Iingxaki zentliziyo ngexesha lokukhulelwa okanye emva kokubeleka? Masifunde ngePeripartum Cardiomyopathy (PPCM)!

Ukukhulelwa yinto evuyisayo kakhulu. Nangona kunjalo, ngamanye amaxesha iingxaki zempilo ezingalindelekanga zinokuvela. Namhlanje, siza kuthetha ngesifo sentliziyo esingaqhelekanga esinokwenzeka ekupheleni kokukhulelwa okanye kwiinyanga ezimbalwa emva kokubeleka. Esi simo sibizwa ngokuba yiPeripartum Cardiomyopathy.

Yintoni iPeripartum Cardiomyopathy (PPCM)?

Ngamafutshane, iPeripartum Cardiomyopathy (PPCM) yimeko engaqhelekanga eyenza izihlunu zentliziyo yakho zibe buthathaka. Oku kubangela ukuba intliziyo yakho ilahlekelwe ngamandla ayo okupompa igazi liye kuwo wonke umzimba wakho. Oku ngamanye amaxesha kunokuba yingozi ebomini . Le meko idla ngokuchaphazela abafazi kwinyanga yokugqibela yokukhulelwa okanye ukuya kuthi ga kwiinyanga ezintlanu emva kokubeleka. Yiyo loo nto abanye abantu beyibiza ngokuba yi-"postpartum cardiomyopathy." Nangona inokwenzeka nakweyiphi na iminyaka, ixhaphake kakhulu kubasetyhini abangaphezu kweminyaka engama-30.

I-Peripartum Cardiomyopathy ichaphazela igumbi elisentliziyweni yakho, i-ventricle yasekhohlo . Le ventricle yasekhohlo inomsebenzi obalulekileyo wokupompa igazi elineoksijini emzimbeni wakho wonke. Ngoko ke xa iba buthathaka, ayiwenzi kakuhle umsebenzi wayo.

Usenokuba ukhe weva ugqirha wakho esebenzisa igama elithi 'left ventricular ejection fraction' okanye 'left ventricular ejection fraction (LVEF)'. Oku kudla ngokulinganiswa nge-'echocardiogram'. Le LVEF yindlela yokulinganisa ukuba i-ventricle yakho yasekhohlo inokuyipompa njani igazi entliziyweni yakho. Ivezwa njengepesenti, ngoko ke okukhona ipesenti iphezulu, kokukhona ingcono. I-LVEF yomntu ophilileyo idla ngokuba phakathi kwama-50% nama-70%. Nangona kunjalo, kumntu one-Peripartum Cardiomyopathy, inokwehla ibe ngaphantsi kwama-45% . Okukhona i-LVEF isezantsi, kokukhona imeko iba mandundu.

Kubaluleke kakhulu ukuxilonga esi sifo kwangethuba . Kulapho kuphela apho amathuba okufumana unyango olufanelekileyo nokuchacha ngokukhawuleza aya kwanda khona.

Ixhaphake kangakanani le meko?

I-Peripartum Cardiomyopathy ayisiyonto ixhaphakileyo. Kodwa kunzima ukutsho ukuba inqabile kangakanani na. Kukho umahluko omkhulu kwizibalo malunga noku kungekuphela nje eMelika, kodwa nakwihlabathi liphela. EMelika, le meko kuthiwa yenzeka kumntu omnye kwabayi-1,000 ukuya kwabayi-4,000 abakhulelweyo. Ezinye izifundo zibonisa ukuba ixhaphake kancinci kwimimandla esemazantsi eMelika kunakweminye imimandla.

Ziziphi iimpawu zePeripartum Cardiomyopathy?

Iimpawu ze-Peripartum Cardiomyopathy ngamanye amaxesha kulula ukuziphosa. Uninzi lwezi mpawu ziyafana nezo uhlala uziva ngexesha lokukhulelwa. Kodwa ngenxa yokuba le meko imbi kakhulu, kubalulekile ukunikela ingqalelo ekhethekileyo kwezi mpawu:

• Ubunzima bokuphefumla (ukuphelelwa ngamandla) – ingakumbi xa uzama ukulala, ulele phantsi, okanye usenza nawuphi na umsebenzi womzimba.
• Ukudinwa.
• Ukudumba kweenyawo namaqatha (i-edema) .
• Ukuziva intliziyo ibetha ngamandla .
• Ukukhohlela okomileyo .
• Imithambo yentamo evuvukileyo .
• Ukuziva unesizunguzi (`ubuhlung') .
• Uxinzelelo lwegazi oluphantsi (hypotension) , okanye ukwehla koxinzelelo lwegazi xa usukuma ngequbuliso.
• Iintlungu zesifuba .

