I-CMO: yiziphi izimpawu ze-cardiomyopathy evimbelayo?

I-CMO: yiziphi izimpawu ze-cardiomyopathy evimbelayo?

I-CMO iyisiyaluyalu semisipha yenhliziyo engaholela ekutheni ingabi namandla, i-tachycardia, futhi esimweni esibi kakhulu, kube ukufa okungazelelwe. Kodwa-ke, ihlala ingavamile kakhulu, futhi ingahlolwa nodokotela wenhliziyo.

 

Kuyini ukuvimbela i-cardiomyopathy?

I-cardiomyopathy evimbelayo ibhekisela ekuphazamiseni okuthile kwenhliziyo. I-cardiomyopathy, kusuka ku-Greek "kardia" ethi "inhliziyo", "myo" yemisipha kanye ne "pathos" yokuhlupheka, ngakho-ke ibeka inkinga ngemisipha yenhliziyo. Kodwa-ke, kunezinhlobo ezahlukahlukene, ezihlobene nokuguquguquka kwale misipha nomthelela wayo emzimbeni.

Ake siqale ngesikhumbuzo esincane senhliziyo yomuntu: sisebenza ngokuhlangana okuqondile kwama-valve nezimbotshana, konke kugcinwa kusebenza ngemisipha. Igazi elincishwe umoya-mpilo lifika ngandlela thile, ngaphambi kokulishiya ngenye indlela, kumjikelezo ukuphela kwawo okungekho okunye ngaphandle kokufa (noma ukunikelwa kwesitho).

Ama-cardiomyopathies ahlukile

I-hypertrophic, noma i-obstruction, i-cardiomyopathy

Yilokho okusithandayo kulesi sihloko futhi okuvame kakhulu. Kulesi simo, i-ventricle yesobunxele yenhliziyo izokhuliswa. Lokho kusho ukuthi elinye lamagumbi enhliziyo, okuyilapho igazi elinomoya-mpilo libuyela emzimbeni, lizovinjelwa ukuba khona kwama "bulges" anciphisa isikhala esikhona. Kwesinye isikhathi le hypertrophy ihambisana nokuphazamiseka kokuphuma kwegazi kuye ku-aortic valve. Yini okuholela ekwehleni ezingeni le-oksijini emzimbeni, imvamisa uma kwenzeka kuzanywa. Lesi yisimiso jikelele se-CMO.

Ukuqina kwenhliziyo

Okwamanje, yimigodi emincane kakhulu futhi evulekile okuyinkinga. Inhliziyo bese kufanele isebenzise amandla amaningi ukuhambisa inani elifanayo legazi, bese iyakhathala.

Imikhawulo ye-Cardiomyopathie

Inhliziyo yonke iba lukhuni ngokwengeziwe, okukuvimbela ekuphumuleni kahle nasekuqinisekiseni umjikelezo omuhle wokukhishwa / ukuqoqwa kwegazi emzimbeni.

I-arrhythmogenic cardiomyopathy

Ngokuyinhloko sixhunyaniswe ne-ventricle efanele, lesi sifo siqukethe ukushintshwa okungekuhle kwamaseli enhliziyo ngamaseli adipic (amafutha).

 

Izimpawu nemiphumela ye-CMO

I-CMO (Obstructive Cardiomyopathy) inezimpawu ezincane kepha ingadala ukufa okungazelelwe ezimweni ezinzima kakhulu (ngenhlanhla akuvamile).

  • Ukuphelelwa umoya
  • Ubuhlungu emgodini wezimbambo
  • Ukungakhululeki
  • Ukuhluleka kwenhliziyo
  • Arrhythmias (ngengozi yeCerebral Vascular Accident, AVC)
  • tachycardia
  • Ukuboshwa kwenhliziyo
  • Ukufa okungazelelwe

I-CMO iyimbangela ehamba phambili yokufa kubasubathi. Kwenzeka lapho i-valve eholela ku-aorta ivinjwe ngokungazelelwe enhliziyweni, ngokungazelelwe inqamula ukunikezwa kwe-oksijini ebuchosheni, nokuphazamisa ukuhamba kwegazi.

 

Imbangela enkulu yalesi sifo senhliziyo

Imbangela enkulu ye-CMO zofuzo. Ngokuvamile, imbangela ukuguqulwa kwezakhi zofuzo. Ngokuqondile isakhi se sarcomère. Kuthinta cishe umuntu oyedwa kwabangu-1, kepha kubangela ukuqina okungajwayelekile kodonga lwenhliziyo ngamamilimitha ambalwa.

 
 

Ukwelashwa nokuhlinzwa okungenzeka

Prevention

Ukwelashwa okungcono kakhulu ukuvimbela. Futhi ikakhulukazi, ukulandelwa komndeni kwalesi sifo. Ngempela, ngokwezibalo zakamuva, cishe isigamu se-cardiomyopathies esivimbelayo sixhunyaniswe nenkinga yezofuzo. Ngakho-ke, lapho kutholakala icala kwilungu lomndeni, zonke ezinye izihlobo kufanele zilandelwe futhi zihlolwe ngudokotela wenhliziyo, ukuze kuqinisekiswe isimo ngamacala ngamacala.

Indlela yokuphila

Kungenzeka uphile ne-cardiomyopathy, ngokulandela imithetho ethile. Ngakho-ke, kuzodikibala kakhulu ukwenza imidlalo esezingeni eliphakeme noma ukutshuza, ngoba noma iyiphi inqubo lapho izinhlanga zenhliziyo zizoba yingozi khona. Empilweni yansuku zonke, ngakho-ke kuyadingeka ukuthi unakekele, ngaphandle kokuyeka konke ukuzivocavoca umzimba: ngokufudumeza okuhle kokuqala, izivivinyo zohlobo lwe "cardio" zingaqinisa inhliziyo. Kuyadingeka futhi ukuvimbela utshwala nogwayi, izinto ezinobungozi ngisho nangaphandle kwe-cardiomyopathy, nokugwema ukuhamba ezindaweni eziphakeme kakhulu (intaba engaphezulu kuka-3km ukuphakama).

Ukuhlaziywa kwezokwelapha

Ukuqinisekisa noma ukuthola i-CMO, kufanele uphumelele ukuhlolwa okuhlukahlukene kwezokwelapha. Kuqala nge- i-electrocardiogram, engathola ubuthakathaka enhliziyweni, ngaphambi kokuqinisekisa ukuxilongwa nge I-Echocardiography, noma I-MRI yezinhliziyo.

Ukuhlinzwa

Ezimweni ezibucayi kakhulu, kuzodingeka ukuthi kusebenze. Ukwenza lokhu, odokotela abahlinzayo basebenzisa izindlela ezahlukahlukene, ezinye zidinga kuphela ukusetshenziswa kwezixazululo zotshwala emithanjeni ekhonjiwe ukuze kuncishiswe usayizi "wobuhlalu" obuphazamisa indlela, abanye baze bawususe.

Inkambo yalesi sifo ngokuhamba kwesikhathi

Lesi sifo singase singatholakali isikhathi eside, cishe isigamu sesithathu seziguli singabonakali. Lapho lesi sifo sesiqinisekisiwe, kulandela ubuhlungu, ukuphefumula okuncane noma ukuhlaselwa yinhliziyo, kuzodingeka ukuthi kuqinisekiswe ukuthi kuyalandelwa nodokotela wenhliziyo. Ngenxa yezivivinyo, uzokwazi ukuhlola ubungozi bokuthile okuba kubi kakhulu, futhi azokwazi ukunikeza impendulo yokuhlinzwa uma kunesidingo.

shiya impendulo