Yazi isifo esishiya inhliziyo iqinile

-Delile

• Izimpawu
• Ungazi kanjani ukuthi ngabe i-amyloidosis yenhliziyo
• Ukwelashwa

I-cardiac amyloidosis, eyaziwa nangokuthi yi-rigid heart syndrome, isifo esingajwayelekile, esibi kakhulu esithinta imisipha yenhliziyo ngenxa yokuqoqwa kwamaprotheni abizwa ngama-amyloid ezindongeni zenhliziyo.

Lesi sifo sivame kakhulu kubantu besilisa abaneminyaka engaphezu kwengama-40 futhi sibanga izimpawu zokwehluleka kwenhliziyo, njengokukhathala okulula nobunzima bokukhuphuka izitebhisi noma ukwenza imizamo emincane.

Ukuqoqwa kwamaprotheni kungenzeka kuphela ku-septum ye-atrial, njengoba kuvame kakhulu kubantu asebekhulile, noma kuma-ventricles, angadala ukwehluleka kwenhliziyo.

Izimpawu

Izimpawu ze-amyloidosis yenhliziyo kungaba:

• Isifiso esinamandla sokuchama ebusuku;
• Ukwandiswa kwemithambo yentamo, ngokwesayensi ebizwa ngokuthi i-jugular stasis;
• Ukushaya kwenhliziyo;
• Ukuqongelela uketshezi emaphashini;
• Ukwandiswa kwesibindi;
• Ukucindezela okuphansi lapho uvuka esihlalweni, isibonelo;
• Ukukhathala;
• Ukukhwehlela okungapheli okuqhubekayo;
• Ukwehla kwesisindo ngaphandle kwesizathu, ngaphandle kokudla noma ukuvivinya umzimba;
• Ukungabekezelelani nemizamo yomzimba;
• Ukuquleka;
• Ukuphefumula okufishane;
• Imilenze evuvukele;
• Isisu esivuvukile.

I-Amyloidosis enhliziyweni ibonakala ngamaprotheni amaningi ngokweqile emisipheni yenhliziyo futhi ingabangelwa i-myeloma eminingi, ibe yimvelaphi yomndeni noma ingavela ngokuguga.

Ungazi kanjani ukuthi ngabe i-amyloidosis yenhliziyo

Imvamisa, lesi sifo asisoli ekuvakasheni kokuqala futhi, ngakho-ke, kujwayelekile ukuthi odokotela bacele ukuhlolwa okuningana ukuze bahlolele ezinye izifo ngaphambi kokuthola ukuxilongwa kwe-amyloidosis yenhliziyo.

Ukuxilongwa kwenziwa ngokubheka izimpawu nangokuhlolwa okucelwe ngudokotela wenhliziyo, njenge-electrocardiogram, i-echocardiogram kanye ne-imagination resonance magnetic, engathola ama-arrhythmias enhliziyo, ushintsho emisebenzini yenhliziyo nokuphazamiseka ekuqhubeni kukagesi kwenhliziyo, kodwa ukuxilongwa ye-amyloidosis yenhliziyo ingafakazelwa kuphela nge-biopsy yezicubu zenhliziyo.

Lokhu kutholakala kungafinyelelwa lapho ubukhulu be-ventricular wall ubukhulu bungaphezu kwe-12 mm futhi lapho umuntu engenawo umfutho wegazi ophakeme, kodwa enezici ezilandelayo: ukunwetshwa kwe-atria, i-pericardial effusion noma ukwehluleka kwenhliziyo.

Ukwelashwa

Ekwelashweni, amakhambi we-diuretic ne-vasodilator angasetshenziswa ukuqeda izimpawu zesifo. Ukusetshenziswa kwama-pacemaker nama-defibrillator okuzenzakalelayo kungasetshenziswa njengezinye izindlela zokulawula lesi sifo futhi ezimweni ezinzima kakhulu, ukwelashwa okufanele kakhulu ukufakelwa inhliziyo. Bona izingozi nokuthi ungalulama kanjani ekufakweni kwenhliziyo ngokuchofoza lapha.

Ngokuya ngobukhulu besifo, ama-anticoagulants avimbela ukwakheka kwamahlule egazini enhliziyweni angasetshenziswa, anciphise amathuba okushaywa unhlangothi. I-Chemotherapy ingasetshenziswa lapho imbangela ye-amyloidosis yenhliziyo ingumdlavuza wohlobo lwe-myeloma amaningi

Umuntu kufanele agweme usawoti, akhethe ukudla okwehlisa isisu futhi agweme ukwenza imizamo yokonga inhliziyo. Umndeni kufanele futhi ugweme ukunikeza izindaba ezimbi ngoba imizwa enamandla ingaholela ezinguquko ezinkulu zenhliziyo ezingaholela ekuhlaselweni yinhliziyo.

Bona zonke izinhlobo nezimpawu ezibangelwa i-Amyloidosis.