Mitral umphini prolapse: izimpawu, izimbangela, ukwelashwa. Ingabe ukuthatha ibutho mitral valve prolapse?

Mitral umphini prolapse ... Abantu abaningi wayizwa inkulumo ethi. Nokho, bambalwa bayazi ukuthi ogulayo yasisiza ngaleli gama. Njengomthetho, kuba kodokotela kanye neziguli zibhekene nokugula. Yini igcwele ibinzana - prolapse of valve mitral? Izimpawu eveza khona lesi sifo kubonakala? uma isifo iphathwa?

izici yokwakheka

Ukuze siqonde ukuthi kuyinto mitral valve prolapse, izimpawu agcwele isifo kumele uxhumane isakhiwo bokuphila. Ngakho, cabanga isakhiwo inhliziyo. Bonke abantu kwesokunxele ventricle washiya ATRIUM kuhlobene valve mitral. Ngo oyiyo zikhona iminyango emibili. Phakathi Kufinyeta kwenhliziyo kudalulwe. Igazi, ngaphansi anomoya-mpilo, ingena phakathi i-ventricle engakwesobunxele. Lapho yokugcina kuzoncishiswa, ukugeleza siqondiswe kwegazi. bazogcwalisa Iyonke kwezicubu nge mpilo nezakhi.

Umsebenzi oyinhloko valve mitral ukuvimbela kabusha Ukuxoshwa igazi umgodi we Atria kusukela ventricles. Embusweni enempilo, alwa ngayo umsebenzi wakhe. Valve amandla esiwuphawu kanye kwabantu, okuhlanganisiwe kahle.

Manje cabanga pathologies ngenhla. By endleleni, igama elithi "prolapse" ngokwezwi nezwi lisho "nokuwohloka". Ngakho, lokho okushiwo yinkulumo isifo itholakala esishubile valve mitral. Ngakho-ke, i-interlock uvalwe akakwazi. Umsebenzi we imisipha yenhliziyo iphazamisekile. Mitral umphini prolapse ukuhlukanisa izimpawu ezihambisana ne regurgitation okuphindiwe igazi ventricle libuyiselwa ATRIUM. Kwezokwelapha, lokhu zokugula libizwa regurgitation.

Izimbangela isifo

Uma sicabangela isifo kusukela umbono wemibhalo eminingi engelona iBhayibheli kwabangela isifo, ukukhululwa:

• azalwa naso (ingozi);
• Ngazuza (ngaphandle nje kokuthi kwakuyoba umphumela ezinye izifo).

Ezimweni eziningi kutholakala ukuthi uphethwe yini ngesikhathi sokuzalwa mitral valve prolapse. Lesi sifo ngokuvamile kwenzeka kahle. Odokotela bathi lokhu zokugula, kunalokho, izici nomzimba ngaphezu kulokhu kugula. Ngesisekelo ukuphazamiseka azalwa naso isakhiwo. Mayelana nalo kukhona buthakathaka ezicutshini. Lokhu zokugula ngokuvamile idluliselwe ingane ngofuzo. Ngenxa yalokho yobuthakathaka izicubu ngaphansi igazi nengcindezi enamandla, enezinto ababuthakathaka ungavali uvalwe. Ingabe protrusion yabo. izimpawu ezikhethekile lolu hlobo sifo lihlukile. Futhi kaningi ngaphezu akudingeki ukuphathwa ngendlela ekhethekile.

Kakhulu kangakanani mitral umphini prolapse kwenzeka ngenxa yesifo senhliziyo.

