Izinkinga zenhliziyo ngesikhathi sokukhulelwa noma ngemva kokubeletha? Ake sifunde nge-Peripartum Cardiomyopathy (PPCM)!

Ukukhulelwa kuyinto ejabulisayo kakhulu. Kodwa-ke, ngezinye izikhathi kungavela izinkinga zempilo ezingalindelekile. Namuhla, sizokhuluma ngesimo senhliziyo esingavamile esingaba khona ekupheleni kokukhulelwa noma ezinyangeni ezimbalwa ngemva kokubeletha. Lesi simo sibizwa ngokuthi i-Peripartum Cardiomyopathy.

Kuyini i-Peripartum Cardiomyopathy (PPCM)?

Kalula nje, i-Peripartum Cardiomyopathy (PPCM) yisimo esingavamile esenza imisipha yenhliziyo yakho ibe buthaka. Lokhu kubangela ukuthi inhliziyo yakho ilahlekelwe yikhono layo lokupompa igazi liye kuwo wonke umzimba wakho. Lokhu ngezinye izikhathi kungaba yingozi empilweni . Lesi simo sivame ukuhlasela abesifazane ngenyanga yokugcina yokukhulelwa noma ezinyangeni ezinhlanu ngemva kokubeletha. Yingakho abanye abantu besibiza ngokuthi "i-postpartum cardiomyopathy." Nakuba kungenzeka kunoma yimuphi ubudala, sivame kakhulu kwabesifazane abangaphezu kweminyaka engama-30.

I-Peripartum Cardiomyopathy ithinta igumbi enhliziyweni yakho, i-ventricle yesobunxele . Le ventricle yesobunxele inomsebenzi obalulekile wokupompa igazi elinomoya-mpilo emzimbeni wakho wonke. Ngakho-ke uma iba buthakathaka, ayiwenzi kahle umsebenzi wayo.

Kungenzeka ukuthi uke wezwa udokotela wakho esebenzisa igama elithi 'left ventricular ejection fraction' noma 'left ventricular ejection fraction (LVEF)'. Lokhu kuvame ukulinganiswa nge-'echocardiogram'. Le LVEF iyisilinganiso sokuthi i-ventricle yakho yesobunxele ingakhipha igazi kahle kangakanani enhliziyweni yakho. Ivezwa njengephesenti, ngakho-ke uma iphesenti liphezulu, kuba ngcono. I-LVEF yomuntu ophilile ivame ukuba phakathi kuka-50% no-70%. Kodwa-ke, kumuntu one-Peripartum Cardiomyopathy, ingancipha ngaphansi kuka-45% . Uma i-LVEF iphansi, isimo siba sibi kakhulu.

Kubaluleke kakhulu ukuxilonga lesi sifo kusenesikhathi . Kungaleso sikhathi kuphela lapho amathuba okuthola ukwelashwa okufanele nokululama azokhula khona ngokushesha.

Sivame kangakanani lesi simo?

I-Peripartum Cardiomyopathy akuyona inkinga evamile kakhulu. Kodwa kunzima ukusho ukuthi ingavamile kangakanani. Kunomehluko omkhulu ezibalweni mayelana nalokhu hhayi e-United States kuphela, kodwa nasemhlabeni jikelele. E-United States, lesi simo kubikwa ukuthi senzeka cishe koyedwa kwabayi-1,000 kuya kwabayi-4,000 abakhulelwe. Ezinye izifundo zibonisa ukuthi sivame kakhulu ezindaweni eziseningizimu ye-United States kunakwezinye izindawo.

Ziyini izimpawu ze-Peripartum Cardiomyopathy?

Izimpawu ze-Peripartum Cardiomyopathy ngezinye izikhathi zingase zibe lula ukuzikhohlwa. Eziningi zalezi zimpawu zifana nalokho ovame ukukuzwa ngesikhathi sokukhulelwa. Kodwa ngenxa yokuthi lesi simo sibi kakhulu, kubalulekile ukunaka ngokukhethekile lezi zimpawu:

• Ubunzima bokuphefumula (ukuphelelwa umoya) – ikakhulukazi uma uzama ukulala, ukulala phansi, noma ukwenza noma yimuphi umsebenzi womzimba.
• Ukukhathala.
• Ukuvuvukala kwezinyawo namaqakala (i-edema) .
• Ukuzwa ukushaya kwenhliziyo .
• Ukukhwehlela okomile .
• Imithambo yentamo evuvukele .
• Ukuzizwa unesizungu (`Ubumpumputhe`) .
• Umfutho wegazi ophansi (hypotension) , noma ukwehla komfutho wegazi uma usukuma ngokuzumayo.
• Ubuhlungu besifuba .

