Dilated cardiomyopathy: nws yog dab tsi, cov tsos mob thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav ua li cas kom paub meej tias kuaj mob
• Muaj peev xwm ua rau dilated cardiomyopathy
• Yuav kho tus mob li cas
• 1. Cov tshuaj antihypertensive
• 2. Kev tshuaj ntxuav tes
• 3. Digitálico
• 4. Cov neeg tiv thaiv kab mob
• 5. Kev Txiav Txim Siab
• 6. Lub plawv hloov
• Muaj teeb meem tshwm sim
• Yuav tiv thaiv dilated cardiomyopathy li cas

Dilated cardiomyopathy yog ib tug kab mob uas ua rau lub plawv dhia ua si ntau heev, ua rau cov ntshav txhaws mus rau txhua qhov ntawm lub cev, tuaj yeem ua rau txoj kev txhim kho lub plawv tsis ua haujlwm, tsis ua haujlwm, ntshav txhaws lossis tuag sai.

Hom kev mob plawv no feem ntau rau cov txiv neej hnub nyoog 20 thiab 50 xyoo, txawm hais tias nws tuaj yeem tshwm sim thaum muaj hnub nyoog li cas, suav nrog menyuam yaus, thiab feem ntau yuav tsis muaj cov tsos mob uas yooj yim los txheeb xyuas. Txawm li cas los xij, vim tias nws muaj teeb meem rau lub plawv kom nqus ntshav, tus neeg yuav hnov ​​nkees, qaug zog lossis ua pa luv, thiab nws raug nquahu kom mus cuag kws kho plawv kom kuaj tau thiab ua tiav kev kuaj mob.

Kev kho mob ntawm dilated cardiomyopathy yog qhia los ntawm tus kws kho plawv raws li cov tsos mob, ua rau thiab mob hnyav ntawm tus kab mob, thiab nws yuav tsim nyog tso rau hauv kev nrawm hauv qhov mob hnyav. Txoj hauv kev zoo tshaj plaws los txhawm rau tiv thaiv cov teeb meem mob plawv dhia ua si yog kom muaj kev rov qab soj ntsuam tas li nrog kws kho plawv.

Cov tsos mob tseem ceeb

Cov tsos mob ntawm dilated cardiomyopathy feem ntau zoo li cov tsos mob ntawm lub plawv tsis ua haujlwm lossis tsis nco qab thiab suav nrog:

• Nkees heev dhau heev;
• Tsis muaj zog;
• Ua pa txog lub cev thaum tawm dag zog ib ce, thaum so lossis thaum dag ntawm koj sab nraum qab;
• Kev nyuaj hauv kev qoj ib ce lossis ib hnub-rau-hnub;
• O o hauv ceg, pob taws lossis taw;
• Ntau dhau hws hauv plab;
• Kev mob hauv siab;
• Hnov ntawm lub plawv dhia tsis xwm yeem;
• Kev hnov ​​ntawm lub suab nrov hauv lub plawv.

Ib qho ntxiv, ntshav siab yuav qis vim tias lub plawv tsis ua haujlwm rau cov ntshav.

Yuav ua li cas kom paub meej tias kuaj mob

Kev kuaj mob ntawm lub plawv dhia ua ntej yuav tsum tau ua los ntawm tus kws kho plawv raws li cov tsos mob, kev txheeb xyuas tus kheej thiab tsev neeg keeb kwm, kev kuaj mob thiab qee yam kev kuaj mob xws li hauv siab xoo hluav taws xob, kuaj ntshav, electrocardiogram, Holter xeem, echocardiogram, kev tawm dag zog, piv txwv tomography, sib nqus resonance, catheterization lossis mob voos, piv txwv. Tshawb nrhiav seb qhov Holter tshuaj ntsuam tiav li cas.

Tus kws kho plawv kuj tseem yuav thov kom muaj kev tshuaj ntsuam genetic ntsuas kom paub seb cov tshuaj plawv dhia ua tej zaum muaj tau los ntawm noob caj noob ces.

Muaj peev xwm ua rau dilated cardiomyopathy

Qhov ua rau mob plawv cardiomyopathy, feem ntau, tsis tuaj yeem txheeb tau, raug hu ua idiopathic dilated cardiomyopathy. Txawm li cas los xij, qee qhov ua rau ua rau pib ntawm tus kabmob muaj xws li:

• Mob arrhythmia;
• Mob tsis txaus;
• Ntshav Qab Zib;
• Kev pham;
• Tawg siab;
• Kev quav dej quav cawv;
• Siv cov tshuaj xws li yeeb dawb los yog amphetamine;
• Kev siv cov tshuaj xws li corticosteroids;
• Kev siv tshuaj kho mob nrog cov tshuaj xws li doxorubicin, epirubicin, daunorubicin lossis cyclophosphamide;
• Kab mob Chagas lossis toxoplasmosis;
• Cov kab mob autoimmune xws li mob caj dab mob caj dab lossis mob hlwb lupus erythematosus;
• Cov kab mob kis tau los ntawm cov kab mob zoo li Streptococcus, Staphylococcus, Salmonella, Mycoplasma lossis Chlamydia;
• Kev sib kis nrog cov kab mob xws li adenovirus, parvovirus, tus kab mob pob sawv hlwv, tus kab mob siab C los yog Tusid-19;
• Raug rau cov co toxins xws li txhuas, mercury lossis cob;
• Lwm yam mob hauv kev xeeb tub thaum ntxov;
• Congenital qhov tsis zoo uas tshwm sim thaum yug tus me nyuam.

