Hypertrophic cardiomyopathy: zviratidzo, chirwere uye kurapwa.

Mwoyo ndiyo musimboti nhengo kweropa ino, akatakura ropa kupomba mashandiro vascular mubhedha. Saka optimizes nerubatsiro ose anodiwa zvinyama metabolic substrates uye oxygen.

Zvisinei, kuvapo chemwoyo mune zvokunyama pakakuvara azvaiitwa, nekuti zvino tsandanyama haasi kukwanisa zvakakwana kupa zvinodiwa munyama zvose uye nhengo. Uyewo, mwoyo hadzina kufambiswa zvakanaka uye kuchinja ayo mamiriro zvinochengetwa mune vakatodzidza stenotic mwoyo zvirwere uye BP, kana ventricular myocardium richikora zvikuru, unonzi hypertrophy.

Hypertrophic cardiomyopathy - chakaganhurirwa boka hypertrophic kuchinja mwoyo. Ndicho chirwere tsvarakadenga nengozi, nokuti mune ramangwana zviri hwakazara kukura chirwere chemwoyo.

The zvinokonzera cardiomyopathy.

Kutsemuka stenosis - ndiwo chirwere mwoyo mukuru, nokuti izvo kusimukira hypertrophic cardiomyopathy. It kunoratidzwa kuderedza pamusoro yeropa uye kutyorwa ropa adzingwa ventricle rworuboshwe kupinda systemic riparadzirwe.

Compensating nokuti kushaya ropa kuyerera, mwoyo kunowedzera simba marwadzo, zvinoita kuti normalization ropa riyerere munzira yeropa. Zvisinei, vakawedzera dzichipfekeka mutoro pamusoro huru mutumbi womunhu muviri kunotungamirira kuwedzera rworuboshwe ventricular tsandanyama rusvingo ukobvu. Ichi hypertrophy. Hazvina ngozi nokuti kwapera thickened masvingo vanotambura kusava ropa rakawanda, nemhaka myocardial arteries kupa ropa kwaari kubva kunze kusvikira mukati.

Nekuti endocardium Papera vachatambura kubva ischemia zvishomanana kufa, uye mwoyo mhango kuchagadzirisa maplatelet. Izvi zvine ngozi ropa clot inotungamirwa wayo kupatsanurwa parusvingo, pashure pacho unogona occlude midziyo uropi, itsvo, ura kana kuviri, zvichikonzera unoenderana zviratidzo.

Uyewo, hypertrophic cardiomyopathy angatanga dzimwe nguva:

1. pamberi BP,

2. kana mwoyo zvinoita adrenaline,

3. kana vhoriyamu ropa akapfuudza akabvumidza pakunogumira.

Cardiomyopathy, zviratidzo zvacho chaizvo zvakafanana mharidzo pamwe neBP, dzinoratidzwa anotevera zviratidzo:

• nomusoro ari parietal nharaunda uye musoro,

• kudzima magetsi, somuenzaniso,

• kuda kurutsa,

• flickering Nhunzi uye dema makwapa pamberi pake.

Dzinenge zviratidzo, izvo zvinogona kuonekwa varwere zhinji, hapana anoita pasina nguva decompensation (tsandanyama Kuparara adaptive vanokwanisa). Pakutanga nekuti zvokurwara ichi hachisi kuzivikanwa sezvo unobuda pasina kugunun'una.

Chirwere kuti cardiomyopathy.

In danho hypertrophic cardiomyopathy muripo kuchinja inoonekwa pamusoro unonzi, electrocardiograph uye chiremba dzaongororwa Pakusarudza noruzhinji zvinhu.

Uyewo hypertrophic cardiomyopathy dzinogona kuonekwa aine zvachose kuona kana pamusoro mwoyo panguva marwadzo ose ventricle kuruboshwe anotanga zvishoma kuzunguza tsandanyama chipfuva rusvingo. Chiratidzo kwakadaro anonzi "feline purring" uye chinoratidza ane kwokunze kufurira muitiro ropa kuburikidza kujekesa Huro ari kutsemuka vharuvhu.

Mukuwedzera, chiremba auscultation nzvimbo mwoyo zvinogona kucherechedzwa imwe ine systolic kutsutsumwa uye kwakaderera mwoyo inzwi wechipiri.

Zvose nzira nechirwere ose hypertrophic cardiomyopathy ndiyo anodzidzisa Ultrasound musiyano radiography, angiography, computed tomography pamwe intravenous musiyano.

Nzira yokurapa.

Kana iwe kana vadiwa vako nechirwere cardiomyopathy, kurapwa kunogona chete basa nyanzvi cardiologist. Inosanganisira kuvhiya kubviswa kutsemuka stenosis kana vharafu, uyewo zvinodhaka kurapa kuti BP, iro yakatarwa chiremba zvichienderana zvinokonzera uye nzendo. kunzwisisa ichi zvinodhaka: blockers zvokusarudza, diuretic, ACE-FIs, vasodilators, karusiyamu gwara blockers nezvimwe optioneel ebetsero boka mishonga ..