Kodi nthawi zina mumamva kutopa kwambiri popanda chifukwa? Kodi mumamva kupuma movutikira ngakhale mutakwera masitepe ang'onoang'ono? Nthawi zambiri, sitimaganiza kuti izi ndi zinthu wamba. Komabe, nthawi zina pangakhale vuto ndi mtima wathu lomwe sitikudziwa. Lero tikulankhula za vuto lomwe pang'onopang'ono limafooketsa mtima, koma anthu ambiri sadziwa za ilo. Imeneyo ndi Dilated Cardiomyopathy.
Kodi Dilated Cardiomyopathy ndi chiyani kwenikweni?
Mwachidule, izi zimachitika pamene minofu ya mtima wanu imatambasuka ndikukula kuposa momwe zimakhalira masiku onse. Monga momwe lamba la rabara limataya kulimba kwake likatambasulidwa, minofu yathu ya mtima imatambasuka, imachepa, komanso imafooka.
Vutoli limayambira makamaka kumanzere kwa mtima, komwe ndi chipinda chachikulu chopopera magazi. Chipinda ichi ndi gawo lalikulu lomwe limapopera magazi kupita ku thupi lonse. Choncho minofu imeneyi ikafooka, mtima sungapope magazi moyenera. Nthawi iliyonse mtima ukagunda, magazi ena omwe amafunika kupopedwa amatsala mumtima. Pakapita nthawi, izi zimakhala zolemetsa kwambiri pamtima. Zimathandizanso kuchepetsa magazi omwe thupi lonse limafunikira kuti lilandire mpweya ndi zakudya.
Ngakhale palibe deta yeniyeni yokhudza izi ku Sri Lanka, kafukufuku wapeza kuti anthu pafupifupi 36 mwa anthu 100,000 padziko lonse lapansi ali ndi vutoli. Koma nkhani yabwino ndi yakuti tsopano pali mankhwala othandiza kwambiri pa vutoli. Ndipo pali zinthu zambiri zomwe mungachite kuti muchepetse vutoli.
Kodi zizindikiro za vutoli ndi ziti?
Anthu ambiri, makamaka kumayambiriro kwa matendawa, saona zizindikiro zilizonse. Komabe, pamene ntchito ya mtima ikuipiraipira pang'onopang'ono, mungayambe kuona zizindikiro. Zizindikiro zimenezi nthawi zambiri sizimabwera mwadzidzidzi koma zimawonjezeka pang'onopang'ono.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kuvuta kupuma (Dyspnea) | Kumva kupuma movutikira pamene mukuchita zinthu zazing'ono, kuyenda, kapena kungoyimirira. |
| Kutopa | Kutopa kosazolowereka komanso kosapiririka komwe mumamva tsiku lonse, ngakhale mutagona bwino. |
| Kutupa kwa miyendo, akakolo, ndi mimba (Edema) | Kutupa kwa miyendo, mapazi, ndi mimba chifukwa cha madzimadzi omwe amasonkhana m'thupi chifukwa cha kufooka kwa ntchito ya mtima. |
| Kugunda kwa mtima | Kumva ngati kugunda kwa mtima wanu kukukwera mwadzidzidzi ndipo chifuwa chanu chikugunda. |
| Chizungulire ndi kukomoka | Chizungulire, maso abuluu, kapena kukomoka chifukwa cha kusayenda bwino kwa magazi kupita ku ubongo. |
| Kupweteka pachifuwa kapena kusasangalala | Ululu womwe umakhala ngati kupanikizika pachifuwa, ngati kuti pali kulemera. |
| Chifuwa ndi kulimba kwa chifuwa | Chifuwa chosalekeza chomwe chimabwera chifukwa cha madzimadzi omwe amalowa m'mapapo. |
| Kulemera | Kulemera kosayembekezereka mkati mwa masiku ochepa chifukwa cha kusunga madzi m'thupi. |
Kodi ndi zifukwa ziti za Dilated Cardiomyopathy?
