Inofungidzirwa nguva yekuverenga: 4 Mineti
Zviri Mukati
- Chii chinonzi myocardium?
- Sei myocardium yakakosha?
- Chii chinonzi cardiomyopathies?
- Ndeapi marudzi akasiyana ekutanga cardiomyopathies?
- Ndezvipi zvakakosha zvekutanga cardiomyopathies?
- Ndeapi mhedzisiro yekiriniki inogona kuitika yekutanga cardiomyopathies?
- Ko yekutanga cardiomyopathies inoongororwa sei?
- Chii chinonzi prognosis yekatsi ine primary cardiomyopathy?
- Ko primary cardiomyopathies inogona kurapwa here?
BruceBlaus. Pakushandisa mufananidzo uyu mune zvimwe zvinyorwa zvinogona kutaurwa se: Vashandi veBlausen.com (2014). “Medical gallery yeBlausen Medical 2014”. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436., CC BY 3.0 https://creativecommons.org/licenses/by/3.0, kuburikidza ne Wikimedia Commons
Chii chinonzi myocardium?
Iyo myocardium inzvimbo yepakati yemoyo, inoumbwa nemasero emwoyo yemhasuru uye inokonzera kudonhedza uye kupomba ropa. Iyi tsandanyama inoumba madziro eruboshwe ventricle (LV), iyo ine ropa rakapfuma-okisijeni, uye iyo ventricle yakarurama (RV), iyo ine oksijeni-isina ropa.
Sei myocardium yakakosha?
Iyo myocardium, kuburikidza nekubatana kwayo uye kupindirana kwayo, inoita kuti mwoyo ushande se "pombi," zvichiita kuti hupenyu huvepo. Kana ventricle yekuruboshwe yabatana, ropa rine oxygen rinokandirwa mutsinga, iro rinoriparadzira mumuviri wese. Kana ventricle yekurudyi yabatana, ropa risina oxygen rinotumirwa kupulmonary artery, uko rinotakurwa richiendeswa kumapapu kuti riwane oxygenation.
Chii chinonzi cardiomyopathies?
Cardiomyopathies chirwere chemyocardial chisingaenderane nezvimwe zvirwere zvemwoyo. Ivo vanorondedzerwa seyekutanga cardiomyopathies, ayo ari genetic, mhuri, kana isingazivikanwe mavambo, uye yechipiri cardiomyopathies, iyo inokonzerwa nechikonzero chinokonzera kana systemic kusagadzikana. Primary cardiomyopathies, kunyanya, ndiyo inonyanya kurwara zvirwere zvemoyo mumakati.
Ndeapi marudzi akasiyana ekutanga cardiomyopathies?
Sezvakangoita muvanhu, mhando shanu dzakasiyana dzekutanga cardiomyopathy dzakaonekwa mumakati. Yekutanga ndiyo yakanyanya kuwanda, inoverengera kupfuura 50% yezviitiko zvese. hypertrophic cardiomyopathy (HCM) anouya pachinzvimbo chechipiri restrictive cardiomyopathy (RCM) apo pakati pevashoma arrhythmogenic right ventricular cardiomyopathy (ARVC), dilated cardiomyopathy (DCM) uye makesi asingaenderane nemamwe marudzi mana unclassified cardiomyopathies zvinotora nzvimbo.
Ndezvipi zvakakosha zvekutanga cardiomyopathies?
Hypertrophic cardiomyopathy (HCM)Iyo inoratidzirwa nekukora (hypertrophy) yeruboshwe ventricular (LV) myocardium uye kusakwana kweropa kuzadzwa kwe ventricle.
Restrictive cardiomyopathy (RCM)Ndiyo mamiriro ayo mavhirivha anodziviswa kubva pakuzadza neropa nekuda kwekuoma kusina kujairika kwemyocardium, uye chimiro ichi chinonzi "kudzivisa."
Kusiyana ne hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy (ARVC) Inonyanya kukanganisa ventricle yakarurama (RV) uye inoratidzirwa nekutsiviwa kwemasero emyocardial (myocytes) nemafuta kana fibrofatty tissue.
