Mitral stenosis yog thaum qhib koj lub mitral valve (ib qho ntawm koj lub plawv li qub) dhau los ua nqaim, thiab yog li tso ntshav tsawg dhau los ntawm nws nrog txhua lub plawv dhia. Txhawm rau kuaj mob mitral stenosis, koj yuav tsum tau qhia rau koj tus kws kho mob txog cov tsos mob thiab cov tsos mob uas koj tab tom ntsib uas tej zaum yuav ua rau xav tsis thoob txog kab mob plawv. Tom qab ntawv koj tus kws kho mob tuaj yeem xaj tshuaj ntsuam xyuas kom paub tseeb tias kuaj pom tus mob mitral stenosis. Yog tias koj tau kuaj pom tus mob tiag, nws tseem ceeb heev kom tau txais kev kho mob tsim nyog.
Cov kauj ruam
Ntu 1 ntawm 3: Ntsuam Xyuas Cov Cim thiab Cov tsos mob
Kauj Ruam 1. Saib rau qhov ua tsis taus pa
Ib ntawm cov tsos mob tseem ceeb uas tuaj yeem tshwm sim nrog yog ua tsis taus pa - tshwj xeeb, sawv thaum hmo ntuj nrog ua pa nyuaj. Ua pa luv yuav ua rau mob hnyav ntxiv nrog rau kev ua haujlwm, thiab/lossis thaum pw. Kev ua pa luv yog tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm cov ntshav ntws nrog txhua lub plawv dhia, vim yog ib nrab ntawm lub mitral valve (hu ua "stenosis").
- Koj qhov ua tsis taus pa tuaj yeem zuj zus zuj zus nrog lub sijhawm.
- Koj qhov kev ua siab ntev rau lub cev kuj tseem yuav txo nrog lub sijhawm, raws li koj tus mob hnyav zuj zus.
Kauj Ruam 2. Saib seb puas muaj kev qaug zog txawv txav
Ntxiv rau kev ua pa luv, mitral stenosis feem ntau nthuav tawm nrog qaug zog dhau koj li qib ib txwm. Ib zaug ntxiv, qhov no yog vim tsis muaj txiaj ntsig kev ncig ntshav, thiab yog li txo cov pa oxygen xa mus rau koj cov ntaub so ntswg. Lub sijhawm dhau los, kev ua haujlwm ntau ntxiv uas koj lub siab yuav tsum ua kom tso ntshav thoob plaws hauv koj lub cev tuaj yeem ua rau ua rau qaug zog zuj zus.
Kauj Ruam 3. Saib rau qhov hnoos thiab muaj ntshav hauv koj cov hnoos qeev
Mitral stenosis ua rau nws nyuaj rau cov ntshav kom dhau los ntawm koj sab laug atrium mus rau hauv koj lub ventricle sab laug. Yog li ntawd, lub siab ntawm koj sab laug atrium tsim tsa, thiab tuaj yeem ua rau muaj ntshav thaub qab hauv lub ntsws (vim ntshav ntws ncaj qha los ntawm lub ntsws mus rau sab laug atrium).
- Raws li qhov tshwm sim, mitral stenosis tuaj yeem ua rau muaj kua dej hauv koj lub ntsws.
- Nws kuj tseem tuaj yeem ua rau hnoos uas yuav lossis tsis tuaj yeem nrog hnoos ntshav me me.
Kauj Ruam 4. Nco ntsoov yog tias koj tab tom hnov kiv taub hau lossis tsaus muag
Vim tias kev txo qis kev ua haujlwm ntawm kev xa cov ntshav thiab xa cov pa mus rau thaj chaw tseem ceeb ntawm koj lub cev (xws li koj lub paj hlwb), koj yuav pib hnov kiv taub hau, tsis pom kev, lossis tsaus muag yog tias koj muaj mitral stenosis. Yog tias koj xav li no, nws yog ib qho tseem ceeb kom zaum lossis pw kom txog thaum koj zoo siab, kom tsis txhob dhau mus thaum sawv thiab ua rau koj tus kheej raug mob. Nws tseem yog qhov tseem ceeb qhia rau koj tus kws kho mob vim nws yuav yog ib qho cim ntawm mitral stenosis lossis lwm yam mob, thiab nws tsim nyog tshawb xyuas kev kho mob kom raug.