Nthawi zambiri zimakhala zovuta kupeza chifukwa chenicheni cha vutoli. Komabe, nthawi zina, zinthu zingapo zapezeka. Anthu ena angakhudzidwe ndi zinthu zingapo izi.
| Chifukwa | Kufotokozera |
|---|---|
| Majini operekedwa m'mibadwomibadwo | Zapezeka kuti anthu opitilira 50% omwe ali ndi matendawa amalandira matendawa kuchokera ku majini awo. Izi zimatchedwa familial dilated cardiomyopathy. |
| Matenda a mitsempha ya mtima ndi matenda a mtima | Vutoli lingayambike chifukwa cha kutsekeka kwa mitsempha yamagazi yomwe imapereka magazi ku mtima kapena kuwonongeka kwa minofu ya mtima chifukwa cha matenda a mtima. |
| Kuthamanga kwa magazi | Kuthamanga kwa magazi kosalamulirika kwa nthawi yayitali kungafooketse minofu ya mtima mwa kukakamiza mtima kugwira ntchito molimbika. |
| Matenda opatsirana ndi mavairasi | Matendawa angayambitsidwe ndi mitundu ina ya mavairasi (monga chiwindi, HIV) kapena matenda omwe amakhudza minofu ya mtima yokha (myocarditis). |
| Kumwa mowa mopitirira muyeso | Kumwa mowa mopitirira muyeso kwa zaka zambiri kumawononga mwachindunji minofu ya mtima. |
| Matenda ena | Matenda monga matenda a shuga, matenda a chithokomiro, matenda a mtima, komanso matenda a mtima obadwa nawo. |
| Mavuto omwe angakhalepo panthawi ya mimba | Izi zitha kuchitika chifukwa cha zovuta zomwe zimachitika kumapeto kwa mimba kapena pambuyo pobereka. |
| Mankhwala ndi mankhwala ena | Mankhwala ena a chemotherapy a khansa ndi kugwiritsa ntchito mankhwala monga cocaine. |
Kodi ndi mavuto otani omwe angabwere chifukwa cha vutoli?
Pamene Dilated Cardiomyopathy ikukula kwambiri, mavuto osiyanasiyana amatha kuchitika. Zina mwa izi zingakhale zoopsa kwambiri.
Chofunika kwambiri ndikupeza matenda ndikuyamba kulandira chithandizo choyenera mavutowa asanachitike. Kenako zoopsazi zitha kuchepetsedwa kwambiri.
- Kulephera kwa Mtima: Ili ndiye vuto lalikulu. Mtima sungathe kupopa magazi okwanira kuti ukwaniritse zosowa za thupi.
- Arrhythmia: Kugunda kwa mtima kosakhazikika komwe kumachitika chifukwa cha kusintha kwa ma signaling system amagetsi a mtima.
- Mavuto a ma valve a mtima: Chifukwa cha kukula kwa mtima, ma valve omwe ali mumtima satseka bwino ndipo magazi amayamba kutuluka m'mbuyo.
- Magazi amaundana: Magazi amaundana amatha kupangika mumtima chifukwa cha kuchepa kwa liwiro la mtima. Ngati magazi amaundanawa atuluka n’kukakamira mumtsempha wa muubongo, angayambitse sitiroko , kapena ngati atakakamira mumtsempha wa m’mapapo, angayambitse vuto loopsa lotchedwa pulmonary embolism .
- Kulephera kwa Mtima Mwadzidzidzi: Kusiya kugwira ntchito kwa mtima mwadzidzidzi chifukwa cha kusokonezeka kwa mtima koopsa.
Kodi dokotala amazindikira bwanji matendawa?
Ngati muli ndi zizindikiro zomwe tatchula pamwambapa, chinthu choyamba chomwe muyenera kuchita ndikuonana ndi dokotala wanu. Iye adzakufunsani za zizindikiro zanu, ngati pali aliyense m'banja mwanu amene ali ndi matenda a mtima (mbiri ya banja), komanso mbiri yanu ya matenda.
Kenako, dokotala adzakuyang'anirani. Iye adzamvetsera pachifuwa panu ndi stethoscope kuti aone ngati pali madzi m'mapapo mwanu komanso kuti amvetsere ngati pali phokoso la mtima losazolowereka (kung'ung'udza kwa mtima). Dokotala angamve ng'ung'udza kwa mtima musanakhale ndi zizindikiro zilizonse.
