Myocardiodystrophy - kuyini? Myocardiodystrophy: Izimbangela, Izimpawu kanye Ukwelashwa

Namuhla, abantu abaningi bahlushwa yisifo esivimba amanzi. Kuyini futhi indlela yokuphatha kulo - akubona bonke uyazi. Myocardiodystrophy (MCD esifushanisiwe) kuhlanganisa iqembu isifo senhliziyo, isimo sokungakhethi kwesikhwama sokuvuvukala yenethiwekhi. Lapho lesi sifo ukwehla we contractile umsebenzi inhliziyo, excitability, conductivity, automatism futhi umzimba walo iziyaluyalu myocardium.

izizathu myocardiodystrophy

Esivimba amanzi senhliziyo esilimele kwenzeka ngenxa komthwalo osindayo enhliziyweni ngokuqeqeshwa okungafanele futhi olunzulu. Njengoba i ekudleni, ukuphumula Ngamafuphi, njalo ubuthongo kokuphazamiseka angase avuse MKD. Ezinye izici ezivamile sokuwohloka esivimba amanzi zihlanganisa:

• izifo ezithathelwanayo ukuvuvukala isigaba;
• namathansela ezingamahlalakhona;
• ukudakwa (ubuthi, utshwala, ukubhema, izidakamizwa);
• ukhuluphele;
• myxedema;
• beriberi;
• sikashukela;
• i-hyperthyroidism;
• anaemia;
• ngemisebe;
• sokuwohloka kwemisipha;
• ukuvuvukala zangasese;
• collagen;
• okuvela menopause kwabesifazane;
• okweqile;
• Potassium ukuntula emzimbeni;
• Cushing Syndrome;
• lokuzila ukudla;
• ukuvezwa kwesikhathi eside mono-yokudla;
• usawoti sebethule ezicutshini inhliziyo.

izimpawu MKD

Izimpawu esivimba amanzi sokuwohloka kungabonwa ikakhulukazi kuphela ngesikhathi ukuzikhandla okukhulu ngokomzimba. Ngezinye ukuphumula, lesi sifo singumbulali yekwentiwa. Izimpawu MKD zingaqhubekela zididaniswe nezinye izifo, ngakho esivimba amanzi ngempela kunzima ukuthola ukuxilonga e esigabeni sokuqala. Izimpawu ezisemqoka we MCD isifo:

• ubuhlungu spasmodic noma ngiyaqaqanjelwa esifubeni;
• ukukhathala;
• ubuthakathaka;
• ehlaselwe ukucindezeleka;
• dyspnea ku nokunyakaza;
• ngenxa yobuthakathaka;
• palpitations inhliziyo ;
• ubuhlungu enhliziyweni;
• Conk umsebenzi imisipha yenhliziyo;
• arrhythmia;
• systolic nokububula ngesikhathi sokudlondlobala inhliziyo;
• ishayela phansi.

Ezimweni eziningi ezingapheli, inhliziyo esivimba amanzi ukwelashwa, izimpawu - konke kuthatha eziyinkimbinkimbi. Isiguli is waphawula kufushane eqinile ukuphefumula ukuphumula, ukukhulisa kwesibindi, ukubukeka edema.

impatho-ICD

Lapho izimpawu isifo esivimba amanzi, izimbangela kanye nokwelashwa babambe iqhaza. Kubalulekile ukubona udokotela ngesikhathi izimpawu zokuqala. Kulokhu, kukhona ithuba lokuthi alulame ngokushesha.

I wenhliziyo uzokwazi ukuxazulula izinkinga eziningana:

• ukuhlonza imbangela isifo;
• ekuhlonzweni;
• ukwelashwa ezanele.

Lolu hlobo ukwelashwa kufanele kwenziwe esibhedlela ngaphansi kweso ongoti bezokwelapha.

Uma udinga i wenhliziyo usizo ukususa ubufakazi we electrocardiogram (ECG) kuqala, uyokwenza ultrasound inhliziyo futhi unikeze amathiphu ku kokulungisa indlela yabo yokuphila evamile. Ngempela eyethula zidle ukudla okunomsoco ukuze ubuyisele ukusebenza evamile umzimba, futhi aqede noma yimuphi umsebenzi ngokomzimba. Ngokuvamile, embhedeni ukuphumula akunconyelwe yezifo esivimba amanzi sokuwohloka.

