Kodi mtima wanu ndi wofooka komanso wokulirapo? Tiyeni tikambirane za Dilated Cardiomyopathy!

Mtima wathu ndi chiwalo chodabwitsa kwambiri, sichoncho? Kodi timasamala bwanji za mtima uwu womwe nthawi zonse umapereka moyo ku thupi lathu lonse? Nthawi zina, popanda ife kudziwa, mtima uwu ukhozanso kukhala ndi mavuto ndi matenda osiyanasiyana. Lero tikambirana za matenda omwe amafooketsa mtima ndikupanga minofu ya mtima kukhala yayikulu mosafunikira, matenda omwe ali ndi dzina loopsa pang'ono, koma ndi ofunikira kwambiri kuti tonsefe tidziwe. Izi ndi zomwe madokotala amatcha (Dilated Cardiomyopathy).

Kodi Dilated Cardiomyopathy ndi chiyani?

Mwachidule, vutoli (Dilated Cardiomyopathy) limachitika pamene chipinda chachikulu chopopera cha mtima wanu, ventricle yakumanzere , kapena minofu yayikulu ya mtima, imatambasuka ndikukhala yayikulu kuposa yachibadwa. Taganizirani ngati kutambasula kwa rabara, koma pankhaniyi, sikwabwino kwa mtima. Minofu ya mtima ikafooka, kupyapyala, ndikukula, mphamvu ya mtima yopopera magazi moyenera imachepa. Ndiye chimachitika ndi chiyani? Nthawi iliyonse mtima ukagunda, magazi pang'ono amatsala mkati mwa mtima. Zotsatira zake, thupi lonse sililandira magazi okwanira okosijeni. Pazochitika zoopsa, izi zingakhudzenso ziwalo zina za mtima.

Ofufuza akuti anthu pafupifupi 36 mwa anthu 100,000 aliwonse amadwala matendawa. Koma nkhani yabwino ndi yakuti pali mankhwala ochizira matenda a mtima amenewa. Ndipo pali zinthu zomwe mungachite kuti muchepetse vutoli.

Kodi zizindikiro za matendawa ndi ziti?

Anthu ambiri, makamaka kumayambiriro kwa matendawa, sangasonyeze zizindikiro zilizonse. Imeneyo ndiye mbali yoopsa ya matendawa. Koma pamene ntchito ya mtima ikuipiraipira pang'onopang'ono, mumayamba kumva zizindikiro zambiri.

Zizindikiro za Dilated Cardiomyopathy zingaphatikizepo:

• Kupweteka pachifuwa kapena kulimba
• Chifuwa ndi kutsekeka
• Chizungulire kapena mutu wopepuka
• Kukomoka
• Kumva kutopa kwambiri ( Kutopa )
• Kugunda kapena kugwedezeka pachifuwa panu
• Kupuma movutikira / kupuma movutikira
• Kutupa/kutupa kwa mimba, miyendo, akakolo, ndi mapazi
• Kulemera kosayembekezereka chifukwa cha kusunga madzi m'thupi

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndikofunikira kwambiri kupeza upangiri wa dokotala nthawi yomweyo.

Nchifukwa chiyani izi (Dilated Cardiomyopathy) zimachitika?

"N’chifukwa chiyani izi zinandichitikira ine?" mwina mukudzifunsa. Ndipotu, nthawi zambiri, ngakhale akatswiri sangathe kudziwa chomwe chimayambitsa vutoli. Komabe, pali zifukwa zina zodziwika bwino. Izi ndi izi:

