Mavuto a mtima panthawi ya mimba kapena pambuyo pobereka? Tiyeni tiphunzire za Peripartum Cardiomyopathy (PPCM)!

Kukhala ndi pakati ndi chinthu chosangalatsa kwambiri. Komabe, nthawi zina mavuto azaumoyo osayembekezereka amatha kuchitika. Lero, tikambirana za vuto la mtima lomwe limapezeka kawirikawiri lomwe limatha kumapeto kwa mimba kapena mkati mwa miyezi ingapo mutabereka. Vutoli limatchedwa Peripartum Cardiomyopathy.

Kodi Peripartum Cardiomyopathy (PPCM) ndi chiyani?

Mwachidule, Peripartum Cardiomyopathy (PPCM) ndi matenda osowa omwe amafooketsa minofu ya mtima wanu. Izi zimapangitsa kuti mtima wanu utaye mphamvu yake yopopera magazi kupita ku thupi lanu lonse. Izi nthawi zina zimatha kupha . Matendawa nthawi zambiri amakhudza akazi omwe ali mwezi womaliza wa mimba kapena mpaka miyezi isanu atabereka. Ndicho chifukwa chake anthu ena amatcha ``postpartum cardiomyopathy.'' Ngakhale kuti amatha kuchitika pa msinkhu uliwonse, amapezeka kwambiri mwa akazi opitirira zaka 30.

Matenda a mtima otchedwa Peripartum Cardiomyopathy amakhudza chipinda cha mtima wanu, ventricle yakumanzere . Ventricle yakumanzere iyi ili ndi ntchito yofunika kwambiri yopopera magazi okhala ndi mpweya m'thupi lonse. Choncho ikafooka, sigwira ntchito yake bwino.

Mwina munamvapo dokotala wanu akugwiritsa ntchito mawu akuti 'left ventricular ejection fraction' kapena 'left ventricular ejection fraction (LVEF)'. Izi nthawi zambiri zimayesedwa ndi 'echocardiogram'. LVEF iyi ndi muyeso wa momwe ventricle yanu yakumanzere imatha kupopera magazi kuchokera mumtima mwanu. Imafotokozedwa ngati peresenti, kotero kuchuluka kwa magazi kumakhala kwakukulu, kumakhala bwino. LVEF ya munthu wathanzi nthawi zambiri imakhala pakati pa 50% ndi 70%. Komabe, mwa munthu yemwe ali ndi Peripartum Cardiomyopathy, imatha kutsika pansi pa 45% . LVEF ikatsika, vutoli limakhala lalikulu kwambiri.

Ndikofunikira kwambiri kuzindikira matendawa msanga . Pokhapokha mwayi wopeza chithandizo choyenera ndikuchira msanga umawonjezeka.

Kodi vutoli ndi lofala bwanji?

Matenda a Peripartum Cardiomyopathy si matenda ofala kwambiri. Koma n'zovuta kunena kuti ndi osowa bwanji. Pali kusiyana kwakukulu pa ziwerengero zokhudza izi osati ku United States kokha, komanso padziko lonse lapansi. Ku United States, matendawa akuti amapezeka mwa mimba imodzi mwa 1,000 mpaka 4,000. Kafukufuku wina akusonyeza kuti matendawa ndi ofala kwambiri m'madera akum'mwera kwa United States kuposa m'madera ena.

Kodi zizindikiro za Peripartum Cardiomyopathy ndi ziti?

Zizindikiro za matenda a mtima nthawi zina zimakhala zosavuta kuzinyalanyaza. Zizindikiro zambirizi zimafanana ndi zomwe mumakumana nazo nthawi zambiri mukakhala ndi pakati. Koma chifukwa vutoli ndi lalikulu kwambiri, ndikofunikira kulabadira zizindikiro izi:

• Kuvuta kupuma (kulephera kupuma mokwanira) - makamaka pamene mukuyesera kugona, kugona pansi, kapena kuchita masewera olimbitsa thupi.
• Kutopa.
• Kutupa kwa mapazi ndi akakolo (edema) .
• Kumva kugunda kwa mtima .
• Chifuwa chouma .
• Mitsempha yotupa ya khosi .
• Kumva chizungulire (`Kusamva bwino`) .
• Kutsika kwa kuthamanga kwa magazi (hypotension) , kapena kuchepa kwa kuthamanga kwa magazi mukayimirira mwadzidzidzi.
• Kupweteka pachifuwa .

