Kurwisana ne cardiomyopathy (DCM) chirwere chepfungwa umo myocardium inobatwa - moyo wemhepo yakatambanudzwa, asi masvingo ayo haawedzere.
Kwenguva yekutanga izwi iri rakaiswa naBr. Brigden muna 1957, pasi paaifunga mupfungwa dzekuvhiringidzika kwemyocardial dzinokonzerwa nezvikonzero zvisingazivikanwi. Zvisinei, nokufamba kwenguva, mushonga wakagadzirwa, uye nhasi vanachiremba vanoziva maitiro ezvimwe mhando dzechirwere chemoyo.
Zviratidzo zvechirwere chekushaya mwoyo
Kakawanda, kufungidzika kwechirwere chinonzi cardiomyopathy kunoreva mishonga yakakosha yemamotokari, asi panguva imwecheteyo, kunewo chechipiri inoputika mwoyo. Kugadziriswa kwehutano husina kunaka kunobva pakuti chirwere chacho chinosanganiswa ne congenital heart disease anomalies kana kuti chirwere chacho chakawanikwa nekuda kwezvimwe zvirwere.
Pasinei nokuti kupararira kwechirwere chepfungwa hachizivikanwi zvakakwana nekuda kwematambudziko ane chirwere (izvi zvinokonzerwa nekushayikwa kwezvinangwa zvakajeka zvekutarisa chirwere), vamwe vanyori vanoshevedza mifananidzo yakatarwa: somuenzaniso, yevanhu 100 000 pagore, DCM inogona kukura munenge vanhu vanenge gumi. Varume vanowanikwa katatu kuti vatambure kubva kuhutano hwepanyama kupfuura vakadzi, vane makore makumi matatu kusvika kune makumi mashanu.
Kuratidzira mazviratidziro haisi nguva dzose kune chirwere ichi, asi zvimwe zviratidzo, zvisinei, zvinoratidza DCMP:
- angina pectoris ;
- heart failure;
- thromboembolism;
- kushungurudza kwe mwoyo rhythm.
Zvinokonzera kuderedza mwoyo
Chikonzero che100% chinokonzera kuora mwoyo kwechirwere chisingazivikanwi, asi mushonga watoziva kare kuti zvirwere zvehutachiona zvinoita basa rinokosha mukuputsa kwakadaro kwemuyocardium. Kana munhu kazhinji aine zvirwere zvehutachiona, mukana wekuvandudza DCMP unowedzera kazhinji.
Uyewo mubasa rekusimudzirwa kwechirwere chema cardiomyopathy genetic data yemurwere inowanzobatanidzwa - kana hama dzaiva nechirwere chakafanana, ichi ndicho chinhu chakakosha chinoratidza chimiro chechirwere.
Chimwe chikonzero chingaita kuti DCMP ishandise nzira dzese.
Izvo zvinotaurwa pamusoro apa hazvisi nguva dzose zvinokonzera kukuvara kwemyocardial. Pane huwandu hwezvirwere zvinowanzokonzera kuwedzera kushaya mwoyo:
- muscular dystrophy;
- endocrine zvirwere;
- chepfu inouraya yemuviri (doro, nzara yakaoma);
- kushungurudzwa kwekudya, uye, sechikonzero, kushaya senienium mumuviri.
Zvinofanirawo kucherechedza kuti idiopathic inoratidzira chirwere chemoyo chinokonzerwa nemajeni, kunyanya kushanduka kwawo, uye inowanikwa munenge 20 muzana yematambudziko.
Kurapa kwechirwere chemadidiyo
Kurwiswa kwechirwere chepfungwa kunobatwa pamwe nekushaya mwoyo:
- diuretics, kusanganisira Veroshpiron;
- ACE inhibitors - kuderedza kushanda kweropa, kuderedza midziyo yeropa;
- pane arrhythmias inoronga antiarrhythmic zvinodhaka;
- cardiac glycosides (eg, digoxin).
Mishonga yose inorayirwa mumwe nomumwe, zvichienderana nezviratidzo zvechirwere.
Nechirwere ichi, kurovedza muviri zvine mwero, kudya kunonwisa uye kubhadhakwa kwekushandisa doro kunobatsira, sezvo kunoderedza kukanganisa kwe thiamine, iyo inogona kukurudzira kukura kwemaharatic cardiomyopathy.
Kurapa kwemishonga yevanhu uye ine chirwere chinokonzera chirwere
Paunenge uchishandisa mishonga yevanhu kurapwa, unofanira kutanga wabvumirana nachiremba wako.
Ne DCMC, zvinobatsira chaizvo kushandisa viburnum uye mbeu yeflakisi , pamwe nekefir uye karoti juice. Izvi zvinogadzirisa hutendere hwemwoyo, hunoita kuti huve nehupenyu hwechirwere ichi.
Mafungiro evanhu vane chirwere chinonzi cardiomyopathy
Kufanirwa kwechirwere ichi hachina kunaka kune 70% yevarwere, uye kunoguma nemugumisiro unouraya mukati memakore manomwe. Kunyange zvakadaro, pane tariro yekuponesa hupenyu uye hutano kunyange mumamiriro ezvinhu akadaro, uye naizvozvo, kana kuputika kwechirwere chemoyo kunowanikwa, zvinetso zvinofanira kudzivirirwa nekukurumidza.