Dilated cardiomyopathy tuaj yeem tshwm sim vim yog cov caj ces thiab, vim li ntawd, nws muaj ntau dua rau cov neeg mob uas muaj keeb kwm tsev neeg ntawm tus kab mob, tshwj xeeb tshaj yog thaum nws cuam tshuam leej niam lossis txiv.

Yuav kho tus mob li cas

Kev kho cov tshuaj plawv dhia qeeb yuav tsum tau pib sai li sai tau, nyob rau hauv kev qhia ntawm tus kws kho plawv, kom tsis txhob muaj teeb meem xws li mob ntsws embolism lossis mob plawv, piv txwv.

Kev kho mob tuaj yeem ua tiav nrog:

1. Cov tshuaj antihypertensive

Qee qhov tshuaj tiv thaiv kab mob tuaj yeem siv rau kev kho mob ntawm dilated cardiomyopathy raws li lawv pab txhawm rau txhim kho lub dilation ntawm cov hlab ntsha thiab nce ntshav txaus, ntxiv rau kev pab txhawb kev ua haujlwm ntawm lub plawv. Cov feem ntau siv los tiv thaiv chav kawm yog:

• Angiotensin-hloov ua enzyme inhibitors raws li captopril, enalapril lossis lisinopril;
• Angiotensin blockers xws li losartan, valsartan lossis candesartan;
• Beta blockers zoo li carvedilol lossis bisoprolol.

Cov tshuaj no tseem tuaj yeem pab kho lossis tiv thaiv qhov pib ntawm arrhythmias.

2. Kev tshuaj ntxuav tes

Diuretics, xws li furosemide lossis indapamide, tuaj yeem siv los kho tshuaj dilated cardiomyopathy kom tshem tawm cov kua dej ntau dhau ntawm lub cev, tiv thaiv lawv mus rau hauv cov leeg thiab ua rau nws nyuaj rau kev ntaus lub plawv.

Tsis tas li ntawd, cov diuretics ua rau txo cov leeg thiab txhais taw los ntawm tus kab mob thiab lub ntsws, pab ua pa zoo dua.

3. Digitálico

Cov digitalis tau siv los kho kho lub plhaw cardiomyopathy yog digoxin uas ua los ntawm kev ntxiv dag zog rau cov leeg plawv, pab tswj kev ua haujlwm thiab tso cai rau cov ntshav muaj zog dua.

Cov tshuaj no tseem yuav pab txo cov tsos mob ntawm lub plawv dhia, uas pab txhim kho lub neej zoo.

Txawm li cas los xij, digoxin yog ib yam tshuaj lom thiab xav tau kev soj ntsuam thiab kuaj mob ntau zaus.

4. Cov neeg tiv thaiv kab mob

Anticoagulants xws li warfarin lossis tshuaj aspirin ua los ntawm kev txo qis ntshav viscosity, pab txhawb nws txoj kev nqus thiab tiv thaiv qhov pom ntawm txhaws uas tuaj yeem ua rau mob txhaws lossis mob hlab ntsha tawg, piv txwv.

5. Kev Txiav Txim Siab

Hauv qhov xwm txheej loj tshaj plaws, qhov kev kho mob tsis tau ua tiav los yog kuaj pom tus kab mob tom qab, tus kws kho mob kuj tseem yuav pom zoo kom phais mob tso rau hauv lub plawv kom ceev tsaj hluav taws xob hauv lub plawv, tswj nws txoj haujlwm thiab tswj hwm lub plawv dhia. Cov.

6. Lub plawv hloov

Kev kho mob rau lub plawv tuaj yeem pom zoo los ntawm koj tus kws kho mob yog tias tsis muaj lwm txoj kev kho tau zoo, xws li siv cov tshuaj siv los yog lub nrawm. Saib seb lub plawv hloov li cas.

Muaj teeb meem tshwm sim

Cov kev mob tshwm sim ntawm kev mob plawv cardiomyopathy tuaj yeem ua rau:

• Mob tsis txaus;
• Mob arrhythmia;
• Lub plawv dhia teeb meem;
• Kev nqus dej hauv cov ntsws, plab, ceg thiab taw;
• Mob raug ntes.

Tsis tas li ntawd, roj plawv dhia ua si tuaj yeem ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws thiab kev txhim kho ntawm pulmonary embolism, infarction lossis stroke.

Yuav tiv thaiv dilated cardiomyopathy li cas

Qee qhov kev ntsuas tuaj yeem pab tiv thaiv lossis txo qis kev puas tsuaj ntawm dilated cardiomyopathy xws li:

• Tsis txhob haus luam yeeb;
• Tsis txhob haus dej cawv los yog haus cawv kom tsawg;
• Tsis txhob siv yeeb tshuaj xws li yeeb dawb los yog amphetamines;
• Tswj qhov hnyav kom tsis muaj mob;
• Ua kev tawm dag zog uas tus kws kho mob pom zoo;
• Pw tsawg kawg yog 8 rau 9 teev ib hmos.

Nws yog ib qho tseem ceeb kom ua raws li tus kws kho mob cov lus qhia thiab noj zaub mov kom tsis muaj roj, qab zib lossis ntsev. Xyuas cov npe khoom noj uas tsim nyog rau lub siab.