Matenda a mtima otchedwa Peripartum Cardiomyopathy nthawi zambiri amayamba mwezi womaliza wa mimba kapena pambuyo pake. Koma nthawi zina amayamba msanga. Komanso, mimba imawonjezera mavuto pamtima ndipo imatha kuipitsa matenda a mtima omwe sanadziwikepo kale. Chifukwa chake, ndikofunikira kusamala ndi zizindikiro zonse za mimba , osati m'masabata angapo apitawa okha.

Kodi ndi zifukwa ziti za Peripartum Cardiomyopathy?

Ofufuza sanapezebe chifukwa chenicheni cha Peripartum Cardiomyopathy. Komabe, amakhulupirira kuti kusintha kwa mahomoni panthawi ya mimba ndi matenda ena, monga preeclampsia, kungakhale komwe kumayambitsa vutoli. N'zotheka kuti pali zinthu zingapo zomwe zingagwirizane zomwe zimayambitsa vutoli.

Matenda a mtima otchedwa Peripartum Cardiomyopathy akhoza kukhala obadwa nawo, koma kafukufuku sanatsimikizire izi. Akuti pakati pa 15% ndi 20% ya akazi omwe ali ndi matenda a mtima otchedwa postpartum cardiomyopathy ali ndi kusintha kwa majini komwe kungayambitse matenda a mtima. Ngati muli ndi chimodzi mwa kusintha kumeneku, kupsinjika kwa mimba ndi kubereka kungayambitse zizindikiro za matenda a mtima. Ndikofunikira kuti inu ndi dokotala wanu wa mtima mudziwe mbiri iliyonse ya banja lanu ya matenda a mtima, makamaka matenda a mtima kapena kulephera kwa mtima.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a mtima (Peripartum Cardiomyopathy)?

Pali zinthu zingapo zomwe zingakhudze matenda a mtima pambuyo pa kubereka. Zinthu zambiri zomwe zingakupangitseni kukhala ndi matenda a mtima pambuyo pa kubereka zimakupangitsani kukhala pachiwopsezo chachikulu. Zinthuzi zitha kubweretsa chiopsezo chachikulu kuposa chinthu chimodzi chokha.

Zinthu zomwe zingakubweretsereni mavuto musanayambe kutenga mimba

• Kuthamanga kwa magazi (kuthamanga kwa magazi) .
• Matenda a shuga .
• Kunenepa kwambiri .
• Kusowa kwa selenium ndi zinc .
• Matenda ogwiritsira ntchito mankhwala osokoneza bongo (SUD) .

Zinthu zoopsa zokhudzana ndi mimba

• Mimba kwa nthawi yoyamba .
• Kukhala ndi mapasa kapena ana atatu .
• Popeza adapezeka kale ndi matenda a Peripartum Cardiomyopathy .
• Kugwiritsa ntchito njira monga `IVF` (kubereka mwana m'mimba) kuti mupeze mimba.

Zoopsa za mavuto panthawi ya mimba

• Preeclampsia ndi eclampsia .
• Kuchepa kwa magazi m'thupi .
• Matenda a chithokomiro .
• Kuwonjezeka kwa mphumu kapena matenda a autoimmune .
• Ngati muli ndi vuto la kupweteka kwa mimba nthawi isanakwane, gwiritsani ntchito mankhwala kwa nthawi yayitali kuti muchepetse nthawi yobereka .

Mfundo zapadera za akazi akuda (zochokera ku kafukufuku)

Gawoli lachokera pa kafukufuku wochitidwa makamaka pa akazi akuda aku America. Mogwirizana ndi izi:

• Kuzindikira matenda a Peripartum Cardiomyopathy n'kofala kwambiri pakati pawo.
• Matendawa amachititsa kuti mtima uwonongeke kwambiri komanso kuti mtima usamagwire bwino ntchito.
• Pali mwayi waukulu wa mavuto aakulu .
• Matendawa amapezeka ali aang'ono (pafupifupi zaka 27, ena nthawi zambiri ali ndi zaka 31) .
• Vutoli likhoza kukhala lalikulu kwambiri chifukwa cha kupezeka kwa matendawa mochedwa atabereka.
• Chiwopsezo cha imfa chifukwa cha vutoli n'chokwera kwambiri .

