Lub plawv loj (cardiomegaly): nws yog dab tsi, cov tsos mob, ua rau thiab kho

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav ua li cas kom paub meej tias kuaj mob
• Muaj peev xwm ua rau cardiomegaly
• Yuav kho tus mob li cas
• 1. Kev siv tshuaj kho mob
• 2. Cov qauv pacemaker
• 3. Kev phais plawv
• 4. Kev kho mob txoj hlab ntshav kev phais
• 5. Lub plawv hloov
• Muaj teeb meem tshwm sim
• Saib xyuas thaum kho

Cardiomegaly, nrov npe hu ua lub plawv loj, tsis yog kab mob, tab sis nws yog qhov cim ntawm qee lwm yam mob plawv zoo li lub plawv tsis ua haujlwm, mob ntshav hlab plawv, teeb meem nrog lub plawv dhia lossis arrhythmia, piv txwv li. Cov kab mob no tuaj yeem ua rau lub siab ua kom lub plawv tuab dua lossis cov kev lag luam hauv lub plawv ntau dua, ua kom lub siab loj dua.

Hom kev hloov pauv hauv lub plawv no tshwm sim ntau dua rau cov neeg laus, tab sis nws kuj tseem tuaj yeem tshwm sim hauv cov neeg laus lossis menyuam yaus uas muaj teeb meem plawv thiab, nyob rau theem pib, nws yuav tsis tshwm cov tsos mob. Txawm li cas los xij, vim tias kev loj hlob ntawm lub siab, qhov nqus ntawm cov ntshav mus rau lub cev tag nrho yog qhov nyuaj, uas ua rau lub cev hnyav thiab ua tsis taus pa, piv txwv.

Txawm hais tias muaj mob hnyav uas tuaj yeem ua rau tuag taus, kev kho plawv tuaj yeem kho los ntawm kws kho plawv nrog kev kho mob lossis phais mob, thiab tuaj yeem kho tau thaum paub thaum pib.

Cov tsos mob tseem ceeb

Hauv cov theem thaum ntxov, cardiomegaly feem ntau tsis muaj tsos mob tshwm sim, txawm li cas los xij, nrog kev nce qib ntawm cov teeb meem, lub plawv pib muaj kev nyuaj ntau dua los tso ntshav rau lub cev kom zoo.

Hauv cov qib siab dua, cov tsos mob tseem ceeb ntawm cardiomegaly suav nrog:

• Ua pa txog lub cev thaum tawm dag zog ib ce, thaum so lossis thaum dag ntawm koj sab nraum qab;
• Hnov ntawm lub plawv dhia tsis xwm yeem;
• Kev mob hauv siab;
• Hnoos, tshwj xeeb yog thaum pw;
• Kiv taub hau thiab tsaus muag;
• Tsis muaj zog thiab nkees thaum ua tej yam me me;
• Nkees heev dhau heev;
• Ua pa txog lub cev thaum tawm dag zog ib ce, thaum so lossis thaum dag ntawm koj sab nraum qab;
• O o hauv ceg, pob taws lossis taw;
• Ntau dhau o tuaj ntawm lub plab.

Nws yog ib qho tseem ceeb kom sab laj tus kws kho plawv kom sai li sai tau thaum cov tsos mob no tshwm sim, lossis mus nrhiav chav saib xyuas xwm txheej ze tshaj yog tias koj muaj cov tsos mob plawv xws li mob hauv siab thiab ua pa nyuaj. Paub yuav ua li cas paub txog thawj cov tsos mob ntawm lub siab.

Yuav ua li cas kom paub meej tias kuaj mob

Kev kuaj mob ntawm cardiomegaly yog tsim raws li keeb kwm kho mob thiab los ntawm kev kuaj mob xws li xoo hluav taws xob, electrocardiograms, echocardiograms, suav tomography lossis magnetic resonance los ntsuas kev ua haujlwm ntawm lub plawv. Ib qho ntxiv, kev kuaj ntshav kuj yuav raug txiav txim kom pom txog qee qib hauv cov ntshav uas yuav ua rau lub plawv mob.

Lwm yam kev ntsuam xyuas uas tus kws kho plawv yuav txiav txim yog catheterization, uas tso cai rau koj saib lub plawv los ntawm sab hauv thiab lub siab qoj ib ce, uas tuaj yeem ua rau lub sijhawm ntsuas catheterization los soj ntsuam kev puas tsuaj rau cov qog hlwb. Tshawb nrhiav seb lub plawv ntsuas catheterization tau ua tiav li cas.

Muaj peev xwm ua rau cardiomegaly

Cardiomegaly feem ntau yog vim muaj qee yam mob xws li:

• Kev mob ntshav qis ntawm lub cev;
• Cov hlab ntsha txoj hlab ntshav xws li mob ntshav tawm ntawm lub cev;
• Mob tsis txaus;
• Mob arrhythmia;
• Cardiomyopathy;
• Cawv Liab;
• Kab mob hauv lub plawv vim tias mob rheumatic kub taub hau lossis mob ntawm lub plawv xws li endocarditis;
• Ntshav Qab Zib;
• Pulmonary tawg;
• Mob raum tsis zoo;
• Tsis txaus raum;
• Kev Mob Hlav;
• Cov teeb meem hauv cov thyroid caj pas xws li hypo lossis hyperthyroidism;
• Cov theem siab ntawm cov hlau nyob hauv cov ntshav;
• Kab mob Chagas;
• Kev quav cawv.

