I-cardiomyopathy i-DilM (iDDM) yintliziyo yesifo apho i-myocardium ithinteka ngayo-intliziyo iyolule, ngelixa iindonga zayo zinganda.
Ngethuba lokuqala eli thuba lenziwa ngu-V. Brigden ngo-1957, phantsi kwakhe apho wayecinga ngengxaki eyimimandla eyingozi eyabangela izizathu ezingaziwa. Nangona kunjalo, ngokugqithiseleyo kwexesha, unyango luye lwaphuhliswa, kwaye namhlanje amagqirha ayazi i-etiology yezinye iindidi ze-cardiomyopathy.
Iimpawu ze-cardiomyopathy
Ngokuqhelekileyo, i-cardiomyopathy ixubile ibhekisela kwizilonda eziphambili ze-myocardial, kodwa ngelo xesha, kukho ne-secondary dilation cardiomyopathy. Ukusekwa kwesifo esithile kuxhomekeke ekubeni eso sifo sidibene nesifo sengqondo senhliziyo yesifo senhliziyo okanye nokuba isifo sifumaneka ngenxa yezinye izifo.
Nangona ukwanda kwe-cardiovascular dilation engaziwa ngokuchanekileyo ngenxa yeengxaki zokuxilongwa (oku kungenxa yokungahambi kweendlela ezichanekileyo zokumisela esi sifo), abanye ababhali babiza amanani aqikelelwayo: umzekelo, abantu abayi-100 000 ngonyaka, i-DCM inokuphuhlisa abantu abangaba ngu-10. Amadoda angama-3 amathuba okuba ahlupheke ngenxa yokukhathazeka komzimba kunabesifazana, abaneminyaka engama-30 ukuya kuma-50 ubudala.
Ukubonakaliswa kwezonyango akusoloko kuyimfuneko kwesi sifo, kodwa iimpawu ezithile, nangona kunjalo, zizibonakaliso ze-DCMP:
- angina pectoris ;
- ukuhluleka kwentliziyo;
- thromboembolism;
- ukuphazamiseka kwentliziyo yesigqi.
Iimbangela ze-cardiomyopathy
I-100% ebangela ukuba kubangele i-cardiomyopathy ehlanjululwayo engaziwayo, kodwa iyeza sele isazi ukuba izifo zentsholongwane zidlala indima ebalulekileyo ekuphuleni okunjalo kwe-myocardium. Ukuba umntu uvame ukufumana izifo zentsholongwane, ithuba lokuphuhlisa i-DCMP landa amaxesha amaninzi.
Kwakhona kwendima yokuphuhliswa kwedatha ye-cardiomyopathy yesigulane yesigulane isigxina sithatha inxaxheba - ukuba izalamane zinempilo efanayo, ke le nto ibaluleke kakhulu ebonisa ukuthambekela kwesi sifo.
Esinye isizathu esenza ukuba i-DCMP ilandelelanise inkqubo.
Ezi zilapha zingentla zikhokelela ekulimaleni komonakalo we-myocardial. Kukho isibalo sezifo ezidla ngokubangela ukuba i-cardiomyopathy idibeneyo:
- i-dystrophy muscular;
- izifo ze-endocrine;
- inetyhefu yomzimba (utywala, isinyithi esinzima);
- ukutya okuphazamisayo, kwaye, ngenxa yoko, ukungabikho kwe-selenium emzimbeni.
Kufuneka kwakhona kuqaphele ukuba i-cardiomyopathy idiopathic idibeneyo yegciwane idibeneyo, iguquka kwayo, kwaye ivela kwi-20% yamatyala.
Unyango lwe-cardiomyopathy
I-cardiomyopathy i-Dilated iphathwa kunye nokuhluleka kwentliziyo:
- diuretics, kuquka iVeroshpiron;
- ACE inhibitors - ukunciphisa uxinzelelo lwegazi, ukunciphisa imilambo yegazi;
- kuma-arrhythmias anika izidakamizwa ezichanekileyo;
- i-glycosides ye-cardiac (umz., i-digoxin).
Onke amayeza anqunywe ngabanye, kuxhomekeke kwiimpawu zesifo.
Ngesi sifo, ukuzivocavoca ngokulinganisela, ukutya okunomsoco kunye nokuvinjelwa kokusetyenziswa kotywala kuncedo, ekubeni kunciphisa uxinzelelo lwe-thiamine, oluya kukhuthaza ukuphuhliswa kwesifo se-dialytic cardiomyopathy.
Ukunyangwa kwamanyathelo omntu kunye ne-cardiomyopathy
Xa usebenzisa iindlela zokwenza unyango, kufuneka uqale uvumelane nodokotela wakho.
Nge-DCMC, kuyiluncedo kakhulu ukusebenzisa i-viburnum kunye neefelk imbewu , kunye ne-kefir kunye nejusi ye-carrot. Ezi mveliso ziqinisa imisipha yeentliziyo, ezichaphazela kakuhle isi sifo.
Ukugxekwa kwe-cardiomyopathy
Ukugxekwa kwesi sifo akunakulungeleka kwi-70% yezigulane, kwaye kuphelile ngesiphumo esibulalayo kwiminyaka engama-7. Nangona kunjalo, kukho ithemba lokusindisa ubomi kunye nempilo kwimeko elolo hlobo, ngoko ke, ukuba i-cardiomyopathy iyancipha, iingxaki kufuneka zikhutshwe kungekudala.