Okulandelayo, udokotela uqhuba assays lokucwaninga ukuthola foci ezithathelwanayo, okwabangela esivimba amanzi. Phezu ukuthola yalo Kwenziwa yokulungiswa kwabo.

eboniswe Futhi ukwelapha wezokwelapha. Isikhathi esining impela, odokotela linqume ngamaphilisi ukunciphisa umzimba myocardium, "Mexicor" futhi "Trimetazidine". Sinenkosi anti-hypoxic nomphumela cytoprotective. Imithi coursework yokwamukela izinyanga kuze kufinyelele ezimbili, 1 ithebhulethi izikhathi 3 ngosuku.

Ukuze ukuzinza of ECG nekwenyusa emazinga potassium emzimbeni ukwamukela "Asparkam" noma "Panangin" 1 ithebhulethi izikhathi 3 ngosuku.

Ukuze smoothen isimiso sezinzwa ngezinye izikhathi ezinqunyiwe neuroleptics futhi tranquillizers, njengokuthi "Sonopaks", "Coaxil".

Kubalulekile ukwazi ukuthi noma yimuphi izidakamizwa ngaphambi nje kokuba isicelo sabo kufanele kuvunyelwane nodokotela wakho. Kuyadingeka ukuba ngokuqinile ulandele umthamo Kunconywa kanye nemithetho yokwamukela amaphilisi.

ngezigaba MKD

Ukwahlukanisa isifo esivimba amanzi - kuyini? Lokhu empeleni izinhlobo izici etiologic yesifo esivimba amanzi. Ukwahlukanisa emelelwa amafomu alandelayo ka MCD:

• komzimba;
• genesis okuxubile;
• genesis kulokulukhuni
• giperfunktsiogennye;
• neurovegetative;
• hormone (isifo endocrine kanye nobudala disgormonoz);
• izifo lezinceku;
• dysmetabolic (anaemia, sokuwohloka, amavithamini);
• ukudakwa (ubuthi, izifo ezithathelwanayo, utshwala, ukubhema, izidakamizwa).
• alimentary;
• ngemisebe;
• avaliwe esifubeni ukuhlukumezeka.

MKD dyshormonal

myocardiodystrophy Dyshormonal - kuyini?

Dyshormonal esivimba amanzi sokuwohloka - isifo senhliziyo okubangwa ukungasebenzi kwekhono umsebenzi yegilo indlala. Phakathi-hypothyroidism (imisebenzi nciphisa) lokugayeka kokudla emzimbeni kubambezela, ingcindezi ozinikela encishisiwe, edema futhi isikhathi eside ezidabukile ubuhlungu. Thyrotoxicosis (ukwanda umsebenzi yegilo) umzimba ngesivinini futhi ikhuthaza okusheshayo kwesisindo. isiguli futhi azizwa wagwaza izinhlungu inhliziyo, ukoma, uvalo ngokweqile; siyabhubha inhliziyo isigqi ubuthongo.

Izimpawu dyshormonal MCD yilezi:

• isiyezi;
• iphika;
• ubuthongo okhathazekile;
• wagwaza ubuhlungu enhliziyweni;
• ukucasuka nokunye.

Ngokuvamile, esivimba amanzi ezifana avele abesifazane kusukela eminyakeni 45 kuya 50, njengoba lokhu yobudala ukwehluleka umsebenzi wesibeletho. Abesilisa kule minyaka 50-55 futhi singangena kule sifo ngenxa ukukhiqizwa kahle kwe-testosterone.

ukwelashwa

Lapho lesi sifo ukwelashwa dyshormonal esivimba amanzi kunikezwa ngesimo iseluleko ukhonkolo nezincomo ukuphila ngendlela enempilo. A indima enkulu udlalwa yi-ukuhamba:

• bangaphumula kanjani;
• Physiotherapy (6-7 emaminithi ngelilanga);
• ukubhukuda kanye nezinye ezemidlalo angadingi nengcindezi enamandla.

Njalo ekuseni kumele kuthathwe douches angu-10. Bagcine Ukudla, ngaphandle ufulawa, ngibhema futhi ukudla okunamafutha.