I-Peripartum Cardiomyopathy ivame ukuqala ngenyanga yokugcina yokukhulelwa noma kamuva. Kodwa ngezinye izikhathi ingaqala kusenesikhathi. Futhi, ukukhulelwa kubeka ingcindezi eyengeziwe enhliziyweni futhi kungenza kube kubi kakhulu izimo zenhliziyo ezazingakatholakali ngaphambili. Ngakho-ke, kubalulekile ukunaka izimpawu phakathi nokukhulelwa , hhayi nje emasontweni ambalwa okugcina.

Yiziphi izimbangela ze-Peripartum Cardiomyopathy?

Abacwaningi abakayitholi imbangela ethile ye-Peripartum Cardiomyopathy. Kodwa-ke, bakholelwa ukuthi izinguquko zamahomoni ngesikhathi sokukhulelwa kanye nezinye izimo, njenge-preeclampsia, kungaba yimbangela. Kungenzeka ukuthi kunezici eziningana ezingase zihlangane ukuze zibangele lesi simo.

I-Peripartum Cardiomyopathy ingase ibe yimbangela yofuzo, kodwa ucwaningo alukakaqinisekisi lokhu kuxhumana. Kulinganiselwa ukuthi phakathi kuka-15% no-20% wabesifazane abane-peripartum cardiomyopathy banezinguquko zofuzo ezingabangela i-cardiomyopathy. Uma unesinye salezi zinguquko, ukucindezeleka kokukhulelwa nokubeletha kungabangela izimpawu ze-cardiomyopathy. Kubalulekile ukuthi wena nodokotela wakho wenhliziyo niqaphele noma yimuphi umlando womndeni wesifo senhliziyo, ikakhulukazi i-cardiomyopathy noma ukwehluleka kwenhliziyo.

Yiziphi izici eziyingozi ze-Peripartum Cardiomyopathy?

Kunezici eziningana eziyingozi ezingathinta i-cardiomyopathy ngemuva kokubeletha. Uma unezici eziningi eziyingozi, kulapho ingozi yakho yokuthola i-cardiomyopathy ngemuva kokubeletha ikhuphuka khona. Lezi zinto eziyingozi zingaba ingozi enkulu kunanoma yisiphi isici esisodwa kuphela.

Izinto ezingaba yingozi ngaphambi kokukhulelwa

• Umfutho wegazi ophezulu (umfutho wegazi ophakeme) .
• Isifo sikashukela .
• Ukukhuluphala ngokweqile .
• Ukuntuleka kwe-selenium ne-zinc .
• Inkinga yokusebenzisa izidakamizwa (i-SUD) .

Izici eziyingozi ezihlobene nokukhulelwa

• Ukukhulelwa okokuqala ngqa .
• Ukuba namawele noma amawele amathathu .
• Njengoba ngike ngatholakala ukuthi ngine-Peripartum Cardiomyopathy .
• Ukusebenzisa amasu anjenge-'IVF' (ukukhulelwa ngaphandle kokusebenzisa i-vitro) ukuze kufezwe ukukhulelwa.

Izingozi zezinkinga ngesikhathi sokukhulelwa

• I-Preeclampsia kanye ne-eclampsia .
• I-anemia .
• Isifo se-thyroid .
• Ukwanda kwesifo sofuba noma isifo sokuzivikela komzimba .
• Uma unezinsini ngaphambi kwesikhathi, sebenzisa imithi isikhathi eside ukuze ubambezele ukubeletha .