• Kugunda kwa mtima kosazolowereka (mavuto a rhythm) ( Arrhythmia )
• Matenda ogwiritsira ntchito mowa
• Mankhwala ena oletsa khansa (awa akhoza kuvulaza mtima - mankhwala owopsa kwa mtima )
• Mavuto omwe amapezeka kumapeto kwa mimba kapena pambuyo pobereka
• Matenda a mtima obadwa nawo
• Matenda a mitsempha ya mtima
• Matenda a shuga
• Matenda obadwa nawo kuchokera kwa makolo kudzera m'majini (izi zimatchedwa kuti familial dilated cardiomyopathy ). Izi zitha kukhala chifukwa cha milandu yoposa 50%)
• Matenda amtima
• Matenda a mtima
• Kuthamanga kwa magazi
• Matenda a HIV
• Matenda monga kutupa kwa minofu ya mtima (monga myocarditis )
• Kugwiritsa ntchito mankhwala osokoneza bongo monga cocaine
• Matenda a chithokomiro
• Matenda a chiwindi a kachilombo

Nthawi zina munthu akhoza kukhala ndi zifukwa zingapo. Mwachitsanzo, mukhoza kudwala matenda a Dilated Cardiomyopathy chifukwa cha matenda ena, pomwe mungakhale ndi matenda enaake m'majini.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Anthu ena ali ndi mwayi waukulu wopeza vutoli kuposa ena.

• Anthu osakwana zaka 50
• Anthu akuda (ngakhale kuti izi sizikukhudzana kwenikweni ndi Sri Lanka, ndi chinthu chomwe chikuwoneka padziko lonse lapansi)
• Amuna
• Ngati wina m'banjamo ali ndi Dilated Cardiomyopathy (majini)

Kodi ndi mavuto ati omwe angayambitse Dilated Cardiomyopathy?

Ngati matendawa apitirira, kutanthauza kuti, pamapeto pake, mavuto osiyanasiyana angachitike. Izi ndi zoopsa kwambiri, ndichifukwa chake ndikofunikira kufunafuna chithandizo mwachangu.

Mavuto awa angaphatikizepo:

• Kugunda kwa mtima kosazolowereka ( Arrhythmia )
• Kupweteka pachifuwa ( Angina )
• Magazi amaundana mumtima (magazi amenewa amatha kupita ku mapapo ndi kuyambitsa matenda oopsa otchedwa pulmonary embolism )
• Kumangidwa kwa mtima
• Matenda amtima
• Kulephera kwa mtima - Izi zikutanthauza kuti mtima ndi wofooka kwambiri moti sungakwaniritse zosowa za thupi.
• Matenda a mtima
• Stroke

Tangoganizirani za kuopsa kwa mavutowa. Ndicho chifukwa chake muyenera kuda nkhawa ngati muwona ngakhale chizindikiro chochepa kwambiri.

Kodi madokotala amazindikira bwanji matenda amenewa (Dilated Cardiomyopathy)?

Mukapita kukaonana ndi dokotala, chinthu choyamba chimene amachita ndi kulemba mbiri yanu ya zachipatala.Dokotala wanu adzakufunsani za mbiri yanu yachipatala (monga matenda aliwonse omwe mudadwalapo kale kapena mankhwala omwe mudamwa) komanso mbiri ya banja lanu (monga matenda omwe banja lanu lidakhala nawo). Kenako, adzakuyesani thupi . Panthawiyi, dokotalayo adzamvetsera mapapu anu kuti awone ngati madzi akusungunuka. Chodabwitsa n'chakuti, dokotala angamve phokoso losazolowereka mumtima mwanu (kung'ung'udza kwa mtima) musanakhale ndi zizindikiro zilizonse.

Pambuyo pake, muyenera kuyesedwa mitundu yosiyanasiyana kuti mudziwe kuopsa kwa matendawa ndikukonzekera chithandizo choyenera kwa inu.

Ndi mayeso ati omwe amachitidwa pa izi?

