Tus Sau: Louise Ward
Hnub Kev Tsim: 6 Lub Ob Hli Ntuj 2021
Hloov Hnub: 1 Lub Xya Hli Ntuj 2024
Anonim
Mitral Regurgitation (Elizabeth Herrera, MD, FASA)
Daim Duab: Mitral Regurgitation (Elizabeth Herrera, MD, FASA)

Zoo Siab

Mitral valve kab mob yog dab tsi?

The mitral valve nyob rau sab laug ntawm koj lub siab ntawm ob chav haujlwm: sab laug atrium thiab sab laug ventricle. Lub valve ua haujlwm kom cov ntshav khiav tau zoo hauv ib qho kev taw qhia los ntawm sab laug atrium mus rau sab laug ventricle. Nws tseem tiv thaiv kom ntshav tsis txhob rov los ntshav rov qab.

Mitral valve tus kab mob tshwm sim thaum lub mitral valve tsis ua haujlwm zoo, ua rau cov ntshav ntws rov qab mus rau sab laug atrium. Raws li qhov tshwm sim, koj lub plawv tsis tso ntshav txaus tawm ntawm lub laug ventricular chamber kom muab koj lub cev nrog cov ntshav oxygen. Qhov no tuaj yeem ua rau cov tsos mob xws li qaug zog thiab ua pa siav. Txawm li cas los xij, ntau tus neeg uas muaj tus mob mitral valve tsis muaj cov tsos mob.

Yog tias tsis kho, cov kab mob mitral valve tuaj yeem ua rau muaj kev phom sij loj, muaj sia txaus ntshai xws li lub plawv nres lossis lub plawv dhia tsis xwm yeem, hu ua arrhythmias.


Hom ntawm cov kab mob mitral valve

Nws muaj peb hom kev tiv thaiv kab mob valve: mob stenosis, prolapse, thiab regurgitation.

Mitral valve stenosis

Raug mob qog thaum lub valve qhib yuav nqaim. Qhov no txhais tau hais tias tsis muaj ntshav txaus tuaj yeem nkag mus rau hauv koj txoj hlab ntsha sab laug.

Mitral valve prolapse

Prolapse tshwm sim thaum lub flaps ntawm lub valve bulge es tsis txhob kaw nruj. Qhov no tuaj yeem tiv thaiv lub valve los ntawm kev kaw kom meej, thiab kev tsim rov qab - ntshav rov qab - yuav tshwm sim.

Mitral valve regurgitation

Regurgitation tshwm sim thaum ntshav xaim ntawm lub valve thiab ntws rov qab rau hauv koj sab laug atrium thaum sab laug ventricle compresses.

Dab tsi ua rau mitral valve mob?

Txhua daim ntawv ntawm cov kab mob mitral nws muaj nws qhov teeb tsa ua.

Mitral valve stenosis

Mitral valve stenosis feem ntau yog tshwm sim los ntawm kev ntxhua khaub thuas los ntawm kub taub hau rheumatic. Feem ntau yog menyuam yaus mob, mob rheumatic los ntawm lub cev tiv thaiv kab mob rau tus kab mob streptococcal. Mob rheumatic yog ib qho mob hnyav los ntawm mob caj pas tawm pob lossis ua pob liab liab.


Cov kabmob muaj feem cuam tshuam los ntawm mob rheumatic kub taub hau yog cov pob qij txha thiab lub siab. Cov pob qij txha tuaj yeem dhau los ua cov mob, uas tuaj yeem ua rau kev tsis taus ib ntus thiab qee zaum muaj mob ntev. Ntau qhov chaw hauv lub siab tuaj yeem dhau los ua mob thiab ua rau cov mob uas muaj feem hnyav plawv, suav nrog:

  • endocarditis: mob rau sab hauv ntawm lub plawv
  • myocarditis: mob rau lub plawv mob
  • pericarditis: mob rau daim nyias nyias ib ncig ntawm lub plawv

Yog tias lub npov mitral dhau los ua kev kub ntxhov lossis lwm yam raug mob los ntawm cov xwm txheej no, nws tuaj yeem ua rau lub siab mob ntsws ntev uas hu ua mob plawv rheumatic. Cov kab mob hauv tsev kho mob thiab cov tsos mob ntawm tus mob no yuav tsis tshwm sim txog 5 txog 10 xyoo tom qab qhov mob rheumatic.

