Myocardial dystrophy - chii ichocho? Myocardial Dystrophy: Zvinokonzera, Zviratidzo uye Kurapa

Mazuva ano, vanhu vakawanda vanotambura nemaraystrophy myocardial. Ndezvipi uye nzira yekurapa nayo - kwete vose vanoziva. Myocardial dystrophy (mbrevated MKD) inosanganisira boka rezvirwere zvemwoyo izvo zvisiri zvekuvhiringidza. Kana chirwere chacho chikaitika, basa rinobvumirana nemwoyo, kushamisika, kuitisa, kushandura uye kushungurudzika kwemagadzirirwo emakemikari inoderera.

Zvinokonzera kukanganiswa kwemyocardial

Myocardial dystrophy yemutsipa wemwoyo inokonzerwa nematambudziko anorema pamwoyo ane maitiro asina kunaka uye akaoma. Uyewo kusadya kwakakwana, kusununguka kwenguva pfupi, kukanganisa nguva dzose kwehope kunogona kukanganisa kuonekwa kweMCH. Zvimwe zviitiko zvinowanikwa mukugadzirwa kwemyocardial dystrophy zvinosanganisira:

• Zvirwere zvinotapukira muchikamu chekuputika;
• Chronic tonsillitis;
• Kunwisa muviri (chepfu, doro, fodya, zvinodhaka);
• Overweight;
• Myxedema;
• Beriberi;
• Diabetes mellitus;
• Thyrotoxicosis;
• Anemia;
• Radiation;
• Muscular dystrophy;
• Kutamba kwechizvarwa;
• Collagenosis;
• Kuonekwa kwekuguma kumadzimai;
• Overheating;
• Kusina potassium mumuviri;
• Cushing's syndrome;
• Nzara;
• Nguva refu ramba uri pa-mono-kudya;
• Kutsika kwehuyu muhutano hwemwoyo.

Zviratidzo zveMCD

Zviratidzo zvemyocardial dystrophy inowanzoonekwa chete nekushanda kwakasimba mumuviri. Pazororo, chirwere chacho hachisi chekuita. Zviratidzo zve ICD kazhinji zvinogona kuvhiringidzwa nezvimwe zvirwere, saka myocardial dystrophy yakaoma kuona uye kuongororwa pachikamu chekutanga. Zviratidzo zvikuru zvechirwere MZD:

• Spasmodic kana kurwadziwa kunorwadza mubhokisi;
• Kutsamwa kwakasimba;
• Impotence;
• State of depression;
• Dyspnea pane kufamba;
• Kushaya simba;
• Moyo palpitations ;
• Marwadzo mumoyo;
• Kuparara kwemwoyo musungo;
• Arrhythmia;
• Kugunun'una kweSystery pamusoro pepfungwa;
• Kupera kwemafuro.

Muzviitiko zvisingaperi mashocardial dystrophy yemwoyo, kurapwa, zviratidzo - izvi zvose zvinotora unhu hwakaoma. Murwere ane kupera kwekufema kwakanyanya mumamiriro ekuzorora, kuwedzera kwechiropa, kuonekwa kweedemas.

Kurapa kweMCD

Ne myocardial dystrophy, zviratidzo, zvinokonzera uye kurapwa zvinotungamirira basa rinotungamirira. Zvakakosha kuonana nechiremba kana zviratidzo zvekutanga zvichioneka. Muchiitiko ichi, pane mukana wekurumidza kudzoka.

Nyanzvi yemapurisa ichakwanisa kugadzirisa zvinetso zvakawanda:

• Ziva chikonzero chechirwere;
• Zvenguva yekuongorora;
• Sarudza kurapa kwakakwana.

Mhando iyi yekurapa inofanira kuitwa muchipatara pasi pekutarisirwa kwevanyori vezvokurapa.

Paanenge achitsvaka rubatsiro, nyanzvi yezvematapi inotanga kutora kuverenga kweEGG, ita ultrasound yemwoyo uye kupa mazano pakugadzirisa mararamiro ehupenyu. Zvinotarisirwa kuunza kudya kwakanyatsonaka kuti udzore kushandiswa kwemaitiro emagetsi, uyewo kusaisa chero basa ripi zvaro. Kazhinji, ine myocardial dystrophy, zororo rekurara haritauri.

Uyezve chiremba anoita tsvakurudzo yekuongorora pakuratidza kwehutachiona hwehutachiona hwakakonzera myocardial dystrophy. Kana vakawanikwa, ivo vanonatswa.

Uyewo inoratidzirwa ndeyemishonga inodhaka. Kakawanda, vanachiremba vanopa mapiritsi anodzorera mishonga yemagetsi muyoyocardium: "Mexicor" uye "Trimetazidine." Vane antihypoxic uye cytoprotective effect. Kugadzirira kunorondedzerwa nedzidzo yekugamuchira kusvika kumwedzi miviri, 1 piritsi 1 katatu pazuva.

Kuchengetedza ECG uye kuwedzera muzinga we potasium mumutumbi wekutora "Asparka" kana "Panangin" 1 piritsi 1 katatu pazuva.