Kawirikawiri, mayeso ngati awa akhoza kuchitika:

• Angiogram: Izi zimayang'ana ngati pali kutsekeka kulikonse m'mitsempha ya mtima komwe kumapereka magazi kumtima wanu.
• Kuyezetsa magazi: Kuyezetsa magazi kumeneku kumayesa kuwonongeka kwa mtima ndi mavuto ena.
• X-ray ya pachifuwa: Izi zingapereke chithunzithunzi chosavuta cha ngati mtima wanu ndi waukulu kuposa wabwinobwino.
• Echocardiogram: Iyi ndi mayeso ofunikira kwambiri. Ili ngati 'kanema' wa mtima. Ikhoza kusonyeza momwe mtima ukugwirira ntchito, momwe minofu ilili, komanso momwe ma valve akugwirira ntchito.
• Electrocardiogram (EKG/ECG): Imeneyi imayang'ana momwe magetsi a mtima amagwirira ntchito, kutanthauza ngati pali vuto lililonse ndi kayendedwe ka kugunda kwa mtima.
• Kuyesa kupsinjika maganizo: Izi zimayesa momwe mtima wanu umayankhira mukamachita masewera olimbitsa thupi.
• Kuyezetsa majini: Kuyezetsa kumeneku kumathandiza kudziwa ngati muli ndi matenda enaake omwe amabwera chifukwa cha majini.
• MRI ya Mtima: Izi zingaperekenso chithunzi chomveka bwino cha kukula ndi ntchito ya zipinda za mtima.
• Kuyezetsa magazi m'thupi: Izi sizichitika kawirikawiri. Zimaphatikizapo kutenga chitsanzo cha minofu ya mtima ndikuchiyang'ana.

Kodi Dilated Cardiomyopathy imachiritsidwa bwanji?

Mungafunike mitundu yosiyanasiyana ya chithandizo. Ngakhale kuti mankhwala amenewa nthawi zambiri sangachiritse matendawa kwathunthu, angathandize kuchepetsa zizindikiro ndikukuthandizani kukhala ndi moyo wathanzi komanso wautali. Chithandizo chikayamba msanga, zotsatira zake zimakhala zabwino. Dokotala wanu wa mtima kapena katswiri wa matenda a mtima adzakambirana nanu ndikusankha njira yabwino kwambiri yothandizira.

Njira zochiritsira zitha kugawidwa m'magulu atatu akuluakulu: mankhwala, kusintha kwa moyo, ndi opaleshoni kapena njira zina zamankhwala.

Mankhwala

Pali mitundu ingapo ya mankhwala omwe angathandize kuti mtima wanu ugwire bwino ntchito ngati muli ndi Dilated Cardiomyopathy. Zitsanzo zina ndi izi:

• Zoletsa za ACE
• Otsutsana ndi Aldosterone
• Angiotensin receptor/neprilysin inhibitors (ARNI)
• Mankhwala oletsa kupweteka kwa mtima ( antiarrhythmics )
• Beta-blockers
• Mankhwala ochepetsa magazi/oletsa magazi kutuluka magazi - makamaka kwa anthu omwe ali ndi matenda monga atrial fibrillation
• Mankhwala ochepetsa kuchuluka kwa madzi osafunikira m'thupi ( Diuretics )

Ndikofunikira kwambiri kumwa mankhwala onsewa monga momwe dokotala wanu wanenera, mu mlingo woyenera, komanso panthawi yoyenera.

Kusintha kwa zizolowezi za tsiku ndi tsiku

Mwa kusintha pang'ono zochita zanu za tsiku ndi tsiku, zakudya, ndi zina, mutha kupangitsa mankhwala anu kugwira ntchito bwino, mwina kuchedwetsa kapena kupewa kufunikira kwa opaleshoni konse.

Zosintha izi ndi izi:

• Tetezani thupi lanu: Chepetsani kuchuluka kwa mowa womwe mumamwa. Pewani mankhwala osokoneza bongo kotheratu. Dzitetezeni ku matenda monga chiwindi ndi kachilombo ka HIV.
• Idyani zakudya zopatsa thanzi mtima: Idyani nyama zambiri zopanda mafuta ambiri (monga nkhuku ndi nsomba), zipatso, ndi ndiwo zamasamba. Kudya zakudya zokhala ndi mchere wochepa kungathandize kuchepetsa kusunga madzi m'thupi, zomwe zingawononge mtima.
• Wonjezerani masewera olimbitsa thupi: Masewera olimbitsa thupi ofatsa omwe si ovuta kwambiri pamtima angathandize kukonza magwiridwe antchito a mtima. Lankhulani ndi dokotala wanu za masewera olimbitsa thupi omwe ali oyenera kwa inu. Mungafunenso kuganizira kutenga nawo mbali mu pulogalamu yobwezeretsa mtima . Apa ndi malo abwino oyambira kuchita masewera olimbitsa thupi mosamala.