Amaqiniso akhethekile kwabesifazane abamnyama (asekelwe ocwaningweni)

Lesi sigaba sisekelwe ocwaningweni olwenziwe ikakhulukazi kwabesifazane abamnyama baseMelika. Ngakho-ke:

• Ukuxilongwa kwe-Peripartum Cardiomyopathy kuvame kakhulu phakathi kwabo.
• Lesi simo sibangela umonakalo omkhulu enhliziyweni kanye nokwehla kwamandla enhliziyo okupompa.
• Kunethuba elikhulu lezinkinga ezinkulu kakhulu .
• Lesi sifo sitholakala sisebancane (cishe sineminyaka engu-27 ubudala, abanye bavame ukuba neminyaka engu-31 ubudala) .
• Inkinga kungenzeka ukuthi isibe nkulu kakhulu ngenxa yokutholakala kwesifo sekwephuzile ngemva kokubeletha.
• Ingozi yokufa ngenxa yalesi simo iphezulu .

Lolu lwazi lusekelwe ocwaningweni olwenziwe e-United States, futhi khumbula ukuthi izici eziyingozi zingase zihluke phakathi kwabantu abahlukene. Kungcono ukukhuluma nodokotela wakho ngengozi yakho.

Yiziphi izinkinga ezingaba khona ze-Peripartum Cardiomyopathy?

Uma i-ventricle yakho yangakwesobunxele iba buthakathaka futhi ikhathele, ayikwazi ukupompa igazi kahle, ikakhulukazi ezithweni ezithembele kuyo, njengamaphaphu nesibindi. Lokhu kwehla kwejubane kuthinta umzimba wonke. Kungabangela ukwehluleka kwenhliziyo , kanye nokwandisa ingozi yokuqhekeka kwegazi kanye ne-thrombosis .

Izinkinga ezisongela ukuphila zingase zihlanganise:

• Ukushaya kwenhliziyo okungajwayelekile (i-arrhythmias) .
• Ukushaqeka kwenhliziyo .
• Ukwehluleka kwenhliziyo okukhulu .
• Izinkinga ezibangelwa ukuqhekeka kwegazi .
• Ukulimala kobuchopho .

I-Peripartum Cardiomyopathy ihlolwa kanjani?

Udokotela wakho uzonquma ukuthi une-Peripartum Cardiomyopathy uma unazo zonke lezi zimo ezintathu :

• Kumelwe ukuthi usuvele unesifo senhliziyo ngasekupheleni kokukhulelwa kwakho noma zingakapheli izinyanga ezinhlanu ukhulelwe.
• Udokotela akufanele akwazi ukuthola esinye isizathu sokwehluleka kwenhliziyo yakho. (Okungukuthi, konke okunye okungase kubangele izimpawu zakho kwakufanele ngabe akunakwenzeka.)
• Ingxenye yakho yokukhipha i-ventricular yangakwesobunxele (`LVEF`) kufanele ibe ngaphansi kuka-45%.

Ukuze kutholakale lesi sifo, udokotela uzokhuluma nawe ngomlando wakho wezempilo kanye nomlando wempilo yomndeni.

Lapho exilonga, udokotela wakho angase ahlukanise isimo sakho njengeSigaba I, II, III, noma IV. Uma inani liphezulu, isimo siba sibi kakhulu . Ukutholwa kusenesikhathi kwe-cardiomyopathy ngemuva kokubeletha kunganciphisa ingozi yokufa futhi kuvumele ukwelashwa kuqale ngokushesha okukhulu. Uma isimo sitholakala ngemva kokuba sesibi kakhulu, ingozi yezinkinga ezinkulu, njengezinkinga zenhliziyo eziqhubekayo, iphakeme.

Yiziphi izivivinyo zokuxilonga?

Akukho ukuhlolwa okuqondile kokuxilonga i-cardiomyopathy ngemuva kokubeletha. Kunalokho, udokotela wakho uzosebenzisa ezinye izivivinyo kanye nolwazi olunikezayo. Uzokwenza ukuhlolwa ngokomzimba ukuhlola uketshezi oluningi emzimbeni. Ngemuva kwalokho, izivivinyo ezifana nalezi:

• Ukuhlolwa kwegazi .
• I-Electrocardiogram (ECG/EKG) .
• I-X-ray yesifuba .
• I-Echocardiogram (`Echocardiogram - echo`) . Lokhu kungahlola inani lakho le-`LVEF`. Lokhu kubaluleke kakhulu ekuxilongweni.
• Ukuhlolwa kwe-MRI yenhliziyo (i-magnetic resonance imaging) .
• Ukufakwa kwe-catheter enhliziyweni .
• I-biopsy ye-myocardial (lokhu kwenziwa kaningi kakhulu) .