Izi zachokera ku kafukufuku wochitidwa ku United States, ndipo kumbukirani kuti zinthu zomwe zingakubweretsereni chiopsezo zingasiyane pakati pa anthu osiyanasiyana. Ndi bwino kulankhula ndi dokotala wanu za chiopsezo chanu.

Kodi ndi mavuto ati omwe angabwere chifukwa cha Peripartum Cardiomyopathy?

Pamene ventricle yanu yakumanzere yafooka ndi kutopa, singathe kupopa magazi bwino, makamaka kwa ziwalo zomwe zimadalira magaziwo, monga mapapo ndi chiwindi. Kuchepa kumeneku kumakhudza thupi lonse. Kungayambitse kulephera kwa mtima , komanso kuwonjezera chiopsezo cha magazi kuundana ndi thrombosis .

Mavuto omwe angawopseze moyo angaphatikizepo:

• Kugunda kwa mtima kosazolowereka (arrhythmias) .
• Kusokonezeka kwa mtima .
• Kulephera kwakukulu kwa mtima .
• Mavuto omwe amabwera chifukwa cha magazi kuundana .
• Kuwonongeka kwa ubongo .

Kodi matenda a Peripartum Cardiomyopathy amachiritsidwa bwanji?

Dokotala wanu adzatsimikiza kuti muli ndi Peripartum Cardiomyopathy ngati muli ndi matenda onse atatu awa :

• Muyenera kuti mwakhala mukudwala matenda a mtima kumapeto kwa mimba yanu kapena mkati mwa miyezi isanu kuchokera pamene mwabereka mwana.
• Dokotala sayenera kupeza chifukwa china chilichonse chomwe chimayambitsa kulephera kwa mtima wanu. (Ndiye kuti, china chilichonse chomwe chingayambitse zizindikiro zanu chikadayenera kuchotsedwa.)
• Gawo lanu la kumanzere la ejection ventricle (`LVEF`) liyenera kukhala lochepera 45%.

Pa matenda amenewa, dokotala adzakuuzani za mbiri yanu ya thanzi komanso mbiri ya thanzi la banja lanu.

Dokotala wanu akamapeza matenda, angasankhe matenda anu ngati a Gulu I, II, III, kapena IV. Chiwerengero chikakhala chachikulu, matendawa amakhala aakulu kwambiri . Kuzindikira msanga matenda a cardiomyopathy pambuyo pa kubereka kungachepetse chiopsezo cha imfa ndikulola chithandizo kuyamba mwachangu momwe zingathere. Ngati matendawa atapezeka atakula kwambiri, chiopsezo cha mavuto aakulu, monga mavuto a mtima omwe akupitilizabe, chimakhala chachikulu.

Kodi mayeso oyezetsa matenda ndi ati?

Palibe mayeso enieni odziwira matenda a mtima pambuyo pobereka. M'malo mwake, dokotala wanu adzagwiritsa ntchito mayeso ena pamodzi ndi zomwe mupereka. Iye adzakuyezani thupi kuti aone ngati pali madzi ochulukirapo m'thupi. Pambuyo pake, mayeso monga:

• Kuyezetsa magazi .
• Electrocardiogram (ECG/EKG) .
• X-ray ya pachifuwa .
• Echocardiogram (`Echocardiogram - echo`) . Izi zitha kuwona kuchuluka kwa `LVEF` yanu. Izi ndizofunikira kwambiri pakuzindikira matenda.
• Mayeso a mtima a MRI (magnetic resonance imaging) .
• Kutsegula catheter ya mtima .
• Kufufuza kwa myocardial biopsy (izi zimachitika kawirikawiri) .

