Ukuvinjwa kweValve ye-Supravalvular Mitral

Isikhathi sokufunda esilinganiselwe: 5 iminithi

Iyini i-Supravalvular Mitral Valve Obstruction?

I-Supravalvular Mitral Valve Obstruction (SMI) yisimo lapho kukhona ukuvinjelwa kokugeleza kwegazi ku-ventricle yesokunxele yenhliziyo. Lokhu kuvinjelwa kunqanda ukugeleza kwegazi phakathi kwe-atrium yangakwesobunxele kanye ne-ventricle yesokunxele. Lokhu kudala ukuthi inhliziyo isebenze kanzima ukumpompa igazi.

Lezi zinhlobo zokuvinjwa azivamile futhi ikakhulukazi indandatho ye-supramitral (SMR) noma I-cor triatriatum sinister (CTS) Ihambisana nokungajwayelekile okubili okubizwa ngokuthi . Nakuba imiphumela nezimpawu zomtholampilo zalezi zimo ezimbili emzimbeni zifana, izimbangela nezakhiwo zazo zihlukile.

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Umehluko Phakathi kwe-Supramitral Ring (SMR) ne-Cor Triatriatum Sinister (CTS)

• I-Supramitral Ring (SMR)Kulesi simo, indandatho yezicubu ikhula ngaphakathi kwe-atrium yangakwesobunxele, ngenhla nje kwe-mitral valve. Le ringi ikhawulela ukugeleza kwegazi kusuka ku-atrium yangakwesobunxele kuya ku-ventricle yesokunxele.

• I-Cor Triatriatum Sinister (CTS)Kulokhu, i-atrium yangakwesobunxele ibekwe ngokuvundlile ulwelwesi lwe-fibromuscular Ihlukaniswe ngamakamelo amabili ahlukene nge-valve ye-mitral. Lolu lwelwesi luvimbela ukugeleza kwegazi ekudluleni kahle ku-valve ye-mitral.

Kuzo zombili izimo, ku-atrium yangakwesobunxele ukugeleza kwegazi kuncipha kanye nenhliziyo ukumpompa igazi elanele emzimbeni wonke kufanele asebenze kanzima.

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Ibonakala Kuziphi Izinhlanga?

Lezi zimo azivamile kuzo zombili izinja namakati. Nokho, emakati Sekubikwe kaningi. Kodwa-ke, alukho ulwazi oluqondile mayelana nokuthi yiziphi izinhlobo zekati noma zezinja ezithambekele kakhulu kulesi sifo.

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Yiziphi izimpawu?

Izimpawu zokuvinjelwa kwe-valve ye-supramitral zincike ezingeni lokuvinjelwa kanye nezinga lapho ukugeleza kwegazi kuvinjwe khona. Uma ukuvinjelwa kukuncane, isilwane singase singabonisi noma yiziphi izimpawu. Kodwa-ke, uma ukuvinjelwa kunzima, izimpawu zizobonakala kakhulu.

Izimpawu ezingenzeka zihlanganisa:

• Ukuphelelwa umoya: Ukunqwabelana koketshezi emaphashini (i-pulmonary edema) kungenzeka ngenxa yegazi elisekela emaphashini.

• Bonisa ukungabekezelelaniIsilwane singase sikhathale ngokushesha futhi sizwe isidingo sokuphumula.

• ukuphefumula ngokushesha: Ukuphefumula okusheshayo kungase kwenzeke ngenxa yokunqwabelana koketshezi emaphashini.

• UkukhwehlelaUkukhwehlela kungenzeka ezinjeni nasemakatini, ikakhulukazi uma kukhona ukunqwabelana koketshezi emaphashini.

Izimpawu zibangelwa igazi eligeleza libuyela emaphashini. ukucinana kwamaphaphu (ingcindezi eyengeziwe emithanjeni yamaphaphu).

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I-Supravalvular Mitral Valve Obstruction itholakala kanjani?

Ukuxilonga ukuvinjelwa kwe-valve ye-supramitral kungaba nzima ngoba izimpawu zalokhu kungavamile zingafana nalezo zezinye izimo zenhliziyo.

1. Ukuhlola Umzimba

Udokotela wezilwane ulalela inhliziyo nge-stethoscope ukukhononda (umsindo wenhliziyo ongajwayelekile) Nokho, lokhu kukhononda kungase kungabonakali kalula njengoba kwenzeka kubantu.

