Cardiomyopathy ishoko rinogona kureva zvirwere zvakasiyana zvinokanganisa mashandiro anoita tsandanyama yemwoyo. Dilated cardiomyopathy uye hypertrophic cardiomyopathy ndiwo maitiro maviri akajairika. Kutarisira kwakakodzera kunodiwa nekuti vanogona kunge vachiisa hupenyu panjodzi.

Tsanangudzo ye cardiomyopathy

Cardiomyopathy ishoko rekurapa rinounganidza pamwe seti yezvirwere zvemyocardium. Kushanda kwemhasuru yemwoyo kunokanganiswa. Cardiomyopathies vane mamwe mapoinzi akafanana asiwo akati wandei akasiyana.

Mhando dze cardiomyopathies

Iwo maviri anonyanya kuzivikanwa cardiomyopathies ndeaya:

• dilated cardiomyopathy iyo inoratidzwa nekuwedzera kwemakamuri emwoyo, uye kunyanya ye ventricle yekuruboshwe: tsandanyama yemwoyo inopera simba uye haisisina simba rakakwana rekupomba ropa;
• hypertrophic cardiomyopathy inova chirwere chemajini chinoratidzwa nekukora kwetsandanyama yemoyo: moyo unofanirwa kushanda nesimba kuti ubudirire kufambisa huwandu hweropa.

Kakawanda, mamwe marudzi e cardiomyopathy anogona kuitika:

• restrictive cardiomyopathy ine tsandanyama yemoyo inoomesa uye inorasikirwa nekushanduka-shanduka: ventricles yemoyo ine dambudziko rekuzorora uye kuzadza zvakanaka neropa;
• arrhythmogenic cardiomyopathy ye ventricle yakarurama iyo inoratidzirwa nekubudiswa kwemagetsi asina kukanganisa zviratidzo.

Zvikonzero zve cardiomyopathy

Mune zvimwe zviitiko, cardiomyopathy haina chikonzero chinozivikanwa. Zvinonzi idiopathic.

Mune zvimwe zviitiko, zvikonzero zvakawanda zvinogoneka.

Izvi zvinosanganisira kunyanya:

• mavambo;
• zvimwe zvirwere zvemwoyo zvakadai secongenital heart disease, valve valve kana chronic hypertension;
• chirwere chemwoyo chakakuvadza myocardium;
• chirwere chetachiona kana bhakitiriya mumoyo;
• zvirwere zvemetabolism kana kusagadzikana kwakadai seshuga;
• kushaya zvokudya zvinovaka muviri;
• kushandisa zvinodhaka;
• kunwa doro zvakanyanya.

Kuongororwa kwe cardiomyopathy

Kuongororwa kunotanga kubva pakuongorora kwekliniki. Nyanzvi yehutano inoongorora zvinoonekwa zviratidzo asi zvakare inofarira nhoroondo yezvehutano yemunhu uye yemhuri.

Ongororo yekuwedzera inoitwa kusimbisa uye kudzamisa kuongororwa kwecardiomyopathy. Nyanzvi yehutano inogona kuvimba nebvunzo dzinoverengeka:

• chipfuva x-ray kuongorora ukuru uye chimiro chemoyo;
• electrocardiogram kunyora kushanda kwemagetsi emwoyo;
• echocardiogram yekuona huwandu hweropa rinopombwa nemoyo;
• cardiac catheterization yekuona mamwe matambudziko emwoyo (yakavharika kana yakamanikana tsinga dzeropa, nezvimwewo);
• treadmill stress test kuti uongorore kushanda kwemwoyo;
• kuongororwa ropa.

Pakutanga, cardiomyopathy inogona kuramba isingaoneki.

Apo cardiomyopathy inowedzera, kushanda kwemyocardium kunowedzera kukanganiswa. Tsandanyama yemoyo inopera simba.

Zviratidzo zvakawanda zvekushaya simba zvinogona kuonekwa:

• kuneta;
• kuperevedza kwekufema pakushanda nesimba, kusanganisira panguva dzenguva dzose;
• pallor;
• chizoro;
• dzungu;
• kuneta

Maziso palpitations

Mimwe cardiomyopathies inogona kukonzera cardiac arrhythmia. Izvi zvinoratidzwa nekusajaira, kusagadzikana uye kusarongeka kwemoyo. 

Chipfuva chepfu

Marwadzo emuchipfuva, kana kurwadziwa muchipfuva, anogona kunzwika. Izvo hazvifanirwe kuregererwa nekuti zvinogona kuratidza kuomarara kwemoyo. Chero kurwadziwa muchipfuva kunoda mazano ekurapa.

Zviratidzo zvakawanda zvinofanira kuchenjerera:

• kurwadziwa kunongoerekana kwaitika, kwakasimba uye kunosimbisa chifuva;
• kurwadziwa kunotora maminitsi anopfuura mashanu uye haaendi nekuzorora;
• marwadzo haapfuuri ega kana mushure mekutora trinitrin muvanhu vari kurapwa angina pectoris;
• kurwadziwa kunopenya kushaya, ruoko rworuboshwe, musana, mutsipa kana dumbu.
• kurwadziwa kwakanyanya pakufema;
• kurwadziwa kunoperekedzwa nekuneta, kushaya simba, kupfupika kwekufema, pallor, kutuka, kusvotwa, kunetseka, dzungu, kunyange kupera simba;
• kurwadziwa kunoperekedzwa nekusagadzikana kana kukurumidza rhythm.

Ngozi yezvinetso

Cardiomyopathy inogona kukonzera myocardial infarction, kana kurwisa kwemoyo. Injodzi inokosha.

Sarudzo dzekurapa dzinoenderana nemhando dzakawanda dzinosanganisira rudzi rwecardiomyopathy, chikonzero chayo, kushanduka kwayo uye mamiriro emunhu ane hanya.

Zvichienderana nenyaya yacho, kurapwa kwecardiomyopathy kunogona kuve kwakavakirwa pane imwe kana kupfuura nzira:

• Kuchinja kwemararamiro kungangosanganisira nyanzvi yezvekudya kana nyanzvi yezvekudya;
• kurapwa kwezvinodhaka izvo zvinogona kuva nezvinangwa zvakawanda: kudzikisa kweropa, kubatsira kudzikamisa tsinga, kunonoka kurova kwemoyo, kuchengetedza kurova kwemoyo kwakajairika, kuwedzera simba rekupomba kwemoyo, kudzivirira kugwamba kweropa uye / kana kukurudzira kubviswa kwemvura yakawandisa mumuviri;
• kuisirwa pacemaker kana otomatiki implantable defibrillator (ICD);
• kupindira kwekuvhiya kunogona kuva kuchinjwa kwemoyo mumamiriro ezvinhu akaoma zvikuru.

Kudzivirira kunonyanya kubva pakuchengetedza mararamiro ane hutano:

• idya chikafu chine hutano uye chakaringana;
• kudzivisa kana kurwisana nekurema;
• kuita kurovedza muviri nguva dzose;
• kusasvuta, kana kurega kusvuta;
• kudzora kunwa doro;
• tevera mazano ekurapa;
• etc.