Inofungidzirwa nguva yekuverenga: 5 Mineti
Zviri Mukati
- Chii chinonzi Supravalvular Mitral Valve Obstruction?
- Kusiyana pakati peSupramitral Ring (SMR) uye Cor Triatriatum Sinister (CTS)
- Inoonekwa Mumarudzi Api?
- Ndezvipi zviratidzo?
- Ko Supravalvular Mitral Valve Obstruction Inowanikwa Sei?
- Ko Supravalvular Mitral Valve Obstruction Inorapwa Sei?
- Chii Chakakosha Kwechirwere Ichi?
Chii chinonzi Supravalvular Mitral Valve Obstruction?
Supravalvular Mitral Valve Obstruction (SMI) imamiriro ezvinhu apo pane kuvharidzira kuyerera kweropa kune ventricle yekuruboshwe yemoyo. Chidziviso ichi chinotadzisa kuyerera kweropa pakati peatrium yekuruboshwe uye ventricle yekuruboshwe. Izvi zvinoita kuti mwoyo ushande nesimba kupomba ropa.
Aya marudzi ezvivharo akanyanya kushomeka uye kazhinji Supramitral mhete (SMR) kana cor triatriatum sinister (CTS) Inobatanidzwa nezvinhu zviviri zvisina kujairika zvinonzi . Kunyangwe mhedzisiro uye zviratidzo zvekiriniki zveaya maviri mamiriro pamuviri akafanana, zvikonzero zvavo uye zvimiro zvakasiyana.
Kusiyana pakati peSupramitral Ring (SMR) uye Cor Triatriatum Sinister (CTS)
• Supramitral Ring (SMR)Muchiitiko ichi, mhete yetishu inokura mukati meatrium yekuruboshwe, pamusoro pemitral valve. Ring iyi inodzivirira kufamba kweropa kubva kuruboshwe rweatrium kuenda kuruboshwe.
• Cor Triatriatum Sinister (CTS)Muchiitiko ichi, atrium yekuruboshwe iine horizontally positioned fibromuscular membrane Yakakamurwa kuva makamuri maviri akasiyana nemitral valve. Iyi membrane inodzivirira kuyerera kweropa kubva pakupfuura zvakanaka kuburikidza nemitral valve.
Muzviitiko zvose zviri zviviri, mune kuruboshwe atrium kubuda kweropa kunononoka uye mwoyo kupomba ropa rakakwana muviri wose anofanira kushanda nesimba.
Inoonekwa Mumarudzi Api?
Mamiriro aya haawanzo mumbwa nekatsi. Zvisinei, mumakati Yave ichishumwa kakawanda. Zvisinei, hapana ruzivo rwechokwadi pamusoro pemhando dzekati kana imbwa dzinowanzobatwa nechirwere ichi.
Ndezvipi zviratidzo?
Zviratidzo zve supramitral valve blockage zvinoenderana nehuwandu hwekuvhara uye chiyero chekuyerera kweropa kunovharidzirwa. Kana chipingamupinyi chiri chidiki, mhuka haigone kuratidza chero zviratidzo. Zvisinei, kana chipingamupinyi chacho chakanyanya, zviratidzo zvichava zvakanyanyisa.
Zviratidzo zvinogona kusanganisira:
• Kufema kwekufema: Fluid kuungana mumapapu (pulmonary edema) inogona kuitika nekuda kweropa rinotsigira mumapapu.
• Dzidzira kusashiviriraMhuka yacho inogona kukurumidza kuneta uye kunzwa kuda kuzorora.
• kukurumidza kufema: Kukurumidza kufema kunogona kuitika nekuda kwekuwanda kwemvura mumapapu.
• ChikosoroKukosora kunogona kuitika mumbwa nekatsi, kunyanya kana paine kuungana kwemvura mumapapu.
Zviratidzo zvinokonzerwa neropa rinoyerera richidzokera mumapapu. kuputika kwemapapu (kuwedzerwa kudzvinyirira mumidziyo yepulmonary).
Ko Supravalvular Mitral Valve Obstruction Inowanikwa Sei?
