Created at:1/16/2025
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I-Cardiomyopathy yisifo esihlukanisa isimiso senhliziyo yakho, okwenza kube nzima enhliziyweni yakho ukupompa igazi ngokuphumelelayo emzimbeni wakho wonke. Cabanga ngayo njengesimo senhliziyo yakho esibuthakathaka, esiqinile, noma esiqinile ngezindlela eziphazamisa ukusebenza kwayo okujwayelekile kokupompa.
Lesi simo singathuthuka kancane kancane ngokuhamba kwesikhathi noma sivela ngokuzumayo. Nakuba kuzwakala kukhathaza, abantu abaningi abane-cardiomyopathy baphila impilo egcwele, esebenzayo ngokunakekelwa okufanele kwezokwelapha nokulinganisela indlela yokuphila.
I-Cardiomyopathy ihlose ngokuqondile isimiso senhliziyo ngokwayo, esibizwa ngokuthi i-myocardium. Uma lesi simiso singasebenzi kahle, inhliziyo yakho iyalwela ukupompa igazi ngokuphumelelayo kulo lonke umzimba wakho.
Lesi simo singathinta abantu bazo zonke izigaba zobukhulu, kusukela ezinganeni ezintsha kuya kubantu abadala. Abanye abantu bayadlulisela kubazali babo, kanti abanye bayithuthukisa ngenxa yezinye izimo zezempilo noma izici zendlela yokuphila.
Inhliziyo yakho inezingxenye ezine ezisebenza ndawonye njengopompo oluhleliwe. Uma i-cardiomyopathy ihlukanisa, lokuhleleka kuphazamiseka, okuholela ezimpawu ezahlukahlukene nezinhlungu uma kushiywa ungaphathwa.
Kunezinhlobo eziningi eziyinhloko ze-cardiomyopathy, ngayinye ihlukanisa isimiso senhliziyo yakho ngokuhlukile. Ukuqonda ukuthi yiluphi uhlobo onalo kusiza ukuqondisa indlela yokwelapha engcono kakhulu.
I-Dilated cardiomyopathy uhlobo oluvamile kunazo zonke. Igumbi elikhulu lokupompa lenhliziyo yakho liba likhulu futhi libuthakathaka, njengebhaluni elikhuphukile kakhulu futhi elingasakwazi ukuhlangana kahle.
I-Hypertrophic cardiomyopathy yenza isimiso senhliziyo yakho sibe bukhulu kakhulu. Lokhu kuqina kungavinjelwa ukugcwala kwegazi futhi kwenze kube nzima enhliziyweni yakho ukuphumula phakathi kokushaya.
I-cardiomyopathy ebinqinisayo yenza isimiso senhliziyo yakho siqine futhi singabi nomoya. Inhliziyo yakho ayikwazi ukuqina kahle ukuze izele igazi, kunciphisa inani elingalithumela ngesikhathi ngasinye sokushaya.
I-cardiomyopathy yebulungulu elikwesokudla le-arrhythmogenic uhlobo oluyimfihlo lapho isimiso senhliziyo esiqondile sithathwa indawo yilokho okuyimfucumfucu kanye namafutha. Lokhu kuthinta ikakhulukazi uhlangothi lwesokudla lenhliziyo yakho futhi kungabangela izinkinga ezingozi zokulingana kwenhliziyo.
Izimpawu ze-cardiomyopathy zivame ukuvela kancane kancane, ngakho ungase ungaziboni ekuqaleni. Abantu abaningi baqala ukubheka lezi zimpawu njengokuguga okuvamile noma ukungabi semzimbeni.
Nawa amaphuzu avamile ongawabona:
Abanye abantu nabo baye baba nezimpawu ezingavamile njengokukhokha okuqhubekayo, ikakhulukazi ebusuku, noma ukwanda kwesisindo ngokuzumayo ngenxa yokugcinwa kwamanzi. Lezi zimpawu zingase zihluke kakhulu kumuntu ngamunye.