Lokhu kuhlolwa kungaveza nokuthi ngabe uke waba nezinkinga zenhliziyo ngaphambi kokuba ukhulelwe. Abanye abantu bebe nesifo senhliziyo iminyaka eminingi kodwa abaziboni izimpawu kuze kube yilapho ziqala ukubonakala ngesikhathi sokukhulelwa. Imiphumela yakho yokuhlolwa izosiza udokotela wakho ukuthi athole ukuxilongwa okunembile.

Yiziphi izindlela zokwelapha i-Peripartum Cardiomyopathy?

Ukwelashwa kwe-Peripartum Cardiomyopathy kuhlose ukulawula izimpawu zokwehluleka kwenhliziyo nokusiza inhliziyo yakho ukuba ilulame. Lesi simo ngeke sibe ngcono ngokwaso . Uma lesi simo sitholakala ngesikhathi sokukhulelwa, udokotela wakho uzoqinisekisa ukuthi noma yimiphi imithi oyithathayo iphephile enganeni yakho. Bazokhuluma nawe ngezinketho zakho zokwelashwa kanye nanoma yimiphi imiphumela emibi engaba khona. Uzosebenzisana nethimba lochwepheshe abangakweluleka ngokukhulelwa okuyingozi kakhulu nokuthi isifo senhliziyo singakuthinta kanjani ukukhulelwa kwakho.

Uzovame ukunikezwa imithi efanayo naleyo esetshenziselwa ezinye izinhlobo zokwehluleka kwenhliziyo. Isibonelo:

• Izithibi ze-enzyme eguqula i-angiotensin (ACE) .
• Ama-Angiotensin II receptor blockers (ARBs) .
• I-Angiotensin receptor/neprilysin inhibitors (ARNIs) .
• Ama-beta-blocker .
• Ama-diuretics (amaphilisi amanzi) .
• I-Hydralazine/nitrates.
• Ama-Mineralocorticoid receptor antagonists (MRAs) .
• Izithibi ze-sodium-glucose cotransporter-2 (SGLT2) .
• Ama-anticoagulant (ama-blood thinners) .

Kuye ngokuthi inhliziyo yakho isebenza kahle kangakanani, ungase udinge nezinye izindlela zokwelapha. Lokhu kufaka phakathi:

• Into efana nedivayisi yenhliziyo egqokwayo noma efakwe ngaphakathi (i-cardiac defibrillator) .
• Idivayisi yokusiza i-ventricular yesobunxele (LVAD) .
• Ukufakelwa inhliziyo . Lokhu kuvame ukwenziwa kubantu abanesifo esithuthuke kakhulu, abane-LVEF ephansi kakhulu, futhi abangasabeli ekwelashweni.

Izinkinga nemiphumela emibi yokwelashwa

Imiphumela emibi yokwelashwa iyahlukahluka kuye ngokuthi ukwelashwa kuyini nokuthi ukhulelwe yini ngaleso sikhathi. Ukuthatha ama-beta-blockers ngesikhathi sokukhulelwa kungabangela ukuthi ingane yakho izalwe inesisindo esiphansi, i-hypoglycemia (ushukela wegazi ophansi), i-bradycardia (isilinganiso senhliziyo esihamba kancane), noma i-heart block.

Eminye imithi – njengemithi yokuvimbela i-ACE, ama-ARB, ama-ARNI, ama-MRA kanye nama-SGLT2 inhibitors – ayiphephile ukuyisebenzisa ngesikhathi sokukhulelwa. Kodwa-ke, ngokuvamile iphephile ukuyisebenzisa ngenkathi uncelisa, njengoba inani elincane kuphela elidlulela ebisini lebele. Kubalulekile ukukhuluma nodokotela wakho ngesikhathi, izingozi kanye nemiphumela emibi yomuthi ngamunye.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Abantu abangaphezu kuka-50% abane-cardiomyopathy ngemuva kokubeletha bayalulama ekusebenzeni kwenhliziyo okuvamile - ngokuvamile ngaphansi kwezinyanga eziyisithupha zokwelashwa. Abanye bayalulama ezinsukwini noma emavikini ambalwa. Kwabanye, kungathatha iminyaka ukululama.

