Tam sim no, ntau tus neeg raug tus kab mob myocardial dystrophy. Nws yog dab tsi thiab yuav kho li cas - tsis yog txhua tus paub. Myocardial dystrophy (MKD luv luv) suav nrog ib pab pawg ntawm cov kab mob plawv uas tsis muaj mob hauv qhov xwm txheej. Nrog rau tus kab mob, muaj qhov txo qis hauv kev ua haujlwm ntawm lub plawv, nws cov excitability, conductivity, automatism thiab ua txhaum ntawm cov txheej txheem metabolic ntawm myocardium.
Ua rau myocardial dystrophy
Myocardial dystrophy ntawm cov leeg hauv lub plawv tshwm sim vim muaj kev ntxhov siab ntawm lub plawv thaum lub sij hawm tsis raug thiab kev cob qhia hnyav. Tsis tas li ntawd, kev noj zaub mov tsis zoo, so luv luv, kev cuam tshuam tas li ntawm kev pw tsaug zog tuaj yeem ua rau cov tsos ntawm MKD. Lwm yam tseem ceeb hauv kev txhim kho myocardial dystrophy suav nrog:
- kab mob sib kis nyob rau theem o;
- mob tonsillitis;
- qaug rau lub cev (kev lom, cawv, luam yeeb, tshuaj);
- overweight;
- myxedema;
- avitaminosis;
- sugardiabetes;
- Ythyrotoxicosis;
- ntshav qab zib;
- hluav taws xob;
- muscular dystrophy;
- genital o;
- Ycollagenosis;
- tshwm sim ntawm menopause hauv cov poj niam;
- overheating;
- tsis muaj poov tshuaj hauv lub cev;
- Cushing's syndrome;
- tshaib plab;
- nrawm nyob ntawm mono-diets;
- tso cov ntsev hauv lub plawv cov leeg.
MKD tsos mob
Cov tsos mob ntawm myocardial dystrophy feem ntau tuaj yeem pom tsuas yog thaum lub cev tawm dag zog hnyav. Thaum so, tus kab mob yog passive. Cov tsos mob ntawm MKD feem ntau tuaj yeem tsis meej pem nrog lwm cov kab mob, yog li myocardial dystrophy yog qhov nyuaj heev los txheeb xyuas thiab kuaj pom ntawm thawj theem. Cov cim tseem ceeb ntawm tus kab mob MKD:
- mob plab lossis mob hauv siab;
- faus;
- tsis muaj zog;
- ib lub xeev kev nyuaj siab;
- dyspnea ntawm txav;
- tsis muaj zog;
- mob siab;
- mob hauv plawv cheeb tsam;
- ua haujlwm tsis sib xws ntawm cov leeg nqaij;
- arrhythmia;
- apical systolic yws;
- slow heart rate.
Nyob rau hauv cov mob ntev ntawm myocardial dystrophy ntawm lub plawv, kev kho mob, cov tsos mob - tag nrho cov no yuav siv sij hawm ib tug complex cim. Tus neeg mob muaj qhov ua tsis taus pa hnyav thaum so, lub siab loj, thiab qhov tsos ntawm edema.
MKD kho mob
Nyob rau hauv cov kab mob myocardial dystrophy, cov tsos mob, ua rau thiab kev kho mob ua lub luag haujlwm tseem ceeb. Tseem ceebnrog kws kho mob ntawm thawj cov cim qhia. Hauv qhov no, muaj lub sijhawm rau kev rov qab los sai.
Tus kws kho plawv yuav daws tau ntau yam teeb meem uas tshwm sim:
- txheeb xyuas tus kab mob;
- kuaj mob hauv lub sijhawm;
- prescribe adequate therapy.
kev kho mob zoo li no yuav tsum tau ua hauv tsev kho mob raws li kev saib xyuas ntawm cov kws kho mob tshwj xeeb.
Thaum nrhiav kev pab, tus kws kho mob plawv yuav ua ntej txhua tus nyeem ntawv ntawm electrocardiogram (ECG), ua ultrasound ntawm lub plawv thiab muab lus qhia txog kev kho koj li kev ua neej ib txwm muaj. Kev noj zaub mov kom zoo yuav tsum tau qhia kom rov ua haujlwm zoo ntawm cov metabolism, thiab txhua yam kev ua haujlwm ntawm lub cev kuj raug cais tawm. Raws li txoj cai, pw tsaug zog tsis pom zoo rau cov neeg mob uas muaj myocardial dystrophy.