Mayeso amenewa angasonyezenso ngati munali ndi vuto lililonse la mtima musanakhale ndi pakati. Anthu ena akhala ndi matenda a mtima kwa zaka zambiri koma sazindikira zizindikiro mpaka atayamba kuonekera panthawi ya mimba. Zotsatira zanu zithandiza dokotala wanu kupeza matenda olondola.

Kodi chithandizo cha Peripartum Cardiomyopathy ndi chiyani?

Chithandizo cha Peripartum Cardiomyopathy cholinga chake ndi kuchepetsa zizindikiro za kulephera kwa mtima ndikuthandiza mtima wanu kuchira. Vutoli silidzatha lokha . Ngati vutoli lapezeka panthawi ya mimba, dokotala wanu adzaonetsetsa kuti mankhwala aliwonse omwe mukumwa ndi otetezeka kwa mwana wanu. Adzakambirana nanu za njira zomwe mungasankhire chithandizo ndi zotsatirapo zilizonse zomwe zingachitike. Mudzagwiranso ntchito ndi gulu la akatswiri omwe angakulangizeni za mimba zoopsa komanso momwe matenda a mtima angakhudzire mimba yanu.

Nthawi zambiri mudzapatsidwa mankhwala omwewo monga omwe amagwiritsidwa ntchito pa matenda ena a mtima. Mwachitsanzo:

• Zoletsa za angiotensin-converting enzyme (ACE) .
• Ma ARB (Angiotensin II receptor blockers) .
• Angiotensin receptor/neprilysin inhibitors (ARNIs) .
• Beta-blockers .
• Mankhwala ochepetsa mphamvu ya madzi (mapiritsi a madzi) .
• Hydralazine/nitrates.
• Otsutsa a Mineralocorticoid receptor (MRAs) .
• Zoletsa za sodium-glucose cotransporter-2 (SGLT2) .
• Mankhwala oletsa magazi kutuluka magazi (anticoagulants) .

Kutengera momwe mtima wanu ukugwira ntchito bwino, mungafunikenso mankhwala ena. Izi zikuphatikizapo:

• Chinthu chonga chipangizo chovalidwa kapena choikidwa mumtima (cardiac defibrillator) .
• Chipangizo chothandizira ventricle yakumanzere (LVAD) .
• Kusamutsa mtima . Izi nthawi zambiri zimachitika kwa anthu omwe matenda awo ndi aakulu kwambiri, omwe LVEF yawo ndi yochepa kwambiri, komanso omwe sakulandira chithandizo.

Mavuto ndi zotsatirapo zake pa chithandizo

Zotsatirapo za chithandizo zimasiyana malinga ndi chithandizocho komanso ngati muli ndi pakati panthawiyo. Kumwa mankhwala a beta-blockers panthawi ya mimba kungayambitse mwana wanu kubadwa ndi kulemera kochepa, hypoglycemia (shuga wotsika m'magazi), bradycardia (kugunda kwa mtima pang'onopang'ono), kapena kutsekeka kwa mtima.

Mankhwala ena - monga ACE inhibitors, ARBs, ARNIs, MRAs ndi SGLT2 inhibitors - si otetezeka kugwiritsa ntchito panthawi ya mimba. Komabe, nthawi zambiri amakhala otetezeka kumwa mukamayamwitsa, chifukwa ochepa okha ndi omwe amalowa mu mkaka wa m'mawere. Ndikofunikira kulankhula ndi dokotala wanu za nthawi, zoopsa, ndi zotsatirapo zake za mankhwala aliwonse.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Anthu opitilira 50% omwe ali ndi matenda a mtima pambuyo pa kubereka amachira bwino - nthawi zambiri pasanathe miyezi isanu ndi umodzi kuchokera pamene alandira chithandizo. Ena amachira patatha masiku kapena milungu ingapo. Kwa ena, zingatenge zaka kuti achire.

Komabe, ngakhale mtima wanu utabwerera mwakale, muyenerabe kumwa mankhwala kwa chaka chimodzi kapena kuposerapo .

Kodi mungachepetse bwanji chiopsezo cha matenda a mtima pambuyo pobereka?

