Ibibazo by'umutima mu gihe cyo gutwita cyangwa nyuma yo kubyara? Reka twige ku bijyanye n'indwara y'umutima iterwa no kubyara (PPCM)!

Gutwita ni ikintu gishimishije cyane. Ariko, rimwe na rimwe ibibazo by'ubuzima bitunguranye bishobora kuvuka. Uyu munsi, tugiye kuvuga ku ndwara y'umutima idasanzwe ishobora kubaho haba mu mpera z'inda cyangwa mu mezi make nyuma yo kubyara. Iyi ndwara yitwa Peripartum Cardiomyopathy.

Peripartum Cardiomyopathy (PPCM) ni iki?

Muri make, Peripartum Cardiomyopathy (PPCM) ni indwara idakunze kugaragara ituma imitsi y'umutima icika intege. Ibi bituma umutima wawe utakaza ubushobozi bwo kohereza amaraso mu mubiri wawe wose. Ibi rimwe na rimwe bishobora gushyira ubuzima mu kaga . Iyi ndwara ikunze kwibasira abagore bari mu kwezi kwa nyuma gutwita cyangwa kugeza ku mezi atanu nyuma yo kubyara. Niyo mpamvu bamwe bayita "postpartum cardiomyopathy." Nubwo ishobora kubaho mu myaka iyo ari yo yose, ikunze kugaragara ku bagore barengeje imyaka 30.

Indwara ya Cardiomyopathy ifata icyumba kiri mu mutima wawe, ventricle y'ibumoso . Iyi ventricle y'ibumoso ifite akazi gakomeye ko gusohora amaraso akungahaye kuri ogisijeni mu mubiri wawe wose. Rero iyo igize intege nke, ntikora akazi kayo neza.

Ushobora kuba warumvise umuganga wawe akoresha ijambo 'igice cyo gusohora amaraso mu mutima cy'ibumoso' cyangwa 'igice cyo gusohora amaraso mu mutima cy'ibumoso (LVEF)'. Ibi bikunze gupimwa hakoreshejwe 'echocardiogram'. Iyi LVEF ni igipimo cy'uburyo ventricle yawe y'ibumoso ishobora gusohora amaraso mu mutima wawe. Igaragazwa nk'ijanisha, bityo uko ingano yiyongera, ni ko irushaho kuba nziza. LVEF y'umuntu muzima ubusanzwe iba iri hagati ya 50% na 70%. Ariko, ku muntu urwaye Peripartum Cardiomyopathy, ishobora kugabanuka munsi ya 45% . Uko LVEF iba nke, ni ko indwara iba ikomeye cyane.

Ni ngombwa cyane gusuzuma iyi ndwara hakiri kare . Icyo gihe ni bwo amahirwe yo kuvurwa neza no gukira azagenda yiyongera vuba.

Iyi ndwara ikunze kugaragara gute?

Indwara ya Cardiomyopathy yo mu gihe cyo kubyara si indwara ikunze kugaragara cyane. Ariko biragoye kuvuga neza uburyo ikunze kugaragara. Hari itandukaniro rinini mu mibare kuri ibi, atari muri Leta Zunze Ubumwe za Amerika gusa, ahubwo no ku isi yose. Muri Leta Zunze Ubumwe za Amerika, iyi ndwara bivugwa ko igaragara ku batwite 1.000 kugeza ku 4.000. Ubushakashatsi bumwe bwerekana ko ikunze kugaragara mu turere two mu majyepfo ya Leta Zunze Ubumwe za Amerika kurusha mu tundi turere.

Ni ibihe bimenyetso bya Peripartum Cardiomyopathy?

