Myocardiodystrophy - ndichiyani? Myocardiodystrophy: Zoyambitsa, Zizindikiro ndi Chithandizo

Masiku ano, anthu ambiri amadwala matenda m'mnyewa wamtima. ndi ndi mmene tiyenera kuchitira izo zimene - osati aliyense amadziwa. Myocardiodystrophy (chidule MCD) zikuphatikizapo gulu la matenda a mtima, si yotupa chikhalidwe cha nthandala. Pamene matenda ndi kuchepa kwa contractile ntchito ya mtima, ake excitability, madutsidwe, automatism ndi kagayidwe kachakudya matenda a myocardium lapansi.

zifukwa myocardiodystrophy

M'mnyewa wamtima mtima minofu kumachitika chifukwa katundu wolemera pa mtima ndi kuphunzitsa zosayenera ndi tima. Monga chakudya akamakonda, kanthawi zina, ndi zonse kugona kusokoneza imfayo MKD. zinthu zina za dystrophy m'mnyewa wamtima wamba monga:

• matenda a kutupa mu gawo;
• aakulu zilonda zapakhosi;
• Kuledzela (poizoni, mowa, kusuta, mankhwala);
• onenepa;
• myxedema;
• beriberi;
• shuga;
• hyperthyroidism;
• magazi m'thupi;
• cheza;
• akulu dystrophy;
• maliseche kutupa;
• kolajeni;
• zosayembekezereka ya kusintha mu akazi;
• kutenthedwa;
• Potaziyamu akusowa mu thupi;
• syndrome Cushing ndi;
• kudya;
• kukhudzana yaitali kuti rekodi-zakudya;
• mchere mafunsidwe mu minofu mtima.

zizindikiro MKD

Zizindikiro za m'mnyewa wamtima dystrophy Tingaone makamaka lokha pa kwambiri zofuna kukhetsa thukuta. Pa zina, matenda ndi kungokhala chete. Zizindikiro MKD zambiri kusokonezedwa ndi matenda ena, kotero m'mnyewa wamtima kovuta kudziwa ndi matenda mu siteji koyamba. Zizindikiro zazikulu za MCD matenda:

• spasmodic kapena kupweteka ululu chifuwa;
• kutopa;
• mpheto;
• mkhalidwe wa maganizo;
• dyspnea pa gulu;
• kufooka;
• palpitations mtima ;
• ululu mu mtima mwathu;
• Conk ntchito za minofu mtima;
• arrhythmia;
• systolic kudandaula pachimake pa mtima;
• wosakwiya zimachitika.

Nthawi aakulu, m'mnyewa wamtima mtima mankhwala, zizindikiro - zonse zimatengera zovuta. The wodwala anaona kufupika amphamvu mpweya pa mpumulo, kukulitsa a chiwindi, kuoneka edema.

ICD chithandizo

Zizindikiro matenda m'mnyewa wamtima, zimayambitsa ndi chithandizo otsogolera. Nkofunika dokotala pa zizindikiro choyamba. Pankhaniyi, pali mwayi ayambe othamanga.

The cardiologist adzatha kuthetsa angapo mavuto:

• kupeza chifukwa cha matenda;
• oyambirira matenda;
• mankhwala okwanira.

Mtundu uwu wa mankhwala ayenera kuchitidwa mu chipatala kuyang'aniridwa ndi akatswiri a zachipatala.

Ngati amafuna thandizo cardiologist poyamba kuchotsa umboni wa electrocardiogram (ECG), zidzapanga mtima ultrasound ndi kupereka malangizo pa kukonza njira wawo wa moyo. Kwenikweni anayambitsanso chakudya chamagulu kubwezeretsa kugwira ntchito za masiku onse kagayidwe, ndipo adzachotsa kotheratu ntchito zilizonse. Childs, bedi mpumulo ali osavomerezeka chifukwa matenda a m'mnyewa wamtima dystrophy.

