Kwiimeko ezinqabileyo, ukukhulelwa kunokukhokelela kwimeko ebizwa ngokuba yi-postpartum cardiomyopathy, okanye ukukhulelwa kwentliziyo . I-postpartum cardiomyopathy yindlela yokwenyuka kwengqondo . (I-Cardiomyopathy ithetha nje ubuthathaka bentliziyo.)
Abasetyhini abaphuhlisa i-postpartum cardiomyopathy baqala ukuhluleka kwentliziyo kwinyanga yokugqibela yokukhulelwa, okanye emva kweenyanga ezintlanu emva kokuvelisa umntwana.
Ngenxa yokuba "i-postpartum" ye-cardiomyopathy inokuthi ivele ngaphambi kokuba umntwana azalwe, ezininzi zezinto ze-cardiologists ngoku zibhekisela kuyo ngokuthi "i-peripartum cardiomyopathy." (I-Peripartum ithetha "malunga nexesha lokubeleka.")
Abasetyhini abahlakulela le meko bahlala bengenazo zifo zesifo senhliziyo, kwaye asikho esinye isizathu esibonakalayo sokuhlakulela isifo senhliziyo. Intliziyo yabo yokuhluleka ingaba yimeko yesikhashana, yokuzimelela, okanye iyakwazi ukuqhubela phambili, ibe yinto engathintekiyo, inokwenza impilo isongela.
Yintoni ebangela iCart Postpartum Cardiomyopathy?
Isizathu se-postpartum cardiomyopathy asiyazi. Kukho ubungqina bokuthi ukuvuvukala kwintliziyo yesisu (ebizwa ngokuba yi- myocarditis ) inokudlala indima ebalulekileyo, kwaye inokuthi ihambelane neeprotheni ezivuthayo ezithi zifumaneke ngegazi ngexesha lokukhulelwa. Kukho ubungqina bokuba iiseli ze-fetal eziye zabalekela kwigazi lomama zingabangela ukumelana nomzimba, oko kukukhokelela kwi-myocarditis.
Ukongezelela, kunokuthi kubekho imfuyo ye-genetic postpartum cardiomyopathy kwezinye iintsapho. Nangona kunjalo, umgca wenyani kukuba asiyazi ngokwenene isizathu.
Ngubani Ofumana I-Postpartum Cardiomyopathy?
Nangona i-postpartum cardiomyopathy iyabulela imeko engabonakaliyo (eyenzeka kwi-1 ye-4,000 yokuthunyelwa e-US), abanye abesetyhini babonakala bengengozini ephezulu kunabanye.
Imingcipheko yeengcipheko zengqondo yokuhamba emva kokubeleka ziquka: iminyaka engaphezu kweminyaka engama-30, ekukhululeni abantwana ngaphambili, ukukhulelwa ngamathambo amaninzi, imvelaphi yaseAfrika, imbali ye-preeclampsia okanye i-postpartum hypertension, okanye ukusetyenziswa kakubi kwe-cocaine.
Ziziphi Iimpawu Zomzimba We-Postpartum Cardiomyopathy?
Ekubeni i-postpartum cardiomyopathy ikhokelela ekuphelelweni kwentliziyo, iimpawu zifana nezona zininzi zeentliziyo ezingaphumeleli. Ezi zimpawu zentsilelo yokukhubazeka kakhulu ziquka i- dyspnea , i- orthopnea , i-dyspnea ye-paroxysmal nocturnal , kunye nokugcinwa kwamanzi. Funda ngokubanzi malunga neempawu zesifo senhliziyo.
Njani i-postpartum cardiomyopathy ithathwa njani?
Ngaphandle kwezinto ezimbalwa eziphawulekayo, i-postpartum cardiomyopathy ifana nokunyangwa kwanaluphi na uhlobo lwe-cardiomyopathy edibeneyo .
Ukwahluleka okuphawulekayo kwi-"standard" yonyango yokuhluleka kwentliziyo kuyenzeka xa intliziyo isweleka ngaphambi kokuba umntwana ahambiswe. Ezinye zeendlela "zonyango" zokuphulukisa intliziyo kufuneka zigcinwe de kubekwe ukuhanjiswa.
