Myocardiodystrophy - ntoni na? Myocardiodystrophy: Oonobangela, Iimpawu and Treatment

Kule mihla, abantu abaninzi bayahlupheka ukusuka izifo engabalulekanga. Yintoni na nendlela sibaphathe ngayo - ukwazi oko akubantwini bonke. Myocardiodystrophy (MCD olufinyeziweyo) libandakanya iqela isifo sentliziyo, indalo non-yokukrala yenethiwekhi. Xa sifo ukuhla le contractile umsebenzi wentliziyo, excitability, conductivity, automatism kunye pathways yayo ukuphazamiseka le myocardium.

izizathu myocardiodystrophy

Engabalulekanga imisipha yenhliziyo kwenzeka ngenxa yokuba umthwalo onzima phezu kwentliziyo ngu uqeqesho engafanelekanga nebanzi. Njengoko ngokunciphisa engalungelelananga, luphumlo elifutshane, ubuthongo uphazamiseko rhoqo ukuze bandiqumbise MKD. Ezinye izinto eziqhelekileyo muscular engabalulekanga ziquka:

• Izifo ezosulelayo of ukudumba kwisigaba;
• tonsils ezingapheliyo;
• ukunxila (Ityhefu, utywala, icuba, iziyobisi);
• luphele;
• myxedema;
• beriberi;
• diabetes;
• hyperthyroidism;
• igazi;
• radiation;
• muscular dystrophy;
• nezilonda zangasese;
• collagen;
• isahlakalo kokuya kwi neyabafazi;
• nobushushu;
• Ipotaziyam ukuhluleka umzimba;
• syndrome Cushing kaThixo;
• ngokuzila ukudla;
• sesichengeni elide ukuya iMono-yokudla;
• ityuwa yokulahlwa kwe e umsipha intliziyo.

zesifo MKD

Iimpawu ze engabalulekanga muscular ingabonwa becala kuphela ngexesha amandla kakhulu emzimbeni. Nokuphumla, isifo kwisixando sokwenziwa. Iimpawu MKD zingaqondwa kubhidaniswe nezinye izifo, ngoko engabalulekanga kakhulu kunzima ukubona nokuxilonga kwi isanda. Eyona engundoqo nazimpawu MCD sifo:

• spasmodic okanye nokuqaqamba iintlungu esifubeni;
• nokudinwa;
• namandla;
• isimo ukudangala;
• dyspnea kwi intshukumo;
• yobuthathaka;
• iyangongoza intliziyo ;
• buhlungu intliziyo;
• Conk umsebenzi imisipha intliziyo;
• arrhythmia;
• bambombozela iSystolic njengezona intliziyo;
• ukubetha kade.

Kwiimeko ezingapheliyo, intliziyo engabalulekanga unyango, iimpawu - konke kuthatha ezintsonkothileyo. Le isigulane wabona umntu uphelelwa ngamandla ngumphefumlo nokuphumla, ukuphefumla ophezu kwesibindi, ukuvela nokudumba.

unyango ICD

Xa iimpawu isifo engabalulekanga, izizathu kunye nonyango kudlala indima ephambili. Kubalulekile ukubona ugqirha kwimiqondiso yokuqala. Kulo mzekelo, kukho ithuba bachache ngokukhawuleza.

Le cardiologist liya kuba nako ukusombulula eziliqela iingxaki:

• ukuchonga unobangela izifo;
• isigulo kwangethuba;
• therapy eyaneleyo.

Olu hlobo unyango kufuneka kwenziwa esibhedlele phantsi kweliso iingcali zonyango.

Ukuba ufuna i cardiologist uncedo lokuqala ukususa ubungqina electrocardiogram (ECG), uya kwenza i- ultrasound intliziyo aze anike iingcebiso ukulungisa indlela yabo yokuphila. Ngokuyimfuneko lazisa ukutya okunezondlo ukubuyisela ukusebenza okuqhelekileyo ukutya, khipha nawuphi na umsebenzi wezandla. Ngokuqhelekileyo, alale akukhuthazwa ukuba nezifo engabalulekanga muscular.

