Matendawa, omwe amamanga khoma lamanzere, ndipo nthawi zambiri zimakhala zozizwitsa za mtima, zimatchedwa hypertrophic cardiomyopathy (HCMC). Mu matendawa, kuphulika mu zovuta kwambiri zochitika amapezeka symmetrically, ndipo kotero interventricular septum nthawi zambiri kuonongeka.
Amakhulupirira kuti izi ndi matenda a othamanga - chifukwa cha kuchuluka kwa thupi kuti hypertrophy imapezeka. Tidziwa kale masewera othamanga atafa pamasewera chifukwa cha hypertrophic cardiomyopathy - Wachinyamata wa ku Hungarian dzina lake Miklos Feher ndi wothamanga wa ku America Jesse Marunde.
Mu matendawa, mitsempha ya minocardium imakhala malo osokonezeka, omwe amayanjanitsidwa ndi gene geneation.
Mitundu ya hypertrophic cardiomyopathy
Masiku ano, madokotala amatchula mitundu itatu ya hypertrophic cardiomyopathy:
- Kulepheretsa kwapansi - malo opumula amakhala oposa 30 kapena Hg. Art.
- Kulepheretsa kwazembera - kusinthasintha kwapadera kwazomwe zimapangidwira.
- Kulepheretsa kanthawi kochepa - chiwonetsero cha bata m'malo osachepera 30 mm Hg. Art.
Matenda a hypertrophic cardiomyopathy amakhala ofanana ndi mitundu itatu ya matendawa, pomwe mawonekedwe enieni omwe sali obstructive amadziwika ndi stenosis gradient zosakwana 30 mm Hg. Art. mu dziko lamtendere ndi lopsa mtima.
Zizindikiro za hypertrophic cardiomyopathy
Zizindikiro za hypertrophic cardiomyopathy zikhoza kukhala palibe - odwala 30 peresenti sapanga madandaulo, pomwepo imfa yadzidzidzi ikhoza kuwonetsa kokha matendawa. M'madera apadera omwe ali odwala ali odwala omwe sakhala ndi madandaulo, kupatula kusemphana kwa mtima.
Matendawa amadziwika ndi zomwe zimatchedwa matenda ochepa-pamtundu uwu, kutaya mtima kumachitika, kupuma pang'ono ndi chizunguliro, ndi zida za angina zimachitika.
Ndiponso, ndi hypertrophic cardiomyopathy, pakhoza kukhala mawonetseredwe a zotsalira za ventricular mtima kulephera, zomwe zingayambe kukhala congestive mtima kulephera.
Kulephera mu chiyero cha mtima kungayambitse kutaya . Kawirikawiri izi ndi zozizwitsa zowonjezereka zowonjezereka komanso zowonjezera za tricycardia za ventricular.
Nthawi zambiri, odwala angakhale ndi matenda otchedwa endocarditis ndi thromboembolism.
Kuzindikira za hypertrophic cardiomyopathy
Mosiyana ndi mitundu ina ya matenda a mtima, mawonekedwe a hypertrophic amapezeka kuti ndi osavuta chifukwa chazifukwa: kuti matendawa adzivomerezedwe, kukula kwa myocardial kuyenera kukhala wamkulu kapena wofanana ndi 1.5 masentimita pamodzi ndi kukhalapo kwazomwe zimachokera kumapeto kwa ventricular.
Akayesedwa, wodwalayo amapezekanso malire a mtima kupita kumanzere, ndipo akaletsedwa, phokoso limamveka (systolic rhomboid).
Zina mwa njira zowonjezeramo zophunzirira izi ndi izi:
- makina ojambula magetsi - ndi iwo amawona kuwonjezeka kwa atrium kumanzere;
- Zojambula zojambula zithunzi ndi njira yaikulu yomwe imathandizira kupeza malo omwe ali ndi hypertrophy;
- Kuwunika kwa ECG - kumayambitsa chisokonezo;
- maginito ojambula chithunzi - amagwiritsidwa ntchito monga njira yotsitsimutsa;
- Kufufuza kwa majini ndi imodzi mwa njira zofunika kwambiri zowunika matendawa.
Kuchiza kwa hypertrophic cardiomyopathy
Kuzindikira ndi chithandizo cha hypertrophic cardiomyopathy kumagwirizana kwambiri kuti zisawononge zotsatira zake. Pambuyo pofufuza momwe matendawa akuyendera, ngati pali kuthekera kwa zotsatira zakupha, zovuta zimachitika. Ngati palibe vuto la imfa, ndipo zizindikiro siziri
Mankhwalawa ndi ofunika kuchepetsa kuchita masewera olimbitsa thupi, komanso kugwiritsa ntchito mankhwala osokoneza bongo ndi zotsatira zoyipa za ionotropic. Gawo ili likuphatikizapo anta-blockers ndi otsutsa a calcium. Amasankhidwa payekha, ndipo apatsidwa kuti kulandila kwachitali kwa nthawi yaitali (mpaka kulandirako kwa moyo wonse), lero madokotala akuyesera kupereka mankhwala omwe ali ndi zotsatira zochepa. Kale Anaprilin amagwiritsidwa ntchito, ndipo lero pali zambiri zofanana za m'badwo watsopano.
Komanso, mankhwala oletsa antiarrhythmic ndi antibiotic amagwiritsidwa ntchito pakulera ngati pali matenda opatsirana.