Matambudziko emwoyo panguva yekuzvitakura kana mushure mekusununguka? Ngatidzidzei nezvePeripartum Cardiomyopathy (PPCM)!

Kuva nepamuviri chinhu chinofadza zvikuru. Zvisinei, dzimwe nguva matambudziko ehutano asingatarisirwi anogona kumuka. Nhasi, tichataura nezvechirwere chemwoyo chisingawanzoitiki chinogona kuitika kungave pakupera kwepamuviri kana mukati memwedzi mishoma mushure mekusununguka. Chirwere ichi chinonzi Peripartum Cardiomyopathy.

Chii chinonzi Peripartum Cardiomyopathy (PPCM)?

Zvichitaurwa zviri nyore, Peripartum Cardiomyopathy (PPCM) chirwere chisingawanzoitiki chinopedza simba tsandanyama dzemwoyo. Izvi zvinoita kuti mwoyo wako urasikirwe nekukwanisa kwawo kupomba ropa mumuviri wako wese. Izvi dzimwe nguva zvinogona kuisa hupenyu panjodzi . Chirwere ichi chinowanzo kanganisa vakadzi vari mumwedzi wekupedzisira wekuzvitakura kana kusvika kumwedzi mishanu mushure mekusununguka. Ndosaka vamwe vachiti ``postpartum cardiomyopathy.'' Kunyangwe ichigona kuitika chero pazera ripi zvaro, chinowanzoitika kuvakadzi vanopfuura makore makumi matatu.

Peripartum Cardiomyopathy inokanganisa kamuri riri mumoyo mako, ventricle yekuruboshwe . Iyi ventricle yekuruboshwe ine basa rakakosha rekupomba ropa rine oxygen mumuviri wako wese. Saka kana ikashaya simba, haishande nemazvo.

Ungave wakambonzwa chiremba wako achishandisa izwi rekuti 'left ventricular ejection fraction' kana kuti 'left ventricular ejection fraction (LVEF)'. Izvi zvinowanzo ongororwa ne 'echocardiogram'. Iyi LVEF inoyera kuti ventricle yako yekuruboshwe inogona sei kupomba ropa kubva mumoyo mako. Inoonekwa sechikamu, saka chikamu chakakwira, zviri nani. LVEF yemunhu ane hutano inowanzova pakati pe50% ne70%. Zvisinei, kune munhu ane Peripartum Cardiomyopathy, inogona kudonha pasi pe45% . LVEF yakaderera, ndipo panonyanya kuipa chirwere chacho.

Zvakakosha zvikuru kuona chirwere ichi nekukurumidza . Ndipo chete panobva mikana yekuwana kurapwa kwakakodzera uye kupora nekukurumidza.

Dambudziko iri rakajairika zvakadii?

Peripartum Cardiomyopathy haisi chirwere chinowanzoitika. Asi zvakaoma kutaura kuti hachiwanzoitiki kangani. Pane musiyano mukuru muhuwandu hwezviitiko izvi kwete muUnited States chete, asiwo pasi rose. MuUnited States, chirwere ichi chinonzi chinoitika pamunhu mumwe chete pavanhu 1,000 kusvika 4,000 vane pamuviri. Dzimwe ongororo dzinoratidza kuti chinowanzoitika zvishoma munzvimbo dzekumaodzanyemba kweUnited States kupfuura mune dzimwe nzvimbo.

Ndezvipi zviratidzo zvePeripartum Cardiomyopathy?

Zviratidzo zvePeripartum Cardiomyopathy dzimwe nguva zvinogona kupotsa nyore nyore. Zviratidzo izvi zvakawanda zvakafanana nezvaunowanzoona panguva yekuzvitakura. Asi nekuda kwekuti chirwere ichi chakakomba, zvakakosha kunyatsoteerera zviratidzo izvi:

• Kuoma kufema (dyspnea) - kunyanya kana uchiedza kurara, kurara pasi, kana kuita chero chiito chemuviri.
• Kuneta.
• Kuzvimba kwetsoka netsoka (edema) .
• Kunzwa kurova kwemoyo .
• Kukosora kwakaoma .
• Tsinga dzemutsipa dzakazvimba .
• Kunzwa dzungu ('Kusanzwa musoro zvakanaka') .
• Kuderera kweBP (hypotension) , kana kudzikira kweBP paunomira kamwe kamwe.
• Kurwadziwa kwechipfuva .

