Kansarka wadnaha ee loo yaqaan 'kardiomyopathy' ayaa ah xaalad mid ka mid ah labada garab ee wadnaha ee wadnaha uu daciif yahay oo la karkariyo. Waxay badanaa keenaysaa wadnaha wadnaha iyo qalitaan wadnaha ah - gaar ahaan fibrillada atrial - waxayna keeni kartaa dhimasho degdeg ah. 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'.
Waa maxay sababta Dilka, Maxay Muhiim u tahay?
Nasiib daro xaalad caafimaad oo keeni karta daciifinta muruqa wadnaha waxay keeni kartaa wadnaha oo loo yaqaan 'kardiomyopathy'. Marka muruqa wadnaha uu daciif yahay, ma awoodo inuu si buuxda u shaqeeyo. Wadnaha wuxuu isku dayayaa in uu magdhowo daciifintaan iyada oo loo marayo nidaam lagu magacaabo dib-u-habeyn , taas oo had iyo jeer u horseedaysa isdabajooga qolalka wadnaha.
Kala-wareeggu wuxuu fidiyaa murqaha wadnaha, kaas oo caawinaya - wakhti, ugu yaraan - si loo ilaaliyo qaar ka mid ah xooga muruqyada. Sidoo kale, qufac dilaac ah ayaa awood u leh inay qabato dhiig badan. Dhibaatada ka dhalatey, xitaa haddii hawo-daalku uu daciifay, waa in la yiraahdaa, 30% oo kaliya ee dhiiggu haysto (marka la barbardhigo 50% caadiga ah), miisaankii wadnaha ee lagu dhasho mid kasta oo garaaca wadnaha waa la ilaalin karaa - ilaa hal dhibic. (Boqolkiiba saamiga dhiigga laga soocay kaadihaystaha bidix iyada oo garaaca wadnaha oo dhan waxaa lagu magacaabaa qaybta garabka bidix ee bidix, ama LVEF .
Cabbiraadda LVEF waxay noqotaa hab muhiim ah oo lagu qiimeeyo caafimaadka guud ee wadnaha.)
Qeybta ugu hooseysa ayaa ah in kicinta qolalka wadnaha ay tahay farsam-bixin magdhow ah oo bixiya gargaarka mudada gaaban haddii muruqa wadnaha uu daciifiyo. Nasiib darro, muddada dheer, kicinta lafteedu waxay u eg tahay inay sii wiiqmeyso muruqa wadnaha.
Ugu dambeyntii, wadno-qabsashada wadnaha oo badanaa badiyaa ayaa soo baxda
Haddii aad qabtid daawada wadnaha ee loo yaqaan 'cardiomyopathy', waxay muhiim u tahay adiga iyo takhtarkaaga inaad wada shaqaysaan si loo ogaado sababta asaasiga ah, sababtoo ah si xun ula dhaqmidda sababaha asaasiga ah ayaa badanaa muhiim ah si looga hortago horumarka wadnaha.
Sababaha loo yaqaan 'Cardiomyopathy Dilate'
Ku dhowaadba cudur kasta oo wadnaha ah oo dhaawici kara muruqyada wadnaha ayaa keeni kara daaweynta wadnaha ee loo yaqaan 'cardiomyopathy'. Sababaha ugu caansan waa:
- Cudurka halbowlaha wadnaha (CAD) : CAD waa sababta ugu badan ee keenta kiniiniyada wadnaha ee loo yaqaan 'kardiomyopathy'. CAD badiyaa waxay soo saartaa wadnaha oo loo yaqaan 'kardiomyopathy' iyadoo ay sababi karto cudurada maskaxda (wadno xanuun), kaas oo dhaawici kara muruqa wadnaha.
- Caabuqyada: Cudurada infekshanka badani waxay weerari karaan oo daciifin karaan muruqyada wadnaha. Kuwaas waxaa ka mid ah infakshannada fayraska ah ee badan, cudurka Lyme , infekshanka HIV, iyo cudurada Chagas.
- Cudurka Wadnaha ee Valvii: Cudurka wadnaha ee wadnaha, gaar ahaan isbedelka aortiska , iyo xanuunka mitral-kicinta , badanaa waxay soo saartaa wadnaha oo loo yaqaan 'kardiomyopathy'.
- Cadaadiska Dhiig Sarreeya: Dhiig-baxu wuxuu u nugul yahay inuu keeno wadno-qabad dhiig-baxa ah ama diestolic disorder , ugu dambeyntii, waxay sidoo kale keeni kartaa kiniiniyada wadnaha ee loo yaqaan 'kardiomyopathy'.