Okulandelayo, ugqirha uqhuba zePCR wophando efumanise nakujoliso olutsha ezasulelayo, nto leyo eyabangela engabalulekanga. Xa efumanise ukuba zayo wenziwe yokulungiswa kwabo.

Kwakhona ziboniswa unyango zonyango. Amaxesha amaninzi, oogqirha amisele iipilisi zokunciphisa ukutya kwi myocardium, "Mexicor" yaye "Trimetazidine". Baye anti-hypoxic kunye nefuthe cytoprotective. Iziyobisi emiselweyo coursework ulwamkelo kwiinyanga ezimbini, 1 icwecwe ka-3 ngosuku.

Kuba kuqheleke ECG nokwandisa amanqanaba potassium emzimbeni ukwamkela "Asparkam" okanye "Panangin" 1 icwecwe ka-3 ngosuku.

Ukuze smoothen luvo amaxesha emiselweyo neuroleptics kunye tranquillizers, ezifana "Sonopaks", "Coaxil".

Kubalulekile ukwazi ukuba naziphi na iziyobisi nje phambi kokuba izicelo zabo kufuneka kuvunyelwane kunye nogqirha wakho. Kuyimfuneko ukuba ukulandela ngokungqongqo idosi ekucetyiswa kunye nemithetho yolwamkelo iipilisi.

ngezigaba MKD

Ukuhlelwa izifo engabalulekanga - ntoni na? Oku eneneni iintlobo iimpawu etiologic sifo engabalulekanga. Classification emelwe kwezi ntlobo zilandelayo MCD:

• komzimba;
• nesisekelo mixed;
• nesisekelo ezinzima;
• giperfunktsiogennye;
• neurovegetative;
• hormone (isifo yonyango kunye nobudala disgormonoz);
• izifo zofuzo;
• dysmetabolic (anaemia, muscular novithamini ayoni);
• ukunxila (Ityhefu, izifo ezosulelayo, utywala, icuba, likhoboka iziyobisi).
• alimentary;
• radiation;
• esifubeni labagula ezivaliweyo.

MKD dyshormonal

myocardiodystrophy Dyshormonal - ntoni na?

Dyshormonal engabalulekanga muscular - sisifo intliziyo okubangwa kwekhono lo msebenzi lengqula ndlala. Ngexesha hypothyroidism (imisebenzi ukuncipha) yokucolwa komzimba ebizwa ngokuba yimetabolism isenokucotha, xi lifinyele, kukho nokudumba wayolula ezibuhlungu iintlungu. Thyrotoxicosis (ukwanda umsebenzi lengqula) ukutya ibalekisa kwaye ikhuthaza ngokukhawuleza umzimba. Kwakhona isigulane uziva ukuhlatywa iintlungu intliziyo, unxano, uvalo ngokugqithiseleyo; waphazamiseka Isingqisho sentliziyo kunye nokulala.

Iimpawu dyshormonal MCD zezi:

• nesiyezi;
• ukuphelelwa umoya;
• ubuthongo, ukuphazamiseka;
• ukuhlatywa buhlungu intliziyo;
• ucaphuka njalo njalo.

Ngokuqhelekileyo, ezifana engabalulekanga kuvela abafazi kwiminyaka 45 ukuya ku-50, njengoko oku ubudala ukusilela umsebenzi ovarian. Abantu kule minyaka 50-55 kwakhona kalula lo sifo ngenxa imveliso kakuhle of testosterone.

unyango

Xa isifo unyango dyshormonal engabalulekanga inikwa ngokohlobo iingcebiso eziphathekayo kunye izindululo ngendlela enempilo. Indima enkulu ngoku udlalwa nge ukuhamba:

• kuthanjiswa;
• ukuyifundisa (imizuzu 6-7 ngosuku);
• ukuqubha kunye neminye imidlalo musa ukuba nzima.

Ntsasa nganye kufuneka kuthathwe douches imizuzu eli-10. Gcina ukutya, ngaphandle umgubo, etshaya kunye nokutya okunamafutha.

