Ngezikhathi ezingavamile, ukukhulelwa kungaholela esimweni esibizwa ngokuthi i-postpartum cardiomyopathy, noma ukuhluleka kwenhliziyo okukhulelwe. I-Postpartum cardiomyopathy uhlobo lwe- cardiomyopathy elixubile . (I-Cardiomyopathy imane nje isho ubuthakathaka besisu senhliziyo.)
Abesifazane abahlakulela i-postpartum cardiomyopathy baqala ukuhluleka kwenhliziyo noma ngenyanga yokugcina yokukhulelwa, noma ezinyangeni ezinhlanu emva kokukhululwa kwengane.
Ngenxa yokuthi ukuphelelwa yisifo sokubeletha kungase kwenzeke ngaphambi kokuba umntwana azalwe, izazi ze-cardiologists eziningi manje zibhekisela kuzo ngokuthi "i-peripartum cardiomyopathy." (I-Peripartum isho "eduze nesikhathi sokubeletha.")
Abesifazane abahlakulela lesi simo ngokuvamile abanaso isifo senhliziyo esingaphambili, futhi akukho esinye isizathu esibonakalayo sokuthuthukisa isifo senhliziyo. Ukuhluleka kwenhliziyo yabo kungaba yesikhashana, isimo esingenakubalwa, noma singathuthukela ekuhlukumezeni kwenhliziyo okukhulu, okusongela impilo.
Yini Ebangelwa I-Postpartum Cardiomyopathy?
Isizathu se-postpartum cardiomyopathy asaziwa. Kukhona ubufakazi bokuthi ukuvuvukala kwenhliziyo (okubizwa nangokuthi i- myocarditis ) kungadlala indima ebalulekile, futhi kungase kuhlotshaniswe namaprotheni avuthayo ukuthi ngezinye izikhathi angatholakala egazini ngesikhathi sokukhulelwa. Kukhona nobufakazi bokuthi amangqamuzana e-fetal aphunyuka emanzini egazini angabangela ukumelana nokuzivikela komzimba, okuholele ku-myocarditis.
Ngaphezu kwalokho, kungase kube nesimo sezakhi zofuzo emzimbeni eminye imindeni. Noma kunjalo, iphuzu eliyinhloko ukuthi asiyazi ngempela imbangela.
Ubani Othola I-Postpartum Cardiomyopathy?
Ngenkathi i-postpartum cardiomyopathy isonga isimo esingavamile (esivela ku-1 000 kwabangu-4 000 ukudiliva e-US), abanye besifazane kubonakala sengathi basengozini ephakeme kunabanye.
Izingozi ze-postpartum cardiomyopathy zibandakanya: iminyaka engaphezu kwengu-30 ubudala, ekukhululeni izingane ngaphambili, ukukhulelwa ngamatfusi amaningi, ukuzalwa kwe-Afrika, umlando we-preeclampsia noma i-postpartum hypertension, noma ukuhlukunyezwa kwe-cocaine.
Yiziphi Izimpawu Ze-Postpartum Cardiomyopathy?
Njengoba i-postpartum cardiomyopathy iholela ekuhlulekeni kwenhliziyo, izimpawu zifana nakwezinye izinhlobo eziningi zokuhluleka kwenhliziyo. Lezi zimpawu zokuhluleka kwenhliziyo ngokuvamile zibandakanya i- dyspnea , i- orthopnea , i- dyspnea yesikhumba se- paroxysmal kanye nokugcinwa kwamanzi. Funda kabanzi mayelana nezimpawu zokuhluleka kwenhliziyo.
I-Postpartum Cardiomyopathy iphathwa kanjani?
Ngaphandle kokungafani okuphawulekayo, i-postpartum cardiomyopathy kufana nokuphathwa kwanoma yiluphi uhlobo lwe-cardiomyopathy ehlanjululwe .
Ukwehlukile okuphawulekayo ekwelapheni "ukwejwayelekile" kwenqubo yokwehluleka kwenhliziyo kudlalwa lapho inhliziyo ihluleka ngaphambi kokuba umntwana akhululwe. Ezinye zezokwelapha "ezivamile" zokuhluleka kwenhliziyo kufanele zivalwe kuze kufike ukulethwa.