Ngokuvamile, isifo eba ngemuva:

1. Rheumatism. Lokhu zokugula landile izingane. Khona kanye ukubukeka kwawo kubangelwa ukuvuvukala ezicutshini ukuthi yakha ibhande lendwangu futhi kuzithinta. Ukuqala isifo landulelwa scarlet fever noma umphimbo obuhlungu. kamuva 2 amaviki ingane livela kuhlasela rheumatism. Ingane ubuhlungu, ukuvuvukala emalungeni ezinkulu, ukuqina yabo.
2. ischemia senhliziyo. Njengomthetho, emthonjeni onjalo ixhunywe nabantu asebekhulile. Kusukela intuthuko mitral umphini prolapse landulelwa noma ischemic isifo senhliziyo noma isilethikusebenza. Kubi liningi igazi, futhi ngezinye izikhathi ukulele ukudabuka imbangela ubuthakathaka, iphika. Indaba engenhla ephelezelwa izimpawu zobuhlungu enhliziyweni. Ukuhlolwa kwembula prolapse.
3. ukulimala Sternum. umonakalo abahlukahlukene mechanical kungaba avuse waphuka ukulele. Lokhu zokugula libhekene Yiqiniso sasivumela okungekuhle. Lolu hlobo abanezidingo ezikhethekile ukwelashwa esifike ngesikhathi.

Kuye imbangela, bangelani prolapse of valve mitral, izimpawu kanye nokwelashwa nemikhuba yazo ihluke kakhulu. Ngakho-ke uyelulekwa ukuze sidingide ikhanda ngalinye ngokuhlukile.

Izimpawu yesifo azalwa naso

Ngokuvamile izingane mitral umphini prolapse ijoyina dystonia (VVD). Odokotela bathi zonke izimpawu nje "isibaluli" isifo ezifana mitral valve prolapse. Izimpawu ezinganeni nje IRR.

Ake sicabangele kubo:

1. Ukulungisa ubuhlungu endaweni inhliziyo. izimpawu ezinjalo kuyigama sokusebenza. Akukona abonisa ukungasebenzi inhliziyo. Kobuhlungu obubangelwa ukungathembeki komuntu ukuphazamiseka isimiso sezinzwa. Ukuvela lesi sici kwandulelwe ukucindezeleka ngokomzwelo, ukucindezeleka. Ngezinye izikhathi angase zenzeka ngisho isimo lokuphumula okuphelele. Ubuhlungu ziyahlukahluka ukubonakaliswa yayo. Kusukela ukuluma omnene kumafomu ukubelesela njalo. Ukungakhululeki okungatheni kungase kuhlale imizuzwana embalwa noma yokwelula ukuphila ngazo izinsuku eziningana. Kubalulekile ukukhumbula ukuthi lokujabulela ubuhlungu endaweni yenhliziyo, senziwa mitral umphini prolapse neze lula umsebenzi. It is hhayi ephelezelwa iphika, isiyezi, yokufikelwa. Uma ubona lokhu ngemuva zezimpawu ubuhlungu benhliziyo, ke kuba isibopho uye kudokotela uyofuna icebiso. Singakhuluma mayelana izifo ezingathi sína.
2. Palpitations. Lokhu kuhlasela kungenziwa alternated nge "kucwila" abukhali we "injini" eyinhloko emzimbeni. Lichaza izimpawu ezifana ukuhlukumeza isimiso sezinzwa. Lapha sikhuluma umsebenzi owengeziwe. Kukhona ukuhlaselwa kusenjalo futhi nje uhambe. Into esemqoka okufanele uyikhumbule wukuthi uma ukugula kwethu abakwazi kuhlangene nokulahlekelwa ukwazi, isiyezi.
3. Ekuqulekeni. Cishe singahlangabezani izimpawu inikezwe. It is kuyaqabukela elihlobene ne prolapse. Njengomthetho, bona kungabangela ikamelo stuffy noma imizwelo (yokwesaba). Ziyakwazi kalula futhi ngokushesha sidlule. Kuyinto umoya ngokwanele fresh noma pat ukukhanya.

Ingabe yesifo azalwa naso esiyingozi?

