Matenda oopsa omwe angayambitse kulephera kwa mtima mwadzidzidzi: Tiyeni tiphunzire za ARVC! (Arrhythmogenic Right Ventricular Cardiomyopathy)

Kodi mudamvapo za munthu wachinyamata, wathanzi, komanso wothamanga amene wamwalira mwadzidzidzi ndi matenda a mtima? N'zomvetsa chisoni kwambiri. Nthawi zambiri, timaganiza za matenda a mtima ngati chinthu chomwe chimachitika ndi ukalamba. Koma nthawi zina, chomwe chimayambitsa zochitika zosayembekezereka izi ndi vuto losowa kwambiri lomwe sitikudziwa. Lero, tikambirana za vuto limodzi la mtima lomwe lingakhudze achinyamata makamaka. Ili ndi ARVC.

Kodi ARVC ndi chiyani kwenikweni?

Mwachidule, ARVC ndi matenda a mtima osowa omwe amabadwa nawo m'majini , zomwe zikutanthauza kuti amatha kufalikira kwa mibadwomibadwo. Chomwe chimachitika ndichakuti minofu ya mtima wathu imawonongeka.

Taganizirani mtima wathu ngati pampu yamphamvu yopangidwa ndi zipinda zinayi. Ichi ndi chomwe chimapopera magazi m'thupi lonse. Pa zipinda zinayi izi, chomwe chili kumunsi kumanja chimatchedwa Right Ventricle. Mu ARVC, maselo a minofu ya mtima athanzi omwe ali mu ventricle yakumanja iyi amafa ndipo amalowedwa m'malo ndi minofu yamafuta ndi ulusi (minofu ya zipsera) .

Zili ngati njerwa yogwa kuchokera pakhoma labwino ndipo mipata ikudzaza ndi matope. Kodi chimachitika n'chiyani? Khoma la chipinda cha mtima chimenecho limakhala lopyapyala, lofooka, komanso lotambasuka. Kenako silingathe kugwira bwino ntchito ndikupopa magazi. Izi zingayambitse zinthu monga kupuma movutikira komanso kukomoka.

Choopsa kwambiri n'chakuti mafuta ndi zipsera zomwe zangopangidwa kumene zimasokoneza zizindikiro zamagetsi mumtima. Izi zimapangitsa kuti mtima ugwire molakwika. Timatcha izi kuti arrhythmia . Uwu ndiye mkhalidwe woopsa kwambiri wa matendawa. Chifukwa ungayambitse kulephera kwa mtima mwadzidzidzi komanso imfa.

Matendawa amatchedwanso ARVC, Arrhythmogenic Right Ventricular Dysplasia (ARVD). Nthawi zina amatchedwanso Arrhythmogenic Cardiomyopathy (ACM) chifukwa amakhudzanso ventricle yakumanzere.

Kodi zizindikiro za vutoli ndi ziti?

Vuto limodzi ndi matendawa ndilakuti amatha kukhala opanda zizindikiro kumayambiriro. Zizindikiro nthawi zambiri zimayamba kuonekera munthu asanakwanitse zaka 40, nthawi zina ngakhale ali achinyamata.

Choncho, ndikofunikira kwambiri kudziwa zizindikiro zotsatirazi.

Zifukwa ndi cholowa cha ARVC

Kawirikawiri, ARVC imayamba chifukwa cha majini osiyanasiyana . Ichi ndi cholakwika chaching'ono mu planning, kapena majini, omwe amapanga maselo a thupi lathu. Vutoli limachitika pamene pali zolakwika m'majini zomwe zimakhudza mapuloteni omwe amathandiza kuti maselo a minofu ya mtima azilumikizana.

Pamene mgwirizanowu wafooka, maselo a minofu ya mtima amayamba kulekana ndipo amafa. Izi zitha kuchitika makamaka nthawi yamavuto pamtima, monga panthawi yochita masewera olimbitsa thupi.

Pafupifupi theka la odwala a ARVC ali ndi mbiri ya banja lawo ya vutoli. Izi zikutanthauza kuti pali mbiri ya majini .