Ngokukodwa, ii- ACE inhibitors ezifana neVasotec (i-enalapril), eziyizidakamizwa ezithintela imithana yegazi, akufanele zisetyenziswe ngexesha lokukhulelwa, ekubeni ezi ziyobisi zingathintela umntwana. Endaweni yoko, i- hydralazine inokuthi ithathelwe endaweni njengelitya le-dilator yegazi kuze kube yenziwe.
Ngokufanayo, izidakamizwa i-spironolactone kunye no-Inspra (eplerenone) - ababizwa ngokuba yi-aldosterone, ezinokuba luncedo ekuphatheni izigulane ezinomzimba okhulayo-ezingazange zihlolwe ngexesha lokukhulelwa, kwaye kufuneka ziphephe.
Ngoku kutshanje, ubungqina bokuqala buchazwe ukuba abafazi abaneengxaki zokugula emva kokubeleka bazuze kwi-bromocriptine yezilwanyana-isilwanyana esisetyenziselwa ukuphatha iintlobo ezahlukeneyo zezifo eziquka isifo se-Parkinson kunye ne- hyperprolactinemia .
I-Bromocriptine ayilona isichengechunge esilungileyo, nangona (phakathi kwezinye izinto, iyeka ukuhlamba), kwaye iimvavanyo ezinkulu zekliniki ziya kubakho ngaphambi kokuba zicetyiswe ngokubanzi.
Ngokubanzi, ukugxekwa kwabasetyhini abane-postpartum cardiomyopathy kubonakala kulunge ngakumbi kunabesifazana abanezinye iintlobo zesifo sengqondo. Kwezinye iinjongo, ubuninzi abangama-60% wabasetyhini abaneli meko baye bafumana ukubuyiswa okupheleleyo. Sekunjalo, izinga lokufa ne-postpartum cardiomyopathy liphezulu kangange-10% emva kweminyaka emibini.
Ukuqwalaselwa kwexesha elide
Kubaluleke ngakumbi ukuba awazi ukuba abafazi abaye bafumana isifo se-postpartum cardiomyopathy-nokuba nabasetyhini abonakala beyifumene ngokupheleleyo - basengozini enkulu yokuphucula imeko kwakhona ngokukhulelwa okulandelayo.
Yaye ukuba i-postpartum cardiomyopathy yenzeka okwesihlandlo sesibini, umngcipheko wokuhlala unomphela kwaye unobungozi obukhulu benhliziyo uya kuba mkhulu kakhulu.
Ngoko xa umfazi sele ene-cardiomyopathy, kubalulekile ukuthatha amanyathelo okuphepha ukukhulelwa kwakhona.
ILizwi
I-postpartum cardiomyopathy yimeko enzulu yempilo eyenza ukungaphumeleli kwintliziyo ngexesha lokukhulelwa kwexesha elide okanye emva nje kokuziswa. Nangona unyango lukhoyo lunceda uninzi lwabasetyhini abachaphazelekayo ukuba luyifumane, luyiyona ingxaki yengozi yengozi evelisa umlinganiselo omkhulu wokukhubazeka nokufa. Abasetyhini abanalo mqathango basengozini enkulu yokuphindaphinda nokukhulelwa okulandelayo.
> Imithombo:
> Habedank D, Kühnle Y, Elgeti T, et al. Ukubuyiselwa kwi-Peripartum Cardiomyopathy Emva kokunyanga ngeBromocriptine. Inhliziyo ye-Eur J yehluleka ngo-2008; 10: 1149.
> Habli M, O'Brien T, Nowack E, et al. I-Peripartum Cardiomyopathy: Iziphumo zePrognostic kwi-Out-Term Impernal Outcome. U-J Obstet Gynecol 2008; 199: 415.e1.
> Sliwa K, Hilfiker-Kleiner D, uPeterrie MC, et al. I-State Current Knowledge on Aetiology, Diagnosis, Management, kunye Nonyango lwe-Peripartum Cardiomyopathy: iSitatimende seNkcazo evela kwi-Heart Failure Association ye-European Society of Cardiology Working Group kwi-peripartum cardiomyopathy. I-Eur J Intliziyo yehluleka ngo-2010; 12: 767.