Kenako, dotolo amachita kafukufuku cofufuzila kudziwika foci matenda, chimene chinapangitsa m'mnyewa wamtima. Pa kudziwika kwake ikuchitika akonzere awo.

Amasonyezanso ndi mankhwala kuchipatala. Nthawi zambiri, madokotala mankhwala mankhwala amene amachepetsa kagayidwe mu myocardium ndi, "Mexicor" ndi "Trimetazidine". Iwo odana ndi hypoxic ndi zotsatira cytoprotective. Mankhwala zotchulidwa coursework phwando miyezi iwiri, piritsi 1 3 pa tsiku.

Pakuti normalization wa ECG ndipo amaika potaziyamu mu thupi kuvomereza "Asparkam" kapena "Panangin" piritsi 1 3 pa tsiku.

Kuti smoothen wamanjenje dongosolo nthawi zina zotchulidwa neuroleptics ndi tranquillizers, monga "Sonopaks", "Coaxil".

Nkofunika kudziwa kuti mankhwala alionse chabe pamaso ntchito ayenera anagwirizana ndi dokotala. M'pofunika mosamalitsa kutsatira mlingo analimbikitsa ndi malamulo a phwando miyala.

Gawo MKD

Gulu la matenda m'mnyewa wamtima - ndichiyani? Izi ziri yonse ya makhalidwe etiologic matenda m'mnyewa wamtima. Gawo ukufanizidwa ndi njira zotsatirazi MCD:

• chifuwa;
• wosanganiza chiyambi;
• zovuta chiyambi;
• giperfunktsiogennye;
• neurovegetative;
• mahomoni (matenda endocrine ndi zaka disgormonoz);
• matenda cholowa;
• dysmetabolic (kuchepa magazi, dystrophy, vitamini akusowa);
• Kuledzela (poizoni, matenda opatsirana, mowa, kusuta fodya, mankhwala osokoneza bongo).
• alimentary;
• cheza;
• chatsekedwa pachifuwa zoopsa.

dyshormonal MKD

Dyshormonal myocardiodystrophy - ndichiyani?

Dyshormonal m'mnyewa wamtima dystrophy - matenda a mtima chifukwa ndi kukanika kwa ntchito chithokomiro England. Pa hypothyroidism (ntchito kuchepa) kagayidwe thupi kubweza pansi, kuthamanga ndi apo yafupika, edema ndi yaitali kupweteka ululu. Thyrotoxicosis (kuwonjezeka chithokomiro ntchito) kagayidwe Iyamba ndi kulimbikitsa mofulumira kuwonda. wodwalayo amaonanso kubaya zowawa mtima, ludzu, mantha kwambiri; anawawidwa mungoli mtima ndi tulo.

Zizindikiro dyshormonal MCD ndi:

• chizungulire;
• kufupika kwa mpweya;
• kutanganidwa tulo;
• kubaya ululu mu mtima mwathu;
• irritability ndi zina zotero.

Childs, m'mnyewa wamtima ngati kuonekera mu akazi zaka 45 mpaka 50, ngati m'badwo uno Kulephera kwa ntchito yamchiberekero. Amuna mu zaka 50-55 ndi atengeke matenda chifukwa cha kulemala yopanga testosterone.

chithandizo

Pamene matenda dyshormonal m'mnyewa wamtima chithandizo kwapatsidwa mawonekedwe a malangizo konkire ndi malangizo pa moyo wathanzi. A mbali yaikulu ndi ankaimba ndi kuyenda ndi:

• yosangalala;
• physiotherapy (mphindi 6-7 pa tsiku);
• kusambira ndi masewera ena amene popanda kukakamizidwa mwamphamvu.

M'mawa uliwonse ayenera kumwedwa wotsukira kwa mphindi 10. Kusunga chakudya, kupatulapo ufa, kusuta ndi zakudya mafuta.