Pali njira ziwiri zazikulu zomwe ARVC imafalikira kudzera m'mibadwo:

• Autosomal Dominant: Mtundu uwu ndi wofala kwambiri. Izi zikutanthauza kuti m'modzi mwa makolo ali ndi kusintha kwa majini. Kenako mwana wawo ali ndi mwayi wa 50% wotengera matendawa. Komabe, zizindikiro ndi msinkhu wa matendawa zimatha kusiyana pakati pa abale.
• Autosomal Recessive: Izi sizichitika kawirikawiri. Apa, makolo onse awiri ali ndi kusintha kwa majini, koma alibe zizindikiro. Mwana wawo ali ndi mwayi wa 25% wopeza matendawa. Vuto limodzi lokhudzana ndi izi ndi matenda a Naxos , omwe angayambitse kukhuthala kwa khungu m'manja ndi m'mapazi komanso kukula kwa tsitsi lokhuthala ngati ubweya.

Kodi mungazindikire bwanji matendawa?

Dokotala amatha kuzindikira matenda a ARVC kutengera zizindikiro zanu, mbiri ya banja lanu, komanso mayeso angapo azachipatala. Pali njira zingapo zodziwira matenda a ARVC. Madokotala amaona kuchuluka kwa njira zomwe mwakwaniritsa.

Mfundo zazikulu zomwe madokotala amasamala nazo:

• Kuti muwone ngati ventricle yakumanja sikugwira ntchito bwino (mayeso a Echocardiogram kapena MRI amagwiritsidwa ntchito pa izi).
• Kuti muwone ngati pali mafuta kapena zipsera zomwe zasungidwa mu minofu ya mtima ( MRI ndi yofunika kwambiri pa izi).
• Kufufuza zolakwika pa mayeso a ECG ( Electrocardiogram - ECG/EKG ).
• Kusasinthasintha kwa kamvekedwe ka mtima, makamaka panthawi yochita masewera olimbitsa thupi.
• Kaya pali aliyense m'banjamo amene ali ndi kachilombo ka ARVC.

Kutengera ndi zinthu izi, dokotala adzasankha ngati muli ndi matendawa, kapena ngati muli nawo, kapena ngati muli nawo. Angakutumizireninso kuti mukayezedwe majini ngati pakufunika kutero.

Mayeso ena omwe agwiritsidwa ntchito:

• Kujambula mtima pogwiritsa ntchito kompyuta (CT scan)
• Mayeso a ECG panthawi yochita masewera olimbitsa thupi ( Mayeso a Kupsinjika Maganizo )
• Kuphunzira ntchito yamagetsi ya mtima ( Electrophysiology Testing )
• Kutenga chidutswa chaching'ono cha minofu ya mtima kuti chikayesedwe ( Biopsy )

Kodi mankhwala a ARVC ndi otani?

Mwatsoka, palibe mankhwala a ARVC. Komabe, pali njira zambiri zothandiza zomwe zingakuthandizeni kuwongolera zizindikiro zanu, kupewa mavuto oopsa, komanso kukhala ndi moyo wabwinobwino. Cholinga chachikulu cha dokotala wanu ndikuwongolera kugunda kwa mtima ndi matenda a mtima.

Zinthu zofunika kuziganizira mukakhala ndi ARVC

Mukapezeka ndi matenda a ARVC, muyenera kusintha moyo wanu. Zinthu zimenezi zingathandize kuchepetsa kupsinjika kwa mtima wanu.

• Chepetsani kuchita masewera olimbitsa thupi: ARVC ikhoza kuipiraipira ndi kuchita masewera olimbitsa thupi. Chifukwa chake, mungafunike kupewa masewera ampikisano. Onetsetsani kuti mwalankhula ndi dokotala wanu za kuchuluka ndi mtundu wa masewera olimbitsa thupi omwe mungachite tsiku lililonse.
• Moyo wathanzi: Ndikofunikira kwambiri kuchepetsa kumwa mowa, kupewa kusuta fodya, kudya zakudya zopatsa thanzi, komanso kuchepetsa zakumwa zokhala ndi caffeine (khofi, tiyi).
• Imwani mankhwala anu monga mwalangizidwira: Musasiye kumwa mankhwala omwe dokotala wanu wakupatsani.
• Kuyezetsa magazi nthawi zonse: Muyenera kuonana ndi dokotala wanu kwa moyo wanu wonse. Ngati muli ndi ICD, muyenera kuyesedwa magazi nthawi zonse .

Kudziwa kuti muli ndi matenda a mtima kungakhale kovuta kwambiri, makamaka muli aang'ono. Ngati ndinu wothamanga, zingakhale zomvetsa chisoni kusiya khalidwe limenelo. Koma kumbukirani kuti moyo wanu ndi wamtengo wapatali kwambiri. Ndi chithandizo choyenera komanso moyo wabwino, mutha kukhala ndi moyo wabwino.