Izimpawu Nezokwelapha
I-cardiomyopathy ehlukumezayo iyona evame kakhulu kulezi zinhlobo ezintathu ze-cardiomyopathy (isifo senhliziyo senhliziyo), ezinye ezimbili ziyi- cardiomyopathy ye-hypertrophic kanye ne-cardiomyopathy yokuvimbela.
E-cardiomyopathy ehlanjululwe, imisipha yenhliziyo iba buthakathaka futhi ayikwazi ukuvumelana ngokujwayelekile. Ukubuyisela lokhu kuqiniswa, imisipha yenhliziyo "ilula," okwenza inhliziyo (ikakhulukazi i- ventricle engakwesokunxele ) ihlise.
Ngakho isibonakaliso senhliziyo ehlwithayo yintliziyo ebuthakathaka, ekhulisiwe.
Izimbangela
Noma yini engenza buthakathaka inhlitiyo yenhliziyo-ehlanganisa inani elimangalisayo lezokwelapha-lingabangela ukuphelelwa yisifo senhliziyo. Izimo ezivame kakhulu ezingabangela ukuguquka kwe-cardiomyopathy zihlanganisa i- coronary artery disease (CAD) , izifo ezehlukene, isifo somfutho wegazi ophezulu nesifo senhliziyo. Ukuhluleka kokudla okunomsoco, ukuhlukumeza utshwala noma i-cocaine, ukukhulelwa, ama- arrhythmiya enhliziyo , ukushaywa ngokweqile ngokomzwelo , ukukhubazeka kwezakhi zofuzo, isifo se-thyroid kanye nokukhathazeka okuzenzakalelayo kungenye yezinye izimbangela.
Izimpawu
I-cardiomyopathy ehlukumezayo iyimbangela evamile kakhulu yokuhluleka kwenhliziyo . Eqinisweni, iningi labantu-kuhlanganise nodokotela abaningi-sebenzisa igama elithi "ukuhluleka kwenhliziyo" njengelumqondo oqondile we-cardiomyopathy ehlanjululwe. Ngenxa yalokho, akufanele kusimangaze ukuthi izimpawu zokuphefumula kwe-cardiomyopathy ziyizimpawu zakudala zokuhluleka kwenhliziyo .
Lokhu kufaka phakathi i- dyspnea (ukuphefumula okuncane), ukuvuvukala ezinyaweni nasezinyaweni, ubuthakathaka, ukubekezelelana kokuzivocavoca okuncane, ukuphazamiseka kokunciphisa umzimba nokuphefumula.
Ukuxilongwa
Ukuxilongwa kwezingubo zokuphefumula kwe-cardiomyopathy ekutholeni ukwandiswa kwamagumbi enhliziyo, ikakhulukazi i-ventricle engakwesokunxele. Ukuthola ukuhlanjululwa kwe-ventricular kwesokunxele kungafezwa okuningi nje nge- echocardiogram , noma iskena se- MUGA .
Ingxenye ebalulekile yolwazi etholakala ku-echocardiogram noma iskena se-MUGA ingxenyana ye- ventricular ejection (LVEF) , okuyingxenye yomsindo wayo wegazi okushiwo yi-ventricle nge-heartbeat ngayinye. I-LVEF evamile ingama-50% noma ngaphezulu (okusho ukuthi ngokuvamile i-ventricle engakwesokunxele ihlela okungenani isigamu segazi layo). E-cardiomyopathy ehlanjululwe, i-LVEF ihlale iyancipha ngaphansi kwe-50%.
Izinga lokunciphisa i-LVEF ngokuvamile libonisa ngokucacile inani lemonakalo eyisivalo se-ventricle esisele. Ukuphindaphinda ukulinganisa kwe-LVEF ngezikhathi ezithile kungabonisa ukuthi isifo somuntu siphuthuma noma sithuthuka ngokuhamba kwesikhathi.
Ukwelapha
Uma kutholakala inhliziyo ehlanjululwayo, i-oda lokuqala lebhizinisi kufanele libe ukuhlola okuphelele ukuze uzame ukukhomba imbangela engase iguquke. Kulo mzamo, akukho tshe okufanele lishiywe lingasuswa, ngoba ukuqeda imbangela eyisizathu kaningi kuyindlela engcono kakhulu yokunqanda ukuwohloka kwenhliziyo, futhi kwezinye izimo ukuyijika. Kulokhu, kubaluleke kakhulu ukubheka i-CAD, izifo ze-valve yenhliziyo, ukuhluleka kokudla okunomsoco, ukuphuza utshwala noma ukusetshenziswa kwe-cocaine, nesifo se-thyroid.
Ngenkathi ngifuna imbangela engase ibe yimbangela, ukwelashwa okunonya kufanele kuqaliswe ukunciphisa izimpawu, futhi nokuyeka ukuwohloka kwenhliziyo.
Imithi eminingi yokwelapha manje iboniswe ukuba ihlale isikhathi eside futhi iyanciphisa izimpawu kubantu abaye bahlanza i-cardiomyopathy, futhi ukwelashwa kwalesi simo kuye kwaqhubeka ngokushesha.
Ngeshwa, ucwaningo lubonisa ukuthi ingxenye enkulu yabantu abaye bahlanza i-cardiomyopathy ayitholi ukunakekelwa okuhle. Uma wena noma othandekayo uye wanciphisa inhliziyo, kudingeka wazi ukuthi ukwelashwa kufanele ukwenze-futhi uqiniseke ukuthi uxoxisana nodokotela wakho. Ngokuvamile umqondo omuhle wokuba nomzimba wezinzwa wezempilo uqondise ukunakekelwa kwakho, kokubili ukuqinisekisa ukuthi ukwelashwa kwakho kufinyelele kumazinga, nokukugcina unolwazi nganoma yikuphi ukuphumelela okukhona okuzokwenza ekuphatheni lesi simo esibi kakhulu.
> Imithombo:
> McMurray JJ, Adamopoulos S, Anker SD, et al. Izinkombandlela ze-ESC zokuHlola kanye nokwelashwa kokuhluleka kwenhliziyo ephuthumayo neyiguli 2012: I-Task Force for the Discover and Treatment of Insect Heart and Chronic Heart Failure 2012 ye-European Society of Cardiology. Kuthuthukiswe ngokubambisana ne-Heart Failure Association (HFA) ye-ESC. I-Eur Heart J 2012; 33: 1787.
> Yancy CW, Jessup M, Bozkurt B, et al. Umhlahlandlela we-ACCF / AHA ka-2013 we-Management of Heart Failure: Summary Executive: Umbiko we-American College Association of Cardiology Foundation / American Heart Association Task Force emithethweni yokuziphatha. Ukujikeleza 2013; 128: 1810.