Te taima panui: 10 meneti
Ripanga o Ihirangi
- He aha te Mate Takirua Mitral Myxomatous (MMVD)?
- He aha te mahi a te takirere mitral i roto i te hanganga anatomical o te ngākau?
- He aha te take o te mate takirere mitral (endocardiosis), ā, he āhuatanga ira kei reira?
- He aha ngā tohu o te mate takirere mitral?
- Me pēhea te tautuhi i te mate takirere mitral?
- He aha atu ngā raruraru ka puta ake i te mate takirere mitral?
- Me pēhea taku aroturuki i taku kuri me te mate mitral valve i te kāinga?
- He aha te rongoā mō te mate takirere mitral?
- He aha tāu e tumanako ai?

BruceBlaus, CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0, ma te Wikimedia Commons
He aha te Mate Takirua Mitral Myxomatous (MMVD)?
Ko te Mate Mitral Valve Myxomatous (MMVD) te mate manawa tino noa i roto i ngā kurī. Te koretake o te takirere mitral Ko te regurgitation mitral (te ngoikore rānei o te takirere mitral) he āhuatanga e ngaro ai te āhuatanga "hiri" o te takirere mitral (te takirere ngākau i waenganui i te atrium maui me te ventricle maui). Ko te tikanga tēnei kāore e taea e te uaua ngākau te aukati katoa i te rere o te toto ki roto i te atrium maui i te wā e kuiti ana. Ko tēnei rere o te toto... mitral regurgitation ka karanga te reira.
Ko te tino take o te ngoikore o te takirere mitral ko ... te mate ngakau o te takirere mitral He mate tēnei e kīia ana ko [ingoa o te mate].
Ka puta ake tēnei mate i roto i ngā kurī i muri mai i te oranga kāore e whakaatu i ngā tohu o ngā hē o te takirere i te whānautanga.
Ko te Mate Takirua Mitral Myxomatous (MMVD) e tohuhia ana e ngā whara haere o te takirere mitral, kei waenganui i te atrium maui me te ventricle maui. Ko te takirere mitral te mea tino pā ki te mate, engari ka taea te pakaru tetahi o ngā takirere e whā o te ngākau. I roto i te 60% o ngā take Ko te takirere mitral anake ka pāngia. I roto i te 30% o ngā take Ka pāngia te takirere mitral me te takirere tricuspid. I roto i te 10% o ngā take Ko te endocardiosis o te takirere tricuspid anake ka kitea. Ko ngā takirere mitral, he angiangi, he mārama, he ngohengohe hoki i te nuinga o te wā, ka matotoru, ā, ka pakaru tō rātou hanganga nā tēnei mate.
Ka ārai ēnei whara i roto i te takirere mitral i tōna kati tika, ka puta te turuturu o te takirere mitral. E kīia ana tēnei āhuatanga e ngā tākuta kararehe ko te "mitral regurgitation." Ko te kaha o te turuturu ka whakawhirinaki ki te kaha o ngā whara i runga i te takirere. He maha ngā wā, ka whakawhāitihia te turuturu i ngā wāhanga tōmua o te mate, engari ka nui haere te kino i a ia e haere whakamua ana.
He rerekē te tere o te whanaketanga o te Mate Takirua Mitral Myxomatous (MMVD) i waenga i ngā tāngata takitahi. He maha ngā tau ka taea e ngā kurī e pāngia ana te manawanui ki te mate. Heoi, i roto i te wā, ka kore e taea e te ngākau te aro atu ki te pikinga o te mahi, ā, ka puta te ngoikore o te ngākau. I tēnei wā, he mea nui ngā tirotiro kararehe auau me te tikanga maimoatanga tika hei whakapai ake i te kounga o te oranga o te kurī.
Te whakamahinga o ngā kupu:
Te Endocardiosis o te Takirere Mitral: He kupu haumanu ake tēnei e whakamahia ana, ā, ko te nuinga o te wā he pai ake hei whakaahua i te momo mate e pā ana ki ngā kurī.
• Te Hekenga o te Takirere Mitral Myxomatous (MMVD): He kupu hangarau ake tēnei, ā, e whakamahia ana hei whakaahua i ngā huringa hanganga pirau o te takirere mitral. E whakanui ana tēnei kupu i te tikanga mate o te mate.
He aha te mahi a te takirere mitral i roto i te hanganga anatomical o te ngākau?