Kauj Ruam 5. Saib xyuas qhov o ntawm koj qhov qis qis
Koj tuaj yeem pib pom cov ko taw o, pob taws, thiab/lossis ob txhais ceg yog tias koj muaj mitral stenosis. Nov yog cov tsos mob ntawm lub plawv tsis ua haujlwm zoo, uas tuaj yeem tshwm sim los ntawm mitral stenosis. Nws tshwm sim vim yog thaub qab ntawm cov ntshav uas tsis tuaj yeem siv tau zoo los ntawm lub plawv.
Kauj Ruam 6. Qhia rau koj tus kws kho mob yog tias koj tab tom muaj lub plawv "palpitations" (lub plawv dhia txawv txav)
Lub plawv palpitations yuav hnov zoo li lub plawv dhia tsis muaj zog, lossis koj yuav muaj qhov hnov ntawm koj lub plawv "fluttering" hauv koj lub hauv siab. Ua li cas los xij, nws zoo li koj lub siab tau coj txawv txawv. Nws yog ib qho tseem ceeb uas yuav qhia rau koj tus kws kho mob txog qhov no vim tias nws yuav yog ib qho cim ntawm mitral stenosis, lossis lwm yam mob plawv uas xav tau kev kho mob thiab tshawb xyuas.
Kauj Ruam 7. Xav txog koj qhov kev pheej hmoo
Txhawm rau kuaj mob mitral stenosis, koj tus kws kho mob yuav nug koj txog qhov muaj feem cuam tshuam txog kev pheej hmoo. Ib qho tseem ceeb ntawm kev pheej hmoo rau mitral stenosis hauv kev txhim kho lub tebchaws yog keeb kwm ntawm rheumatic fever (uas tuaj yeem ua rau puas thiab ua rau lub qhov txhab mitral valve). Qhov no tsis tshua muaj tshwm sim hauv cov tebchaws tau tsim los vim muaj ntau hom kev kho mob uas tuaj yeem tiv thaiv kev txhim kho mob rheumatic.
Lwm yam kev pheej hmoo suav nrog calcium tso nyob ib puag ncig koj lub mitral valve, lub hauv siab tawg, qee yam tshuaj, tsev neeg keeb kwm ntawm mitral stenosis, lossis muaj kev yug menyuam tsis xws luag nrog lub plawv
Ntu 2 ntawm 3: Tshawb Nrhiav Ntxiv
Kauj Ruam 1. Kom koj tus kws kho mob mloog lub plawv yws nrog lub tshuab raj
Mitral stenosis feem ntau nthuav tawm nrog lub plawv yws uas tuaj yeem hnov thaum koj tus kws kho mob mloog nrog nws lossis nws lub mloog pob ntseg. Txawm hais tias qhov no tsis txaus los kuaj mob mitral stenosis, nws yog qhov tsis txaus ntseeg ntawm teeb meem plawv thiab yuav yog qhov qhia rau koj tus kws kho mob kom xaj kev tshuaj xyuas ntxiv.
Kauj Ruam 2. Tau xoo hluav taws xob hauv siab
Xoo hluav taws hauv siab ib txwm yog ib qho ntawm thawj qhov kev sim koj tus kws kho mob yuav xaj, yog tias nws xav tias lub ntsws thiab/lossis teeb meem plawv, xws li mitral stenosis. Xoo hluav taws xob hauv siab tso cai rau koj tus kws kho mob tshuaj xyuas koj lub ntsws rau kev tsim kua dej (hu ua "pulmonary edema") uas tuaj yeem sib koom tes nrog mitral stenosis. Koj tus kws kho mob tseem tuaj yeem tshuaj xyuas qhov kev nthuav dav ntawm ib chav ntawm koj lub siab, xws li lub atrium sab xis, uas tseem tuaj yeem yog lub cim ntawm mitral stenosis.
- Xoo hluav taws hauv siab kuj tseem muaj txiaj ntsig hauv kev txiav txim siab lossis txiav tawm lwm lub plawv lossis lub ntsws uas tuaj yeem tshwm sim zoo ib yam li mitral stenosis.
- Nws yog vim li no tias nws ib txwm yog ib qho ntawm thawj qhov kev tshuaj ntsuam xyuas uas tau xaj.
Kauj Ruam 3. Xav txog ECG (electrocardiogram)
Hauv kev tshuaj xyuas lub plawv lossis teeb meem ntsws xws li mitral stenosis, ECG (qee zaum nrog los ntawm kev ntsuas kev tawm dag zog) tuaj yeem pab tau. ECG tuaj yeem txheeb xyuas qhov "kev nyuaj siab" ntawm lub plawv hauv ntau yam xwm txheej.
