Hoʻopiʻi ka pahu puka Mitral

ʻO ka Mitral valve prolaps kahi pilikia puʻuwai e pili ana i ka mitral valve, kahi e hoʻokaʻawale ai i nā keʻena luna a me lalo o ka ʻaoʻao hema o ka puʻuwai. I kēia ʻano, ʻaʻole pani paʻa ka nohona.

Kōkua ka nohona mitral i ke koko ma ka ʻaoʻao hema o ka puʻuwai e kahe ana i hoʻokahi ala. Pani ʻia ia e mālama i ke koko mai ka neʻe ʻana i hope ke kani ka naʻau (ʻaelike).

ʻO ka Mitral valve prolaps ka manawa i hoʻohana ʻia ke pili ʻole ke kī pono. Hiki ke kumu ʻia i nā mea like ʻole.

I ka hapanui o nā hihia, maikaʻi ʻole ia. ʻAʻole pili ka pilikia i ke olakino a ʻaʻole ʻike ka hapa nui o nā poʻe me ke ʻano. I kahi helu liʻiliʻi o nā hihia, hiki i ka prolaps ke kumu i ke kahe o ke koko i hope. Kapa ʻia kēia inoa registitation mitral.

Hoʻololi pinepine ka mitral valve prolaps i nā wahine lahilahi i loaʻa i nā deformities pā o ka umauma liʻiliʻi, scoliosis, a i ʻole nā ​​maʻi ʻē aʻe. ʻO kekahi ʻano o ka mitral valve prolaps e like me ka hoʻoiho ʻia e nā ʻohana (hoʻoilina).

ʻIke pū ʻia ka mitral valve prolaps me kekahi mau maʻi pilikino e like me Marfan Syndrome a me nā maʻi genetika ʻē aʻe.

ʻIke ʻia kekahi i kahi kaʻawale i nā poʻe maʻamau maʻamau ʻole.

He nui ka poʻe me ka mitral valve prolaps MAKA loaʻa ʻole nā ​​ʻōuli. ʻO kahi hui o nā hōʻailona i loaʻa i kekahi manawa i ka poʻe me ka mitral valve prolaps i kapa ʻia ʻo "mitral valve prolaps syndrome," a me nā:

• ʻEhaʻeha (ʻaʻole i hoʻokumu ʻia e ka maʻi aʻa a me ka maʻi puʻuwai)
• Puʻupuʻu
• Ka luhi
• Hoʻoweliweli weliweli
• ʻO ka manaʻo o ka naʻau e kuʻi ka puʻuwai (palpitations)
• Ka hanu ʻana o ka hanu me ka hana a i ʻole ke moe pālahalaha (orthopnea)

Aia ka pilina kikoʻī ma waena o kēia mau ʻōuli a ʻaʻole maopopo ka pilikia o ka nohona. Kūpono paha kekahi o nā mea i loaʻa.

Ke hiki mai ka regurgitation mitral, pili paha nā ʻōuli i ke kahe ʻana, ʻoiai ke koʻikoʻi.

E hana ka mea mālama ola i kahi hoʻokolohua kino a hoʻohana i kahi stethoscope e hoʻolohe ai i kou puʻuwai a me kou māmā. Hoʻomaopopo paha ka mea hāʻawi i kahi leʻaleʻa (haʻalulu) ma luna o ka puʻuwai a lohe i kahi ʻōhumu o ka puʻuwai a me kahi kani keu (kaomi midsystolic). ʻOi aku ka lōʻihi o ka ʻōhumu a ʻoi aku ka nui i kou kū ʻana i luna.

ʻO ke kaomi koko ke maʻamau maʻamau.

ʻO ka Echocardiogram ka hoʻāʻo maʻamau e hoʻohana ʻia e hōʻike i ka prolaps mitral valve. Hiki ke hoʻohana ʻia i nā hoʻokolohua aʻe e ʻike ai i ka prolaps valve mitral a i ʻole ka valve mitral leaky a i ʻole nā ​​pilikia mai kēlā ʻano

• ʻO ka catheterization Cardiac
• Pākuʻi x-ray
• Scanner CT Heart
• ECG (hōʻike paha i nā arrhythmia e like me atrial fibrillation)
• MRI scan o ka puʻuwai

ʻO ka hapanui o ka manawa, he kakaikahi a ʻaʻohe paha hōʻailona a ʻaʻole pono ka lapaʻau.

I ka wā ma mua, ʻo ka hapa nui o ka poʻe me nā pilikia o ka puʻuwai puʻuwai i hāʻawi ʻia i nā lāʻau antibiotic ma mua o ka hana niho ʻana a i ʻole nā ​​kaʻina hana e like me kolonoskopi e pale ai i kahi maʻi i ka puʻuwai. Eia nō naʻe, hoʻohana pinepine ʻia nā lāʻau antibiotic i kēia manawa. E hōʻoia me kāu mea lawelawe e ʻike inā pono ʻoe i nā lāʻau ʻaloʻalo.

Nui a hewahewa nā lāʻau i hiki ke hoʻohana ʻia e mālama i nā ʻano o kēia ʻano. Eia nō naʻe, ʻaʻole pono ka hapanui o nā kānaka i kahi lapaʻau. Pono ʻoe i ke ʻoki e hoʻoponopono a hoʻololi paha i kāu kiwikā mitral inā lilo ia i mea leaky loa (regurgitation), a inā ʻo ka leakiness ke kumu o nā hōʻailona. Eia naʻe, ʻaʻole paha kēia e kū. Pono ʻoe e hoʻoponopono a hoʻololi hou paha i ka nohona mitral inā:

• Maikaʻi loa kāu mau ʻōuli.
• Hoʻonui ʻia ka ventricle hema o kou puʻuwai.
• Eʻoi aku ana ka maikaʻi o kāu hana puʻuwai

ʻO ka hapa nui o ka manawa, makaʻu ʻole ka prolaps valve mitral a ʻaʻole ia e kumu i nā ʻōuli. Hiki ke mālama a kāohi ʻia nā ʻōuli e hana ʻia me ka lāʻau a i ʻole ke ʻoki kino.

ʻO kekahi mau puʻuwai puʻuwai (arrhythmia) i ka poʻe me ka mitral valve prolaps hiki ke hoʻoweliweli i ke ola. Inā kūpikipiki ke kiwikā, like paha kāu nānā me ka poʻe i loaʻa i ka mitral regurgitation mai nā kumu ʻē aʻe.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Hōʻoluʻolu o ka umauma, palpitations, a i ʻole nā ​​pelu ʻino e ʻoi aku ka maikaʻi
• Nā maʻi lōʻihi lōʻihi me nā fiva

Barlow maʻi maʻi; Floppy mitral kiwikā; Myxomatous mitral kiwikā; ʻO ka kiwikā mitral e kū nei; Systolic click-murmur syndrome; Prolapsing mitral leaflet maʻi; Ka ʻeha o ka umauma - ka hoʻopiha ʻana o ka nohona mitral

• ʻO ke kīpoki puʻuwai puʻuwai - hoʻokuʻu

• Hoʻopiʻi ka pahu puka Mitral
• ʻO ke kīpoki puʻuwai puʻuwai - series

ʻO Carabello BA. Maʻi maʻi valvular. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 66.

Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA / ACC nānā i ka hoʻohou o ka 2014 AHA / ACC alakaʻi no ka mālama ʻana i nā mea maʻi me ka maʻi puʻuwai valvular: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines. Kaapuni. 2017; 135 (25): e1159-e1195. PMID: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

ʻO Thomas JD, Bonow RO. Maʻi maʻi mitral. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 69.