I-Peripartum Cardiomyopathy idla ngokuqala kwinyanga yokugqibela yokukhulelwa okanye kamva. Kodwa ngamanye amaxesha ingaqala kwangethuba. Kwakhona, ukukhulelwa kubeka uxinzelelo olungakumbi entliziyweni kwaye kunokwenza mandundu iimeko zentliziyo ebezingakhange zifunyanwe ngaphambili. Ke ngoko, kubalulekile ukuqaphela iimpawu ngexesha lokukhulelwa , kungekuphela nje kwiiveki ezimbalwa ezidlulileyo.

Zithini izizathu zePeripartum Cardiomyopathy?

Abaphandi abakafumani sizathu sithile sePeripartum Cardiomyopathy. Nangona kunjalo, bakholelwa ukuba utshintsho lweehomoni ngexesha lokukhulelwa kunye nezinye iimeko, ezifana ne-preeclampsia, zinokuba yimbangela. Kusenokwenzeka ukuba kukho izinto ezininzi ezinokudibana ezibangela le meko.

I-Peripartum Cardiomyopathy isenokuba yimfuza, kodwa uphando alukayiqinisekisi le khonkco. Kuqikelelwa ukuba phakathi kwe-15% kunye ne-20% yabasetyhini abane-peripartum cardiomyopathy bane-genetic mutations enokubangela i-cardiomyopathy. Ukuba unenye yezi nguqu, uxinzelelo lokukhulelwa kunye nokuzala lunokubangela iimpawu ze-cardiomyopathy. Kubalulekile ukuba wena kunye nogqirha wakho wentliziyo niqaphele nayiphi na imbali yosapho lwesifo sentliziyo, ngakumbi i-cardiomyopathy okanye ukusilela kwentliziyo.

Ziziphi izinto ezibangela umngcipheko we-Peripartum Cardiomyopathy?

Kukho izinto ezininzi ezinobungozi ezinokuchaphazela i-cardiomyopathy emva kokubeletha. Okukhona uneengozi ezininzi, kokukhona umngcipheko wakho wokuba ne-cardiomyopathy emva kokubeletha uphezulu. Ezi zinto zinobungozi zinokongeza zibe ngumngcipheko omkhulu kunayo nayiphi na into enye yodwa.

Izinto ezinokubangela umngcipheko ngaphambi kokukhulelwa

• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) .
• Isifo seswekile .
• Ukutyeba kakhulu .
• Ukungabikho kwe-selenium kunye ne-zinc .
• Ingxaki yokusetyenziswa kweziyobisi (i-SUD) .

Izinto ezinobungozi ezinxulumene nokukhulelwa

• Ukukhulelwa okokuqala ngqa .
• Ukuba namawele okanye amawele amathathu .
• Ekubeni sele ndifunyaniswe ndine-Peripartum Cardiomyopathy ngaphambili .
• Ukusebenzisa iindlela ezifana ne-'IVF' (ukuchumisa kwi-vitro) ukuze kufikelelwe ekukhulelweni.

Iingozi zeengxaki ngexesha lokukhulelwa

• I-Preeclampsia kunye ne-eclampsia .
• I-anemia .
• Isifo se-thyroid .
• Ukwanda kwesifo sesifuba okanye isifo sokuzikhusela komzimba .
• Ukuba unezintso zangaphambi kwexesha, sebenzisa amayeza okulibazisa ukuzala ixesha elide .