Ukuba iindlela indlela yokuphila esempilweni musa kuzisa iziphumo ezifanelekileyo, oogqirha ukuya kunyango lwezempilo, "Belloidum", "Valerian," "Bellataminal". Ukuba ufuna ukunciphisa excitability e-nervous system, emiselweyo okudambisa, ezifana "mebicar". Eli chiza akubangi ukozela, oko aluchaphazeli ukuncitshiswa ukukhubazeka ingangqubani uququzelelo kweentshukumo. Le idosi yemihla ngemihla ifikelela iipilisi ezintathu. Ukuba 'mebicar "akayi kuba kakuhle, loo nto ithathwa kwelinye ichiza.

nesisekelo MKD ingxubevange

Engabalulekanga imvelaphi mixed ukuba nefuthe elibi izihlunu intliziyo, agqwetha ukuba kungekudala. Oku kukhokelela ekusoluleni ka nyama ventricular, mazivele flabby hedge zekhala.

iimpawu

Iimpawu zesifo engabalulekanga of imvelaphi elingumxube "ezigqunyiweyo" yi esi sifo ngokwaso myocardiodystrophy. Iimpawu kunye nonyango kulo mzekelo ziyafana kakhulu:

• uphelelwa ngumphefumlo ngexesha amandla omzimba;
• fatigue eliphezulu;
• tachycardia;
• namandla;
• Conk umsebenzi komthambo.

Ngophuhliso ngokukhawuleza esi sifo ebantwini befumana iingxaki kunye arrhythmia intliziyo, yaye ukusilela intliziyo uyabonakala.

unyango

Therapy myocardiodystrophy genesis mixed kufuna ingqalelo enkulu ngakwicala ngamagqirha, njengokuba ngu imiphumela yayo unyango iya kuxhomekeka ebomini yesigulane.

Iinzululwazi Modern endle yamayeza bathi ngempumelelo kakhulu kunye nendlela echanekileyo unyango lwe isifo umhla kukusetyenziswa iiseli stem. Bona eyaziswa emzimbeni wakhe, ukuba xhuma kwiiseli esempilweni kwentliziyo. Ukubuyiselwa umsipha kwenzeka ngenxa ejection iiseli zizifo esempilweni. Loo umgaqo unyango kunempembelelo entle ekubuyiselweni iimpahla yegazi, i resorption of umonakalo cholesterol kunye nezinye ungqameko ethintela ukuhamba eqhelekileyo ioksijini.

MKD imvelaphi complex

imvelaphi complex engabalulekanga luhlobo iyonke sifo engabalulekanga. Yintoni na kwaye yintoni unobangela wayo? Esi sifo sichaphazela imisipha intliziyo kwaye non-ukudumba endalweni. Imiba echaphazela zokusekwa kwe-ICM genesis enzima, hayi ezinxulumene nesifo sentliziyo:

• ukunxila (Ityhefu, utywala, iziyobisi, icuba);
• waphula umthetho kwinkqubo yonyango imisebenzi;
• ukusilela metabolic.

Iimpawu kunye nonyango yodederhu imvelaphi MKD

Le engabalulekanga (iimpawu kunye nonyango yayo, umgaqo, efana kakhulu nasiphi na isifo sentliziyo) ebonakalaliswe tachycardia, ukuphelelwa umoya, yabetha intliziyo mgaqweni, iintlungu esifubeni, ukudinwa, kuthibaza.

Xa unyango kwindawo yokuqala ukuphelisa isizathu leyo eyabangelwa MCD genesis ezintsonkothileyo. Oogqirha ukumisela iintlobo ezahlukeneyo amayeza: "Potassium Orotate", "Nerobolum", "Cardiomagnyl" kunye nabanye. Ezo amalungiselelo ziyancipha ukutya engabalulekanga.

Noko ke, njalo nesondlo pilisi efanelekileyo imihla olungasebenziyo, ngoko ufanele ukuhlala yokuphila esempilweni kunye esebenzayo.