Njira yabwino yopewera matenda a mtima pambuyo pobereka ndikuchita zonse zomwe mungathe kuti mtima wanu ukhale wathanzi. Ngakhale simungathe kupewa zinthu zonse zoopsa, mutha kuwongolera zina mwa izi:

• Kudya zakudya zopatsa thanzi pamtima .
• Kuchita masewera olimbitsa thupi nthawi zonse .
• Kupewa fodya ndi mowa .
• Gwirani ntchito ndi dokotala wanu kuti muthane ndi mavuto monga kunenepa kwambiri kapena kunenepa kwambiri .
• Yesani kuthamanga kwa magazi nthawi zonse ndipo funani chithandizo ngati pakufunika kutero .

Ngati munali ndi vuto la mtima m'mimba mwanu, lankhulani ndi dokotala wanu za zinthu zomwe zingakubweretsereni chiopsezo ngati mukukonzekera kutenganso pakati.

Kodi mungayembekezere chiyani ngati muli ndi Peripartum Cardiomyopathy?

Ngati muli ndi Peripartum Cardiomyopathy, muyenera kugwira ntchito limodzi ndi dokotala wanu komanso gulu la akatswiri kuti ayang'anire thanzi lanu. Ngati muli ndi pakati, gulu lanu lazaumoyo lidzayang'aniranso momwe mwana wanu alili.

Adzakonzanso nthawi yobereka mwana. Ngati vuto la mtima wanu silikupitirira, dokotala wanu mwina angafune kuti mubereke mwana m'njira yoberekera. Komabe, mungafunike opaleshoni ya epidural, episiotomy, kapena kugwiritsa ntchito forceps kuti muthandize kubereka mwana mosavuta.

Ngati muli ndi Peripartum Cardiomyopathy, muli ndi mwayi waukulu wobereka mwana kudzera mu opaleshoni (C-section) kapena kubereka mwana asanakwane nthawi . Ndikofunikira kulankhula ndi dokotala wanu za zomwe mungasankhe komanso zoopsa zomwe mungakumane nazo.

Mukabereka mwana wanu, muyenera kupitiriza kugwira ntchito ndi dokotala wanu kuti akuthandizeni kusamalira ndi kulandira chithandizo. Momwe mumamvera komanso momwe mumachira msanga zimadalira zinthu zambiri, koma chofunika kwambiri ndi gawo lanu la kumanzere la ventricle ejection fraction (LVEF) . Ngati LVEF yanu ili yochepera 30% panthawi yodziwira matenda, muli pachiwopsezo chachikulu chokhala ndi mavuto aakulu.

Kodi Peripartum Cardiomyopathy ndi matenda osatha?

Kwa anthu ena, matenda a mtima pambuyo pobereka ndi matenda osatha. Kwa ena, chithandizo chimatha kuletsa zizindikiro ndikubwezeretsa ntchito ya mtima kukhala yachibadwa kapena pang'ono.

Ngati LVEF yanu ili ndi 50% mpaka 55%, dokotala wanu adzakuonani kuti mwachira mokwanira ku matenda a mtima pambuyo pobereka. Kafukufuku wambiri amayang'ana nambalayi miyezi isanu ndi umodzi mutapezeka ndi matendawa. Kuchuluka kwa kuchira kumasiyana kwambiri malinga ndi dera ndi dera komanso mtundu ndi mtundu. Ku United States, kuchuluka kwa kuchira pambuyo pa miyezi isanu ndi umodzi kuli pakati pa 44% ndi 63%, pomwe m'maiko ena kuli kotsika mpaka 21% mpaka 36%.

Kafukufuku wina adapeza kuti akazi akuda anayi mwa asanu omwe ali ndi matenda a mtima (postpartum cardiomyopathy) sachira mokwanira, ndipo mmodzi mwa khumi sapulumuka. (Onaninso kuti uwu unali kafukufuku wa ku US).

Ngakhale mtima wanu utabwerera mwakale, muyenera kuyang'anira thanzi lanu mosamala ndikugwira ntchito limodzi ndi dokotala wanu. Izi zili choncho chifukwa mkazi m'modzi mwa akazi asanu omwe amachira matenda a mtima pambuyo pobereka adzabwereranso ku vuto la mtima. Komanso, ngakhale LVEF yanu itabwerera pamlingo wabwino, mutha kukhala ndi zotsatirapo za nthawi yayitali, monga kuchepa kwa luso lanu lochita masewera olimbitsa thupi.

