Astaamaha iyo Daaweynta
Cardiomyopathy oo laysku dilo ayaa ah midka ugu badan ee saddexda nooc ee wadnaha wadnaha (wadnaha muruqyada wadnaha), labada kale ee kale ee kaansarka 'hypothertropic cardiomyopathy' iyo 'kardiomyopathy'.
Kansarka wadnaha ee loo yaqaan 'kardiomyopathy, muruqa wadnaha wuu daciifiyaa mana awoodi karo inuu si caadi ah u saxo. Si loo magdhabo daciifintaas, muruqa wadnaha "faafiyo," oo keena wadnaha (gaar ahaan xuubka bidixda ) si uu u kiciyo.
Sidaa daraadeed, habka loo yaqaan 'kardiomyopathy' waa lafdhabarta, wadnaha oo kor u kacay.
Sababaha
Waxkasta oo daciifin kara muruqa wadnaha-taas oo ay ku jirto tiro la yaab leh oo xaalado caafimaad ah - waxay horseedi kartaa kiniiniyada wadnaha ee loo yaqaan 'kardiomyopathy'. Xaalado badan oo caadi ah oo soo saari kara kiniiniyada wadnaha ee loo yaqaan 'kardiomyopathy' waxaa ka mid ah cudurka halbowlaha wadnaha (CAD) , infekshannada kala duwan, hypertension , iyo cudurada wadnaha wadnaha. Dhibaatooyinka nafaqada, khamriga ama ka ganacsiga kookeynta, uurka, qalitaanka wadnaha , shoogga dareenka degdega ah , isbedelka hidde-sideyaasha, cudurada thyroid-ka , iyo cudurada mareenka ayaa ka mid ah sababaha kale ee suurtogalka ah.
Astaamaha
Cardiomyopathy oo laysku dilo ayaa ah sababta ugu badan ee wadnaha ku fashilantay . Dhab ahaantii, dadka intiisa badan - oo ay ku jiraan dhakhaatiir badan - waxay isticmaalaan ereyga "wadnaha guuldareysta" oo ah qaab isku dhafan oo loo yaqaan 'cardiomyopathy'. Sidaa awgeed, waa inaysan noqonin wax la yaab leh in calaamadaha loo yaqaan 'kardiomyopathy' ay yihiin calaamadaha caadiga ah ee wadnaha oo aan shaqeynin .
Kuwaas waxaa ka mid ah xanuunka neefta (neefta oo gaaban), bararka cagaha iyo anqawyada, daciifnimo, dulqaad darro, jahwareer , iyo madax- furasho .
Ciladeynta
Cilad-baadhista wadnaha ee loo yaqaan 'kardiomyopathy-ka' oo lagu ogaado ballaarinta qolalka wadnaha, gaar ahaan faleebada bidix. In la ogaado sifeynta bidix ee faleebada ah ayaa la gaari karaa inta ugu fudud ee leh echocardiogram , ama scan MUGA .
Xogta muhiimka ah ee laga helay mid ka mid ah echocardiogram ama SCA scan waa qaybta xuubka bidix ee loo yaqaan 'left ventricular fraction' (LVEF) , taas oo ah saamiga dhiigga dhiigga kaas oo qaybta ka-soo-baxa ee ka soo baxa garaaca wadnaha. LVEF caadi ah waa 50% ama ka sarreeya (taas oo macnaheedu yahay in sida caadiga ah hawo-mareenka bidixda ayaa ka dhigaa ugu yaraan kala badhka dhiigga). Kansarka wadnaha ee loo yaqaan 'kardiomyopathy', LVEF ayaa si aan caadi aheyn hoos ugu dhacday 50%.
Heerka hoos udhaca LVEF guud ahaan waa saxnaan sax ah ee xaddiga dhaawaca kaadimareenka bidix. Ku celcelinta qiyaasta LVEF si joogto ah ayaa loo ogaan karaa in qofku uur-kujirayo ama uu wanaajin karo waqti kaddib.
Daaweynta
Marka la ogaado kiniiniga wadnaha ee loo yaqaan 'kardiomyopathy', waa in amarka ugu horeeya ee ganacsiga la sameeyo si loo sameeyo qiimeyn buuxa si loo isku dayo inuu keeno sabab macquul ah. Dadaalkan, dhagax aan loo baahneyn waa la joojiyay, sababtoo ah in laga takhaluso sababaha hoose ayaa badanaa ah habka ugu wanaagsan ee looga hortagi karo wadnaha oo sii xumaanaya, iyo xaaladaha qaarkood si loo baddalo. Xaaladdan oo kale, waxaa muhiim ah in la eego CAD, ciladaha wadnaha wadnaha, nafaqo la'aanta, khamriga qarsoon ama isticmaalka kookaha, iyo cudurada thyroid.
Markaad raadinayso sabab macquul ah, daaweynta gardarrada ah waa in la sameeyaa si loo yareeyo calaamadaha, iyo sidoo kale joojinta wadne-xanuunka.
Qaar ka mid ah xarumaha daaweynta ayaa hadda lagu muujiyay in ay sii dheeraanayaan badbaadada ayna yareeyaan calaamadaha dadka qaba kiniiniyaatopathy, iyo daweynta xaaladdan ayaa si degdeg ah u socotay.
Nasiib darro, daraasaduhu weli waxay muujinayaan in qayb weyn oo dad ah oo qaata kiniiniyada wadnaha ee loo yaqaan 'cardiomyopathy aysan helin daryeel wanaagsan. Haddii adiga ama qofkii aad jeceshahay uu kiciyo wadnaha, waxaa lagaa doonayaa in aad la tashato daaweynta lagaa rabo inaad hesho - oo hubso inaad kala hadasho dhakhtarkaaga. Caadiyan waa fikrad wanaagsan inaad haysatid kalkaaliye caafimaad oo kormeera daryeelkaaga, labadaba si aad u hubiso in daaweyntu ay tahay heerarka, iyo in lagugu wargeliyo wixii horumar ah ee ku saabsan daaweynta xaaladdan aadka u daran.
> Ilo:
> McMurray JJ, Adamopoulos S, Anker SD, et al. Tilmaamaha ESC ee loogu talagalay baadhista iyo daweynta qaliin iyo xanuun joogta ah ee wadnaha ee 2012: Awoodda Shaqada ee Qeexidda iyo Daaweynta Qalitaanka Wadnaha iyo Xanuunka Wadnaha ee 2012-ka ee Bulshada Barashada Yurub. Horumarinta wadashaqeyn lala yeesho Ururka Hawlgabka Wadnaha (HFA) ee ESC. Eur Heart J 2012; 33: 1787.
> Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA Xidhiidhka Maamulka Maareynta Wadnaha Wadnaha: Soo-koobidda Fulinta: Warbixinta Kuliyada Aasaasiga ah ee American College of Cardiology / Qalabka American Heart Association Force ee ku saabsan tilmaamaha tababarka. Wareegga dhiigga 2013; 128: 1810.