Tom ntej no, tus kws kho mob ua kev tshawb fawb txog kev kuaj mob txhawm rau txheeb xyuas cov kab mob foci uas ua rau myocardial dystrophy. Yog pom muaj, lawv muab tshuaj tua kab mob.
Kev kho mob kuj tau qhia. Feem ntau, cov kws kho mob sau cov tshuaj uas kho cov metabolism hauv myocardium: Mexicor thiab Trimetazidine. Lawv muaj cov nyhuv antihypoxic thiab cytoprotective. Cov tshuaj tau sau tseg hauv ib chav kawm txog li ob lub hlis, 1 ntsiav tshuaj 3 zaug hauv ib hnub.
Kom normalize ECG thiab nce qib ntawm cov poov tshuaj hauv lub cev, noj "Asparkam" lossis "Panangin" 1 ntsiav tshuaj 3 zaug hauv ib hnub.
Neuroleptics thiab tranquilizers, xws li Sonopax, Coaxil, qee zaum raug muab tshuaj los ua kom lub paj hlwb.
Nws yog ib qho tseem ceeb kom paub tias yam tshuaj twgtam sim ntawd ua ntej lawv siv yuav tsum tau pom zoo nrog tus kws kho mob koom. Nws yog ib qho tsim nyog yuav tsum ua raws li cov lus pom zoo thiab cov cai rau kev noj tshuaj.
MKD classification
Kev faib cov kab mob myocardial dystrophy - nws yog dab tsi? Cov no yog hom tsiaj raws li cov yam ntxwv etiological ntawm tus kab mob myocardial dystrophy. Kev faib tawm yog sawv cev los ntawm cov qauv hauv qab no ntawm MKD:
- ua xua;
- mixed genesis;
- txoj kev vam meej;
- hyperfunctionogenic;
- neurvegetative;
- hormonal (cov kab mob endocrine thiab hnub nyoog ntsig txog dyshormonosis);
- kab mob sib kis;
- dysmetabolic (anemia, dystrophy, beriberi);
- qaug cawv (kev lom, kab mob sib kis, cawv, haus luam yeeb, quav yeeb tshuaj).
- alimentary;
- hluav taws xob;
- kaw mob hauv siab.
Dishormonal MKD
Dishormonal myocardial dystrophy - yog dab tsi?
Dishormonal myocardial dystrophy yog kab mob plawv uas tshwm sim los ntawm kev ua haujlwm ntawm cov thyroid caj pas. Thaum lub sij hawm hypothyroidism (tso ua haujlwm), lub cev metabolism qeeb qeeb, ntshav siab poob, o thiab mob ntev heev tshwm sim. Nrog thyrotoxicosis (ua kom cov thyroid muaj nuj nqi), cov metabolism ua kom nrawm thiab ua rau kom poob phaus sai. Tsis tas li ntawd, tus neeg mob hnov stabbing lub plawv mob, nqhis dej, ntxhov siab heev; cuam tshuam lub plawv dhia thiab pw tsaug zog.
Cov tsos mob ntawm kev tsis haum tshuaj MKD yog:
- kiv taub hau;
- tsis muaj cua;
- kev nyuaj siab pw;
- stabbing mob hauv cheeb tsam ntawm lub siab;
- chim siab thiab khoom.
Raws li txoj cai, xws li myocardial dystrophy tshwm sim hauv cov poj niam hnub nyoog 45 txog 50 xyoo, txij li thaum lub hnub nyoog no lub zes qe menyuam ua haujlwm tsis tiav. Cov txiv neej hnub nyoog 50-55 kuj raug rau tus kab mob no vim yog qhov tsis zoo ntawm testosterone ntau lawm.
Kev kho mob
Thaum muaj dyshormonal myocardial dystrophy, kev kho mob raug sau raws li cov lus qhia tshwj xeeb thiab cov lus pom zoo rau kev tswj lub neej noj qab haus huv. Mobility ua lub luag haujlwm tseem ceeb ntawm no:
- kev nyuaj siab;
- kho mob gymnastics (6-7 feeb ib hnub);
- ua luam dej thiab lwm yam kev ua si uas tsis tshua muaj kev cuam tshuam.
Txhua tag kis koj yuav tsum tau da dej sib piv rau 10 feeb. Koj yuav tsum ua raws li kev noj haus, tsis suav cov hmoov nplej, haus luam yeeb thiab cov khoom noj rog.
