Nthawi zambiri, kutenga mimba kungayambitse matenda otchedwa postpartum cardiomyopathy, kapena kukhala ndi pakati pamtima . Postpartum cardiomyopathy ndi mawonekedwe a mtima wokhudzidwa kwambiri . (Cardiomyopathy kumangotanthauza kufooka kwa minofu ya mtima.)
Azimayi omwe amatha kukhala ndi matenda a postpartum cardiomyopathy amayamba kuchepa mtima mwinamwake pamwezi wotsiriza wa mimba, kapena pakatha miyezi isanu atapereka mwana.
Chifukwa chakuti cardiomyopathy imatha kuchitika mwana asanabadwe, akatswiri a cardiologists ambiri akuwutcha kuti "peripartum cardiomyopathy." (Peripartum amatanthauza "kuzungulira nthawi yobereka.")
Azimayi omwe ali ndi vutoli nthawi zambiri samakhala ndi matenda amtima, ndipo palibe chifukwa china chokhalira ndi matenda a mtima. Kulephera kwawo kwa mtima kungakhale kanthawi kochepa, kudziperewera, kapena kungapite patsogolo, kuwopsya mtima kwa moyo.
Kodi Chimachititsa Bwanji Postpartum Cardiomyopathy?
Chifukwa cha postpartum cardiomyopathy sichidziwika. Pali umboni wakuti kutupa kwa mitsempha ya mtima (yomwe imatchedwa myocarditis ) ikhoza kugwira ntchito yofunikira, ndipo ikhoza kugwirizana ndi mapuloteni otupa omwe nthawi zina amapezeka m'magazi panthawi yoyembekezera. Palinso umboni wakuti maselo oberekera omwe nthawi zina amathamangira m'magazi a mayi akhoza kuchititsa chitetezo cha mthupi, kutitsogolera ku myocarditis.
Kuwonjezera apo, pakhoza kukhala chibadwa chokwanira kuti chikhale ndi postpartum cardiomyopathy m'mabanja ena. Komabe, mfundo yaikulu ndi yakuti sitikudziwa chomwe chimayambitsa.
Ndani Amalandira Cardiomyopathy Postpartum?
Ngakhale kubereka kwapambuyo kwabasi kumakhala kosavomerezeka (kumapezeka pafupifupi 1,000,000,000 operekedwa ku US), amayi ena amaoneka kuti ali pachiopsezo chachikulu kuposa ena.
Zoopsa za postpartum cardiomyopathy zikuphatikizapo: zaka zoposa 30, atabereka ana asanabadwe, kutenga mimba ndi fetasi zambiri, chibadwidwe cha African, mbiri ya preeclampsia kapena postpartum hypertension, kapena kumwa mankhwala a cocaine.
Kodi Zizindikiro Zotani za Postpartum Cardiomyopathy?
Popeza kutuluka kwa pathupi kumapangitsa kuti mtima ukhale wolephera, zizindikirozo zimakhala zofanana ndi mitundu yambiri ya mtima wosalimba. Zizindikiro izi za mtima wolephera zambiri zimaphatikizanso dyspnea , orthopnea , paroxysmal usiku wakuda dyspnea , ndi kusungirako madzi. Werengani zambiri za zizindikiro za mtima wosalimba.
Kodi Postpartum Cardiomyopathy Yachitidwa Motani?
Ndi zochepa zosiyana, postpartum cardiomyopathy ndizochiritsira mtundu uliwonse wa mtima wosasunthika .
Chinthu chodziwikiratu chosiyana ndi "mankhwala" omwe amachititsa kuti mtima usawonongeke mtima umakhalapo pamene mtima ukulephera mwana asanabadwe. Zina mwazochita "zamakhalidwe" za mtima kusagwirizana ziyenera kulepheretsedwa mpaka kubereka.
Makamaka, ACE inhibitors ngati Vasotec (enalapril), zomwe ndi mankhwala omwe amachepetsa mitsempha ya magazi, sayenera kugwiritsidwa ntchito panthawi ya mimba, chifukwa mankhwalawa akhoza kuwononga mwanayo. M'malo mwake, hydralazine ingalowe m'malo ngati magazi a zotengera magazi mpaka atabereka.
Mofananamo, spironolactone ndi Inspra (eplerenone) - otchedwa aldosterone otsutsa, omwe angakhale othandiza pochiza odwala omwe ali ndi matenda okhudzidwa mtima - sanayesedwe panthawi ya mimba, ndipo ayenera kupeŵa.
Posakhalitsa, umboni wam'mbuyomu watchulidwa kuti amayi omwe ali ndi postpartum cardiomyopathy angapindule ndi mankhwala a bromocriptine - mankhwala omwe amagwiritsidwa ntchito pochiza matenda osiyanasiyana monga Parkinson ndi hyperprolactinemia .
Bromocriptine si mankhwala osokoneza bongo, komabe (pakati pazinthu zina, imasiya lactation), ndipo mayesero akuluakulu azachipatala adzakhala ofunika kwambiri asanayambe kulangizidwa.
Zowonongeka, amayi omwe ali ndi postpartum cardiomyopathy akuwoneka ngati abwino kuposa akazi omwe ali ndi mitundu ina ya mtima. Mu maphunziro ena, amayi ochuluka oposa 60% omwe ali ndi vutoli adzipulumutsidwa kwathunthu. Komabe, chiwerengero cha anthu omwe amafa ndi postpartum cardiomyopathy ndi 10% pambuyo pa zaka ziwiri.
Kuganizira Kwanthawi yayitali
Ndikofunika kwambiri kudziwa kuti amayi omwe ali ndi postpartum cardiomyopathy - ngakhale amayi omwe amawoneka kuti adachiritsidwa kwathunthu - ali pachiopsezo chachikulu chokhalira ndi vutoli komanso kutenga mimba.
Ndipo ngati postpartum cardiomyopathy imapezeka kachiwiri, chiopsezo chokhalitsa komanso choopsa cha mtima chimakhala chachikulu kwambiri.
Kotero, kamodzi mkazi atakhala ndi postpartum cardiomyopathy, nkofunika kuti atengepo kanthu kuti asamakhalenso ndi pakati.
Mawu Ochokera
Postpartum cardiomyopathy ndi vuto lalikulu la mtima limene limapangitsa kuti mtima usapere panthawi yomwe mayi ali ndi pakati kapena atangomaliza kumene kubala. Ngakhale mankhwala akupezeka omwe amathandiza amayi ambiri okhudzidwa kuti athetsere, akadali vuto lalikulu la mtima lomwe limapangitsa kuti munthu akhale wolemala komanso imfa. Azimayi amene ali ndi vutoli ali pachiopsezo chachikulu chokhalanso ndi mimba.
> Zotsatira:
> Habedank D, Kühnle Y, Elgeti T, et al. Kuchokera kwa Peripartum Cardiomyopathy Patatha Chithandizo Ndi Bromocriptine. Mtima wa Eur J ukulephera 2008; 10: 1149.
> Habli M, O'Brien T, Nowack E, et al. Peripartum Cardiomyopathy: Zinthu Zowonetsera Zotsatira za Mtsogolo kwa Mayi. Am J Obstet Gynecol 2008; 199: 415.e1.
> Sliwa K, Hilfiker-Kleiner D, Petrie MC, ndi al. Chidziwitso Chachidziwitso cha Aetiology, Kuzindikira, Kusamalira, ndi Thandizo la Peripartum Cardiomyopathy: a Position Statement kuchokera ku Heart Failure Association of European Society of Cardiology Working Group pa peripartum cardiomyopathy. Mtima wa Eur J Ukulephera 2010; 12: 767.