I roto i te rauropi hauora, ka whai te rere o te toto i te ara kotahi-angi i roto i te ngākau. Ka tomo te toto ki te atrium matau mai i te rere o te tinana mā roto i te vena cava o raro me te vena cava o runga (ngā uaua angaanga me ngā uaua hiku). Mai i reira, ka haere mā te takirere tricuspid ki roto i te ventricle matau. Ka pupuhi te ventricle matau i te toto mā roto i te takirere pūkahukahu ki roto i te uaua pūkahukahu. Ko te toto, he nui te hāora i roto i ngā pūkahukahu, ka tae ki te atrium maui mā roto i ngā uaua pūkahukahu. Mai i te atrium maui, ka haere te toto mā roto i te takirere mitral ki roto i te ventricle maui, ka pupuhihia mā roto i te takirere aorta ki roto i te aorta ka hoki anō ki te rere o te toto o te tinana.
Eğer takirere mitral Ki te kore e kati tika te takirere aorta, ko ētahi o te toto e tika ana kia papua mai i te takirere aorta ki roto i te tohanga toto o te tinana ka hoki ake pea ki te atrium maui.
He aha te take o te mate takirere mitral (endocardiosis), ā, he āhuatanga ira kei reira?
Ahakoa kāore i te tino mōhiotia te tino pūtake o te mitral valve endocardiosis, e whakaponohia ana he tohumate noa iho. ngoikore o te kiko honohono E whakaarohia ana he hononga tēnei ki tēnei. Ko te pirau o te kiko honohono nā te āheinga ira te take pea o te endocardiosis.
Ko te Mate Myxomatous Mitral Valve (MMVD) ka kitea nuitia i roto i ngā momo kuri iti ki te rahi waenga pērā i te Cavalier King Charles Spaniels (CKCS), Dachshunds, Miniature Poodles, me Yorkshire Terriers. Heoi, ka pā tēnei mate ki tētahi momo kuri.
Kāore anō kia mōhiotia te tino pūtake o te Myxomatous Mitral Valve Disease (MMVD). Heoi, ko te tirohanga pūtaiao matua ko ngā ira me te whakapapa he mea nui ki te whanaketanga o te mate. Ko tēnei whakapono e ahu mai ana i te meka ko ētahi momo kuri, pērā i te Cavalier King Charles Spaniels (CKCS) me te Dachshunds, ka pāngia e te mate i te wā tamarikitanga. Hei tāpiri, ko tēnei āhua me te pakeke o te tīmatanga e whakaarohia ana he whakapapa i roto i ēnei momo kuri.
E whakaatu ana tēnei mōhiohio i te hiranga o te whai whakaaro ki ngā āhuatanga ira mō te tautuhi me te maimoatanga wawe o te Myxomatous Mitral Valve Disease (MMVD).
Ngā Āhuatanga Rite i roto i te Rongoā Tangata
• I roto i te tangata ngā mate hanganga collagen Ko te pikinga ake o te mitral valve endocardiosis i roto i ngā tāngata whai mate pēnei i te Marfan syndrome, me tōna horapa i roto i ngā momo kuri chondrodystrophic (Dachshund, Cocker Spaniel) e whai mate kiko honohono ana pea, e tautoko ana i tētahi ariā ōrite.
Ngā Ariā Tawhito me ngā Tirohanga o Nāianei
• I mua i whakaarohia ko ngā mate niho te take o tēnei mate pirau mā te horapa o ngā huakita ki roto i te toto. Heoi, kāore tēnei ariā e whai mana ana i ēnei rā.
• Ko te mea tino pono, he nui te auau o te mate. he wāhanga ira He mate tēnei e tukuna ana i te nuinga o te wā mai i ngā mātua ki ngā tamariki.
Nō reira, he mea tino nui te tautuhi wawe i te mate me te tirotiro i ngā kararehe i ia wā, inā koa mō ngā momo mōrearea.
He aha ngā tohu o te mate takirere mitral?
Ko te nuinga o ngā kurī e pāngia ana e te Myxomatous Mitral Valve Disease (MMVD) kāore e whakaatu i ngā tohu haumanu i te wā e pāngia ana e te mate. Ko ngā kurī i ngā wāhanga tōmua o te mate ka taea e rātou te whakamanawanui i te whakakori tinana me ngā mahi o waho, engari kāore e whakaatu i ngā tohu o te mate manawa.
Heoi, i te whanaketanga o te mate ki ngā wāhanga kino rawa atu, ka pāngia pea ngā kurī e te ngoikore o te tinana, ā, ka puta pea ngā tohu ngoikore. I ngā wāhanga matatau o te mate, ka piki ake te mōrearea o te pupuhi pūkahukahu (te kohi wai i roto i ngā pūkahukahu) nā te aukati o ngā pūkahukahu (te ngoikore o te ngākau). Ahakoa he ngawari noa ngā tohu tōmua o te ngoikore o te ngākau, ka tere te kino haere o ēnei tohu i roto i ngā rā, i ngā wiki rānei.