Yog tias txoj kev tswj hwm txoj kev noj qab haus huv tsis ua rau muaj txiaj ntsig zoo, cov kws kho mob tig mus rau kev kho tshuaj: "Beloid", "Valerian", "Bellataminal". Yog tias koj xav txo qis qhov excitability ntawm lub paj hlwb, ces tranquilizers raug sau, piv txwv li, Mebicar. Cov tshuaj no tsis ua rau qaug zog, tsis cuam tshuam rau qhov poob ntawm kev ua haujlwm muaj peev xwm thiab tsis cuam tshuam nrog kev sib koom tes ntawm kev txav. Qhov koob tshuaj txhua hnub nce mus txog peb ntsiav tshuaj. Yog tias "Mebicar" tsis zoo, nws raug hloov nrog lwm yam tshuaj.
MKD mix genesis
Myocardial dystrophy ntawm kev sib xyaw ua kemuaj qhov tsis zoo rau cov leeg nqaij, deforming nws dhau sijhawm. Yog li ntawd, cov ntaub so ntswg ventricular yog stretched, flabbiness thiab thinning ntawm lub septum tshwm.
Symptoms
Cov tsos mob ntawm myocardial dystrophy ntawm cov noob caj noob ces sib xyaw yog "disguised" raws li tus kab mob ntawm myocardial dystrophy. Cov tsos mob thiab kev kho mob hauv qhov no zoo sib xws:
- ua tsis taus pa ntawm kev tawm dag zog;
- siab nkees;
- tachycardia;
- tsis muaj zog;
- lub plawv dhia sib nrug.
Nrog rau kev loj hlob sai ntawm tus kab mob, tus neeg muaj kev ua haujlwm tsis zoo thiab cuam tshuam hauv lub plawv dhia, nrog rau lub plawv tsis ua haujlwm.
Kev kho mob
Kev kho mob ntawm myocardial dystrophy ntawm cov noob caj noob ces yuav tsum tau txais kev saib xyuas los ntawm cov kws kho mob, vim tus neeg mob lub neej yuav nyob ntawm qhov txiaj ntsig ntawm nws txoj kev kho.
Cov kws tshawb fawb niaj hnub no hauv kev tshuaj kho mob tau hais tias txoj kev kho mob zoo tshaj plaws niaj hnub no yog kev siv cov qia hlwb. Lawv raug txhaj rau hauv tus neeg mob lub cev, lawv txuas rau lub plawv zoo. Kev rov qab los ntawm cov leeg plawv tshwm sim vim kev tshem tawm cov kab mob los ntawm cov neeg noj qab haus huv. Lub hauv paus ntsiab lus ntawm kev kho mob no cuam tshuam rau kev rov kho cov hlab ntsha, resorption ntawm cov cholesterol plaques thiab lwm cov khaubncaws sab nraud povtseg uas thaiv qhov kev ncig ntawm oxygen.
MKD of complex genesis
Myocardial dystrophy ntawm complex genesis yog ib qho ntawm ntau hom kab mob myocardial dystrophy. Nws yog dab tsi thiab nws yog vim li cas?Tus kab mob no cuam tshuam rau lub plawv cov leeg thiab tsis yog-inflammatory hauv xwm. Yam tseem ceeb cuam tshuam rau kev tsim MKD ntawm lub hauv paus chiv keeb tsis cuam tshuam nrog kab mob plawv:
- qaug rau lub cev (kev lom, cawv, tshuaj, luam yeeb);
- endocrine ua haujlwm tsis zoo;
- metabolic tsis ua hauj lwm.
Cov tsos mob thiab kev kho mob ntawm complex MKD
Qhov no myocardial dystrophy (nws cov tsos mob thiab kev kho mob, raws li txoj cai, zoo ib yam li lwm yam kab mob plawv) tshwm sim hauv tachycardia, ua tsis taus pa, plawv tsis ua hauj lwm, mob hauv siab, qaug zog, ua daus no.
Nyob rau hauv kev kho mob, ua ntej ntawm tag nrho cov, qhov ua rau ntawm MKD ntawm complex genesis raug tshem tawm. Cov kws kho mob tau sau ntau yam tshuaj: Potassium Orotate, Nerobol, Cardiomagnyl thiab lwm yam. Cov tshuaj no kho cov metabolism hauv myocardial.
Txawm li cas los xij, yog tias tsis ua raws li kev ua haujlwm niaj hnub thiab khoom noj khoom haus kom raug, cov tshuaj yuav tsis zoo, yog li koj yuav tsum ua raws li kev noj qab haus huv thiab kev ua neej.
Txog kev kho tus kab mob hauv txoj hauv kev nyuaj, koj tuaj yeem suav nrog kev rov zoo sai thiab txhim kho hauv cov xwm txheej.