Kugadzirisa hurongwa hwehutano, neuroleptics uye runyararo dzimwe nguva anorongerwa, somuenzaniso, Sonopaks, Coaxil.

Zvakakosha kuziva kuti chero mishonga pakarepo vasati vashandise inofanira kubvumiranwa nechiremba aripo. Zvinotarisirwa kunyatsotevera kutevedza kwekusimudzira uye mitemo yekutora mahwendefa.

Urongwa hweMCD

Urongwa hwemyocardial dystrophy - chii ichocho? Izvi chaizvoizvo ndezvipenyu pane zvehutano hwehutano hwechirwere myocardial dystrophy. Chirongwa chinomiririrwa nemhando dzinotevera dzeMCD:

• Allergic;
• Mixed genesis;
• Complex genesis;
• Hyperfunctional;
• Neurovegetative;
• Hormonal (zvirwere zvekupedzisira uye dyshormoni)
• Hereditary diseases;
• Dismetabolic (anemia, dystrophy, kushaya vitamini);
• Kunwisa (kutyisa, zvirwere zvinotapukira, doro, kusvuta, kushandisa zvinodhaka).
• Alimentary;
• Radiation;
• Yakavharwa chifuva chepfu.

Dyshormonal ICD

Dyshormonal myocardial dystrophy - chii ichocho?

Dyshormonal myocardial dystrophy chirwere chemwoyo chinokonzerwa nehutachiona husingaiti. Munguva ye hypothyroidism (kuderera kwebasa), kusagadzikana kwomuviri kunonoka, kupera kunoderera, edemas uye kurwadziwa kwenguva refu kunoratidzika. Ne thyrotoxicosis (yakawedzerwa utachiona hunoshanda), metabolism inokurumidza uye inokurudzira kuora kwekukurumidza. Murwere anonzwawo kurwadziwa kwemoyo kunetseka, nyota, kutya kukuru; Mwoyo rhythm uye kurara zvinodedera.

Zviratidzo zveDyshormonal ICD ndeizvi:

• Dhizinesi;
• Kusina mweya;
• Kurara kunetseka;
• Kunyorera kurwadziwa mumoyo;
• Kunyangadza uye zvakadaro.

Sezvo mutemo, iyo myocardial dystrophy inowanikwa kune vakadzi kubva kune makore makumi mashanu kusvika kune makumi mashanu, nekuti panguva ino, basa rekuvhara maitiro rinokundikana. Varume mumakore 50 kusvika ku55 vanogonawo kuwanikwa nechirwere ichi pamusana pekushaya simba kwe testosterone.

Kurapa

Apo chirwere chinonzi dyshormonal myocardial dystrophy rinosarudzwa nenzira yemazano chaiwo uye mazano ekuchengetedza mararamiro akanaka. Imwe yenzvimbo dzinokosha pano iri kufamba:

• Relaxation;
• Kurapa gymnastics (maminitsi 6-7 pazuva);
• Kushambira nemimwe mitambo isingadi mutoro unorema.

Mangwanani oga oga, tora mvura yakasiyana-siyana kwemaminitsi gumi. Zvinotarisirwa kuita maererano nekudya, kusanganisa hupfu, kusvuta uye mafuta ekudya.

Muchiitiko apo nzira dzekuita mararamiro ane hutano husingauyi nemigumisiro inodikanwa, vanachiremba vanoenda kuchipatara kurapa: "Belloid", "Valerian", "Bellataminal". Kana iwe uchida kuderedza kusagadzikana kwehurongwa hwenheyo, ipapo unorayira runyararo, semuenzaniso, "Mebikar". Ichi chiremba hachikonzeri kukotsira, hachibatsiri hurema uye hazvipindirani nekubatana kwekufamba. Nhamba yezuva nezuva inosvika mahwendefa matatu. Kana "Mebikar" isingabatsiri, inotsiviwa nemumwe mushonga.

MKD yemarudzi akasiyana-siyana

Myocardial dystrophy yemafuta yakavhengana ine simba rakaipa pamusana wemwoyo, kuchikuvadza nenguva. Somugumisiro, kutambanudza kwezvinyorwa zvinoputika zvinowanzoitika, kupisa uye kuponda kwesaumisi kunooneka.

Zviratidzo

Zviratidzo zvekuratidzwa kwemyocardial dystrophy yemafuta anokanganisa "yakasvibiswa" nokuda kwechirwere pachayo myocardial dystrophy. Zviratidzo uye kurapa munyaya iyi zvakafanana zvikuru:

• Kusuruvara kwepfufu panguva yekuita muviri;
• Kunyanya kuneta;
• Tachycardia;
• Impotence;
• Kuparara kwemhepo.

Nekukurumidza kukura kwechirwere, munhu anotanga kusagadzikana uye kushungurudzika kwemwoyo rhythm, pamwe nekushaya mwoyo.

Kurapa

Myocardial dystrophy yemafuta inosanganiswa inoda kuwedzera kunyanya kubva kuvanachiremba, sezvo mugumisiro wekurapa kwake huchaenderana noupenyu hwomurwere.