Ibimenyetso bya Cardiomyopathy yo mu gihe cyo kubyara rimwe na rimwe bishobora kugorana kubyibagirwa. Ibimenyetso byinshi muri ibi bisa n'ibyo usanzwe ubona mu gihe utwite. Ariko kubera ko iyi ndwara ikomeye cyane, ni ngombwa kwitondera cyane ibi bimenyetso:

• Kugorwa no guhumeka (dyspnea) - cyane cyane iyo ugerageza gusinzira, kuryama, cyangwa gukora imyitozo ngororamubiri iyo ari yo yose.
• Umunaniro.
• Kubyimba ibirenge n'utuguru (edema) .
• Kumva umutima utera cyane .
• Inkorora yumye .
• Imitsi yo mu ijosi yabyimbye .
• Kumva umeze nk'uzunguza umutwe (`Umutwe ukeye`) .
• Umuvuduko w'amaraso uri hasi (hypotension) , cyangwa kugabanuka k'umuvuduko w'amaraso iyo uhagaze utunguranye.
• Kubabara mu gituza .

Indwara ya Cardiomyopathy ikunze gutangira mu kwezi kwa nyuma k'inda cyangwa nyuma yaho. Ariko rimwe na rimwe ishobora gutangira mbere yaho. Nanone, gutwita bitera umutwaro mwinshi ku mutima kandi bishobora gutuma indwara z'umutima zitari zaramenyekanye ziyongera. Kubwibyo, ni ngombwa kwitondera ibimenyetso mu gihe cyose cyo gutwita , atari mu byumweru bike bya nyuma gusa.

Ni izihe mpamvu zitera indwara ya Peripartum Cardiomyopathy?

Abashakashatsi ntibarabona impamvu yihariye itera indwara ya Peripartum Cardiomyopathy. Ariko, bizera ko impinduka mu misemburo mu gihe cyo gutwita n'izindi ndwara, nka preeclampsia, zishobora kuba ari zo zibitera. Birashoboka ko hari ibintu byinshi bishobora gutera iyi ndwara.

Indwara ya Cardiomyopathy yo mu gihe cyo kubyara ishobora kuba ari indwara y’umutima, ariko ubushakashatsi ntiburagaragaza iyi sano. Bivugwa ko hagati ya 15% na 20% by’abagore bafite indwara ya cardiomyopathy yo mu gihe cyo kubyara bafite impinduka mu miterere y’uturemangingo zishobora gutera indwara ya cardiomyopathy. Niba ufite imwe muri izi mpinduka, stress yo gutwita no kubyara ishobora gutera ibimenyetso bya cardiomyopathy. Ni ngombwa ko wowe n’umuganga w’indwara z’umutima mumenya amateka y’indwara z’umutima mu muryango wanyu, cyane cyane indwara ya cardiomyopathy cyangwa indwara y’umutima.

Ni ibihe bintu bishobora gutera indwara ya Peripartum Cardiomyopathy?

Hari ibintu byinshi bishobora kugira ingaruka ku ndwara ya cardiomyopathy nyuma yo kubyara. Uko ugira ibintu byinshi bishobora gutuma urwara cardiomyopathy nyuma yo kubyara niko ibyago byo kurwara cardiomyopathy nyuma yo kubyara byiyongera. Ibi bintu bishobora gutera ibyago byinshi kuruta ikintu kimwe gusa.

Ibintu bishobora gutera ibyago mbere yo gutwita

• Umuvuduko ukabije w'amaraso (hypertension) .
• Diyabete .
• Umubyibuho ukabije .
• Kubura selenium na zinc .
• Indwara yo gukoresha ibiyobyabwenge (SUD) .

Ibintu bishobora gutera gutwita

• Gutwita ku nshuro ya mbere .
• Kubyara impanga cyangwa impanga eshatu .
• Kuba yari yarasanzwe arwaye indwara ya Peripartum Cardiomyopathy .
• Gukoresha uburyo nka `IVF` (gutungira inda mu buryo bwa vitro) kugira ngo umuntu atwite.

Ingaruka z'ingorane mu gihe cyo gutwita

• Preeclampsia na eclampsia .
• Anemia .
• Indwara ya tiroyide .
• Kwiyongera kwa asima cyangwa indwara zifata ubudahangarwa bw'umubiri .
• Niba ufite ibise byo kubyara igihe kitageze, koresha imiti igihe kirekire kugira ngo utinda kubyara .