Kuongorora supramitral valve kuvharika kunogona kuve kwakaoma nekuti zviratidzo zveichi zvisina kujairika zvinogona kufanana nezvemamwe mamiriro emoyo.
1. Kuongorora Muviri
Chiremba wemhuka anoteerera mwoyo ne stethoscope kugunun'una (kunyunyuta kwemoyo) Zvisinei, kugunun’una uku kungasaonekwa nyore nyore sezvakunoita muvanhu.
2. X-ray (Radiography)
Mifananidzo yeX-ray inogona kuratidza mwoyo wakakurisa (kunyanya kuruboshwe atrium) uye kuungana kwemvura mumapapu. Izvi zvinonyanya kuoneka kana atrium yekuruboshwe yakawedzerwa, zvichiita mumvuri wakakura munzvimbo iyoyo pachipfuva X-ray.
3. Echocardiography (Moyo Ultrasound)
Cardiac ultrasound ndiyo nzira inonyanya kushanda yekuongorora chirwere ichi. Ultrasound inobvumira kuona kwakajeka kwemaitiro emwoyo uye kubuda kweropa. Chiremba wemhuka, kana iyo kuruboshwe atrium yakakamurwa kuva makamuri maviri kana supramitral mhete inogona kuongorora nemifananidzo iyi kuti iriyo here kana kuti kwete.
• Color Doppler Ultrasound: Inoshandiswa kuratidza kuti ropa ririkuyerera nekupi uye nekukurumidza sei.
• Inoenderera mberi wave Doppler: Inotarisa chiyero chekuvhara nekuyera mutsauko wekumanikidza uye velocity pakuyerera kweropa.
Ko Supravalvular Mitral Valve Obstruction Inorapwa Sei?
Kurapa kwechirwere ichi kunoenderana nekuoma kwechivharo uye hutano hwemhuka.
1. Kurapa kwezvinodhaka
Kurapa kwezvinodhaka hakubvisi chinokonzera chirwere ichi, asi chinobvumira mhuka kufema nyore uye acute matambudziko maneja.
• Diuretics: Inobatsira kubvisa mvura yakawandisa yakaungana mumapapu.
• Oxygen therapy: Inoshandiswa kuderedza kupfupika kwekufema panguva yekurwiswa kwakanyanya.
2. Kuvhiya Kurapa
Muzviitiko zvekudzivisa kwakanyanya, kupindira kwekuvhiya kunogona kudiwa. Cardiopulmonary bypass operation (CPB) kana kuvhiyiwa kwehybrid Kuvharika uku kunogona kubviswa nehunyanzvi hwekuvhiya hunonzi.
• Cor Triatriatum Sinister (CTS) kuvhiyiwaMuchiitiko ichi, membrane inoparadzanisa kuruboshwe atrium muviri inogona kuwedzerwa kana kuchekwa nerubatsiro rwebharuni yakakosha.
• Supramitral Ring (SMR) kuvhiyiwaMuchiitiko ichi, sezvo chivharo chiri pedyo ne mitral valve, kupindira kwekuvhiya kunodiwa. njodzi yekukuvadza kune mitral valve Nokudaro, vanachiremba vezvipfuyo vanofanira kuronga kuvhiyiwa zvakanyatsonaka.
Chii Chakakosha Kwechirwere Ichi?
Kunyange zvazvo supramitral valve obstruction chiri chirwere chisingawanzoitiki, chinogona kukanganisa hupenyu hwemhuka. Kukurumidza kuongororwa Migumisiro yechirwere ichi inogona kuderedzwa zvikuru nenzira iyi. Chiremba wemhuka anoshandisa bvunzo dzakasiyana siyana kuona kuongororwa uye chirongwa chekurapa. Zvakananga, echocardiographykunokosha zvikuru pakuongorora zvirwere zvemwoyo zvisingawanzoitiki zvakadaro.
Mhuka ine chirwere ichi inofanira kunyatsotariswa nekuongororwa kwechiremba wemhuka nguva dzose. Kana zviratidzo zvikakura, zvakakosha kuonana nachiremba wemhuka nekukasika.
Zvimwe Zvinyorwa Zvaunogona Kufarira
"Kudzidza kunogona kudhura, asi kusaziva kunodhura zvakanyanya."
Claus Moser
