Myocardiodystrophy - yog dab tsi? Myocardiodystrophy: Ua, Cov tsos mob thiab kev kho mob

Niaj hnub no, muaj coob tus neeg raug kev txom nyem los ntawm myocardial kab mob. Yuav ua li cas yog nws thiab yuav ua li cas los kho nws - tsis txhua leej txhua tus paub. Myocardiodystrophy (abbreviated MCD) muaj xws li ib pab pawg neeg ntawm kab mob plawv, uas tsis yog-inflammatory xwm ntawm cov cab kuj. Thaum tus kab mob no yog ib tug thawj ntawm cov contractile muaj nuj nqi ntawm lub plawv, nws excitability, conductivity, automatism thiab metabolic mob ntawm lub myocardium.

Yog vim li cas myocardiodystrophy

Myocardial lub plawv mob tshwm sim vim hnyav load rau hauv lub plawv los ntawm kev thiab intensive kev cob qhia. Raws li ib kauj noj cov zaub mov, ib tug luv luv so, lub qhov pw tsaug zog cuam tshuam tej zaum yuav ntxias MKD. Lwm yam common yam tseem ceeb ntawm myocardial dystrophy muaj xws li:

• kis kab mob ntawm o nyob rau hauv theem;
• mob tonsillitis;
• intoxication (lom, haus dej haus cawv, luam yeeb, tshuaj);
• nyhav dhau heev lawm;
• myxedema;
• beriberi;
• mob ntshav qab zib;
• hyperthyroidism;
• anemia;
• tawg;
• npag dystrophy;
• qhov chaw mos o;
• collagen;
• tshwm sim lawm nyob rau hauv cov poj niam;
• overheating;
• Poov tshuaj tsis muaj peev xwm nyob rau hauv lub cev;
• Cushing tus syndrome;
• yoo mov heev;
• heev raug rau mono-noj cov zaub mov;
• ntsev deposition nyob rau hauv mob mob.

cov tsos mob MKD

Tej yam tshwm sim ntawm myocardial dystrophy yuav pom feem ntau tsuas yog thaum mob siab heev lub cev tom. Thaum so, tus kab mob no yog passive. Cov tsos mob MKD tau feem ntau yuav tsis meej pem nrog lwm yam kab mob, li ntawd, myocardial nyuaj heev rau ntes thiab kev tshawb nrhiav nyob rau hauv thawj zaug rau theem. Lub ntsiab ntawm cov tsos mob ntawm tus kab mob MCD:

• spasmodic los yog mob tej kev mob nyob rau hauv lub hauv siab;
• qaug zog;
• impotence;
• lub xeev ntawm kev nyuaj siab;
• dyspnea rau zog;
• tsis muaj zog;
• lub plawv palpitations ;
• mob nyob rau hauv lub plawv;
• Conk ua hauj lwm ntawm cov kev mob plawv;
• arrhythmia;
• systolic yws yws ua nyob rau apex ntawm lub siab los;
• qeeb mem tes.

Nyob rau hauv ntev zaum, myocardial plawv kev kho mob, cov tsos mob - tag nrho nws yuav siv sij hawm complex. Tus neeg mob muaj cai ib tug muaj zog ua tsis taus pa thaum so, o ntawm lub siab, lub tsos ntawm edema.

ICD kev kho mob

Thaum myocardial kab mob cov tsos mob, ua rau thiab cov kev kho ua si ib leading lub luag hauj lwm. Nws yog ib qho tseem ceeb mus ntsib ib tug kws kho mob thaum thawj cov cim qhia. Nyob rau hauv cov ntaub ntawv no, nws yeej muaj feem rau ib tug hais rov qab.

Cov kev kho plawv yuav tsum tau los daws kom tau ib tug xov tooj ntawm cov teeb meem:

• qhia qhov ua rau ntawm tus kab mob no;
• kuaj pom thaum ntxov;
• txaus txoj kev kho.

Qhov no zoo ntawm kev kho mob yuav tsum tau ua nyob rau hauv ib tug lub tsev kho mob nyob rau hauv lub saib xyuas ntawm kev kho mob tshwj xeeb.

Yog hais tias koj yuav tsum tau cov kev pab kho plawv ua ntej tshem tawm pov thawj ntawm tus electrocardiogram (ECG), yuav ua rau lub plawv ultrasound thiab muab tswv yim rau txoj kev kho lawv cov tsoos txoj kev ntawm lub neej. Tas qhia xuas los lub cev tau hauj lwm ntawm cov metabolism hauv, thiab yuav rhuav tshem lub cev ua hauj lwm. Feem ntau, txaj so yog tsis pom zoo rau cov kab mob ntawm myocardial dystrophy.

