Dilated cardiomyopathy: menene menene, cututtuka da magani

Wadatacce

• Babban bayyanar cututtuka
• Yadda za a tabbatar da ganewar asali
• Abubuwan da ke iya haifar da bugun zuciya
• Yadda ake yin maganin
• 1. Magungunan Hawan jini
• 2. Diuretics
• 3. Digitálico
• 4. Anticoagulants
• 5. Mai kamewa
• 6. Dashen zuciya
• Matsaloli da ka iya faruwa
• Yadda za a hana yaduwar bugun zuciya

Dilated cardiomyopathy cuta ce da ke haifar da narkar da jijiyoyin zuciya da yawa, wanda ke sanya wahalar fitar da jini zuwa ga dukkan sassan jiki, wanda hakan na iya haifar da ci gaban gazawar zuciya, bugun jini, toshewar jini ko kuma mutuwa farat ɗaya.

Irin wannan cututtukan cututtukan zuciya sun fi yawa ga maza tsakanin shekara 20 zuwa 50, ko da yake yana iya faruwa a kowane zamani, ciki har da yara, kuma wataƙila ba sa bayyanar da alamun da ke da sauƙin ganowa. Duk da haka, tunda akwai matsala ga zuciya don harba jini, mutum na iya jin gajiya, rauni ko ƙarancin numfashi, kuma ana ba da shawarar zuwa ga likitan zuciyar don yin gwaje-gwaje da kuma isa ga sakamakon binciken.

Maganin cutar bugun zuciya yana nunawa daga likitan zuciya ya danganta da alamomin, dalilan da kuma tsananin cutar, kuma yana iya zama dole a sanya bugun zuciya a cikin mafi munin yanayi. Hanya mafi kyau don hana rikicewar kamuwa da cututtukan zuciya shine samun cikakken kulawa tare da likitan zuciya.

Babban bayyanar cututtuka

Kwayar cututtukan cututtukan zuciya suna kama da alamun rashin ƙarfi na zuciya ko arrhythmia kuma sun haɗa da:

• Gajiya sosai;
• Rashin rauni;
• Ofarancin numfashi yayin motsa jiki, hutawa ko lokacin kwance a kan baya;
• Matsalar motsa jiki ko ayyukan yau da kullun;
• Kumburi a kafafu, idon kafa ko kafa;
• Yawan kumburi a cikin ciki;
• Ciwon kirji;
• Abin mamaki na bugun zuciya mara tsari
• Jin motsin hayaniya a cikin zuciya.

Bugu da kari, hawan jini na iya zama kasa saboda wahalar zuciya wajen harba jini.

Yadda za a tabbatar da ganewar asali

Dole ne likitan zuciyar ya sanya ganewar cututtukan cututtukan zuciya wanda ya dogara da alamomin, kimantawa na rayuwar mutum da ta iyali, gwajin asibiti da wasu gwaje-gwaje kamar su X-ray na kirji, gwajin jini, kwayar cutar kwayar cutar, gwajin Holter, echocardiogram, gwajin motsa jiki, lissafin hoto, yanayin maganadisu, catheterization ko biopsy biopsy, misali. Gano yadda ake yin gwajin Holter.

Masanin ilimin likitan zuciya na iya neman kimantawar kwayar halitta don gano ko yaduwar cututtukan zuciya na iya haifar da dalilai ne na kwayoyin halitta.

Abubuwan da ke iya haifar da bugun zuciya

Dalilin kamuwa da cututtukan zuciya, yawanci, ba za a iya gano su ba, ana kiransu idiopathic dilated cardiomyopathy. Koyaya, wasu dalilan da ke haifar da kamuwa da cutar sun hada da:

• Ciwon zuciya na Cardiac;
• Rashin wadatar Zuciya;
• Ciwon suga;
• Kiba;
• Hawan jini;
• Shaye-shaye;
• Amfani da kwayoyi kamar su hodar iblis ko amphetamine;
• Amfani da magunguna na yau da kullun irin su corticosteroids;
• Chemotherapy tare da kwayoyi irin su doxorubicin, epirubicin, daunorubicin ko cyclophosphamide;
• Cutar Chagas ko toxoplasmosis;
• Cutar cututtuka irin su rheumatoid arthritis ko systemic lupus erythematosus;
• Cututtukan da kwayoyin cuta ke haifarwa kamar Streptococcus, Staphylococcus, Salmonella, Mycoplasma ko Chlamydia;
• Cututtuka tare da ƙwayoyin cuta kamar adenovirus, parvovirus, herpes virus, hepatitis C virus ko Covid-19;
• Bayyanawa ga gubobi kamar gubar, mercury ko cobalt;
• Rikitarwa a cikin marigayi ciki;
• Raunin lahani na haihuwa wanda ke faruwa a lokacin haihuwar jariri.

