Cardiomyopathie Hypertrophique

Mu ndwara y'umutima ikomeye (hypertrophic cardiomyopathy), inkuta y'umutima y'imitsi, izwi nka septum, ikunze kuba ikomeye kurusha uko bikwiye. Ariko uko gukomera bishobora kuba ahari hose mu cyumba cyo hasi cy'umutima w'ibumoso, kizwi kandi nka ventricule y'ibumoso.

Indwara y'umutima ikomeye (HCM) ni indwara imitsi y'umutima ikomera, bizwi kandi nko gukomera (hypertrophied). Imitsi y'umutima ikomeye ishobora gutuma umutima ukomera gutera amaraso.

Abantu benshi barwaye indwara y'umutima ikomeye ntibabizi. Ni ukubera ko bafite ibimenyetso bike, cyangwa nta bimwe na bimwe. Ariko mu mubare muto w'abantu barwaye HCM, imitsi y'umutima ikomeye ishobora gutera ibimenyetso bikomeye. Ibi birimo guhumeka nabi no kubabara mu gituza. Bamwe mu barwaye HCM bagira impinduka mu mikorere y'amashanyarazi y'umutima. Izi mpinduka zishobora gutera guhumeka nabi kw'umutima bishobora kwica umuntu cyangwa urupfu rutunguranye.

Ibimenyetso bya Cardiomyopathy ya Hypertrophic bishobora kuba birimo kimwe cyangwa birenga ibi bikurikira:

*Kubabara mu kifuba, cyane cyane mu gihe cyo gukora imyitozo ngororamubiri. *Gusinzira, cyane cyane mu gihe cyo gukora imyitozo ngororamubiri cyangwa nyuma yayo. *Kumva umutima ukubita cyane, cyangwa nk'aho uri guhuruka, bikunze kwitwa palpitations. *Guhumeka nabi, cyane cyane mu gihe cyo gukora imyitozo ngororamubiri. Hari ibindi bintu byinshi bishobora gutera guhumeka nabi no kumva umutima ukubita cyane. Ni ngombwa kujya kwa muganga vuba kugira ngo umenye icyabiteye kandi ubone ubuvuzi bukwiye. Suhuka umuganga wawe niba ufite amateka y'umuryango wa HCM cyangwa ikindi kimenyetso cy'indwara ya Cardiomyopathy ya Hypertrophic. Hamagara 911 cyangwa nimero y'ubufasha bw'ihutirwa muri aka karere niba ufite ibyo bimenyetso bikurikira iminota irenga mike: *Gutera kw'umutima cyane cyangwa kutameze neza.

• Kugira ikibazo cyo guhumeka.
• Kubabara mu kifuba.

Uburwayi bwinshi bushobora gutera guhumeka nabi no gutera umutima wihuta cyane. Ni ngombwa kwipimisha vuba kugira ngo umenye icyateye ibyo bibazo maze ubone ubuvuzi bukwiye. Egera umuganga wawe niba ufite amateka y'uburwayi bwa HCM mu muryango wawe cyangwa ibindi bimenyetso bifitanye isano n'indwara y'umutima ikomeye.

Hamagara 911 cyangwa nimero y'ubufasha bw'ihutirwa muri aka karere niba ufite kimwe muri ibi bimenyetso bikurikira iminota irenga mike:

• Gutera kw'umutima kwihuta cyangwa kudakomeye.
• Kugira ikibazo cyo guhumeka.
• Kubabara mu gituza.

Cardiomyopathy ikomeye iterwa ahanini n'impinduka mu gene zitera imitsi y'umutima gukomera.

Cardiomyopathy ikomeye isanzwe igaragara ku rukuta ruri hagati y'ibyumba bibiri byo hasi by'umutima. Uru rukuta rwitwa septum. Ibyumba byitwa ventricles. Uru rukuta rukomeye rushobora kubuza amaraso kuva mu mutima. Ibi bita cardiomyopathy ikomeye ifunga.

Niba nta kibazo gikomeye cyo kubuza amaraso, iyi ndwara yitwa cardiomyopathy ikomeye idafunga. Ariko icyumba gikuru cy'umutima gishinzwe gutera amaraso, kitwa ventricle y'ibumoso, gishobora gukomera. Ibi bituma umutima udashobora kuruhuka. Gukomera kwabyo kandi bigabanya umwanya w'amaraso ventricle ishobora gutwara no kohereza mu mubiri buri gihe umutima ukubise.

