Ingaba intliziyo yakho ibuthathaka? Masithethe nge-cardiomyopathy!

Ngaba ngamanye amaxesha uziva udiniwe kakhulu kwaye uphelelwa ngumphefumlo? Ngaba uziva unesizungu nangona unyuka izinyuko? Ezi zisenokungabi zizinto nje ezingaqhelekanga. Mhlawumbi le yimeko echaphazela izihlunu zentliziyo yakho. Siza kuthetha ngenye yeemeko ezinjalo namhlanje, yi-cardiomyopathy.

Yintoni iCardiomyopathy?

Kulungile, yintoni isifo sentliziyo? Ngamafutshane, sisifo esichaphazela izihlunu entliziyweni yakho, i-myocardium . Cinga ngaso ngathi intliziyo yakho yimpompo. Xa unesi sifo, izihlunu zentliziyo yakho zinokuba nkulu kakhulu, okanye zibe nkulu, ngamanye amaxesha ziqine, kwaye zinokwenza nezicubu ezibomvu.

Kwenzeka ntoni ke xa oku kusenzeka? Intliziyo yakho ayikwazi ukupompa igazi ngokufanelekileyo. Oko kuthetha ukuba umzimba wakho wonke awufumani igazi elaneleyo. Ekuhambeni kwexesha, intliziyo inokuba buthathaka ize ekugqibeleni ikhokelele ekusileleni kwentliziyo . Kodwa ungakhathazeki, kukho unyango loku. Abanye abantu bade bagqibela befanele ukufakelwa intliziyo .

Ngaba kukho iintlobo ezahlukeneyo ze-cardiomyopathy?

Ewe, kukho iintlobo ezahlukeneyo ze-cardiomyopathy. Makhe sijonge oko ngoku.

• I-Dilated Cardiomyopathy: Oku kuxa amagumbi entliziyo (amagumbi azele ligazi) eba makhulu kwaye iindonga zemisipha zincipha. Njengaxa ibhaluni ivuthelwe, ayikwazi ukupompa igazi.
• I-Hypertrophic Cardiomyopathy: Oku kwenzeka xa izihlunu zentliziyo ziqina kakhulu, nto leyo ebangela ukuba kubekho indawo encinci ngaphakathi entliziyweni, nto leyo eyenza kube nzima ukuba igcwale igazi kwaye impompe.
• I-Ischemic Cardiomyopathy: Oku kudla ngokubangelwa kukuvaleka kwemithambo yegazi yentliziyo ehambisa igazi entliziyweni. Le meko inokwenzeka naxa izihlunu zentliziyo zonakele, njengaxa kuhlaselwe yintliziyo.
• I-Arrhythmogenic Right Ventricular Dysplasia (ARVD): Eli ligama elintsonkothileyo. Kulapho izihlunu ezikwi-ventricle yasekunene yentliziyo zithathelwa indawo zizicubu ezinamafutha kunye nezicubu ezine-fibrous. Ingabangelwa zizinto zemfuza.
• I-Restrictive Cardiomyopathy: Kule meko, izihlunu zentliziyo ziyaqina kwaye zilahlekelwe bubuthambile bazo, nto leyo eyenza ingakwazi ukuzalisa igazi ngokufanelekileyo.
• I-Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM): Kule meko, iproteni engaqhelekanga ebizwa ngokuba yi-amyloid ifakwa entliziyweni.
• I-Broken Heart Syndrome okanye i-Takotsubo Cardiomyopathy: Oku kukhethekile kancinci. Khawuthelekelele, xa ngequbuliso uziva ulusizi olukhulu, ukothuka, okanye uxinzelelo olukhulu lwengqondo, le meko inokuchaphazela intliziyo.
• I-cardiomyopathy ebangelwa yi-chemotherapy: Oku kungenzeka njengesiphumo esingesihle sonyango lwe-chemotherapy lomhlaza.
• I-Cardiomyopathy ebangelwa butywala: Abantu abasela utywala kakhulu nabo basengozini.
• Ukungaxinani kwemithambo yegazi yasekhohlo (LVNC): Kule nto, umsipha kwigumbi lasekhohlo lentliziyo uba njengesiponji.
• I-Peripartum Cardiomyopathy: Le yimeko enokwenzeka ekupheleni kokukhulelwa okanye kwiinyanga ezimbalwa emva kokubeletha.

Ixhaphake kangakanani le sifo?

I-cardiomyopathy inokuchaphazela abantu bayo yonke iminyaka, isini, kunye neentlanga. Uhlobo oluqhelekileyo, olubizwa ngokuba yi -hypertrophic cardiomyopathy , yimeko yemfuza edluliselwa kwizizukulwana ngezizukulwana. Kuqikelelwa ukuba malunga nomntu omnye kwabangama-500 emhlabeni unayo. Ezinye iintlobo zemfuza zichaphazela umntu omnye kwabangama-2,000 okanye abangama-2,500.

