I-cardiomyopathy i-Dilm (i-DCM) iyisifo senhliziyo lapho i-myocardium ithinteka khona-izinhliziyo ziyaluleka, kuyilapho izindonga zayo zinganda.
Ngokokuqala ngqa leli gama laqalwa ngu-V. Brigden ngo-1957, lapho ayecabanga ngakho ukuphazanyiswa okuyisimanga esiyingozi okubangelwa izimbangela ezingaziwa. Kodwa-ke, ngokuhamba kwesikhathi, imithi iye yahlakulela, futhi namuhla odokotela bayazi i-etiology yezinye izinhlobo ze-cardiomyopathy ehlanjululwe.
Izimpawu ze-cardiomyopathy eguqulekile
Ngokuvamile, ukuguquka kwesifo sokudla komzimba kubhekisela ezingxenyeni eziphambili ze-myocardial, kodwa ngesikhathi esifanayo, kune-cardiomyopathy ephindwe kabili. Ukubekwa kwesifo esithile kuxhomeke ukuthi ngabe lesi sifo sihlotshaniswa nokukhubazeka kwesifo senhliziyo noma ngabe lesi sifo sitholakale ngenxa yezinye izifo.
Naphezu kokuthi ukusabalalisa kwe-cardiovascular dilation akukwaziwa ngokuqondile ngenxa yezinkinga zokuxilongwa (lokhu kungenxa yokuntuleka kwezinqubo ezicacile zokunquma lesi sifo), abanye abalobi babiza izibalo ezilinganisiwe: isibonelo, abantu abayi-100 000 ngonyaka, i-DCM ingavela kubantu abangaba ngu-10. Amadoda angaphezu kuka-3 amathuba okuba ahlupheke ngenxa yokugula komzimba kunabesifazane, abaneminyaka engama-30 kuya kwengu-50.
Ukubonakaliswa kwemitholampilo akuzona njalo okudingekayo kulesi sifo, kodwa izimpawu ezithile, kodwa, ziyi-DCMP:
- angina pectoris ;
- ukuhluleka kwenhliziyo;
- i-thromboembolism;
- ukuphazamiseka kwenhliziyo yesigqi.
Izimbangela ze-cardiovascular dilation
Isizathu se-100% esibangele ukukhubazeka kwe-cardiomyopathy asikaziwa, kodwa imithi isazi kakade ukuthi ukutheleleka kwegciwane kudla indima ebalulekile ekuphukeni okunjalo kwe-myocardium. Uma umuntu evame ukugula ngesifo segciwane, ithuba lokuthuthukisa i-DCMP landa izikhathi eziningana.
Futhi indima yokuthuthukiswa kwedatha ye-cardiomyopathy genetic of the patient ngokuvamile ihilelekile - uma izihlobo zinezifo ezifanayo, lokhu kuyisici esibalulekile esibonisa ukuthambekela kwesifo.
Esinye isizathu esingabangela i-DCMP izinqubo ezizenzakalelayo.
Lezi zifo ezingenhla aziholela ekulimaleni komonakalo we-myocardial. Kunezifo eziningi ezivame ukudala ukubola kwegazi:
- i-dystrophy yemisipha;
- izifo ze-endocrine;
- ubuthi obuyingozi emzimbeni (utshwala, izinsimbi ezisindayo);
- ukuphazamiseka kokudla, futhi, ngenxa yalokho, ukwehluleka kwe-selenium emzimbeni.
Kumele futhi kuqaphele ukuthi i-didiomathic dilated cardiomyopathy ihlotshaniswa nezakhi zofuzo, ikakhulukazi ukuguqulwa kwazo, futhi kwenzeka ngamacala angu-20%.
Ukwelashwa kwe-cardiomyopathy ehlisiwe
I-cardiomyopathy ye-dilated iphathwa njenge-heart failure:
- ama-diuretics, kuhlanganise ne-Veroshpiron;
- I-ACE inhibitors - ukunciphisa ukucindezelwa kwegazi, ukwehlisa imithwalo yegazi;
- kuma-arrhythmias anikeze izidakamizwa zokulwa nezidakamizwa;
- i-glycosides yomzimba (isb., i-digoxin).
Yonke imithi inqunywe ngokweqile, kuye ngokuthi izimpawu zesifo.
Ngalesi sifo, ukuzivocavoca okulinganiselayo, ukudla okunomsoco nokuvinjelwa kokusetshenziswa kotshwala kuyasiza, ngoba kunciphisa ukuhlushwa kwe-thiamine, okungaholela ekuthuthukiseni ukukhubazeka kwe-dialytic cardiomyopathy.
Ukwelashwa kwamakhambi omuntu one-cardiomyopathy ehlanganisiwe
Uma usebenzisa amakhambi omuthi wokwelashwa, kufanele uqale uvumelane nodokotela wakho.
Nge-DCMC, kuyasiza kakhulu ukusebenzisa imbewu ye- viburnum ne- flax , kanye ne-kefir ne-carrot juice. Le mikhiqizo iqinisa imisipha yenhliziyo, okuyinto ethinta kahle inkambo yesifo.
Ukubikezelwa kwe-cardiovascular dilation
Ukuchazwa kwesifo akusizi kahle iziguli ezingu-70%, futhi kuphelile ngomphumela obulalayo phakathi neminyaka engu-7. Noma kunjalo, kukhona ithemba lokusindisa impilo nempilo ngisho nasezimpikeni ezinjalo, ngakho-ke, uma kutholakala ukuthi i-cardiomyopathy ixiliswe, izinkinga kufanele zivinjwe ngokushesha ngangokunokwenzeka.