Uturambuye tw'imitsi y'umutima tunahinduka mu bantu barwaye cardiomyopathy ikomeye. Ibi bita myofiber disarray. Bishobora gutera umutima guhora ukubise nabi muri bamwe.

Cardiomyopathy ikomeye isanzwe irandukira mu miryango. Bisobanura ko ari iy'umuzuko. Abantu bafite umubyeyi umwe ufite cardiomyopathy ikomeye bafite amahirwe 50% yo kugira impinduka z'imiterere ya gene itera iyo ndwara.

Ababyeyi, abana, cyangwa abavandimwe b'umuntu ufite cardiomyopathy ikomeye bagomba kubaza itsinda ryabo ry'ubuvuzi ibizamini byo gupima iyo ndwara.

Ingaruka za Cardiomyopathy ikomeye zishobora kuba:

• Kugira umutima uhagaze (AFib). Imisuli y'umutima ikomeye n'impinduka mu buryo bw'uturemangingo tw'umutima bishobora gutera umutima udadoda neza kandi ukunda gukubita cyane cyane witwa AFib. AFib inongera ibyago byo kugira amaraso akabana, ashobora kujya mu bwonko agakubita.
• Amaraso adatembera neza. Mu bantu benshi, imisuli y'umutima ikomeye ihagarika amaraso ava mu mutima. Ibi bishobora gutera guhumeka nabi igihe ukora imyitozo, kubabara mu gituza, guhinda umutwe no guta ubwenge.
• Indwara y'umuvure wa mitral. Niba imisuli y'umutima ikomeye ihagarika amaraso ava mu mutima, umuvure uri hagati y'ibice by'umutima wo ibumoso ushobora kutafunga neza. Uwo muvure witwa umuvure wa mitral. Niba udafunga neza, amaraso ashobora gusubira inyuma mu gice cyo hejuru cy'ibumoso. Iyi ni indwara yitwa mitral valve regurgitation. Bishobora gutuma ibimenyetso bya cardiomyopathy ikomeye birushaho kuba bibi.
• Cardiomyopathy yagutse. Mu bantu bake bafite HCM, imisuli y'umutima ikomeye iba iguye kandi ikora nabi. Iyi ndwara ikunda gutangira mu gice cyo hasi cy'umutima wo ibumoso. Igice cyagura. Umutima ukomesha imbaraga nke.
• Gucika intege kw'umutima. Uko iminsi igenda, imisuli y'umutima ikomeye ishobora kuba ikomeye cyane ku buryo itabasha kuzuza umutima amaraso. Ibyo bituma umutima utabasha gutera amaraso ahagije kugira ngo uhuze ibyo umubiri ukeneye.
• Guta ubwenge, bitwa syncope. Umutima udadoda neza cyangwa amaraso adatembera neza rimwe na rimwe bishobora gutera guta ubwenge. Guta ubwenge bitazwi impamvu bishobora kuba bifitanye isano n'urupfu rutunguranye rw'umutima, cyane cyane niba byabaye vuba aha kandi ku muntu muto.
• Urupfu rutunguranye rw'umutima. Gake, cardiomyopathy ikomeye ishobora gutera urupfu rutunguranye rw'umutima mu bantu b'imyaka yose. Abantu benshi bafite cardiomyopathy ikomeye ntibabizi. Ibyo bituma urupfu rutunguranye rw'umutima rushobora kuba ikimenyetso cya mbere cy'iyi ndwara. Bishobora kuba ku bantu bato basa n'abameze neza, harimo n'abakinnyi ba siporo bo mu mashuri yisumbuye n'abandi bantu bato bakora cyane.

