Isikhathi yisikhathi
Ukwenza ngcono ukwelashwa kwe- mitral stenosis akuyona into elula. Isihluthulelo sokwelapha i-mitral stenosis senza isinqumo esihle mayelana nokuthi (noma ngabe) ukwenza ukuhlinzwa. Ngaphezu kwalokho, kubalulekile ukuthatha izinyathelo ezifanele ukuvimbela i-thrombosis (i-clots yegazi) ekwenzeni amakamelo enhliziyo.
Ukwelashwa Kwe-Mitral Stenosis-Isikhathi Sonke Konke
Nge-stralosis ye-mitral, i-valve ye-mitral (i-valve ephakathi kwamakhemikhali amabili enhliziyo esele kwesokunxele ) iyancipha futhi iguquguquke, ihluleka ukuvula ngokuphelele futhi ichithe ukugeleza kwegazi.
Njengoba i-mitral stenosis iyinkimbinkimbi ngokuyisisekelo, ikhambi eliqhamukayo kufanele libe yindlela yokuhlinzwa-okungukuthi, ukungenelela okuhlinzekela ukuvimbela ukuvinjelwa.
Ngakho uma une-mitral stenosis, umbuzo obucayi kakhulu ukhetha ukuthi uzokwenza ukuhlinzwa nokuthi uzokwenza nini.
Isikhathi sokuhlinzwa kwe-valve valve kubaluleke kakhulu. I-Mitral stenosis ivame ukuhamba kancane kancane, futhi abantu abanalesi sifo se-valve bangakwazi ukuhlala bengenakho izimpawu iminyaka eminingi. Ngenkathi ungase ulingeke ukwenza ukuhlinzwa okulungiswa kusenesikhathi ukuze ugweme ukuthuthukisa izimpawu ezibalulekile zenhliziyo, ukwenza ukuhlinzwa kusenesikhathi kungakhipha ingozi engadingekile.
Ngakolunye uhlangothi, ukulinda isikhathi eside kakhulu ukwenza ukuhlinzwa kungabangela ukulimala kwenhliziyo okungenakuguqulwa, ukuze ukuhlinzwa kwe-valve ye-mitral ngeke kusasebenza. Lokhu kungaba yiphutha elibulalayo-isikhathi esifanele konke.
Ukunquma ngesikhathi esifanele sokwenza ukuhlinzwa kwe-valve ye-mitral kuxhomeke kakhulu ezimpawu zakho, kanye nezilinganiso zomgomo wokuthi i-valve yakho ye-mitral ivuleka kahle kangakanani nangomfutho ngaphakathi komshini wakho we-pulmonary .
Lezi zilinganiso zingenziwa nge- echocardiogram .
Kubaluleke kakhulu ukuthi uqaphele noma yiziphi izimpawu ezingase zithuthuke-ikakhulukazi kunoma iyiphi i- dyspnea (ukuphefumula), ukukhathala, kanye nezinguquko emandleni akho okuzikhandla. Udokotela wakho uzokusiza ngokubuza imibuzo efanele.
(Njengezi: Zingaki izinyathelo ongakhuphuka ngaphambi kokuphefumula? Kuthatha isikhathi esingakanani ukuhamba ibhande elilodwa? Ukhwehlela uma uzikhandla?)
Ukunquma Lapho Isikhathi Sifanele Wena
Ngalokhu okucatshangwayo, ake sibheke "imithetho" ejwayelekile yokunquma ukuthi yisikhathi sokuhlinzwa.
Uma ungenayo izimpawu nhlobo futhi i-mitral stenosis yakho ibhekwa njengobumnene, isinqumo esiyinhloko wena nodokotela wakho ozokwenza ukuthi kufanele ubuyeke kaningi kangakanani ukuhlolwa. Kuye ngokuhlola kwakho, ama-echocardiograms eyenziwa minyaka yonke noma eminyakeni emibili kuya kwemi-3 ingadingeka. Uma uthola ukuphefumula noma ukukhathala phakathi kwamasheke, nokho, vumela udokotela wakho wazi ngokushesha.
Uma une-mitral stenosis emnene nezibonakaliso ezinobumnene, udokotela wakho angakucela ukuba ube nokuhlolwa kwe-echocardiogram-okuwukuthi, ukuhlolwa kokucindezeleka lapho kwenziwa i-echocardiogram. Lokhu kuhlolwa kuvumela udokotela ukuba alinganise ukucindezela komthambo wakho we-pulmonary ngesikhathi sokuvivinya umzimba.
Uma uhlakulela ukucindezelwa komthambo ophakeme ngesikhathi sokuvivinya umzimba, udokotela wakho angakutshela ngokuhlinzwa. Kodwa-ke, ngokuvamile, iziguli ezine-MS ezincane zibhekiswe ekukhonseni kwe-valve ye-mitral kuphela uma zifuna ukhetho lwe-mitral balloon valvotomy (PMBV), inqubo yokukhanda imishini yamagagasi engavamile.