Ngati njira ya moyo wathanzi musati kubweretsa zotsatira yoyenera, madokotala kupita mankhwala mankhwala, "Belloidum", "Valerian," "Bellataminal". Ngati mukufuna kuchepetsa excitability ya ubongo, Kwalamulidwa asamakhale ndi nkhawa, monga "mebicar". Izi mankhwala sayambitsa kugona, zilibe bwanji kuchepetsa olumala ndipo popanda kuphwanya kugwirizana kayendedwe. Mlingo tsiku ukufika mapiritsi atatu. Ngati "mebicar" sadzagwira ntchito, izo zatha mankhwala wina.

MKD wosanganiza zidakwa

M'mnyewa wamtima chiyambi wosanganiza zoyipa pa minofu mtima, kupotoza mu njira yake. Zimenezi zimachititsa anatambasula a minofu yamitsempha yamagazi, ndipo amaoneka flabby kupatulira septum.

zizindikiro

Zizindikiro za matenda m'mnyewa wamtima chiyambi wosanganiza "masked" ndi matenda palokha myocardiodystrophy. Zizindikiro ndi mankhwala Pankhaniyi ofanana kwambiri:

• kufupika kwa mpweya pa zofuna kukhetsa thukuta;
• mkulu kutopa;
• tachycardia;
• mpheto;
• Conk ntchito zimachitika.

Ndi kukula mofulumira matendawa anthu mavuto ndi arrhythmia mtima, ndi mtima kulephera zimawonedwa.

chithandizo

Therapy myocardiodystrophy wosanganiza Genesis amafuna kusintha pa mbali ya madokotala, monga mwa mankhwala zotsatira zake kudzadalira moyo wodwalayo.

asayansi amakono m'munda wa mankhwala kuti zothandiza kwambiri ndi njira yolondola ya chithandizo cha matenda ndi tsiku ndi ntchito maselo tsinde. Iwo tikuuzidwa mu thupi la wodwalayo, iwo angagwirizanitse maselo thanzi la mtima. Kubwezeretsa minofu mtima kumachitika chifukwa cha ejection maselo matenda wathanzi. Chotero mfundo za mankhwala kuli ndi ubwino kubwezeretsa ziwiya magazi, resorption wa mafuta m'thupi mipukutuyi ndi zigawo zina kuti ndigwire makope wabwinobwino wa oxygen.

MKD chiyambi zovuta

M'mnyewa wamtima chiyambi zovuta ndi mtundu wa matenda okwana m'mnyewa wamtima. Kodi izo ndi zomwe zimayambitsa? matendawa amakhudza minofu mtima ndipo sanali yotupa mu chirengedwe. Zinthu zokhudza mapangidwe a ICM zovuta chiyambi, kumphatikiza ndi matenda a mtima:

• Kuledzela (poizoni, mowa, mankhwala, ndudu);
• kuphwanya ntchito endocrine dongosolo;
• kagayidwe kachakudya kulephera.

Zizindikiro ndi mankhwala a zovuta chiyambi MKD

m'mnyewa wamtima izi (zizindikiro ndi mankhwala ake, mfundo zofanana kwambiri ndi matenda ena alionse mtima) atawonetseredwa mu tachycardia, kufupika kwa mpweya, osasamba kugunda kwa mtima, kupweteka m'chifuwa, kutopa, kuzizira.

Mankhwalawa mu malo oyamba kuthetsa chifukwa chimene chinali chifukwa MCD zovuta chiyambi. Madokotala mankhwala mitundu yosiyanasiyana ya mankhwala: "potaziyamu Orotate", "Nerobolum", "Cardiomagnyl" ndi ena. zinthuzi ndi kuchepetsedwa m'mnyewa wamtima kagayidwe.

Komabe, popanda tsiku chizolowezi ndi zakudya mankhwala osathandiza, kotero muyenera n'kudziphatika kwa moyo wathanzi ndi akuchitachita.