Mayeso otsimikizira matenda
Pambuyo pokuyezani thupi lanu, dokotala wanu adzakulangizani mayeso angapo kuti atsimikizire matendawa, kumvetsetsa kuopsa kwake, ndikukonzekera chithandizo chabwino kwambiri.
| Mayeso | Kodi chikuyembekezeka ndi chiyani kuchokera pa izi? |
|---|---|
| Echocardiogram | Iyi ndi njira yofunika kwambiri yoyezera. Ili ngati scan ya mwana. Imagwiritsa ntchito mafunde a phokoso poyesa momwe mtima umagwirira ntchito, kukula kwa zipinda zake, komanso momwe umapopera magazi bwino. |
| Kadiyogramu ya Kadiyo (ECG) | Kuyesa komwe kumalemba momwe magetsi a mtima amagwirira ntchito. Kumatha kuzindikira matenda monga arrhythmia. |
| X-ray pachifuwa | Mukhoza kuwona ngati mtima ndi waukulu kuposa momwe ulili komanso ngati madzi asonkhana m'mapapo. |
| Kuyezetsa magazi | Fufuzani ngati pali kuwonongeka kwa minofu ya mtima, komanso zifukwa zina monga matenda a shuga ndi matenda a chithokomiro. |
| Kujambula kwa MRI kwa mtima | Mukhoza kupeza chithunzi chomveka bwino cha kukula ndi ntchito ya zipinda za mtima. |
| Angiogram | Yang'anani ngati pali kutsekeka kwa mitsempha ya mtima yomwe imapereka magazi kumtima. |
Kodi mankhwala a Dilated Cardiomyopathy ndi ati?
Ngakhale kuti palibe mankhwala a matendawa, pali mankhwala othandiza kwambiri omwe angachepetse zizindikiro, kuletsa mtima wanu kufooka, komanso kukuthandizani kukhala ndi moyo wautali. Mukayamba chithandizo mwachangu, zotsatira zake zimakhala zabwino. Chithandizo chingagawidwe m'magawo atatu akuluakulu.
1. Mankhwala (mitundu ya mankhwala)
Dokotala wanu angapereke mankhwala angapo kuti athandize mtima wanu kugwira ntchito bwino, kuchepetsa zizindikiro, komanso kupewa mavuto.
- Mankhwala oletsa ACE ndi ARNI: Izi zimakulitsa mitsempha yamagazi, zimachepetsa kuthamanga kwa magazi, komanso zimachepetsa ntchito ya mtima.
- Beta-blockers: Amawongolera kugunda kwa mtima, amapatsa mtima mpumulo, ndikuwonjezera magwiridwe antchito a mtima pakapita nthawi.
- Mankhwala ochepetsa mphamvu ya madzi m'thupi:Izi zimatchedwa "mapiritsi amadzi." Zimathandiza kuchotsa madzi ochulukirapo m'thupi kudzera mu mkodzo, kuchepetsa kutupa ndi kupuma movutikira.
- Aldosterone antagonists: Izi ndi mtundu wa diuretic. Zimathandiza kulamulira sodium ndi madzi m'thupi.
- Mankhwala Oletsa Kuundana kwa Magazi: Mankhwalawa amaperekedwa kuti aletse magazi kuundana mumtima ngati pali chiopsezo choti magaziwo apangike.
2. Kusintha kwa moyo
Mankhwala okha si okwanira. Kusintha pang'ono komwe mungachite pa moyo wanu watsiku ndi tsiku kungathandize kwambiri kuti chithandizo chipambane.
- Chepetsani kumwa mchere: Mchere ndi chifukwa chachikulu chomwe chimapangitsa kuti madzi azisungidwa m'thupi. Kuchepetsa kudya mchere kungathandize kuchepetsa kutupa ndi kupsinjika mtima.
- Pewani mowa ndi mankhwala osokoneza bongo: Popeza mowa umawononga minofu ya mtima mwachindunji, ndikofunikira kuusiya kwathunthu kapena kuuchepetsa malinga ndi upangiri wa dokotala. Mankhwala osokoneza bongo monga cocaine ayenera kupewedwa kotheratu.
- Kuchita masewera olimbitsa thupi pang'ono: Mutha kukonza magwiridwe antchito a mtima wanu mwa kuchita masewera olimbitsa thupi pang'ono (monga kuyenda) omwe ndi oyenera kwa inu komanso ovomerezeka ndi dokotala wanu.
- Zakudya zopatsa thanzi pamtima: Idyani ndiwo zamasamba zambiri, zipatso, nyama yopanda mafuta ambiri (nkhuku, nsomba), ndi zina zotero. Pewani zakudya zokhala ndi mafuta ambiri ndi shuga wambiri.
3. Opaleshoni ndi njira zina zachipatala
Ngati matendawa ali pamlingo woopsa ndipo ndi ovuta kuwathetsa ndi mankhwala okha, dokotala angakulimbikitseni njira ngati iyi.
