Kudzivirira cardiomyopathy

Kudzivirira cardiomyopathy kunoreva seti yeshanduko mukuita kwemhasuru yemwoyo. Shanduko idzi dzinokonzeresa moyo kuzadza zvisirizvo (zvakajairika) kana kusvina zvisina kunaka (kushoma). Dzimwe nguva, matambudziko ese aripo.

Muchiitiko chekudzivirira cardiomyopathy, mhasuru yemwoyo ndeyehukuru hwakaenzana kana kuwedzeredzwa zvishoma. Kazhinji yenguva, zvakare inopomba zvakajairika. Nekudaro, haina kuzorora zvakajairika panguva iyo pakati pekurova kwemoyo apo ropa rinodzoka kubva mumuviri (diastole).

Kunyangwe dambudziko hombe riri rekuzadza zvisina kujairika kwemoyo, moyo unogona kusapomba ropa zvine simba kana chirwere ichi chichifambira mberi. Iyo isina kujairika moyo basa inogona kukanganisa mapapu, chiropa, uye mamwe masisitimu emuviri. Kudzivirira cardiomyopathy kunogona kukanganisa chero kana ese ari maviri ezasi emakamuri emoyo (ventricles). Kudzivirira cardiomyopathy chinhu chisingawanzoitika. Zvinonyanya kukonzera amyloidosis uye kupora kwemoyo kubva kuchikonzero chisingazivikanwe. Izvo zvakare zvinogona kuitika mushure mekuiswa kwemoyo.

Zvimwe zvikonzero zvekudzivirira cardiomyopathy zvinosanganisira:

• Cardiac amyloidosis
• Carcinoid chirwere chemoyo
• Zvirwere zvemoyo wakadzika (endocardium), senge endomyocardial fibrosis uye Loeffler syndrome (zvisingawanzoitika)
• Iron kuwandisa (hemochromatosis)
• Sarcoidosis
• Kuchema mushure me radiation kana chemotherapy
• Scleroderma
• Mamota emoyo

Zviratidzo zvekutadza kwemoyo zvakajairika. Zviratidzo izvi zvinowanzo kukura zvishoma nezvishoma nekufamba kwenguva.Zvisinei, zviratidzo dzimwe nguva zvinotanga kamwe kamwe uye zvakanyanya.

Zviratidzo zvakajairika ndezvi:

• Kukosora
• Zvinetso zvekufema zvinoitika husiku, zvine chiitiko kana kana uchinge wakarara
• Kuneta uye kutadza kurovedza muviri
• Kupererwa nechido
• Kuzvimba kwedumbu
• Kuzvimba kwetsoka nemakumbo
• Kupenga kusina kukwana kana kukurumidza

Zvimwe zviratidzo zvinogona kusanganisira:

• Kurwadziwa pachifuva
• Kusakwanisa kuisa pfungwa
• Wakaderera weti kubuda
• Inoda kuita weti usiku (mune vanhu vakuru)

Kuongorora kwepanyama kunogona kuratidza:

• Yakawedzerwa (yakasenderedzwa) kana kubhururuka mutsipa mutsinga
• Yakawedzera chiropa
• Mapapu anotsemuka uye asina kujairika kana kure kure moyo kurira mubhokisi kunzwikwa kuburikidza ne stethoscope
• Fluid backup mumaoko nemakumbo
• Zviratidzo zvekutadza kwemoyo

Miedzo yekudzivirira cardiomyopathy inosanganisira:

• Cardiac catheterization uye coronary angiography
• Chest CT scan
• Chest x-ray
• ECG (magetsi emagetsi)
• Echocardiogram uye Doppler kudzidza
• MRI yemoyo
• Nyukireya moyo scan (MUGA, RNV)
• Serum iron iron zvidzidzo
• Serum uye weti mapuroteni bvunzo

Kudzivirira cardiomyopathy kunogona kuoneka kwakafanana neconstrictive pericarditis. Catheterization yemoyo inogona kubatsira kusimbisa kuongororwa. Kazhinji, biopsy yemoyo inogona kudikanwa.

Mamiriro acho anokonzera chirwere chemoyo chinorapwa kana chichiwanikwa.

Mashoma marapirwo anozivikanwa kuti anoshanda nemazvo pakurambidza cardiomyopathy. Chinangwa chikuru chekurapa kudzora zviratidzo uye nekuvandudza hupenyu.

Mishonga inotevera inogona kushandiswa kudzora zviratidzo kana kudzivirira matambudziko:

• Ropa rinoonda mishonga
• Chemotherapy (mune mamwe mamiriro)
• Diuretics kubvisa fluid uye kubatsira kuvandudza kufema
• Mishonga yekudzivirira kana kudzora zvisina kujairika moyo mutinhimira
• Steroid kana chemotherapy kune zvimwe zvikonzero

Kuiswa kwemoyo kunogona kutariswa kana moyo uchinge wakashata uye zviratidzo zvakakomba.

Vanhu vane chirwere ichi vanowanzo kuve nekutadza kwemoyo kunowedzera. Zvinetso nemoyo mutinhimira kana "leaky" moyo mavharuvhu anogona zvakare kuitika.

Vanhu vane inorambidza cardiomyopathy vanogona kunge vari moyo wekuchinjisa vavhoterwa. Iko kutarisisa kunoenderana nechakakonzeresa mamiriro acho, asi kazhinji kacho chiri murombo. Kupona mushure mekuongororwa kunogona kudarika makore gumi.

Fonera wako mupi wezvehutano kana iwe uine zviratidzo zvekudzivirira cardiomyopathy.

Cardiomyopathy - inorambidza; Infiltrative cardiomyopathy; Idiopathic myocardial fibrosis

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa

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 PM. Zvirwere zve myocardium uye endocardium. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 54.