Opaleshoni ndi njira zochepetsera kufalikira kwa matendawa

Ngati matendawa apita patsogolo kwambiri ndipo ntchito ya mtima yachepa kwambiri, mungafunike opaleshoni kapena njira zina zapadera zachipatala. Njira zina za Dilated Cardiomyopathy ndi izi:

• Chothandizira kupuma kwa mtima cha Biventricular: Ichi ndi chipangizo chomwe chimathandiza zipinda za mtima kugwira ntchito bwino.
• Chotsukira mtima choyimitsidwa (ICD): Ngati kugunda kwa mtima kwanu kwasintha kwambiri, chipangizochi chimayambitsa kugwedezeka pang'ono kwamagetsi kuti chibwezeretse kugunda kwa mtima wanu.
• Kulephera kwa mtima kapena opaleshoni ya valavu ya mtima: Izi zimathandiza kuti mtima ugwire bwino ntchito.
• Chipangizo chothandizira kumanzere kwa ventricle (LVAD): Ichi ndi chipangizo chamakina chomwe chimathandiza kupopera magazi kupita ku minofu ya mtima yofooka kwambiri.
• Kuika mtima: Iyi ndi njira yosowa kwambiri, yomwe imaganiziridwa pamene njira zina zonse zalephera.

Kodi matendawa angapewedwe?

Kunena zoona, vutoli silingathe kupewedwa nthawi zonse. Likhoza kukhala vuto lomwe limachitika m'banja mwanu (majini). Kapena, likhoza kukhala chifukwa cha mankhwala a chemotherapy a matenda monga khansa.Zingathenso kuchitika ngati zotsatira zoyipa za chithandizo.

Komabe, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi Dilated Cardiomyopathy:

• Pewani mankhwala osokoneza bongo monga cocaine kotheratu.
• Ngati mumwa mowa, chepetsani pang'ono kwambiri.
• Ngati muli ndi matenda monga matenda a shuga kapena kuthamanga kwa magazi, samalani bwino.
• Samalani mtima wanu bwino kuti mupewe matenda a mtima (kudya bwino, kuchita masewera olimbitsa thupi, komanso kupewa kusuta fodya).

Kodi mungayembekezere chiyani mukakhala ndi matenda otchedwa Dilated Cardiomyopathy?

Kuyezetsa matenda anu kumadalira chifukwa ndi kuopsa kwa matenda anu. Ndi chithandizo chamankhwala nthawi zonse, mutha kubwerera kuntchito ndikuyambiranso ntchito zanu zatsiku ndi tsiku. Komabe, nthawi zina zizindikiro zanu zimatha kukulirakulira pakapita nthawi. Ngati matenda anu akukulirakulira kapena mavuto ayamba, mungakhale ndi vuto lothana ndi vutoli. Mungafunike kukhala m'chipatala mpaka zizindikiro zanu zitayamba bwino.

Kwa anthu ambiri, matenda a mtima otchedwa dilated cardiomyopathy amatha kuipiraipira pakapita nthawi ndipo amachititsa kuti mtima usagwire bwino ntchito kwa nthawi yayitali. Izi zikutanthauza kuti mtima umakhala wofooka kwambiri moti sungakwanitse kukwaniritsa zomwe thupi limafuna. Kulephera kwa impso ndi kulephera kwakukulu kwa mtima ndi zizindikiro zosonyeza kuti matendawa sakuyenda bwino. Anthu omwe ali ndi zizindikiro ngakhale atapuma, kapena omwe sangathe kuchita masewera olimbitsa thupi, nthawi zambiri amakhala ndi zotsatirapo zoyipa kwambiri.