Noma kunjalo, ngisho nangemva kokuba ukusebenza kwenhliziyo yakho sekubuyele esimweni esijwayelekile, kuzodingeka ukuthi uphuze imithi okungenani unyaka wonke .

Unganciphisa kanjani ingozi ye-cardiomyopathy ngemuva kokubeletha?

Indlela engcono kakhulu yokuvimbela i-cardiomyopathy ngemuva kokubeletha ukwenza konke ongakwenza ukugcina inhliziyo yakho iphilile. Nakuba ungeke ukwazi ukugwema zonke izici eziyingozi, ungalawula ezinye ngokuthi:

• Ukudla ukudla okunempilo kwenhliziyo .
• Ukuzivocavoca umzimba njalo .
• Ukugwema imikhiqizo kagwayi notshwala .
• Sebenzisana nodokotela wakho ukuze uphathe izimo ezifana nokukhuluphala ngokweqile noma ukukhuluphala ngokweqile .
• Hlola umfutho wegazi lakho njalo bese ucela ukwelashwa uma kudingeka .

Uma uke waba nokwehluleka kwenhliziyo ekukhulelweni kwangaphambilini, khuluma nodokotela wakho ngezinto ezingabangela ingozi uma uhlela ukukhulelwa futhi.

Yini ongayilindela uma une-Peripartum Cardiomyopathy?

Uma une-Peripartum Cardiomyopathy, kuzodingeka usebenzisane eduze nodokotela wakho kanye nethimba lochwepheshe ukuze baqaphe impilo yakho. Uma usakhulelwe, ithimba lakho lezokunakekelwa kwempilo lizoqapha nesimo sengane yakho.

Bazohlela nokubeletha kwakho. Uma ukwehluleka kwenhliziyo yakho kuzinzile, udokotela wakho cishe uzofuna ukuthi ubelethe ngesitho sangasese sowesifazane. Kodwa-ke, ungadinga i-epidural, i-episiotomy, noma ukusetshenziswa kwe-forceps ukuze kube lula ukubeletha.

Uma une-Peripartum Cardiomyopathy, kungenzeka kakhulu ukuthi ubelethe ngokuhlinzwa (C-section) noma ubelethe ngaphambi kwesikhathi . Kubalulekile ukukhuluma nodokotela wakho ngezinketho zakho kanye nezingozi.

Ngemva kokuthola umntwana wakho, kuzodingeka uqhubeke nokusebenzisana nodokotela wakho ukuze uphathe ukunakekelwa nokwelashwa kwakho. Indlela ozizwa ngayo nokuthi ululama ngokushesha kangakanani kuzoncika ezintweni eziningi, kodwa into ebaluleke kakhulu yi-left ventricular ejection fraction yakho (LVEF) . Uma i-LVEF yakho ingaphansi kuka-30% ngesikhathi sokuxilongwa, usengozini enkulu yokuthola izinkinga ezinkulu.

Ingabe i-Peripartum Cardiomyopathy iyisimo esihlala njalo?

Kwabanye abantu, i-postpartum cardiomyopathy iyisimo esihlala njalo. Kwabanye, ukwelashwa kungalawula izimpawu futhi kubuyisele ukusebenza kwenhliziyo esimweni esijwayelekile noma esingesiphelele.

Uma i-LVEF yakho okungenani ingu-50% kuya ku-55%, udokotela wakho uzocabanga ukuthi usululame ngokuphelele kwi-cardiomyopathy yangemva kokubeletha. Izifundo eziningi zibheka leli nani ezinyangeni eziyisithupha ngemva kokuxilongwa. Amazinga okululama ahluka kakhulu kuye ngesifunda kanye nohlanga nohlanga. E-United States, izinga lokululama ngemva kwezinyanga eziyisithupha liphakathi kuka-44% no-63%, kanti kwamanye amazwe liphansi njengo-21% kuya ku-36%.

Ucwaningo olulodwa luthole ukuthi abesifazane abansundu abane kwabahlanu abane-cardiomyopathy ngemuva kokubeletha abalulami ngokugcwele, kanti oyedwa kwabayi-10 akasindi. (Nalapha futhi, phawula ukuthi lolu kwakuwucwaningo lwase-US).

