Dab tsi yog myocarditis? Qhov no yog ib qho o ntawm cov leeg nqaij daim nyias nyias ntawm lub plawv, uas feem ntau yog kis tau - ua xua, kis kab mob thiab mob rheumatic. Nws yog qhov tshwm sim heev, yog li tam sim no nws tsim nyog tham kom ntxaws txog cov tsos mob ntawm myocarditis, nws hom, nrog rau qhov tshwj xeeb ntawm kev kuaj mob thiab kev kho mob.
Etiology
Ua ntej tshaj, koj yuav tsum sau cov laj thawj vim li cas tus kab mob no kov yeej tus neeg. Myocarditis suav nrog ib pawg loj heev ntawm cov kab mob ntawm cov leeg nqaij ntawm lub plawv mob, uas tshwm sim rau lawv tus kheej hauv kev puas tsuaj thiab ua haujlwm tsis zoo ntawm myocardium. Feem ntau ua rau yog:
- Cov tshuaj lom uas ua rau cov kab mob cardiomyocytes (cov leeg hlwb ntawm lub plawv). Lawv raug tso tawm rau hauv cov ntshav los ntawm qee cov kab mob nyob rau hauv lub xub ntiag ntawm ib tug kab mob, thiab kis ncaj qha mus rau lub plawv. Raws li txoj cai, diphtheria myocarditis tshwm sim vim li no.
- Coronaryitis. Qhov no yog ib qho mob uas tshwm sim hauv rheumatism, dermatomyositis thiab lupus erythematosus. Nws, nrog rau endothelial vascular dysfunction ua raukev puas tsuaj rau lub plawv cov leeg.
- Tsis muaj kev puas tsuaj rau cov hlwb myocardial. Cov kab mob autoimmune ua rau qhov no, thiab tom qab ntawd myocarditis pib tsim.
- Kev puas tsuaj rau cov leeg nqaij. Cellular thiab humoral tiv thaiv kab mob ua lub luag haujlwm ntawm no, uas tau qhib thaum muaj kab mob tshwm sim hauv lub cev lossis thawj kis pib tshwm sim.
- kab mob kis. Kab mob siab B thiab C, adenoviruses, herpes, influenza, thiab Coxsackieviruses kis tau rau hauv plab hnyuv.
- Kab mob kab mob. Lawv feem ntau provoked los ntawm ntau yam kab mob - rickettsiae, salmonella, diphtheria coryneobacteria, streptococci, chlamydia, staphylococci.
- kab mob fungal. Lawv txoj kev loj hlob yog provoked los ntawm candida thiab aspergillus.
- kab mob kab mob. Lawv cov kab mob yog Echinococcus thiab Trichinella.
Nws yuav tsum tau muab sau tseg tias mob myocarditis mob hnyav feem ntau tshwm sim nrog sepsis, scarlet fever thiab diphtheria.
Ntau zaus nws dhau los ua qhov tshwm sim ntawm cov kab mob uas cuam tshuam rau cov ntaub so ntswg - mob caj dab, vasculitis, rheumatism, kab mob lupus erythematosus. Qhov tseeb, txawm tias kev siv tshuaj hnyav, cawv, thiab hluav taws xob ionizing tuaj yeem ua rau lub plawv puas.
Rheumatic myocarditis
Txawm li cas los xij, muaj ntau hom myocarditis. Thawj qhov kuv xav tham txog yog rheumatic. Txhawm rau kom nws pib tsim, cov hauv qab no yuav tsum sib koom ua keyam:
- Qhov muaj nyob hauv lub cev ntawm cov kab mob pathogenic - β-hemolytic streptococcus pawg A. Nws muaj cov khoom tshwj xeeb antigenic uas zoo ib yam li cov qauv ntawm lub hlwb, lub plawv thiab cov serous membranes.
- Lub cev tiv thaiv kab mob rau streptococcal ntxeem tau.
- Ib tug neeg muaj mob. Feem ntau qhov ua rau raug muab zais rau hauv tsev neeg keeb kwm.
- Sensitization ntawm lub cev. Raws li "kev tawm tsam" ntawm streptococci, nws tuaj yeem tawg tsuas yog nrog kev tawm tsam thib ob. Vim li no cov me nyuam yaus thiaj tiv taus lawv.
Cov tsos mob ntawm hom myocarditis muaj xws li:
- Pab mob hauv pob qij txha.
- mob rheumatism.
- nce lub cev kub.
