Mkpụrụ obi cardiomyopathy dị ka ọnọdụ nke otu ma ọ bụ obi abụọ nke obi na-eme ka ike gwụ ma gbasaa. Ọ na - emekarị ka obi ghara ịda mbà n'obi na arrhythmias gbasara obi - karịsịa inyocha fibrillation - nke nwere ike ibute ọnwụ na mberede. Dika cardiomyopathy di nma bu ihe kariri nke ato nke cardiomyopathy (obi obi na adighi obi), ndi ozo abia na- emetuta obi mmadu na obi ndi mmadu.
Gịnị Mere O Ji Dị Mkpa, na Gịnị Mere O Ji Dị Mkpa?
Ogoro ọ bụla ọnọdụ ahụ ike nke nwere ike ime ka ike gwụ nke obi nwere ike iduga cardiomyopathy. Mgbe ahụ ike obi na-ebelata, ọ gaghị enwe ike ikwekọrịta n'ụzọ zuru ezu. Obi na-agbali imefu nke a site na usoro a na-akpọ remodeling , bụ nke na-edugakarị na dilation nke ime ụlọ obi.
Ọkpụkpụ ahụ na-eme ka ahụ nwee obi, nke na - enye aka - ruo oge ụfọdụ, ma ọ dịkarịa ala - iji chekwaa ụfọdụ ike nke nkwonkwo muscle. Ọzọkwa, ventricle nwere ike iji jidekwu ọbara. N'iburu nke dilada, ọ bụrụgodị na ventricle na-adịghị ike, kwuo, ọ bụ nanị pasent 30 nke ọbara ọ na-ejide (ma e jiri ya tụnyere nkịtị 50%), a ga-enwe ike ịgbanye ọbara zuru oke nke ọ bụla n'ime obi ọ bụla. - rue isi. (Onu ogugu nke a na-aputa site na osignricle aka ekpe na mkpuru obi obula ka a na-akp o mkpuku osiction ventricular aka ekpe, ma obu LVEF .
Nyochaa LVEF mere ka ọ bụrụ ụzọ dị mkpa iji nyochaa ahụike zuru ezu.)
Nke bụ isi bụ na dilation nke ime ụlọ obi bụ usoro nkwụnye ụgwọ nke na-enye oge enyemaka dị mkpirikpi ma ọ bụrụ na obi ahụ adịghị ike. O di nwute, na ogologo oge, mmelu onwe ya na-agbakwu aka na-eme ka ike obi ghara idi ike.
N'ikpeazụ, ọ na-emekarị ka ị ghara inwe obi obi.
Ọ bụrụ na ị na-enwe obi ụtọ na cardiomyopathy, ọ ga-adị mkpa ka gị na dọkịta gị rụọ ọrụ ọnụ iji chọpụta ihe kpatara ya, ebe ọ bụ na iji obi ike na-emeso ihe kpatara ya bụ ihe dị oké mkpa iji gbochie nkwụsị obi.
Ihe kpatara Cardiomyopathy
Ihe fọrọ nke nta ka ọ bụrụ ọrịa obi ọ bụla nwere ike imebi ahụ ike obi nwere ike iduga cardiomyopathy. Ihe kachasị akpata bụ:
- Ọrịa ọrịa akwara ọbara (CAD) : CAD bụ ihe kachasị emetụta ọrịa cardiomyopathy. CAD na-emekarị ka ọrịa cardiomyopathy dị nro site na-eme ka mgbu mgbochi (mgbu obi), nke na-emebi ahụ ike.
- Ọrịa: Ọtụtụ ọrịa na-efe efe pụrụ ịwakpo ma belata obi ike. Ndị a gụnyere ọtụtụ ọrịa nje, ọrịa Lyme , ọrịa HIV na ọrịa Chagas.
- Ọrịa obi Valvular: Ọrịa ọrịa Valvular, karịsịa nchịkwa nke mmiri , na mịgha regurgitation , na-emekarị ka cardiomyopathy dị.
- Ọbara mgbali elu: Ọ bụ ezie na ọbara mgbali elu na-ebute ọrịa cardiomyopathy hypertrophic ma ọ bụ ọrịa diastolic , n'ikpeazụ, ọ pụkwara ịkpata cardiomyopathy.
