziyo. Ngokuvamile, ukuqhuma okungenzeka ngemva kokuhlaselwa yinhliziyo , noma nge- cardiomyopathy ehlanjululwayo , kuhambisana nokuhlanjululwa kwe-valve mitral noma i-valve tricuspid, okuholela ekutheni i-mitral noma i-tricuspid ibuyele emuva.
- Izifo Zenhliziyo Ebandayo: Izinhlobo eziningi zezinhliziyo zenhliziyo ezibangelwa ukubeletha zihlotshaniswa nokukhubazeka kwe-valvular okungaveza isifo senhliziyo noma ukuphindaphinda. Izinhlobo ezivame kakhulu zezinkinga ze-valve ezitholakala ngezimo zenhliziyo ezibangelwa ukubeletha ziyi-pulmonary stenosis, isifo se-bicuspid aortic valve (lapho i-aortic valve ine-cusps emibili kuphela, okungabangela i-aortic stenosis), kanye ne-valve valve.
- Endocarditis ephathekayo: I- endocarditis ezithathelwanayo , ukutheleleka kwendwangu yenhliziyo ikakhulukazi yamagagasi enhliziyo, kungaholela ekulimazeni kwenhliziyo, ngokuvamile ukuphindaphinda. Izinkinga ze-valvular ezibangelwa i-endocarditis ezithathelwanayo zingathuthuka kancane, kodwa lesi yisimo esisodwa esingase sikhiqize ngokuzwakalayo, futhi mhlawumbe esiyingozi, senhliziyo yokuphindaphinda.
- I-Heart Heart Rheumatic: I- Rheumatic isifo senhliziyo yisimo somonakalo we-valve senhliziyo esibukwa ngezinye izikhathi ngemuva kokuba umuntu enesifo somzimba . Nakuba isifo sezinhliziyo senhliziyo esingajwayelekile kakhulu emazweni aseNtshonalanga ukuthi sekuyiminyaka engama-50 edlule, kuseyikhathazeka enkulu ezindaweni eziningi zomhlaba. Ukuvimbela umkhuhlane we-rheumatic ngokuphatha ngokuhlukumeza umgogodla kubalulekile kakhulu.
- Ezinye izimo zezokwelashwa: Isifo se-valve senhliziyo singabangela ezinye izimo eziningana zezokwelapha, kufaka phakathi i- syphilis , izifo ezixhumene nezicubu (ezifana ne- lupus ), izicubu ezihlukahlukene, i- aneurysm ye-aortic , i- carcinoid , kanye nokwelashwa kwama-radiation esifubeni.
Izimpawu Zezifo Ze-Valve Heart
Ezimweni eziningi, isifo se-valve senhliziyo asinalo izimpawu kuze kube yilapho isisu senhliziyo sonakaliswa ngokwanele ukuze siqale ukuhluleka. Uma izimpawu zenzeka, zivame ukufana nezibonakaliso zokuhluleka kwenhliziyo . Lezi zihlanganisa i- dyspnea (ukuphefumula); ubuthakathaka jikelele; ikhanda elikhanyayo ; noma i-edema (ukuvuvukala) emagqatsheni, izinyawo noma isisu.
I-arrhythmias nayo ingabangela isifo se-valve senhliziyo; njengoba kuphawuliwe, ingozi ye-fibrillation ye-atrial isanda kakhulu. Izimpawu ze-arrhythmias zenhliziyo zingase zihlanganise iziqephu ze- palpitations , ikhanda eliphansi, ubuthakathaka, noma ukuvivinya umzimba ngokweqile.
Kubantu abaningi, izimpawu zesifo senhliziyo i-valvular zivame ukubonakaliswa kwesikhathi se-disorder. Ngokufanelekile, umuntu onesifo se-valve senhliziyo uyobe esitholwe kahle ngaphambi kokuba izimpawu zikhule, ukuze ukwelashwa kungenele ngaphambi kokulimala kwenhliziyo emangalisweni.
Ngezinye izikhathi, noma kunjalo, isifo se-valve senhliziyo singaba inkinga enzima hhayi okuqhubekayo okuqhubekayo. Isifo se-valvular senhliziyo esiphundu singenzeka, ngokwesibonelo, ngenxa yomonakalo we-muscle we-heart kusuka ekuhlaselweni kwenhliziyo, noma ukulimala okunamandla kumagalevu enhliziyo kusuka ku-infocous endocarditis noma isifo senhliziyo se-rheumatic.
Kodwa kaningi kakhulu, isifo se-valve senhliziyo yisifo esingapheli, esiqhubekayo esingatholakala kahle ngaphambi kokuba izimpawu ziqale. Isifo sokuqala sokuhlola, yisihluthulelo.