- Kev tsim ntawm subcutaneous nodules.
- Chorea. Manifested in irregular, jerky, erratic txav.
- polyarthritis (mob pob qij txha).
- Erythema annulare.
Qhov tseeb, cov tsos mob tsis tuaj yeem hu ua tshwj xeeb. Ntawm qhov pom tseeb tshaj plaws, ib tus tuaj yeem nco txog asthenic syndrome, kev hloov pauv ntawm kev chim siab mus rau kua muag, pw tsaug zog. Tsis tas li ntawd, ib tug neeg txhawj xeeb txog qhov tsis xis nyob hauv cheeb tsam hauv plawv, qhov mob tshwm sim, ua tsis taus pa me ntsis thiab qaug zog.
kis mob myocarditis
Yog tias muaj kev tsis ua haujlwm hauv tib neeg txoj kev tiv thaiv, ces nws yuav cuam tshuam rau txhua theem - los ntawm cellular mus rau phagocytosis. Vim hais tias cov kab mob uas provoke txoj kev loj hlob ntawm tus kab mob hloov cov muaj pes tsawg leeg ntawm cov leeg nqaij fibers, raws li ib tug tshwm sim ntawm uas exudative tshwm sim. Qhov no ua rau kev loj hlob ntawm cov ntaub so ntswg, thiab nyob rau hauvThaum kawg, txhua yam ua rau cardiosclerosis.
Yog tias mob mob myocarditis tsis kho, mob plawv tsis ua haujlwm, ua haujlwm tsis zoo, thiab lub plawv dhia tsis zoo tuaj yeem tshwm sim. Yog li ntawd, txhua yam feem ntau ua rau tuag. Thiab feem ntau, 90% ntawm cov neeg mob uas kws kho mob kuaj pom tus kab mob no tau txais pab pawg neeg xiam oob qhab.
Cov tsos mob tshwj xeeb, ntxiv rau qhov tsis xis nyob hauv siab thiab mob plawv, suav nrog:
- Nyob nrawm nrawm nrog kev siv zog me ntsis. Ntxim qab heev.
- Tshuaj mob palpitations thiab ua tsis taus pa.
- kev kub ntxhov.
- pain the sternum.
- mob pob qij txha.
- Ntxhais tawv nqaij.
- Insomnia.
- Nco lub siab hloov pauv.
- Ntshai heev.
- Tuag.
Nyob rau theem ntxiv ntawm myocarditis, qhov mob hnyav pib tshwm sim, tsis yog nyob ntawm kev ntxhov siab thiab kev ua haujlwm ntawm lub cev, pom tseeb cuam tshuam hauv lub plawv dhia thiab tachycardia. Thaum kawg ntawm txoj kev loj hlob, raws li txoj cai, decompensation ntawm lub ventricle ntawm sab laug chamber tshwm sim.
ua xua myocarditis
Qhia txog hom kab mob no, nws tsim nyog teev ntau yam uas ua rau nws zoo li. Qhov laj thawj tuaj yeem yog ib qho ntawm cov npe yav dhau los, lossis:
- Tshuaj noj ntau ntau. Kev siv tshuaj sulfa thiab tshuaj tua kab mob tuaj yeem ua rau muaj cov tsos mob ntawm myocarditis.
- Tshuaj tiv thaiv. Tshwj xeeb tshaj yog thaum muaj hnub nyoog laus.
- Txoj kev muaj tshuaj lom.
- Kev phais mob lossis hloov lub cev. Qhov kev pheej hmoo siab tshaj plaws tshwm sim thaum hloov lub plawv li qub.
Tsis muaj cov tsos mob tshwj xeeb. Tab sis cov neeg mob uas tau raug mob los ntawm hom kab mob no tau ua rau lub cev tsis muaj zog. Lawv pom lawv tus kheej hauv neurodermatitis, urticaria, bronchitis, autoimmune pathology thiab bronchial hawb pob.
Tseem muaj qee qhov kev hloov pauv hauv lub cev uas tsis pom los ntawm lub qhov muag ua tub rog. Lawv tuaj yeem raug txheeb xyuas hauv cov npe hauv qab no:
- Txo qis hauv kev nqus oxygen thiab piam thaj los ntawm cov ntshav.
- Slow down zog tsim los ntawm myocardial cells.
- Metabolic ntshawv siab thiab tsis ua haujlwm tawm ntawm cov khoom metabolic.