Nta buryo buzwi bwo gukumira indwara y'umutima ikomeye (HCM). Ni ngombwa kubona iyi ndwara hakoreshejwe ibizamini hakiri kare kugira ngo ubuvuzi bugerweho kandi hakumirwe ingaruka. Indwara y'umutima ikomeye isanzwe iherwa mu miryango. Niba ufite umubyeyi, umuvandimwe, mushiki wawe cyangwa umwana ufite indwara y'umutima ikomeye, baza itsinda ry'ubuvuzi bwawe niba ibizamini bya gene ari byiza kuri wowe. Ariko si buri wese ufite HCM ufite impinduka za gene ibizamini bishobora kubona. Nanone, ibigo bimwe by'ubwishingizi bishobora kutazigama ibizamini bya gene. Niba ibizamini bya gene bitakozwe, cyangwa niba ibisubizo bitagira umumaro, ubugenzuzi bushobora gukorwa hakoreshejwe echocardiograms zisubirwamo. Echocardiograms ikoresha amaseseme kugira ngo ikore amashusho y'umutima. Ku bantu bafite umuryango ufite indwara y'umutima ikomeye: - Ibizamini bya Echocardiogram birasuzurwa guhera ku myaka 12. - Ubugenzuzi bukoresheje echocardiograms bugomba gukomeza buri mwaka 1 kugeza kuri 3 hagati yimyaka 18 kugeza kuri 21. - Nyuma yibyo, ubugenzuzi bushobora gukorwa buri myaka itanu kugeza ubuze. Ushobora kuba ukeneye kugira echocardiogram kenshi hashingiwe ku buzima bwawe rusange n'ibyifuzo by'itsinda ryawe ry'ubuvuzi.

Umuhanga mu buvuzi akubuzwa maze akumva umutima wawe akoresheje igikoresho cyitwa stetoscope. Umuvuduko w'amaraso mu mutima ushobora kumvikana mu gihe umutima urimo gukorwaho.

Umwe mu bagize itsinda ry'ubuvuzi ryawe akenshi abaza ibibazo ku birebana n'ibimenyetso byawe, amateka yawe y'uburwayi n'ay'umuryango wawe. Kugerageza imisemburo cyangwa inama zishobora kugutungirwa igihe ufite amateka y'uburwayi bw'umuryango.

Ibizamini bikorwa kugira ngo harebwe umutima kandi harebwe impamvu z'ibimenyetso byose.

• Echocardiogram. Echocardiogram ikunze gukoreshwa mu kuvura indwara y'umutima ikomeye. Amajwi akoreshwa mu gukora amashusho y'umutima urimo gukubita. Iki kizamini kigaragaza uko utwumba n'amavavu y'umutima bikora neza mu gutuma amaraso agenda. Echocardiogram kandi ishobora kugaragaza niba umusuli w'umutima uri ukomeye kurusha uko bikwiye.
• Electrocardiogram (ECG cyangwa EKG). Iki kizamini cyihuse kandi kidakomeretsa kipima ibikorwa by'amashanyarazi by'umutima. Ibisate bito bita electrodes bihambirwa ku gatuza, rimwe na rimwe no ku maboko n'amaguru. Uturango dutunga electrodes ku mudasobwa, icapisha cyangwa igaragaza ibisubizo by'ikizamini. ECG ishobora kugaragaza imiterere idasanzwe y'umutima n'ibimenyetso byo gukomera kw'umutima.
• Holter monitor. Iki gikoresho gito cya ECG, gikora nk'igitwarwa, cyandika ibikorwa by'umutima. Gikorerwa umunsi umwe cyangwa ibiri mu gihe ukora ibikorwa byawe bisanzwe.
• Cardiac MRI. Iki kizamini gikoreshwa imashini zikomeye zikoresha uburyo bwa magnétique n'amajwi ya radio kugira ngo hakorwe amashusho y'umutima. Bitanga amakuru yerekeye umusuli w'umutima n'uko umutima n'amavavu y'umutima bikora. Iki kizamini akenshi gikorerwa hamwe na echocardiogram.
• Isuzuma ry'umutima urimo gukora. Isuzuma ry'umutima urimo gukora akenshi ririmo kugenda kuri tapis roulant cyangwa kugendera kuri velo itari iy'imbere mu gihe umutima urimo gukurikiranwa. Ibizamini byo gukora imyitozo ngororamubiri bifasha kugaragaza uko umutima uhangana n'imikorere y'umubiri.
• Cardiac CT scan. Gake, iki kizamini gikorwa mu kuvura indwara y'umutima ikomeye. Ariko bishobora gusabwa niba MRI idashobora gukoreshwa. Cardiac CT scan ikoresha X-rays mu gukora amashusho y'umutima n'igituza. Ishobora kugaragaza ingano y'umutima.