Kupemphera zovuta matenda mankhwala n'zotheka tizidalira ayambe othamanga ndi kusintha mkhalidwe wonse.

MKD yachiwiri

Ndi lokha ICM ndi sekondale matenda a mtima. Choncho, m'mnyewa wamtima sekondale ali kusiyana ŵakwenera mu mawonetseredwe ake ndi mankhwala. Zinthu zofunika anawonjezera ululu yekha mu mtima ndi chifuwa dera, ndipo arrhythmia. Izi mawonekedwe a matenda zambiri akufotokozera mu akazi pa kusintha, pamene thumba losunga mazira akawinduka.

M'mnyewa wamtima dystrophy ana

Nthawi zambiri timakonda ndi ana MKD. Nthawi zambiri izi chifukwa zinthu zingapo:

• maganizo katundu wa ana;
• zopanda nzeru thupi nkhawa;
• kuperewera kwa zakudya m'thupi;
• kusowa kwa mapuloteni mu thupi;
• kusamalira ana kuchepa;
• matenda opatsirana mwa magawo patsogolo.

M'mnyewa wamtima dystrophy ana si mwamphamvu lofotokozeredwa ndipo asymptomatic, kotero mavuto amaganiziridwa ndi mtima muyenera yomweyo kukaonana ndi cardiologist.

Ngati vuto limeneli limapezeka, ndi bwino kuchitira ana, kuthetsa kufala kwa chitukuko winanso wa ICM ndi mavuto pa thupi mwana wake.

diagnostics

Kudziwika m'mnyewa wamtima dystrophy ana, monga akuluakulu, kuyendetsedwa ndi miyeso muyezo: mtima ultrasound, ECG ndi kuyezedwa ndi cardiologist, ndiyeno akupanga matenda komaliza.

Kuchiza ndi kupewa

Kutalika ndi mphamvu ya mankhwala a MCD ana zimadalira kudwala matenda, amene amayamba m'mnyewa wamtima. Nthawi zambiri, ana ndi mankhwala potaziyamu ndi mchere magnesium. mankhwala awa yafupika kagayidwe mu myocardium ndi dekhetsa ECG kuthetsa matenda selo electrolytic, kubwezeretsanso thupi ndi potaziyamu ndi magnesium.

Ndi zotheka kugwiritsa ntchito mankhwala molumikizana ndi misala ndi kutema mphini.

Kupewa zothandiza kwambiri m'mnyewa wamtima dystrophy ana - ndi wathanzi ndi yogwira moyo. Choncho n'kofunika kwambiri kuti kuphunzitsa mwana uyu kuyambira ali munthu wamkulu, anatha mosavuta n'kudziphatika kwa zakudya athanzi ndi kusiya zizolowezi zoipa.

M'mnyewa wamtima malinga ICD-10

ICD-10 - ndi gulu lonse la younikanso chakhumi cha matenda. Mu utsogoleri wolowezana ichi, matenda aliyense ali osiyana malamulo ake, imene angathe mosavuta. Mwachitsanzo, m'mnyewa wamtima matenda: kachidindo malinga ICD 10: I42.

Panopa, gulu oterowo chimagwiritsidwa ntchito ndi madokotala padziko lonse. Iwo akhoza kuthetsa zolakwika mu dzina matenda ndipo imathandiza madokotala ochokera m'mayiko osiyanasiyana kulankhula zinachitikira akatswiri.

Mwamwayi, matenda m'mnyewa wamtima likuoneka kuti mavuto aakulu kwambiri ndipo ali ndi ingafooketse lake lonse. Kumene, matenda aliwonse ndi bwino kupewa kuposa mayendedwe nokha mankhwala yaitali. Kuti tichite zimenezi, tinkachititsa pa mndandanda wa njira zodzitetezera umalimbana kukhala magwiridwe yachibadwa thupi ndi kuwonongedwa kwa zinthu matenda.