A wasu lokatai, daukar ciki zai iya haifar da yanayin da ake kira postpartum cardiomyopathy, ko haɓakar zuciya ta haɗin ciki . Kwallon katin cardiomyopathy wani nau'i ne na cardiomyopathy . (Cardiomyopathy yana nufin ƙananan rauni na tsoka.)
Mata waɗanda ke ci gaba da kwakwalwa na kwakwalwa suna jin dadin rashin ciwo zuciya ko dai a cikin watan da ta gabata na ciki, ko cikin watanni biyar bayan haihuwa.
Saboda "postpartum" cardiomyopathy zai iya faruwa a hankali kafin a haifi jariri, da yawa likitocin zuciya yanzu koma zuwa gare shi a matsayin "peripartum cardiomyopathy." (Peripartum yana nufin "a lokacin lokacin haife.")
Mata da suka ci gaba da wannan yanayin ba su da wani ciwon zuciya na baya, kuma babu wani dalilin da zai iya haifar da cututtukan zuciya. Ƙarƙashin zuciya na zuciya zai iya kasancewa dan lokaci na wucin gadi, wanda ba shi da iyaka, ko kuma zai cigaba da ci gaba da mummunan zuciya.
Abin da ke haifar da Cardiomyopathy?
Ba a san dalilin da ake kira cardiomyopathy ba. Akwai tabbacin cewa ƙurar ƙwayar zuciya (wanda ake kira myocarditis ) na iya taka muhimmiyar rawa, kuma yana iya dangantaka da sunadarai masu ƙin ƙananan jini wanda wani lokaci ana iya samuwa a cikin jinin lokacin daukar ciki. Akwai kuma shaidar cewa tarin fukawa wanda ke tsere zuwa cikin jini a wasu lokutan zai iya haifar da wani abu mai rikici, wanda zai haifar da myocarditis.
Bugu da ƙari kuma, akwai yiwuwar jigilar jini ga likitoci na likita a cikin wasu iyalai. Duk da haka, alamar ita ce cewa ba mu san dalilin ba.
Wane ne ke da sakataren harajin Cardiomyopathy?
Duk da yake likitan kwastan cardiomyopathy yana da godiya ga yanayin da ya faru (wanda ya faru a kusan 1 na 4,000 a cikin Amurka), wasu mata suna ganin sun kasance mafi haɗari fiye da sauran.
Bayanan haɗari ga cardiomyopathy a cikin gidan yarinya sun hada da: shekaru fiye da shekaru 30, da haihuwa da haihuwa, da haihuwa da ƙwararrun tayi, zuriyar Afrika, tarihin farfadowa ko hauhawar jini, ko cin zarafin cocaine.
Mene ne alamomin cututtuka na Cardiomyopathy?
Tun lokacin da katin cardiomyopathy ya haifar da gazawar zuciya, alamun cututtuka sun kasance daidai da yawancin nau'o'in zuciya. Wadannan bayyanar cututtukan zuciya mafi yawancin sun hada da dyspnea , orthopnea , dyspnea na nocturnal nocturnal , da kuma riƙewar ruwa. Kara karantawa game da bayyanar cututtuka na zuciya rashin cin nasara.
Ta yaya ake kula da Cardiomyopathy?
Tare da wasu 'yan ƙwararrun sanannun, likita na kwastam cardiomyopathy yana kama da maganin duk wani nau'i na cututtukan zuciya .
Abubuwan da aka fi sani da su ga "rashin daidaituwa" na rashin lafiya na zuciya sun shiga cikin wasan lokacin da rashin zuciya ya faru kafin a haifi jariri. Dole ne a dakatar da wasu daga cikin magunguna "na yau da kullum" don cikewar zuciya ya zama har sai bayarwa.
Musamman, masu maganin ACE irin su Vasotec (enalapril), wadanda kwayoyi ne da ke jigilar jini, ba za a yi amfani dashi a lokacin daukar ciki, tun da waɗannan kwayoyi zasu iya cutar da tayin. Maimakon haka, ana iya maye gurbin hydralazine a matsayin mai tayar da jini har sai an sami ceto.
Hakazalika, magungunan spironolactone da Inspra (eplerenone) - wadanda ake kira altasterone antagonists, wanda zai iya taimaka wajen magance wasu marasa lafiya tare da cututtuka na cardiomyopathy - ba a jarraba su a lokacin daukar ciki, kuma ya kamata a kauce masa.
A kwanan nan, an bayar da hujjar farko game da cewa matan da ke dauke da cardiomyopathy zasu iya amfana daga maganin miyagun ƙwayoyi - maganin da ake amfani dasu don magance matsaloli masu yawa ciki har da cutar Parkinson da hyperprolactinemia .
Bromocriptine ba madaidaici ne ba, amma (a tsakanin wasu abubuwa, yana dakatar da lactation), kuma gwajin gwaji mafi girma zai zama dole kafin a iya bada shawararta akai.
Yawanci, bayyanar da mata da ke da kwakwalwa na kwakwalwa na nunawa ya fi kyau fiye da matan da ke da nau'o'in cardiomyopathy. A wasu nazarin, yawanci 60% na mata da wannan yanayin sunyi cikakke. Duk da haka, yawan mutuwar mutum tare da likita mai kwakwalwa na asibiti yana da kusan 10% bayan shekaru biyu.
Tambayoyi na dogon lokaci
Yana da mahimmanci a san cewa matan da suka samu kwakwalwa na asibiti - har ma da matan da suke son sun dawo da cikakkiyar dawowa - suna da haɗari mai yawa na sake bunkasa yanayin tare da ciki na gaba.
Kuma idan likita mai kwakwalwa na haihuwa ya faru a karo na biyu, haɗari na lalacewa na har abada kuma mai tsanani zai zama mai girma.
Saboda haka, idan mace ta sami likita mai kwakwalwa, to yana da muhimmanci a dauki matakai don kauce wa yin juna biyu.
Kalma Daga
Kwallon katin cardiomyopathy yana da mummunar yanayin zuciya wanda yake haifar da rashin zuciya a lokacin lokacin haihuwa ko lokacin jimawa bayan bayarwa. Yayin da magani yana samuwa wanda ke taimakawa yawancin matan da suka kamu da cutar, sun kasance matsala mai hatsari na zuciya wanda ke haifar da rashin lafiya da rashin mutuwa. Mata masu fama da wannan yanayin suna da mummunan haɗari na ci gaba da haɗuwa da ciki na gaba.
> Sources:
> Habedank D, Kühnle Y, Elgeti T, et al. Farfadowa Daga Peripartum Cardiomyopathy Bayan Jiyya Tare da Bromoccriptine. Eur J Zuciya Fail 2008; 10: 1149.
> Habli M, O'Brien T, Nowack E, et al. Peripartum Cardiomyopathy: Dalilai na Dama don Tsarin Matakan Matakan Tsaro. Am J Obstet Gynecol 2008; 199: 415.e1.
> Sliwa K, Hilfiker-Kleiner D, Petrie MC, et al. Ilimin Kimiyya A halin yanzu game da ilimin ilimin halitta, ganewa, Gudanarwa, da farfadowa na Peripartum Cardiomyopathy: wani Bayanin Matsayi daga Ƙungiyar Rashin Ƙarƙashin Ƙungiyar Ƙungiyar Ƙungiyar Harkokin Kwayoyin Halittu ta Ƙungiyar Halittar Kwayoyin Halitta a kan kwakwalwa na cardiomyopathy. Eur J Heart Fail 2010; 12: 767.