Peripartum Cardiomyopathy inowanzotanga mumwedzi wekupedzisira wepamuviri kana kuti gare gare. Asi dzimwe nguva inogona kutanga nekukurumidza. Uyewo, pamuviri unorema zvakanyanya pamoyo uye unogona kuwedzera matambudziko emwoyo asina kuongororwa. Saka, zvakakosha kutarisisa zviratidzo panguva yekuzvitakura , kwete mumavhiki mashoma apfuura chete.

Ndezvipi zvikonzero zvePeripartum Cardiomyopathy?

Vaongorori havasati vawana chikonzero chaicho chePeripartum Cardiomyopathy. Zvisinei, vanotenda kuti shanduko dzemahormone panguva yekuzvitakura nezvimwe zvirwere, zvakaita se preeclampsia, zvinogona kunge zviri izvo zvinokonzera. Zvinokwanisika kuti zvinhu zvakawanda zvinogona kukonzera chirwere ichi.

Peripartum Cardiomyopathy inogona kunge iri nhaka, asi tsvakiridzo haisati yasimbisa hukama uhwu. Zvinofungidzirwa kuti pakati pe15% ne20% yevakadzi vane peripartum cardiomyopathy vane majini akachinja anogona kukonzera cardiomyopathy. Kana uine chimwe chezvizvi, kushushikana kwepamuviri nekusununguka kunogona kukonzera zviratidzo zve cardiomyopathy. Zvakakosha kuti iwe nachiremba wemwoyo muzive nezvenhoroondo yemhuri yechirwere chemwoyo, kunyanya cardiomyopathy kana kutadza kushanda kwemoyo.

Ndezvipi zvinhu zvinokonzera njodzi yePeripartum Cardiomyopathy?

Kune zvinhu zvakawanda zvinogona kukanganisa peripartum cardiomyopathy. Kana uine zvinhu zvakawanda zvinogona kukonzera peripartum cardiomyopathy, mikana yako yekubatwa neperipartum cardiomyopathy inowedzera. Zvinhu izvi zvinogona kukonzera njodzi huru kupfuura chero chinhu chimwe chete.

Zvinhu zvinogona kukonzera njodzi usati wabata pamuviri

• Kukwira kweropa (BP) .
• Chirwere cheshuga .
• Kufuta zvakanyanya .
• Kushaikwa kweSelenium neZinc .
• Dambudziko rekushandisa zvinodhaka (SUD) .

Zvinhu zvine njodzi zvine chekuita nepamuviri

• Kubata pamuviri kekutanga .
• Kuva nemapatya kana kuti vana vatatu .
• Ndakamboonekwa kuti ndine chirwere chePeripartum Cardiomyopathy .
• Kushandisa nzira dzakadai se 'IVF' (in vitro fertilization) kuti uwane pamuviri.

Njodzi dzematambudziko panguva yekuzvitakura

• Preeclampsia uye eclampsia .
• Kushaya ropa mumuviri .
• Chirwere chethyroid .
• Kuwedzera kweasthma kana chirwere che autoimmune .
• Kana uine marwadzo ekusununguka nguva isati yakwana, shandisa mishonga kwenguva refu inononotsa kusununguka .