Uma une-mitral stenosis enomthelela futhi unezibonakaliso, futhi umthambo wakho we-pulmonary ukucindezelwa uphakeme noma ukuphumula noma ngesikhathi sokuzivocavoca, kufanele ube nokuhlinzwa. Kulesi simo uzobe usuthunyelwe ku-PMBV uma leyo nqubo ingenzeka. Uma kungenakwenzeka, uzothunyelwa kwenye inqubo yokuhlinzekwa kwe-mitral-inqubo evulekile yokulungisa noma ukushintsha i-valve yakho ye-mitral.
Uma une-mitral stenosis enamandla futhi izimpawu ezibalulekile kakhulu, le nkinga ayisekho ukuthi inkinga inzima ngokwanele yokwenza ukuhlinzeka, kodwa ngabe iqhubekile ngaphesheya kwendawo lapho ukuhlinzwa kuyoba yimuphi usizo.
Ukwenza lesi sinqumo kungaba nzima kakhulu, futhi ngokuvamile kuhilela ukugcwala kwenhliziyo okugcwele nokubonisana okude nokuxoxisana phakathi kwakho, i-cardiologist yakho kanye nodokotela ohlinzayo we-cardiac.
Uma kuba yisikhathi sokuhlinzwa, wena nodokotela bakho kuzodingeka unqume ukuthi yiziphi izinhlobo zokuhlinzekwa kwe-mitral stenosis okungcono kakhulu kuwe.
Ingabe Izidakamizwa Zingawasiza U-Mitral Stenosis?
Ukwelashwa okucacile kwe-mitral stenosis kudinga ukukhulula ngokomzimba ukuvimbela, kodwa ukwelapha ukwelapha kunganikeza izinzuzo ezithile.
I-Diuretics (amaphilisi amanzi), ngokuvamile ama-diuretic anamandla kakhulu afana ne-Lasix noma i-Bumex, angasiza ngokuphefumula noma ukugcinwa kwamanzi. Ukusebenzisa izidakamizwa ukuvimbela umkhuhlane we-rheumatic kubalulekile, ikakhulukazi ezigulini ezincane, uma i-mitral stenosis isifo sesifo senhliziyo.
Ngokuvamile, ukusebenzisa izidakamizwa ezisiza ukuvimbela i- endocarditis engasetshenzisiwe akusasetshenziselwa abantu abane-MS.
Njengoba i-fibrillation ye-atrial ivame ukubangela izimpawu ezimbi ezigulini ezine-stralosis ye-mitral kuneziguli ezingenawo, ukwelashwa okunamandla ukulawula lokhu ku-arrhythmia kufanele kusetshenziswe.
Ukuvimbela izambatho zegazi
Abantu abane-stralosis ye-mitral banomngcipheko owengeziwe we- thromboembolism (i-blood clots ngaphakathi kwemithwalo yegazi noma inhliziyo ehlukanayo futhi ibangele ukulimala komzimba njenge- stroke ). E-stralosis ye-mitral, i-thrombus (i-clot) ijwayele ukwakha e-atrium kwesokunxele. Ingozi ye-thromboembolism yanda kakhulu uma i-fibrillation ye-atrial ikhona.
Ngenxa yalesi sizathu, i-anticoagulation ne- Coumadin inconywa ngeziguli ezine-mitral stenosis ezinezinoma ezilandelayo:
- Umlando wesenzakalo esandulela i-thromboembolic, ikakhulukazi isifo sohlangothi
- I-thrombus ye-atrial engakwesokunxele (engatholakala nge-echocardiogram)
- I-fibrillation ye-Atrial
- Ngokwezinye izazi, i-atrium enwetshiwe kakhulu (eyatholakala futhi nge-echocardiogram)
Okubalulekile
I-Mitral stenosis yisimo senhliziyo lapho ukuphathwa okuhle kudinga ukusebenzisana okudlula phakathi kwakho nodokotela wakho. Kodwa-ke, ngokunakekelwa kahle kwezokwelashwa nokuhlinzeka, abantu abane-mitral stenosis ngokuvamile bangalindela umphumela omuhle kakhulu.
Imithombo:
Bonow, RO, Carabello, BA, Chatterjee, K, et al. Ukubuyekezwa okugxilwe ngo-2008 kuhlanganiswe ku-ACC / AHA 2006 Imihlahlandlela yokuphathwa kweziguli ezine-Heartbreaking Heartbreak: Umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice (Ikomidi Lokubhala Ukubuyekeza Izeluleko Zika-1998 Zokuphatha Iziguli ezine-Valvular Heart Disease): zamukelwa yiNhlangano Yezinhliziyo Zezinhliziyo Ze-Anesthesiologists, i-Society for Cardiovascular Angiography and Interventions, kanye neNhlangano Yezifo Ezihlinzeka Ngama-Thoracic. Ukujikeleza ngo-2008; 118: e523.