Hypertrophic cardiomyopathy: waa maxay, astaamaha, sababaha iyo daaweynta

Qanacsan

• Calaamadaha ugu waaweyn
• Sababaha suuragalka ah
• Sida daaweynta loo sameeyo

Hypertrophic cardiomyopathy waa cudur halis ah oo keena kordhinta dhumucda muruqa wadnaha, taas oo ka dhigaysa mid adag oo dhib badan ku leh samaynta dhiigga, taas oo u horseedi karta dhimasho.

In kasta oo hypertrophic cardiomyopathy uusan lahayn daawo, haddana daaweyntu waxay gacan ka geysaneysaa yareynta astaamaha iyo ka hortagga dhibaatada inay ka sii darto, ka hortagga dhibaatooyinka sida fibrillation-ka wadnaha iyo xitaa istaagga wadnaha, tusaale ahaan.

Eeg 12 calaamadood oo tilmaami kara dhibaatooyinka wadnaha.

Calaamadaha ugu waaweyn

Xaaladaha badankood, hypertrophic cardiomyopathy ma muujiso wax calaamado ama astaamo ah, waxaana badanaa lagu gartaa baaritaanka wadnaha ee caadiga ah. Si kastaba ha noqotee, dadka qaar ayaa laga yaabaa inay la kulmaan:

• Dareemidda neef-gaabis, gaar ahaan marka aad sameyneyso dadaal jireed;
• Laabta xanuun, gaar ahaan xilliga jimicsiga jirka;
• Kalsoonaanta ama garaaca wadnaha oo degdeg ah;

Marka, markii mid ka mid ah astaamahan ay soo muuqdaan, waxaa lagugula talinayaa inaad u tagto dhakhtarka si aad u sameyso baaritaanada lagama maarmaanka ah, sida echocardiography ama xabadka raajada, oo ka caawiya aqoonsiga dhibaatada iyo bilowga daaweynta ku habboon.

Caadi ahaan, da'da oo sii adkaata iyo qalbiga oo adkaada, sidoo kale waa wax iska caadi ah in dhiig karka iyo xitaa arrhythmias uu kaco, sababo la xiriira isbeddelada calaamadaha korantada ee muruqa wadnaha.

Sababaha suuragalka ah

Hypertrophic cardiomyopathy waxaa badanaa keena isbeddel hidde ah oo sababa horumar xad dhaaf ah muruqa wadnaha, kaasoo ka sii weynaada sida caadiga ah.

Isbedelka keena cudurkan wuxuu waalidiinta u gudbin karaa carruurta, iyadoo leh 50% fursad ah inay carruurtu ku dhalan doonaan dhibaatada, xitaa haddii cudurku ku dhaco hal waalid oo keliya.

Sida daaweynta loo sameeyo

Sidaa awgeed, dhakhtarka wadnaha wuxuu badanaa ku bilaabaa daaweynta isticmaalka daawooyinka sida:

• Daawooyin lagu qalbi qaboojiyo, sida Metoprolol ama Verapamil: hoos u dhig culeyska muruqa wadnaha iyo hoos u dhigida garaaca wadnaha, taasoo u oggolaaneysa in dhiigga si waxtar leh loo soo tuuro;
• Daawooyinka lagu xakameynayo garaaca wadnaha, sida Amiodarone ama Disopyramide: joogtayso heerka garaaca wadnaha oo joogto ah, iyadoo laga fogaanayo shaqada wadnaha oo badata;
• Anticoagulants, sida Warfarin ama Dabigatran: waxaa loo isticmaalaa marka uu jiro fibrillation atrial, si looga hortago sameynta xinjiro sababi kara infarction ama istaroog;

Si kastaba ha noqotee, marka isticmaalka daawooyinkani aysan awood u lahayn inay yareeyaan astaamaha, dhakhtarku wuxuu isticmaali karaa qalliinka si looga soo gooyo qayb ka mid ah muruqyada wadnaha oo kala sooca labada waddo ee wadnaha, fududeynta marinka dhiigga iyo yaraynta dadaalka wadnaha.

Xaaladaha ugu daran, ee ay jirto halista weyn ee wadnaha oo istaagta arrhythmia, waxaa laga yaabaa inay lagama maarmaan noqoto in lagu beero wadnaha wadnaha, kaas oo soo saara dhibaatooyin koronto oo awood u leh xakameynta garaaca wadnaha. Si kafiican ayaa loo fahmaa sida qalabka wadnaha u shaqeeyo.