Uma izindlela zemikhuba emihle yokuphila Ungasingenisi Imiphumela efanele, odokotela ukuya yokwelapha wezokwelapha, "Belloidum", "valerian," "Bellataminal". Uma ufuna ukunciphisa excitability isimiso sezinzwa, ebekiwe zinhlungu, njengokuthi "mebicar". Lesi sidakamizwa akakubangeli ukozela, ke akuphazamisi nokwehlisa ukukhubazeka kanye alephuli nokudidiyela ukunyakaza. I umthamo wansuku zonke ifinyelela amaphilisi amathathu. Uma "mebicar" ngeke sisebenze, kunamaphuzu esikhundleni nomunye izidakamizwa.

genesis MKD okuxubile

umsuka myocardial okuxubile kokuba ibe nomphumela ongemuhle imisipha yenhliziyo, kokulona ngesikhathi esifanele. Lokhu kuphumela esisuka ijwabu ventricular, futhi avele flabby thinning septum.

izimpawu

Izimpawu isifo esivimba amanzi Lokudabuka eliyingxubevange 'simaskwe "by kwesifo ngokwaso myocardiodystrophy. Izimpawu kanye nokwelashwa kulokhu zifana kakhulu:

• iphika ngesikhathi ukuzikhandla ngokomzimba;
• ukukhathala okusezingeni eliphezulu;
• tachycardia;
• ubuthakathaka;
• Conk umsebenzi ishayela.

Nge ukuthuthukiswa ngokushesha izifo kubantu uhlangabezana nezinkinga futhi arrhythmia inhliziyo, futhi ukwehluleka inhliziyo siyenzeka.

ukwelashwa

Ukwelashwa myocardiodystrophy genesis okuxubile kudzinga kunakwa lokukhulu ku ingxenye odokotela, njengoba by ukwelashwa yayo umphumela kuzoncika ukuphila kwesiguli.

ososayensi Yanamuhla Etholakala emkhakheni wezokwelapha bathi ngempumelelo kakhulu futhi indlela efanele ukwelapha lesi sifo usuku ukusetshenziswa stem cells. Basuke busuka umzimba wesiguli, ayikuboni kumaseli enempilo zenhliziyo. Ukubuyiselwa senhliziyo esilimele kwenzeka ngenxa ejection lamaseli onesifo enempilo. isimiso esinjalo ukwelashwa kunomphumela omuhle ukubuyiselwa imithambo yegazi, i-resorption cholesterol zingcwecwe nezinye izingqimba ukuthi uvimbele ukuzungeza evamile oxygen.

MKD umsuka eziyinkimbinkimbi

Esivimba amanzi umsuka eziyinkimbinkimbi kuwuhlobo isifo Imininingwane esivimba amanzi. Kuyini futhi iziphi nezimbangela zayo? Lesi sifo imisipha yenhliziyo nemithambo akunakudluliswa ukuvuvukala ngokwemvelo. Izimo letitsintsa ukwakheka ICM genesis eziyinkimbinkimbi, hhayi ezihlobene nesifo senhliziyo:

• ukudakwa (ubuthi, tjwala, tidzakamiva, ugwayi);
• ukwephulwa imisebenzi endocrine uhlelo;
• ukuhluleka umzimba.

Izimpawu kanye nokwelashwa eziyinkimbinkimbi umsuka MKD

Lokhu esivimba amanzi (izimpawu kanye nokwelashwa yayo, isimiso, kufana kakhulu isiphi esinye isifo senhliziyo) kubonakaliswe tachycardia, iphika, okungajwayelekile inhliziyo beat, ubuhlungu besifuba, ukukhathala, Ukugodola.

In the ukwelashwa endaweni asuse isizathu okwakubekelwa okubangelwa MCD genesis eziyinkimbinkimbi. Odokotela linqume izinhlobo ezahlukene imithi: "potassium Orotate", "Nerobolum", "Cardiomagnyl" nabanye. amalungiselelo anjalo ziyancipha umzimba esivimba amanzi.

Nokho, ngaphandle kwesiqondiso esifanele nsuku zonke isimiso kanye nokudla amaphilisi ayizwakali, ngakho kufanele unamathele ngendlela enempilo futhi esebenzayo.