Iinyani ezikhethekileyo zabasetyhini abamnyama (ezisekelwe kuphando)

Eli candelo lisekelwe kuphando olwenziwe ngokukodwa kubafazi abamnyama baseMelika. Ngoko ke:

• Ukuchongwa kwePeripartum Cardiomyopathy kuxhaphake kakhulu phakathi kwabo.
• Le meko ibangela umonakalo omkhulu entliziyweni kunye nokwehla kwamandla entliziyo okupompa.
• Kukho amathuba aphezulu okuba neengxaki ezinzulu ngakumbi .
• Esi sifo sifunyanwa besebancinci (malunga neminyaka engama-27 ubudala, abanye bahlala beneminyaka engama-31 ubudala) .
• Ingxaki isenokuba nkulu ngakumbi ngenxa yokufunyaniswa kwesi sifo kade emva kokubeleka.
• Umngcipheko wokufa ngenxa yesi simo uphezulu .

Olu lwazi lusekelwe kuphando olwenziwe eMelika, kwaye khumbula ukuba izinto ezinokubangela umngcipheko zinokwahluka phakathi kwabantu abahlukeneyo. Kungcono ukuthetha nogqirha wakho malunga nomngcipheko wakho.

Ziziphi iingxaki ezinokubakho zePeripartum Cardiomyopathy?

Xa i-ventricle yakho yasekhohlo ibuthathaka kwaye idinwa, ayikwazi ukupompa igazi ngokufanelekileyo, ingakumbi kwizitho ezixhomekeke kuyo, njengemiphunga nesibindi. Oku kucotha kuchaphazela umzimba wonke. Kungakhokelela ekusileleni kwentliziyo , kunye nokwandisa umngcipheko wokuqhekeka kwegazi kunye ne-thrombosis .

Iingxaki ezisongela ubomi zingabandakanya:

• Ukubetha kwentliziyo okungaqhelekanga (arrhythmias) .
• Ukothuka okubangelwa yintliziyo .
• Ukusilela kwentliziyo okuqatha .
• Iingxaki ezibangelwa kukuqhekeka kwegazi .
• Ukonakala kwengqondo .

Ifunyanwa njani iPeripartum Cardiomyopathy?

Ugqirha wakho uza kufumanisa ukuba une-Peripartum Cardiomyopathy ukuba unazo zonke ezi meko zintathu :

• Umele ukuba sele unesifo sentliziyo ekupheleni kokukhulelwa kwakho okanye kwiinyanga ezintlanu emva kokuzalwa komntwana.
• Ugqirha akufanele akwazi ukufumana esinye isizathu sokusilela kwentliziyo yakho. (Oko kukuthi, yonke enye into enokubangela iimpawu zakho bekufanele ukuba isusiwe.)
• Inxalenye yakho yokukhupha i-ventricular yasekhohlo (`LVEF`) mayibe ngaphantsi kwe-45%.

Ngolu xilongo, ugqirha uza kuthetha nawe ngembali yakho yempilo kunye nembali yempilo yosapho lwakho.

Xa uxilonga, ugqirha wakho angaluhlela imeko yakho njengeClass I, II, III, okanye IV. Okukhona inani liphezulu, kokukhona imeko imbi kakhulu . Ukufunyanwa kwangoko kwe-postpartum cardiomyopathy kunokunciphisa umngcipheko wokufa kwaye kuvumele unyango luqale ngokukhawuleza. Ukuba imeko ifunyaniswa emva kokuba isiba mandundu, umngcipheko weengxaki ezinzima, ezifana neengxaki zentliziyo eziqhubekayo, uphezulu.

Zithini iimvavanyo zokuxilonga?

Akukho vavanyo luthile lokuxilonga i-cardiomyopathy emva kokubeletha. Endaweni yoko, ugqirha wakho uza kusebenzisa ezinye iimvavanyo kunye nolwazi olunikiweyo. Uza kwenza uvavanyo lomzimba ukujonga ulwelo olugqithisileyo emzimbeni. Emva koko, uvavanyo olufana nolu:

• Uvavanyo lwegazi .
• I-Electrocardiogram (ECG/EKG) .
• I-X-ray yesifuba .
• I-Echocardiogram (`Echocardiogram - echo`) . Oku kunokujonga ixabiso lakho le-`LVEF`. Oku kubaluleke kakhulu ekuxilongweni.
• Uvavanyo lwe-MRI yentliziyo (i-magnetic resonance imaging) .
• Ukufakwa kwe-catheter kwintliziyo .
• I-biopsy ye-myocardial (oku kwenziwa rhoqo) .

