Ka lawa ʻole o ka Mitral: he aha ia, kekelē, a me nā hōʻailona

Anter

• Nā hōʻailona nui
• Nā kekelē o ka regurgitation mitral
• 1. Ka hoʻohaʻahaʻa mitral māmā
• 2. Hoʻololi hou i ka mitral regurgitation
• 3. ʻO ka regurgitation mitral loa
• Nā kumu kūpono
• Pehea e hana ai i ka lāʻau
• 1. Ka mālama kino ʻana
• 2. Hoʻohana o nā lāʻau
• 3. ʻoki kino Cardiac
• Mālama i ka wā o ka mālama ʻana

ʻO ka lawa ʻole o ka Mitral, i kapa ʻia hoʻi he regurgitation mitral, ke hana ʻia inā he kīnā i ka vaukū mitral, kahi ʻano o ka puʻuwai e hoʻokaʻawale i ka atrium hema mai ka ventricle hema. Ke hiki mai kēia, ʻaʻole paʻa paʻa ka nohona mitral, e hoʻi ana i kahi liʻiliʻi o ke koko i nā akemāhā ma kahi o ka waiho ʻana i ka puʻuwai e hoʻoinu i ke kino.

ʻO ka poʻe me ka lawa ʻole o ka mitral ʻike pinepine i nā ʻōuli e like me ka pōkole o ka hanu ma hope o ka hoʻāʻo ʻana i ka hana māmā, ka ʻū mau a me ka luhi nui.

ʻOi aku ka maikaʻi ʻole o ke kaapuni ʻoi aku ka nui o ka pōʻino o ka mitral valve, ka mea maʻa mau i ka ikaika me ka makahiki, a ma hope paha o ka infocction myocardial, no ka laʻana. Eia nō naʻe, hiki i ka lawa ʻole o ka mitral ke lilo i pilikia hānau. Ma kēlā a me kēia ʻaoʻao, pono e mālama ʻia ka lawa ʻole o ka mitral e kahi kauka lāʻau nāna hiki ke ʻōlelo i ka lāʻau a i ʻole ke ʻoki kino.

Nā hōʻailona nui

Hiki i nā ʻōuli o ka registitation mitral ke hala i mau makahiki e ʻikea, no ka mea ke hele mālie nei kēia loli, a no laila ʻoi aku ka pinepine i nā poʻe me kahi makahiki kiʻekiʻe. ʻO nā ʻōuli nui o ka registitation mitral nā:

• Ka hanu ʻana o ka hanu, keu hoʻi i ka hoʻoikaika ʻana a i ʻole ke hiamoe ʻana;
• Luhi nui loa;
• ʻO Cough, keu hoʻi i ka pō;
• Palpitations a me ka puʻuwai heihei;
• ʻO ka pehu i nā wāwae a me nā kuʻekuʻe wāwae.

I ke alo o kēia mau ʻōuli, pono e kūkākūkā ʻia ka cardiologist i mea e hiki ai ke hana i ke kuhi a hoʻomaka ʻia ka lapaʻau kūpono loa.

Hoʻokumu ʻia ke kuhi o ka lawa ʻole o ka mitral ma muli o nā ʻōuli, ka moʻoʻōlelo a me ka mōʻaukala o nā pilikia puʻuwai a ma o nā hoʻokolohua e like me ka hoʻoliʻiliʻi ʻana i ka puʻuwai me kahi stethoscope e nānā ai i kekahi walaʻau a walaʻau paha i ka wā o ka puʻuwai, electrocardiogram, echocardiogram, x-ray, compute ke kiʻi tomography a i ʻole ke kiʻi ʻana i ka resonance ʻume mākenēki; a me ka hoʻāʻo hoʻomaʻamaʻa e nānā i ka hana o ka puʻuwai

ʻO kekahi ʻano o ka hoʻokolokolo ʻana e noi ai ka cardiologist, ʻo ia ka catheterization, e ʻae ai iā ʻoe e ʻike i ka puʻuwai o loko a e loiloi i ka hōʻino o nā puʻuwai puʻuwai. E ʻike pehea e hana ai ka catheterization puʻuwai.

Nā kekelē o ka regurgitation mitral

Hiki ke hoʻokaʻawale ʻia ka lawa ʻole o ka Mitral i kekahi kekelē e like me ke koʻikoʻi o nā ʻōuli a me nā kumu, nā mea nui:

1. Ka hoʻohaʻahaʻa mitral māmā

ʻO ka regurgitation mitral discrete, i kapa ʻia hoʻi he regurgitation mitral mālie, ʻaʻole hana i nā ʻōuli, ʻaʻole koʻikoʻi a ʻaʻole koi i ka lāʻau, ʻike wale ʻia i ka wā o kahi hoʻokolokolo maʻamau ke lohe ke kauka i kahi kani ʻē aʻe ke hana auscultation puʻuwai me ka stethoscope.

2. Hoʻololi hou i ka mitral regurgitation

Kēia ʻano o ka mitral lawa ʻole ke kumu o nā hōʻailona nonspecific ʻaʻole koʻikoʻi, e like me ka luhi, no ka laʻana, a ʻaʻohe mea e pono ai ka lapaʻau koke. I kēlā mau hihia, hoʻolohe wale ke kauka i ka puʻuwai o ke kanaka a kuhikuhi i nā hoʻokolohua i kēlā me kēia 6 a 12 mau mahina, e like me ka echocardiography a i ʻole nā ​​pahu X e nānā i ka kiwikā o ka mitral a ʻike inā ua ʻino ka regurgitation mitral.