- Mmanya na-egbu egbu: N'akụkụ ụfọdụ ndị mmadụ na-emepụta, mmanya na-eme dị ka ihe dị ike nke na-eme ka ahụ nwee obi ike ma na-eduga na cardiomyopathy.
- Cocaine: Ejikọtala na cocaine na cardiomyopathy dilated.
- Gịroid ọrịa : ọrịa thyroid - ma hyperthyroidism (thyroid gland kwa ifịk ifịk) ma ọ bụ hypothyroidism (thyroid gland adịghị arụsi ọrụ ike) - nwere ike iduga obi odida. Hyperthyroidism yiri ka ọ ga-eme ka ọrịa cardiomyopathy dabara adaba, ebe ọ bụ na hypothyroidism nwere ike ime ka obi ghara ịda mbà n'obi.
- Nri oriri: Ihe nhụjuanya na-edozi ahụ - karịsịa ụkọ vitamin B1 - nwere ike ime ka cardiomyopathy. Ụdị cardiomyopathy a na-ahụkarị n'ime mba ndị na-emepe emepe, na ndị aṅụrụma.
- Postpartum: Obibi cardiomyopathy bụ ụdị nke cardiomyopathy nke na-eme n'ihi amaghị ihe, metụtara na ịmụ nwa.
- Mkpụrụ ndụ: E nwekwara ụdị mkpụrụ ndụ nke ọrịa cardiomyopathy. Nke a bụ ihe mere ụfọdụ ezinụlọ ji enwe mmetụta siri ike nke ọrịa cardiomyopathy.
- Ọrịa na-akpata ọrịa: Lupus na celiac ọrịa bụ arụmọrụ autoimmune nke pụrụ iduga cardiomyopathy.
- Cardiac "overwork": Ọ bụla ọnọdụ nke na-eme ka obi obi na-arụsi ọrụ ike maka ogologo oge oge (izu ma ọ bụ ọnwa) nwere ike mechaa na-akpata nkụda obi cardiac na ike ọgwụgwụ nke obi ike. Ọnọdụ ndị dị otú a gụnyere ọrịa ọgbụgba ogologo oge, ụdọ tachycardia (ọtụtụ ngwa ngwa), ọrịa hypertension na-adịghị ala ala, na ihe ndị a na-emepụta na-eme ka ọkpụkpụ obi dị iche iche.
- Nsogbu Cardiomyopathy: Nchegbu cardiomyopathy, nke a makwaara dị ka "ọrịa obi mgbawa," bụ ụdị obi mgbawa dị ukwuu nke metụtara nrụgide siri ike, nke a na-ahụkarị na ụmụ nwanyị.
- Ọnọdụ dịgasị iche: Ọtụtụ ọnọdụ ndị ọzọ nwere ike ime ka ọrịa cardiomyopathy, dịka sarcoidosis , ọrịa akụrụgwụ na-egbu oge, na ihe mgbochi nke ihi ụra.
- Mmegbu: N'ọtụtụ ọnọdụ, enweghi ike ịchọpụta ihe kpatara nsogbu nke cardiomyopathy. N'ọnọdụ ndị a, a na-ekwu na ọrịa cardiomyopathy bụ "nkiopathic."
Ndabere ala
Ikwesiri ịgwọ ọrịa cardiomyopathy gị dị oke mkpa chọrọ ka dọkịta gị mee mgbalị ọ bụla iji mata ihe kpatara ya, wee mesoo ihe ahụ kpatara ya ruo n'ókè o kwere mee. Ọ bụrụ na a gwara gị ma ọ bụ onye ị hụrụ n'anya na ị nweelarị cardiomyopathy, jide n'aka na ị ga-agwa dọkịta gị ihe kpatara ọnọdụ gị, na ihe a ga-eme maka ya.
> Isi mmalite:
> Biagini E, Coccolo F, Ferlito M, et al. Dilated-hypokinetic Evolution of Hypertrophic Cardiomyopathy: Ọdịpụ, IIcidence, Ihe Ndị Na-akpata Ọdachi, na Ahụhụ Ọhụụ na Pediatric na Ndị okenye. J Am Coll Cardiol 2005; 46: 1543.
> Luk A, Ahn E, Soor GS, Butany J. Dilated Cardiomyopathy: a Review. J Clin Pathol 2009; 62: 219.