Ibintu byihariye ku bagore b'abirabura (bishingiye ku bushakashatsi)

Iki gice gishingiye ku bushakashatsi bwakozwe by'umwihariko ku bagore b'abirabura b'Abanyamerika. Kubera iyo mpamvu:

• Isuzuma rya Peripartum Cardiomyopathy rikunze kugaragara cyane muri bo.
• Iyi ndwara itera kwangirika gukomeye k'umutima no kugabanuka k'ubushobozi bw'umutima bwo gupompa.
• Hari amahirwe menshi yo kugira ingorane zikomeye kurushaho .
• Iyi ndwara ivumburwa umuntu akiri muto (afite hafi imyaka 27, abandi akenshi afite imyaka 31) .
• Ikibazo gishobora kuba cyararushijeho gukomera bitewe n'uko iyi ndwara yagaragaye nyuma yo kubyara.
• Ingaruka zo gupfa ziturutse kuri iyi ndwara ni nyinshi .

Aya makuru ashingiye ku bushakashatsi bwakorewe muri Leta Zunze Ubumwe za Amerika, kandi wibuke ko ibintu bishobora gutera ibyago bishobora gutandukana bitewe n’ubwoko butandukanye bw’abantu. Ni byiza kuganira na muganga wawe ku byago byawe bwite.

Ni izihe ngorane zishobora guterwa n'indwara ya Peripartum Cardiomyopathy?

Iyo umuvuduko wawe w'ibumoso ucitse intege kandi unaniwe, ntushobora gupompa amaraso neza, cyane cyane ku ngingo ziwushingiraho, nk'ibihaha n'umwijima. Uku gutinda kw'umuvuduko bigira ingaruka ku mubiri wose. Bishobora gutera umutima guhagarara neza , ndetse no kongera ibyago byo kubyimba kw'amaraso no kugabanuka kw'amaraso mu mitsi .

Ingorane zishobora gushyira ubuzima mu kaga zirimo:

• Umutima utari umeze neza (arrhythmias) .
• Ihungabana ry’umutima .
• Umutima unaniwe cyane .
• Ibibazo biterwa no kubyimba kw'amaraso .
• Kwangirika k'ubwonko .

Ni gute indwara ya Peripartum Cardiomyopathy ipimwa?

Muganga wawe azagusuzuma niba ufite indwara ya Peripartum Cardiomyopathy niba ufite izi ndwara uko ari eshatu :

• Ugomba kuba waragize ikibazo cy'umutima mu gihe cyo gutwita cyangwa mu mezi atanu ubyaye.
• Muganga agomba kuba adashobora kubona indi mpamvu iyo ari yo yose itera indwara y'umutima wawe. (Ni ukuvuga ko ibindi byose bishobora gutera ibimenyetso byawe byagombaga kuba byarakuweho.)
• Igice cyawe cyo gusohora ventricular y'ibumoso (`LVEF`) kigomba kuba kiri munsi ya 45%.

Kugira ngo umenye uko indwara ihagaze, muganga azakubwira amateka y'ubuzima bwawe n'amateka y'ubuzima bw'umuryango wawe.

Mu gihe cyo gusuzuma indwara yawe, muganga ashobora kuyishyira mu cyiciro cya mbere, icya kabiri, icya gatatu, cyangwa icya kane. Uko umubare ugenda wiyongera, ni ko indwara iba ikomeye cyane . Gutahura indwara y'umutima nyuma yo kubyara bishobora kugabanya ibyago byo gupfa no gutangira kuvurwa vuba bishoboka. Iyo iyi ndwara imaze gukomera, ibyago byo kugira ibibazo bikomeye, nk'ibibazo by'umutima, biba byinshi.

Ni ibihe bipimo byo gusuzuma indwara?

Nta kizamini cyihariye cyo gusuzuma indwara y'umutima nyuma yo kubyara. Ahubwo, muganga wawe azakoresha ibindi bizamini hamwe n'amakuru utanga. Azakora isuzuma ry'umubiri kugira ngo arebe niba hari amazi menshi mu mubiri. Nyuma y'ibyo, ibizamini nka:

• Gupima amaraso .
• Electrocardiogram (ECG/EKG) .
• X-ray yo mu gituza .
• Echocardiogram (`Echocardiogram - echo`) . Ibi bishobora kugenzura agaciro ka `LVEF` yawe. Ibi ni ingenzi cyane mu gusuzuma indwara.
• Ikizamini cya MRI y'umutima (magnetic resonance imaging) .
• Gushyiramo katheta mu mutima .
• Biopsy y'umutima (ibi bikorwa gake cyane) .