Ezimweni ezingavamile, uphawu lokuqala lungaba ukuphelelwa yikhanda ngesikhathi somsebenzi womzimba noma ngisho nokuyeka kwenhliziyo ngokuzumayo. Kungakho kubalulekile ukunaka noma yiziphi izimpawu ezingavamile futhi ukhulume nodokotela wakho.
I-Cardiomyopathy ingathuthukiswa yizimbangela ezihlukahlukene, futhi ngezinye izikhathi odokotela abakwazi ukubona isizathu esithile. Ukuqonda izimbangela ezingaba khona kusiza wena neqembu lakho lokunakekelwa kwezempilo ukwenza izinqumo ezicacile mayelana nokwelashwa nokuvimbela.
Izimbangela ezivela ku-gene zidlalela indima ebalulekile ezimweni eziningi. Uma unezihlobo ezinomkhuhlane we-cardiomyopathy, ungase ube udlulisele i-gene ezokwenza ube sengozini yokuthola lesi simo.
Izimo eziningi zezokwelapha zingabangela i-cardiomyopathy ngokuhamba kwesikhathi:
Izici zesitayela sokuphila zingase futhi zifake isandla ekuthuthukiseni i-cardiomyopathy. Ukusebenzisa kakhulu utshwala isikhathi eside kuyimbangela ezaziwayo, njengoba utshwala oluningi lungalimaza ngokuqondile i-muscle yenhliziyo ngokuhamba kwesikhathi.
Imithi ethile nezinto zingalimaza i-muscle yenhliziyo yakho futhi. Lokhu kufaka phakathi ezinye izidakamizwa ezingamthetho njenge-cocaine ne-methamphetamines, kanye nemithi ethile ebhaliwe uma isetshenziswa isikhathi eside.
Ezimweni ezingavamile, i-cardiomyopathy ingathuthuka ngesikhathi sokukhulelwa noma ngokushesha ngemva kokubeletha, isimo esibizwa nge-peripartum cardiomyopathy. Imbangela eqondile ayiqondakali ngokuphelele, kodwa kubonakala ihlobene nokucindezeleka ukukhulelwa okubekela inhliziyo.
Kufanele uxhumane nodokotela wakho uma uhlangabezana nanoma yiziphi izimpawu ezingase ziphakamise izinkinga zenhliziyo. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kungenza umehluko omkhulu emiphumeleni yakho yempilo yesikhathi eside.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obusengqabeni, ukuphefumula okunzima, ukuqeda, noma ukushaya kwenhliziyo okusheshayo okungathuthuki ngokuphumula. Lezi zimpawu zingase zibonise ukuthi kukhona inkinga enzima edinga ukunakekelwa okusheshayo.
Hlela isikhathi sokuvakashela udokotela uma ubona izimpawu ezihamba kancane njengokukhathala okukhulu, ukuphefumula okunzima okuncane ngesikhathi semisebenzi owayuyenza kalula, noma ukukhuluphala ezinyaweni okungapheli ebusuku.
Uma unemlando womndeni we-cardiomyopathy, ukwehluleka kwenhliziyo, noma ukufa okungazelelwe kwenhliziyo, xoxa nalokhu nodokotela wakho ngisho noma uzizwa uphilile ngokuphelele. Ukuhlolwa kwasekuqaleni ngezinye izikhathi kungathola izinkinga ngaphambi kokuba kuvele izimpawu.
Izinto eziningi zingandisa amathuba akho okuba ne-cardiomyopathy. Nakuba ungakwazi ukulawula zonke izingozi, ukuziqonda kuzokusiza wenze izinqumo ezinolwazi mayelana nempilo yakho.
Umlando womndeni ungomunye wezingozi ezinkulu kakhulu, ikakhulukazi ye-hypertrophic cardiomyopathy. Uma umzali noma umfowenu une-cardiomyopathy, ingozi yakho iyanda kakhulu uma iqhathaniswa nabantu abavamile.
Ubudala nobulili nawo kudlala indima, yize kuhlukile kuwo wonke uhlobo. I-Dilated cardiomyopathy ivame ukubathinta amadoda aphakathi nendawo, kuyilapho i-peripartum cardiomyopathy ibonakala kuphela kwabesifazane ngesikhathi noma ngemva kokukhulelwa.
