Dilated cardiomyopathy

Cardiomyopathy chirwere umo moyo wemhasuru unopera simba, kutambanudzwa, kana kuva nechimwe chinetso chechimiro.

Dilated cardiomyopathy mamiriro umo musungo wemwoyo unopera simba uye kuwedzerwa. Nekuda kweizvozvo, moyo haugone kupomba ropa rakaringana kune iro rese muviri.

Kune akawanda marudzi e cardiomyopathy. Dilated cardiomyopathy ndiyo fomu yakajairika, asi inogona kunge iri mhedzisiro yemamiriro akasiyana ezvinhu. Vamwe varapi vezvehutano vanoshandisa izwi iri kuratidza chimiro chakatarwa, chinonzi idiopathic dilated cardiomyopathy. Iko hakuna chikonzero chinozivikanwa cherudzi urwu rweyakawedzeredzwa cardiomyopathy.

Izvo zvinowanzoitika zvikonzero zve dilated cardiomyopathy ndeizvi:

• Chirwere chemwoyo chinokonzerwa nekuderera kana kuvhara mumaronari arteri
• Yakadzora zvisina kufanira BP

Kune zvakawanda zvimwe zvikonzero zve dilated cardiomyopathy, inosanganisira:

• Doro kana cocaine (kana zvimwe zvinodhaka zvisiri pamutemo) kushungurudzwa
• Chirwere cheshuga, chirwere chetachiona, kana hepatitis
• Mishonga inogona kuva chepfu kumoyo, senge mishonga inoshandiswa kurapa gomarara
• Hwakajairika moyo mutinhimira umo moyo unorova nekukurumidza kwazvo kwenguva yakareba yenguva
• Zvirwere zvekuzvimiririra
• Mamiriro ezvinhu anomhanya mumhuri
• Zvirwere zvinosanganisira mhasuru yemwoyo
• Mavharuvhu emwoyo angave akatetepa kana akanyanyisa kuvuza
• Pakati pemwedzi wekupedzisira wepamuviri, kana mukati memwedzi mishanu mwana azvarwa.
• Kuratidzirwa kune simbi dzinorema senge lead, arsenic, cobalt, kana mercury

Aya mamiriro anogona kukanganisa chero munhu chero zera. Zvisinei, zvinowanzoitika kune varume vakuru.

Zviratidzo zvekutadza kwemoyo zvakajairika. Ivo vanowanzo kukura zvishoma nezvishoma nekufamba kwenguva. Zvisinei, dzimwe nguva zviratidzo zvinotanga kamwe kamwe uye zvinogona kuva zvakanyanya.

Zviratidzo zvakajairika ndezvi:

• Kurwadziwa pachifuva kana kumanikidzwa (zvakanyanya pamwe nekurovedza muviri)
• Kukosora
• Kuneta, kushaya simba, kupera simba
• Irregular kana inokurumidza kupomba
• Kupererwa nechido
• Kufema kwekufema nezviitiko kana mushure mekurara (kana kurara) kwechinguva
• Kuzvimba kwetsoka nemakumbo

Munguva yebvunzo, mupi wezvehutano anogona kuwana:

• Moyo wakawedzerwa.
• Mapapu anotsemuka (chiratidzo chemvura inovaka), kugunun'una kwemoyo, kana mamwe manzwi asina kujairika.
• Chiropa chinogona kunge chakawedzerwa.
• Neck tsinga dzinogona kunge dzichiputika.

Kuongororwa kwakawanda kwema laboratori kunogona kuitwa kuti uone chikonzero chacho:

• Antinuclear antibody (ANA), erythrocyte sedimentation rate (ESR), uye mimwe bvunzo yekuongorora autoimmune zvirwere
• Antibody kuyedza kuona hutachiona hwakadai sechirwere cheLyme neHIV
• Kuongororwa kwesimbi kweropa
• Serum TSH uye T4 bvunzo kuti uone matambudziko ehutachiona
• Kuyedzwa kweamyloidosis (ropa, weti)