Tom ntej no, tus kws kho mob ua kev tshawb fawb seev rau kom paub tias ntawm kab foci, uas tshwm sim los myocardial. Thaum nrhiav kom tau thereof yog nqa tawm lawv Readjustment.

Tsis tas li ntawd qhia yog kev kho mob kev kho mob. Heev feem ntau, cov kws kho mob muab tshuaj uas txo lub metabolism nyob rau hauv lub myocardium, "Mexicor" thiab "Trimetazidine". Lawv muaj anti-hypoxic thiab cytoprotective nyhuv. Tshuaj kawm txais tos txog li ob lub hlis, 1 ntsiav tshuaj 3 zaug ib hnub twg.

Rau normalization ntawm ECG thiab ua poov tshuaj ntau ntau nyob hauv lub cev txais "Asparkam" los yog "Panangin" 1 ntsiav tshuaj 3 zaug ib hnub twg.

Yuav kom smoothen lub paj hlwb yog tej zaum tus kws kho neuroleptics thiab tranquillizers, xws li "Sonopaks", "Coaxil".

Nws yog ib qho tseem ceeb kom paub hais tias tej tshuaj cia li ua ntej lawv daim ntawv thov yuav tsum tau pom zoo nrog koj tus kws kho mob. Nws yog tsim nyog los nruj me ntsis raws li cov pom zoo npaum thiab cov kev cai ntawm kev txais tos ntawm cov ntsiav tshuaj.

kev faib MKD

Ib suam ntawm myocardial kab mob - yog dab tsi? Qhov no yog ua tau cov hom ntawm cov etiologic yam ntxwv ntawm myocardial kab mob. Classification sawv cev los ntawm cov hauv qab no ntaub ntawv ntawm MCD:

• phiv tshuaj;
• mixed genesis;
• complex genesis;
• giperfunktsiogennye;
• neurovegetative;
• cov tshuaj hormones (endocrine kab mob thiab muaj hnub nyoog disgormonoz);
• raws roj ntsha cov kab mob;
• dysmetabolic (anemia, dystrophy, vitamin tsis muaj peev xwm);
• intoxication (lom, kis kab mob, haus dej cawv, haus luam yeeb, tshuaj tiv).
• alimentary;
• tawg;
• kaw hauv siab raug mob.

dyshormonal MKD

Dyshormonal myocardiodystrophy - yog dab tsi?

Dyshormonal myocardial dystrophy - ib tug kab mob ntawm lub plawv los ntawm ib tug ua hauj lwm ntawm lub qog caj pas nuj nqi. Thaum lub sij hawm hypothyroidism (zog txo) lub cev metabolism slows cia, lub siab yog txo, muaj edema thiab ntev mob tej kev mob. Thyrotoxicosis (nce nyob rau hauv cov thyroid muaj nuj nqi) metabolism accelerates thiab yeej txhawb ceev poob phaus. tus neeg mob kuj pom tau tias stabbing lub plawv mob, nqhis dej, ntau nervousness; ntxhov plawv atherosclerosis thiab pw tsaug zog.

Cov tsos mob dyshormonal MCD yog:

• kiv taub hau;
• ua tsis taus pa;
• disturbed pw tsaug zog;
• stabbing mob nyob rau hauv lub plawv;
• txob taus thiab thiaj li nyob.

Feem ntau, xws myocardial tshwm sim nyob rau hauv cov poj niam ntawm 45 mus rau 50 xyoo, raws li qhov no muaj hnub nyoog yog tsis ua hauj lwm ntawm zes qe menyuam muaj nuj nqi. Txiv neej nyob rau hauv lub 50-55 xyoo tseem yog raug rau tus kab mob no vim hais tias ntawm tsis hnov zus tau tej cov testosterone.

kev kho mob

Thaum tus kab mob dyshormonal myocardial kev kho mob yog muab nyob rau hauv daim ntawv ntawm cov pob zeb ua tswv yim thiab cov tswv yim rau kev noj qab nyob uake. Ib tug luag hauj lwm loj no yog ua si los ntawm cov muaj:

• so;
• physiotherapy (6-7 feeb ib hnub twg);
• ua luam dej thiab lwm yam kev ua si uas tsis yuav tsum tau muaj zog siab.

Txhua tag kis sawv ntxov yuav tsum tau coj douches rau 10 feeb. Soj ntsuam cov khoom noj, tsis suav cov hmoov nplej, haus luam yeeb thiab fatty khoom noj.