Zvinhu zvakakosha zvevakadzi vatema (zvakavakirwa patsvagurudzo)

Chikamu chino chakavakirwa pakutsvagurudza kwakaitwa zvakananga pavakadzi vatema vekuAmerica. Saka:

• Kuongororwa kwePeripartum Cardiomyopathy kwakajairika pakati pavo.
• Dambudziko iri rinokonzera kukuvara kwakanyanya kwemoyo uye kudzikira kwekugona kwemoyo kupomba.
• Pane mukana mukuru wekuti pave nematambudziko akakomba .
• Chirwere ichi chinowanikwa pazera diki (anenge makore makumi maviri nemanomwe, vamwe vanowanzoonekwa pamakore makumi matatu nerimwe) .
• Dambudziko iri rinogona kunge rakatonyanya kuipa nekuda kwekunonoka kuonekwa kwechirwere mushure mekusununguka.
• Njodzi yekufa nekuda kwechirwere ichi yakakura .

Ruzivo urwu rwakavakirwa patsvagurudzo yakaitwa muUnited States, uye yeuka kuti zvinhu zvinogona kukonzera njodzi zvinogona kusiyana pakati pevanhu vakasiyana. Zvakanaka kutaura nachiremba wako nezvenjodzi yako pachako.

Ndezvipi zvinetso zvinogona kuitika nePeripartum Cardiomyopathy?

Kana ventricle yako yekuruboshwe ikaneta uye yaneta, haigone kupomba ropa nemazvo, kunyanya kunhengo dzinoitsigira, dzakadai semapapu nechiropa. Kudzikira uku kunokanganisa muviri wese. Zvinogona kukonzera kutadza kwemoyo , pamwe nekuwedzera njodzi yekugwamba kweropa uye thrombosis .

Matambudziko anotyisidzira hupenyu anogona kusanganisira:

• Kurova kwemoyo kusina kujairika (arrhythmias) .
• Kuvhunduka kwemwoyo .
• Kukundikana kukuru kwemoyo .
• Matambudziko anokonzerwa nekugwamba kweropa .
• Kukuvadzwa kwehuropi .

Peripartum Cardiomyopathy inoonekwa sei?

Chiremba wako achaona kuti une Peripartum Cardiomyopathy kana uine zvese zvitatu zvezvirwere izvi :

• Unofanira kunge wakatanga chirwere chemwoyo kungave pakupera kwepamuviri pako kana mukati memwedzi mishanu mushure mekubereka mwana.
• Chiremba haafanire kuwana chimwe chikonzero chekushaya simba kwemoyo wako. (Kureva kuti, zvimwe zvese zvinogona kunge zvichikonzera zviratidzo zvako zvaifanira kunge zvisiri zvechokwadi.)
• Chikamu chako chekubuda kweropa mu ventricular yeruboshwe (`LVEF`) chinofanira kunge chiri pasi pe45%.

Kuti vaonekwe chirwere ichi, chiremba achakuudza nezvenhoroondo yehutano hwako uye nhoroondo yehutano hwemhuri yako.

Pakuongorora chirwere chako, chiremba wako anogona kuisa chirwere chako muchikamu cheClass I, II, III, kana IV. Kana nhamba yacho ikakwira, chirwere chacho chinowedzerawo kuipa . Kuonekwa kwechirwere chemwoyo mushure mekusununguka kunogona kuderedza njodzi yekufa uye kubvumira kurapwa kutanga nekukurumidza. Kana chirwere ichi chikaonekwa mushure mekunge chawedzera kuipa, njodzi yematambudziko akakomba, akadai sematambudziko emwoyo anoramba aripo, inowedzera.

Ndezvipi zviedzo zvekuongorora chirwere?

Hapana bvunzo chaiyo yekuongorora chirwere chemwoyo mushure mekusununguka. Pane kudaro, chiremba wako achashandisa mimwe bvunzo pamwe chete neruzivo rwaunopa. Iye achaita bvunzo yemuviri kuti aone kana paine mvura yakawandisa mumuviri. Mushure meizvozvo, bvunzo dzakadai se:

• Kuongororwa kweropa .
• Electrocardiogram (ECG/EKG) .
• X-ray yechipfuva .
• Echocardiogram (`Echocardiogram - echo`) . Izvi zvinogona kutarisa kukosha kwe`LVEF` yako. Izvi zvakakosha zvikuru pakuongorora chirwere.
• Kuongororwa kweMRI yemoyo (magnetic resonance imaging) .
• Kuisa catheter mumoyo .
• Kuongororwa kwemyocardial biopsy (izvi hazviwanzoitiki) .