Koma musadandaule! Thanzi ndi moyo wa anthu omwe ali ndi Dilated Cardiomyopathy zasintha kwambiri m'zaka zaposachedwa. Izi zikuchitika chifukwa cha chithandizo chabwino komanso kuzindikira msanga. Masiku ano, anthu opitilira 80% omwe ali ndi matendawa amakhala bwino kwa zaka zisanu ndi zitatu, osafunikira kuikidwa mtima wina.

Kodi ndimadzisamalira bwanji?

Chinthu chofunika kwambiri chomwe mungachite mukakhala ndi matendawa ndikudzisamalira nokha. Tsatirani malangizo a dokotala wanu mosamala.

• Yang'anirani zizindikiro za mavuto, monga kunenepa mwadzidzidzi, tsiku lililonse.
• Sinthani zomwe dokotala akulangizani (monga kudya zakudya zopanda mchere wambiri) molondola.
• Pitani kwa dokotala wanu kuti mukakumane naye kangapo pachaka.
• Imwani mankhwala omwe mwapatsidwa nthawi yake komanso moyenera.

Ndiyenera kupita kwa dokotala liti?

Popeza vuto lanu limatha kusintha pakapita nthawi, ndi bwino kulankhulana ndi dokotala wanu ndikupita kukayezetsa nthawi zonse. Ichi ndi chinthu chomwe muyenera kuchita moyo wanu wonse. Ngati mukuona kuti zizindikiro zanu zikuipiraipira, lankhulani ndi dokotala wanu nthawi yomweyo. Iye angakuthandizeni kuthana ndi zizindikiro zanu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukangopezeka ndi matenda, ndi zachilendo kukhala ndi mafunso ambiri. Musazengereze kufunsa dokotala wanu mafunso monga:

• Kodi ndi bwino kupita kukayezetsa majini a banja langa lonse?
• Kodi ndiyenera kupewa ntchito yolemetsa?
• Kodi pali gulu lothandizira lomwe ndingalowe nawo, kaya ku Sri Lanka kapena pa intaneti?
• Ndi zakudya ziti zomwe zili zoyenera kwa ine?
• Ndi masewera olimbitsa thupi otani omwe ndiyenera kuchita ndipo ndiyenera kuchita nthawi yayitali bwanji?

Palibe amene akufuna kudziwa kuti mtima wake sukugwira ntchito bwino. Komabe, madokotala a masiku ano angapereke mankhwala osiyanasiyana kuti athandize mtima wanu kugwira ntchito bwino pa matenda monga Dilated Cardiomyopathy. Palinso kusintha kosavuta komwe mungachite kuti muwongolere vuto lanu. Musaope kufunsa mafunso ndikumvetsetsa zomwe mungasankhe. Mutha kugwira ntchito ndi dokotala wanu kuti mupeze njira yabwino yopititsira patsogolo vutoli.

Zinthu zofunika kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ndikukhulupirira kuti tsopano mwamvetsa bwino matenda a minofu ya mtima omwe takambirana lero (Dilated Cardiomyopathy) . Ngakhale kuti uwu ndi matenda oopsa, ngati mukuwadziwa ndikuwasamalira bwino, mutha kukhala ndi moyo wabwino.

Chofunika kwambiri ndikudziwa zizindikiro zake, funsani upangiri wa dokotala mwachangu, ndikutsatira chithandizo ndi malangizo omwe dokotala wanu wakupatsani. Simuli nokha, pali madokotala ndi ogwira ntchito zachipatala kuti akuthandizeni ndikukutsogolerani paulendowu. Choncho khalani olimba mtima ndipo muthane ndi vutoli.

Matenda a mtima , kukulitsa mtima, matenda a mtima otupa, kufooka kwa minofu ya mtima, kupuma movutikira, kulephera kwa mtima, chithandizo cha mtima