Intego z'ivuriro ry'indwara ya cardiomyopathy ikomeye ni ugutuma ibimenyetso bigabanuka no gukumira urupfu rutunguranye rw'umutima ku bantu bafite ibyago byinshi. Uburyo bwo kuvura biterwa n'uburemere bw'ibimenyetso. Niba ufite indwara ya cardiomyopathy kandi uri utwite cyangwa utekereza gutwita, vugana n'abaganga bawe. Ushobora koherezwa kwa muganga ufite ubunararibonye mu gutwita gufite ibyago byinshi. Uyu muganga ashobora kuba ari umuganga wita ku gutwita gufite ibyago byinshi cyangwa inzobere mu kuvura ababyeyi n'abana bataravuka. Imiti Imiti ishobora kugabanya uko imitsi y'umutima ikomeza gukanda no kugabanya umuvuduko w'umutima. Muri ubwo buryo, umutima ushobora gutera amaraso neza. Imiti yo kuvura indwara ya cardiomyopathy ikomeye n'ibimenyetso byayo ishobora kuba irimo: Ibiyabuza beta nka metoprolol (Lopressor, Toprol-XL), propranolol (Inderal LA, Innopran XL) cyangwa atenolol (Tenormin). Ibiyabuza calcium channel nka verapamil (Verelan) cyangwa diltiazem (Cardizem, Tiazac, n'ibindi). Imiti yitwa mavacamten (Camzyos) igabanya umuvuduko ku mutima. Ishobora kuvura HCM ifunga mu bantu bakuru bafite ibimenyetso. Itsinda ry'abaganga bawe rishobora kugutekerezaho iyi miti niba utayashobora gufata cyangwa ntiwakira neza beta blockers cyangwa verapamil. Imiti y'umuvuduko w'umutima nka amiodarone (Pacerone) cyangwa disopyramide (Norpace). Ibiyabuza amaraso nka warfarin (Jantoven), dabigatran (Pradaxa), rivaroxaban (Xarelto) cyangwa apixaban (Eliquis). Ibiyabuza amaraso bishobora gufasha gukumira imikaya y'amaraso niba ufite atrial fibrillation cyangwa ubwoko bwa cardiomyopathy ikomeye ya apical. Apical HCM ishobora kongera ibyago by'urupfu rutunguranye rw'umutima. Ibibujijwe cyangwa ibindi bikorwa Septal myectomy Agasanduku kagufi Septal myectomy Septal myectomy Septal myectomy ni ubuvuzi bw'umutima ufunguye. Umuganga akuraho igice cy'ikibuno cy'umutima kiba cyarakomeye, hagati y'ibice byo hasi by'umutima byitwa ventricles, nk'uko bigaragarira ku mutima uri iburyo. Apical myectomy Agasanduku kagufi Apical myectomy Apical myectomy Apical myectomy ni ubuvuzi bw'umutima ufunguye bwo kuvura indwara ya cardiomyopathy ikomeye. Umuganga akuraho imitsi y'umutima ikomeye hafi y'umutwe w'umutima. Hari uburyo bwinshi bwo kuvura indwara ya cardiomyopathy cyangwa ibimenyetso byayo. Muri byo harimo: Septal myectomy. Ubu buvuzi bw'umutima ufunguye bushobora kugirwa inama niba imiti idakira ibimenyetso. Bihariye gukuraho igice cy'urukuta rukomeye, rwakuriye hagati y'ibice by'umutima. Uru rukuta rwitwa septum. Septal myectomy ifasha kunoza amaraso ava mu mutima. Igabanya kandi amaraso asubira inyuma binyuze mu muyoboro wa mitral. Ubu buvuzi bushobora gukorwa hakoreshejwe uburyo butandukanye, bitewe n'aho imitsi y'umutima ikomeye iherereye. Mu bwoko bumwe, bwitwa apical myectomy, abaganga bakuraho imitsi y'umutima ikomeye hafi y'umutwe w'umutima. Rimwe na rimwe umuyoboro wa mitral usanirwa icyarimwe. Septal ablation. Ubu buryo bukoresha inzoga kugirango zigabanye imitsi y'umutima ikomeye. Umuyoboro muremure, mwiza witwa catheter ushyirwa mu mubiri utera amaraso mu gice cyangiritse. Inzoga