Cardiomyopathy

I-Cardiomyopathy sisifo sentliziyo engaqhelekanga apho izihlunu zentliziyo ziba buthathaka, zoluleke, okanye zibe nenye ingxaki yolwakhiwo. Idla ngokuba negalelo kukungakwazi kwentliziyo ukupompa okanye ukusebenza kakuhle.

Abantu abaninzi abane-cardiomyopathy banesifo sentliziyo.

Zininzi iintlobo ze-cardiomyopathy, ezinezizathu ezahlukeneyo. Ezinye zezona ziqhelekileyo zezi:

• I-Dilated cardiomyopathy (ekwabizwa ngokuba yi-idiopathic dilated cardiomyopathy) yimeko apho intliziyo iba buthathaka khona namagumbi abe makhulu. Ngenxa yoko, intliziyo ayinakupompa igazi elaneleyo emzimbeni. Ingabangelwa ziingxaki ezininzi zonyango.
• Ihypertrophic cardiomyopathy (HCM) yimeko apho izihlunu zentliziyo ziba nkulu khona. Oku kwenza ukuba kube nzima ukuba igazi liphume entliziyweni. Olu hlobo lwe-cardiomyopathy luhlala ludlula kwiintsapho.

• Ischemic cardiomyopathy kubangelwa kukucuthwa kwemithambo ebonelela ngentliziyo ngegazi. Kwenza iindonga zentliziyo zibhitye ukuze zingapompi kakuhle.
• Uthintelo lwe-cardiomyopathy liqela leengxaki. Amagumbi entliziyo awakwazi ukuzalisa igazi kuba umsipha wentliziyo uqinile. Oonobangela abaqhelekileyo bolu hlobo lwe-cardiomyopathy zii-amyloidosis kunye nokuqaqamba kwentliziyo kwisizathu esingaziwayo.
• I-Peripartum cardiomyopathy yenzeka ngexesha lokukhulelwa okanye kwiinyanga ezi-5 zokuqala emva koko.

Xa kunokwenzeka, unobangela we-cardiomyopathy uyanyangwa. Amayeza kunye notshintsho kwindlela yokuphila zihlala zifuneka ukunyanga iimpawu zentliziyo yokusilela, i-angina kunye nesingqisho sentliziyo esingaqhelekanga.

Inkqubo okanye uqhaqho zinokusetyenziswa, kubandakanya:

• I-defibrillator ethumela ukubetha kombane ukuyeka ukusongela ubomi ngesingqi sentliziyo esingaqhelekanga
• I-pacemaker ephatha ukubetha kwentliziyo kancinci okanye inceda ukubetha kwentliziyo ngohlobo olulungelelanisiweyo
• I-Coronary artery bypass (CABG) yotyando okanye i-angioplasty enokuphucula ukuhamba kwegazi kwimisipha yentliziyo eyonakeleyo okanye ebuthathaka
• Ukufakelwa kwentliziyo okunokuzama xa zonke ezinye iindlela zonyango ziye zahluleka

Inxalenye kunye nokufakwa ngokupheleleyo kweempompo zentliziyo zomatshini kuye kwaphuhliswa. Ezi zinokusetyenziselwa iimeko ezinzima kakhulu. Nangona kunjalo, ayingabo bonke abantu abafuna olu nyango luphambili.

Umbono uxhomekeke kwizinto ezininzi ezahlukeneyo, kubandakanya:

• Unobangela kunye nohlobo lwe-cardiomyopathy
• Ubunzima bengxaki yentliziyo
• Ngaba imeko iphendula njani kunyango

Ukungaphumeleli kwentliziyo kuhlala kukugula okungapheliyo. Inokuba mandundu ngokuhamba kwexesha. Abanye abantu bakhula ukusilela kwentliziyo. Kule meko, amayeza, utyando kunye nezinye iindlela zonyango azisayi kunceda.

Abantu abaneentlobo ezithile ze-cardiomyopathy basemngciphekweni weengxaki zesingqisho sentliziyo.

• Ukungaphumeleli kwentliziyo-yintoni oza kuyibuza ugqirha wakho

• Icandelo lentliziyo phakathi embindini
• Intliziyo - umbono wangaphambili
• Ukuchaneka kwentliziyo
• Hypertrophic cardiomyopathy
• I-Peripartum cardiomyopathy

UFalk RH kunye noHershberger RE. I-cardiomyopathies edibeneyo, ethintelayo, kunye ne-infiltrative. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 77.

UMcKenna WJ, uElliott PM. Izifo ze-myocardium kunye ne-endocardium. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 54.

IMcMurray JJV, iPfeffer MA. Ukusilela kwentliziyo: ulawulo kunye nokuxela kwangaphambili. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 53.

URogers JG, u-O'Connor. I-CM. Ukusilela kwentliziyo: i-pathophysiology kunye noxilongo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 52.