Kuwedzera kwemoyo kana zvimwe zvinetso nehurongwa uye mashandiro emoyo (senge kusina kusimba kusvina) zvinogona kuratidza pane izvi bvunzo. Ivo vanogona zvakare kubatsira kuongorora chaiko kunokonzera dambudziko:

• Echocardiogram (Ultrasound yemoyo)
• Cardiac kushushikana bvunzo
• Chest x-ray
• Coronary angiogram kutarisa kuyerera kweropa kuenda pamoyo
• Catheterization yemoyo kuyera kumanikidza mukati uye nekukomberedza moyo
  
• CT scan yemoyo
• MRI yemoyo
• Nyukireya moyo scan (scintigraphy, MUGA, RNV)

Bhiopsy yemoyo, mune icho chidimbu chidiki chemoyo mhasuru chinobviswa, chingangodiwa zvichienderana nechikonzero. Zvisinei, izvi hazviwanzo kuitwa.

Zvinhu zvaunogona kuita kumba kutarisira mamiriro ako zvinosanganisira:

• Ziva muviri wako, uye wotarisa zviratidzo zvekuti moyo wako kukundikana kuri kuwedzera.
• Tarisa shanduko muzviratidzo zvako, kurova kwemoyo, kupomba, kuwedzerwa kweropa, uye huremu.
• Ganhurira kuti unonwa zvakadii uye munyu munyu (sodium) yakawanda yaunowana mukudya kwako.

Vazhinji vanhu vane moyo kukundikana vanoda kutora mishonga. Mimwe mishonga inobata zviratidzo zvako. Zvimwe zvinogona kubatsira kudzivirira kutadza kwemoyo wako kubva pakuwedzera, kana kudzivirira mamwe matambudziko emoyo.

Maitiro uye maoparesheni aungangoda anosanganisira:

• Iyo pacemaker yekubatsira kubata inononoka moyo rate kana kubatsira moyo wako kurova kugara mukuenderana
• Iyo defibrillator iyo inoziva inotyisidzira hupenyu moyo mutinhimira uye inotumira yemagetsi kupisa (kuvhunduka) kuvamisa
• Heart bypass (CABG) kuvhiyiwa kana angioplasty yekuvandudza kuyerera kweropa kune yakakuvara kana isina kusimba moyo mhasuru
• Valve kutsiva kana kugadzirisa

Nezve advanced cardiomyopathy:

• Kuiswa kwemoyo kunogona kukurudzirwa kana marapirwo akajairwa asina kushanda uye nemoyo wekutadza zviratidzo zvakanyanya.
• Kuiswa kweiyo ventricular assist mudziyo kana moyo wekugadzira unogona kutariswa.

Kurwara kwemoyo kusingaperi kunowedzera kuwedzera nekufamba kwenguva. Vanhu vazhinji vane moyo kutadza vanofa nemamiriro acho. Kufunga nezverudzi rwekuchengetwa kwaungade kumagumo kwehupenyu nekukurukura nyaya idzi nevadikani uye nemupi wako wekuchengeta hutano kwakakosha.

Kukundikana kwemoyo kunowanzo kuve chirwere chisingaperi, icho chingave chakanyanya kuwedzera nekufamba kwenguva. Vamwe vanhu vanokundikana zvakanyanya kukundikana kwemoyo, umo mishonga, kumwe kurapwa, uye kuvhiyiwa hazvichabatsiri. Vanhu vazhinji vari panjodzi yekufa kwemoyo mutinhimira, uye vangangoda mishonga kana defibrillator.

Fonera mupiki wako kana iwe uine zviratidzo zve cardiomyopathy.

Wana rubatsiro rwechimbichimbi rwekurapa kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwadza.

Cardiomyopathy - yakasimudzwa; Primary cardiomyopathy; Chirwere cheshuga cardiomyopathy; Idiopathic cardiomyopathy; Doro cardiomyopathy

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Dilated cardiomyopathy
• Doro cardiomyopathy

Falk RH, Hershberger RE. Iyo yakawedzeredzwa, inorambidza, uye infiltrative cardiomyopathies. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 77.

Mckenna WJ, Elliott P. Zvirwere zveiyo myocardium uye endocardium. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 54.