Olu vavanyo lunokubonisa ukuba ubunazo naziphi na iingxaki zentliziyo ngaphambi kokuba ukhulelwe. Abanye abantu bebenesifo sentliziyo iminyaka kodwa abaziboni iimpawu de ziqale ukubonakala ngexesha lokukhulelwa. Iziphumo zakho zovavanyo ziya kunceda ugqirha wakho ukuba afumanise ukuba unesifo esinjani.

Ziziphi iindlela zonyango lwe-Peripartum Cardiomyopathy?

Unyango lwe-Peripartum Cardiomyopathy lujolise ekulawuleni iimpawu zokusilela kwentliziyo nokunceda intliziyo yakho iphile. Le meko ayizukuphila ngokwayo . Ukuba imeko ifunyenwe ngexesha lokukhulelwa, ugqirha wakho uya kuqinisekisa ukuba nawaphi na amayeza owasebenzisayo akhuselekile kumntwana wakho. Baza kuthetha nawe malunga neendlela zakho zonyango kunye nazo naziphi na iziphumo ebezingalindelekanga. Uya kusebenza neqela leengcali ezinokukunika iingcebiso malunga nokukhulelwa okunobungozi kunye nendlela isifo sentliziyo esinokukuchaphazela ngayo ukukhulelwa kwakho.

Uza kunikwa amayeza afanayo nalawo asetyenziswa kwezinye iintlobo zesifo sentliziyo. Umzekelo:

• Izithinteli ze-enzyme eguqula i-angiotensin (ACE) .
• Ii-Angiotensin II receptor blockers (ii-ARB) .
• I-Angiotensin receptor/neprilysin inhibitors (ARNIs) .
• Ii-Beta-blockers .
• I-Diuretics (iipilisi zamanzi) .
• IHydralazine/nitrates.
• Ii-Mineralocorticoid receptor antagonists (MRAs) .
• Izithinteli ze-sodium-glucose cotransporter-2 (SGLT2) .
• Izinto ezithintela ukugabha kwegazi (izinto ezinciphisa ukugabha kwegazi) .

Ngokuxhomekeke ekubeni intliziyo yakho isebenza kakuhle kangakanani, ungadinga nezinye iindlela zonyango. Ezi ziquka:

• Into efana nesixhobo sentliziyo esinxitywayo okanye esifakelweyo (i-cardiac defibrillator) .
• Isixhobo sokuncedisa i-ventricular yasekhohlo (LVAD) .
• Ukufakelwa intliziyo . Oku kudla ngokwenziwa kubantu abanesifo esihambele phambili kakhulu, abane-LVEF ephantsi kakhulu, kwaye abangasabeliyo kunyango.

Iingxaki kunye nemiphumo emibi yonyango

Iziphumo ebezingalindelekanga zonyango ziyahluka ngokuxhomekeke kunyango kunye nokuba ukhulelwe na ngelo xesha. Ukusebenzisa ii-beta-blockers ngexesha lokukhulelwa kunokubangela ukuba umntwana wakho azalwe enobunzima obuphantsi, abe ne-hypoglycemia (iswekile ephantsi yegazi), i-bradycardia (isantya sentliziyo esicothayo), okanye i-heart block.

Amanye amayeza – anjenge-ACE inhibitors, ii-ARBs, ii-ARNIs, ii-MRAs kunye nee-SGLT2 inhibitors – akakhuselekanga ukuwasebenzisa ngexesha lokukhulelwa. Nangona kunjalo, ngokubanzi akhuselekile ukuwasebenzisa ngelixa uncancisa, kuba kuphela amanani amancinci angena kubisi lwebele. Kubalulekile ukuthetha nogqirha wakho malunga nexesha, iingozi kunye nemiphumo emibi yeyeza ngalinye.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Abantu abangaphezu kwama-50% abane-postpartum cardiomyopathy bayachacha ekusebenzeni kwentliziyo ngendlela eqhelekileyo – rhoqo emva kweenyanga ezintandathu zonyango. Abanye bayachacha kwiintsuku okanye kwiiveki ezimbalwa. Kwabanye, kungathatha iminyaka ukuba bachache.

