Dziwani matenda omwe amasiya mtima wokhazikika

Zamkati

• Zizindikiro
• Momwe mungadziwire ngati ndi amyloidosis yamtima
• Chithandizo

Cardiac amyloidosis, yomwe imadziwikanso kuti rigid heart syndrome, ndi matenda osowa, oopsa kwambiri omwe amakhudza minofu yamtima chifukwa cha kuchuluka kwa mapuloteni otchedwa amyloids m'makoma amtima.

Matendawa amapezeka kwambiri mwa abambo azaka zopitilira 40 ndipo amayambitsa zizindikilo za kulephera kwa mtima, monga kutopa kosavuta komanso kukwera masitepe kapena kuyesetsa pang'ono.

Kudzikundikira kwa mapuloteni kumachitika kokha mu septum ya atrial, monga momwe zimakhalira kwa okalamba, kapena ma ventricles, omwe angayambitse mtima kulephera.

Zizindikiro

Zizindikiro za mtima amyloidosis zitha kukhala:

• Kulimbikitsidwa kukodza usiku;
• Kukulitsa kwa mitsempha ya m'khosi, mwasayansi yotchedwa jugular stasis;
• Mtima palpitations;
• Kudzikundikira madzimadzi m'mapapu;
• Kukulitsa chiwindi;
• Kuthamanga kochepa mukakwera pampando, mwachitsanzo;
• Kutopa;
• Kulimbikira kutsokomola;
• Kuchepetsa thupi popanda chifukwa, popanda kudya kapena kuchita masewera olimbitsa thupi;
• Kusalolera kuyesetsa kwakuthupi;
• Kukomoka;
• Kupuma pang'ono;
• Kutupa miyendo;
• Kutupa pamimba.

Amyloidosis mu mtima amadziwika ndi mapuloteni owonjezera mu minofu yamtima ndipo amatha kuyambitsidwa ndi ma myeloma angapo, angakhale ochokera kubanja kapena atha kubadwa ndi ukalamba.

Momwe mungadziwire ngati ndi amyloidosis yamtima

Nthawi zambiri, matendawa samakayikiridwa poyendera koyamba, chifukwa chake, sizachilendo kuti madotolo amafunsira mayeso angapo kuti afufuze matenda ena asanafike pozindikira kuti amyloidosis wamtima.

Matendawa amapangidwa kudzera pakuwunika kwa zidziwitso komanso poyesedwa ndi katswiri wa zamatenda, monga electrocardiogram, echocardiogram ndi kujambula kwa maginito, komwe kumatha kuzindikira ma arrhythmias amtima, kusintha kwa magwiridwe antchito amtima komanso kusokonezeka kwamagetsi pamtima, koma matenda ya amyloidosis yamtima imatha kutsimikiziridwa kudzera mu biopsy ya minofu yamtima.

Matendawa amatha kufikiridwa pamene makulidwe a khoma lamitsempha yamagetsi ali pamwamba pa 12 mm ndipo munthuyo alibe kuthamanga kwa magazi, koma ali ndi chimodzi mwazinthu izi: kuchepa kwa atria, pericardial effusion kapena mtima kulephera.

Chithandizo

Kwa chithandizo, mankhwala okodzetsa ndi vasodilator atha kugwiritsidwa ntchito kuthana ndi zizindikilo za matendawa. Kugwiritsa ntchito zida zopewera pacem ndi ma auto defibrillator atha kugwiritsidwa ntchito ngati njira zina zothanirana ndi matendawa ndipo pakavuta kwambiri, chithandizo choyenera kwambiri ndikumuika mtima. Onani zoopsa zake ndi momwe mungachiritsere ndikamaika mtima podina apa.

Kutengera kukula kwa matendawa, ma anticoagulants omwe amalepheretsa mapangidwe amitsempha yamagazi mumtima atha kugwiritsidwa ntchito, amachepetsa kutha kwa sitiroko. Chemotherapy itha kugwiritsidwa ntchito ngati chifukwa cha mtima amyloidosis ndi khansa yamtundu wa myeloma

Munthuyo ayenera kupewa mchere, amakonda zakudya zopatsa thanzi komanso kupewa kuyesetsa kupulumutsa mtima wake. Banja liyeneranso kupewa kupereka nkhani zoyipa chifukwa kukhudzidwa kwambiri kumatha kubweretsa kusintha kwamtima komwe kumatha kudwala matenda amtima.

Onani mitundu yonse ndi zizindikilo zomwe zimayambitsidwa ndi Amyloidosis.