Ukuthola i-Valvular Heart Disease
Ukutholakala kokuqala kwesifo se-valve senhliziyo kubaluleke kakhulu ekuphathweni kwayo okuhle. Okungcono, ukwelashwa kuqaliswa ngaphambi kokuba imisipha yenhliziyo iqale ukuhluleka futhi umonakalo wenhliziyo ongaphendukiwe wenziwa. Kodwa ukuze wenze njalo, kubalulekile ukuthi ukwazi ukuthi isifo se-valve sitholakale kahle ngaphambi kokuba noma yiziphi izimpawu ezakhayo.
Isifo se-valve senhliziyo yokuqala ingenye yalezi zinkinga zezokwelapha ezingenasifo esivame ukutholakala ekuqaleni kokuhlolwa kwezokwelapha-futhi esinye sezizathu sonke sikhuthazwa ukuba sibe nokuhlola okujwayelekile.
Isibonakaliso sokuqala senkinga ye-valve yenhliziyo ngokuvamile ukubona kwenhliziyo kububula ngesikhathi sokuhlolwa komzimba. Kungakhathaliseki ukuthi i-valvular stenosis noma i-valvular regurgation iveza inani elithile le-turbulence yokugeleza kwegazi ngaphakathi kwenhliziyo. Le ngxabano yenza umsindo ozwa udokotela nge-stethoscope (inhliziyo ekhononda). Akuwona wonke ukukhononda kwenhliziyo kubonisa inkinga yenhliziyo, noma kunjalo; iningi libizwa ngokuthi "ukungenacala", okungukuthi, kubangelwa yi-turbulence encane engaba khona cishe kunoma iyiphi inhliziyo evamile.
Uma udokotela wakho ethola imisindo engabonisa isifo senhliziyo ye-valvular, i- echocardiogram inhle kakhulu ekuhlukaniseni phakathi kwenkinga ye-valve yenhliziyo nokububula okungenacala. Nge-echocardiogram, ukuxilongwa okucacile kungenziwa cishe nanoma yiluphi uhlobo lwenkinga ye-valve yenhliziyo.
Uma isifo se-valvular sikhona, i-echocardiogram nayo ingakwazi ukukala ngokulinganisa ubukhulu benkinga. Izilinganiso eziningana ezithile zingenziwa ngamaphethini wegazi nokuhamba kwegumbi lomzimba, futhi lezi zindlela zingalinganiswa nalabo abavela ezihlolweni ezilandelayo zokuhlola i-echo ukuze kutholakale ukuthi inkinga ye-valve ikhula kanjani ngokushesha (uma kunjalo).
Izinkinga ezicacile ze-valve yenhliziyo nokuphathwa kwazo
I-Mitral Stenosis: In- stralosis ye-mitral , ukuvinjelwa kwe-valve ye-mitral kunciphisa ukugeleza kwegazi kusukela ku-atrium kwesobunxele kuya kwe-ventricle kwesokunxele. Ngokuhamba kwesikhathi, ingcindezi ikhiqiza e-atrium kwesokunxele, ekugcineni ibangele umthambo we-pulmonary hypertension nokuhluleka kwenhliziyo okubandakanya ikakhulukazi ngakwesokudla senhliziyo. Ukwelapha ukukhanda okuhlinzekwayo noma ukuguqula i-valve mitral, futhi isikhathi sokuhlinzwa sibucayi. Lapho isidingo sokuhlinzeka sisungulwa, uhlobo olufanele lokuhlinzekwa kwe-mitral stenosis luzodinga ukuba lunqunyelwe umuntu ngamunye.
Ukuphindaphinda kwe-Mitral: Ukuphindaphinda kwe-Mitral , okuveza ukugeleza kwegazi okuvela emuva kwe-ventricle kwesokunxele kuya kwe-atrium engakwesobunxele, uhlobo oluvame kakhulu lwesifo se-valve senhliziyo ngoba kunezimbangela eziningi. Isibonelo, ukubaluleka okukhulu kwe- mitral valve prolapse (MVP) yilokho ngezinye izikhathi kungaveza ukuphindaphinda okukhulu kwe-mitral. Ukubuyiswa kwe-Mitral kungabangela ukwandiswa okuyingozi kokubili kwesokunxele kwe-atrium ne-left ventricle, futhi ngaphandle kokuthi kuphathwa kungabangela ukuhluleka kwenhliziyo okungapheli. Isikhathi esiphelele sokwelapha okuhlinzekwa kuncike esiteji sokubuyiselwa kabusha . Izindlela eziningana zokuhlinzwa zitholakalayo zokwelapha ukubuyiswa kwe-mitral.
