Dilated Cardiomyopathy: Zvinokonzera, Zviratidzo, Treatment

Hosha yacho myocardium, iyo inozivikanwa nokuva kutanga congestive mwoyo kukundikana, pakarepo nokuwedzera mwoyo in, uyewo kutsakatika ari contractile kushanda myocardium inonzi dilated cardiomyopathy. Mhedzisiro kutyorwa pomwoyo marwadzo chinhu kuderera cardiac goho uye nokuwedzera residual uwandu ropa riri ventricles. Uyezve, pane dilatation pakati ventricles uye kukura biventricular mwoyo kukundikana, inova hwaro chirwere ichi.

Kuratidza myocardial kukuvadzwa pamwe vasingazivikanwi etiology, vavapo kokutanga, zvichikonzera kutyorwa kushanda mwoyo uye kwete nemhaka valvular midziyo zvirwere, coronary tsinga chirwere, pericardial lesion pamusoro conduction maitiro uye pulmonary neBP, shoko rokuti "cardiomyopathy" akanga aronga muna 1957. The chikuru chokukomborerwa cardiomyopathy kwakasiyana nemamwe maronda vaiona vanonzi "chiratidzo nechokwadi," ari kubuda zvirwere izvi.

Maererano nevanyori vakasiyana kuitika vanhu 5-10 paminiti zviuru zana vanhu pagore. Dilated cardiomyopathy rinenge katatu kupfuura zvinozivikanwa nevanhu pane vakadzi. Kazhinji inowira zera siyana kubva matatu kusvika pamakore makumi mashanu.

Dilated cardiomyopathy: kupatsanura

Kune akawanda siyana chirwere: idiopathic (kutanga pasina chikonzero), nhaka kana rwapedyo dilated cardiomyopathy, nemavhairasi uye (kana) masoja (sezvo pamusana nemavhairasi myocarditis), doro (kana chepfu) ndokurondedzera chero zvemwoyo chirwere.

Kazhinji, mune varwere dilated cardiomyopathy hakuna chaizvo kurapwa kuratidzwa kana dzakananga zvichemo, izvo zvaizoita kuti munhu differential kuongorora chirwere. Kakawanda zviratidzo chirwere wokutanga anozviratidza ari muchimiro biventricular kukundikana hwapedyo pakarepo, pasina chikonzero. Dzimwe nguva mwoyo kutadza zvingaitika pashure kuwana kufema chaikonzerwa noutachiona, mwana uye mabayo. In zvinoitirwawo congestive mwoyo kukundikana, hapana inoshandiswa pakutsigira, nezvekumwe Somuenzaniso, nokuti kukura neBP kana ischemia.

The chikuru kugunun'una pakati varwere ndiyo panowanikwa unmotivated simba, kupfupika kufema, vari panguva yokuzorora uye panguva yakakwirira mutoro, kurukutika. Uyezve, varwere chokunyunyuta pamusoro akaderera kumugumo edema, chikosoro, kurasikirwa kudya, kuda kurutsa, dzungu, kufenda uye palpitations.

Mukutanga zvokukura nechirwere chirwere chacho chakaoma, sezvo dilated cardiomyopathy hazvina zvakananga zvinodiwa. Zvachose chirwere nzira inogona siya zvinobvira zvirwere zvose kuti kutungamirira kweropa insufficiency uye kwakawedzera mwoyo in. Chinhu chinonyanya kukosha pakati kunotoda mufananidzo dilated cardiomyopathy muri Zvikamu zviri embolism, izvo kazhinji kurufu. murwere urongwa yokurohwa kuvapo chirwere ichi rine muunganidzwa zvenhoroondo yezvokurapa, upenyu uye mhuri nhaka.

Dilated cardiomyopathy: kurapwa

To musi, Mabatirwo cardiomyopathy iri rakaoma, uye vasingadi symptomatic, inobva kururamiswa uye kudzivirira huripo kuratidzwa kurapwa kuti dilated cardiomyopathy yayo matambudziko akadai cardiac arrhythmias, congestive mwoyo kukundikana, arrhythmia, uye thromboembolism.