Xas cardiomyopathy

Cardiomyopathy yog tus kab mob hauv lub plawv cov leeg tsis muaj zog, ncav mus, los yog muaj lwm cov teeb meem kev teeb tsa.

Dilated cardiomyopathy yog ib qho mob uas lub plawv mob ua kom tsis muaj zog thiab nthuav dav. Vim li ntawd, lub siab tsis tuaj yeem nqus ntshav txaus rau lwm tus lub cev.

Muaj ntau ntau yam kev mob plawv. Dilated cardiomyopathy yog daim ntawv uas feem ntau, tab sis nws yuav yog los ntawm qhov sib txawv hauv qab. Qee tus kws kho mob siv lo lus siv no los qhia txog qee yam mob, hu ua idiopathic dilated cardiomyopathy. Tsis muaj qhov paub tias ua kom zoo li cas rau kev mob plawv nres.

Feem ntau ua rau dilated cardiomyopathy yog:

• Kab mob hauv lub plawv los ntawm qhov nqaim lossis txhaws ntawm cov hlab ntshav txhaws
• Kev tswj cov ntshav siab tsis zoo

Muaj ntau ntau lwm yam ua rau kev mob plawv dhia ua si, suav nrog:

• Cawv lossis cawv (lossis lwm yam tshuaj txhaum cai) tsim txom
• Mob ntshav qab zib, mob qog, lossis mob rau daim siab
• Cov tshuaj uas tuaj yeem ua rau qaug rau hauv lub siab, xws li cov tshuaj uas siv los kho mob qog noj ntshav
• Txawv lub plawv tsis zoo uas lub plawv dhia ceev ceev rau lub sijhawm ntev
• Tus mob autoimmune
• Cov xwm txheej uas khiav hauv tsev neeg
• Cov kab mob uas cuam tshuam nrog lub plawv cov leeg
• Lub plawv ntsuas uas yog ib qho los yog nqaim dhau lossis dhau xau
• Hauv lub hli tas los ntawm cev xeeb tub, lossis hauv 5 hlis tom qab yug tus menyuam.
• Raug cov hlau hnyav xws li cov hlau lead, arsenic, cobalt lossis mercury

Tus mob no yuav cuam tshuam leej twg thaum muaj hnub nyoog li cas. Txawm li cas los xij, nws yog ib qho muaj feem ntau rau cov neeg laus.

Cov tsos mob ntawm kev mob plawv yog cov feem ntau. Lawv feem ntau muaj kev loj hlob qeeb dhau sijhawm. Txawm li cas los xij, qee zaum cov tsos mob pib sai sai thiab tej zaum yuav hnyav.

Cov tsos mob tshwm sim feem ntau yog:

• Mob hauv siab lossis siab (feem ntau yuav tsum nrog kev tawm dag zog)
• Hnoos
• Qaug zog, ua kom tsis muaj zog, tsaus muag
• Los tsis tu ncua lossis cov mem tes sai
• Tsis qab los noj mov
• Ua tsis taus pa nrog kev ua si lossis tom qab pw (los yog pw tsaug zog) ib pliag
• O o thiab qij taws

Thaum lub sijhawm kuaj mob, tus kws kho mob tuaj yeem nrhiav:

• Lub plawv yog mob siab.
• Lub ntsws txhaws (qhov cim ntawm cov kua dej ua kom lub cev), lub plawv yws, lossis lwm yam suab txawv txav.
• Lub siab yog nce siab.
• Caj dab caj dab yuav ua bulging.

Ib tug xov tooj ntawm cov chaw kuaj yuav raug ua tiav los txiav txim qhov ua rau:

• Cov tshuaj tiv thaiv kev ua kom tsis haum (ANA), tus nqi erythrocyte sedimentation (ESR), thiab lwm yam kev kuaj mob txhawm rau kuaj cov mob autoimmune
• Siv tshuaj tua kab mob los nrhiav cov mob xws li mob Lyme thiab HIV
• Kev kuaj hlau ntshav ntawm cov ntshav
• Ntshav TSH thiab T4 kuaj kom paub cov teeb meem ua cov thyroid
• Kev kuaj mob rau amyloidosis (ntshav, tso zis)