Ibi bizamini bishobora kandi kugaragaza niba hari ikibazo cy'umutima wagize mbere yo gutwita. Hari abantu bamaze imyaka myinshi barwaye indwara y'umutima ariko ntibabone ibimenyetso kugeza igihe bitangiye kugaragara mu gihe cyo gutwita. Ibisubizo by'ibizamini byawe bizafasha muganga wawe gusuzuma neza.

Ni ubuhe buryo bwo kuvura indwara ya Peripartum Cardiomyopathy?

Ubuvuzi bwa Cardiomyopathy bwo mu gihe cyo kubyara bugamije kugenzura ibimenyetso by'umutima unanirwa no gufasha umutima wawe gukira. Iyi ndwara ntabwo izakira ubwayo . Iyo iyi ndwara imenyekanye mu gihe utwite, muganga wawe azagenzura neza ko imiti yose ufata ari nta kibazo ku mwana wawe. Bazakuganiriza ku buryo bwo kuvura n'ingaruka zishobora kubaho. Uzakorana kandi n'itsinda ry'inzobere bashobora kukugira inama ku bijyanye no gutwita mu buryo bukomeye n'uburyo indwara z'umutima zishobora kugira ingaruka ku nda yawe.

Akenshi uzahabwa imiti imwe n'ikoreshwa mu bundi bwoko bw'indwara z'umutima. Urugero:

• Indangagaciro zihindura enzyme (ACE) zirinda indwara ya angiotensin .
• Imiti ibuza receptor ya Angiotensin II (ARBs) .
• Angiotensin reseptor / neprilysin inhibitor (ARNIs) .
• Beta-blockers .
• Imiti igabanya ubukana bw'amaraso (ibinini by'amazi) .
• Hydralazine/nitrates.
• Antagonists za mineralocorticoid receptor (MRAs) .
• Indabyo zigabanya glucose ya sodium-glucose-2 (SGLT2) .
• Imiti igabanya amaraso (anticoagulant) .

Bitewe n'uburyo umutima wawe ukora neza, ushobora no gukenera ubundi buryo bwo kuvura. Muri ubwo buryo harimo:

• Ikintu nk'icyuma gikoreshwa mu kwambara cyangwa gishyirwa mu mutima (cardiac defibrillator) .
• Igikoresho gifasha mu gutera impumuro y'ibumoso (LVAD) .
• Gutera umutima . Ibi bikunze gukorwa ku bantu bafite indwara ikomeye cyane, bafite LVEF nkeya cyane, kandi badakira imiti.

Ingorane n'ingaruka mbi zo kuvurwa

Ingaruka mbi z'ubuvuzi ziratandukanye bitewe n'uburyo bukoreshwa n'ubwo buvuzi ndetse niba utwite icyo gihe. Gufata imiti ya beta-blockers mu gihe utwite bishobora gutuma umwana wawe avukana ibiro bike, hypoglycemia (isukari nke mu maraso), bradycardia (umutima utera buhoro), cyangwa kuziba umutima.

Imiti imwe n'imwe - nka ACE inhibitors, ARBs, ARNIs, MRAs na SGLT2 inhibitors - ntabwo ari nziza kuyikoresha mu gihe cyo gutwita. Ariko, muri rusange ni nziza kuyifata mu gihe cyo konsa, kuko ni mike gusa inyura mu mashereka. Ni ngombwa kuvugana na muganga wawe ku gihe, ingaruka n'ingaruka mbi za buri muti.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Abantu barenga 50% bafite indwara ya cardiomyopathy nyuma yo kubyara bakira neza, akenshi mu gihe kitarenze amezi atandatu bamaze kuvurwa. Bamwe bakira mu minsi mike cyangwa ibyumweru bike. Ku bandi, bishobora gufata imyaka myinshi kugira ngo bakire.

