The mitral vharafu: huru mhando zvaipesana mabasa ayo

Munhu wose anoziva kuti mwoyo kunokosha nhengo kuti anopa ropa kuti muviri wose uye kunovimbisa chichiitwa kutenderera kwayo. In okurapa kazhinji kuwana abnormality ari mitral vharuvhu, ndicho partition pakati kaviri ventricle uye atrium. The chikuru basa zviri kuitira kuti ropa chinopinda kubva kuruboshwe ventricle akapinda yeropa. Saka, zviri kudziviswa iyerere kunyika atrium.

Kana mitral vharuvhu ndiyo isina, ndiro ropa kubuda rinoitwa zvose mirayiridzo, tinogona kutaura pamberi zvirwere zvakadai dzezvakaipa. Pangozi muri vanhu vachitambura kubva rheumatism. Masayendisiti kwakaratidza kuti mumwe chete kurwisa rheumatic endocarditis mumwoyo womunhu mitral vharuvhu akaremara, zvinova zvishoma kwakavharwa nenyama, vanogona kunyange sag. Isolated uye pakupona, asi zviitiko izvi hadziwanzowaniki.

Mitral vharafu inogona kukamurwa mhando huru nhatu:

• kunzwisisa malformation
• stenosis
• mitral insufficiency

Inonyanya munyoro chimiro chirwere anoonekwa kuti mitral regurgitation, sezvo hazvina kukuvadza mwoyo rinenge chete vharuvhu anorasikirwa functionality kwayo. Stenosis anosimudzira vanga inotungamirwa ari atrium. A kunzwisisa malformation chinhu chakakomba chimiro chirwere, nokuti rinobatanidza maviri shanduro yapfuura.

Very zvakafanana chirwere akadai prolapse ari mitral vharuvhu. Chaizvoizvo Its uvete sagging mapapiro, nokuda kwavo guru kukura. Sezvo kutonga, nemigumisiro izvi hazvigoni kuunza. Symptomatic kuratidzwa tiri haana chirwere prolapse pamwe pakuongorora uchitikurudzira. Murwere hakurevi vavashandire, asi kunoda kugara ndichishanyira cardiologist, uyo anofanira arambe simba rinomutsa nezvokuchinja mavharuvhu kuitira kudzivirira matambudziko zvinobvira.

Kungofanana chirwere kumwoyo, ari mitral vharuvhu makuru saizi kunogona kukonzera kupfupika mweya, kukurumidza kurova kwehana mutinhimira, haagoni kuita pasina nguva nenguva tingling. The kupfuura iziviswe chinhu chakaremara anoonekwa kuti ziso-nokukwezva ruvara kuti anotaridzika kujairika pamusoro pakanyorwa chena, kunyange cyanotic chiso. Cyanosis anozviratidza pamucheto wezasi wenzeve mhuno uye nenzeve, uye chirwere ezvipikiri ndiro. Kakawanda, zvose zvezviratidzo izvi angaperekedzwa unopinza kuderera kumanikidzwa, chikosoro, kana mumatenhere maoko nemakumbo.

Kazhinji kurapa mitral vharuvhu haamanikidzwi, kunyanya kana ari kutyora yokusafa basa, uye haingowanwi. Asi kana vakadaro dysfunction kungaita kuti zvirwere zvitsva, ngozi zvikuru, vanofanira kupindira nokukurumidza. Zvichienderana kwokuomerwa chirwere nyanzvi anosarudza nzira kurapwa kwakanakisisa. Pasina kuparadzwa pachavo ichibhabhamisa pakati vharuvhu anogona kushandisa vavakezve nzira, mushonga ano zvinoita kuti aite kwacho pasina mukana kune murwere upenyu. Asi paumbwe vanga rinenge pamapapiro, vanachiremba kazhinji yemutemberi kuisa prosthesis, kureva kuti kutsiva mitral vharuvhu pamwe chakagadzirwa mapapiro. The vharafu itsva zvingava zvemaziso kana chaivo mavambo. Mechanical ane mukana sezvo upenyu basa refu. The zvipenyu vharafu yakatarwa, sezvinoita ushe, vanhu vakwegura (Makore 70), zvinoderedza sezvo zvikuru pangozi thrombus inotungamirwa.

Kana nguva kuwana uye kugadzirisa chakaremara zvakanaka, ipapo matambudziko zvakawanda zvakadai iwe haungaiswi kuvhiringidzwa. Uye kudzivirira izvi, haufaniri kuregeredza muviri kuti kukura kwete chete tsandanyama dzomuviri, asi kunowedzerawo vanokwanisa mwoyo tsandanyama.