zinyura muri uwo muyoboro. Ihindagurika mu buryo bwo gutanga umuyoboro w'amashanyarazi y'umutima, bita heart block, ni kimwe mu bibazo. Heart block igomba kuvurwa hakoreshejwe pacemaker. Icyo gikorwa gito gishyirwa mu gituza kugira ngo gifashe kugenzura umuvuduko w'umutima. Implantable cardioverter-defibrillator (ICD). Iki gikorwa gishyirwa munsi y'uruhu hafi y'umutwe. Gikomeza kugenzura umuvuduko w'umutima. Niba iki gikorwa kigasanga umuvuduko w'umutima utari mwiza, gitanga amashanyarazi make cyangwa menshi kugirango gisubize umuvuduko w'umutima. Gukoresha ICD byagaragaye ko bifasha gukumira urupfu rutunguranye rw'umutima, rubaho ku bantu bake bafite indwara ya cardiomyopathy ikomeye. Cardiac resynchronization therapy (CRT) device. Gake, iki gikorwa gishyirwa mu mubiri gikoreshwa nk'uburyo bwo kuvura indwara ya cardiomyopathy ikomeye. Gishobora gufasha ibice by'umutima gukanda mu buryo buteguye kandi bukoranye neza. Ventricular assist device (VAD). Iki gikorwa gishyirwa mu mubiri kandi gikoreshwa gake mu kuvura indwara ya cardiomyopathy ikomeye. Gifasha amaraso kunyura mu mutima. Kugura umutima. Iki ni ubuvuzi bwo gusimbuza umutima urwaye umutima muzima w'umuntu utanze. Bishobora kuba uburyo bwo kuvura ibibazo by'umutima bikomeye iyo imiti n'ubundi buryo bwo kuvura bitakimaze. Cardiomyopathy ikomeye n'uburyo bwo kuvura Kanda Kanda Gusubira kuri videwo 00:00 Kanda Gushaka amasegonda 10 inyuma Gushaka amasegonda 10 imbere 00:00 / 00:00 Mute Settings Picture in picture Fullscreen Kugaragaza inyandiko ya videwo Cardiomyopathy ikomeye n'uburyo bwo kuvura Steve R. Ommen, M.D., Indwara z'umutima, Mayo Clinic: Cardiomyopathy ikomeye ni indwara itaramenyekanye cyane kandi itera ubwoba cyane ku isi hose. Muri Leta Zunze Ubumwe za Amerika gusa, hari abantu barenga ibihumbi 500 bafite indwara ya cardiomyopathy ikomeye, benshi muri bo badafite ibimenyetso kandi batazi ko barwaye. Bamwe bashobora gupfa batunguranye. Urupfu rutunguranye rw'umutima rubaho bitunguranye nta kimenyetso. Hartzell V. Schaff, M.D., Ubuvuzi bw'umutima, Mayo Clinic: Abarenga 2/3 by'abarwayi bazaba bafite ikibazo cyo gufunga. Kandi ikibazo cyo gufunga mu muyoboro uva mu ventricles y'ibumoso ni ikimenyetso cyo kubagwa ku barwayi bafite ibimenyetso. Rero ubu tuzi ko 2/3 by'abarwayi bafite indwara ya cardiomyopathy ikomeye n'ikibazo cyo gufunga ari abakandida bo kubagwa. Dr. Ommen: Cardiomyopathy ikomeye ni indwara ikunze kubaho mu muryango cyangwa indwara y'imitsi y'umutima. Abantu bavukana imisemburo yayo, ariko ikibazo cyo gukomera ntigaragara gutangira gukura kugeza mu gihe cy'ubwangavu, cyangwa nyuma yaho. Bishoboka ko abana bavukana imitsi y'umutima ikomeye, ariko ibyo birarenga kandi bikunze kugaragara cyane mu ndwara. Kandi byavuzwe ko bitaba kugeza abantu bageze mu myaka 50 cyangwa 60. Rero, gutangira bishobora kuba igihe icyo ari cyo cyose mu buzima. Kandi rwose ibimenyetso bishobora kubaho mu buzima bwose. Dr. Schaff: Ibimenyetso bisanzwe abarwayi bagira iyo bafite indwara ya cardiomyopathy ikomeye ifunga ni guhumeka nabi, kubabara mu gituza nk'ibibazo by'umutima no guta ubwenge. Kandi