Mgbaàmà na Ọgwụgwọ
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.
N'ihe na-eme ka cardiomyopathy dị, obi obi na-ada mbà ma ghara inwe ike ikwekọrịta ya. Iji chefuo nke a na-eme ka ike gwụ, ahụ ike "na-esetịpụ," na-eme ka obi (karịsịa aka ventricle aka ekpe ) dilata.
Ya mere, ihe omuma nke cardiomyopathy di nkpa bu obi ike ma nwekwuo obi.
Eme
Ihe ọ bụla nke nwere ike ime ka ahụ ghara ịkụda obi-nke gụnyere ọnụọgụ dị egwu nke ọnọdụ ahụ ike-nwere ike iduga cardiomyopathy. Ọnọdụ ndị ọzọ na - emekarị nke nwere ike ịmalite ọrịa cardiomyopathy gụnyere ọrịa ọrịa akwara ọbara (CAD) , ọrịa dị iche iche, ọbara mgbali elu , na ọrịa obi valve. Akwụsị nri na-edozi ahụ, ịṅụ mmanya ma ọ bụ ịṅụ ọgwụ cocaine, ịtụrụ ime, arrhythmias obi , ụda mmetụta nke mberede , mkpụrụ ndụ ọrịa, ọrịa thyroid , na nsogbu autoimmune bụ otu n'ime ihe ndị ọzọ nwere ike ime.
Mgbaàmà
Mkpụrụ obi cardiomyopathy bụ ihe kachasị akpata obi mgbawa . N'ezie, ihe ka ọtụtụ ná ndị mmadụ-gụnyere ọtụtụ ndị dọkịta-jiri okwu a bụ "obi mgbawa" dị ka nkwupụta nke ọma maka cardiomyopathy. N'ihi ya, o kwesịghị iju anyị anya na ihe mgbaàmà nke cardiomyopathy na-ejikọta ọnụ bụ ihe ngosipụta nke nkụda obi .
Ndị a na-agụnye dyspnea (mkpụmkpụ ume), ọzịza na ụkwụ na nkwonkwo ụkwụ, adịghị ike, mmega ahụ na-adịghị mma, nkwarụ, na ntutu isi .
Nchoputa
Ihe nchoputa nke cardiomyopathy na-ejikarị aka na-eme ka ịchọta ọkwa nke ime ụlọ obi, karịsịa osi ventricle aka ekpe. Ịchọta ịchọta ventricular aka ekpe nwere ike mezuo nke kachasị na echocardiogram , ma ọ bụ nyocha MUGA .
Ihe mpempe akwụkwọ nke sitere na ma echocardiogram ma ọ bụ nchịkọta MUGA bụ nkwụsị nke ventricular ejection (LVEF) nke fọdụrụ, nke bụ nha nke ọbara ya nke ventricle aka ekpe na-enwe na obi ọ bụla. LVEF nkịtị bụ 50% ma ọ bụ karịa (nke pụtara na osi ventricle aka ekpe na-ajụ ma ọkara ọkara ọbara ya). N'ime ọgwụ cardiomyopathy dịka, LVEF na-egbukarị pasent 50%.
Ọnụ ọgụgụ nke Mbelata na LVEF bụkarị ngosipụta ziri ezi nke ọnụego nke ventricle aka ekpe nwere. Imeghari ugboro ugboro na LVEF nwere ike ikpughe ma ọrịa cardiomyopathy ọ na-akawanye njọ ma ọ bụ ka ọ dịkwuo oge.
Ọgwụgwọ
Ozugbo a chọpụtara cardiomyopathy, usoro nke mbụ nke azụmahịa kwesịrị ịme nyocha nke ọma iji gbalịa chọpụta ihe kpatara ya. Na mgbalị a, a gaghị ahapụ nkume ọ bụla, n'ihi na iwepụ ihe kpatara ya bụ ụzọ kachasị mma iji kwụsị ịda mbà n'obi, na n'ọnọdụ ụfọdụ iji weghachite ya. Na nke a, ọ dị mkpa ka ịchọọ maka CAD, ọrịa nkwonkwo obi, ihe oriri na-edozi ahụ, mmanya ma ọ bụ ịṅụ ọgwụ cocaine, na ọrịa thyroid.
Mgbe ị na-achọ ihe kpatara ya, a ghaghị ịme ọgwụ ike iji belata mgbaàmà, yana ịkwụsị ọrịa obi.
E gosipụtara ọtụtụ usoro ọgwụgwọ ugbu a ka ọ dị ogologo oge ịlanarị ma belata ihe mgbaàmà na ndị nwere ọrịa cardiomyopathy, na ọgwụgwọ nke ọnọdụ a anọgidewo na-eme ngwa ngwa.
N'ụzọ dị mwute, nchọpụta na-egosikwa na ọnụ ọgụgụ dị ukwuu nke ndị mmadụ nwere ọrịa cardiomyopathy na-adịghị enweta nlekọta kacha mma. Ọ bụrụ na gị ma ọ bụ onye ị hụrụ n'anya ejirila obi mgbọrọgwụ, ọ dị mkpa ka ị mara onwe gị na ọgwụgwọ ị kwesịrị ịnata-hụkwa na gị na dọkịta gị kwurịta ya. Ọ bụ ihe dị mma ịchọrọ ka onye ọkà mmụta obi na-elekọta nlekọta gị, ma ijide n'aka na usoro ọgwụgwọ gị dị na ụkpụrụ, yana ịkọwa gị ihe ọ bụla nwere ike ịme ihe banyere ịgwọ ọrịa a.
> Isi mmalite:
> McMurray JJ, Adamopoulos S, Anker SD, et al. Usoro ESC maka Nchoputa na Ọgwụgwọ Nnukwu Mgbaghara Obi na 2012: Task Force for Diagnosis and Treatment of Large and Chronic Heart Failure 2012 nke European Union of Cardiology. Ejikọtara ya na Njikọ Obi Ụkọ (HFA) nke ESC. Eur Obi J 2012; 33: 1787.
> Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / Ntuziaka AHA maka Management nke Obi Obi: Nchịkọta Isi: Otu akụkọ nke American College of Cardiology Foundation / American Heart Association Task Force na ụkpụrụ nduzi. Nsogbu 2013; 128: 1810.