Zizindikiro ndi Chithandizo
Kusokonezeka kwa mtima kumakhala kofala kwambiri pa mitundu itatu ya matenda a mtima (matenda a minofu ya mtima), ena awiriwo amakhala hypertrophic cardiomyopathy ndi kuletsa mtima mtima.
Mu mtima wong'onoting'ono wa mtima, minofu ya mtima imafooka ndipo imalephera kugwira ntchito bwinobwino. Kulipira kufooka kumeneku, mtima wa "mtima" umapangitsa mtima (makamaka ventricle kumanzere ) kuti ukhazikike.
Choncho chizindikiro cha mtima wosasunthika ndi mtima wofooketsa.
Zimayambitsa
Chilichonse chimene chingalepheretse minofu ya mtima-yomwe ili ndi kuchuluka kwa mankhwala ochititsa chidwi-ingapangitse kukhala ndi mtima wodwalayo. Zomwe zimakhala zofala kwambiri zomwe zingabweretse mtima wodwalayo zimaphatikizapo matenda amtundu wambiri (CAD) , matenda osiyanasiyana, matenda oopsa , ndi matenda a mtima. Kulephera kwa zakudya, kumwa mowa mwauchidakwa kapena kumwa mankhwala osokoneza bongo, mimba, matenda a mtima , kusokonezeka mwadzidzidzi , matenda osokoneza bongo, matenda a chithokomiro , ndi matenda omwe amachititsa kuti munthu akhale ndi vutoli.
Zizindikiro
Kusokonezeka maganizo kwa mtima kumayambitsa vuto la mtima . Ndipotu, anthu ambiri-kuphatikizapo madokotala ambiri-amagwiritsira ntchito mawu oti "mtima kulephera" monga momwe amachitira ndi mtima wodwalayo. Chifukwa chake, sikuyenera kudabwitsidwa kuti zizindikiro za kuchepa kwa mtima ndizozizindikiro za mtima wosalimba .
Izi zimaphatikizapo dyspnea (kupuma pang'ono), kutukumula kumapazi ndi mabotolo, kufooka, kulephera kuchita masewera olimbitsa thupi, kulekerera, ndi kupsinjika .
Kudziwa
Zomwe zimawoneka kuti zimapangitsa kuti thupi likhale lolimba kwambiri, makamaka kumapeto kwa ventricle. Kuzindikira kusungunuka kwa ventricular kungathe kukwanilitsidwa kokha ndi echocardiogram , kapena kuyesa kwa MUGA .
Chidziŵitso chofunika kwambiri chomwe chinachokera ku echocardiogram kapena kusinthanitsa kwa MUGA ndi gawo lamanjenje la ejekitri (LVEF) , yomwe ndi kuchuluka kwa mphamvu ya magazi yomwe maulendo am'manzere amatsitsa ndi mtima uliwonse. LVEF yodalirika ndi 50% kapena kupitirira (zomwe zikutanthauza kuti kaŵirikaŵiri kumapeto kwa ventricle kumayambitsa theka la magazi ake). Mu kuchepa kwa mtima, LVEF imachepetsedwa pansi pa 50%.
Mlingo wa kuchepa kwa LVEF nthawi zambiri ukuwonetsa molondola kuchuluka kwake kwa kuwonongeka kwa ventricle kumanzere. Kubwereza kuyeza kwa LVEF nthawi ndi nthawi kumasonyeza ngati mtima wa munthu ukuwonjezereka kapena ukukula pakapita nthawi.
Chithandizo
Pokhapokha ngati mtima wokhutira wochulukirapo ukupezeka, dongosolo loyambirira la bizinesi liyenera kukhala kufufuza bwinobwino pofuna kuyesa kuzindikira chomwe chingayambitsenso chifukwa. Pochita khama, palibe mwala umene uyenera kutayika, chifukwa kuchotsa vuto lalikulu ndi njira yabwino kwambiri yothetsera kuwonongeka kwa mtima, ndipo nthawi zina amatha kusintha. Pachifukwa ichi, ndikofunikira kwambiri kuyang'ana CAD, matenda a valve mtima, kulephera kwa zakudya, kusokoneza mowa kapena kumwa mankhwala a cocaine, ndi matenda a chithokomiro.
Pofunafuna zomwe zingayambitse vutoli, chithandizo chaukali chiyenera kukhazikitsidwa kuti chichepetse zizindikiro, komanso kuchepetsa kuwonongeka kwa mtima.
Mipiringi yambiri ya mankhwala tsopano yasonyezedwa kuti ikhale yaitali kupulumuka ndi kuchepetsa zizindikiro kwa anthu omwe adzichepetsa mtima, ndipo mankhwala a chikhalidwe ichi akhala akufulumira.
Mwatsoka, kafukufuku akuwonetsabe kuti chiwerengero cha anthu omwe adachepetsa mtima wodwalayo sakusamalidwa bwino. Ngati inu kapena wokondedwa wanu mwayamba kuchepetsa mtima, mumayenera kudziŵa bwino chithandizo chimene muyenera kulandira-ndipo onetsetsani kuti mukukambirana ndi dokotala wanu. Kawirikawiri ndibwino kuti katswiri wa zamoyo aziyang'anitsitsa chisamaliro chanu, kuti mutsimikizire kuti mankhwala anu ali oyenera, komanso kukudziwitsani za njira iliyonse yothetsera vutoli.
> Zotsatira:
> McMurray JJ, Adamopoulos S, Anker SD, et al. Malangizo a ESC Ofufuza ndi Kuchiza Kulephera kwa Mtima Wosatha ndi Wosatha 2012: Task Force for Discover and Treatment of Heart and Chronic Heart Failure 2012 ya European Society of Cardiology. Yakhazikitsidwa mogwirizana ndi Heart Failure Association (HFA) ya ESC. Mtima; 33: 1787.
> Yambani CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA Malangizo othandizira kulamulira kwa mtima: Chidule Chachidule: Lipoti la American College Association of Cardiology Foundation / American Heart Association Task Force pa ndondomeko zoyendetsera ntchito. Circulation 2013; 128: 1810.