Dilated cardiomyopathy: chii, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Zvinokonzeresa kukonzeresa cardiomyopathy
• Kurapwa kunoitwa sei
• 1. Antihypertensive zvinodhaka
• 2. Dhiureti
• 3. Digitálico
• 4. Anticoagulants
• 5. Pacemaker
• 6. Kuisa moyo
• Zvinogona kuitika
• Nzira yekudzivirira yakaderedzwa cardiomyopathy

Dilated cardiomyopathy chirwere chinokonzeresa kuwanda kwemutsipa wemwoyo, zvichiita kuti zvive zvakaoma kupomba ropa kumativi ese emuviri, izvo zvinogona kutungamira mukukudziridza kwekutadza kwemoyo, arrhythmia, kuwanda kweropa kana kufa kamwe kamwe.

Mhando iyi ye cardiomyopathy inowanzoitika kuvarume vari pakati pemakore makumi maviri nemakumi mashanu ekuberekwa, kunyangwe ichigona kuitika chero pazera, kusanganisira vana, uye kazhinji haigone kuratidza zviratidzo zviri nyore kuziva. Nekudaro, sezvo paine kuoma kwemoyo kupomba ropa, munhu anogona kunzwa kuneta, kushaya simba kana kufema kwekufema, uye zvinokurudzirwa kuenda kuna chiremba wezvemwoyo kuti bvunzo dziitwe uye kusvika kumagumo ekuongorora.

Kurapa kweakawedzera cardiomyopathy kunoratidzirwa neye cardiologist zvichienderana nezviratidzo, zvinokonzeresa uye kuomarara kwechirwere, uye zvingave zvakakodzera kuisa pacemaker mumatambudziko akaipisisa. Nzira yakanakisa yekudzivirira matambudziko eakaomeswa cardiomyopathy ndeyekugara uchiteverwa neyechiremba.

Zviratidzo zvikuru

Zviratidzo zvekuwedzeredza cardiomyopathy zvinowanzo fanika nezviratidzo zvekutadza kwemoyo kana arrhythmia uye zvinosanganisira:

• Kugara wakaneta zvakanyanya;
• Kushaya simba;
• Kufema kwekufema panguva yekurovedza muviri, pakuzorora kana kana wakarara nemusana;
• Kuoma mukurovedza muviri kana mumabasa ezuva nezuva;
• Kuzvimba mumakumbo, makumbo kana tsoka;
• Kunyanya kuzvimba mudumbu;
• Kurwadziwa pachifuva;
• Kunzwa kwekusagadzikana kwemoyo;
• Kunzwa ruzha mumoyo.

Uye zvakare, BP inogona kunge yakaderera nekuda kwekunetseka kwemoyo kupomba ropa.

Maitiro ekusimbisa kuongororwa

Kuongororwa kweakawedzera cardiomyopathy kunofanirwa kuitwa neye cardiologist zvichibva pazviratidzo, kuongororwa kweakaitika uye emhuri nhoroondo, kuongororwa kwekiriniki uye kumwe kuyedzwa kwakadai sechifuva X-ray, kuongororwa kweropa, electrocardiogram, Holter test, echocardiogram, bvunzo yekurovedza muviri computed tomography, magnetic resonance, catheterization kana moyo biopsy, semuenzaniso. Tsvaga kuti bvunzo yaHolter inoitwa sei.

Nyanzvi yezvemwoyo anogona zvakare kukumbira kuongororwa kwemajini kuti aone kana iyo yakawedzera cardiomyopathy inogona kunge yakakonzerwa nemajini zvinhu.

Zvinokonzeresa kukonzeresa cardiomyopathy

Chikonzero che dilated cardiomyopathy, kazhinji, hachigone kuzivikanwa, ichinzi idiopathic dilated cardiomyopathy. Zvisinei, zvimwe zvikonzero zvinotungamira kutanga kwechirwere zvinosanganisira:

• Mwoyo arrhythmia;
• Kusakwana kwemoyo;
• Chirwere cheshuga;
• Kufutisa;
• Hypertension;
• Kudhakwa;
• Kushandiswa kwezvinodhaka zvakadai secocaine kana amphetamine;
• Kushandiswa kusingaperi kwemishonga yakadai secorticosteroids;
• Chemotherapy nemishonga yakadai se doxorubicin, epirubicin, daunorubicin kana cyclophosphamide;
• Chagas chirwere kana toxoplasmosis;
• Zvirwere zvekuzvimiririra senge rheumatoid arthritis kana systemic lupus erythematosus;
• Zvirwere zvinokonzerwa nehutachiona senge Streptococcus, Staphylococcus, Salmonella, Mycoplasma kana Chlamydia;
• Zvirwere nemavhairasi akadai seadenovirus, parvovirus, herpes virus, hepatitis C virus kana Covid-19;
• Kuratidzirwa kune chepfu yakadai semutobvu, mercury kana cobalt;
• Matambudziko mukunonoka kubata pamuviri;
• Kuberekwa kwekuzvarwa kunoitika pakuzvarwa kwemwana.

