Pazviitiko zvisingawanzoitiki, pamuviri unogona kutora chirwere chinonzi postpartum cardiomyopathy, kana kutakura-kunokonzerwa nemoyo kusakwanisa . Postpartum cardiomyopathy inoratidziro rwechirwere chemoyo . (Cardiomyopathy zvinongoreva kuti mwoyo wemukoma utera.)
Vakadzi vanovaka postpartum cardiomyopathy vanoona kutanga kwekushaya mwoyo mukati memwedzi wekupedzisira wekudzivirira, kana mumwedzi mishanu mushure mokunge vauya mwana.
Nokuti "postpartum" cardiomyopathy inogona chaizvo kuitika mwana asati aberekwa, vazhinji vane cardiologist iye zvino vanotaura nezvavo se "peripartum cardiomyopathy." (Peripartum zvinoreva "munguva yakapoteredza kubereka.")
Vakadzi vanosimbisa chirwere ichi havawanzove nechirwere chemwoyo chinotangira, uye hapana chimwe chikonzero chinozivikanwa chekuvandudza chirwere chemwoyo. Mwoyo yavo kukundikana kunogona kuva nguva pfupi, isina zvishoma, kana kuti inogona kufambira mberi kune yakaoma, kutyisa moyo kusakundikana.
Chii Chinokonzera Postpartum Cardiomyopathy?
Chikonzero che postpartum cardiomyopathy hachizivikanwi. Pane humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe hunoratidza kuti kuputika kwemutsipa wemwoyo (unonziwo myocarditis ) kunogona kuita basa rinokosha, uye rinogona kunge rakabatana nekuputika kweproteine dzimwe nguva inogona kuwanikwa muropa panguva yekuzvitakura. Kunewo uchapupu hwokuti fetal cells dzinowanzopukunyuka muropa raamai vari munharaunda dzinogona kuita kuti zvirwere zvemagunha zvirambe zvichiita, zvichiita kuti myocarditis.
Uyezve, pangave neine maitiro ekugadzirwa kwemafuro kune postpartum cardiomyopathy mune dzimwe mhuri. Zvisinei, chinokosha ndechekuti isu hatizivi chaicho chikonzero.
Ndiani Anowana Postpartum Cardiomyopathy?
Apo postpartum cardiomyopathy isingatauri chiitiko chisingawanzoiti (chinoitika munenge 1 kubva ku4 000 kununurwa muUnited States), vamwe vakadzi vanoita sevari pangozi yakanyanya kupfuura vamwe.
Zvinokonzerwa nehutachiona hwekupedzisira pashure pekubereka cardiomyopathy dzinosanganisira: makore anopfuura makumi matatu, aperekedza vana vasati vasvika, vane pamuviri nemakumbo akawanda, vana veAfrica, nhoroondo ye preeclampsia kana postpartum hypertension, kana kushungurudzwa kwecocaine.
Ndezvipi Zviratidzo zvePotpartum Cardiomyopathy?
Sezvo postpartum cardiomyopathy inokonzera kukundikana kwemoyo, zviratidzo zvacho zvakangofanana nemamwe maitiro akawanda ekushaya mwoyo. Izvi zviratidzo zvekushaya kwemoyo zvinowanzobatanidza dyspnea , orthopnea , paroxysmal nocturnal dyspnea , uye kuchengetedza kwemvura. Verenga zvakawanda pamusoro pezviratidzo zvekushaya mwoyo.
Ko Postpartum Cardiomyopathy inotarisana sei?
Nezvimwe zvisingaverengwi zvinoshamisa, postpartum cardiomyopathy zvakafanana nekurapa chero ipi zvayo yekuderedza chirwere chema cardiomyopathy .
Izvo zvinozivikanwa kunze kwe "standard" moyo kusakonzera kukanganisa kunotanga apo mwoyo kukanganisa kunoitika mwana asati asunungurwa. Zvimwe zve "zvirongwa" zvekare zvinokonzerwa nemoyo zvinokonzerwa nekudzivirirwa.
