Hypertrophic cardiomyopathy: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira

Hypertrophic cardiomyopathy ndi matenda oopsa omwe amabweretsa kuwonjezeka kwa minofu ya mtima, kuwapangitsa kukhala okhwima komanso ovuta kwambiri kupopera magazi, omwe amatha kupha.

Ngakhale hypertrophic cardiomyopathy ilibe mankhwala, chithandizochi chimathandiza kuthetsa zizindikilo ndikuletsa kuti vutoli lisawonjezeke, kupewa zovuta monga kutsekeka kwamatenda komanso kumangidwa kwamtima, mwachitsanzo.

Onani zizindikiro 12 zomwe zitha kuwonetsa mavuto amtima.

Zizindikiro zazikulu

Nthawi zambiri, hypertrophic cardiomyopathy sikuwonetsa zizindikilo, ndipo imadziwika nthawi zonse pakuwunika mtima. Komabe, anthu ena atha kukhala ndi izi:

• Kumva kupuma pang'ono, makamaka mukamachita zolimbitsa thupi;
• Kupweteka pachifuwa, makamaka panthawi yolimbitsa thupi;
• Kupunduka kapena kugunda kwamtima mwachangu;

Chifukwa chake, chilichonse mwazizindikirozi zikawonekera, ndibwino kuti mupite kwa dokotala kukayezetsa zofunikira, monga echocardiography kapena X-ray pachifuwa, zomwe zimathandiza kuzindikira vuto ndikuyamba chithandizo choyenera.

Nthawi zambiri, ukalamba ndi kuuma kwa mtima, zimakhalanso zachizolowezi kuthamanga kwa magazi komanso ngakhale arrhythmias kuwuka, chifukwa cha kusintha kwamagetsi am'mimba mwa mtima.

Zomwe zingayambitse

Hypertrophic cardiomyopathy nthawi zambiri imayamba chifukwa cha kusinthika kwa majini komwe kumayambitsa kukula kwambiri kwa minofu ya mtima, yomwe imakhala yolimba kuposa yachibadwa.

Kusintha komwe kumayambitsa matendawa kumatha kuchokera kwa makolo kupita kwa ana, ndi mwayi wa 50% kuti anawo abadwe ndi vutoli, ngakhale matendawa angakhudze kholo limodzi lokha.

Momwe mankhwalawa amachitikira

Chifukwa chake, wama cardiologist nthawi zambiri amayamba chithandizo chamankhwala monga:

• Zithandizo zotsitsimutsa mtima, monga Metoprolol kapena Verapamil: amachepetsa kupsinjika paminyewa ya mtima ndikuchepetsa kugunda kwa mtima, kulola magazi kupopa bwino;
• Zithandizo zochepetsera kugunda kwa mtima, monga Amiodarone kapena Disopyramide: khalani ndi kugunda kwamtima kokhazikika, popewa kugwira ntchito mopitirira muyeso ndi mtima;
• Maantibayotiki, monga Warfarin kapena Dabigatran: amagwiritsidwa ntchito ngati pali atril fibrillation, kuteteza mapangidwe am'magazi omwe angayambitse infarction kapena stroke;

Komabe, kugwiritsa ntchito mankhwalawa sikungathe kuchepetsa zizindikilozo, adotolo amatha kugwiritsa ntchito opaleshoniyi kuchotsa chidutswa cha minofu yamtima yomwe imalekanitsa ma ventricle awiriwo kuchokera mumtima, kuwongolera magazi ndikuchepetsa kuyeserera kwa mtima.

Milandu yovuta kwambiri, momwe pamakhala chiopsezo chachikulu chomangidwa ndi mtima chifukwa cha arrhythmia, kungakhale kofunikira kuyika pacemaker mumtima, yomwe imapanga ma magetsi omwe amatha kuwongolera kugunda kwa mtima. Kumvetsetsa bwino momwe pacemaker imagwirira ntchito.