- Hloov pauv ntawm cov khoom siv hluav taws xob.
Tom qab ntawd, cardiosclerosis pib tsim, thiab cov ntaub so ntswg sib txuas pib tsim hauv myocardium.
Abramov-Fiedler's idiopathic myocarditis
Lwm tus kab mob loj uas tsis yog tshwj xeeb. Qhov mob myocarditis no muaj qhov tsis meej etiology, uas ua rau nyuaj rau kev kuaj mob thiab kho. Tsis tas li ntawd, nws muaj kev tuag ntau heev. Nws yuav tsum tau muab sau tseg hais tias kuj noj qab nyob zoo, cov tub ntxhais hluas yog raug rau tus kab mob. Lub hnub nyoog nruab nrab ntawm cov neeg mob yog 42 xyoo.
Lub plawv cov leeg ntawm tus neeg cuam tshuam los ntawm tus kab mob no muaj qhov mob hnyav, dystrophic thiab diffuse inflammatory puas. Muaj ntau zaus ntawm kev nthuav dav cardiosclerosis, intracardiac thrombosis, embolismhlab ntsha.
Hauv ntau tus neeg mob, nrog rau kev kuaj mob kom ntxaws, nws tuaj yeem txhim kho flabbiness ntawm phab ntsa, nrog rau kev ncab ntawm lub plawv kab noj hniav thiab cov xim variegated ntawm myocardium. Tsis tas li ntawd, hypertrophy ntawm cov leeg nqaij, thaj chaw dav ntawm myolysis thiab cov tsos mob ntawm tus mob coronaritis - inflammatory infiltrates raws cov ceg me ntawm cov hlab ntsha yog pom tau.
Txawm li cas los xij, qhov no tsis yog txhua yam ntaub ntawv koj yuav tsum paub txog idiopathic cardiac myocarditis. Nws yog dab tsi - hauv paus ntsiab lus, nws yog qhov tseeb, tab sis nws tseem yuav tsum tau nco ntsoov tias muaj kev faib tawm. Hom kab mob no kuj tau muab faib ua plaub yam:
- Dystrophic. Lub predominance ntawm cov txheej txheem ntawm hydropic dystrophy ntawm cov nqaij fibers yog tsau. yav tom ntej lawv tuag tag.
- Inflammatory-infiltrative. Nws yog tus yam ntxwv los ntawm o ntawm cov ntaub so ntswg interstitial thiab nws ntxiv infiltration los ntawm cellular ntsiab.
- Nco. Nws yog kev sib xyaw ntawm ob hom saum toj no.
- Lub cev. Nws yog yam ntxwv los ntawm kev puas tsuaj rau cov ceg me ntawm cov hlab ntsha.
Tom qab kev kuaj mob zoo ntawm myocarditis, tus kws kho mob yuav tuaj yeem tsim nws hom thiab qhov xwm txheej ntawm chav kawm. Los ntawm txoj kev, qee zaum muaj daim ntawv latent ntawm idiopathic myocarditis, uas tshwm sim yam tsis muaj tsos mob tshwm sim.
Giant cell myocarditis
Nov yog ib yam kab mob tsawg heev. Tab sis nws kuj tsim nyog mloog.
Tus kab mob txawv ntawm lwm tus nyob rau hauv uas cov leeg plawv pib tawg tam sim ntawd, ntawm thawj cov tsos mob. Thiab cov teeb meem ntawm myocarditis kuj tsis ntev tom ntej.
Ntau tus neeg mob twb pib lawmKev ntsuam xyuas qhia pom cov nqaij mos necrosis, thiab cov txiaj ntsig kev sim qhia pom tias muaj cov cell multinucleated loj heev hauv ntim loj.
Nws feem ntau kuaj pom hauv cov neeg mob hnub nyoog 20 txog 45 xyoos. Cov kws tshaj lij feem ntau tau pom tias qhov ua rau tus kab mob no cuam tshuam nrog cov txheej txheem autoimmune.
Qhov no txhais li cas? Hauv cov ntsiab lus yooj yim, lub cev tiv thaiv kab mob pib tawm tsam cov ntaub so ntswg ntawm nws lub cev. Thiab cov hlwb txawv txav yog hloov kho macrophages. Ntawd yog, ib zaug ib txwm cov hlwb ntawm lub cev tiv thaiv kab mob. Thaum xub thawj, lawv xav tau los tiv thaiv cov txheej txheem inflammatory. Txawm li cas los xij, nyob rau hauv cov neeg uas muaj mob loj heev ntawm myocarditis, lawv rov tsim dua thiab sib sau ua ke hauv cov ntaub so ntswg puas.