Izimo zezokwelapha ezicindezela inhliziyo yakho isikhathi eside zikhuphula ingozi yakho:
Izici zokuphila ongaziqondisa nawo zithinta ingozi yakho. Ukusebenzisa utshwala kakhulu iminyaka eminingi kukhuphula kakhulu amathuba akho okuba ne-dilated cardiomyopathy.
Ukutheleleka okuthile, ikakhulukazi ukutheleleka okuviviral okuthinta inhliziyo, kungabangela i-cardiomyopathy kwabanye abantu. Nakuba ungakwazi ukuvimba zonke izifo, ukugcina ukuhlanzeka okuhle nokugcina ubuhlungu ngezibalo kuzokusiza ukunciphisa le ngozi.
I-Cardiomyopathy lingaholela ezinhlungwini ezinkulu uma ingalawulwa kahle. Ukuqonda lezi zinkinga ezingase zenzeke kusiza ekukhuthazeni ukwelashwa okuqhubekayo kanye nokushintsha kwendlela yokuphila.
Ukwehluleka kwenhliziyo yiyona inkinga evamile kakhulu, eyenzeka uma inhliziyo yakho ingakwazi ukupompa igazi elanele ukuhlangabezana nezidingo zomzimba wakho. Lokhu akusho ukuthi inhliziyo yakho iyeka ukusebenza, kodwa kunalokho ukuthi ayisebenzi kahle ngokwanele.
Izinkinga zesivinini senhliziyo, ezibizwa ngokuthi i-arrhythmias, zivame ukuvela nge-cardiomyopathy. Inhliziyo yakho ingashaya ngokushesha kakhulu, kancane kakhulu, noma ngokungajwayelekile, okungabangela izimpawu ezifana nokushaya kwenhliziyo, ukukhungatheka, noma ukulahlekelwa uqaphelo.
Ezinye izinkinga ezingathí sina zingabandakanya:
Ezimeni ezingavamile, i-cardiomyopathy ingabangela ukuyeka ngokuzumayo kwenhliziyo, lapho inhliziyo yakho iyeka ngokuzumayo ukushaya kahle. Lokhu kungenzeka kakhulu ngezinhlobo ezithile ze-cardiomyopathy kanye nezici ezithile ezingozi.
Izindaba ezinhle ukuthi ukwelashwa okufanele kwezokwelapha kunciphisa kakhulu ingozi yalezi zinkinga. Ukuqapha njalo nokulandela uhlelo lwakho lokwelashwa kusiza ekutholeni izinkinga ekuqaleni lapho zilawuleka kakhulu.
Ukuhlonishwa kwe-cardiomyopathy kuhilela ukuhlolwa okuningi okusisiza udokotela wakho ukuthi aqonde ukuthi inhliziyo yakho isebenza kahle kangakanani. Inqubo iqala ngokuxoxisana ngemininingwane ngezimpawu zakho kanye nomlando wakho wezokwelapha.
Udokotela wakho uzokwenza ukuhlolwa komzimba, alalele inhliziyo yakho namaphuli akho nge-stethoscope. Uzohlola izimpawu ezifana nokushaya kwenhliziyo okungajwayelekile, ukugcinwa kwamanzi, noma imisindo enhliziyo engavamile engase iphakamise i-cardiomyopathy.
Ukuhlolwa okuningi kusiza ekuqinisekiseni ukuxilongwa nokunquma uhlobo lwe-cardiomyopathy:
Ngezinye izikhathi udokotela wakho angase akukhuthaze ukuhlolwa kwe-genetic, ikakhulukazi uma unezihlobo ezine-cardiomyopathy. Lokhu kungasiza ekuqondeni izinhlobo eziwusifa futhi kuqondise ukuhlola kwezinye izihlobo.
Ezimweni ezithile, ukuhlinzwa kwenhliziyo kungadingeka, nakuba lokhu kungavamile. Lokhu kuhilela ukuthatha isampula encane yethishu yemisipha yenhliziyo ukuze ihlolwe ngaphansi komkhulu.