2. I-X-ray (i-Radiography)

Izithombe ze-X-ray zingabonisa inhliziyo ekhulisiwe (ikakhulukazi i-atrium yangakwesobunxele) kanye nokunqwabelana koketshezi emaphashini. Lokhu kubonakala ikakhulukazi lapho i-atrium yangakwesobunxele inwetshiwe, okwenza isithunzi esikhulu kuleyo ndawo kuyi-X-ray yesifuba.

3. I-Echocardiography (I-Heart Ultrasound)

I-Cardiac ultrasound iyindlela ephumelela kakhulu yokuxilonga lesi sifo. I-Ultrasound ivumela umbono ocacile wesakhiwo senhliziyo nokugeleza kwegazi. Udokotela wezilwane, ukuthi i-atrium yangakwesobunxele ihlukaniswe ngamakamelo amabili noma indandatho ye-supramitral ingahlola ngalezi zithombe ukuthi injalo noma cha.

• Umbala we-Doppler ultrasound: Isetshenziselwa ukukhombisa ukuthi igazi ligeleza ngakuphi nokuthi igazi lihamba ngokushesha kangakanani.

• I-Doppler yegagasi eqhubekayo: Inquma izinga lokuvinjelwa ngokulinganisa umehluko wengcindezi kanye nesivinini sokugeleza kwegazi.

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Yelashwa Kanjani I-Supravalvular Mitral Valve Obstruction?

Ukwelashwa kwalesi sifo kuncike ebubini bokuvinjwa kanye nempilo yesilwane jikelele.

1. Ukwelashwa Kwezidakamizwa

Ukwelashwa kwezidakamizwa akuqedi imbangela yalesi sifo, kodwa kuvumela isilwane ukuba siphefumule kalula futhi izinkinga ezinzima iphatha.

• ama-diuretics: Kuyasiza ukususa uketshezi oluningi olunqwabelene emaphashini.

• Ukwelashwa komoyampilo: Isetshenziselwa ukunciphisa ukuphefumula ngesikhathi sokuhlasela okunamandla.

2. Ukwelashwa Ngokuhlinza

Ezimweni zokuvinjelwa okukhulu, ukungenelela kokuhlinzwa kungase kudingeke. Ukuhlinzwa kwe-Cardiopulmonary bypass (CPB) noma ukuhlinzwa okuxubile Lokhu kuvinjelwa kungasuswa ngendlela ekhethekile yokuhlinza ebizwa.

• Cor Triatriatum Sinister (CTS) ukuhlinzwaKulesi simo, i-membrane ehlukanisa i-atrium kwesokunxele kabili inganwetshwa noma isikwe ngosizo lwebhaluni elikhethekile.

• Ukuhlinzwa kwe-Supramitral Ring (SMR).Kulesi simo, njengoba ukuvinjelwa kuseduze ne-mitral valve, ukungenelela kokuhlinzwa kuyadingeka. ingozi yokulimala kwe-mitral valve Ngakho-ke, odokotela abahlinzayo bezilwane kufanele bahlele ukuhlinzwa ngokucophelela.

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Kuyini Ukubaluleka Kwalesi Sifo?

Nakuba ukuvinjelwa kwamavalvu e-supramitral kuyisifo esingajwayelekile, kungaphazamisa kakhulu izinga lempilo yesilwane. Ukuxilongwa kusenesikhathi Imiphumela yalesi sifo ingancishiswa kakhulu ngale ndlela. Udokotela wezilwane usebenzisa ukuhlolwa okuhlukahlukene ukuze anqume ukuhlonza kanye nohlelo lokwelapha. Ngokuqondile, i-echocardiographyibaluleke kakhulu ekuxilongeni izifo zenhliziyo ezinjalo ezingavamile.

Isilwane esifuywayo esinalesi simo kufanele siqashwe ngokucophelela ngokuhlolwa kwezilwane njalo. Uma izimpawu ziba zimbi, kubalulekile ukuthintana nodokotela wakho wezilwane ngokushesha.

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Ezinye Izihloko Ongase Uzithande

• Inkosi yaseCavalier uCharles Spaniel
• Greyhound
• I-Myxomatous Mitral Valve Disease (MMVD)
• I-Mitral Valve Dysplasia
• I-Pinscher yaseJalimane

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"Ukufunda kungase kubize, kodwa ukungazi kubiza kakhulu."

UClaus Moser

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