Yog hais tias txoj kev ntawm ib tug noj qab nyob zoo txoj kev ua neej tsis coj kom zoo tau, cov kws kho mob mus rau kev kho mob kho, "Belloidum", "valerian," "Bellataminal". Yog hais tias koj xav tau kom txo tau cov excitability ntawm poob siab system, tshuaj tranquilizers, xws li "mebicar". Qhov no tshuaj tsis ua koj nkees nkees, nws tsis cuam tshuam rau yuav txo tau kev tsis taus thiab tsis ua txhaum lub sib haum ntawm taw. Lub hnub koob tshuaj nce mus txog peb cov ntsiav tshuaj. Yog hais tias "mebicar" yuav tsis zoo, nws yog hloov nrog lwm cov tshuaj.

MKD mixed genesis

Myocardial mixed keeb kwm muaj ib tug tsis ntxim rau cov kev mob plawv, distorting nws nyob rau hauv nws qhov chaw. Qhov no los tau nyob rau hauv lub ncab ntawm lub ventricular ntaub so ntswg, thiab tshwm sim flabby thinning septum.

cov tsos mob

Tej yam tshwm sim ntawm myocardial kab mob ntawm mixed keeb kwm "masked" los ntawm tus kab mob no rau nws tus kheej myocardiodystrophy. Cov tsos mob thiab kev kho mob nyob rau hauv cov ntaub ntawv no yog heev uas zoo sib xws:

• ua tsis taus pa thaum lub sij hawm lub cev tom;
• siab qaug zog;
• tachycardia;
• impotence;
• Conk ua hauj lwm mem tes.

Nrog rau txoj kev loj hlob sai ntawm tus kab mob nyob rau hauv tib neeg muaj kev teeb meem thiab mob arrhythmia, thiab lub plawv tsis ua hauj lwm muaj cai.

kev kho mob

Therapy myocardiodystrophy mixed genesis yuav tsum tau ntau dua cov xim nyob rau ib feem ntawm cov kws kho mob, raws li los ntawm nws cov kev kho mob tshwm sim yuav nyob ntawm seb tus neeg mob lub neej.

Niaj hnub nimno zaum nyob rau hauv lub teb ntawm cov tshuaj hais tias qhov zoo tshaj thiab qhov tseeb txoj kev ntawm kev kho mob ntawm tus kab mob mus rau hnub tim yog txoj kev siv cov qia hlwb. Lawv nkag mus rau hauv tus neeg mob lub cev, lawv xa mus rau noj qab nyob zoo lub hlwb ntawm lub plawv. Txum Tim Rov Qab lub plawv mob tshwm sim vim cov ncaws ntawm mob hlwb noj qab nyob zoo. Xws li ib tug hauv paus ntsiab lus ntawm kev kho mob muaj ib tug zoo ntxim rau kho tshiab ntawm cov hlab ntsha, cov resorption roj uas txhaws taus plaques thiab lwm yam khaubncaws sab nraud povtseg uas thaiv lub cev ncig ntawm oxygen.

MKD complex keeb kwm

Myocardial complex keeb kwm yog ib daim ntawv ntawm tag nrho cov myocardial kab mob. Yuav ua li cas yog nws thiab dab tsi yog nws ua? Tus kab mob muaj feem xyuam rau cov kev mob plawv thiab yog uas tsis yog-inflammatory nyob rau hauv cov xwm. Yam rau tus tsim ntawm lub ICM complex genesis, tsis txuam nrog lub plawv kab mob:

• intoxication (lom, haus dej cawv, tshuaj, cov luam yeeb);
• ua txhaum ntawm lub endocrine system zog;
• metabolic tsis ua hauj lwm.

Cov tsos mob thiab kev kho mob ntawm complex keeb kwm MKD

Qhov no myocardial (cov tsos mob thiab nws cov kev kho mob, nyob rau hauv tus, zoo heev rau lwm yam kab mob plawv) manifested nyob rau hauv tachycardia, txog siav, lus lub plawv dhia ceev, mob hauv siab, qaug zog, ua daus no.

Nyob rau hauv cov kev kho mob nyob rau hauv thawj qhov chaw tshem tawm yog vim li cas rau cov uas tau tshwm sim los ntawm lub MCD complex genesis. Cov kws kho mob muab tshuaj rau ntau hom tshuaj: "poov tshuaj Orotate", "Nerobolum", "Cardiomagnyl" thiab lwm tus neeg. Tej npaj yuav txo myocardial metabolism.

Txawm li cas los, tsis muaj hnub ua thiab kev noj haus tshuaj yog tsis zoo, yog li ntawd koj yuav tsum tau lo rau ib tug noj qab nyob zoo thiab nquag txoj kev ua neej.

