Hypertrophic cardiomyopathy: yintoni, iimpawu, oonobangela kunye nonyango

Umxholo

• Iimpawu eziphambili
• Izizathu ezinokubangela
• Unyango lwenziwa njani

Ihypertrophic cardiomyopathy sisifo esibi esikhokelela ekwandeni kobunzima besisipha sentliziyo, sisenze ukuba siqine kwaye kube nzima ngakumbi ekumpompa igazi, oko kunokubangela ukufa.

Nangona i-hypertrophic cardiomyopathy ingenanyango, unyango luyanceda ukukhulula iimpawu kunye nokuthintela ingxaki ukuba ibe mandundu, ukuthintela iingxaki ezinje nge-atrial fibrillation kunye nokubanjwa kwentliziyo, umzekelo.

Jonga iimpawu ezili-12 ezingabonisa iingxaki zentliziyo.

Iimpawu eziphambili

Kwiimeko ezininzi, i-hypertrophic cardiomyopathy ayibonisi zimpawu okanye zimpawu, kwaye ihlala ichongwa kuvavanyo lwentliziyo oluqhelekileyo. Nangona kunjalo, abanye abantu banokufumana:

• Ukuziva uphefumla kancinci, ngakumbi xa usenza iinzame zomzimba;
• Intlungu yesifuba, ngakumbi ngexesha lokuzilolonga;
• Iipalpitations okanye imvakalelo yokubetha kwentliziyo ngokukhawuleza;

Ke, xa kuvela nayiphi na kwezi mpawu, kuyacetyiswa ukuba uye kwagqirha wenze iimvavanyo eziyimfuneko, ezinjenge-echocardiography okanye i-X-ray yesifuba, enceda ekuchongeni ingxaki kwaye iqale unyango olufanelekileyo.

Ngokwesiqhelo, ngokuguga kunye nokuqaqadeka kwentliziyo, kuqhelekile ukuba uxinzelelo lwegazi oluphezulu kunye ne-arrhythmias ivele, ngenxa yotshintsho lweempawu zombane kwizihlunu zentliziyo.

Izizathu ezinokubangela

I-hypertrophic cardiomyopathy ihlala ibangelwa kukutshintsha kwemfuza okubangela ukukhula okugwenxa kwezihlunu zentliziyo, eziba nkulu kunesiqhelo.

Utshintsho olubangela esi sifo lunokudlula lusuka kubazali luye ebantwaneni, benethuba elingama-50% lokuba abantwana bazalwe benengxaki, nokuba esi sifo sichaphazela umzali omnye kuphela.

Unyango lwenziwa njani

Ke, i-cardiologist ihlala iqala unyango kusetyenziswa amayeza anje ngala:

• Uncedo lokuhlaziya intliziyo, ezinje ngeMetoprolol okanye iVerapamil: ukunciphisa uxinzelelo kwimisipha yentliziyo kunye nokunciphisa ukubetha kwentliziyo, okuvumela ukupompa igazi ngokufanelekileyo;
• Unyango lokulawula ukubetha kwentliziyo, ezinje nge-Amiodarone okanye iDisopyramide: gcina ukubetha kwentliziyo okuzinzileyo, ukunqanda ukusebenza kakhulu ngentliziyo;
• Iintsholongwane, ezinje ngeWarfarin okanye iDabigatran: zisetyenziswa xa kukho i-fibrillation ye-atrial, ukuthintela ukwenziwa kwamahlwili anokubangela ukubola okanye ukubetha;

Nangona kunjalo, xa ukusetyenziswa kwala machiza kunganciphisi iimpawu, ugqirha unokusebenzisa utyando ukususa isiqwenga sentliziyo esihlukanisa ii-ventricles ezimbini entliziyweni, ukuququzelela ukudlula kwegazi kunye nokunciphisa umzamo Intliziyo.

Kwiimeko ezinzima kakhulu, apho kukho umngcipheko omkhulu wokubanjwa kwentliziyo ngenxa ye-arrhythmia, kunokuba yimfuneko ukufakela i-pacemaker entliziyweni, evelisa umothuko wombane okwazi ukulawula isingqi sentliziyo. Ukuqonda ngcono ukuba isebenza kanjani pacemaker.