Nangona kunjalo, nokuba ukusebenza kwentliziyo yakho kubuyele esiqhelweni, kuya kufuneka uthathe amayeza ubuncinane unyaka wonke .

Ungayinciphisa njani ingozi ye-cardiomyopathy emva kokubeletha?

Eyona ndlela ilungileyo yokuthintela i-cardiomyopathy emva kokubeletha kukwenza konke okusemandleni akho ukugcina intliziyo yakho isempilweni. Nangona ungenakuziphepha zonke izinto ezinobungozi, ungazilawula ezinye ngokuthi:

• Ukutya ukutya okunempilo kwentliziyo .
• Ukuzibandakanya kumthambo rhoqo .
• Ukuphepha iimveliso zecuba kunye notywala .
• Sebenzisana nogqirha wakho ukuze ulawule iimeko ezifana nokutyeba kakhulu okanye ukutyeba kakhulu .
• Jonga uxinzelelo lwakho lwegazi rhoqo uze ufumane unyango ukuba kuyimfuneko .

Ukuba ubunesifo sentliziyo kukukhulelwa kwakho kwangaphambili, thetha nogqirha wakho ngezinto ezikubangela umngcipheko ukuba uceba ukukhulelwa kwakhona.

Yintoni onokuyilindela ukuba une-Peripartum Cardiomyopathy?

Ukuba unePeripartum Cardiomyopathy, kuya kufuneka usebenzisane ngokusondeleyo nogqirha wakho kunye neqela leengcali ukuze bajonge impilo yakho. Ukuba usakhulelwe, iqela lakho lezempilo liya kujonga imeko yomntwana wakho.

Baza kucwangcisa nokubeleka kwakho. Ukuba ukusilela kwentliziyo yakho kuzinzile, ugqirha wakho usenokufuna ukuba ubeleke nge-vaginal. Nangona kunjalo, unokufuna i-epidural, i-episiotomy, okanye ukusetyenziswa kwe-forceps ukuze kube lula ukuzala.

Ukuba une-Peripartum Cardiomyopathy, unamathuba amaninzi okuba ube nokubeletha ngotyando (C-section) okanye ubeleke ngaphambi kwexesha . Kubalulekile ukuthetha nogqirha wakho malunga neendlela onokukhetha kuzo kunye neengozi zakho.

Emva kokuba ufumene umntwana wakho, kuya kufuneka uqhubeke nokusebenzisana nogqirha wakho ukulawula unyango lwakho. Indlela oziva ngayo kunye nendlela ochacha ngayo ngokukhawuleza iya kuxhomekeka kwizinto ezininzi, kodwa eyona nto ibalulekileyo yi-left ventricular ejection fraction yakho (LVEF) . Ukuba i-LVEF yakho ingaphantsi kwama-30% ngexesha lokuxilongwa, usemngciphekweni omkhulu wokufumana iingxaki ezinkulu.

Ngaba i-Peripartum Cardiomyopathy yimeko esisigxina?

Kwabanye abantu, i-postpartum cardiomyopathy yimeko esisigxina. Kwabanye, unyango lunokulawula iimpawu kwaye lubuyisele ukusebenza kwentliziyo kwimeko eqhelekileyo ngokupheleleyo okanye engaphelelanga.

Ukuba i-LVEF yakho iphakathi kwama-50% ukuya kuma-55% ubuncinane, ugqirha wakho uya kukubona ukuba uphilile ngokupheleleyo kwi-postpartum cardiomyopathy. Uninzi lwezifundo lujonga eli nani kwiinyanga ezintandathu emva kokuba uxilongiwe. Amanani okuchacha ahluka kakhulu ngokwengingqi nangohlanga. E-United States, izinga lokuchacha emva kweenyanga ezintandathu liphakathi kwama-44% nama-63%, ngelixa kwamanye amazwe liphantsi njenge-21% ukuya kuma-36%.

Olunye uphando lufumanise ukuba abafazi abamnyama aba-4 kwaba-5 abane-peripartum cardiomyopathy abaphili ngokupheleleyo, kwaye omnye kwabalishumi akaphili. (Kwakhona, qaphela ukuba olu yayiluphando lwase-US).