Zithini iimpawu?

Kaloku, zeziphi iimpawu ezibonakaliswa ngumntu one-cardiomyopathy?

• Ukuziva udiniwe kakhulu (Ukudinwa): Akupheleli nje ekudinweni, kodwa kukudinwa okungapheliyo, okungachazekiyo.
• Ukubetha kwentliziyo: Oku kunokuvakala ngathi yidrama ebetha ngaphakathi esifubeni, okanye ngathi intliziyo iyatsiba isingqi.
• Intlungu Yesifuba: Oku kukwaluphawu.
• Ukuphazamiseka kwentliziyo (i-Arrhythmia): Oku kuthetha ukuba isingqisho sentliziyo siyaphazamiseka.
• Ubunzima bokuphefumla (Dyspnea): Usenokukufumanisa kunzima ukuphefumla nokuba usebenzisa amandla amancinci, okanye umile nje.
• Ukudumba kwemilenze namaqatha (i-Edema): Oku kungenzeka ngenxa yokuqokelelwa kwamanzi emzimbeni.
• Ukuquleka okanye ukuphelelwa zingqondo (Syncope): Ukulahlekelwa zingqondo ngequbuliso kunye nokuwa kunokwenzeka.

Nangona kunjalo, abanye abantu banokuba ne-cardiomyopathy ngaphandle kokubonisa zimpawu. Basenokungadingi unyango. Nangona kunjalo, iimpawu ziqala ukubonakala njengoko isifo siqhubeka.

Zithini izizathu ze-cardiomyopathy?

Zithini izizathu ze-cardiomyopathy? Esinye sezizathu eziphambili yi -genetics . Oku kuthetha ukuba esi sifo sinokufunyanwa kubazali bethu. Abaphandi bafumanise amawaka eenguqu ze-genetic ezinxulumene nesi sifo.

Ngaphandle koko, kukho ezinye izizathu ezininzi:

• Isifo semithambo yentliziyo .
• Izifo Ezizikhusela Ngokwasemzimbeni: Umzekelo, Izifo Ezinxulumene Nezicubu.
• Iintsholongwane ezichaphazela izihlunu zentliziyo(ezifana neentsholongwane, iibhaktheriya).
• Ukudumba kwentliziyo .
• Isifo seswekile `(isifo seswekile)` .
• Isifo se-thyroid .
• Ukungasebenzi kakuhle kwemisipha .
• Izifo ze-cholesterol ephezulu .
• I-Sarcoidosis .
• I-Amyloidosis .
• I-Hemochromatosis: Oku kwenzeka xa i-iron egqithisileyo iqokelelana emzimbeni.

Ngamanye amaxesha, neengcali azikwazi ukuqonda ukuba kutheni umntu ene-cardiomyopathy. Oko sikubiza ngokuba yi-idiopathic.

Zithini izinto ezibangela umngcipheko?

Ziziphi izinto ezinokubangela ukuba umntu abe nesifo sentliziyo? Ezinye zezi zinto asinakuzitshintsha.

• Ukuba kukho nabani na kusapho onembali yokusilela kwentliziyo, isifo sentliziyo, okanye ukuminxeka kwentliziyo ngequbuliso.
• Ukuba ukhe wahlaselwa yintliziyo ngaphambili.
• Ukusetyenziswa kwexesha elide kwe-cocaine okanye utywala.
• Ukukhulelwa.
• Amava anzima kakhulu, njengokulahlekelwa ngumntu omthandayo, umzekelo.
• Ukufumana i-radiation okanye i-chemotherapy yomhlaza.
• I-Body Mass Index (BMI) engaphezulu kwama-30 (oko kuthetha ukutyeba kakhulu).

Ziziphi iingxaki ezinokubakho?

Ukuba le cardiomyopathy iba mandundu, ezinye iingxaki zentliziyo zinokuvela. Ezi ziquka:

• Ukuphazamiseka kwentliziyo (iiArrhythmias) .
• Ukumelwa yintliziyo .
• Istroke .
• Isifo seValve yentliziyo .
• Ukubanjwa kwe-cardiac .
• Umothuko wentliziyo .

Yenziwa njani le nto yokuxilonga?

Ngoko ke, wazi njani ngokuqinisekileyo ukuba une-cardiomyopathy? Xa usiya kugqirha, uza kuqala akubuze ngembali yakho yezonyango nokuba kukho umntu kusapho lwakho onale meko. Emva koko baza kwenza uvavanyo lomzimba.