Kuongororwa uku kunogonawo kuratidza kana wakambova nematambudziko emwoyo usati wava nepamuviri. Vamwe vanhu vave nemakore vachirwara nemwoyo asi havaoni zviratidzo kusvika zvatanga kuoneka panguva yekuzvitakura. Zvabuda muongororo yenyu zvichabatsira chiremba wenyu kuti aongorore chirwere chacho nemazvo.

Ndezvipi zvirongwa zvekurapa Peripartum Cardiomyopathy?

Kurapa kwePeripartum Cardiomyopathy kwakagadzirirwa kudzora zviratidzo zvekushaya simba kwemoyo uye kubatsira moyo wako kuti upore. Dambudziko iri harizoperi roga . Kana chirwere ichi chikaonekwa panguva yekuzvitakura, chiremba wako achava nechokwadi chekuti chero mishonga yauri kutora yakachengeteka kumwana wako. Vachataura newe nezvesarudzo dzako dzekurapa uye chero migumisiro inogona kuitika. Uchashandawo nechikwata chenyanzvi dzinogona kukupa mazano nezvepamuviri une njodzi huru uye kuti chirwere chemwoyo chingakanganisa sei pamuviri wako.

Kazhinji unopiwa mishonga yakafanana neiya inoshandiswa kune dzimwe mhando dzekushaya simba kwemoyo. Semuenzaniso:

• Zvinodzora enzyme inoshandura angiotensin (ACE) .
• Angiotensin II receptor blockers (ARBs) .
• Angiotensin receptor/neprilysin inhibitors (ARNIs) .
• Beta-blockers .
• Mishonga inobvisa mvura (mapiritsi emvura) .
• Hydralazine/nitrates.
• Vadzivisi veMineralocorticoid receptor (MRAs) .
• Zvinodzora sodium-glucose cotransporter-2 (SGLT2) .
• Mishonga inorwisa ropa kupwanya ropa (anticoagulants) .

Zvichienderana nekuti mwoyo wako uri kushanda zvakanaka sei, ungangodawo mamwe marapirwo. Izvi zvinosanganisira:

• Chimwe chinhu chakaita semudziyo wemwoyo unopfekwa kana wakaiswa muchimiro chemwoyo (cardiac defibrillator) .
• Chishandiso chekubatsira ventricle yekuruboshwe (LVAD) .
• Kuisirwa moyo . Izvi zvinowanzoitirwa vanhu vane chirwere chakanyanya kukura, vane LVEF yakaderera, uye vasiri kupindura kurapwa.

Matambudziko nemigumisiro yekurapwa

Migumisiro yekurapwa inosiyana zvichienderana nekurapwa uye kana uri nepamuviri panguva iyoyo. Kutora mishonga ye beta-blockers panguva yekuzvitakura kunogona kukonzera mwana wako kuzvarwa aine huremu hushoma, hypoglycemia (shuga shoma yeropa), bradycardia (kurova kwemoyo kunononoka), kana kuti heart block.

Mimwe mishonga - yakaita seACE inhibitors, ARBs, ARNIs, MRAs uye SGLT2 inhibitors - haina kuchengetedzeka kushandisa panguva yekuzvitakura. Zvisinei, inowanzo kuchengetedzeka kuinwa panguva yekuyamwisa, sezvo huwandu hushoma chete hunopinda mumukaka wezamu. Zvakakosha kutaura nachiremba wako nezvenguva, njodzi uye migumisiro yemushonga wega wega.

Ndichakurumidza sei kunzwa zviri nani mushure mekurapwa?

Vanhu vanopfuura 50% vane chirwere chemwoyo chinonzi postpartum cardiomyopathy vanopora kuti vashande zvakanaka - kazhinji mushure memwedzi isingasviki mitanhatu yekurapwa. Vamwe vanopora mumazuva mashoma kana mavhiki. Kune vamwe, zvinogona kutora makore kuti vaporeswe.