Kodi moyo wa munthu amene ali ndi Peripartum Cardiomyopathy ndi wotani?

Moyo woyembekezera ndi matenda a mtima pambuyo pobereka umadalira matenda anu, momwe chithandizo chanu chimagwirira ntchito, ndi zinthu zina zambiri zokhudzana ndi thanzi lanu lonse. Ngati chigawo chanu chakumanzere chotulutsa magazi m'mitsempha (LVEF) chili chotsika, chiopsezo chanu cha imfa chimawonjezeka. Komanso, chiyembekezo sichili chabwino kwa anthu omwe amafunikira zida zamankhwala kuti athandize mtima wawo kugwira ntchito bwino.

Ofufuza akuyerekeza kuti chiwerengero cha anthu akufa padziko lonse lapansi chili pakati pa 2.5% ndi 32%. Dziko la United States lili pamlingo wotsika kwambiri poyerekeza ndi mayiko ena, ndipo chiwerengero cha anthu akufa chili pakati pa 6% ndi 10%.

Kodi ndimadzisamalira bwanji?

Chinthu chofunika kwambiri chomwe mungachite kuti mudzisamalire nokha ndikuwona dokotala wanu nthawi zonse . Tsatirani dongosolo la dokotala wanu, ndipo lankhulani ndi dokotala wanu za mavuto kapena kusintha kulikonse komwe mwawona.

Nazi zina mwazosavuta zomwe mungachite tsiku lililonse:

• Chepetsani kuchuluka kwa mchere womwe mumadya . Pezani njira zina zokometsera chakudya chopanda mchere.
• Yesani kulemera kwanu nthawi zonse kuti muwone ngati madzi asungidwa bwino . Ngati muwonjezera kulemera kwa makilogalamu 1.3 mpaka 1.8 pa masiku awiri kapena atatu, lankhulani ndi dokotala wanu.
• Kusiya kusuta fodya . Funsani dokotala wanu za zinthu zomwe zingakuthandizeni.
• Kuchepetsa kumwa mowa, kapena kusiya kumwa mowa wonse .

Ngati mukuyamwitsa, lankhulani ndi dokotala wanu za zoopsa zake, monga kupereka mankhwala kwa mwana wanu kudzera mu mkaka wa m'mawere. Kawirikawiri, ubwino woyamwitsa - monga kugwirizana ndi mwana wanu - umaposa zoopsa zake. Mungafune kugwira ntchito ndi mlangizi wa ana atatha kutenga pakati kuti akuthandizeni kusankha zomwe zili zabwino kwa inu ndi mwana wanu.

Matenda a Mtima ndi Matenda a Maganizo a Peripartum

Matenda a Peripartum Cardiomyopathy akhoza kusintha moyo wanu. Mukamasamalira mwana wanu wakhanda, mungamve zambiri nthawi imodzi. Zingakhale zovuta kuthana ndi zonsezi nthawi imodzi.

Kupsinjika maganizo komwe kumachitika chifukwa cha matenda a mtima pambuyo pobereka kungakulitse chiopsezo chanu chokhala ndi matenda a maganizo. Anthu opitilira 50% omwe ali ndi matenda a mtima pambuyo pobereka amakhala ndi nkhawa kapena nkhawa yokhudza matenda a mtima wawo.

Ku United States, pafupifupi mkazi m'modzi mwa akazi 10 aliwonse amakhala ndi vuto la kuvutika maganizo pambuyo pobereka, ndipo pafupifupi mkazi m'modzi mwa akazi atatu aliwonse amakhala ndi vuto la kuvutika maganizo atapezeka ndi matenda a Peripartum Cardiomyopathy.