- Chothandizira kupuma kwa mtima cha Biventricular Pacemaker: Chipangizo chaching'ono chomwe chimathandiza zipinda za mtima kufinya nthawi yomweyo, zomwe zimapangitsa kuti mpweya uzigwira bwino ntchito.
- ICD (Implantable Cardioverter Defibrillator): Chipangizo chomwe chimazindikira arrhythmia yoopsa ndikubweretsa kugwedezeka pang'ono kwamagetsi kumtima kuti abwezeretse kamvekedwe ka mtima.
- LVAD (Chida Chothandizira Kumanzere kwa Ventricular): Pampu yamakina yomwe imathandiza kupopa mtima. Nthawi zambiri imagwiritsidwa ntchito kwakanthawi kwa odwala omwe akuyembekezera kuikidwa mtima.
- Kusamutsa Mtima: Njira yomaliza yomwe imaganiziridwa kwa odwala omwe ali ndi vuto lalikulu kwambiri, pamene mankhwala ena onse alephera.
Kodi muyenera kuyembekezera chiyani mukakhala ndi matendawa?
Kuyembekeza kwanu kumadalira chomwe chayambitsa matendawa, kuopsa kwa matendawa, komanso momwe mumayambira chithandizo msanga. Ndi chithandizo choyenera komanso kusintha kwa moyo, anthu ambiri amatha kukhala ndi moyo wabwinobwino ndikupitiliza ntchito yawo.
Komabe, kwa anthu ena, zizindikiro zimatha kukulirakulira pakapita nthawi, ndipo angafunike kugonekedwa m'chipatala kuti akalandire chithandizo.
Koma musadandaule. Chithandizo cha matendawa chili bwino kwambiri tsopano kuposa zaka zingapo zapitazo. Ndi chithandizo chapamwamba cha masiku ano, anthu opitilira 80% omwe ali ndi matendawa amakhalabe ndi moyo wabwino patatha zaka 8 osafunikira kuikidwa mtima.
Kodi muyenera kudzisamalira bwanji?
Ndikofunikira kwambiri kuti mudzisamalire paulendowu.
- Tsatirani malangizo a dokotala wanu: Imwani mankhwala anu monga momwe mwalangizidwira, panthawi yoyenera, komanso mu mlingo woyenera. Musaphonye tsiku limodzi.
- Yesani kulemera kwanu tsiku lililonse: Yesani kulemera kwanu nthawi yomweyo m'mawa uliwonse ndipo lembani kulemera kwanu. Kulemera kwanu mwadzidzidzi pa tsiku limodzi kapena awiri kungatanthauze kuti mukulemera madzi ambiri. Ngati izi zitachitika, uzani dokotala wanu nthawi yomweyo.
- Pitani kuzipatala zomwe zakonzedwa: Onetsetsani kuti mwapita ku chipatala masiku omwe dokotala wanena kuti abwere. Ndikofunikira kwambiri kuyang'anira momwe mulili.
- Mvetserani thupi lanu: Ngati mukuona kuti zizindikiro zanu zikukulirakulira, mwachitsanzo, ngati mukuvutika kupuma kapena ngati miyendo yanu ikutupa, musanyalanyaze ndipo dziwitsani dokotala wanu.
Ndizachibadwa kumva mantha komanso chisoni mukazindikira kuti muli ndi vuto la mtima. Koma kumbukirani kuti simuli nokha. Ndi mankhwala amakono, vutoli lingathe kuthetsedwa bwino. Kambiranani momasuka ndi dokotala wanu za mavuto kapena nkhawa zomwe mungakhale nazo. Inu ndi dokotala wanu muli paulendowu limodzi.
Uthenga Wopita Nawo Kunyumba
- Dilated Cardiomyopathy ndi matenda oopsa omwe minofu ya mtima imafooka ndipo mtima umakula.
- Musanyalanyaze zizindikiro monga kutopa kosaneneka, kupuma movutikira, ndi kutupa kwa miyendo.
- Izi zitha kukhudzidwa ndi zinthu zambiri, monga majini, matenda opatsirana, kuthamanga kwa magazi, ndi zizolowezi za moyo.
- Kuzindikira matendawa msanga ndi kulandira chithandizo kungapereke zotsatira zabwino kwambiri.
- Chithandizo chimafuna mankhwala, kusintha moyo, ndipo nthawi zina opaleshoni.
- Ndikofunikira kutsatira malangizo a dokotala wanu molondola ndikupita kuzipatala pa masiku omwe akonzedwa.
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