Kauj Ruam 4. Tau txais echocardiogram txhawm rau txheeb xyuas qhov tseeb ntawm mitral stenosis
Txhawm rau kom paub tseeb qhov kev kuaj mob ntawm mitral stenosis (lossis ntawm lwm yam kev mob plawv li qub), yuav tsum tau siv echocardiogram. Thawj hom ua tau feem ntau yog TTE (transthoracic echocardiogram). Hauv TTE, kev tshuaj ntsuam ultrasound raug tso rau sab nraum koj lub hauv siab. Tom qab ntawd nws ua haujlwm lub sijhawm tiag tiag, muaj xim, txav duab ntawm lub plawv ntawm lub vijtsam, qhov twg tus kws kho mob tuaj yeem saib tus qauv ntawm koj lub plawv nrog rau cov ntshav ntws nrog txhua lub plawv dhia.
- Cov xim hauv TTE tuaj yeem pab qhia txog cov ntshav ntws.
- TTE yuav txaus los tshuaj xyuas thiab lees paub qhov kev kuaj mob ntawm mitral stenosis.
- Yog tias tsis yog, TEE (transesophageal echocardiogram) yuav raug xaj.
- Hauv TEE, ntau dua li qhov ntsuas ultrasound tau tso rau sab nraum koj lub hauv siab, nws tau tso rau hauv koj txoj hlab pas.
- Koj txoj hlab pas nyob ze rau koj lub plawv lub cev, yog li TEE tuaj yeem muab cov ncauj lus ntxaws ntxaws ntau dua li TTE, uas tuaj yeem pab hauv kev kuaj mob ntawm mitral stenosis.
Ntu 3 ntawm 3: Kho Mitral Stenosis
Kauj Ruam 1. Nco ntsoov tias kev kho mob mitral stenosis yuav tsis xav tau tam sim
Hauv ntau qhov ntawm mitral stenosis, yuav tsum tau phais thaum kawg tab sis tsis yog tam sim. Feem ntau tuaj yeem tswj tau nyob rau ib ntus nrog cov tshuaj; txawm li cas los xij, feem ntau yuav thaum kawg yuav tsum tau phais thaum qhov mob hnyav txaus. Cov kws kho mob hu txoj kev no "saib xyuas tos."
- Koj raug qhia kom tau txais echocardiograms li niaj zaus los tshuaj xyuas koj li mitral stenosis, thiab saib seb thiab thaum twg koj qhov mob zuj zus mus txog rau qhov xav tau kev phais.
- Qhov ntau ntawm koj qhov kev kuaj mob echocardiogram yuav nyob ntawm qhov hnyav ntawm koj li mitral stenosis.
Kauj Ruam 2. Xaiv kev kho mob kom txo tau koj cov tsos mob
Txawm hais tias cov tshuaj tsis tuaj yeem kho lossis kho tus mob mitral stenosis ncaj qha, lawv tuaj yeem pab txo cov tsos mob thiab txhim kho koj lub plawv thiab lub ntsws ua haujlwm tag nrho. Qee cov tshuaj uas koj thiab koj tus kws kho mob xav tham txog suav nrog:
- Cov tshuaj ua kom ntshav qis xws li Warfarin (coumadin), ntxiv rau lossis rho tawm cov tshuaj aspirin, txhawm rau tiv thaiv cov ntshav khov thiab yog li txo koj txoj kev pheej hmoo ntawm mob stroke.
- Cov tshuaj xws li Beta-blockers (piv txwv li Metoprolol) txhawm rau txo koj lub plawv dhia thiab yog li tso cai rau chav hauv koj lub plawv kom puv nrog cov ntshav kom zoo dua qub.
- Cov tshuaj dej (hu ua "diuretic"), xws li hydrochlorothiazide lossis furosemide, txhawm rau txo qhov o ntawm koj qhov qis qis.
Kauj Ruam 3. Xav txog kev kho lub valve lossis hloov pauv lub valve
Tsuas yog kev kho mob tseeb rau mitral stenosis yog kom lub qhov txhab phais kho lossis hloov pauv. Koj tus kws kho mob tuaj yeem hla qhov zoo thiab qhov tsis zoo ntawm txhua qhov kev xaiv phais nrog koj yog tias thiab thaum nws txog sijhawm rau koj kom tau txais kev phais - muaj qhov kev phais me me kom txiav txim siab rau qee tus neeg mob.