3. ʻO ka regurgitation mitral loa

Hoʻokumu ka regurgitation mitral nui i nā ʻōuli o ka pōkole o ka hanu, ka ʻū ʻana a me ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae, a ua ʻōlelo pinepine ʻia e ke kauka e hoʻohana i ka lāʻau a hana i ke ʻoki e hoʻoponopono a hoʻololi paha i ka pahu i ka makahiki o ke kanaka.

Nā kumu kūpono

Hiki ke hana kūpono ʻole ka mitral ma muli o ka haki ʻana o ka mākala puʻuwai i hoʻokumu ʻia e ka myocardial infarction, endocarditis infective a i ʻole ka hopena o radiotherapy a i ʻole nā ​​lāʻau, e like me fenfluramine a ergotamine, no ka laʻana. I kēlā mau hihia, koi ʻia ke ʻoki e hoʻoponopono a hoʻololi paha i ka valve.

Hiki i nā maʻi ʻē aʻe ke hoʻololi i ka hana o ka valve mitral a hana i ka regurgitation mitral mau, e like me nā maʻi rheumatic, prolaps valve mitral, ka helu ʻana o ka valite mitral ponoʻī a i ʻole ka hemahema congenital valve, no ka laʻana. ʻO kēia ʻano holomua he holomua a pono e mālama ʻia me ka lāʻau a me ke ʻoki.

Eia hou, hiki i ka mitral regurgitation ke hana ma muli o ke ʻano o ka ʻelemakule, a ʻoi aku ka nui o ka makaʻu o ka hoʻomohala ʻana i ka mitral regurgitation inā aia kahi moʻolelo ʻohana o ka maʻi.

Pehea e hana ai i ka lāʻau

Hoʻololi ka mālama ʻana no ka lawa ʻole o ka mitral e like me ke koʻikoʻi o ka maʻi, nā ʻōuli a i ʻole inā e ʻino ka maʻi, a makemake e hoʻomaikaʻi i ka hana o ka naʻau, hoʻēmi i nā hōʻailona a me nā ʻōuli a me ka hōʻalo i nā pilikia e hiki mai ana.

1. Ka mālama kino ʻana

ʻAʻole pono ka regurgitation mitral akahai a palupalu paha i ka lāʻau lapaʻau, ʻōlelo ʻia ka ukali olakino maʻamau a ʻo ka pinepine e pili i ka paʻakikī o ka maʻi. I nā ʻano hihia, hiki i ke kauka ke koi aku i nā loli nohona olakino e like me ka papaʻai kaulike a me ka hoʻomaʻamaʻa ʻana i nā hana kino māmā e like me ka hele wāwae, no ka laʻana.

2. Hoʻohana o nā lāʻau

I nā hihia kahi i loaʻa i ke kanaka nā ʻōuli a mitral paha ka nui a koʻikoʻi paha, no ka laʻana, hiki i ke kauka ke kuhikuhi i ka hoʻohana ʻana i kekahi mau lāʻau e like me:

• Diuretics: kōkua kēia mau hoʻoponopono i ka hoʻoliʻiliʻi a me ka hōʻiliʻili ʻana o nā wai i nā akemāmā a i ʻole nā ​​wāwae;
• Nā Anticoagulants: Hōʻike ʻia lākou e kōkua i ka pale ʻana i ke kūkulu ʻia ʻana o ke koko a hiki ke hoʻohana ʻia i nā hihia o ka fibrillation atrial;
• Nā lāʻau lapaʻau antihypertensive: hoʻohana ʻia e kaohi i ke kahe o ke koko, ʻoiai hiki i ke kahe kiʻekiʻe ke hoʻonui i ka registitation mitral.

Kōkua kēia mau lāʻau e mālama a kāohi i nā ʻōuli, akā ʻaʻole lākou e kuhikuhi i ke kumu o ka mitral regurgitation.

3. ʻoki kino Cardiac

ʻO ke kīʻaha Cardiac, i kapa ʻia ʻo valvuloplasty, hiki ke hōʻike ʻia e ka cardiologist i nā hihia ʻoi loa, no ka hoʻoponopono ʻana a i ʻole ke pani ʻana o ka kiwikā mitral a hōʻalo i nā pilikia e like me ka maikaʻi ʻole o ka puʻuwai, fibrillation atrial a i ʻole hypertension pulmonary. Hoʻomaopopo pehea e hana ai ke kīʻaha puʻuwai no ka registitation mitral.

Mālama i ka wā o ka mālama ʻana

He mea nui kekahi mau ʻano nohona i ka mālama ʻana i ka regurgitation mitral a hoʻokomo pū ʻia:

• Hana i ka lāʻau lapaʻau e kāohi i ke kahe kiʻekiʻe;
• Mālama i ke kaupaona olakino;
• Mai puhi;
• Hōʻalo i nā mea inu ʻona a me ka caffeine;
• Hana i nā hoʻoikaika kino i paipai ʻia e ke kauka;
• Loaʻa i kahi papaʻai olakino a kaulike.

No nā wahine i lawa ka lawa ʻole o ka mitral a makemake e hāpai, pono e mālama ʻia kahi loiloi olakino ma mua o ka hāpai ʻana e ʻike ai inā e ʻae ka puʻuwai puʻuwai i kahi hāpai keiki, ʻoiai e hāpai ka puʻuwai i ka hana o ka puʻuwai. Eia hou, i ka wā o ka hāpai ʻana a ma hope o ka hānau ʻana, pono e mālama pinepine ʻia me ka cardiologist a me ka obstetrician.

I ka hihia o ka poʻe i loaʻa i ka valvuloplasty, a pono e hana i nā lāʻau lapaʻau, pono i ke kauka e kuhikuhi i nā lāʻau ʻaloʻalo e pale aku i kahi maʻi i loko o ka puʻuwai puʻuwai i kapa ʻia infocarditis infective. E ʻike pehea e mālama ʻia ai ka endocarditis bacteria.