Kushungurudzika kwechirwere chepfungwa inongova mamiriro ayo iyo imwe kana kuti maviri emhepo inopera simba uye inowedzera. Iko kunowanzoita kuti mwoyo usakundikana uye chironga chemwoyo - kunyanya kushaya firati - uye kunogona kutungamirira pakufa kamwe kamwe. Kurwiswa kwechirwere chemoyo kunonyanya kupararira kune zvitatu zvehupenyu (hutachiona hwemwoyo), humwe humwe hutachiwana hutachiona hwehutachiona uye huchidzivirira hutachiona hwemwoyo.
Sei Kurambana, uye Nei Zvakakosha?
Kunyangwe chero mamiriro ezvinhu ehutano anogona kukonzera kuora mwoyo kwemutsipa wemoyo kunogona kutungamirira kukurapa kwemoyo. Apo musikana wemwoyo unoshaya simba, haikwanisi kubvumirana zvizere. Mwoyo unoedza kubhadhara kuderedza uku kuburikidza nekugadzirisa kunonzi kugadziridzwa , izvo zvinogara zvichitungamirira pakuwedzera kwemakamuri emwoyo.
Kuwedzera kunotakura musimba wemwoyo, iyo inobatsira - kwekanguva, zvichida-kuchengetedza zvimwe zvemasimba ekudzivirira musimba. Uyezve, mhepo inoputika inokwanisa kukwanisa ropa rakawanda. Somugumisiro wekuwedzera, kunyange kana chirwere chisina simba chinogona kumira, chiti, 30% chete yeropa iri kubata (kana ichienzaniswa neyakajairika 50%), kuwandisa kwese ropa kweropa rimwe nerimwe rinogona kuchengetedzwa - kusvika pane imwe nguva. (Izvo zvikamu zveropa iro rinodzingwa kubva kuruboshwe kuruboshwe rune mwoyo umwe kunonzi chikamu chekusiya ventricular ejection, kana LVEF .
Kuyera iyo LVEF inoratidza kuti inzira inokosha yekuongorora utano hwemwoyo wese.)
Icho chinonyanya kukosha ndechokuti kuputika kwemakamuri emwoyo ndeyekugadzirisa zvinogadzirisa zvinopa rupo rwemazuva mashomanana kana moyo wemisumbu yakaneta. Zvinosuruvarisa, munguva yakareba, kuwedzera kwacho kunowanzoita kuti uwedzere kuderedza mwoyo wemisumbu.
Pakupedzisira, kukanganisika kwemoyo kunowanzoitika.
Kana uchinge wanyatsoita chirwere chemoyo, zvichave zvakakosha kwauri iwe nachiremba wako kushanda pamwe chete kuti uzive chinokonzera chinokonzera, sezvo kushungurudza nechisimba chinokonzera chikonzero chinowanzotambudza kudzivirira kuenderera kwemoyo kusakundikana.
Zvinokonzera Dilated Cardiomyopathy
Anenge chero chirwere chero chipi zvacho chinogona kukuvadza mutsara wepfungwa chinogona kutungamirira kukura kwemoyo. Zvinonyanya kukosha ndezvi:
- Coronary artery disease (CAD) : CAD ndiyo inonyanya kukonzera chirwere chinokonzera chirwere. CAD inowanzotadza kuora mwoyo nekuita kuti myocardial infarctions (kurwadziwa kwemoyo), iyo inokuvadza mwoyo musuru.
- Zvirwere: Zvipembenene zvakasiyana-siyana zvinotapukira zvinogona kurwisa uye kuderedza mwoyo wemisumbu. Izvi zvinosanganisira zvirwere zvakawanda zvehutachiwana, chirwere cheLyme , utachiona hweHIV, uye chirwere cheChagas.
- Valvular chirwere chemoyo: Valvular chirwere chemoyo, kunyanya aortic kudzokerazve , uye mitral kudzorera , kazhinji kunobereka kuwedzera kwechirwere chemoyo.
- Kuwedzera kweropa: Kunyange zvazvo kuwedzera kwepfungwa kunowedzera kubudisa hypertrophic cardiomyopathy kana kushaya mahara diastolic , pakupedzisira, kunogonawo kukonzera chirwere chepfungwa chinowedzera.