Ngisho nangemva kokuba ukusebenza kwenhliziyo yakho sekubuyele esimweni esijwayelekile, kuzodingeka uqaphe impilo yakho eduze futhi usebenzisane nodokotela wakho eduze. Lokhu kungenxa yokuthi owesifazane oyedwa kwabahlanu abalulama ekuhluphekeni kwenhliziyo ngemva kokubeletha ekugcineni uzophinde abe nokwehluleka kwenhliziyo. Futhi, ngisho nangemva kokuba i-LVEF yakho ibuyele ezingeni eliphilile, ungase ube nemiphumela yesikhathi eside, njengokuncipha kwamandla akho okuzivocavoca.

Iyini isikhathi sokuphila nge-Peripartum Cardiomyopathy?

Isikhathi sokuphila nge-cardiomyopathy ngemuva kokubeletha sincike esimweni sakho, ukuthi ukwelashwa kwakho kusebenza kahle kangakanani, kanye nezinye izici eziningi ezihlobene nempilo yakho iyonke. Uma ingxenye yakho ye-ventricular ejection fraction (LVEF) yesobunxele iphansi, kulapho ingozi yakho yokufa iphakama khona. Futhi, umbono awumuhle kubantu abadinga amadivayisi ezokwelapha ukusiza inhliziyo yabo isebenze.

Abacwaningi balinganisela ukuthi izinga lokufa emhlabeni wonke liphakathi kuka-2.5% no-32%. I-United States isezingeni eliphansi kakhulu lalolu hlu, kanti izinga lokufa liphakathi kuka-6% no-10%.

Ngizinakekela kanjani?

Into ebaluleke kakhulu ongayenza ukuze uzinakekele ukubona udokotela wakho njalo . Landela uhlelo lukadokotela wakho, futhi ukhulume nodokotela wakho nganoma yiziphi izinkinga noma izinguquko oziqaphelayo.

Nazi ezinye izinguquko ezilula ongazenza nsuku zonke:

• Nciphisa inani likasawoti owudlayo . Thola ezinye izindlela zokunonga ukudla ngaphandle kukasawoti.
• Zikalele njalo ukuze uhlole ukuthi uketshezi lugcinwa yini . Uma ukhuluphala ngamakhilogremu angu-1.3 kuya kwangu-1.8 ngesisindo ezinsukwini ezimbili noma ezintathu, khuluma nodokotela wakho.
• Ukuyeka ukubhema . Buza udokotela wakho ngezinsiza ezingasiza.
• Ukunciphisa ukuphuza utshwala, noma ukuyeka ngokuphelele .

Uma uncelisa, khuluma nodokotela wakho ngezingozi, njengokudlulisela imithi enganeni yakho ngobisi lwebele lakho. Ngokuvamile, izinzuzo zokuncelisa - njengokusondelana nomntwana wakho - zidlula izingozi. Ungase ufune ukusebenza nomeluleki wangemva kokukhulelwa ukuze akusize unqume ukuthi yini engcono kakhulu kuwe nomntwana wakho.

I-Peripartum Cardiomyopathy kanye nempilo yengqondo

I-Peripartum Cardiomyopathy ingaba isifo esishintsha impilo. Njengoba unakekela usana lwakho olusanda kuzalwa, ungase uzizwe unemizwa eminingi ngesikhathi esisodwa. Kungaba nzima ukusingatha konke lokhu ngesikhathi esisodwa.

Ukucindezeleka okubangelwa yi-peripartum cardiomyopathy kungandisa ingozi yakho yokuthola ukuphazamiseka kwemizwelo. Abantu abangaphezu kuka-50% abane-peripartum cardiomyopathy babhekana nokukhathazeka noma ukukhathazeka okuvamile ngesimo senhliziyo yabo.

E-United States, cishe owesifazane oyedwa kwabayi-10 uba nokucindezeleka ngemva kokubeletha ngemva kokubeletha, kanti owesifazane oyedwa kwabayi-3 uba nokucindezeleka ngemva kokuxilongwa ukuthi une-Peripartum Cardiomyopathy.