ikibabaje ni uko bimwe muri ibyo bimenyetso bikura gahoro kandi mu gihe kirekire ku buryo abarwayi batumva uko bafite ubumuga. Dr. Ommen: Ku barwayi bafite ibimenyetso bitewe n'indwara ya cardiomyopathy ikomeye, uburyo bwa mbere bwo kuvura buhora ari ugukoresha uburyo bwo kuvura, imiti. Ubusanzwe, ibyo ni ukongera imiti runaka, ariko rimwe na rimwe abarwayi baba bafite imiti ishobora kubabaza. Rero uburyo bwiza bwo kuvura ni ukukuraho imiti mbi, hanyuma wenda ukongera imiti ikwiye kugira ngo ibashe kubafasha ibimenyetso byabo. Ku barwayi batakira ibyo guhindura imiti, cyangwa ku barwayi imiti yateye ingaruka zitari nziza, nibwo tujya mu bintu nko kubaga myectomy, bishobora kugabanya ibimenyetso byabo neza. Dr. Schaff: Abarwayi boherezwa kubagwa buri gihe baba batakira imiti cyangwa bafite ingaruka ziterwa n'imiti zibabuza gukora nk'uko ibimenyetso by'indwara ya cardiomyopathy ikomeye bibabuza. Rero kubaga kugira ngo hagabanywe ikibazo cyo gufunga ni ukugabanya ibimenyetso. Kandi kuri bamwe, kugira ngo babashe kuva ku miti itera ingaruka zitari nziza. Dr. Ommen: Kubaga myectomy byabaye ubuvuzi bwiza cyane kuri benshi mu barwayi bacu. Ariko, ntibikoresha cyane nk'uko bishoboka kubera ibitekerezo byabanje ku byago byiyongereye mu buvuzi, kubura uburyo bwo kubona abaganga babishoboye. Ariko mu bigo by'inzobere, umubare w'ibibazo ni muke cyane kandi umubare w'abakira ni mwinshi cyane. Dr. Schaff: Ubu dukora septal myectomy ikwirakwira cyane yerekeza ku mutwe w'umutima. Kandi twize mu myaka ishize ko igice cya kure cya myectomy ari cyo cy'ingenzi mu kugabanya ibimenyetso. Abantu bake bagiye bakora ubuvuzi bwa kabiri, boherejwe kwa twe nyuma yo kubagwa bitagenze neza, twasanze myectomy itari yakozwe bihagije mu mutima. Ntabwo ari ukugira imitsi mishya. Ni ukubura ubuvuzi buhagije bwa mbere. Dr. Ommen: Muri septal myectomy, umuganga akuraho igice cy'ikibuno cy'umutima, gikata inzira y'amaraso, ava mu mutima. Gukora ibyo, bihindura aho amaraso anyura mu mutima. Bituma umuyoboro wa mitral ukora neza. Kandi bituma amaraso ava mu mutima adakomeza umuvuduko cyangwa imbaraga. Iyi mitsi ntigaruka nyuma y'igihe. Ni igisubizo kirambye. Dr. Schaff: Twasanze gake cyane ari ngombwa gukora ikintu ku muyoboro wa mitral. Kandi ikibazo cyo gukora ikintu ku muyoboro wa mitral, aho bigaragara ko bitari ngombwa, ni uko hari amahirwe yo gukomeretsa. Rero twakwifuza gukora septal myectomy, kuva kuri bypass, gusuzuma umuyoboro wa mitral hakoreshejwe echocardiogram mu gihe cy'ubuvuzi, mbere yo gufata umuyoboro wa mitral niba hari amaraso asubira inyuma. Dushobora kumenya niba amaraso asubira inyuma ya mitral akize nyuma ya myectomy igihe aorta ifunzwe kandi umutima usubira gukora. Echocardiogram ikorwa mu cyumba cy'ubuvuzi kandi tuhita tuzi niba amaraso asubira inyuma ya mitral akize. Hari ubuvuzi buhari ku barwayi bamwe bafite indwara ya cardiomyopathy ikomeye idafunga. Kandi abo ni abarwayi bafite ikibazo cyo gukomera mu gice cya apical. Bamwe muri abo barwayi bafite ibibazo by'umutima bifitanye isano n'ibice bito by'umutima. Kandi kuri abo barwayi, gukora transapical myectomy kugira ngo hagurwe