Dilated cardiomyopathy inogona zvakare kuoneka nekuda kwematambudziko echisikirwo uye, nekudaro, yakajairika kune varwere vane nhoroondo yemhuri yechirwere, kunyanya kana ichibata chero mubereki.

Kurapwa kunoitwa sei

Kurapa kweakawedzeredzwa cardiomyopathy kunofanira kutanga nekukurumidza sezvinobvira, pasi pekutungamira kweye cardiologist, kudzivirira kunetseka senge pulmonary embolism kana kusungwa kwemoyo, semuenzaniso.

Kurapa kunogona kuitwa ne:

1. Antihypertensive zvinodhaka

Mimwe antihypertensives inogona kushandiswa pakurapa kweakawandisa cardiomyopathy sezvo ivo vachibatsira kunatsiridza kuwanda kwemidziyo uye kuwedzera kuyerera kweropa, mukuwedzera mukufambisa basa remwoyo. Iwo akanyanya kushandiswa antihypertensive makirasi ndeaya:

• Angiotensin-inoshandura enzyme inhibitors sa captopril, enalapril kana lisinopril;
• Angiotensin anovharira vakadai losartan, valsartan kana candesartan;
• Beta anovharira kunge carvedilol kana bisoprolol.

Iyi mishonga inogona kubatsirawo kurapa kana kudzivirira kutanga kwema arrhythmias.

2. Dhiureti

Dhiureti, senge furosemide kana indapamide, inogona kushandiswa kurapa yakawedzera cardiomyopathy kubvisa zvakawandisa mvura kubva mumuviri, ichivatadzisa kuunganidzwa mutsinga uye kuita kuti zvive zvakaoma kurova moyo.

Uye zvakare, diuretics inoderedza kuzvimba mumakumbo nemakumbo zvinokonzerwa nechirwere nemapapu, zvichibatsira kufema zvirinani.

3. Digitálico

Iyo digitalis inoshandiswa kurapa yakawedzera cardiomyopathy ndeye digoxin iyo inosimbisa nekusimbisa tsandanyama yemwoyo, kufambisa kubiridzira uye kubvumidza inoshanda zvakanyanya kupomba kweropa.

Mushonga uyu unobatsirawo kudzikisa zviratidzo zvekutadza kwemoyo, izvo zvinobatsira kuvandudza hupenyu hwehupenyu.

Nekudaro, digoxin mushonga une chepfu uye inoda kuwanda kurapwa kwekutevera uye bvunzo.

4. Anticoagulants

Anticoagulants senge warfarin kana asipurini chiito nekudzikisira viscosity yeropa, ichirerutsa kupomba kwayo uye kudzivirira kuoneka kwemachira anogona kukonzera embolism kana sitiroko, semuenzaniso.

5. Pacemaker

Muzviitiko zvakakomba kwazvo, uko kurapwa kusingaitwe nemazvo kana chirwere chikaonekwa gare gare, chiremba anogona zvakare kukurudzira kuvhiyiwa kuisa pacemaker mumoyo kurongedza mafambiro emagetsi emoyo, kufambisa basa rayo nekugadzirisa kurova kwemwoyo. .

6. Kuisa moyo

Kuisa moyo kunogona kukurudzirwa nachiremba wako kana pasina dzimwe nzira dzekurapa dzinoshanda, sekushandisa mishonga kana pacemaker. Ona maitirwo anoitwa moyo.

Zvinogona kuitika

Izvo zvinetso zvinowedzera cardiomyopathy zvinogona kukonzera ndezvi:

• Kusakwana kwemoyo;
• Mwoyo arrhythmia;
• Dambudziko revhavha yemoyo;
• Kuunganidzwa kwemvura mumapapu, mudumbu, makumbo netsoka;
• Cardiac kusungwa.

Uye zvakare, kuwedzeredza cardiomyopathy kunogona kuwedzera njodzi yekuvhara kweropa uye kusimudzira kwemapurmoni embolism, infarction kana sitiroko.

Nzira yekudzivirira yakaderedzwa cardiomyopathy

Dzimwe nhanho dzinogona kubatsira kudzivirira kana kudzikisira kukanganisa kweakawedzeredzwa cardiomyopathy senge:

• Usapute;
• Usanwa doro kana kunwa zvine mwero;
• Usashandise zvinodhaka zvakadai secocaine kana amphetamines;
• Chengetedza uremu hune hutano;
• Ita zviitwa zvinokurudzirwa nachiremba;
• Kurara maawa masere kusvika mapfumbamwe pausiku.

Izvo zvakakosha kuteedzera kuraira kwachiremba uye kudya kudya kwakaringana kushoma mumafuta, shuga kana munyu. Tarisa uone rondedzero yezvikafu zvakanaka kune moyo.