Cardiomyopathy na-egbochi

Cardiomyopathy na-egbochi ime ihe na-ezo aka na mgbanwe nke otu esi arụ ọrụ mọzụlụ obi. Mgbanwe ndị a na-eme ka obi jupụta (ma ọ bụ nke na-adịkarịghị). Mgbe ụfọdụ, nsogbu abụọ dị.

N'ihe banyere cardiomyopathy na-egbochi mmadụ, akwara obi nwere ogo nkịtị ma ọ bụ bukwuo ibu. Ọtụtụ oge, ọ na-awụkwa ntụtụ. Otú ọ dị, ọ dịghị ezu ike n'ụzọ kwesịrị ekwesị n'oge oge n'etiti obi tie mgbe ọbara na-alọta n'ahụ (diastole).

N’agbanyeghi na nsogbu bu nsogbu n’adighi obi juputara n’obi, obi nwere ike ghara igbapu obara ike mgbe oria a na-ari. Ọrụ obi na-adịghị mma nwere ike imetụta akpa ume, imeju, na sistemụ ahụ ndị ọzọ. Cardiomyopathy na-egbochi ya nwere ike imetụta ma ọ bụ ụlọ abụọ nke obi (ventricles). Cardiomyopathy na-egbochi ya bụ ọnọdụ dị obere. Ihe kachasị akpata ya bụ amyloidosis na ọnya obi site na ihe kpatara ya. O nwekwara ike ime mgbe a gbanyesịrị obi.

Ihe ndị ọzọ na - akpata mgbochi ọrịa cardiomyopathy gụnyere:

• Amyloidosis gbasara obi
• Ọrịa obi Carcinoid
• Ọrịa nke na-ekpuchi obi (endocardium), dị ka endomyocardial fibrosis na ọrịa Loeffler (obere)
• Iron bufee (hemochromatosis)
• Sarcoidosis
• Egwu mgbe ụzarị ọkụ ma ọ bụ chemotherapy gasịrị
• Scleroderma
• Tumo nke obi

Mgbaàmà nke nkụda obi na-apụtakarị. Mgbaàmà ndị a na-amalite nwayọ nwayọ oge.Agbanyeghị, mgbaàmà mgbe ụfọdụ na-amalite nke ukwuu na mberede ma sie ike.

Ihe mgbaàmà ndị a na-ahụkarị bụ:

• .Kwara
• Nsogbu iku ume nke na-eme n'abalị, na-arụ ọrụ ma ọ bụ mgbe ị na-edina ala
• Ike ọgwụgwụ na enweghị ike imegharị ahụ
• Loss nke agụụ
• Ọzịza nke afọ
• Mgbapu ụkwụ na nkwonkwo ụkwụ
• Enweghị ike ma ọ bụ ngwa ngwa ngwa ngwa

Mgbaàmà ndị ọzọ nwere ike ịgụnye:

• Obi mgbu
• Enweghi ike itinye uche
• Mmiri mmamịrị dị ala
• Mkpa urinate n'abalị (na ndị okenye)

Nyocha nke anụ ahụ nwere ike igosi:

• Mụbaa (distended) ma ọ bụ bulging n'olu veins
• Imeju imeju
• Ugboro ngụgụ na ụda obi dị iche ma ọ bụ nke dị anya na igbe a nụrụ site na stethoscope
• Fluid ndabere n'ime aka na ụkwụ
• Ihe ịrịba ama nke nkụda obi

Ule maka mgbochi cardiomyopathy gụnyere:

• Cardiac catheterization na akwara obi angiography
• Obi CT i .omi
• Igbe x-ray
• ECG (electrocardiogram)
• Echocardiogram na ọmụmụ Doppler
• MRI nke obi
• Nyocha nuklia nuklia (MUGA, RNV)
• Ọbara ígwè ọmụmụ
• Ọbara na mmamịrị protein ule

Mmetụta cardiomyopathy na-egbochi ya nwere ike ịdị ka pericarditis na-egbochi mmadụ. Cardiac catheterization nwere ike inye aka kwado nyocha ahụ. Obere oge, enwere ike ịchọ biopsy nke obi.

A na-emeso ọnọdụ na-akpata cardiomyopathy mgbe enwere ike ịchọta ya.

Ọgwụgwọ ole na ole maara na ha na-arụ ọrụ nke ọma maka cardiomyopathy na-egbochi mmadụ. Ihe mgbaru ọsọ bụ isi nke ọgwụgwọ bụ ịchịkwa mgbaàmà ma melite ogo ndụ.

Usoro ọgwụgwọ ndị a nwere ike iji chịkwaa mgbaàmà ma ọ bụ gbochie nsogbu:

• Ọgwụ na-eme ka ọbara belata
• Chemotherapy (n'ọnọdụ ụfọdụ)
• Diuretics iji wepu mmiri mmiri ma nyere aka melite iku ume
• Ọgwụ iji gbochie ma ọ bụ chịkwaa ụda obi na-adịghị mma
• Steroid ma ọ bụ chemotherapy maka ụfọdụ kpatara

Enwere ike ịtụle ịmịnye obi ma ọ bụrụ na ọrụ obi dara ogbenye na mgbaàmà siri ike.

Ndị mmadụ nwere ụdị nsogbu a na-eme ka obi na-ajọkarị ha njọ. Nsogbu na obi rhythm ma ọ bụ "leaky" obi valves nwekwara ike ime.

Ndị mmadụ nwere nsogbu nwere ike ịbụ ndị chọrọ ịkpụgharị obi. Echiche na-adabere n'ihe kpatara ọnọdụ ahụ, mana ọ na-abụkarị ogbenye. Vlanahụ mgbe nchoputa nwere ike ịgafe afọ 10.

Kpọọ onye na-ahụ maka ahụike gị ma ọ bụrụ na ị nwere mgbaàmà nke cardiomyopathy na-egbochi gị.

Cardiomyopathy - igbochi; Ihe omuma nke infiltrative; Ngwurugwu myocardial fibiopia

• Obi - ngalaba site n'etiti
• Obi - echiche dị n'ihu

Falk RH, Hershberger RE. Cardba ụba, na-egbochi mmadụ, ma na-eme ka ọ ghara ịba ụba. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 77.

McKenna WJ, Elliott PM. Ọrịa nke myocardium na endocardium. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 54.