Cardiomyopathy Yakakura

Cardiomyopathy yakakura ndiro rudzi rwechirwere chemwoyo chinoita kuti makamuri emoyo (ventricles) asendeuke uye atambanudze, kukura kukuru. Kazhinji inotanga mukamuri huru yekupomba yemoyo (left ventricle). Cardiomyopathy yakakura inoita kuti zviomere moyo kupomba ropa kuenda kune dzimwe nhengo dzemuviri.

Vamwe vanhu vane cardiomyopathy yakakura havaone zviratidzo kana zviratidzo mumavambo ekutanga kwechirwere ichi.

Zviratidzo nezviratidzo zve cardiomyopathy yakakura zvinogona kusanganisira:

• Kuneta
• Kushaya mweya (dyspnea) panguva yekurovedza muviri kana uri kurara
• Kuderedzwa kukwanisa kurovedza muviri
• Kuchema (edema) mumitsipa, makwati, tsoka kana mudumbu (abdomen)
• Kurwadziwa pabvudzi kana kusagadzikana
• Kupuruzira, kuzunguza kana kurova kwemoyo (palpitations)

Kana uchipera mweya kana uine zvimwe zviratidzo zve dilated cardiomyopathy, ona chiremba wako nekukurumidza sezvinobvira. Fonera 911 kana nhamba yako yekukurumidza kubatsirwa kana uine kurwadziwa kwepfupa kunopfuura maminitsi mashoma kana uine kuoma kwakanyanya kufema.

Kana mumwe wehama dzako ane dilated cardiomyopathy, taura nachiremba wako. Marudzi amwe chete e dilated cardiomyopathy anofamba mumhuri (anogara achifamba). Kuongororwa kwemajini kunogona kukurudzirwa.

Zvinogona kuoma kuziva chikonzero che dilated cardiomyopathy. Zvisinei, zvinhu zvizhinji zvinogona kukonzera kuti ventricle yekuruboshwe iwedzere uye isitange, kusanganisira:

• Zvirwere zvekuzara
• Zvinetso zvepamuviri wekupedzisira
• Chidhakwa cheshuga
• Iron yakawanda mumoyo nemamwe matunhu emuviri (hemochromatosis)
• Matambudziko emhando yemoyo (arrhythmias)
• Kufembedza kweropa kukuru (hypertension)
• Kufuta
• Hosha yemukova wemoyo, sekudzoserwa kwemukova we mitral kana aortic

Zvimwe zvinokonzera dilated cardiomyopathy zvinosanganisira:

• Kushandisa zvakanyanya doro
• Kuonekwa nezvinhu zvine chepfu, senge lead, mercury ne cobalt
• Kushandisa mishonga yekurapa kenza
• Kushandisa zvinodhaka zvisiri pamutemo, sekoko kana amphetamines

Zvinokonzera njodzi dze dilated cardiomyopathy zvinosanganisira:

• Kukuvadzwa kwemhasuru yemoyo kubva kune zvirwere zvakati, zvakadai se hemochromatosis
• Nhoroondo yemhuri ye dilated cardiomyopathy, kutadza kwemoyo kana kufa kwemoyo kamwe kamwe
• Chirwere chevavhari yemoyo
• Kunetseka kwemhasuru yemoyo kubva kune zvirwere zve immune system, zvakadai serupus
• Kushandisa kwenguva refu doro rakawanda kana zvinodhaka zvisiri pamutemo
• Kuwanda kweropa kwenguva refu
• Zvirwere zve neuromuscular, zvakadai se muscular dystrophy

Zvinetso zve dilated cardiomyopathy zvinosanganisira:

• Kukundikana kwemoyo. Moyo haukwanisi kuburitsa ropa rakakwana kuti usangane nezvinodiwa nemumuviri. Kana usina kurapwa, kukundikana kwemoyo kunogona kuuraya.
• Mavharuvhu emoyo anobuda (heart valve regurgitation). Cardiomyopathy inogona kuita kuti zvive zvakaoma kumavharuvhu emoyo kuti avhare. Ropa rinogona kubuda shure kuburikidza nemavharuvhu emoyo.
• Kurova kwemoyo kusina kururama (arrhythmias). Kushanduka kukuru nehukuru hwemoyo kunogona kukanganisa kumhanya kwemoyo.
• Sudden cardiac arrest. Dilated cardiomyopathy inogona kuita kuti moyo umire kamwe kamwe kubaya.
• Mvere dzeropa. Kuunganidzwa kweropa mukamuri yepasi yekuruboshwe yemoyo kunogona kutungamira kumvere dzeropa. Kana mvere dzikapinda muropa, dzinogona kudzivirira kuyerera kweropa kuenda kune dzimwe nhengo, kusanganisira moyo neuropi. Mvere dzeropa dzinogona kukonzera stroke, heart attack kana kukuvara kune dzimwe nhengo. Arrhythmias inogona zvakare kukonzera mvere dzeropa.