Ukuba bacinga ukuba unesifo sentliziyo, baza kukuthumela kwingcali yentliziyo. Ingcali yentliziyo iza kwenza uhlolo olupheleleyo, kwaye ukuba kuyimfuneko, yenze olunye uvavanyo.

Uvavanyo lokuxilonga

• Ukubeka esweni nge-Ambulatory: Oku kuquka ukunxiba isixhobo esincinci kangangeeyure ezingama-24 nangaphezulu ukujonga ukusebenza kwentliziyo.
• Uvavanyo lwegazi .
• I-X-ray yesifuba .
• Iskeni ye-CT yentliziyo .
• I-MRI yentliziyo `(I-MRI yentliziyo)` .
• I-Echocardiogram: Olu luvavanyo olubaluleke kakhulu. Lunokujonga izinto ezininzi ezifana nobukhulu kunye nokuma kwentliziyo, ubukhulu bemisipha, indlela epompa ngayo igazi, kunye nomsebenzi weevalvu.
• I-Electrocardiogram (EKG/ECG): Le ilinganisa umsebenzi wombane wentliziyo kwaye inokubona izinto ezifana nokungahambi kakuhle kwesingqisho sentliziyo.
• Uvavanyo loxinzelelo lomzimba .
• Ukulungiswa kweCatheterization yentliziyo .
• I-Myocardial Biopsy: Ukuthatha iqhekeza elincinci lemisipha yentliziyo ukuze lihlolwe.

Zithini iindlela zonyango?

Unyango lwe-cardiomyopathy alunakunyanga ngokupheleleyo esi sifo. Nangona kunjalo, iimpawu zinokulawulwa kwaye isifo sinokulawulwa . Ugqirha wakho unokucebisa utshintsho kwindlela yokuphila, amayeza, izixhobo ezahlukeneyo, okanye utyando.

Utshintsho kwindlela yokuphila

Singaziqinisa iintliziyo zethu ngokwenza utshintsho kwindlela esiphila ngayo ubomi bethu bemihla ngemihla. Nazi ezinye zezinto esinokuzenza:

• Ukutya ukutya okunamafutha aphantsi netyuwa encinci.
• Gcina ubunzima obusempilweni obukufaneleyo.
• Ukuzilolonga rhoqo.
• Ukulala ngokwaneleyo.
• Ukunciphisa uxinzelelo.
• Ukuphepha ukusebenzisa iimveliso zecuba.
• Ukuphepha ukusela utywala.

Kubaluleke kakhulu ukulandela ezi zinto ngokuchanekileyo, uyaqonda?

Amayeza

Ingcali yakho yentliziyo ingakunika amayeza anjengala:

• Amayeza okulwa noxinzelelo lwegazi .
• Ii-Anticoagulants (izithibi zegazi)
• Imithi yokulwa nokubetha kwentliziyo (Antiarrhythmics) ziziyobisi ezilawula ukungalingani kwesantya sentliziyo .
• Amayeza okwehlisa i-cholesterol.
• Iingxaki zeAldosterone .
• Ii-Corticosteroids (kwezinye iimeko ezithile).

Izixhobo zokulungisa ukungalingani kwesantya sentliziyo

• Abenzi bokunciphisa ixhala .
• Ii-ICDs ezifakelwa kwiCardioverter Defibrillators (ICDs)

Izixhobo zokuphucula ukujikeleza kwegazi

• Unyango Lokuvuselela Intliziyo (CRT) .
• Isixhobo soNcedo lweMiphunga yasekhohlo (i-LVAD) .

Utyando kunye nezinye iinkqubo

Oogqirha badla ngokucebisa utyando lwentliziyo evulekileyo okanye ukufakelwa intliziyo kuphela ukuba zonke ezinye iindlela zonyango aziphumelelanga. Iinkqubo ezingasetyenziswa rhoqo zingabandakanya:

• I-Septal Myectomy .
• Ukufakelwa kwentliziyo .
• Utywala lweSeptal Ablation .
• Ukususwa kweCatheter .

Ndingawunciphisa njani umngcipheko wam we-cardiomyopathy?

Ungathatha amanyathelo okuzikhusela kwizinto ezinokukhokelela kwi-cardiomyopathy.

• Ukulawula uxinzelelo lwakho lwegazi.
• Ukugcina amanqanaba e-cholesterol ekwinqanaba elifanelekileyo.
• Ukuzilolonga rhoqo.
• Ukuphepha ukusebenzisa icuba, utywala kunye necocaine.
• Ukulawula iimeko zonyango ezifihlakeleyo ezifana ne-sleep apnea okanye isifo seswekile.
• Ukuya kuhlolwa rhoqo ngugqirha.
• Ukuthatha onke amayeza amiselweyo njengoko kuchaziwe.