Ko ngā kurī e pupuhi ana i te pūkahukahu me te pupuhi ka kitea he tere ake te manawa, te uaua o te manawa, me te maremare. Ko ngā kurī e pāngia ana e te ngoikore o te ngākau kare e marino, e manukanuka ana, e pai ake ana ki te takoto ki te sternum, inā koa i te pō. Ko ēnei kurī kāore e mahi ana, ā, ka ngaro pea te hiahia kai. Hei tāpiri, ko ētahi kurī ka pāngia e te hemonga poto (syncope).
Ka pāngia anō hoki te taha matau o te ngākau e te Mate Myxomatous Mitral Valve Matatau (MMVD). I tēnei wā, ka puta pea te pupuhi o te puku me te kohikohinga wai kore utu (ascites) nā te aukati i ngā whekau puku. E kiia ana ēnei tohu he tohu nui mō te āhua matatau o te mate, ā, me tirotirohia tonutia e te rata kararehe.
Me pēhea te tautuhi i te mate takirere mitral?
Ko tētahi o ngā kitenga haumanu tino kitea i roto i te Myxomatous Mitral Valve Disease (MMVD) ko te haruru o te ngākau ka taea te kite mā te whakamahi i te stethoscope. Ka puta tēnei haruru i ngā wiri e puta mai ana i te rere o te toto e turuturu ana ki muri mai i ngā rau pakaru o te mitral valve ki te atrium maui.
Ka whakarōpūtia ngā ngunguru o te ngākau i runga i te kaha o te ngunguru, ā, ko te kaha o ngā ngunguru i puta mai i te Myxomatous Mitral Valve Disease (MMVD) ka piki haere i te haere whakamua o te mate. Nō reira, ko te kaha o te ngunguru e kiia ana he tohu mō te kaha o te mate.
Ka taea te tautuhi i te mate Myxomatous Mitral Valve (MMVD) mā te tirotiro ultrasound o te ngākau (echocardiography). Kia tautuhia, ka taea te aroturuki i te whanaketanga o te mate e ngā tākuta kararehe mā te whakamahi i te stethoscopic ascultation, te ultrasonography, me ngā whakamātautau X-ray. He mea nui tēnei tukanga aroturuki mō te whakahaere mate me te pupuri i te kounga o te oranga o te kurī.
He aha atu ngā raruraru ka puta ake i te mate takirere mitral?
I roto i ngā mate takirere mitral, ka puta pea ētahi atu raruraru. Ka puta ēnei āhuatanga i runga i te haere whakamua, i ngā momo kino rānei o te mate:
1. Te Manawa Pūmau Kore (Arrhythmias): Tērā pea he rerekētanga o te manawataki o te ngākau. Ka pā kino pea tēnei ki te mahi a te ngākau, ā, ka kino ake ngā tohu o te mate.
2. Te ngoikore o te ngākau matau: Ka taea e te toto toto tiketike i roto i ngā oko o te pukahukahu (te toto toto tiketike o te pukahukahu) te arahi ki te ngoikore o te ngākau matau. Ka puta he aukati i roto i te toto me te kohikohi wai i roto i te tinana.
3. Te Pakaru o te Atrium Mauī: Ka pakaru pea te atrium maui, ka hua ake he raruraru nui. Ka turuturu te toto ki roto i te pericardium (te arai o te ngākau). Nā te kore e taea e te pericardium te whānui, ka uaua ki te ngākau te whakakī i te toto, ā, ko tēnei āhuatanga... tamponade ngakau Ka hua ake tēnei i tētahi āhuatanga morearea e mōhiotia ana ko te pakaru o te atrium maui. He maha ngā wā ka hemo ēnei tūroro, ā, ka tūpono rātou ki te mate ohorere. He waimarie, he onge te pakaru o te atrium maui, ā, ka puta noa i ngā wāhanga tino matatau o te mate.
4. Wehenga o Chordae Tendinals: Te tautoko i te takirere mitral Ngā Chorda tendineae Tērā pea ka pakaru tētahi, ētahi rānei o ēnei hononga muka, e kiia nei ko ngā hononga ductal. Ka taea e tēnei te puta he pupuhi pūkahukahu nui, ā, ka heke ohorere te āhua o te tūroro. Ki te kore e rongoatia, ka mate pea.