Nokuba emva kokuba ukusebenza kwentliziyo yakho kubuyele esiqhelweni, kuya kufuneka ujonge impilo yakho ngokusondeleyo kwaye usebenzisane nogqirha wakho ngokusondeleyo. Oku kungenxa yokuba umfazi omnye kwabahlanu ochachayo kwi-postpartum cardiomyopathy ekugqibeleni uya kuphinda abuyele kwisifo sentliziyo. Kwakhona, nokuba emva kokuba i-LVEF yakho ibuyele kwinqanaba elisempilweni, unokufumana iziphumo zexesha elide, njengokuncipha kwamandla akho okuzilolonga.

Ingakanani ixesha lokuphila elilindelekileyo nge-Peripartum Cardiomyopathy?

Ubomi obulindelekileyo nge-peripartum cardiomyopathy buxhomekeke kwimeko yakho, indlela unyango lwakho olusebenza ngayo, kunye nezinye izinto ezininzi ezinxulumene nempilo yakho iyonke. Okukhona i-left ventricular ejection fraction (LVEF) yakho iphantsi, kokukhona umngcipheko wakho wokufa uphezulu. Kwakhona, imeko ayilunganga kubantu abafuna izixhobo zonyango ukunceda intliziyo yabo isebenze.

Abaphandi baqikelela ukuba izinga lokufa kwihlabathi liphela liphakathi kwe-2.5% kunye ne-32%. I-United States ikwinqanaba eliphantsi kakhulu kolu luhlu, kunye nezinga lokufa liphakathi kwe-6% kunye ne-10%.

Ndingazinyamekela njani?

Eyona nto ibalulekileyo onokuyenza ukuze uzinyamekele kukubona ugqirha wakho rhoqo . Landela isicwangciso sikagqirha wakho, kwaye uthethe nogqirha wakho ngayo nayiphi na ingxaki okanye utshintsho olubonayo.

Nazi ezinye izinto ezilula onokuzenza yonke imihla:

• Nciphisa umlinganiselo wetyuwa oyityayo . Fumana ezinye iindlela zokunonga ukutya ngaphandle kwetyuwa.
• Zilinganisele rhoqo ukuze ujonge ukuba ulwelo lugcinwa na . Ukuba utyeba ngeekhilogram ezi-3-4 (malunga ne-1.3 - 1.8 kg) kwiintsuku ezimbini okanye ezintathu, thetha nogqirha wakho.
• Ukuyeka ukutshaya . Buza ugqirha wakho ngezixhobo ezinokukunceda.
• Ukunciphisa ukusetyenziswa kotywala, okanye ukuyeka ngokupheleleyo .

Ukuba uncancisa, thetha nogqirha wakho malunga neengozi, ezifana nokudlulisela amayeza kumntwana wakho ngobisi lwakho lwebele. Ngokubanzi, iingenelo zokuncancisa - ezifana nokusondelana nomntwana wakho - zingaphezulu kweengozi. Usenokufuna ukusebenza nomcebisi emva kokukhulelwa ukuze akuncede wenze isigqibo sokuba yintoni ekulungeleyo wena nomntwana wakho.

I-Peripartum Cardiomyopathy kunye neMpilo yengqondo

I-Peripartum Cardiomyopathy inokuba sisifo esitshintsha ubomi. Njengoko unyamekela usana lwakho olusandul’ ukuzalwa, unokuziva uneemvakalelo ezininzi ngaxeshanye. Kunokuba nzima ukujongana nayo yonke le nto ngaxeshanye.

Uxinzelelo olubangelwa yi-peripartum cardiomyopathy lunokunyusa umngcipheko wokuba neengxaki zemood. Abantu abangaphezu kwama-50% abane-peripartum cardiomyopathy bafumana ixhala okanye ixhala ngokubanzi malunga nemeko yentliziyo yabo.

E-United States, malunga nomfazi omnye kwabalishumi uba noxinzelelo emva kokubeleka, kwaye malunga nomfazi omnye kwabathathu uba noxinzelelo emva kokufunyaniswa ukuba une-Peripartum Cardiomyopathy.