umutima bishobora kunoza ibimenyetso byabo by'ibibazo by'umutima. Dr. Ommen: Nubwo tubona ibyiza byinshi biterwa na myectomy nk'uko bikorwa ubu, biracyari ikintu gikwiye gukorwa gusa mu bigo by'inzobere. Amakuru aherutse kuvuka yerekanye ko mu bigo bito, byo hagati, ndetse n'ibigo byitwa "ibikomeye", hari itandukaniro ry'urupfu, bisobanura ko ari byinshi cyane mu bigo bito kandi bike cyane mu bigo bikomeye. Ariko ndetse n'ibyo bigo byitwa bikomeye bifite umubare w'urupfu urenze cyane uwo bivugwa mu bigo by'inzobere. Kandi iki ni ubuvuzi bukwiye gukorwa n'abamenyereye cyane ubu buvuzi, kandi bakora byinshi. Dr. Schaff: Muri Mayo Clinic, twakoze ubuvuzi burenze 3000 ku ndwara ya cardiomyopathy ikomeye. Dukora ubuvuzi 200 kugeza kuri 250 buri mwaka. Urupfu muri ubu buvuzi ni munsi ya 1%, cyane cyane ku barwayi bafite ubuzima bwiza. Dr. Ommen: Kimwe mu bintu bikomeye muri buri kiganiro ngirana n'abarwayi ni ubufasha mbaha kugira ngo bumve ibyago byabo ku gupfa kw'umutima kutunguranye, niba bashobora kwemera kugira defibrillator ishyirwa mu mubiri. Abarwayi bacu babagwe bafite umubare muke w'urupfu rutunguranye rw'umutima n'umubare muke w'ibikorwa bya defibrillators ku bari bafite. Dr. Schaff: Kimwe mu bintu twize nyuma yo gukora septal myectomy ni uko ubwinshi bw'ibibazo by'umutima bigaragara ko bigabanuka. Kandi ibyo bigaragarira mu bushakashatsi bureba ibikorwa bya defibrillator n'umubare w'urupfu rutunguranye. Dr. Ommen: Uburyo bwo kwandura indwara ya cardiomyopathy ikomeye ni autosomal dominant, bisobanura ko buri mwana w'umurwayi wa HCM afite amahirwe 50/50 yo kwandura iyi ndwara. Turagira inama yo gusuzuma abantu bose bo mu muryango wa hafi, ariko ni ibizamini bya gene cyangwa ibizamini bya echocardiography. Iyo umuryango wahisemo gukoresha echocardiography nk'igikoresho cyo gusuzuma, turagira inama y'uko abantu bakuru bo mu muryango wa hafi bagomba gusuzuma buri myaka itanu. Abantu bo mu muryango wa hafi bari mu kigero cy'ubwangavu cyangwa abakinnyi, ubusanzwe turabasuzuma buri mezi 12 kugeza kuri 18. Dr. Schaff: Septal myectomy ikiza ibimenyetso by'indwara ya cardiomyopathy ikomeye iyo igabanya ikibazo cyo gufunga. Ariko rwose, abarwayi bagifite indwara ya cardiomyopathy ikomeye, bagomba gukomeza gukurikiranwa n'abaganga babo ku bindi bibazo bifitanye isano n'indwara ya cardiomyopathy ikomeye. Ariko twizera ko bagabanyijwe guhumeka nabi, kubabara mu gituza, cyangwa guta ubwenge byabateye kubagwa. Amakuru y'inyongera Kwita ku ndwara ya cardiomyopathy ikomeye muri Mayo Clinic Ubuvuzi bwo gukuraho ibice Implantable cardioverter-defibrillators (ICDs) Pacemaker Video: Septal myectomy na apical myectomy Kugaragaza amakuru y'inyongera Musaba gupanga gahunda

Sumagara n'inshuti n'umuryango wawe cyangwa itsinda ry'ubufasha. Ushobora gusanga kuvugana n'abandi bantu bafite ibibazo nk'ibyawe kuri Cardiomyopathie hypertrophique bifasha. Ni ngombwa kandi kugenzura umunaniro w'amarangamutima. Gukora imyitozo ngororamubiri no gukora imyitozo yo kwiyumvisha ni uburyo bwo kugabanya umunaniro. Niba ufite imihangayiko cyangwa kwiheba, vugana n'abaganga bawe ku buryo bwo kubifasha.