Hlaziya degree of kobukhulu isifo kungenziwa kuphela wazibonela Uchwepheshe ngesisekelo uphethwe, nemlandvo wetekwelashwa kwakhe. Ukuze guys, ngabizelwa inkonzo yezempi, ngempela umbuzo ezifanele ukuthi ayingozi noma cha mitral valve prolapse. Ibutho izoshayela abafana nalesi sifo nezikhundla zabo noma cha?

Ngeshwa, impendulo elula akukho. Kufanele kubhekwe ukuthi izimpawu ezibangela isifo. Uma lesi sifo hhayi izimpawu kungacacile, udinga ukwelashwa okukhethekile-ke, njengoba kushiwo ngaphambili, lolu zokugula chasiselwe izici umzimba.

Enye ukukhathazeka ezivamile livela ngesikhathi sokukhulelwa. Futhi uma hhayi eyingozi kulesi sifundazwe mitral valve prolapse? Izimpawu kubantu besifazane cishe neze ukuthuthukiswa yezinkinga musa umphumela. Nokho, uma owesifazane okhulelwe sitholakale yesifo azalwa naso, qiniseka udokotela ukuba khona kufanele aziswe ngayo. Njengoba umthetho, udokotela wezifo zabesifazane ithumela nesineke ukuhlola okunzulu kuya wenhliziyo.

Symptomatology lesi sifo Kutholiwe

Kunamaphuzu amaningana iziyaluyalu inhliziyo, njengoba kushiwo ngaphambili, kungaholela ukuthuthukiswa lesi sifo. Uma namathansela idluliselwe, scarlet fever yaba umthombo, sokucasuka mitral izimpawu umphini prolapse ezinganeni kanye intsha zimi kanje:

• ukukhathala;
• passivity nokwenqaba iyiphi imisebenzi asebenzayo;
• ngenxa yobuthakathaka;
• okuvela iphika ngemva kokuzivivinya;
• isiyezi;
• palpitations.

Uma lesi sifo sitholakale umuntu iminyaka yobudala bomuntu, kokuba angina noma ischemia kwenhliziyo, izimpawu has uhlamvu ezilandelayo:

• ekuhlaseleni sebuhlungwini obunzima endaweni inhliziyo (reception "nitroglycerin" eqeda ukuzwa ezingemnandi);
• iphika ukuthi kwenzeka ngisho ukuzikhandla ongaphakeme;
• "Ukwehluleka" kwenhliziyo, i-gqwa "lantambama" umzimba.

Lo mcimbi ezingavamile kakhulu ekuthuthukiseni lesi sifo ngenxa ukulimala sternum. Kulokhu, lesi sifo siba zimpawu ezilandelayo:

• palpitations inhliziyo, "ukuphazamiseka" emsebenzini;
• buthaka;
• iphika ngemva umthwalo, ngezinye izikhathi ngisho uphumule;
• ukubukeka ukukhwehlela ne frothy isikhwehlela luhlaza pink.

Esimeni izinsalela lokugcina isiguli kufanele ngokuthi "ambulensi" ngokushesha. Kuyinto ukubukeka abuhlungu ukukhwehlela futhi phlegm - ezimbi kakhulu, uma sikhuluma okuholela ukulimala mitral izimpawu valve prolapse. Kungenzeka yini ukuba lesi sifo sibulala? Ngeshwa, izimpawu zalesi, noma ikuphi ukuzindela wayengase abulawe.

ubukhulu isifo

Ezimweni eziningi, yesifo azalwa naso itholwa ngezinye ultrasound inhliziyo. Futhi ngokuvamile, ngengozi. Njengoba izimpawu iziguli akazange ahlupheke. US kuyindlela ephumelela kunazo ahlolisise ukucinana inikezwe. Phela, kanye isiqinisekiso uphethwe, kulolu cwaningo inquma sezingeni isifo. Ngaphezu kwalokho, ukwenza i-ultrasound inikeza ukwaziswa futhi regurgitation.