Zvisinei, kunyangwe kana kushanda kwemoyo wako kwadzoka pakushanda zvakanaka, uchiri kuda kunwa mishonga kwegore rinenge rimwe chete .

Nzira yekuderedza sei njodzi yekurwadziwa kwemoyo mushure mekusununguka?

Nzira yakanakisisa yekudzivirira cardiomyopathy mushure mekusununguka ndeyekuita zvese zvaunogona kuti moyo wako ugare wakasimba. Kunyange zvazvo usingakwanise kudzivirira zvese zvinokonzera njodzi, unogona kudzora zvimwe ne:

• Kudya chikafu chine hutano mumoyo .
• Kuita maekisesaizi emuviri nguva dzose .
• Kudzivisa fodya nedoro .
• Shanda nachiremba wako kuti ugadzirise matambudziko akadai sekufuta kana kufuta .
• Tarisa BP yako nguva nenguva uye tsvaga kurapwa kana zvichidikanwa .

Kana wakambova nechirwere chemwoyo panguva yekuzvitakura, taura nachiremba wako nezvezvinhu zvinogona kukonzera njodzi kana uchironga kuva nepamuviri zvakare.

Chii chaungatarisira kana uine Peripartum Cardiomyopathy?

Kana uine Peripartum Cardiomyopathy, uchafanira kushanda pamwe chete nachiremba wako pamwe nechikwata chenyanzvi kuti vaongorore hutano hwako. Kana uchiri nepamuviri, chikwata chako chehutano chichaongororawo mamiriro emwana wako.

Vacharongawo kusununguka kwako. Kana kutadza kwemoyo wako kwakasimba, chiremba wako angangoda kuti usununguke nepanhengo yemukadzi. Zvisinei, ungangoda kuvhiyiwa ne epidural, episiotomy, kana kushandisa forceps kuti zvive nyore kusununguka.

Kana uine Peripartum Cardiomyopathy, une mukana wekusununguka ne cesarean (C-section) kana kusununguka nguva isati yakwana . Zvakakosha kutaura nachiremba wako nezvesarudzo dzako nenjodzi dzaungasangana nadzo.

Mushure mekubereka mwana wako, uchafanira kuramba uchishanda nachiremba wako kuti utarisire kutarisirwa kwako nekurapwa kwako. Manzwiro ako uye kuti unopora nekukurumidza sei zvinoenderana nezvinhu zvakawanda, asi chinhu chakakosha ichikamu chako chekubuda kweropa chekuruboshwe (LVEF) . Kana LVEF yako iri pasi pe30% panguva yekuongororwa, uri panjodzi huru yekuve nematambudziko akakomba.

Peripartum Cardiomyopathy chirwere chisingaperi here?

Kune vamwe vanhu, peripartum cardiomyopathy chirwere chisingaperi. Kune vamwe, kurapwa kunogona kudzora zviratidzo uye kudzorera mashandiro emwoyo kune zvakazara kana kuti zvishoma.

Kana LVEF yako iri pakati pe50% kusvika 55%, chiremba wako achakuona sewapora zvizere kubva ku peripartum cardiomyopathy. Ongororo dzakawanda dzinotarisa nhamba iyi mwedzi mitanhatu mushure mekuongororwa. Mwero wekupora unosiyana zvikuru kubva kunzvimbo kuenda kunzvimbo uye kubva kurudzi kuenda kurudzi. MuUnited States, mwero wekupora mushure memwedzi mitanhatu uri pakati pe44% ne63%, nepo mune dzimwe nyika uri pasi pe21% kusvika 36%.

Imwe ongororo yakawana kuti vakadzi vatema vana pavashanu vane chirwere chemwoyo mushure mekusununguka havapore zvizere, uye mumwe chete pavagumi haararame. (Zvakare, cherechedza kuti iyi yaive ongororo yekuUS).