Ekusondeleni unyango lwesifo ezintsonkothileyo, kunokwenzeka ukuba ukubala ngokongeza bachache ngokukhawuleza, nokuphuculwa zikwimeko iyonke.

MKD secondary

Ngokwawo, i-ICM sisifo sentliziyo yesibini. Ngoko ke, engabalulekanga secondary uye umahluko engcono ukubonakaliswa kwayo kunye nonyango. Ezona mpawu ziphambili wongezelela intlungu kuphela kwindawo intliziyo esifubeni, arrhythmia. Olu hlobo esi sifo ngokufuthi ikhula abafazi ngexesha ukuya exesheni, xa zamaqanda egxobhekile.

muscular engabalulekanga kubantwana

Amaxesha amaninzi sikholisa abantwana MKD nabafikisayo. Amaxesha amaninzi oku ngenxa yeemeko ezininzi:

• umthwalo engqondweni nasemoyeni kwabantwana;
• uxinzelelo emzimbeni ezingenangqondo;
• ukungondleki;
• ukungabikho protein emzimbeni;
• ukukhathalelwa komntwana olunganelanga;
• Izifo ezosulelayo ngokwezigaba eliphambili.

Engabalulekanga muscular ngokubhekisele kubantwana ingachazwayo ngamandla kwaye nazimpawu, ngoko naziphi na iingxaki ekukrokrelwa ngentliziyo kufuneka ngoko nangoko kubuzisa cardiologist.

Ukuba le meko kwenzeka, kungcono ukuba ukunyanga ebuntwaneni, ukuba ekupheliseni ingozi kuphuhliso oluqhubekayo lwe-ICM kunye neziphumo eziyingozi emzimbeni umntwana wakhe.

ekuxilongweni

Efumanise engabalulekanga muscular ebantwaneni, njengokuba abadala, olwenziwa yi engaqingqwanga: intliziyo ultrasound, ECG kunye axilongwe cardiologist, aze enze uxilongo lokugqibela.

Treatment kunye nokuthintela

Ubude kunye nokusebenza kakuhle unyango MCD ebantwaneni kuxhomekeke ngezifo esi sifo, nto leyo eyavusa engabalulekanga. Kakhulu, abantwana ngamayeza potassium kunye neetyuwa wemagniziyam. Ezi amayeza kunciphise yokucolwa kwi myocardium na ECG nganye ezinga malungu abantu ukuphelisa iingxaki iseli electrolytic, nizalise umzimba kunye potassium nezinki.

Unako ukusebenzisa nadlamkisayo libambisene kunye nonyango lwengqondo kunye acupuncture.

Uthintelo isebenzayo ye engabalulekanga muscular ebantwaneni - yinto yokuphila esempilweni kunye esebenzayo. Ngoko ke kubaluleke kakhulu ukufundisa lo mntwana esemncinane ukuya ebudaleni, wakwazi ngokulula unamathele ukutya okunempilo ancame nemikhwa emibi.

Engabalulekanga ngokutsho ICD-10

ICD-10 - an Ukuhlelwa ngamazwe wohlaziyo yeshumi sifo. Kulo zabefundisi, nayiphi sifo ikhowudi yayo eyodwa, apho oko ukuchongeka ngokulula. Umzekelo, isifo engabalulekanga: ikhowudi njengako ICD 10: I42.

Okwangoku, kukho lohlelo lisetyenziswa ngoogqirha ehlabathini lonke. Oku uyakwazi ukuphelisa le ezingachanekanga kwi igama isifo kwaye ivumela oogqirha abavela kumazwe ahlukeneyo banxibelelane amava nobungcali.

Kwathi kanti, isifo engabalulekanga esongela nemiphumela emibi kakhulu kwaye nefuthe elibi kwi nenyama xa iyonke. Kakade ke, nasiphi na isifo kuhle ukuthintela kunokuba ngesantya wena unyango elide. Ukuze wenze oku, siqhuba uthotho amanyathelo othintelo ejolise nokugcina ukusebenza okuqhelekileyo umzimba kunye nokupheliswa imiba sifo.