Ariko, nubwo imikorere y'umutima wawe yasubira ku murongo, uzakomeza gufata imiti nibura umwaka umwe .

Ni gute wagabanya ibyago byo kurwara indwara z'umutima nyuma yo kubyara?

Uburyo bwiza bwo kwirinda indwara ya cardiomyopathy nyuma yo kubyara ni ugukora ibishoboka byose kugira ngo umutima wawe ukomeze kugira ubuzima bwiza. Nubwo udashobora kwirinda ibintu byose bishobora gutera ibyago, ushobora kugenzura ibindi ukoresheje:

• Kurya ibiryo bitanga ubuzima bwiza ku mutima .
• Gukora imyitozo ngororamubiri buri gihe .
• Kwirinda ibikomoka ku itabi n'inzoga .
• Fatanya na muganga wawe kugira ngo umenye niba ufite umubyibuho ukabije cyangwa ufite umubyibuho ukabije .
• Suzuma umuvuduko w'amaraso yawe buri gihe kandi ushake ubuvuzi nibiba ngombwa .

Niba warigeze kugira ikibazo cy'umutima mu gihe wari utwite mbere, vugana na muganga wawe ku bintu bishobora kugutera ibyago niba uteganya kongera gutwita.

Ni iki wakwitega niba ufite indwara ya Peripartum Cardiomyopathy?

Niba ufite ikibazo cy’umutima (Peripartum Cardiomyopathy), uzakenera gukorana bya hafi na muganga wawe n’itsinda ry’inzobere kugira ngo bakurikirane ubuzima bwawe. Niba ugitwite, itsinda ry’abaganga rizakurikirana n’ubuzima bw’umwana wawe.

Bazategura kandi kubyara kwawe. Niba umutima wawe udafite ubushobozi bwo kubyara, muganga wawe ashobora kukwifuza ko ubyarira mu gitsina. Ariko, ushobora gukenera gukorerwa epidural, episiotomy, cyangwa gukoresha forceps kugira ngo byorohere kubyara.

Niba ufite indwara ya Peripartum Cardiomyopathy, uba ufite amahirwe menshi yo kubyara hakoreshejwe cesarean (C-baction) cyangwa kubyara igihe kitageze . Ni ngombwa kuvugana na muganga wawe ku byerekeye amahitamo yawe n'ingaruka zishobora kubaho.

Nyuma yo kubyara umwana wawe, uzakenera gukomeza gukorana na muganga wawe kugira ngo agufashe kwita ku ndwara no kuvura. Uko wumva umeze n'uko uzakira vuba bizaterwa n'ibintu byinshi, ariko ikintu cy'ingenzi ni igice cyawe cyo gusohora amaraso mu mva y'ibumoso (LVEF) . Niba LVEF yawe iri munsi ya 30% mu gihe cyo kuyisuzuma, uba uri mu kaga gakomeye ko kugira ibibazo bikomeye.

Ese indwara ya Peripartum Cardiomyopathy ni indwara ihoraho?

Kuri bamwe, indwara ya cardiomyopathy nyuma yo kubyara ni indwara ihoraho. Ku bandi, kuvura bishobora kugenzura ibimenyetso no gusubiza umutima mu buryo busanzwe cyangwa igice.

Niba LVEF yawe iri hagati ya 50% na 55%, muganga wawe azagufata nk'uwakize burundu indwara y'umutima nyuma yo kubyara. Ubushakashatsi bwinshi bureba uyu mubare nyuma y'amezi atandatu umenyeshejwe. Igipimo cyo gukira kiratandukanye cyane bitewe n'akarere n'ubwoko. Muri Leta Zunze Ubumwe za Amerika, igipimo cyo gukira nyuma y'amezi atandatu kiri hagati ya 44% na 63%, mu gihe mu bihugu bimwe na bimwe kiri hasi hagati ya 21% na 36%.

Ubushakashatsi bumwe bwagaragaje ko abagore 4 kuri 5 b'abirabura bafite indwara ya cardiomyopathy nyuma yo kubyara badakira neza, kandi 1 kuri 10 ntarokoka. (Nanone, menya ko ubu bwari ubushakashatsi bwakorewe muri Amerika).