Secondary MKD
MKD nws tus kheej yog kab mob plawv thib ob. Yog li ntawd, theem nrab myocardial dystrophy tsis muaj qhov sib txawv tseem ceeb hauv nws qhov tshwm sim thiab kev kho mob. Cov cim tseem ceeb yog ntxiv tsuas yog mob hauv plawv thiab hauv siab, nrog rau arrhythmia. Hom kab mob no feem ntau tshwm sim hauv cov poj niam thaum lub caij cev xeeb tub, thaum lub zes qe menyuam raug cuam tshuam.
Myocardial dystrophy hauv menyuam yaus
Ntau zaus cov menyuam yaus thiab cov hluas tau yoog rau MKD. Qhov no feem ntau yog vim muaj ntau yam:
- kev nyuaj siab thiab kev nyuaj siab ntawm me nyuam;
- kev nyuaj siab lub cev;
- malnutrition;
- tsis muaj protein ntau hauv lub cev;
- kev saib xyuas menyuam tsis raug;
- kab mob sib kis nyob rau theem siab.
Myocardial dystrophy hauv cov menyuam yaus tsis tau hais tawm thiab tsis pom zoo, yog li yog tias koj xav tias muaj teeb meem plawv, koj yuav tsum sab laj nrog kws kho plawv tam sim.
Yog tus kab mob no tshwm sim, nws yog qhov zoo dua los kho nws thaum yau txhawm rau tshem tawm txoj kev pheej hmoo ntawm kev loj hlob ntxiv ntawm MKD thiab nws cov kev phom sij rau tus menyuam lub cev.
Diagnosis
Kev kuaj mob myocardial dystrophy hauv cov menyuam yaus, ib yam li cov neeg laus, yog ua los ntawm cov qauv ntsuas: ultrasound ntawm lub plawv, ECG thiab kuaj los ntawm kws kho plawv, tom qab qhov kev kuaj mob zaum kawg.
Kev kho thiab tiv thaiv
Lub sijhawm thiab kev ua tau zoo ntawm kev kho mob MKD hauv cov menyuam yaus yog nyob ntawm cov kab mob ntawm txoj kev loj hlob ntawm tus kab mob, uas provoked myocardial dystrophy. Feem ntau, cov me nyuam tau txais kev npaj ntawm poov tshuaj thiab magnesium ntsev. Cov tshuaj no kho cov txheej txheem metabolic hauv myocardium, normalize ECG, tshem tawm cov kab mob electrolyte cellular, ntxiv rau lub cev nrog potassium thiab magnesium.
Nws tseem tuaj yeem siv cov tshuaj sedatives ua ke nrog kev kho mob hlwb thiab acupuncture.
Kev tiv thaiv zoo tshaj plaws ntawm myocardial dystrophy hauv cov menyuam yaus yog kev noj qab haus huv thiab ua haujlwm zoo. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau coj tus menyuam mus rau qhov no txij li thaum ntxov, yog li ntawd thaum nws loj hlob nws tuaj yeem yooj yim ua raws li kev noj zaub mov kom raug thiab tso tus cwj pwm phem.
Myocardial dystrophy raws li ICD-10
ICD-10 yog qhov kev hloov kho thib kaum ntawm International Classification of Diseases. Nyob rau hauv no hierarchy, txhua yam kab mob muaj nws tus kheej cim code, los ntawm uas nws tau yooj yim txheeb xyuas. Piv txwv li, tus kab mob myocardial dystrophy: ICD code 10: I42.
Tam sim no, qhov kev faib tawm no tau siv los ntawm cov kws kho mob thoob ntiaj teb. Nws muaj peev xwm tshem tawm qhov tsis raug ntawm lub npe ntawm cov kab mob thiab tso cai rau cov kws kho mob los ntawm ntau lub teb chaws los pauv cov kev paub dhau los.
Raws li nws tau tshwm sim, tus kab mob myocardial dystrophy hem muaj qhov tshwm sim loj heev thiab cuam tshuam rau kev ua haujlwm ntawm lub cev tag nrho. Tau kawg, nws yog qhov zoo tshaj los tiv thaiv txhua yam kab mob ntau dua li ua kom koj tus kheej nrog kev kho mob ntev. Txhawm rau ua qhov no, ntau yam kev tiv thaiv tau raug coj los tswj lub cev ua haujlwm ntawm lub cev thiab tsis suav nrog cov xwm txheej rau kev txhim kho tus kabmob.