Esondela eziyinkimbinkimbi yokwelapha isifo, kungenzeka ukubala ukuthi alulame ngokushesha, yenza ngcono isimo jikelele.

MKD yesibili

Ngu uqobo, ICM kuyinto yesibili isifo senhliziyo. Ngakho-ke, esivimba amanzi yesibili has umehluko okukhethekile e ukubonakaliswa yayo kanye nokwelashwa. Izici eziyinhloko wanezela kuphela ubuhlungu enhliziyweni nasesifubeni ndawo, futhi arrhythmia. Le ndlela lesi sifo ngokuvamile kakhulu yenzeka abesifazane ngesikhathi menopause lapho amaqanda kuyaphazamiseka.

sokuwohloka myocardial ezinganeni

Isikhathi esining impela sivame MKD izingane nentsha. Ngokuvamile lokhu kungenxa yezici ezimbalwa:

• umthwalo ngokwengqondo nangokomzwelo kwezingane;
• ukucindezeleka engenangqondo ngokomzimba;
• ukungondleki;
• yokuntuleka amaprotheni emzimbeni;
• ukunakekelwa ingane okungaphelele;
• izifo ezithathelwanayo ngezigaba eziphambili.

Esivimba amanzi sokuwohloka in nezingane akakwazi kakhulu ayishilo futhi asymptomatic, ngakho izinkinga abasolwa inhliziyo kufanele ngokushesha uthintane wenhliziyo.

Uma lesi simo kwenzeka, kungcono uphathe ebuntwaneni, ukuqeda ingozi ukuqhubeka ICM kanye nemiphumela eyingozi umzimba ingane yakhe ngekhanda.

ukuhlola

Ukuthola esivimba amanzi sokuwohloka ezinganeni, njengoba abadala, eyenziwa izinyathelo ejwayelekile: inhliziyo ultrasound, ECG Uyalinga ngudokotela wenhliziyo, bese kwenza ukuxilongwa sokugcina.

Ukulapha nokuvikela

Isikhathi kanye nempumelelo ekwelapheni MCD ezinganeni incike zokugula lesi sifo, okuyinto kwabangela esivimba amanzi. Ngokuvamile, izingane imithi i-potassium ne-magnesium nosawoti. Lezi imithi encishisiwe umzimba myocardium is ECG kwesejwayelekile ukuqeda electrolytic cell neziyaluyalu, ubuyise umzimba nge potassium ne-magnesium.

Kungenzeka futhi ukusebenzisa sedatives ngokuhlanganyela kwengqondo kanye nokutshopa.

Ukubhekwa kokuvinjelwa ephumelela kunazo zonke esivimba amanzi sokuwohloka ezinganeni - it is a enempilo futhi esebenzayo. Ngakho-ke kubaluleke kakhulu ukufundisa lokhu ingane kusukela zisencane ebudaleni, wayekwazi ukuzikhuthaza kalula unamathele ukudla okunempilo futhi bangayeki imikhuba emibi.

Esivimba amanzi ngokuvumelana ICD-10

ICD-10 - i ngezigaba international sesibuyekezo lweshumi isifo. Kulesi isigaba sabaphathi, yisiphi isifo has ikhodi yaso ehlukile enhle, ngalo kungenziwa kalula ekhonjwe. Ngokwesibonelo, isifo esivimba amanzi: ikhodi ngokuvumelana ICD 10: I42.

Okwamanje, i-ngezigaba ezifana kabanzi odokotela emhlabeni wonke. Kuyinto akwazi ukuqeda emazwini egameni isifo futhi ivumela odokotela abavela emazweni ehlukene ukuxhumana isipiliyoni lochwepheshe.

Kwabe sekuvela ukuthi, isifo esivimba amanzi asongela nemiphumela emibi kakhulu futhi kungaba yingozi umzimba iyonke. Yiqiniso, yisiphi isifo kungcono ukuvimbela kuka ukwehla enyuka ngokwakho ukwelashwa eside. Ukuze wenze lokhu, sasiqhuba uchungechunge izinyathelo okuhloswe ngaso nokugcina ukusebenza evamile komzimba ukuqedwa izici isifo.