Ukuphathwa kwe-cardiomyopathy kugxile ekuphatheni izimpawu, ukunciphisa ukuqhubeka kwesifo, nokuvimbela izinkinga. Uhlelo lwakho oluthile lokwelashwa luxhomeke ohlotsheni lwe-cardiomyopathy onayo nokuthi izimpawu zakho zinzima kangakanani.
Imithi iyisisekelo sokwelashwa kwabantu abaningi abane-cardiomyopathy. Lezi zidakamizwa zisiza inhliziyo yakho ukuba isebenze kahle futhi zinciphisa umthwalo wemisipha yenhliziyo.
Imithi evamile ihlanganisa:
Kwabanye abantu, amadivayisi ezokwelapha angathuthukisa kakhulu ikhwalithi yokuphila nokuphila. Ama-pacemakers asisiza ukulawula isivinini senhliziyo, kuyilapho ama-implantable cardioverter-defibrillators (ICDs) angavimbela ukufa kwenhliziyo okungazelelwe.
Ukwelapha okubuyisela inhliziyo emsebenzini usebenzisa uhlobo oluhlukile lwe-pacemaker ukusiza kokubili izinhlangothi zenhliziyo yakho ukuba zishaye ngokubambisana kangcono. Lolu phiko lusebenza kahle ikakhulukazi ezinhlotsheni ezithile zokwehluleka kwenhliziyo.
Ezimweni ezinzima lapho imithi namadivayisi anganele khona, izinketho zokucutshungulwa zingacatshangelwa. Lezi zihlanganisa izinqubo zokususa imisipha engaphezulu yenhliziyo e-hypertrophic cardiomyopathy kuya ekutshalweni kwenhliziyo esifundeni esiphelile sesifo.
Ngokukhethekile kwe-hypertrophic cardiomyopathy, inqubo ebizwa ngokuthi i-alcohol septal ablation ingasiza ekunciphiseni ukuvimbela ukwanda kwegazi. Lokhu kuhilela ukufaka utshwala emithanjeni emincane ukuze kunciphise imisipha ehlwempuzekile.
Ukuphatha i-cardiomyopathy ekhaya kuhilela ukwenza izinguquko zendlela yokuphila ezisekela impilo yenhliziyo yakho nokulandelwa kwepulani yakho yokwelapha ebekiwe njalo. Lezi zinyathelo zingathuthukisa kakhulu indlela ozizwa ngayo usuku nosuku.
Ukuthatha imithi yakho ngokuqondile njengoba kuqokiwe kubalulekile ekuphatheni i-cardiomyopathy ngokuphumelelayo. Yenza umhleli wezithombe noma usebenzise izikhumbuzo ze-smartphone ukukusiza uhlale uhambisana neshejuli yakho yemithi.
Qapha izimpawu zakho nsuku zonke futhi ugcine ulandelela noma yiziphi izinguquko. Zinzima ngesikhathi esifanayo nsuku zonke, njengoba ukwanda kwesisindo ngokuzumayo kungabonisa ukugcinwa kwamanzi okudinga ukunakekelwa kwezokwelapha.
Izinqubo zokudla zingenza umehluko omkhulu endleleni ozizwa ngayo:
Hlala usebenzayo njengoba isimo sakho sivumela, kodwa landela imiyalelo yodokotela wakho mayelana nokuzivocavoca. Abantu abaningi abane-cardiomyopathy bazuza ekuzivocavoca okuvamile, okuqondile njengokuhamba noma ukubhukuda.
Gwema noma unciphise ukusebenzisa utshwala, njengoba utshwala lungenza i-cardiomyopathy ibe nzima futhi kuphazamise ezinye izidakamizwa. Uma uqhuma, ukuyeka kuyinye yezinto ezinhle kakhulu ongayenza impilo yomphefumulo wakho.
Thola ubuthongo obukhulu futhi ulawule ukucindezeleka ngezindlela zokupumula, ukucamngca, noma ukwelulekwa uma kudingeka. Kokubili ukulala okubi nokucindezeleka okuqhubekayo kungenza izimo zenhliziyo zibe zimbi.