Ngokuqondile, i- ACE inhibitors njenge-Vasotec (i-enalapril), eyizidakamizwa ezithwala imithwalo yegazi, akufanele isetshenziswe ngesikhathi sokukhulelwa, ngoba lezi zidakamizwa zingathinta kakhulu ingane. Esikhundleni salokho, i- hydralazine ingashintshwa njengegazi le-dilator yegazi kuze kube sekulethwa kwezidingo.
Ngokufanayo, i-spironolactone yezidakamizwa kanye no-Inspra (eplerenone) - okuthiwa i-aldosterone abaphikisi, okungaba usizo ekuphatheni iziguli ezithile nge-cardiomyopathy ehlanjululwe - abazange bahlolwe ngesikhathi sokukhulelwa, futhi kufanele bagwenywe.
Kamuva nje, ubufakazi bokuqala bubikiwe ukuthi ukuphakamisa ukuthi abesifazane abane-cardiomyopathy bangase bazuze esibhedlela i-bromocriptine-isidakamizwa esetshenziselwa ukuphatha izifo ezihlukahlukene ezihlanganisa isifo sika-Parkinson kanye ne- hyperprolactinemia .
I-Bromocriptine ayiyona imithi ephelele, kodwa (phakathi kwezinye izinto, ivimbela ukulahla), futhi ukuhlolwa kwemitholampilo emikhulu kuzodingeka ngaphambi kokuba kuphakanyiswe ngokujwayelekile.
Ngokuvamile, ukuchazwa kwabantu besifazane abane-cardiomyopathy postpartum kubonakala sengathi kungcono kunabesifazane abanezinye izinhlobo ze-cardiomyopathy. Kwezinye izifundo, abesifazane abangamaphesenti angama-60 abanalo nalesi simo baye baqeda ngokugcwele. Noma kunjalo, izinga lokufa ne-postpartum cardiomyopathy liphakeme kakhulu ngo-10% ngemuva kweminyaka emibili.
Ukucutshungulwa Kwesikhathi Eside
Kubaluleke kakhulu ukwazi ukuthi abesifazane ababenesifo sengqondo se-postpartum cardiomyopathy - ngisho nabesifazane abonakala sengathi baphinde baphinde baqede - basengozini enkulu yokuthuthukisa isimo futhi ngokukhulelwa okulandelayo.
Futhi uma i-postpartum cardiomyopathy yenzeka okwesibili, ingozi yokulimala okungapheli nesifo esibi kakhulu senhliziyo iba phezulu kakhulu.
Ngakho uma owesifazane esebenomzimba wokubeletha, kubalulekile ukuthatha izinyathelo zokugwema ukukhulelwa futhi.
Izwi elivela
I-postpartum cardiomyopathy yisimo esibucayi senhliziyo esenza ukuhluleka kwenhliziyo ngesikhathi sokukhulelwa sekupheleni kwesikhathi noma ngemva kokubeletha. Ngenkathi ukwelashwa kutholakala ukuthi kusiza iningi labesifazane abathintekayo ukuthi liphuluke, liyiyona nkinga yengozi eyingozi eveza izinga lokukhubazeka nokufa. Abesifazane abaye babe nalesi simo basengozini enkulu yokuphindaphinda nokukhulelwa okulandelayo.
> Imithombo:
> Habedank D, Kühnle Y, Elgeti T, et al. Ukubuyiswa Kokuphuma Kwe-Cardiomyopathy Ngemuva Kokwelashwa Nge-Bromocriptine. I-Eur J Heart Fail 2008; 10: 1149.
> Habli M, O'Brien T, uNowack E, et al. I-Peripartum Cardiomyopathy: Izimbangela Zokuqaphelisa Zomphumela Wesikhathi Esidala Womama. Am J Obstet Gynecol 2008; 199: 415.e1.
> Sliwa K, Hilfiker-Kleiner D, Petrie MC, et al. Isimo Sobuchwepheshe Bamanje Nge-Aetiology, Ukuxilongwa, Ukuphathwa, kanye Nokuphathwa Kwe-Peripartum Cardiomyopathy: Isitatimende Esikhundleni Esivela Enhlanganweni Yehluleka Inhliziyo Ye-European Society of Cardiology Working Group e-peripartum cardiomyopathy. Inhliziyo ye-Eur J ihluleka ngo-2010; 12: 767.