Kunyangwe mushure mekunge kushanda kwemoyo wako kwadzoka pakushanda zvakanaka, uchafanirwa kutarisa hutano hwako zvakanyanya uye kushanda pamwe chete nachiremba wako. Izvi zvinodaro nekuti mukadzi mumwe chete pavashanu vanopora kubva ku peripartum cardiomyopathy vanozopedzisira vadzokera kuchirwere chemwoyo. Zvakare, kunyangwe mushure mekunge LVEF yako yadzoka padanho rakanaka, unogona kusangana nemigumisiro yenguva refu, senge kudzikira kwekugona kwako kurovedza muviri.

Ndeipi nguva yekurarama nePeripartum Cardiomyopathy?

Nguva yekurarama ne peripartum cardiomyopathy inoenderana nemamiriro ako ezvinhu, kuti kurapwa kwako kunoshanda sei, nezvimwe zvinhu zvakawanda zvine chekuita nehutano hwako hwese. Kana chidimbu chako chekuruboshwe che ventricular ejection fraction (LVEF) chakaderera, mukana wako wekufa unowedzera. Zvakare, tarisiro yacho haina kunaka kune vanhu vanoda michina yekurapa inobatsira moyo wavo kushanda zvakanaka.

Vaongorori vanofungidzira kuti huwandu hwevanhu vanofa pasi rose huri pakati pe2.5% ne32%. United States ndiyo iri padanho rakaderera pane iri, ine huwandu hwevanhu vanofa huri pakati pe6% ne10%.

Ndinozvitarisira sei?

Chinhu chakakosha chaunogona kuita kuti uzvitarisire ndechekuona chiremba wako nguva dzose . Tevedzera hurongwa hwachiremba wako, uye taura nachiremba wako nezve chero matambudziko kana shanduko dzaunoona.

Heano mamwe mashanduko ari nyore aunogona kuita zuva rega rega:

• Deredza huwandu hwemunyu waunodya . Tsvaga dzimwe nzira dzekunakisa chikafu chisina munyu.
• Zviyere nguva nenguva kuti uone kana mvura iri muropa rako isingabatike . Kana ukawedzera huremu hunosvika 1.3 - 1.8 kg mumazuva maviri kana matatu, taura nachiremba wako.
• Kurega kusvuta . Bvunza chiremba wako nezvezvinhu zvinogona kukubatsira.
• Kuderedza kunwa doro, kana kurega zvachose .

Kana uchiyamwisa, taura nachiremba wako nezvenjodzi dziripo, dzakadai sekupa mushonga kumwana wako kuburikidza nemukaka wako wezamu. Kazhinji, mabhenefiti ekuyamwisa - akadai sekubatana nemwana wako - anopfuura njodzi dzacho. Ungangoda kushanda nenyanzvi yekupa mazano mushure mekubata pamuviri kuti akubatsire kusarudza zvakakunakira iwe nemwana wako.

Peripartum Cardiomyopathy uye Hutano hwepfungwa

Peripartum Cardiomyopathy inogona kuva chirwere chinochinja hupenyu. Paunenge uchitarisira mwana wako achangoberekwa, unogona kunzwa manzwiro akawanda panguva imwe chete. Zvinogona kunetsa kubata zvese izvi panguva imwe chete.

Kushushikana kunokonzerwa ne peripartum cardiomyopathy kunogona kuwedzera njodzi yako yekurwara nepfungwa. Vanhu vanopfuura 50% vane peripartum cardiomyopathy vanonzwa kuzvidya mwoyo kana kunetseka nezvemamiriro emwoyo yavo.

MuUnited States, mukadzi mumwe chete pavakadzi gumi anowana depression mushure mekusununguka, uye mukadzi mumwe pavakadzi vatatu anowana depression mushure mekuonekwa kuti ane chirwere chePeripartum Cardiomyopathy.