Ngati mukumva chisoni, nkhawa, kapena kutopa, simuli nokha. Ngati simukugwira ntchito ndi mlangizi kapena katswiri wa zamaganizo, funsani dokotala wanu kuti akutumizireni chithandizo.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zilizonse za Peripartum Cardiomyopathy, imbani dokotala nthawi yomweyo.Mudzakhala ndi nthawi yokumana ndi dokotala nthawi zonse panthawi ya chithandizo. Mtima wanu ukayambiranso kugwira ntchito bwino (ndi LVEF yachibadwa), muyenera kupita kwa dokotala kamodzi pachaka kapena kuposerapo kuti akafufuze mtima wanu. Pamenepo ndi pomwe mungathe kuwona ngati vutolo labwerera. Ngati litabwerera, kukawunika nthawi zonse kumatha kuizindikira msanga.

Kodi muyenera kupita ku chipinda chodzidzimutsa liti?

Ngati mukumva kupweteka pachifuwa, mtima ukuthamanga, kukomoka, kapena zizindikiro zina zatsopano, imbani 911 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo, kapena pitani ku chipinda chadzidzidzi (ER) .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Nazi mafunso ena omwe mungafunse dokotala wanu:

• Kodi ndingathe kuchichiza ndi mankhwala, kapena ndikufunika chipangizo chachipatala?
• Kodi ndiyenera kuchita opaleshoni ya cesarean (C-section)?
• Kodi ndiyenera kubwera kangati kudzakumana ndi dokotala wotsatira?

Kodi ndingathe kutenga mimba kachiwiri ngati ndili ndi Peripartum Cardiomyopathy?

Azimayi ambiri amadwala matenda a mtima pambuyo pobereka kangapo. Ngati muli ndi vutoli pa nthawi imodzi ya mimba, muli ndi mwayi waukulu woti mudzadwalanso. Pafupifupi mkazi m'modzi mwa atatu aliwonse adzadwalanso pa nthawi ina ya mimba.

Mungathe kulankhula ndi dokotala wanu ngati kuli kotetezeka kutenga mimba kachiwiri. Ngati ndi koopsa kwambiri, mungafune kuganizira za njira zolerera. Mudzafuna njira yolerera yomwe ilibe estrogen, chifukwa chithandizo cha estrogen chimawonjezera chiopsezo cha magazi kuundana ndi thrombosis.

Ngati mutenganso mimba, muyenera kuyang'aniridwa mosamala komanso kufufuzidwa nthawi zonse kuti muwone zizindikiro zilizonse zoyambirira za kulephera kwa mtima.

Mukakonzekera kukhala ndi mwana, simungayembekezere kukhala ndi vuto la mtima. Kusamalira vuto latsopano la mtima pamene mukusamalira mwana wakhanda kungakhale kovuta. Gulu lanu lachipatala lidzakuthandizani panjira iliyonse, kuchita zonse zomwe angathe kuti mulimbitse mtima wanu. Ngati muli ndi pakati ndipo muli ndi zinthu zomwe zingakuchititseni kuti mukhale ndi vuto la mtima pambuyo pobereka, lankhulani ndi dokotala wanu. Ndikofunikira kupeza matendawa msanga kuti muchepetse chiopsezo cha mavuto aakulu kwa inu ndi mwana wanu, komanso kuti mupeze chithandizo chomwe mukufuna .

Kodi ndi zinthu ziti zofunika kwambiri zomwe tiyenera kutenga kuchokera m'nkhaniyi?

Matenda a Peripartum Cardiomyopathy ndi matenda omwe amafooketsa mtima omwe amatha kuchitika kumapeto kwa mimba kapena mkati mwa miyezi ingapo mutabereka. Zizindikiro zake zimafanana ndi za mimba yachibadwa, choncho dziwani makamaka zinthu monga kupuma movutikira, kutopa kosazolowereka, ndi kutupa kwa miyendo . Kuzindikira msanga ndi chithandizo kungakulitse mwayi wochira. Ngati muli ndi nkhawa, onetsetsani kuti mwaonana ndi dokotala.Ndikofunikanso kwambiri kusamalira thanzi lanu la maganizo. Kumbukirani kuti simuli nokha, ndipo pali anthu ambiri omwe angakuthandizeni.

` Peripartum Cardiomyopathy, Mimba Matenda a Mtima, Kulephera kwa Mtima, LVEF, Mavuto a Mimba, Zizindikiro za Matenda a Mtima, Thanzi la Pambuyo pa Kubereka