I-Aortic Stenosis: Ku- aortic stenosis , i-valve ye-aortic iyavinjelwa kancane, okwenza kube nzima kakhulu ukuba i-ventricle engakwesobunxele ixoshe igazi emathanjeni omzimba. Iholela ekuxhumeni komzimba we-ventricle engakwesokunxele, futhi ekugcineni kube nokuhluleka kwenhliziyo. Ngaphezu kwalokho, uma inani legazi inhliziyo ingaqhuma isinciphile kakhulu ngenxa yesithiyo, i- syncope noma ukufa okungazelelwe kungahle kwenzeke. Eqinisweni, i-syncope ngenxa ye-aortic stenosis kufanele iphathwe njengesimo esiphuthumayo sezokwelapha, ngoba sibonisa ukuthi i-valve ye-aortic igxilile kakhulu. Njenganoma yiluphi uhlobo lwe-valvular isifo senhliziyo, i-aortic stenosis ephansi kufanele ihlolwe ngokucophelela ngokuhamba kwesikhathi. Uma isimo sibonakala singenele, ukuhlinzwa kwe-valor aortic kuyodingeka.
Ukuvuselelwa kwe-Aortic: Ngokuvuselelwa kwe-aortic , i-valve ye-aortic iyaba yiphutha ukuze igazi lihlanjululwe emuva ukusuka e-aorta lingene ku-ventricle kwesokunxele. Lokhu kugeleza kwegazi kukhulisa kakhulu umsebenzi we-ventricle wesokunxele. Uma ukuphindaphindiwe kubalulekile, i-ventricle igcina ihlanjululwe kakhulu futhi ihluleka inhliziyo. Ukwelashwa kokuvuselela okuphawulekayo kwe-aorti kudinga ukufakwa esikhundleni sokuvulwa kwe-valve ye-aortic.
I-Tricuspid Stenosis: I- stenosis e-tricuspid, ukuvinjelwa okuyingxenye ye-valve tricuspid, yiyona ejwayelekile kunezifo ezinkulu ze-valvular. Kuvame ukubonakala kubantu abaye benesifo senhliziyo futhi, ezimweni eziningi, kuhambisana nezifo kwamanye amagagasi enhliziyo. Uma kubalulekile, i-stenosis ye-tricuspid yenza kube lula ukukhathala nokuncipha ukuvivinya umzimba. Kodwa-ke, izimpawu ezibangelwa izifo kwelinye lamagagasi ngokuvamile zivele kahle ngaphambi kokuba i-tricuspid stenosis iqale ukuveza izimpawu. Ngenxa yalokho, ukwelapha ukwelashwa kwe-tricuspid stenosis (ehlanganisa ukulungiswa kwe-valvular esikhundleni sokushintshwa) cishe njalo kwenzeka njengendlela yokwengeza, lapho kuhlinzeka ukuhlinzwa ukuze kutholakale i-valve yenhliziyo ethintekile kakhulu.
Ukuziphindaphinda ngokuziphendulela: Ngokuphindaphindiwe kwegazi, ukuvuza kwegazi ku-valve ye-tricuspid kusuka ku-ventricle kwesokudla kuze kube ku-atrium efanele. Ukuphindaphindiwe okuvamile kubangelwa ukuhlungulwa kwe-tricuspid annulus eyenzeka njengomphumela we-pulmonary artery hypertension, ukuhluleka kwenhliziyo, noma ukuxhuma kwe-pulmonary . Ukuziphindaphinda ngokweqile ngokweqile kuvame ukuba mnene futhi ngokuvamile akudingi ukwelashwa. Ukuhlola ngokucophelela ukubheka inkinga yezokwelapha ebalulekile kubalulekile, ngoba ukuphatha inkinga ebalulekile ngokuvamile kuholela ekuthuthukiseni okukhulu ekubuyiselweni kokuvuselela.
I-stulosis ye-pulmonary: I-pulmonary stenosis, ukuvinjelwa kwe-valve ye-pulmonary, ngokuvamile i-disorder disorder ngokuvamile ehlotshaniswa ne-tetralogy ye-Fallot, i-Noonan syndrome (isifo sofuzo esinokukhubazeka komzimba, isishwane esifushane, ukukhubazeka kwesifuba, nezinkinga zokufunda), noma ukuzalwa komzimba i-rubella. I-stenosis ye-pulmonary ivame ukutholakala lapho izalwa noma ngokushesha ngemva kwalokho. Uma kunzima, kungabangela ukwehluleka kwesokudla kwesenhliziyo. I-pulmonary pulenary stenosis ingaba isimo esibucayi ngokuphelele esingadingi ukwelashwa. Uma isimo sinzima nakakhulu, singase siphathwe nge-balloon valvuloplasty, inqubo encane yokunciphisa umzimba.