Mitral stenosis tsis tshua pom tshwm hauv Tebchaws Meskas thiab lwm lub tebchaws tsim muaj tus mob rheumatic yog qhov tsawg. Nov yog vim tias cov neeg hauv cov teb chaws vam meej feem ntau muaj kev siv tshuaj tua kab mob uas kho cov kab mob xws li mob caj pas, raws li phau Merck Manual Home Health Handbook. Feem ntau ntawm cov kab mob mitral nyob hauv Tebchaws Meskas yog nyob rau cov neeg laus dua uas muaj mob rheumatic ua ntej siv cov tshuaj tua kab mob lossis cov neeg uas tsiv los ntawm cov tebchaws uas muaj tus mob rheumatic.


Muaj lwm yam ua rau mitral valve stenosis, tab sis cov no tsis tshua muaj. Lawv suav nrog:

  • ntshav txhaws
  • calcium buildup
  • yug los tsis pom lub plawv
  • kev kho mob hluav taws xob
  • hlav hlav

Mitral valve prolapse

Mitral valve prolapse feem ntau tsis muaj qee yam tshwj xeeb lossis paub tias yog vim li cas. Nws zoo li khiav hauv tsev neeg lossis tshwm sim hauv cov neeg uas muaj lwm yam mob, xws li mob scoliosis thiab mob nqaij. Raws li American Heart Association, kwv yees li 2 feem pua ​​ntawm Teb Chaws Asmeskas cov neeg muaj lub hlwb qeeb qeeb. Txawm tias tsawg leej neeg ntsib cov teeb meem loj uas cuam tshuam nrog tus mob no.

Mitral valve regurgitation

Ntau yam teeb meem lub plawv tuaj yeem ua rau mitral valve regurgitation. Koj tuaj yeem txhim kho cov teeb meem mitral valve regurgitation yog tias koj muaj:

  • endocarditis, los yog mob rau lub plawv cov leeg ntshav thiab cov li qub
  • plawv nres
  • rheumatic kub taub hau

Kev puas tsuaj rau koj lub plawv cov ntaub so ntswg cords lossis hnav thiab ntuag kom koj lub teeb meem mitral tuaj yeem tuaj yeem ua rau rov tsim dua tshiab. Mitral valve prolapse tuaj yeem qee zaus ua rau rov mob dua tshiab.

Cov tsos mob ntawm tus mob mitral valve zoo li cas?

Cov tsos mob Mitral valve sib txawv nyob ntawm qhov teeb meem meej nrog koj lub valve. Nws yuav ua kom tsis muaj tsos mob dabtsi. Thaum cov tsos mob tshwm sim, lawv tuaj yeem suav nrog:

  • hnoos
  • txog siav ua pa, tshwj xeeb tshaj yog thaum koj pw ntawm koj sab nraum qab lossis qoj ib ce
  • nkees
  • lub teeb ci ntsa iab

Koj yuav hnov ​​mob ib ce lossis nruj hauv siab. Muaj qee kis, koj yuav hnov ​​koj lub siab dhia tsis xwm yeem lossis nrawm.

Cov tsos mob ntawm ib yam dab tsi ntawm cov kab mob mitral valve feem ntau loj hlob maj. Tej zaum lawv yuav tshwm sim lossis mob loj ntxiv thaum koj lub cev muaj kev ntxhov siab ntxiv, xws li kis mob lossis cev xeeb tub.

Yuav kuaj li cas thiaj paub tau tus kab mob mitral valve?

Yog tias koj tus kws kho mob xav tias koj muaj tus kab mob qeeb qeeb, lawv yuav mloog koj lub siab nrog lub taub hau tsom. Lub suab tsis txawv lossis cov qauv suab nrawm tuaj yeem pab lawv soj ntsuam seb yog dab tsi.

Koj tus kws kho mob yuav xaj kom muaj kev ntsuam xyuas ntxiv los pab tshawb nrhiav qhov ntsuas qhov muaj mob.

