Mitral valve prolaps: he aha ia, pehea e ʻike ai a mālama iā ia

Anter

• Nā hōʻailona nui
• Kūpilikiʻi paha ka valve mitral?
• Nā kumu o ka mitral valve prolaps
• Pehea e kuhikuhi ai
• Pehea e hana ai i ka lāʻau

ʻO ka mitral valve prolaps kahi hoʻololi i kū i loko o ka mitral valve, ʻo ia kahi kīʻaha puʻuwai i hana ʻia e nā leaflets ʻelua, a i ka wā i paʻa ai, hoʻokaʻawale i ka atrium hema mai ka ventricle hema o ka puʻuwai.

Hoʻohālikelike ʻia ka prolaps valve mitral e ka holo pono ʻole ʻana e pani i nā leaflet mitral, kahi e hōʻike ai kekahi a i ʻole ʻelua mau leaflets i kahi neʻe hewa ʻole i ka wā o ka contraction o ka ventricle hema. Hiki i kēia pani ʻole ʻana ke kōkua i ke ala kūpono ʻole o ke koko mai ka ventricle hema a hiki i ka atrium hema, i ʻike ʻia ʻo regurgitation mitral.

He hoʻololi maʻamau ia a ma ka hapanui o nā hihia he asymptomatic ia a ʻaʻole hōʻeha i ke olakino, a hiki ke hana ʻia i nā kāne a me nā wahine.

Nā hōʻailona nui

I ka hapanui o nā hihia, he asymptomat ka prolaps valve mitral a ʻike ʻia i kahi echocardiogram maʻamau. Ke hoʻopili ʻia ka loaʻa ʻana o ka ultrasound me ka loaʻa ʻana o nā ʻōuli a me ka auscultation o kahi ʻōhumu o ka puʻuwai, ʻike ʻia ʻo ia ʻo mitral prolaps syndrome.

ʻO nā ʻōuli nui e hōʻike ana i ka hoʻopulapula o ka pahū mitral ka ʻeha o ka umauma, palpitations, nāwaliwali a me ka liʻiliʻi o ka hanu ma hope o ka hoʻoikaika ʻana, ka helu ʻana i nā lālā a me ka paʻakikī e hanu i ka wā e moe ana i lalo. E aʻo e pili ana i nā ʻōuli ʻē aʻe o ka mitral valve prolaps.

Kūpilikiʻi paha ka valve mitral?

ʻO ka Prolapse o ka pahu mitral i ka hapanui o nā hihia ʻaʻole koʻikoʻi a ʻaʻohe o nā ʻōuli, a no laila ʻaʻole e hoʻopili i ka nohona i kahi ala maikaʻi ʻole. Ke kū mai nā ʻōuli, hiki ke mālama ʻia a kaohi ʻia me ka lāʻau a me ke ʻoki kino. Ma kahi o 1% o nā mea maʻi me ka mitral valve prolaps e hoʻomāhuahua ai i ka pilikia, a pono paha ke ʻoki ʻana i mea e hoʻololi ai ka pahu i ka wā e hiki mai ana.

Ke nui loa ka momona o ka mitral, aia ka nui o ka makaʻu o ke koko e hoʻi i ka atrium hema, kahi e hoʻonāukiuki ai i ke kūlana ma kahi liʻiliʻi. I kēia hihia, inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā pilikia e like me ka maʻi o nā puʻuwai puʻuwai, kahe nui o ka mitral valve a me ka puʻuwai puʻuwai ʻole, me nā arrhythmia koʻikoʻi.

Nā kumu o ka mitral valve prolaps

Hiki i ka Prolapse o ka pahu mitral ke hana ma muli o nā loli, ke lawe ʻia mai nā mākua i nā keiki, i manaʻo ʻia he kumu hoʻoilina, a ma muli paha o nā kumu i ʻike ʻole ʻia, e kū nei me ke kumu ʻole (kumu kumu).

Hoʻohui ʻia, hiki i ka mitral valve prolaps ke hana ma muli o ka hui pū ʻana me nā maʻi ʻē aʻe, e like me ka maʻi o Maritima, ka puʻuwai puʻuwai, ka maʻi ʻo Ehlers-Danlos, nā maʻi nui, nā maʻi polycystic kidney a me ka fiva rumatika. Hoʻohui ʻia, hiki ke hana ma hope o ke kaha ʻana o ka mitral valve.

Pehea e kuhikuhi ai

ʻO ke kuhi o ka mitral valve prolaps i hana ʻia e ka cardiologist e pili ana i ka mōʻaukala o ka mea maʻi a me nā ʻōuli, a me nā hoʻokolohua e like me ka echocardiography a me ka auscultation o ka puʻuwai, kahi e loiloi ai i ka neʻe ʻana a me ka neʻe ʻana o ka naʻau.

I ka wā o ka auscultation puʻuwai, lohe ʻia kahi kani popping i ʻike ʻia ma ke kaomi ʻo mesosystolic ma hope koke iho o ka hoʻomaka ʻana o ka contraction o ka ventricle. Inā hoʻi ke koko i ka atrium hema ma muli o ka pani pono ʻana o ka kiwikā, hiki ke lohe ʻia kahi ʻōhumu o ka puʻuwai ma hope pono o ke kaomi ʻana.

Pehea e hana ai i ka lāʻau

ʻAʻole pono ka mālama ʻana no ka mitral valve prolaps ke ʻole he hōʻailona. Eia nō naʻe, i ka wā e hōʻike ʻia ai nā ʻōuli, hiki i ka poʻe cardiologists ke paipai i ka hoʻohana ʻana i kekahi mau lāʻau e kāohi ai i nā ʻōuli, e like me nā lāʻau antiarrhythmic, e laʻa me ke kōkua ʻana e kaohi i nā puʻuwai puʻuwai ʻole a pale aku hoʻi i ka tachycardia ventricular e hiki ke hana ʻia i kekahi mau hanana maʻamau o ka mitral valve prolaps

Hoʻohui ʻia, koi ʻia paha ka hoʻohana ʻana i nā lāʻau diuretic e kōkua i ka hoʻoneʻe ʻana i nā wai kahe i hoʻi hou i nā akemāmā, beta-blockers, inā he palpitations umauma a ʻeha paha, a me nā anticoagulants, ka mea e kōkua ai e pale i ke kūkulu ʻia ʻana o nā clots.

I nā hihia ʻoi loa, kahi nui o ke kahe o ke koko i ka atrium hema, pono ke kīpē e hoʻoponopono a hoʻololi paha i ka pahu mitral.