Matenda a mtima

Cardiomyopathy ndi matenda amisala yachilendo yam'mimba momwe minofu yamtima imafooka, kutambasulidwa, kapena kukhala ndi vuto lina. Nthawi zambiri zimathandizira kuti mtima ulephere kupopa kapena kugwira bwino ntchito.

Anthu ambiri omwe ali ndi matenda a mtima ali ndi vuto la mtima.

Pali mitundu yambiri ya matenda a mtima, omwe amayambitsa zifukwa zosiyanasiyana. Zina mwazofala kwambiri ndi izi:

• Kuchepetsa mtima (komwe kumatchedwanso kuti idiopathic dilated cardiomyopathy) ndimkhalidwe womwe mtima umafooka ndipo zipinda zimakula. Zotsatira zake, mtima sungapope magazi okwanira kuthupi. Zitha kuyambitsidwa ndi zovuta zambiri zamankhwala.
• Hypertrophic cardiomyopathy (HCM) ndimkhalidwe womwe minofu yamtima imakhala yolimba. Izi zimapangitsa kuti zikhale zovuta kuti magazi achoke mumtima. Mtundu uwu wamatenda amtima nthawi zambiri umadutsa m'mabanja.

• Ischemic cardiomyopathy imayamba chifukwa cha kuchepa kwa mitsempha yomwe imapatsa mtima magazi. Zimapangitsa makoma amtima kukhala owonda kuti asamapope bwino.
• Kuletsa mtima kwa mtima ndi gulu lamavuto. Zipinda zamtima sizitha kudzaza magazi chifukwa minofu yamtima ndi yolimba. Zomwe zimayambitsa kufala kwamatenda amtunduwu ndi amyloidosis ndi zipsera za mtima pazifukwa zosadziwika.
• Peripartum cardiomyopathy imachitika panthawi yapakati kapena m'miyezi isanu yoyambirira pambuyo pake.

Ngati n'kotheka, chifukwa cha matenda a mtima amachiritsidwa. Mankhwala ndi kusintha kwa moyo nthawi zambiri kumafunikira kuthana ndi zizindikilo za kulephera kwa mtima, angina komanso nyimbo zosadziwika bwino.

Njira kapena maopareshoni atha kugwiritsidwanso ntchito, kuphatikiza:

• Chotetezera chomwe chimatumiza kugunda kwamagetsi kuti chiziimitsa maphokoso amitima ya mtima wowopsa
• Wopanga pacemaker yemwe amathandizira kugunda kwa mtima pang'ono kapena kumathandizira kugunda kwa mtima m'njira yolumikizana kwambiri
• Opaleshoni ya Coronary artery (CABG) kapena angioplasty yomwe ingathandize kuti magazi aziyenda bwino pamisempha yowonongeka kapena yofooka
• Kuika mtima komwe kungayesedwe ngati mankhwala ena onse alephera

Mapampu amitima yokhazikika komanso opangika bwino apangidwa. Izi zitha kugwiritsidwa ntchito pamavuto akulu kwambiri. Komabe, si anthu onse omwe amafunikira chithandizo chamtunduwu.

Maganizo ake amatengera zinthu zambiri, kuphatikiza:

• Choyambitsa ndi mtundu wa mtima wamtima
• Kukula kwa vuto la mtima
• Kodi vutoli limayankha bwanji mukalandira chithandizo

Kulephera kwa mtima nthawi zambiri kumakhala matenda okhalitsa. Zitha kuwonjezeka pakapita nthawi. Anthu ena amakhala ndi vuto la mtima. Poterepa, mankhwala, opareshoni, ndi chithandizo china sichingatithandizenso.

Anthu omwe ali ndi mitundu ina ya matenda a mtima ali pachiwopsezo cha mayendedwe amtima wamtima.

• Kulephera kwa mtima - zomwe mungafunse dokotala wanu

• Mtima - gawo kupyola pakati
• Mtima - kuwonera kutsogolo
• Kuchepetsa mtima
• Hypertrophic cardiomyopathy
• Peripartum cardiomyopathy

Falk RH ndi Hershberger RE. Ma cardiomyopathies ochepetsedwa, oletsa, komanso olowerera. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 77.

McKenna WJ, Mtsogoleri wa Elliott. Matenda a myocardium ndi endocardium. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 54.

McMurray JJV, Pfeffer MA (Adasankhidwa) Kulephera kwa mtima: kuwongolera ndi kudwala. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 53.

Rogers JG, O'Connor. CM. Kulephera kwa mtima: pathophysiology ndi matenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 52.