Kwezokwelapha, kukhona izigaba isifo ezilandelayo:

• 1 degree. Leli fomu elinesimo ezinkulu kancane amapheshana valve. Ubukhulu zokugula enjalo iyahlukahluka kuze 5 mm.
• Mitral umphini prolapse 2 degrees. Lapho leli fomu sitholakale bulging kakhulu okukhulu. Lolu hlobo libhekene-9 mm.
• Ibanga 3 umkhuhlane. ifomu Okuningi ezinzima. Lapho ezinkulu wakhe igujwa kusukela mhla lu-10 mm nokuningi.

Nokho, lokhu kuqhekeka akuvezi regurgitation. Ngakho-ke, lokhu ngezigaba akuyona okudume kakhulu uphethwe yesimanje. Okuningi kuyinkomba ebaluleke kubhekwa degree of valve esingamahlalakhona. Yena ephawula ivolumu yegazi kuwumphumela Ukuvalwa ongaphelele ngalo ingaphakathi ageleza libuyiselwa ATRIUM. Lesi sibalo sikubonisa ngokucacile ultrasound.

izinhlobo izifo

indlela eyodwa ngezigaba zesifo kwezokwelapha alikho. Kunezigaba eziningana.

Ngu indawo iqhubu (prolapse) amaphiko kukhona ukwahlukana ezilandelayo:

• Prolapse we Ipheshana anterior of valve mitral. Lokhu zokugula ubhekwa ezivamile, njengoba sitholakale ezimweni eziningi.
• Protrusion we Ipheshana posterior. Lolu hlobo kukalutshwana kakhulu.
• Prolapse kokubili amapheshana.

Ukugula nezemidlalo

Ingabe kuyamukeleka elinikeziwe uphethwe umsebenzi? Kumele wakhumbula ukuthi inhliziyo isicubu. Yingakho, umthwalo ngokulinganisela wusizo uma isiguli ningagcini liphinyiselwe esibonisa mitral izimpawu valve prolapse. Ezemidlalo uncoma: ukugijima, ukuhamba, ukubhukuda, wamabhayisikili.

Kufanele kukhunjulwe nokuthi iyiphi angahlangani wenhliziyo kwandisa amathuba okuvela arrhythmias.

Yisosha

inkonzo yezempi ubhekwa ehambisanayo ngempela nabantu njengoba mitral valve prolapse. Ibutho Uyobiza tinombolo iziguli anjalo. Nokho, akubona bonke. Kukhona okuhlukile ezithile. Uma isiguli wembula uphethwe - a mitral valve prolapse nge regurgitation grade 2 Isinyathelo 2 - kuba isizathu esanele conscript yaziwa njengenye langakufanelekela inkonzo.

Army ukuze iqukethe isihloko ku "rheumatism." Kulokhu, akusiyo eziphathelene nokugula kanye nemiphumela cuphuluza kubo. By endleleni, abanye babo bangase babe ezihluke ngokuphelele ukuba prolapse. Ngezinye izikhathi zingabantu geqe.

Kubalulekile ukuqonda ukuthi lokuphuma phambili okumisiwe prolapse asizwakali oda. It okukhulunywa sokusebenza kuphela. Nokho ziqashe, okuyinto sitholakale mitral umphini prolapse 2 degrees, nge kahle conductivity arrhythmia zingase zingabafaneli inkonzo.

Ukwelashwa nokuvikelwa yesifo azalwa naso

Njengoba cishe alibonakali uma kwatholakala ukuthi nginesifo azalwa naso mitral valve prolapse, izimpawu, ukwelashwa, ngokulandelana, kungukuthi inikezwa. Endabeni ka izimpawu enzima ezifana ukuqwasha, ikhanda, ukupholisa Kunconywa engayitholi. Njengoba ojwayelekile, linqume izidakamizwa "okusha Pass", valerian. ejenti okunjalo waqala ku amakhambi, emihle kujwayeleke umsebenzi isimiso sezinzwa. Ngaleyo ndlela sibe nengxenye nokuqedwa izimpawu ezingezinhle.