Hmoov tsis zoo, tus kab mob no feem ntau asymptomatic. Ib tug neeg tuaj yeem raug mob myocarditis thiab tsis paub txog nws, vim nws feem ntau tshwm sim tawm tsam keeb kwm ntawm tus kab mob, thiab tom qab ntawd nws cov tsos mob, coj los ntawm tus neeg mob raws li cov tsos mob ntawm qee yam mob khaub thuas, ploj tom qab rov zoo. Tab sis tus kab mob nws tus kheej tsis ploj.
Diagnosis
ECG rau myocarditis yog txoj hauv kev tseem ceeb los txiav txim seb muaj tus kab mob. Nrog nws cov kev pab, nws muaj peev xwm mus ntsuam xyuas lub plawv dhia thiab atherosclerosis, paub txog lub xub ntiag ntawm arrhythmias thiab extrasystole.
Qhov muaj myocarditis yog qhia los ntawm kev hloov pauv hauv ntu ST, qhia txog kev nce lossis txo qis hauv ntu no txheeb ze rau isoline. Nws yog feem ntau tuaj yeem kuaj xyuas qhov ntev ntawm QT ntu thiab cov hniav pathologicalQ.
Nws yuav tsum tau muab sau tseg tias tsis muaj ib qho kev ntsuam xyuas tshwj xeeb los kuaj pom tus kab mob, tab sis muaj cov cim qhia tias puas rau myocardium ntawm lub plawv. Nws yog dab tsi, peb yuav qhia rau koj paub meej ntxiv:
- Troponins. Cov no yog cov proteins uas koom nrog hauv cov txheej txheem ntawm kev cog lus thiab so ntawm myocardium. Yog hais tias lawv cov concentration yog nce, ces nws puas.
- Antinuclear lub cev. Lawv yog cov cim ntawm lupus myocarditis.
- Creatine phosphokinase MB feem. Nws yog ib qho enzyme pom nyob rau hauv cov ntaub so ntswg hlwb, cov leeg pob txha, thiab lub plawv hlwb. Nws cov nyiaj nce ntxiv kuj qhia txog kev puas tsuaj ntawm myocardial.
- YLactate dehydrogenase. Kuj yog ib qho enzyme uas txiav txim siab kev puas tsuaj ntawm tes. Qhov no yog tus cim tsis tshwj xeeb, txawm li cas los xij, ua ke nrog lwm cov ntsuas, nws tsim lub hauv paus rau kev kuaj mob.
- Immunoglobulins thiab ncig lub cev tiv thaiv kab mob. Lawv feem ntau qhia tias muaj kab mob rheumatic.
Tsis tas li, nrog tus kab mob no, lub plawv dhia hloov pauv. Txhua tus neeg yog tus kheej - rau qee tus, lub plawv dhia qis dua 50 tus neeg ntaus ib feeb, thaum rau lwm tus nws nce siab dua 90.
Txhawm rau kom paub meej cov tsos mob ntawm myocarditis, koj yuav tsum tau kuaj xyuas qhov kuaj mob. Kev kawm txog cov ntshav muaj pes tsawg leeg yuav pab txheeb xyuas qhov ua rau nws tshwm sim. Nrog tus kab mob myocarditis, piv txwv li, muaj qhov txo qis ntawm tag nrho cov leukocytes thiab nce hauv lymphocytes.
Kuv feem ntau xa tus neeg mob rau echocardiography. Siv txoj kev no, nws hloov tawm los ntsuas seb lub plawv li qub ua haujlwm li cas, qhov xwm txheej ntawm cov phab ntsa ntawm myocardium nyob hauv,Cov ntshav txav nrawm npaum li cas, seb lub ventricular systolic muaj nuj nqi txo.
Txhais tau
Lawv mob hnyav heev. Qhov phem tshaj qhov tshwm sim ntawm myocarditis yog kev tuag. Tab sis qhov no tsuas yog ib tug neeg tsis quav ntsej txog kev kuaj mob, tsis tau soj ntsuam los ntawm kws kho mob thiab tsis kho.