Pakupedzisira, dilated cardiomyopathy (DCM)Degenerative myocardial maronda aripo mune yeruboshwe ventricle (kana maviri ventricles) iyo inokanganisa ejection simba. Uku kukanganiswa kusina kukwana kunoguma nekuwedzera kwemakamuri emwoyo, mamiriro anonzi "dilated."
Ndeapi mhedzisiro yekiriniki inogona kuitika yekutanga cardiomyopathies?
Kuchinja musimba remyocardial kana kukanganisa mukuzadza ventricular (nekuda kwekuomarara kusingaite kana hypertrophy), izvo zvinoburitsa zvese zviri pasi uye kumusoro mhedzisiro. Izvi zvinogona kutungamira mukusangana kwevenous uye kuunganidzwa kwemvura mumapapu (pulmonary edema), zvichikonzera kusagadzikana kwekufema, kana, zvishoma, kuunganidzwa kwemvura mudumbu remudumbu (ascites). Uyezve, kuderera kwekuyerera kweropa uye kuwedzera kukwira kumusoro kunoitika. Zviratidzo zvekiriniki zvekudzikira kwemoyo kuburitsa zvinosanganisira kupera simba (syncope), kuneta, uye kusashivirira kwekurovedza muviri.
Zvose zvipembenene zvemyocardial zvinogonawo kukonzera cardiac arrhythmias, iyo inogona kutungamirira ku syncope kana kufa kamwe kamwe. Mavharopu anoumba mwoyo une hosha anowanzo famba nepakati peaorta uye anogara mune inogumira aorta uye iliac arteries (tsinga yemakumbo ekumashure), ichivharira kuyerera kweropa. Izvi zvinogona kutungamirira ku: arterial thromboembolism Idambudziko rakakomba rinonzi posterior paresis uye rinowanzoonekwa neacute, bilateral, painful posterior paresis. Zvinowanzokonzera rufu.
Ko yekutanga cardiomyopathies inoongororwa sei?
Primary cardiomyopathiesInogona kuongororwa uye kusiyanisa zvisiri zvekushandisa echocardiography (kuongorora kwe ultrasound yemoyo) yakasanganiswa neDoppler imaging. Iyi nzira inobvumira kuyerwa kwemyocardial madziro ukobvu uye kuongororwa kwemyocardial contractility uye kuzorora. Inobatsirawo pakuziva katsi dziri panjodzi ye arterial thromboembolism.
Kubva pane zvakawanikwa echocardiographic, kumwe kuferefetwa, kwakadai sekuyerwa kweropa uye kuongororwa ropa, kunoitwa kuti pasave nezvikonzero zvinogona kukonzera maronda emyocardial (secondary cardiomyopathies). Electrocardiography inoshandiswa kusimbisa kuvepo kwearrhythmias, nepo thoracic radiographs (chifuva X-rays) inofanirwa kuongorora kuunganidzwa kwemvura mumapapu (pulmonary edema).
Chii chinonzi prognosis yekatsi ine primary cardiomyopathy?
Nzira yechirwere, inosiyana zvakanyanya zvichienderana kwete chete nerudzi rwechirwere chemyocardial asiwo nekuoma kwezvipembenene zvemyocardial, kuvapo kana kusavapo kwezviratidzo zvekliniki, uye rudzi rwezviratidzo izvi.
Ko primary cardiomyopathies inogona kurapwa here?
Primary cardiomyopathy Makirasi akasiyana emishonga anogona kushandiswa kurapa cardiomyopathy. Diuretics inobatsira pakurapa uye kudzivirira kuchengetwa kwemvura nekuwedzera kugadzirwa weti. Mamwe marapirwo anoenderana nerudzi rwe cardiomyopathy: mamwe mishonga inovandudza ventricular kuzadza nemaitiro akasiyana, asi mamwe anowedzera simba remyocardial contraction. Uyezve, njodzi ye arterial thromboembolism Makati anotakura chirwere anorayirwa mishonga inodzivisa kushandiswa kweplatelet.
Zvimwe Zvinyorwa Zvaunogona Kufarira
"Sayenzi, kupfuura zvese, inotanga nekuda kuziva."
Marie Curie