Nakuba ungakwazi ukuvimba izinhlobo ze-cardiomyopathy ezitholakala ngokuzalwa, unganciphisa kakhulu ingozi yokuthuthukisa ezinye izinhlobo ngokukhetha impilo enempilo. Ukuvimbela kugxile ekuvikeleni isimiso senhliziyo yakho ekubhujisweni ngokuhamba kwesikhathi.
Ukulawula ezinye izimo zempilo ngokuphumelelayo kusiza ukuvimbela i-cardiomyopathy ekuthuthukiseni. Gcina igazi lakho, isifo sikashukela, kanye namazinga e-kolesterol elawulwe kahle ngemithi nezinguquko zendlela yokuphila.
Gcina indlela yokuphila enempilo yenhliziyo kusukela ebuntwaneni:
Gwema izinto ezingalimaza isimiso senhliziyo yakho, kufaka phakathi izidakamizwa ezingasemthethweni njenge-cocaine ne-methamphetamines. Qaphela ngezinhlanganisela futhi uhlale uxoxa nodokotela wakho.
Uma uthola ukwelashwa komdlavuza, sisebenzisana eduze neqembu lakho lezokwelapha ukuqapha umsebenzi wenhliziyo yakho. Ezinye izindlela zokwelapha umdlavuza zingathinta inhliziyo, kodwa ukutholwa kwangaphambi kwesikhathi kuvumela izinyathelo zokuvikela.
Kubantu abanezingqondo zomndeni ze-cardiomyopathy, ukuhlolwa okuvamile kungasiza ekutholeni izinkinga ngokushesha lapho ukwelashwa kuphumelela kakhulu. Xoxa ngezikhathi zokuhlola ezifanele nodokotela wakho.
Ukulungiselela kahle isikhathi sakho sokuya kudokotela kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeni kwakho nokuthi umhlinzeki wakho wezinsizakalo zezempilo uneyonke imininingwane edingekayo ukuze akusize ngokuphumelelayo.
Bhala phansi wonke amazingo akho, kufaka phakathi ukuthi aqale nini, yini ebaholela kuwo, nokuthi yini eyenza babe ngcono noma babe mubi. Chaza ngokucacile ukuthi amazingo akhulu kanjani imisebenzi yakho yansuku zonke.
Letha uhlu oluphelele lwawo wonke amaphilisi owathathayo, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kokubhalwa komtholampilo, amavithamini, kanye nezinye izinto ezengeziwe. Faka imithamo nokuthi uthatha ngayinye kangakanani.
Bula imininingwane mayelana nomlando wakho wezokwelapha womndeni, ikakhulukazi noma yimiphi izihlobo eza nezingozi zentliziyo, i-cardiomyopathy, noma ukufa kwenhliziyo okuzumayo. Lolu lwazi lusiza udokotela wakho ukuthi ahlole izinto ezikubeka engozini.
Lungiselela imibuzo okumele uyibuze udokotela wakho:
Cabanga ukuthi ulethe ilungu lomndeni noma umngani ekuhambeni kwakho. Bangakusiza ukuba ukhumbule imininingwane ebalulekile futhi banikeze ukwesekwa ngokomzwelo ngesikhathi esingase sibe yisikhathi esinzima.
Bhala phansi imibuzo yakho ngaphambi kwesikhathi ukuze ungayikhohlwa ngesikhathi sokuhambela. Unganqikazi ukucela incazelo uma ungaqondi lutho udokotela wakho akuchazayo.
I-Cardiomyopathy iyisimo esilawuleka uma sihlolwe futhi siphathwe kahle. Nakuba idinga ukunakekelwa okuqhubekayo kwezokwelapha kanye nokulungiswa kwendlela yokuphila, abantu abaningi abane-cardiomyopathy baphila impilo egcwele, esebenzayo.