Kev ntsuam xyuas cov duab

  • Echocardiogram: Qhov kev ntsuas no siv hluav taws xob tsis muaj zog los ua cov duab ntawm lub plawv qauv thiab kev ua haujlwm.
  • Xoo hluav taws xob: Qhov kev sim ntau yam no tsim cov duab hauv computer lossis zaj duab xis los ntawm xa cov duab xoo hluav taws xob los ntawm lub cev.
  • Transesophageal echocardiogram: Qhov kev ntsuas no ua kom pom cov duab hauv koj lub plawv ntau dua li ib txwm muaj echocardiogram. Thaum lub sij hawm tus txheej txheem, koj tus kws kho mob xov ib qho cuab yeej tawm suab ultrasound rau koj txoj hlab pas, uas yog nyob tom qab lub plawv.
  • Txoj hlab ntshav hlab plawv: Txoj kev ua no tso cai rau koj tus kws kho mob ua ntau yam kev ntsuas, suav nrog ua kom pom cov duab ntawm lub plawv cov ntshav. Thaum lub sij hawm tus txheej txheem, koj tus kws kho mob ntxig lub raj ntev thiab nyias rau hauv koj txhais caj npab, ncej puab sab sauv, lossis caj dab thiab xov nws txog ntawm koj lub siab.
  • Electrocardiogram (ECG lossis EKG): Qhov kev ntsuas no sau txog koj lub plawv hluav taws xob.
  • Kev saib xyuas Holter: Qhov no yog lub cuab yeej saib xyuas lub chaw txawb uas kaw koj lub plawv kev ua haujlwm hauv lub sijhawm, feem ntau 24 mus rau 48 teev.

Kev ntsuam xyuas los saib xyuas lub plawv kev ua ub no

Kev ntsuam xyuas kev nyuaj siab

Koj tus kws kho mob yuav xav saib xyuas koj thaum koj qoj ib ce kom txiav txim siab seb koj lub siab teb li cas rau kev ntxhov siab ntawm lub cev.

Yuav kho tus mob valve li cas?

Kev kho mob rau cov kab mob mitral valve yuav tsis tsim nyog, nyob ntawm qhov mob hnyav ntawm koj tus mob thiab cov tsos mob. Yog tias koj qhov mob hnyav txaus, nws muaj peb txoj kev kho lossis kev sib txuam nrog cov kev kho mob uas tuaj yeem kho koj tus mob.

Tshuaj thiab muab tshuaj

Yog tias kev kho mob tseem ceeb, koj tus kws kho mob yuav pib los ntawm kev kho koj nrog kev siv tshuaj. Tsis muaj cov tshuaj uas tuaj yeem txhim kho cov teeb meem kev teeb tsa nrog koj lub ntsej muag mitral. Qee yam tshuaj tuaj yeem txo koj cov kev mob tshwm sim lossis tiv thaiv lawv kom tsis txhob mob ntxiv. Cov tshuaj no suav nrog:

  • antiarrhythmics, los kho kev mob plawv tsis txaus
  • anticoagulants, kom yuag koj cov ntshav
  • beta blockers, txhawm rau kom koj lub plawv dhia qeeb
  • tshuaj kho mob, kom txo tau cov kua dej ntau hauv koj lub ntsws

Valvuloplasty

Muaj qee kis, koj tus kws kho mob yuav tsum ua cov txheej txheem kho mob. Piv txwv, nyob rau hauv cov teeb meem ntawm mitral valve stenosis, koj tus kws kho mob tuaj yeem siv lub zais pob los qhib lub pob qhib ntawm qhov kev hu ua zais pa valvuloplasty.

Kev phais mob

Yog mob loj, yuav tau phais. Koj tus kws kho mob tej zaum tuaj yeem kho rau koj qhov kev ntsuas txo ua kom ua haujlwm kom zoo. Yog tias qhov ua tsis tau, koj yuav tsum muaj koj lub chaw hloov pauv nrog lub tshiab. Qhov hloov tej zaum yuav yog roj ntsha lossis tshuab. Tej zaum yuav hloov tsiaj txhu tawm los ntawm nyuj, npua, lossis tib neeg cadaver.

Cov nqa mus

Thaum lub mitral valve tsis ua haujlwm raws li nws yuav tsum, koj cov ntshav tsis ntws tawm ntawm lub siab. Koj yuav hnov ​​cov tsos mob zoo li nkees lossis ua pa luv, lossis koj yuav tsis hnov ​​cov tsos mob hlo li. Koj tus kws kho mob yuav siv ntau yam kev kuaj mob txhawm rau txheeb xyuas koj tus mob. Txoj kev kho yuav suav ntau yam tshuaj noj, txheej txheem kho mob, lossis phais mob.

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