Kana uri kunzwa kusuruvara, kunetseka, kana kuremerwa, hausi wega. Kana usati watoshanda nemupi wezano kana murapi, kumbira chiremba wako kuti akutumire tsamba yekubatsira.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo zvePeripartum Cardiomyopathy, fonera chiremba wako nekukasika.Uchasangana nenguva panguva yekurapwa. Kana moyo wako wava kushanda zvakanaka zvakare (neLVEF yakajairika), uchafanira kuona chiremba kamwe chete pagore kana kupfuura kuti uongororwe moyo wako. Ndipo paunokwanisa kuona kana chirwere chacho chadzoka. Kana zvikaitika, kuongororwa nguva dzose kunogona kubatwa nekukurumidza.

Unofanira kuenda kuchipatara riini?

Kana uchinzwa kurwadziwa pachipfuva, mwoyo uchimhanya, kupera simba, kana chero zviratidzo zvitsva, fonera 911 (kana nhamba yako yekukurumidzira yemuno) nekukasika, kana kuenda kuchipatara che emergency room (ER) .

Mibvunzo ipi yandinofanira kubvunza chiremba?

Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Ndingarapa nemishonga here, kana kuti ndinoda mudziyo wekurapa?
• Ndichafanira kuitwa cesarean section (C-section) here?
• Kangani kandinofanira kuuya kuzosangana nevamwe?

Ndingabata pamuviri zvakare here kana ndine Peripartum Cardiomyopathy?

Vakadzi vazhinji vanowana chirwere chemwoyo mushure mekusununguka kanopfuura kamwe chete. Kana ukava nacho kamwe chete pamuviri, une mukana wekuti chidzoke zvakare. Anenge mukadzi mumwe chete pavatatu achachiwanazve pamuviri unotevera.

Unogona kutaura nachiremba wako nezvekuti zvakachengeteka here kubata pamuviri zvakare. Kana zviri nengozi zvakanyanya, ungangoda kufunga nezvekushandisa nzira dzekudzivirira pamuviri. Uchada nzira dzekudzivirira pamuviri dzisina estrogen, nekuti estrogen therapy inowedzera njodzi yekugwamba kweropa uye thrombosis.

Kana ukaita pamuviri zvakare, uchafanira kutariswa zvakanyanya uye kuongororwa nguva nenguva kuti uone zviratidzo zvekutanga zvekushaya simba kwemoyo.

Paunenge uchigadzirira kuva nemwana, hautarisiri kuva nechirwere chemwoyo. Kutarisira chirwere chemwoyo chitsva uchitarisira mwana achangoberekwa kunogona kukuomera. Chikwata chako chehutano chichakutsigira nhanho dzese, chichiita zvese zvavanogona kusimbisa moyo wako. Kana uine pamuviri uye uine zvinhu zvinogona kukonzera cardiomyopathy mushure mekusununguka, taura nachiremba wako. Zvakakosha kuti chirwere ichi chiongororwe nekukurumidza kuti uderedze njodzi yematambudziko akakomba kwauri nemwana wako, uye kuti uwane kurapwa kwaunoda .

Ndezvipi zvinhu zvakakosha zvatinofanira kuyeuka kubva munyaya iyi?

Peripartum Cardiomyopathy chirwere chinopedza simba mwoyo chinogona kuitika panguva yekuzvitakura kana mukati memwedzi mishoma mushure mekusununguka. Zviratidzo zvacho zvakafanana nezvepamuviri wakajairika, saka nyatsocherechedza zvinhu zvakaita sekushaya mweya, kuneta kusingawanzoitiki, uye kuzvimba kwemakumbo . Kuonekwa nekukurumidza uye kurapwa kunogona kuwedzera mikana yekupora. Kana uine chero zvinokunetsa, iva nechokwadi chekuona chiremba.Zvakakoshawo kuti utarisire hutano hwepfungwa dzako. Yeuka kuti hausi wega, uye kune vanhu vakawanda vanogona kukubatsira.

` Peripartum Cardiomyopathy, Pamuviri Chirwere cheMwoyo, Kukundikana kweMwoyo, LVEF, Matambudziko ePamuviri, Zviratidzo zveChirwere cheMwoyo, Hutano hwePashure pekusununguka