Ukuba uziva ulusizi, uxhalabile, okanye uxinezelekile, awuwedwa. Ukuba awukasebenzi nomcebisi okanye ingcali yezonyango, cela ugqirha wakho akuthumelele ingcebiso.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zePeripartum Cardiomyopathy, fowunela ugqirha wakho ngokukhawuleza.Uza kuba nentlanganiso rhoqo ngexesha lonyango. Nje ukuba intliziyo yakho isebenze kakuhle kwakhona (nge-LVEF eqhelekileyo), kuya kufuneka ubone ugqirha kanye ngonyaka okanye rhoqo ukuze uhlolwe intliziyo yakho. Kulapho unokubona khona ukuba imeko iyabuya na. Ukuba ibuya, ukuvavanywa rhoqo kunokuyifumana kwangethuba.

Ufanele uye nini kwigumbi likaxakeka?

Ukuba ufumana iintlungu esifubeni, intliziyo ebetha ngamandla, ukuphelelwa ngamandla, okanye naziphi na iimpawu ezintsha, fowunela u-911 (okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko, okanye uye kwigumbi longxamiseko (ER) .

Ndingayibuza yiphi imibuzo ugqirha?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Ndingayinyanga ngamayeza, okanye ndifuna isixhobo sezonyango?
• Ngaba kuza kufuneka ndibe notyando lwe-cesarean (C-section)?
• Kuza kufuneka ndize kangaphi kwixesha lokulandela?

Ndingakhulelwa kwakhona ukuba ndinePeripartum Cardiomyopathy?

Abafazi abaninzi baba ne-postpartum cardiomyopathy ngaphezu kwesihlandlo esinye. Ukuba unayo ngexesha lokukhulelwa kanye, unamathuba amaninzi okuba nayo kwakhona. Malunga nomfazi omnye kwabathathu baya kuba nayo kwixesha lokukhulelwa elilandelayo.

Ungathetha nogqirha wakho malunga nokuba kukhuselekile na ukukhulelwa kwakhona. Ukuba kuyingozi kakhulu, ungacinga ngokulawula ukukhulelwa. Uza kufuna indlela yokulawula ukukhulelwa engenayo i-estrogen, kuba unyango lwe-estrogen lunyusa umngcipheko wokuqhekeka kwegazi kunye ne-thrombosis.

Ukuba ukhulelwa kwakhona, kuya kufuneka ujongwe ngokusondeleyo kwaye uhlolwe rhoqo ukuze ufumane naziphi na iimpawu zokuqala zokusilela kwentliziyo.

Xa ulungiselela ukuba nomntwana, awulindeli ukuba ube nesifo sentliziyo. Ukulawula isifo sentliziyo esitsha ngelixa unyamekela usana olusandul’ ukuzalwa kunokuba nzima. Iqela lakho lezonyango liza kukuxhasa yonke inyathelo, lenze konke okusemandleni alo ukuqinisa intliziyo yakho. Ukuba ukhulelwe kwaye unezinto ezinokubangela umngcipheko we-cardiomyopathy emva kokubeletha, thetha nogqirha wakho. Kubalulekile ukufumana isifo kwangethuba ukuze kuncitshiswe umngcipheko weengxaki ezinkulu kuwe nakumntwana wakho, kwaye ufumane unyango olufunekayo .

Zeziphi izinto ezibalulekileyo esifanele sizithathele ekhaya kweli bali?

I-Peripartum Cardiomyopathy yimeko eyenza intliziyo ibe buthathaka enokubakho ekupheleni kokukhulelwa okanye kwiinyanga ezimbalwa emva kokubeleka. Iimpawu ziyafana nezo zokukhulelwa okuqhelekileyo, ngoko ke qaphela izinto ezifana nokuphefumla kancinci, ukudinwa okungaqhelekanga, kunye nokudumba kwemilenze . Ukufunyaniswa kwangoko kunye nonyango kunokunyusa amathuba okuchacha. Ukuba uneengxaki, qiniseka ukuba ubona ugqirha.Kubaluleke kakhulu nokunyamekela impilo yakho yengqondo. Khumbula, awuwedwa, kwaye baninzi abantu abanokukunceda.

I- Peripartum Cardiomyopathy, Ukukhulelwa Isifo seNtliziyo, Ukusilela kweNtliziyo, i-LVEF, Iingxaki zokukhulelwa, Iimpawu zeSifo seNtliziyo, Impilo yasemva kokubeleka