- Khamriga: Qaar ka mid ah shakhsiyaadka jinsiga ah, qamriga wuxuu u shaqeeyaa sidii sunta awood leh ee muruqa wadnaha wuxuuna keenaa kiniiniyada wadnaha ee loo yaqaan 'kardiomyopathy'.
- Cocaine: Isticmaalidda kookeynta ayaa sidoo kale lala xiriiriyay kalyoomyopathy dilaacay.
- Cudurka qanjirka ' Thyroid' - cudurada qanjirka 'thyroid' (Hyperthyroidism) (qanjidhka thyroid-ka ee aad u firfircoon) ama hypothyroidism (qanjirka thyroid-ka ee aan firfircooneyn) - wuxuu keeni karaa wadne-la'aanta. Hyperthyroidism waxay u badantahay inay keento kiniiniyada wadnaha ee la adkeeyey, halka hypothyroidism ay u badan tahay in ay keento wadnaha qaloociya wadnaha.
- Nafaqada: Cunnooyinka nafaqada - gaar ahaan la'aanta vitamin B1 - waxay keeni kartaa wadnaha mareenka. Noockan wadnaha ee wadnaha (cardiomyopathy) waxaa badanaaba lagu arkaa waddamada soo koraya, iyo khamriga.
- Cudurka postpartum: Cardiomyopathy waa nooc ka mid ah wadnaha oo loo yaqaan 'cardiomyopathy' kaas oo ku dhaca sababo aan la garanayn, oo la xiriirta dhalmada.
- Jeermiska: Waxaa sidoo kale jira noocyo hidde ah oo loo yaqaan 'kardiomyopathy'. Tani waa sababta qoysaska qaarkood ay si cad u saameeyaan dhacdooyinka aadka u sarreeya ee loo yaqaan 'kardiomyopathy'.
- Cudurada maskaxda: Cudurka lupus iyo cayayaanka waa nidaamyo dareen-celin oo u horseedi kara kalyoomiyaati dilaacsan.
- Cudurka wadnaha "shaqeynaya": Xaalad kasta oo keenta muruqa wadnaha inuu ku shaqeeyo si aad u adag muddo dheer (toddobaadyo ama bilo) ayaa ugu dambeyn keeni karta kalagoysyada wadnaha iyo daciifinta muruqa wadnaha. Xaaladaha noocan oo kale ah waxaa ka mid ah dhiig-yaraanta daba-dheeraadka ah, qalabka daaweynta ee aan caadiga ahayn (qalabka degdegga ah ee wadnaha), hyperthyroidism joogto ah, iyo shaqada dheeraadka ah ee ay soo saarto qalabka wadnaha (dib-u-hagaajinta).
- Cadaadis Wadnaha Cardiomyopathy: Cudurka wadnaha ee wadnaha, oo loo yaqaan 'cilladda wadnaha wadnaha', waa nooc ka mid ah qalalaasaha wadnaha oo la xidhiidha walaaca ba'an, oo inta badan lagu arko haweenka.
- Xaalado kala duwan: Xaalado badan oo kale ayaa sababi kara wadnaha oo loo yaqaan 'kardiomyopathy', oo ay ku jiraan sarcoidosis , cudurada kalyaha oo dhammaadka ah, iyo hurdada hurdada ee hordhac ah.
- Idiopathic: Xaalado badan, sababo gaar ah ee wadnaha loo yaqaan 'cardiomyopathy' lama ogaan karo. Xaaladahan, kiniiniga wadnaha ee la korsado ayaa la sheegay inuu yahay "idiopathic."
Khadadka hoose
Si habboon u daaweyn kara kiniiniyada wadnaha ee la adkeeyey waxay u baahan tahay in dhakhtarkaagu sameeyo isku day kasta oo lagu aqoonsanayo sababaha hoosta u ah, ka dibna u daawee sababaha asaasiga ah ee ugu macquulsan. Haddii adiga ama qof aad jeceshahay loo sheego inaad qabtid daawada wadnaha ee loo yaqaan 'cardiomyopathy', hubso inaad la hadasho dhakhtarkaaga sababaha xaaladdaada, iyo waxa laga yaabo in la qabto.
> Ilo:
> Biagini E, Coccolo F, Ferlito M, iyo al. Kala-dillaaca-hypokinetic Evolution of Hypertrophic Cardiomyopathy: Is-beddelka, Caabuqnimada, Ciladaha Khatarta ah, iyo Ciladaha Gaar ah ee Bukaanka Caruurta iyo Dadka waaweyn. J Am Coll Cardiol 2005; 46: 1543.
> Luk A, Ahn E, Soor GS, Butany J. Dilka Cardiomyopathy: Dib u Eegid. J Clin Pathol 2009; 62: 219.