Hakanan cututtukan cututtukan zuciya na iya bayyana saboda matsalolin kwayar halitta kuma, sabili da haka, ya fi yawanci ga marasa lafiya da ke da tarihin iyali na cutar, musamman lokacin da ta shafi kowane mahaifa.

Yadda ake yin maganin

Dole ne a fara magani don yaduwar cututtukan zuciya da wuri-wuri, a ƙarƙashin jagorancin likitan zuciya, don kauce wa rikice-rikice irin su embolism ko kamuwa da zuciya, misali.

Ana iya yin magani tare da:

1. Magungunan Hawan jini

Ana iya amfani da wasu magungunan kashe kumburi don maganin cututtukan zuciya kamar yadda suke taimakawa inganta haɓakar jiragen ruwa da haɓaka gudan jini, ƙari ga sauƙaƙe aikin zuciya. Azuzuwan da aka fi amfani dasu sune:

• Maganin hana enzyme mai canzawa Angiotensin kamar yadda captopril, enalapril ko lisinopril;
• Masu hana Angiotensin kamar losartan, valsartan ko candesartan;
• Masu toshe Beta kamar carvedilol ko bisoprolol.

Wadannan magunguna na iya taimakawa don magance ko hana farkon arrhythmias.

2. Diuretics

Za a iya amfani da diuretics, kamar furosemide ko indapamide don magance ƙwanƙwasa bugun jini don cire yawan ruwa daga jiki, hana su tarawa a jijiyoyin da sanya wahalar buga zuciya.

Bugu da kari, masu yin amfani da maganin rage kuzari na magance kumburi a kafafu da kafafu wadanda cutar da huhu ta haifar, suna taimakawa numfashi da kyau.

3. Digitálico

Dijital da ake amfani da ita don magance cututtukan cututtukan zuciya shine digoxin wanda ke aiki ta hanyar ƙarfafa tsokar zuciya, sauƙaƙe raguwa da kuma barin tasirin jini mafi inganci.

Hakanan wannan magani yana taimakawa wajen rage alamun cututtukan zuciya, wanda ke taimakawa inganta rayuwar rayuwa.

Koyaya, digoxin magani ne mai guba kuma yana buƙatar bin likita da bincike akai-akai.

4. Anticoagulants

Magungunan anticoagulants kamar warfarin ko asfirin suna aiki ta hanyar rage danko a cikin jini, sauƙaƙe fitar da shi da kuma hana bayyanar dusar ƙanƙara wanda zai iya haifar da ɓarna ko shanyewar jiki, misali.

5. Mai kamewa

A cikin mafi munin yanayi, inda ba a yi magani yadda ya kamata ba ko kuma aka gano cutar daga baya, likita na iya bayar da shawarar tiyata don sanya na'urar bugun zuciya a cikin zuciya don daidaita tasirin lantarki na zuciya, saukaka aikinsa da kuma daidaita bugun zuciya .

6. Dashen zuciya

Likitanka zai iya ba da shawarar dasawar zuciya idan babu wasu hanyoyin magancewa da ke da tasiri, kamar amfani da magunguna ko bugun zuciya. Dubi yadda ake dasa zuciyar.

Matsaloli da ka iya faruwa

Matsalolin da suka kamu da cututtukan zuciya na iya haifar da:

• Rashin wadatar Zuciya;
• Ciwon zuciya na Cardiac;
• Matsalar bawul na zuciya;
• Tara ruwa a cikin huhu, ciki, ƙafafu da ƙafafu;
• Kamun zuciya.

Kari akan haka, yaduwar cututtukan zuciya na iya kara barazanar kamuwa da jini da ci gaban huhu na huhu, infarction ko bugun jini.

Yadda za a hana yaduwar bugun zuciya

Wasu matakan zasu iya taimakawa don hana ko rage lalacewar cututtukan zuciya kamar:

• Kada a sha taba;
• Kada a sha giya ko a sha daidai gwargwado;
• Kada a yi amfani da kwayoyi kamar su hodar iblis ko amphetamines;
• Kula da lafiya;
• Yi aikin da likita ya ba da shawara;
• Bar akalla awanni 8 zuwa 9 a dare.

Yana da mahimmanci a bi umarnin likitan kuma a ci daidaitaccen abinci mai ƙoshin mai, sukari ko gishiri. Duba jerin abincin da ke da kyau ga zuciya.