Nubwo imikorere y'umutima wawe yasubira ku murongo, uzakenera gukurikirana ubuzima bwawe neza kandi ugakorana na muganga wawe bya hafi. Ibi biterwa nuko umugore 1 kuri 5 ukize indwara y'umutima nyuma yo kubyara azongera kugira ikibazo cy'umutima. Nanone, nubwo LVEF yawe yasubira ku rwego rwiza, ushobora kugira ingaruka z'igihe kirekire, nko kugabanuka k'ubushobozi bwawe bwo gukora imyitozo ngororamubiri.

Imyaka yo kubaho umuntu afite Peripartum Cardiomyopathy ni iyihe?

Imyaka yo kubaho urwaye indwara ya cardiomyopathy nyuma yo kubyara iterwa n'uko urwaye, uburyo ubuvuzi bwawe bukora neza, n'ibindi bintu byinshi bifitanye isano n'ubuzima bwawe muri rusange. Uko igice cyo gusohora amaraso mu mutima w'ibumoso (LVEF) kiba gito, ni ko ibyago byo gupfa birushaho kwiyongera. Nanone, icyizere si cyiza ku bantu bakeneye ibikoresho byo kwa muganga bifasha umutima wabo gukora neza.

Abashakashatsi bavuga ko igipimo cy'impfu ku isi kiri hagati ya 2.5% na 32%. Leta Zunze Ubumwe za Amerika ziri ku rwego rwo hasi cyane rw'uru rwego, aho igipimo cy'impfu kiri hagati ya 6% na 10%.

Nitwara nte?

Ikintu cy'ingenzi ushobora gukora kugira ngo wite ku buzima bwawe ni ukubonana na muganga wawe buri gihe . Kurikiza gahunda ya muganga wawe, kandi uganire na muganga wawe ku bibazo cyangwa impinduka ubona.

Dore zimwe mu mpinduka zoroshye ushobora gukora buri munsi:

• Gabanya umunyu urya . Shaka ubundi buryo bwo gusiga uburyohe ku biryo bidafite umunyu.
• Jya upima buri gihe kugira ngo urebe niba amazi agumana . Niba wiyongereye ibiro 3-4 (hafi 1.3 - 1.8 kg) mu minsi ibiri cyangwa itatu, vugana na muganga wawe.
• Kureka kunywa itabi . Baza muganga wawe amakuru ashobora kugufasha.
• Kugabanya kunywa inzoga, cyangwa kuzihagarika burundu .

Niba wonsa, ganira na muganga wawe ku ngaruka zishobora kubaho, nko guha umwana wawe imiti binyuze mu mashereka yawe. Muri rusange, inyungu zo konsa - nko kuba wakwifatanya n'umwana wawe - ziruta ingaruka mbi. Ushobora gushaka gukorana n'umujyanama nyuma yo gutwita kugira ngo agufashe guhitamo ikikubereye wowe n'umwana wawe.

Indwara z'umutima n'ubuzima bwo mu mutwe nyuma yo kubyara

Indwara ya Cardiomyopathy yo mu gihe cyo kubyara ishobora kuba indwara ihindura ubuzima. Mu gihe wita ku mwana wawe ukiri muto, ushobora kumva ufite amarangamutima menshi icyarimwe. Bishobora kukugora guhangana n'ibi byose icyarimwe.

Imihangayiko iterwa na cardiomyopathy nyuma yo kubyara ishobora kongera ibyago byo kugira ibibazo byo mu mutwe. Abantu barenga 50% bafite cardiomyopathy nyuma yo kubyara bagira imihangayiko cyangwa impungenge ku bijyanye n'indwara z'umutima wabo.

Muri Leta Zunze Ubumwe za Amerika, umugore umwe kuri 10 agira ikibazo cyo kwiheba nyuma yo kubyara, naho umugore umwe kuri 3 agira ikibazo cyo kwiheba nyuma yo gusama indwara ya Peripartum Cardiomyopathy.