Ngokuvamile Kunconywa ukuthola izimali "Magnesium B6", "Magnerot". Le mithi isinyathelo emzimbeni evuma. Ngakho-ke, umphumela nokuphathwa yabo iyafana ukuthi kuchaziwe ngenhla.

ukuphathwa Ukungaphathwa kudinga isifo, ephelezelwa izinguquko eqinile zenhliziyo. Isiguli bangezwa ubuthakathaka, iphika, ukuhlaselwa ubuhlungu. Ngokuvamile, kuleli cala, ultrasound zokugula waqinisekisa ngokuhlonza regurgitation abalulekile. Zenhliziyo wethula izidakamizwa ukwelashwa, ogama senzo ihlose normalizing inhliziyo isigqi. Nokho, kubalulekile ukuqonda ukuthi udokotela kuphela uyakwazi ukuthola ukwelashwa okulungile ngesisekelo izici luyingxenye ngabanye lesi sifo.

Ukwelashwa kwezifo atholwe

isifo Amaqhinga ukulwa kuxhomeke ezicini eziningi. Ukuze sibe abafundisi abaphumelelayo, ukwelashwa kunakwe ngokwezinga lesi sifo, it is kunakwe, kwatholakala ukuthi nginesifo prolapse we Ipheshana anterior of valve mitral, bakhulise noma kokubili. Kubaluleke kakhulu iyona enye inkomba ukukhethwa yokwelapha eziyinkimbinkimbi - ivolumu regurgitant.

Ukwelashwa amafomu azalwa naso we prolapse kuxhomeke umthombo, sokucasuka isifo. Uma imbangela sifo scarlet fever noma umphimbo obuhlungu, isiguli imithi elwa namagciwane enqunyiwe.

Ukugula ezivukayo ku isizinda ischemia kudinga indlela uhlukile. Kulokhu, ukuphathwa ikhethwa, ikhono kujwayeleke igazi eligciniwe kwenhliziyo, ephansi blood pressure.

Uma ukulimala sitholakale mitral valve prolapse, operation inhliziyo - ngokuvamile kuphela indlela yokuphuma. Uma isiguli benganhlanhlathi esebenzisa indlela yokwelashwa, kunconywa ukuhlinzwa. Ukusebenza ikuvumela ukubuyisela operation evamile valve.

Prevention lokugula

Kubalulekile ukuqala kusukela ebuntwaneni ukuvikela umzimba kusuka nemiphumela ebuhlungu. Kungakhathaliseki ukuthi liphinyiselwe sitholakele mitral izimpawu valve prolapse, prophylaxis isekelwe izinqubo zokwelapha kanye ukuzikhandla ngokulinganisela.

isikhathi kubaluleke kakhulu ukwelapha zonke izifo. Kufanele ukuvikela ezingamahlalakhona ukutheleleka foci. Lokhu kusebenza namazinyo carious, namathansela. Ngu izinkomba ingase tonsillectomy Kunconywa. Kubaluleke ngokufanayo ukugwema noma isikhathi aphathe umkhuhlane.

Intsha nezingane e saziso zibhaliswe ne udokotela. bona belulekwa ukuba ibhekane nokuhlolwa odokotela njalo.

Isihloko zasenhla, iziguli akazange uhlupho echaza izimpawu mitral valve prolapse. Izibuyekezo zabantu abaye batholakala bene-ukugula, ukuvumela ukubona lokhu. Njengomthetho, ukungakhululeki ezingemnandi kubangela IRR. A prolapse akuvimbeli ukuphila ngendlela evamile.

isiphetho

Kuyinto evamile emzimbeni, kukhona eziyingozi ukuthi wayithukuthelisa mitral valve prolapse. Izimpawu zesifo ezimweni eziningi lingekho ngokuphelele. Noma kunjalo, akufanele sikhohlwe ngakho. Indlela engcono kakhulu ukuvikela umzimba kusuka nemiphumela ebuhlungu - kuyinto indlela yokuphila enempilo.