Uma uzizwa udangele, ukhathazekile, noma ukhungathekile, awuwedwa. Uma ungakasebenzi nomeluleki noma uchwepheshe wezokwelapha, cela udokotela wakho ukuthi akuthumelele i-referral.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-Peripartum Cardiomyopathy, shayela udokotela wakho ngokushesha.Uzoba nezikhathi zokubonana njalo ngesikhathi sokwelashwa. Uma inhliziyo yakho isiphinde yasebenza kahle (nge-LVEF evamile), kuzodingeka ubone udokotela kanye ngonyaka noma kaningi ukuze uhlolwe inhliziyo yakho. Yilapho-ke ongabona khona ukuthi isimo siyabuya yini. Uma sibuya, ukuhlolwa okuvamile kungasithola kusenesikhathi.

Kufanele uye nini egumbini lezimo eziphuthumayo?

Uma uzwa ubuhlungu besifuba, inhliziyo egijima ngamandla, ukuquleka, noma yiziphi izimpawu ezintsha, shayela u-911 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha, noma uye egumbini lezimo eziphuthumayo (ER) .

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Ngingayilapha ngemithi, noma ngidinga idivayisi yezokwelapha?
• Ingabe kuzodingeka ngenze ukuhlinzwa ngokuhlinzwa (C-section)?
• Kukangaki lapho kuzodingeka ngize khona ukuze ngithole ama-aphoyintimenti okulandelela?

Ngingakhulelwa futhi uma ngine-Peripartum Cardiomyopathy?

Abesifazane abaningi bahlushwa yi-postpartum cardiomyopathy izikhathi ezingaphezu kwesisodwa. Uma ukhulelwa kanye, kungenzeka ukuthi uphinde ube nayo. Cishe owesifazane oyedwa kwabathathu uzoyithola ekukhulisweni okulandelayo.

Ungakhuluma nodokotela wakho mayelana nokuthi kuphephile yini ukukhulelwa futhi. Uma kuyingozi kakhulu, ungase uthande ukucabanga ngokulawula inzalo. Uzofuna indlela yokulawula inzalo engenayo i-estrogen, ngoba ukwelashwa nge-estrogen kwandisa ingozi yokuqhekeka kwegazi kanye ne-thrombosis.

Uma ukhulelwa futhi, uzodinga ukubhekwa eduze nokuhlolwa njalo ukuze uthole noma yiziphi izimpawu zokuqala zokwehluleka kwenhliziyo.

Uma ulungiselela ukuba nomntwana, awulindele ukuba nesifo senhliziyo. Ukuphatha isimo senhliziyo esisha ngenkathi unakekela usana olusanda kuzalwa kungaba nzima kakhulu. Ithimba lakho lezokunakekelwa kwempilo lizokusekela zonke izinyathelo, lenze konke okusemandleni alo ukuqinisa inhliziyo yakho. Uma ukhulelwe futhi unezici eziyingozi ze-cardiomyopathy ngemuva kokubeletha, khuluma nodokotela wakho. Kubalulekile ukuthola lesi sifo kusenesikhathi ukuze unciphise ingozi yezinkinga ezinkulu kuwe nakumntwana wakho, futhi uthole ukwelashwa okudingayo .

Yiziphi izinto ezibaluleke kakhulu esifuna ukuzithatha ekhaya kule ndaba?

I-Peripartum Cardiomyopathy yisimo esenza inhliziyo ibe buthaka esingase sivele ekupheleni kokukhulelwa noma ezinyangeni ezimbalwa ngemva kokubeletha. Izimpawu zifana nezokukhulelwa okuvamile, ngakho-ke qaphela ikakhulukazi izinto ezifana nokuphelelwa umoya, ukukhathala okungavamile, kanye nemilenze evuvukele . Ukutholwa kusenesikhathi kanye nokwelashwa kungandisa amathuba okululama. Uma unenkinga, qiniseka ukuthi ubona udokotela.Kubaluleke kakhulu futhi ukunakekela impilo yakho yengqondo. Khumbula, awuwedwa, futhi baningi abantu abangakusiza.

I- Peripartum Cardiomyopathy, Ukukhulelwa Isifo Senhliziyo, Ukwehluleka Kwenhliziyo, I-LVEF, Izinkinga Zokukhulelwa, Izimpawu Zesifo Senhliziyo, Impilo Yangemva Kokubeletha