Te taima panui: 3 meneti
Ripanga o Ihirangi
Yu Kakimoto, Chisa Okada, Noboru Kawabe, Ayumi Sasaki, Hideo Tsukamoto, Ryoko Nagao & Motoki Osawa, CC BY 4.0 https://creativecommons.org/licenses/by/4.0, ma te Wikimedia Commons
He aha te cardiomyopathy burn-out i roto i ngā ngeru?
He onge te mate ngakau nui (HCM) i roto i ngā ngeru. HCM hou Ka puta mai i roto i tētahi puka e kīia ana ko [ingoa o te puka]. Ko tēnei puka he mea noa iho te ngoikore o te ngakau Ko te mutunga iho he āhua kino rawa te matapae. E mōhiotia ana hoki tēnei āhua ko te "exhaustion cardiomyopathy".
I te wāhanga whakamutunga o te HCM, ka tino angiangi te pakitara o te ventricle maui me te septum interventricular, ka whānui hoki te lumen ventricular. I te wā kotahi, ka heke te kaha whakaheke o te ventricle maui, he āhuatanga e kitea ana i te ultrasound. te whakahekenga o te wāhanga whakapoto E kitea mārama ana tēnei āhua haumanu. He maha ngā wā ka puta tēnei mate mate pukupuku (DCM) Ka whakaranua ki, ā, he maha ngā wā te hanganga o te thrombus me te whakanui ake i te atrium maui e hono ana ki.
E kiia ana tēnei momo he wāhanga matatau o te HCM, ā, ka arahi pea ki ngā pānga kino me ngā pānga kino mēnā kāore e rongoatia wawe.
He aha te take o te cardiomyopathy burnout i roto i ngā ngeru?
Ko te tino pūtake o te ngenge o te ngakau ka whakatauhia mā te tātaritanga histological. te mate pukupuku ka hua ake te mate pāwera o te ngākau a / ranei ischemiaI te nuinga o te wā ka puta mai tēnei āhuatanga i ngā āhuatanga e whai ake nei:
• Te Whakanuia o te Arorangi o te Koronari me te Whakawhāiti i te LumenKa taea e te matotoru me te whaiti o ngā pakitara o ngā uaua coronary te aukati i te rere o te toto, ka arahi atu ki te ischemia myocardial.
• Te Ānini o te Arorangi o te KoronariNā te pikinga ake o te papatipu uaua o te ngākau ka nui ake te kaha o ngā uaua o te ngākau ki te kawe toto.
• Te Thromboembolism o te uaua koronari: Ka āraia e ngā ārai i roto i ngā uaua o te ngakau te hāora me ngā matūkai kia tae atu ki ngā pūtau io.
• Te Apoptosis o ngā pūtau io: Ko te matenga kua whakaritea o ngā pūtau uaua o te ngakau ka arahi ki te ngoikore o te uaua o te ngākau.
• Ngā Huringa Ira: Ka taea e ngā huringa ira e pā ana ki te hanganga o te uaua o te ngākau te whakatere i ngā tukanga fibrosis me te hanga anō.
Ko te huinga o ēnei āhuatanga ka arahi ki te angiangi o te pakitara o te ventricle maui, ā, te ngoikore o te mahi systolic Koinei te take e tupu ai. Ka pā kino tēnei whakarerekētanga ki te kaha o te ngākau ki te pupuhi toto.
Ko tēnei āhuatanga i te nuinga o te wā ngā huringa hihiri nā te mea kei roto, kia taea ai te whakatau i te mate ngā whakamātautau anō Ā, me aro turuki taipitopito. He mea nui te whakamahi i te ultrasound me ētahi atu tikanga whakaahua tātaritanga hei aromatawai i te haere whakamua o te mate.
He aha ngā kitenga echocardiographic o te cardiomyopathy burnout i roto i ngā ngeru?
Ko te ngenge o te ngākau he āhuatanga e puta pinepine ana i ngā wāhanga matatau o te hypertrophic cardiomyopathy (HCM). Ko te echocardiography te taputapu tino nui hei tautuhi i tēnei mate. Anei ngā kitenga echocardiography:
1. Ngā Huringa o te Lumen Ventricular: Ko te lumen ventricular, e whaiti ana i te tīmatanga, ka whānui haere i te roanga o te wā.
2. Matotoru o te Pakitara: Ka angiangi haere ngā pakitara o te ventricle maui kua matotoru me te septum interventricular. Nā te angiangi haere ka heke te kaha whakakōpiri o te ventricle.
3. Te ngoikore o te toto toto: Ka heke te kaha o te whakakōpiri o te ventricle maui. Te Whakapoto Hauwhā Ka kitea te hekenga nui.
4. Āhua rite ki te Cardiomyopathy whānui (DCM): Ka tino kitea te whānui o te pūkahukahu. He rite te ahua o te echocardiographic ki te DCM.
5. Te Whakawhanuitanga o te Atrium Mauī: He mea noa te whakanui i te atrium maui. He maha ngā wā ka honoa te whakanui ki te hanganga o ngā thrombus.
6. Tukanga Whakawhiti: Ka kitea te nekehanga mai i te ventricle matotoru ki te ventricle angiangi, e tohuhia ana e te ngoikore o te mahi systolic me te whakawhānui.
Ehara i: I te mea he tukanga hihiri te ngenge o te ngakau, me whai whakamātautau echocardiographic anō kia kitea ai he mate tuturu. He mea nui te tautuhi wawe me te aroturuki auau mō te whakahaere i te mate.
Ētahi atu Tuhinga ka hiahia pea koe
"Ko te pūtaiao te rongoā nui rawa atu ki te paihana o te hihiri me te whakaponokore."
Arama Smith
