Mitral alatoto faʻateleina

Mitral alatoto faʻatuputeleina o se fatu faʻafitauli e aofia ai le mitral alatoto, lea e vavaeʻese ai le pito i luga ma lalo potu o le itu tauagavale o le fatu. I lenei tulaga, e le masani ona tapunia le alatoto.

O le alatoto mitral fesoasoani toto i le itu tauagavale o le fatu tafe i le tasi itu. E tapunia e taofi le toto mai le toe alu i tua pe a pa le fatu (konekarate).

Mitral alatoto faʻatuputeleina o le vaitaimi faʻaaogaina pe a le faʻamauina le alatoto lelei. E mafai ona mafua mai i le tele o mea eseese.

I le tele o tulaga, e le afaina. O le faʻafitauli e masani ona le afaina ai le soifua maloloina ma o le toʻatele o tagata e maua i le maʻi e le o iloaina. I nai numera o mataupu, ole faʻatele ole toto e mafai ai ona paʻu tua i tua le toto. E taʻua lea ole mitral regurgitation.

Mitral valve prolaps e masani ona afaina ai fafine manifinifi oe ono i ai ni faʻaletonu laʻititi o le pusa o le pusa, scoliosis, poʻo isi faʻaletonu. O nisi ituaiga o mitral alatoto faʻatuputeleina foliga mai na pasia i lalo e aiga (tofi).

Mitral alatoto faʻatupulaia o loʻo vaʻaia foʻi ma nisi fesoʻotaʻiga faʻafitauli o le tino e pei o Marfan syndrome ma isi seasea tupuʻaga faʻafitauli.

E iai foʻi taimi e vaʻaia ai ile tuʻu toʻatasi i tagata e le masani ai.

Tele o tagata ma mitral alatoto prolaps AUA leai faʻailoga. O se vaega o faʻailoga e maua i nisi taimi i tagata e iai le mitral valve ua faʻaigoaina o le "mitral valve prolaps syndrome," ma e aofia ai:

• Paʻu o le fatafata (e le mafua mai i le faʻamaʻi toto o le alatoto poʻo le fatu fatu)
• Faanenefu
• Le lavava
• Sauaga osofaʻiga
• Lagona o le lagonaina o le fatu tata (palpitations)
• Paʻu le manava ma gaioiga poʻo pe a taoto mafolafola (orthopnea)

O le fesoʻotaʻiga saʻo i le va o nei faʻailoga ma e leʻo manino le faʻafitauli o le alatoto. O nisi o sailiga ono maua fua.

A tupu le mitral regurgitation, faʻailoga mafai ona fesoʻotaʻi ma le leaking, aemaise pe a ogaoga.

O le tausi soifua maloloina o le a faia se faʻataʻitaʻiga tino ma faʻaaoga le stethoscope e faʻalogo ai i lou fatu ma mama. Atonu e lagona e le tautua le faʻafiafiaina i luga o le fatu ma faʻalogo i se muimui o le fatu ma se leo faʻaopoopo (midsystolic click). O le muimui e masani ona umi ma tele pe a e tu i luga.

Ole toto e masani ona masani ai.

Echocardiogram o le sili ona taatele suʻega faaaoga e faʻamaonia mitral alatoto prolaps. O suʻega ia e ono mafai foʻi ona faʻaaoga e faʻailoaina ai le faʻatuputeleina o le alatoto mitral poʻo se alatoto mitral mama poʻo ni faʻalavelave mai ia tulaga:

• Catheterization fatu
• Fatafata x-ray
• Loto CT faʻasolosolo
• ECG (e mafai ona faʻaali faʻasologa e pei o atrial fibrillation)
• MRI scan o le fatu

Tele o taimi, e i ai pe leai ni faʻailoga ma e le manaʻomia ni togafitiga.

I taimi ua tuanaʻi, o le toʻatele o tagata e iai faʻafitauli i le fatu e maua ai vailaʻau faʻafomaʻi ae le i faia ni galuega o nifo poʻo ni faʻataʻitaʻiga e pei o le kolone e puipuia ai se faʻamaʻi i le fatu. Peitaʻi, o vailaʻau faʻafomaʻi o loʻo faʻaaogaina nei e seasea lava. Siaki ma lau tautua e vaʻai pe e te manaʻomia ni vailaʻau oona.

E tele vailaʻau fatu e mafai ona faʻaaoga e togafitia ai vaega o lenei tulaga. Peitai, o le tele o tagata o le a le manaʻomia ni togafitiga. Oe ono manaʻomia taotoga e toe faaleleia pe suia lou alatoto mitral pe a fai e matua leaky (regurgitation), ma pe afai o le leakiness mafua ai auga foi. Peitai, atonu e le tupu lenei. Oe ono manaʻomia mitral alatoto toe faʻaleleia pe suia pe a fai:

• Ua atili ai ona leaga ou faʻailoga.
• O le venetula agavale o lou fatu ua faʻalauteleina.
• Ua atili ai ona leaga lou fatu.

Tele o taimi, mitral alatoto prolaps e le afaina ma e le mafua ai faʻailoga. O faʻailoga e tutupu e mafai ona togafitia ma faʻatonutonuina i vailaʻau poʻo taotoga.

O nisi fatu fatu (arrhythmias) e le masani ai i tagata e maua ai le mitral alatoto faʻafuaseʻi mafai ona lamatia ai le ola. Afai o le alatoto vaʻaiga avea faʻatupuina, o lau vaʻaiga ono foliga tutusa ma tagata o loʻo i ai mitral regurgitation mai soʻo se isi lava mafuaʻaga.

Valaʻau lau tautua peʻa iai sau:

• Le toʻafilemu o le fatafata, palpitations, pe faʻavaivaia sipela e atili ai ona leaga
• Maʻi uumi ma fiva

Barlow syndrome; Alatoto mitral Floppy; Alatoto mitral Myxomatous; Fagu alatoto mitral; Systolic click-murmur syndrome; Prolapsing mitral pepa faʻamaʻi; Tiga o le fatafata - mitral alatoto faʻatupulaia

• Taotoga alatoto fatu - faʻateʻaina

• Mitral alatoto faʻateleina
• Loto alatoto taotoga - faasologa

Carabello BA. Faʻamaʻi fatu fatu I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 66.

Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA / ACC taulaʻi faʻafouina o le 2014 AHA / ACC taʻiala mo le puleaina o tagata mamaʻi ma valvular fatu faʻamaʻi: o se lipoti a le American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines. Faasalalauina. 2017; 135 (25): e1159-e1195. PMID: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

Thomas JD, Bonow RO. Mitral alatoto faamai. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2019: chap 69.