Nce lub complex kab mob kho, nws yog ua tau rau suav rau ib tug hais rov qab, thiab kev txhim kho nyob rau hauv tag nrho cov kev mob.

theem nrab MKD

Los ntawm nws tus kheej, lub ICM yog ib theem plawv tus kab mob. Yog li ntawd, theem nrab myocardial muaj preferential sib txawv nyob rau hauv nws cov manifestation thiab kev kho mob. Cov yam ntxwv tseem ceeb ntxiv xwb mob nyob rau hauv lub plawv thiab lub hauv siab cheeb tsam, thiab arrhythmia. Qhov no daim ntawv ntawm tus kab mob no feem ntau muaj nyob rau hauv cov poj niam thaum lub sij hawm lawm, thaum lub zes qe menyuam yog ntxhov.

Myocardial dystrophy nyob rau hauv cov me nyuam

Heev feem ntau peb yuav MKD cov me nyuam thiab cov tub ntxhais hluas. Feem ntau qhov no yog vim ob peb yam tseem ceeb:

• puas siab puas ntsws thiab kev xav load ntawm cov me nyuam;
• irrational lub cev kev nyuaj siab;
• malnutrition;
• tsis muaj protein nyob rau hauv lub cev;
• tsis txaus zov me nyuam;
• kis kab mob nyob rau hauv advanced theem.

Myocardial dystrophy nyob rau hauv cov me nyuam yog tsis xav qhia thiab asymptomatic, li ntawd, tej xav tias muaj teeb meem nrog lub plawv koj yuav tsum tam sim ntawd sab laj ib tug kws kho plawv.

Yog hais tias tus mob no tshwm sim, nws yog zoo dua los kho nyob rau hauv thaum yau, mus tshem tawm qhov kev uas yuav ntxiv kev loj hlob ntawm lub ICM thiab qhov teeb meem los ntawm nws tus me nyuam lub cev.

diagnostics

Nov ntawm myocardial dystrophy nyob rau hauv cov me nyuam, raws li nyob rau hauv cov laus, nqa tawm los ntawm tus qauv ntsuas: lub plawv ultrasound, ECG thiab nais maum kuaj los ntawm ib tug kws kho plawv, thiab ces ua rau ib tug zaum kawg mob.

Kev kho mob thiab kev tiv thaiv

Lub ntev thiab hauj lwm zoo ntawm cov kev kho mob ntawm MCD nyob rau hauv cov me nyuam nyob rau hauv lub pathology ntawm tus kab mob, uas yog txhais myocardial. Feem ntau cov feem ntau, cov me nyuam muaj tshuaj poov tshuaj thiab magnesium ntsev. Cov tshuaj txo metabolism nyob rau hauv lub myocardium yog normalized ECG tshem tawm electrolytic cell mob, replenish lub cev nrog poov tshuaj thiab magnesium.

Nws yog tseem tau mus siv sedatives nyob rau hauv nrog hlwb thiab acupuncture.

Qhov zoo tshaj kev tiv thaiv ntawm myocardial dystrophy nyob rau hauv cov me nyuam - nws yog ib tug noj qab nyob zoo thiab nquag txoj kev ua neej. Yog li ntawd nws yog ib qho tseem ceeb los qhia tus me nyuam no los ntawm ib tug thaum ntxov muaj hnub nyoog laus, nws muaj peev xwm mus tau yooj yim lo rau ib tug noj qab nyob zoo noj haus thiab muab tsis tau phem.

Myocardial raws li ICD-10

ICD-10 - ib tug thoob ntiaj teb kev faib ntawm lub thib kaum kho nqi lus ntawm tus kab mob. Nyob rau hauv no hierarchy, tej yam kab mob nws muaj nws tus kheej cim code, los ntawm cov uas nws muaj peev xwm muab tau yooj yim qhia tau. Piv txwv li, myocardial kab mob: code raws li ICD 10: I42.

Tam sim no, xws li ib tug kev faib yog dav siv los ntawm cov kws kho mob ib ncig ntawm lub ntiaj teb no. Nws yog tau los mus tshem tawm cov inaccuracies nyob rau hauv cov kab mob lub npe thiab tso cai rau cov kws kho mob los ntawm ntau lub teb chaws sib txuas lus kev cob qha kev.

Raws li nws muab tawm, myocardial kab mob hawv ua phem rau heev loj txim thiab muaj ib tug nyhuv dejnum rau tus kab mob raws li ib tug tag nrho. Ntawm cov hoob kawm, tej yam kab mob nws yog qhov zoo tshaj plaws los mus tiv thaiv tshaj rau pace tus kheej ntev kev kho mob. Ua li no, peb ua ib tug series ntawm kev tiv thaiv tswj kev tswj cov qub functionality ntawm lub cev thiab cov tshem tawm ntawm tus kab mob yam tseem ceeb.