Ukuphindaphinda kwe-pulmonary : Ngokuphindaphindiwe kwamapayipi, ukuvuza kwegazi ku-valve ye-pulmonary evaliwe evela emthini we-pulmonary kuya kwi-ventricle efanele. Isizathu esivame kakhulu sokuvuselelwa kwe-pulmonary isifo se-arterium hypertension, esingenza ukukhuphuka kwe-pulmonary valvular annulus kuze kube yilapho i-valve yamapulmoni ingasakwazi ukuvala ngokuphelele. Uma kunzima, ukuphindaphinda kwamaphalona kungabangela inhliziyo enhle ukuba ikhule, futhi ukuhluleka kwenhliziyo kungacabangela. Ngokuvamile, ukwelashwa kwe-pulmonary regurgitation kungathatha izinyathelo zokunciphisa ukucindezelwa komthambo we-pulmonary . Ukuhlinzwa akudingeki njalo.
Ingabe Kukhona Ukwelapha Okungahlosiwe Kwezifo Zikavolumu?
Isifo se-valve senhliziyo sinenkinga enkulu. Ukuze uxazulule imbangela yalokho, ukuhlinzwa ngokuvamile kuvame ukukhetha.
Kodwa-ke, ezimweni eziningi ukwelapha ukwelashwa kungatholakala ukuthi kungasiza. Ngezinye izikhathi, imishanguzo ingasiza ekuqiniseni inhliziyo futhi ithuthukise ukuqhubeka kwesifo se-valve. Lokhu kwenzeka ikakhulukazi ngezinhlobo eziningi zokuvuselela i-valvular, lapho inkinga ye-valve ibangelwa ukukhululwa kwegumbi le-cardiac. Ukwelashwa okudabukisayo okubhekiswe ekuphatheni umfutho wegazi ophezulu noma ukuguqulwa kwe-cardiomyopathy , noma ukuvimbela ukulungiswa kwe-ventricular ngemuva kokuhlaselwa yinhliziyo, noma ngisho nokulawula izinga lenhliziyo ku-fibrillation ye-atrial , ngokwesibonelo, kunganciphisa kakhulu amathuba okuthuthukisa ukuphindaphindiwe kwe-mitral noma ukuphindaphindiwe.
Ngenxa yalesi sizathu, ngokuvamile umqondo omuhle kubantu abanesifo senhliziyo se-valvular ukuba babonwe njalo ngumchwepheshe wezinhliziyo, ongakwazi kalula ukubhekana nanoma yiziphi izinkinga ezihlobene ne-cardiovascular.
Ukuphila Nezifo Zesivinini Senhliziyo
Uma unesifo se-valve senhliziyo, kunezinto ezithile okudingeka uyenze ukuze ukwandise amathuba akho okuphila impilo ende futhi enempilo. Kufanele ufunde konke ongakwenza mayelana nohlobo lwesifo se-valvular onakho, nesilinganiso senkinga yakho ye-valve. Uma unemithi yokusiza inhliziyo yakho isebenze ngokwengeziwe, udinga ukuthatha njalo futhi ubike noma iyiphi inkinga nabo kudokotela wakho.
Ngenxa yalokhu, udinga ukugcina ama-aphoyintimenti akho njalo nodokotela wakho. Nakuba lokhu kubalulekile kunoma ubani, kubaluleke kakhulu kumuntu onenkinga ye-valve yenhliziyo, ngoba isifo senhliziyo se-valvular sivame ukuqhubeka ngokuhamba kwesikhathi. Kufanele ukhulume nodokotela wakho ukuthi ngabe udinga ukuthatha i- antibiotic prophylaxis ye-endocarditis .
Okokugcina, njengoba usuvele unenkinga yenhliziyo, kufanele wenze konke ongakwenza ukuze unciphise izinkinga zakho zokuthuthukisa ezinye izinhlobo zesifo senhliziyo: Ungabhemi; sigcine ukudla okunempilo nesisindo esinempilo; thola okuningi; futhi, uma une- hypertension noma isifo sikashukela , qiniseka ukuthi unayo le mibandela ngaphansi kokulawula okuhle.
Izwi elivela
Isifo senhliziyo se-Valvular singaba inkinga enkulu kakhulu. Kodwa ngokutholwa kokuqala, ukulandelwa okuqhubekayo kwezokwelapha, nokutholakala kokunakekelwa okwelashwa kwanokuhlinzwa okwamanje, namuhla abantu abaningi abanesifo se-valve senhliziyo bangalindela ukuphila impilo ende futhi enempilo.
Imithombo:
> Joint Task Force ekuphathweni kwe-Valvular Heart Disease ye-European Society of Cardiology (ESC), i-European Association yeCardio-Thoracic Surgery (EACTS), i-Vahanian A, et al. Iziqondiso zokuphathwa kwe-valvular heart disease (version 2012). I-Eur Heart J 2012; 33: 2451.
Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA / ACC isiqondiso sokuphathwa kweziguli ezine-valvular isifo senhliziyo: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice. J Am Coll Cardiol 2014; 63: e57.