'Zviito zveutano zvakanaka zvinogona kubatsira kudzivirira kana kuderedza matambudziko e dilated cardiomyopathy. Edza aya mazano ekudzivirira moyo:\n\n* Dzivisa kana kuderedza doro.\n* Usafume.\n* Usashandise cocaine kana mamwe madrugs asingabvumirwi nemutemo.\n* Dyisa kudya kwutano kushoma munyu (sodium).\n* Rorora zvakakwana.\n* Ita zvemitambo nguva dzose.\n* Chengeta uremu hwakanaka.\n* Dzora kushushikana.'

Kuongorora cardiomyopathy yakakura, mushandi wako wehutano achaita bvunzo yemuviri wobvunza mibvunzo nezve nhoroondo yako yemhuri nemhuri. Mupi achazvishandisa chishandiso chinonzi stethoscope kuteerera mwoyo nemapapu ako. Ungatumirwa kuna chiremba anoziva nezve chirwere chemwoyo (cardiologist).

bvunzo dzekuongorora cardiomyopathy yakakura dzinosanganisira:

• Echocardiogram. Iyi ndiyo bvunzo huru yekuongorora cardiomyopathy yakakura. Ma sound waves anoita mifananidzo yemwoyo uchifamba. Echocardiogram inoratidza kuti ropa rinofamba sei mukati nekunze kwemwoyo nemahombekombe emwoyo. Inogona kutaura kana ventricle yekuruboshwe yakakura.
• Bvunzo dzeropa. Bvunzo dzakasiyana dzeropa dzinogona kuitwa kuongorora hutachiona, zvinhu kana zvirwere — senge chirwere cheshuga kana hemochromatosis — izvo zvinogona kukonzera cardiomyopathy yakakura.
• X-ray yechipfuva. X-ray yechipfuva inoratidza chimiro nemirimo yemwoyo nemapapu. Inogona kuratidza mvura iri mukati kana kumativi emapapu.
• Electrocardiogram (ECG kana EKG). Iyi bvunzo inokurumidza uye iri nyore inonyora basa remagetsi remwoyo. Electrocardiogram (ECG) inogona kuratidza kuti mwoyo uri kurova nekukurumidza kana nekukasira sei. Maitiro muma sign inogona kubatsira kuongorora chirwere chekumhanya kwemwoyo kana kuwedzera kweropa.
• Holter monitor. Iyi mudziyo unotakurika unogona kupfekerwa zuva rimwe kana kupfuura kunyora basa remwoyo panguva yemabasa ezuva nezuva.
• Bvunzo yekumanikidza muviri. Iyi bvunzo kazhinji inosanganisira kufamba pane treadmill kana kukwira bhasikoro rakamira apo mwoyo uri kutarwa ne. Bvunzo dzekumanikidza muviri dzinobatsira kuratidza kuti mwoyo unopindura sei kune zvemuviri. Kana usingakwanisi kurovedza muviri, unogona kupiwa mishonga inotevedzera mhedzisiro yekurovedza muviri pamwoyo.
• CT kana MRI scan yemwoyo (cardiac). Idzi bvunzo dze mifananidzo dzinogona kuratidza saizi nebasa remakamuri ekupomba emwoyo. CT scan yemwoyo inoshandisa akatevedzana e-X-rays kugadzira mifananidzo yakadzama yemwoyo. MRI yemwoyo inoshandisa magnetic fields ne radio waves.
• Cardiac catheterization. Panguva iyi nzira, imwe kana dzakawanda turakiti refu refu (catheters) dzinoiswa mudziya reropa, kazhinji mu groin, uye dzinoendeswa kumwoyo. Dye inoyerera kuburikidza ne catheter kubatsira arteries yemwoyo kuoneka zvakajeka pane mifananidzo ye-X-ray. Panguva ye cardiac catheterization, sampuli yetsinga (biopsy) inogona kutorwa kuongorora kukuvara kwetsinga yemwoyo.
• Genetic screening kana counseling. Cardiomyopathy inogona kupfuudzwa kuburikidza nemhuri (yakawanikwa). Bvunza mushandi wako wehutano kana bvunzo ye genetic yakakunakira. Kuongorora kwemhuri kana bvunzo ye genetic kunogona kusanganisira hama dzepakutanga — vabereki, vanin'ina nevana.