Niba wumva ubabaye, uhangayitse, cyangwa uremerewe, nturi wenyine. Niba utarakorana n'umujyanama cyangwa umuvuzi, saba muganga wawe kohereza ubutumwa.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso bya Peripartum Cardiomyopathy, hamagara muganga wawe vuba.Uzagira gahunda zo kubonana na muganga buri gihe mu gihe cyo kuvurwa. Umutima wawe umaze kongera gukora neza (ufite LVEF isanzwe), uzakenera kujya kwa muganga rimwe mu mwaka cyangwa kenshi kugira ngo asuzumwe umutima wawe. Ni bwo ushobora kureba niba ikibazo cyagarutse. Iyo kigarutse, gusuzumwa buri gihe bishobora kuwufata hakiri kare.

Ni ryari ugomba kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ugize ububabare mu gituza, umutima utera cyane, gucika intege, cyangwa ikindi kimenyetso gishya, hamagara 911 (cyangwa nimero y’ubutabazi bw’ibanze yo mu gace utuyemo) ako kanya, cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze (ER) .

Ni ibihe bibazo ngomba kubaza muganga?

Dore ibibazo bimwe na bimwe ushobora kubaza muganga wawe:

• Ese nshobora kuyivura nkoresheje imiti, cyangwa nkeneye igikoresho cyo kwa muganga?
• Ese ngomba kubagwa (kubagwa C-section)?
• Ni kangahe nzaza mu gihe cyo gukurikirana?

Ese nshobora kongera gutwita niba mfite indwara ya Peripartum Cardiomyopathy?

Abagore benshi barwara indwara y'umutima nyuma yo kubyara inshuro zirenze imwe. Iyo uyirwaye mu gihe kimwe utwite, uba ufite amahirwe menshi yo kongera kuyirwara. Abagore 1 kuri 3 bazayirwara mu gihe cyo gutwita gikurikiraho.

Ushobora kuvugana na muganga wawe niba nta kibazo kirimo kongera gutwita. Niba ari ibintu biteje akaga cyane, ushobora gutekereza ku kuboneza urubyaro. Uzakenera uburyo bwo kuboneza urubyaro budafite estrogen, kuko ubuvuzi bwa estrogen bwongera ibyago byo kubyimba kw'amaraso no kugabanuka kw'amaraso mu mitsi.

Niba wongeye gutwita, uzakenera gukurikiranirwa hafi no gusuzumwa buri gihe kugira ngo umenye ibimenyetso by'indwara y'umutima.

Iyo witegura kubyara, ntuteganya kugira ikibazo cy'umutima. Gucunga ikibazo gishya cy'umutima mu gihe wita ku mwana ukiri muto bishobora kukugora cyane. Itsinda ry'abaganga rizagufasha muri buri ntambwe, rigakora ibishoboka byose kugira ngo rikomeze umutima wawe. Niba utwite kandi ufite ibyago byo kurwara indwara y'umutima nyuma yo kubyara, vugana na muganga wawe. Ni ngombwa gusuzuma indwara hakiri kare kugira ngo ugabanye ibyago bikomeye byo kurwara wowe n'umwana wawe, no kubona ubuvuzi ukeneye .

Ni ibihe bintu by'ingenzi tugomba kujyana mu nkuru?

Indwara ya Cardiomyopathy yo mu gihe cyo kubyara ni indwara ituma umutima ucika intege ishobora kugaragara mu mpera z'inda cyangwa mu mezi make nyuma yo kubyara. Ibimenyetso bisa n'iby'inda isanzwe, bityo rero menya neza ibintu nko guhumeka nabi, umunaniro udasanzwe, no kubyimba amaguru . Kubimenya hakiri kare no kuvura bishobora kongera amahirwe yo gukira. Niba ufite impungenge, menya neza ko wagiye kwa muganga.Ni ingenzi cyane kwita ku buzima bwawe bwo mu mutwe. Wibuke ko utari wenyine, kandi hari abantu benshi bashobora kugufasha.

` Indwara z'umutima ziterwa no gutwita, Indwara z'umutima ziterwa no gutwita, Umutima unanirwa, LVEF, Ingorane zo gutwita, Ibimenyetso by'indwara z'umutima, Ubuzima bwo nyuma yo kubyara