Lwm qhov tshwm sim muaj xws li dilated cardiomyopathy. Qhov no yog lub npe rau qhov loj ntawm lub plawv cov leeg, thiab qhov no tshwm sim los ntawm ib tug ntev lub sij hawm ntawm tus kab mob. Thiab nyob rau hauv cov xwm txheej zoo li no, tsis yog kev kho mob hnyav xwb, tab sis feem ntau yuav tsum tau hloov lub plawv.
Kev kho mob ntawm cov cell myocarditis loj heev yuav tsum tau ua tiag tiag. Feem ntau ntawm cov neeg mob kuaj pom tias nws yuav tsum tau hloov lub plawv. Yog tias kev hloov pauv tsis tau ua tiav, qhov kev pheej hmoo ntawm kev tuag nce kaum npaug. Kwv yees li 90% ntawm cov neeg mob tuag hauv plaub xyoos.
Tshuaj
Kev kuaj mob ntawm "myocarditis" tsuas yog tsim los ntawm kws kho plawv uas muaj peev xwm. Thiab tsuas yog nws tus kws kho mob.
Lub plawv yog peb cov leeg nqaij, thiab kev sim los ntawm tus kheej cov tshuaj yuav poob siab heev. Qhov no yog txaus ntshai, fraught nrog loj txim mus txog rau kev tuag. Tsis tas li ntawd, muaj ntau hom mob myocarditis, thiab tsuas yog qee yam tshuaj pab tiv thaiv lawv txhua tus.
Tab sis feem ntau kws kho mob sau cov tshuaj no:
- Non-steroidal anti-inflammatory tshuaj. Kev kho mob ntawm myocarditis nrog lawv cov kev pab tau txaiszoo heev. Cov nyiaj no txo qis kev tsim cov inflammatory yam, txo qhov o. Cov pab pawg no suav nrog cov tshuaj paub zoo xws li Ibuprofen, Voltaren thiab Indomethacin.
- Glucocorticosteroids. Lawv raug sau tseg rau kev kho mob ntawm myocarditis hnyav thiab nruab nrab. Lawv muaj pronounced anti-inflammatory zog. Cov tshuaj nrov tshaj plaws yog Prednisolone, uas yog siv intramuscularly. Kev noj tshuaj thiab sijhawm nyob ntawm tus neeg mob, chav kawm yuav txawv ntawm 2 mus rau 5 lub lis piam.
- Antiaggregants thiab anticoagulants. Lawv pab tiv thaiv platelets los ntawm kev nyob hauv cov hlab ntsha. "Trental" zoo kho cov kev ua txhaum cai no. Lawv kuj tuaj yeem sau tshuaj "Heparin", uas txo cov ntshav viscosity, uas yog txhaj subcutaneously.
Cov lus pom zoo yuav tsum tau soj ntsuam: myocarditis ua rau lub xeev tsis muaj zog thiab kev noj qab haus huv, yog li koj yuav tsum siv tshuaj los txhawb kev ua haujlwm ntawm qee lub tshuab. Hauv particular, txhawm rau txhim kho cov metabolism. Kev kho mob metabolic thiab tshuaj xws li Adenosine triphosphate, Panangin thiab Riboxin yog tsom rau qhov no.
khoom noj tshwj xeeb
Nws yog ib qho tseem ceeb kom paub meej tias kev noj zaub mov rau myocarditis yog qhov yuav tsum tau ua. Ua ntej, kev noj zaub mov kom raug yuav pab txhawb lub plawv. Qhov thib ob, nws pab txhim kho cov metabolism, uas tus kab mob no ua rau muaj teeb meem loj, raws li tau hais los saum toj no.
Yog li ntawm no yog qee cov lus qhia txog kev noj zaub mov zoo los txiav txim siab rau myocarditis:
- Nyuaj protein ntau txaus.
- Ua kom koj cov zaub mov muaj txiaj ntsig nrog cov khoom noj uas muaj polyunsaturated fatty acids, magnesium, calcium thiab potassium.
- Tsis ntsev.
- Accustom koj tus kheej rau cov khoom noj khoom haus fractional - noj tsawg kawg 5 zaug hauv ib hnub hauv qhov me me.
- Caw yogurt tsis muaj rog 2 teev ua ntej yuav mus pw.
Koj yuav tsum tshem tawm cov khoom noj thiab cov tais diav hauv qab no los ntawm koj cov zaub mov:
- Txhua yam uas ua rau lub siab thiab lub hauv nruab nrab lub paj hlwb: kas fes dub, tshuaj yej muaj zog, txuj lom, chocolate, dej qab zib.