Kunyanya, ACE inhibitors dzakadai seVasotec (enalapril), iyo inodhaka inoderedza mitsipa yeropa, haifaniri kushandiswa panguva yekuzvitakura, sezvo mishonga iyi inogona kukanganisa fetus. Pane kudaro, hydralazine inogona kushandiswa seyopa mudziyo rinotakura kusvikira kuberekwa kwaitika.
Saizvozvowo, zvinodhaka spironolactone uye Inspra (eplerenone) - avo vanonzi anldosterone vanopikisa, izvo zvinogona kubatsira mukurapa vamwe varwere vane chirwere chekushaya mwoyo - havana kuongororwa panguva yekuzvitakura, uye vanofanira kudziviswa.
Munguva ichangopfuura, uchapupu hwepakutanga hwave huchiratidza kuti vakadzi vane postpartum cardiomyopathy vanogona kubatsirwa nemishonga bromocriptine - chirwere chinoshandiswa kurapa zvinetso zvakasiyana-siyana kusanganisira Parkinson's disease uye hyperprolactinemia .
Bromocriptine haisi mushonga wakazara zvachose, zvisinei (pakati pezvimwe zvinhu, inomisa lactation), uye makuru makuru emakirini anozove akadikanwa musati awanikwe zvakanyanya.
Pasi pose, kufungidzira kwevakadzi vane postpartum cardiomyopathy inoratidzika kunge iri nani pane vakadzi vane mamwe marudzi ehupenyu. Mune zvimwe zvidzidzo, vazhinji vanenge 60% yevakadzi vane chirwere ichi vakagadzirisa zvakakwana. Kunyange zvakadaro, kuwedzera kwekufa ne postpartum cardiomyopathy kune yakakwirira se 10% mushure memakore maviri.
Kufunga kwenguva refu
Zvinonyanya kukosha kuti uzive kuti vakadzi vane chirwere chekupedzisira postpartum cardiomyopathy - kunyange vakadzi vanoita sevakagadzirisa zvakakwana-vari kunyanya kuipa kwekuvandudza mamiriro ezvinhu zvakare nekuzvitakura kwakatevera.
Uye kana postpartum cardiomyopathy inowanikwa kwechipiri, njodzi yekusingaperi uye yakakomba mhepo inokuvara inokura zvikuru.
Saka kamwechete kana mukadzi aine postpartum cardiomyopathy, zvakakosha kutora matanho ekudzivisa kubata zvakare.
Shoko Rinobva
Postpartum cardiomyopathy chirwere chakakomba chemwoyo chinokonzera kukanganisa kwemwoyo munguva yekupera kwekuberekwa kwenguva pfupi kana nguva pfupi mushure mekubereka. Kunyange zvazvo kurapwa kuripo kunobatsira vazhinji vevakadzi vakavhiringidzika kuti vadzoke, ichiri chinetso chinotyisa chepfungwa chinokonzera kuwanda kwekuremara uye rufu. Vakadzi vane chirwere ichi vari pangozi yakakura yekudzoka zvakare nemitezo inotevera.
> Sources:
> Habedank D, Kühnle Y, Elgeti T, et al. Kudzoka Kubva kuPeripartum Cardiomyopathy Mushure mekurapa neBromocriptine. Eur J Moyo Inoshaya 2008; 10: 1149.
> Habli M, O'Brien T, Noahck E, et al. Peripartum Cardiomyopathy: Zviratidzo zveMakore ekupedzisira kwenguva yakareba. Am J Obstet Gynecol 2008; 199: 415.e1.
> Sliwa K, Hilfiker-Kleiner D, Petrie MC, et al. Current State of Knowledge on Aeology, Diagnosis, Management, and Therapy of Peripartum Cardiomyopathy: a Position Statement kubva ku Heart Failure Association yeEuropean Society of Cardiology Working Group pa peripartum cardiomyopathy. Eur J Mwoyo Inoshaya 2010; 12: 767.