Mitral valve prolapse: nws yog dab tsi, yuav ua li cas paub thiab kho nws

Zoo Siab

• Cov tsos mob tseem ceeb
• Puas yog mitral valve prolapse hnyav?
• Qhov ua rau ntawm mitral valve prolapse
• Yuav kuaj li cas
• Yuav kho tus mob li cas

Lub mitral valve prolapse yog kev hloov pauv tam sim no nyob rau hauv lub npov mitral, uas yog lub plawv lub cev tsim los ntawm ob daim nplooj, uas, thaum kaw, cais tawm sab laug atrium ntawm sab laug ventricle ntawm lub plawv.

Lub mitral valve prolapse yog tus cwj pwm tsis pom zoo ua kom tsis txhob kaw cov ntawv xov xwm mitral, qhov twg ib lossis ob daim ntawv tso tawm tuaj yeem nthuav tawm qhov txawv txav thaum lub sijhawm sib cog lus ntawm sab laug ventricle. Qhov kev kaw qhov tsis txaus ntseeg no tuaj yeem pab txhawb txoj kev tsis ncaj ncees ntawm cov ntshav los ntawm sab laug ventricle mus rau sab laug atrium, hu ua mitral regurgitation.

Nws yog ib qho kev hloov dav thiab feem ntau nws yog asymptomatic thiab tsis ua mob rau kev noj qab haus huv, thiab nws tuaj yeem tshwm sim rau txiv neej thiab poj niam.

Cov tsos mob tseem ceeb

Feem ntau, mitral valve prolapse yog asymptomatic thiab tau pom lub sijhawm echocardiogram ib txwm muaj. Thaum pom ultrasound ntawm prolapse yog cuam tshuam nrog qhov pom ntawm cov tsos mob thiab lub auscultation ntawm lub plawv yws, nws thiaj li hu ua mitral prolapse syndrome.

Cov tsos mob tseem ceeb uas yuav ua rau pom ntawm mitral valve prolapse yog mob hauv siab, palpitations, tsis muaj zog thiab ua pa luv tom qab exertion, loog ntawm nqaj thiab ua pa nyuaj thaum pw. Kawm txog lwm cov tsos mob ntawm mitral valve prolapse.

Puas yog mitral valve prolapse hnyav?

Kev lawb tawm ntawm lub mitral valve feem ntau tsis loj thiab tsis muaj cov tsos mob, thiab yog li yuav tsum tsis txhob cuam tshuam kev ua neej nyob hauv txoj kev tsis zoo. Thaum cov tsos mob tshwm sim, tuaj yeem kho thiab tswj nrog tshuaj noj thiab phais. Tsuas yog li ntawm 1% ntawm cov neeg mob uas muaj mitral valve prolapse yuav ua rau muaj teeb meem ntau ntxiv, thiab yuav tsum muaj kev phais mob txhawm rau txhawm rau hloov lub valve yav tom ntej.

Thaum cov tshuaj mitral prolapse yog qhov loj heev, muaj kev pheej hmoo ntshav rov qab rau sab laug atrium, uas yuav ua rau mob hnyav ntxiv me ntsis. Hauv qhov no, yog tias tsis kho kom raug, nws tuaj yeem ua rau muaj kev phom sij xws li muaj kab mob rau lub plawv dhia, txhaws hnyav ntawm lub ntsej muag mitral valve thiab lub plawv dhia tsis xwm yeem, nrog lub plawv dhia tsis xwm yeem.

Qhov ua rau ntawm mitral valve prolapse

Cov lus tshaj tawm ntawm lub npov mitral tuaj yeem tshwm sim vim kev hloov caj ces, kis tau los ntawm niam txiv mus rau menyuam, raug suav tias yog vim kev muaj mob, lossis vim tsis paub meej, tshwm sim yam tsis muaj laj thawj (thawj qhov tseem ceeb).

Ntxiv rau, mitral valve prolapse tuaj yeem tshwm sim vim kev koom tes nrog lwm yam kab mob, xws li Maritima's syndrome, plawv nres, Ehlers-Danlos syndrome, mob hnyav, mob polycystic raum thiab mob rheumatic. Ntxiv rau, nws tuaj yeem tshwm sim tom qab mitral valve phais.

Yuav kuaj li cas

Kev kuaj mob ntawm mitral valve prolapse yog tsim los ntawm tus kws kho plawv raws li tus neeg mob cov ntaub ntawv keeb kwm thiab cov tsos mob, ntxiv rau kev kuaj mob xws li echocardiography thiab auscultation ntawm lub plawv, uas qhov kev cuam tshuam thiab so ntawm lub plawv tau raug ntsuas.

Thaum lub sij hawm mob auscultation, ib suab nrov nrov tom qab hu ua mesosystolic nyem tau hnov ​​sai tom qab pib kev cog lus ntawm lub ventricle. Yog tias ntshav rov qab mus rau sab laug atrium vim kev kaw lub qhov tsis raug, lub plawv yws yws tau hnov ​​tom qab nyem.

Yuav kho tus mob li cas

Kev kho rau mitral valve prolapse feem ntau tsis tsim nyog thaum tsis muaj cov tsos mob. Txawm li cas los xij, thaum cov tsos mob tshwm sim, cov kws kho plawv tuaj yeem pom zoo siv qee yam tshuaj los tswj cov tsos mob, xws li tshuaj tiv thaiv kab mob tsis ua haujlwm, piv txwv, uas pab tswj cov plawv dhia tsis xwm yeem thiab tiv thaiv ventricular tachycardia uas tuaj yeem tshwm sim qee qhov tsawg ntawm mitral valve prolapse.

Ntxiv rau, kev siv cov tshuaj diuretic tuaj yeem pom zoo kom pab tshem tawm cov kua dej ntau dhau uas rov qab los rau hauv lub ntsws, beta-blockers, nyob rau hauv kev mob siab ntawm lub hauv siab lossis mob, thiab anticoagulants, uas pab tiv thaiv kom tsis txhob txhaws.

Feem ntau ntawm qhov mob nyhav no, qhov twg muaj qhov ua rau ntshav ntau ntau rau sab laug atrium, kev phais yog tsim nyog los kho lossis hloov lub hau mitral.