- Doro: Mune vamwe vanhu vane chiremera chinodhaka, doro rinoshandiswa soutinha ine simba kumutsipa wemoyo uye inotungamirira kukurara kwechirwere chemoyo.
- Cocaine: Kushandiswa kweCocaine kwave kuchibatanidzwa nechende inoratidzira mwoyo.
- Chirwere chetachiona : chirwere chetachiona - kana hyperthyroidism (thyroid gland haina kushanda) kana hypothyroidism (utachiona gland hahusi kushanda zvakakwana) - kunogona kukonzera mwoyo kusakatika. Hyperthyroidism inonyanya kukonzera chirwere chinoputika, asi hypothyroidism inowanzoita kuti diastolic mwoyo isakundikana.
- Nutritional: Kudya kwezvokudya - kunyanya kushaikwa kwevhitamini B1-kunogona kukonzera kushaya mwoyo. Ichi chimiro chekushaya mwoyo chinowanzoonekwa munyika dzichiri kusimukira, uye mune zvidhakwa.
- Postpartum: Postpartum cardiomyopathy ishoko rekushaya mwoyo rinowanikwa nekuda kwezvikonzero zvisingazivikanwi, zvine chokuita nokubereka mwana.
- Genetic: Kunewo mazita ezvinyorwa zvekuderedza mwoyo. Ichi ndicho chikonzero mimwe mhuri yakanyatsogadziriswa nehuwandu hwepamusoro hwehutachiona hwechirwere.
- Zvirwere zvinoshandura muviri: Lupus neecliac zvirwere zvinongoraramisa zvirongwa zvinogona kutungamirira kukura kwechirwere chemoyo.
- Mwoyo "kushanda zvakawandisa": Chero mamiriro ezvinhu anoita kuti mwoyo mushure hushande zvakaoma kwenguva yakareba kwenguva (masvondo kana mwedzi) zvingaguma kukonzera kushupa kwemoyo uye kuora mwoyo kwemutsipa wemwoyo. Mamiriro ezvinhu akadaro anosanganisira kwenguva refu chirwere chinopera simba, kusagadzikana kwetachycardias (kukurumidza mwoyo mahara), kusingaperi hyperthyroidism, uye kushanda zvakanyanya kunokonzerwa nehutu (regurgitant) moyo valves.
- Kushungurudzika Cardiomyopathy: Kushungurudzika kwepfungwa, chirwere chinonzi "broken heart syndrome," chimiro chekunetseka kwepfungwa kunokonzerwa nokushungurudzika kukuru, kazhinji kazhinji kunoonekwa kuvakadzi.
- Mamiriro ezvinhu akasiyana-siyana: Mimwe mamiriro ezvinhu akawanda anogona kukonzera kuora mwoyo, kusanganisira sarcoidosis , chirwere chepfungwa chekupedzisira, uye kubvisa kubatwa kwepabonde.
- Idiopathic: Muzviitiko zvakawanda, zvinokonzera kukonzerwa necardiomyopathy hazvigoni kuonekwa. Muzviitiko izvi, chirwere chinoputika chinonzi "cardiomyopathy" chinonzi "idiopathic."
The Bottom Line
Kunyatsogadzirisa chirwere chako chinotapira chinoda kuti chiremba wako aite zvose zvinoedza kuziva chikonzero chinokonzera, ndokuzobata icho chinokonzera chinokonzera zvakakwana. Kana iwe kana munhu waunoda wakamboudzwa iwe wakanyatsoronga mwoyo, ita kuti utaure nachiremba wako nezvechikonzero chemuviri wako, uye chii chingaitwa pamusoro payo.
> Sources:
> Biagini E, Coccolo F, Ferlito M, et al. Dilated-hypokinetic Evolution ye Hypertrophic Cardiomyopathy: Kuwandisa, Chiitiko, Njodzi Dzakashata, uye Zviratidzo Zvokufungidzira muVachipatara uye Varwere Vakura. J Am Coll Cardiol 2005; 46: 1543.
> Aa, Ahn E, Soor GS, Butany J. Dilated Cardiomyopathy: a Review. J Clin Pathol 2009; 62: 219.