Ntxiv rau, qee cov tshuaj siv los kho mob qog nqaij hlav, xws li doxorubicin, epirubicin, daunorubicin lossis cyclophosphamide, tuaj yeem ua rau cov tsos mob ntawm cardiomegaly.

Yuav kho tus mob li cas

Kev kho mob plawv plawv yuav tsum tau ua los ntawm kev kho plawv thiab feem ntau muaj xws li:

1. Kev siv tshuaj kho mob

Cov tshuaj uas kws kho plawv yuav muab tshuaj los kho plawv yog:

• Kev tshuaj ntsuab raws li furosemide lossis indapamide: lawv pab tshem tawm cov kua dej ntau dhau ntawm lub cev, tiv thaiv lawv los ntawm cov leeg ntshav thiab cuam tshuam lub plawv dhia, ntxiv rau kev txo qhov o ntawm lub plab thiab ceg, ko taw thiab pob taws;
• Cov tshuaj antihypertensive raws li captopril, enalapril, losartan, valsartan, carvedilol lossis bisoprolol: lawv pab txhawm rau txhim kho lub dilation ntawm cov hlab ntsha, nce ntshav txaus thiab pab txhawb kev ua haujlwm ntawm lub siab;
• Cov tshuaj Anticoagulants raws li warfarin lossis tshuaj aspirin: txo cov ntshav viscosity, tiv thaiv cov tsos ntawm txhaws uas tuaj yeem ua rau mob txhaws lossis hlab ntsha tawg;
• Antiarrhythmic zoo li digoxin: ntxiv dag zog rau cov leeg plawv, pab tswj kev ua haujlwm thiab tso cai rau cov ntshav muaj zog dua.

Kev siv cov tshuaj no tsuas yog ua los ntawm kev saib xyuas ntawm tus kws kho plawv thiab nrog cov koob tshuaj tshwj xeeb rau txhua tus neeg.

2. Cov qauv pacemaker

Muaj qee zaum ntawm kev kho plawv, tshwj xeeb tshaj yog nyob rau ntau qib ntxiv, tus kws kho plawv tuaj yeem qhia qhov tso rau hauv lub nrawm kom tswj kev ua kom lub zog hluav taws xob thiab lub cev tsis ua haujlwm ntawm lub plawv, txhim kho nws txoj haujlwm thiab pab txhawb kev ua haujlwm ntawm lub plawv.

3. Kev phais plawv

Kev phais mob rau lub plawv tuaj yeem ua los ntawm tus kws kho plawv yog qhov ua rau kev kho plawv yog qhov tsis xws luag lossis hloov lub plawv. Kev phais mob tso cai rau koj kho lossis hloov valve.

4. Kev kho mob txoj hlab ntshav kev phais

Kev phais mob ntawm lub plawv sab hnub tuaj yeem pom los ntawm tus kws kho plawv yog tias mob plawv yog los ntawm teeb meem nrog rau cov hlab ntshav ntawm cov ntshav liab uas tau txais kev tiv thaiv lub plawv.

Qhov kev phais no tso cai rau kho thiab hloov pauv cov ntshav ntawm lub plawv kev ua haujlwm thiab pab tswj cov tsos mob ntawm lub hauv siab thiab ua pa nyuaj.

5. Lub plawv hloov

Kev hloov pauv hauv lub siab tuaj yeem ua tiav yog tias lwm txoj kev kho mob tsis muaj txiaj ntsig hauv kev tswj hwm cov tsos mob ntawm cardiomegaly, yog qhov kev xaiv kawg kho. Tshawb nrhiav seb lub plawv hloov pauv li cas.

Muaj teeb meem tshwm sim

Cov teeb meem uas cardiomegaly tuaj yeem ua yog:

• Cawv Liab;
• Tsim cov ntshav txhaws;
• Kev raug ntes;
• Txoj kev tuag.

Cov kev ntxhov siab no nyob ntawm seb qhov twg hauv lub siab yog qhov loj thiab ua rau cardiomegaly. Yog li no, thaum twg pom tias muaj teeb meem hauv lub siab, nws yog qhov tseem ceeb heev uas yuav tau nrhiav kev pab kho mob.

Saib xyuas thaum kho

Qee qhov tseem ceeb hauv kev kho mob thaum cardiomegaly yog:

• Tsis txhob haus luam yeeb;
• Tswj qhov hnyav kom tsis muaj mob;
• Tswj xyuas koj cov ntshav qabzib kom siab thiab tswj kev mob ntshav qab zib tau pom zoo los ntawm koj tus kws kho mob;
• Ua kev soj ntsuam kev kho mob kom tswj tau ntshav siab;
• Zam kev haus dej haus cawv thiab cov caffeine;
• Tsis txhob siv yeeb tshuaj xws li yeeb dawb los yog amphetamines;
• Ua lub cev tawm dag zog uas tus kws kho mob pom zoo;
• Pw tsawg kawg yog 8 rau 9 teev ib hmos.

Nws tseem yog ib qho tseem ceeb kom ua raws li cov kev kho plawv mob uas yuav tsum tau coj cov kev hloov pauv ntawm kev noj zaub mov thiab kom noj zaub mov kom muaj roj tsawg, muaj piam thaj lossis ntsev. Txheeb xyuas tag nrho cov khoom noj uas zoo rau lub siab.