Kurapa cardiomyopathy yakakura kunoenderana nezvikonzero. Zvinangwa zvekurapa ndekuderedza zviratidzo, kuvandudza kuyerera kweropa uye kudzivirira kukuvara kwemoyo kunowedzera. Kurapa kwe cardiomyopathy yakakura kunogona kusanganisira mishonga kana kuvhiya kuisa mudziyo wekurapa unobatsira moyo kurova kana kuburitsa ropa.

Sangano remishonga rinogona kushandiswa kurapa cardiomyopathy yakakura uye kudzivirira chero matambudziko. Mishonga inoshandiswa ku:

Mishonga inoshandiswa kurapa kutadza kwemoyo ne cardiomyopathy yakakura inosanganisira:

Kuvhiya kunogona kudiwa kuisa mudziyo kudzora nhengo yemoyo kana kubatsira moyo kuburitsa ropa. Rudzi rwemidziyo inoshandiswa kurapa cardiomyopathy yakakura inosanganisira:

Kana mishonga nemamwe kurapa kwe cardiomyopathy yakakura isingashandi, kupandikirwa kwemoyo kunogona kudiwa.

• Kudzora nhengo yemoyo

• Kubatsira moyo kuburitsa zviri nani

• Kuderedza kumanikidza kweropa

• Kudzivirira kuumbwa kwema clots eropa

• Kuderedza mvura mumuviri

• Mishonga yekumanikidza kweropa. Marudzi akasiyana emishonga anogona kushandiswa kuderedza kumanikidza kweropa, kuvandudza kuyerera kweropa uye kuderedza kunetseka pamoyo. Mishonga yakadaro inosanganisira beta-blockers, angiotensin-converting enzyme (ACE) inhibitors uye angiotensin II receptor blockers (ARBs).

• Sacubitril/valsartan (Entresto). Uyu mushonga unosanganisa angiotensin two receptor blocker (ARB) neimwe mhando yemushonga kubatsira moyo kuburitsa ropa zviri nani kune mamwe mativi emuviri. Inoshandiswa kurapa avo vane kutadza kwemoyo kwenguva refu.

• Mapiritsi emvura (diuretics). Diuretic inobvisa mvura yakawandisa nemunyu mumuviri. Mvura yakawandisa mumuviri inoneta moyo uye inogona kuita kuti zviome kufema.

• Digoxin (Lanoxin). Uyu mushonga unogona kusimbisa kuita kwemisungo yemoyo. Inowanzoita kuti kurova kwemoyo kuomese. Digoxin inogona kuderedza zviratidzo zvekutadza kwemoyo uye kuita kuti zvive nyore kuva ane simba.

• Ivabradine (Corlanor). Zvisingawanzoitika, uyu mushonga unogona kushandiswa kudzora kutadza kwemoyo kunokonzerwa ne cardiomyopathy yakakura.

• Mishonga inodzivisa kuumbwa kwema clots eropa (anticoagulants). Mishonga iyi inobatsira kudzivirira kuumbwa kwema clots eropa.

• Biventricular pacemaker. Uyu mudziyo uri kune vanhu vane kutadza kwemoyo ne kurova kwemoyo kusina kururama. Biventricular pacemaker inokurudzira zvese zvikamu zviviri zvemoyo zviri pasi (zvekurudyi nekuruboshwe ventricles) kuita kuti moyo urove zviri nani.

• Implantable cardioverter-defibrillators (ICD). Implantable cardioverter-defibrillator (ICD) hairapi cardiomyopathy pachayo. Inotarisa nhengo yemoyo uye inopa magetsi shocks kana kurova kwemoyo kusina kururama (arrhythmia) kuchionekwa. Cardiomyopathy inogona kukonzera arrhythmias inotyisa, kusanganisira dzinosvika pakumisa moyo.

• Left ventricular assist devices (LVAD). Uyu mudziyo wemagetsi unobatsira moyo wakaneta kuburitsa ropa zviri nani. Left ventricular assist device (LVAD) kazhinji inofungwa mushure mekunge nzira dzisingakuvadzi dzikundikana. Inogona kushandiswa sekurapa kwenguva refu kana sekurapa kwenguva pfupi uchimirira kupandikirwa kwemoyo.