Ukutholakala kwangaphambi kwesikhathi kwenza umehluko omkhulu emiphumeleni, ngakho ungawagcini amazingo afana nokuphefumula kanzima, ukukhathala, noma ukukhuluphala. Lezi zibonakaliso zifanele ukuhlolwa kwezokwelapha, ikakhulu uma unezinto ezikubeka engozini yesifo senhliziyo.
Ukusebenzisana eduze neqembu lakho lezeMpilo nokulandelwa uhlelo lwakho lokwelashwa njalo kunikeza ithuba elihle kakhulu lokuba uthole umphumela omuhle. Lokhu kuhlanganisa ukuthatha imithi njengoba kulotshiwe, ukwenza izinguquko zendlela yokuphila ezinikeziwe, nokuba khona emihlanganweni yokuqapha njalo.
Khumbula ukuthi ukuba ne-cardiomyopathy akusho ukuthi impilo yakho iphelile. Ngokunakekelwa okuhle, abantu abaningi baqhubeka besebenza, beqeqesha, futhi bajabulela imisebenzi abayithandayo, ngezinguquko ezithile nokunaka okwengeziwe empilweni yentliziyo.
Abantu abaningi abane-cardiomyopathy bangaqeqesha futhi kufanele baqeqeshe, kodwa uhlobo nobukhulu kuncike esimweni sakho esithile nasezimpahleni. Udokotela wakho wezinhliziyo angakuncoma ukuqeqeshwa kwezinhliziyo noma imiyalelo ethile yokuzivocavoca ehambisana nesimo sakho. Ngokuvamile, imisebenzi ephansi njengokuhamba, ukubhukuda, noma ukuqeqesha ngebhayisikili elimiyo kuwusizo, kuyilapho imidlalo ephakeme noma yokuncintisana kungadingeka igwenywe.
Ezinye izinhlobo ze-cardiomyopathy ziyadluliselwa ezizukulwaneni, ikakhulukazi i-hypertrophic cardiomyopathy nezinye izinhlobo ze-dilated cardiomyopathy. Uma unomlando womndeni we-cardiomyopathy, ukwelulekwa ngokuzalwa nokuhlolwa kungase kunconywe. Amalungu omndeni angase adinge ukuhlolwa ngisho noma engenazo izimpahlanzima, njengoba ukutholakala kwasekuqaleni kuvumela ukuphathwa kangcono.
Isikhathi sokuphila nge-cardiomyopathy sihluka kakhulu kuye ngohlobo, ubukhulu, ukuthi kutholakala nini, nokuthi kuphendula kangcono kanjani ekwelapheni. Abantu abaningi baphila isikhathi esijwayelekile noma esisondelene nesikhathi esijwayelekile ngokunakekelwa okufanele kwezokwelapha. Okubalulekile ukulandela uhlelo lwakho lokwelashwa, ukwenza izinqumo zempilo ezinhle, nokuba nokuqapha njalo kwezokwelapha.
Okwamanje, ayikho imithi yokwelapha izinhlobo eziningi ze-cardiomyopathy, kodwa lesi simo singaphathwa kahle ngokwelashwa okufanele. Ezimweni ezithile, njenge-cardiomyopathy ebangelwa ukusebenzisa utshwala noma imithi ethile, umsebenzi wenhliziyo ungathuthuka kakhulu uma imbangela ephambili isuswa. Ezimweni ezinzima, ukutshalwa kwenhliziyo kungacatshangelwa njengendlela yokwelapha.
Abantu abane-cardiomyopathy kufanele baphazamise ukudla okunosadi yam eliphezulu njengenyamasu ehlanganisiwe, usoso olupakishiwe, nokudla kwendawo yokudlela, njengoba i-sodium engaphezulu ingabangela ukugcinwa kwamanzi futhi yonakalise izimpawu. Kufanele uphinde ubeka umkhawulo kutshwala, njengoba lungalimaza ngokwengeziwe i-muscle yenhliziyo. Udokotela wakho angase futhi akukhuthaze ukunciphisa amanzi uma une-heart failure ephambili. Gxila ekudleni izithelo eziningi, imifino, ukudla okugcwele, namaprotheni amancane esikhundleni salokho.