Into ebalulekileyo kukuba iintlobo ze-cardiomyopathy zokuzalwa (i-genetic) azinakuthintelwa . Kodwa ukuba une-cardiomyopathy, ungazisa izalamane zakho. Emva koko banokuthetha noogqirha babo ukuze babone ukuba basengozini okanye banaso na esi sifo. Ukuxilongwa kwangoko kunceda ekuphuhliseni isicwangciso sokulawula esi sifo.

Kuza kwenzeka ntoni ukuba ndine-cardiomyopathy?

I-cardiomyopathy yimeko enzima kakhulu. Ukuba ayinyangwa, inokuba yingozi ebomini. Ikwasisifo esiqhubekekayo.

Nangona kunjalo, unyango lwe-cardiomyopathy lungayiphucula imeko yakho. Ukuba unale meko, funa unyango kwingcali yentliziyo.

I-cardiomyopathy ihlala ixesha elingakanani?

Ubude bexesha onalo ne-cardiomyopathy buxhomekeke kuhlobo onalo. I-Takotsubo cardiomyopathy idla ngokuba yeyokwexeshana. I-cardiomyopathy ebangelwa butywala inokuphela kwiinyanga ezimbalwa. Kwezinye iintlobo, kuya kufuneka ulawule iimpawu ubomi bakho bonke.

Ingcinga nge-cardiomyopathy

Akukho nyango lwe-cardiomyopathy. Nangona kunjalo, ungayilawula le meko okanye uyicothise inkqubela yayo. Abantu abaninzi abane-cardiomyopathy banokuphila ubomi obusemgangathweni ngendlela enempilo kunye nonyango.

Ndingazinyamekela njani?

Ukhetho lwendlela yokuphila lunokuchaphazela indlela ekhawuleza ngayo ukukhula kwe-cardiomyopathy.

• Gcina ubunzima bakho busempilweni ngokobude bakho kunye nobudala bakho.
• Ukutya ukutya okunempilo kwentliziyo, ingakumbi ukunciphisa ukutya i-sodium (ityuwa).
• Ukuzilolonga rhoqo.
• Ukunciphisa ukusetyenziswa kotywala.
• Ukulawula nokunciphisa uxinzelelo.
• Kuphephe ukutshaya.

Ndifanele ndimbone nini ugqirha wam?

Kuya kufuneka uhlolwe rhoqo ngugqirha ukuze ujonge impilo yentliziyo yakho. Nxibelelana nogqirha wakho ngoko nangoko ukuba ufumana nayiphi na kwezi zilandelayo:

• Ukuba kuvela iimpawu ezintsha.
• Ukuba iimpawu zakho ziya zisiba mandundu.
• Ukuba kukho iziphumo ebezingalindelekanga ezivela kwiyeza.
• Ukuba kukho ingxaki ngesixhobo osisebenzisileyo (umz. i-pacemaker).

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Funa uncedo lwezonyango olungxamisekileyo ngokukhawuleza ukuba kukho nayiphi na kwezi zilandelayo ezenzekela kuwe:

• Iintlungu zesifuba.
• Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga.
• Ukuquleka okanye ukuphelelwa zingqondo.

Ndingayibuza yiphi imibuzo ugqirha wam?

• Yintoni enokubangela ukuba ndibe nesifo sentliziyo?
• Luhlobo luni lonyango olucetyiswayo?
• Zeziphi iinguqu endimele ndizenze kwindlela yam yokuphila ukuze ndiphucule impilo yentliziyo yam?
• Ngaba kukho iqela lenkxaso elikufutshane okanye kwi-intanethi endinokujoyina kulo?

Kuqhelekile ukuba nexhala malunga nokuxilongwa kwe-cardiomyopathy. Kodwa oogqirha baneendlela ezininzi zonyango ezinokuphucula umgangatho wobomi bakho kwaye zikuncede uphile ixesha elide.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule kweli bali?

I-cardiomyopathy sisifo esichaphazela izihlunu zentliziyo, kodwa asikoyiki. Ukuba uxilongiwe kwangethuba, unyangwa ngokufanelekileyo, kwaye ulandela indlela yokuphila elungileyo, ungaphila kakuhle nale meko. Ukuba uneengxaki zentliziyo okanye iimpawu, ungazityesheli kwaye ubone ugqirha. Ukunyamekela intliziyo yakho yeyona nto ibalulekileyo. Khumbula, awuwedwa, oogqirha kunye nosapho bakho ukukunceda!

Isifo sentliziyo , isifo sentliziyo, isifo semisipha yentliziyo, ukusilela kwentliziyo, ubuthathaka bentliziyo, ukuphefumla okufutshane, unyango lwentliziyo