Kev zaws lub plawv lossis lwm yam teeb meem nrog cov qauv thiab kev ua haujlwm hauv lub siab (xws li nyem qhov tsis muaj zog) yuav tshwm sim rau cov kev sim no. Lawv kuj tseem tuaj yeem pab txheeb xyuas qhov tseeb ntawm qhov teeb meem:

• Echocardiogram (ultrasound ntawm lub plawv)
• Kev ntsuam xyuas mob plawv
• Kev ntsuas hluav taws xob xoo
• Coronary angiogram saib ntshav khiav mus rau lub plawv
• Mob catheterization ntsuas ntsuas cov ntshav hauv thiab ib ncig lub plawv
  
• CT scan ntawm lub plawv
• MRI ntawm lub plawv
• Nuclear plawv scan (scintigraphy, MUGA, RNV)

Kev kuaj ntshav hauv lub plawv, uas muab qhov me me ntawm cov leeg rub tawm, tej zaum yuav xav tau nyob ntawm qhov ua rau dab tsi. Txawm li cas los xij, qhov no tsis tshua muaj ua.

Yam koj tuaj yeem ua tom tsev los saib xyuas koj tus mob muaj xws li:

• Paub koj lub cev, thiab saib xyuas cov tsos mob uas koj lub plawv tsis zoo zuj zus.
• Saib seb puas pauv rau koj cov tsos mob, lub plawv dhia, plawv dhia, ntshav siab, thiab hnyav.
• Txwv txiav koj haus dej ntau npaum li cas thiab koj tau ntsev ntau ntsev rau hauv koj lub khob kom yuag.

Feem coob cov neeg uas muaj lub plawv tsis zoo yuav tsum tau noj tshuaj. Qee yam tshuaj kho koj cov tsos mob. Lwm tus yuav pab tiv thaiv koj lub plawv tsis ua kom mob ntxiv, lossis tuaj yeem tiv thaiv lwm cov teeb meem plawv.

Cov txheej txheem thiab phais koj yuav xav tau:

• Tus neeg zaws tes taw los pab kho lub plawv dhia qeeb los yog pab koj lub plawv dhia hauv sync
• Qhov defibrillator uas paub txog lub neej ua kom puas lub plawv dhia thiab xa cov hluav taws xob cov hluav taws xob (poob siab) kom lawv
• Kev phais plawv (CABG) kev phais mob lossis angioplasty los txhim kho cov ntshav ntws mus rau cov leeg mob uas tsis muaj zog lossis tsis muaj zog
• Lub valve hloov lossis hloov kho

Txog kev kho plawv siab:

• Xav kom lub plawv hloov chaw yog tias kev kho mob tsis ua haujlwm tau thiab lub plawv tsis ua haujlwm hnyav heev.
• Tso chaw rau lub tshuab ua pa tuaj pab lossis lub plawv ua kom zoo nkauj yuav raug txiav txim siab.

Mob plawv yuav mob heev rau lub sijhawm. Coob leej ntau tus neeg uas muaj lub siab tsis ncaj yuav tuag los ntawm tus mob no. Xav txog hom kev saib xyuas koj xav tau thaum kawg ntawm lub neej thiab sib tham txog cov teeb meem no nrog cov neeg hlub thiab koj tus kws kho mob tseem ceeb heev.

Lub plawv tsis ua hauj lwm feem ntau yog kev mob tshwm sim ntev, uas yuav mob heev zuj zus. Qee tus neeg mob lub plawv dhia tsis zoo, hauv cov tshuaj, lwm yam kev kho mob, thiab phais mob pab tsis tau. Coob leej ntau tus muaj feem yuav ua mob plawv rau lub plawv, thiab yuav tau siv tshuaj kho mob lossis tshuaj tiv thaiv kab mob.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm kev mob plawv.

Nrhiav kev pab kho mob sai sai yog tias koj muaj mob hauv siab, tsaus muag lossis tsaus muag.

Cardiomyopathy - dilated; Thawj cardiomyopathy; Ntshav plawv mob plawv; Idiopathic cardiomyopathy; Quav cawv cardiomyopathy

• Lub Plawv - seem ntawm ntu nruab nrab
• Plawv - saib ua ntej
• Xas cardiomyopathy
• Quav cawv cardiomyopathy

Falk RH, Hershberger RE. Daim tawv nqaij txhaws, txwv thiab infiltrative cardiomyopathies. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 77.

Mckenna WJ, Elliott P. Kab mob ntawm myocardium thiab endocardium. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 54.