- Nqaij sausages, ntses rog thiab nqaij qaib, nqaij, raum.
- Cawv.
- grapes, legumes, zaub qhwv, radish, nceb, sorrel, spinach.
Feem ntau, txhua yam uas saturated nrog fiber ntau yuav tsum raug cais tawm ntawm cov ntawv qhia zaub mov, vim nws ua rau cov txheej txheem fermentation hauv cov hnyuv, uas ua rau tsam plab thiab cuam tshuam rau kev ua haujlwm ntawm lub plawv. Thiab, ntawm chav kawm, koj yuav tsum tso txhua yam kib, kaus poom, ntsev, haus luam yeeb, nrog rau cov khoom qab zib thiab muffins tshiab.
kev kho neeg zoo
Ntau tau hais saum toj no txog keeb kwm ntawm myocarditis, qhov tshwj xeeb ntawm nws cov chav kawm thiab cov tsos mob. Thaum kawg, nws tsim nyog tham txog qee cov kev kho mob zoo uas pab tiv thaiv tus kab mob, uas yog qhov zoo vim tias koj tuaj yeem ua rau koj tus kheej. Nov yog cov neeg nyiam tshaj plaws:
- Y Noj 300 grams ntawm walnuts, qhuav apricots, prunes thiab figs. Muab tso rau hauv ib lub blender thiab grind coarsely. Koj tsis tas yuav mus rau ntuj txiag teb tsaus. Nws yuav tsum tig tawmsib tov ntxhib. Nws yuav tsum tau nchuav rau hauv ib lub hub thiab ncuav nrog kua zib mu (100-200 ml yuav tsum txaus). Sib tov txhua yam kom huv si thiab khaws cia rau hauv qhov chaw txias. Siv 1 teaspoon ntawm no lub plawv-zoo sib tov txhua hnub tom qab noj mov.
- Ua ib lub decoction ntawm hawthorn thiab qus sawv tshaj tshav kub, sib tov 0.5 tablespoons txhua thiab ncuav dej (0.5 l). Sib tov 3 txiv qaub thiab 200 grams ntawm walnuts, prunes, qhuav apricots thiab raisins nyob rau hauv ib tug blender. Ncuav lub resulting sib tov nrog decoction thiab cia nws brew rau 10 hnub nyob rau hauv lub opaque thawv. Lub resulting porridge yog thaum sawv ntxov ib diav ntawm lub plab khoob.
- Sau ib lub thawv 0.5-liter rau saum nrog cov lily tshiab ntawm hav buds thiab ncuav 70% cawv. Cia nws brew rau ib lub lim tiam, thiab ces lim. Noj 60 tee ib hnub twg, faib cov ntim no rau hauv 3 koob tshuaj. Qhov no tincture muaj ib tug diuretic, antispasmodic, anti-inflammatory, antiviral, thiab kuj muaj ib tug calming nyhuv. Nws kuj tseem txhawb kev ua haujlwm contractile ntawm myocardium.
- Sib tov strawberries tshiab, qhuav strawberry nplooj thiab xoob dub tshuaj yej. Tag nrho rau 1 tbsp. l. Ncuav dej npau npau (0.5 l). Insist. Haus ib yam li tshuaj yej tsis tu ncua. Cov dej haus no muaj cov vitamins B1, B2 thiab B9, nicotinic acid, carotene thiab ascorbic acid. Pab tshem tawm cov roj (cholesterol) phem, normalize ntsev metabolism thiab ntxiv dag zog rau myocardium.
- Sib tov valerian paus thiab oregano (2 tbsp txhua), juniper berries, motherwort tshuaj ntsuab thiab fennel (1 tbsp txhua), peppermint thiab adonis (1.5 tbsp txhua). Brew txhua yam nrog ob khob ntawm boiling dej, coj mus rau ib tug boil thiab simmer rau 7 feeb tshaj tsawg tshav kub. muab hmo ntujinsist, thiab ces haus ib nrab khob 4 zaug ib hnub twg. Hoob no kav 21 hnub.
Thiab cov no tsuas yog qee qhov kev kho mob uas pom tau tias muaj txiaj ntsig. Qhov tseeb, muaj ntau ntau ntxiv, thiab yog tias koj txaus siab, koj tuaj yeem paub koj tus kheej nrog txhua tus ntawm lawv. Ntau tus ntawm lawv muaj peev xwm tshem tawm qhov mob ntawm myocarditis thiab txhim kho kev noj qab haus huv.