Ahakoa he onge ēnei raruraru, ka taea e rātou te arahi ki ngā raruraru hauora nui i roto i ngā momo mate kua horapa. He mea nui ngā tirotiro kararehe auau me te wawaotanga wawe hei ārai, hei whakahaere rānei i ēnei raruraru.
Me pēhea taku aroturuki i taku kuri me te mate mitral valve i te kāinga?
Mena kei te pāngia tō kurī e te mate Myxomatous Mitral Valve (MMVD), me aroturuki tonu koe i tōna tere manawa i a ia e moe ana i te kāinga. I te nuinga o te wā, me iti iho i te 30 manawa ia meneti te tere manawa i te wā moe. Heoi, ki te nui ake i te 30 manawa ia meneti te tere manawa i te wā moe, me toro atu koe ki te rata kararehe. Tērā pea he tohu tēnei kua tīmata te kohikohi wai i roto i ngā pukahukahu (te ngoikore o te ngākau).
Ko ngā kurī he mate Myxomatous Mitral Valve Disease (MMVD) ngāwari, kāore e hiahiatia he here kai, he here whakakori tinana rānei. Ko ngā kurī he mate Myxomatous Mitral Valve Disease (MMVD) kua pāngia e te mate, kāore e whakaatu i ngā tohu o te ngoikore o te ngākau, ka taea hoki e rātou te hikoi roa i runga i tō rātou ake tere. Heoi, he mea nui kia karohia te whakakori tinana kaha me ngā kai nui-konutai mō ngā kurī kua pāngia e te mate. Ka taea e tēnei te whakaroa i te haere whakamua o te mate, ā, ka āwhina hoki ki te pupuri i te kounga o te oranga o tō kurī.
He aha te rongoā mō te mate takirere mitral?
Kua roa te tautohetohe mō te rongoā i ngā kurī e pangia ana e te mate myxomatous mitral valve (MMVD) engari kāore he tohu. Heoi, kua whakaatuhia e ngā rangahau hou, mō ngā kurī e pangia ana e te mate myxomatous mitral valve (MMVD) me te whakanui i te ngākau, mā te maimoatanga wawe ka roa ake te ora me te kore e whakaatu i ngā tohu haumanu o te ngoikore o te ngākau.
Ka rerekē pea ngā huarahi maimoatanga mō ngā kurī e pāngia ana e te ngoikore o te ngākau puku ngawari ki te ngoikore. Ka whakatauhia te tikanga maimoatanga e tō tākuta kararehe i runga i te wāhanga o te mate me ngā kitenga haumanu a te kurī. Ko te tikanga, ko ngā rongoā hei tautoko i te mahi a te ngākau me ngā rongoā diuretic hei whakaiti i te nui o te wai e puta mai ana.
I te wā e rongoatia ana, he mea nui ngā tirotiro kararehe auau hei aroturuki i ngā putanga rongoā me te whakatū i tētahi mahere maimoatanga tika. I te wā e tiaki ana i te kāinga, he mea pai te pupuri i ngā kōrero auau ki tō rata kararehe mō te āhua o tō kurī. Ka taea te aroturuki i te haere whakamua o te Myxomatous Mitral Valve Disease (MMVD) mā roto i ngā whakamātautau auau, kia taea ai te whakarerekē i te mahere maimoatanga ina hiahiatia. He huarahi nui tēnei hei tiaki i te kounga o te oranga o tō kurī me te whakaiti i ngā pānga o te mate.
He aha tāu e tumanako ai?
• Te roa o te mateKa taea e ngā kurī te noho kore tohu mō ngā tau, engari ina puta mai ngā tohu, me tino tupato te tiaki i te mate.
• Te roanga o te orangaI te whanaketanga o te mate, ka heke pea te kounga o te oranga o tō kurī. Heoi, mā te tautuhi wawe me te maimoatanga auau ka roa ake te roa o tōna oranga.
• He mea tino nui te aroturukitanga auau.Mā te tirotiro tonu i ngā kararehe e ai ki ngā taunakitanga a tō tākuta kararehe ka piki ake te angitu o te maimoatanga.
Myxomatous Mitral Valve Disease (MMVD)Koinei te mate manawa tino noa i roto i ngā kurī. Mā te tirotiro i te rata kararehe i ia wā, te aroturuki i te tere o te manawa i te kāinga, me te whakamahi tika i ngā rongoā ka āwhina i tō kurī kia ora ake. Mā te noho whakapā atu ki tō rata kararehe puta noa i tēnei tukanga ka āwhina i te whakatutuki i ngā hua pai rawa atu.
Ētahi atu Tuhinga ka hiahia pea koe
"He rautaki te hihiri mō te hanga i tētahi heke mai pai ake."
Noam Chomsky