Mazuva ano masayendisiti mundima yemishonga anopesana kuti nzira yakanakisisa uye yakarurama yekurapa chirwere ichi kusvika iye zvino kushandiswa kwemasero emadziro. Iyo inorohwa mumuviri wemurwere, inobata masero ane utano hwemoyo. Kudzorerwa kwemasikirini emwoyo kunokonzerwa nokudzingwa kwemasero erwere nehutano hwakanaka. Iyi nheyo yekurapa inobatsira kugadziriswa kwemidziyo yeropa, resorption ye cholesterol plaques nezvimwe zvikamu zvinodzivisa kupararira kwemajini.

MKD yezvinetso zvakasiyana-siyana

Myocardial dystrophy yenjodzi yakakomba ndeimwe yemhando dzakasiyana-siyana dzemyocardial dystrophy. Chinyiko uye chinokonzerei? Chirwere ichi chinokanganisa mutsara wemwoyo uye hachisi kuvhiringidza. Zvimwe zvinokonzera kugadzirwa kweMKD yezvinetso zvakasiyana-siyana hazvibatanidzi nehosha yemwoyo:

• Kunyorerwa kwemuviri (uchetura, doro, zvinodhaka, fodya);
• Kuvhiringidzika kwegadziriro ye endocrine;
• Metabolic isingaenzaniswi.

Zviratidzo uye kurapa kweMKD yakaoma yakabva

Myocardial dystrophy (zviratidzo uye kurapwa kwayo, zvinoshandiswa, zvakafanana zvikuru nedzimwe zvirwere zvemwoyo) zvinoratidzwa mu tachycardia, dyspnea, kusagadzikana kwepfungwa, kurwadziwa kwepfupa, kupera kwakakurumidza, chills.

Mukurapa, kutanga kwezvose, chikonzero chakaita kuti MCD yegadziriro yakaoma yakakonzerwa yakabviswa. Vanachiremba vanopa mishonga yakasiyana-siyana: "Potassium Orotate", "Nerobol", "Cardiomagnolo" nevamwe. Mishonga yakadaro inodzorera myocardial metabolism.

Zvisinei, pasina kuchengeta tsika yakakodzera yezuva nezuva uye kudya kunovaka muviri, mapiritsi achabva asingabatsiri, saka zvakakodzera kubatisisa kune hupenyu hune utano uye hunoshanda.

Kusvika pakurapa kwechirwere nenzira yakaoma, munhu anogona kutarisira kupora nokukurumidza uye kuvandudzwa kwemamiriro ezvinhu ose.

Secondary MCD

MTC pachayo ndiyo chirwere chechipiri chepfungwa. Nokudaro, yechipiri myocardial dystrophy haisi yakasiyana zvikuru mukuratidzwa kwayo uye kurapwa. Zviratidzo zvikuru zvinowedzera marwadzo mu mwoyo uye pachipfuva, pamwe chete nerhythmia. Chimiro chechirwere ichi chinowanzotanga kuvakadzi panguva yekupera kwemwedzi, kana basa revhavha rinoputika.

Myocardial dystrophy muvana

Kazhinji vana nevechiri kuyaruka vanowanzoenda kuMCD. Kazhinji izvi zvinokonzerwa nezvikonzero zvakawanda:

• Mutoro uye mupfungwa mutoro wevana;
• Kusakanganisika mupfungwa mupfungwa;
• Kusagadzikana kwezvokudya;
• Kushaiwa kweprotheni mumuviri;
• Kunyatsonaka kutarisira mwana;
• Zvirwere zvinotapukira muchechi yakakwirira.

Myocardial dystrophy muvana haina kunyatsotsanangurwa uye haina kumira, saka, nokuda kwekunetseka kupi kwekusangana nematambudziko emwoyo, unofanirwa kutaurirana necardiologist.

Kana chirwere ichi chikaitika, zvino zviri nani kuporesa iri muhuduku, kuitira kuti usabvisa dambudziko rekufambira mberi kweIndaneti uye zvinokuvadza zvayo pamuviri wemwana.

Diagnostics

Kuziva myocardial dystrophy kuvana, sekuvanhu vakuru, kunoitwa nemaitiro akaenzana: ultrasound yemwoyo, ECG uye kuongororwa nemunhu anonzi cardiologist, mushure mekunge chirwere chekupedzisira chinogadzirwa.

Kuchivirira nekudzivirira

Nguva uye kubudirira kwehutano kune vana vane MCH kunobva mukurwara kwechirwere, izvo zvakagumbura myocardial dystrophy. Kazhinji kazhinji, vana vanorayirwa potassium uye magnesium salts. Iyi mishonga inodzorera mishonga yemakemikari mune myocardium, normalize ECG, kubvisa magetsi emagetsi, kuzadzisa muviri ne potassium uye magnesium.

Zvinogona zvakare kushandisa sedatives pamwe chete nehana yepothytherapy uye acupuncture.

Kudzivirira kunonyanya kushanda kwemyocardial dystrophy muvana inzira inofadza uye yefaira yehupenyu. Nokudaro, zvakakosha kudzidzisa mwana uyu kubva pazera remakore, kuitira kuti kana ava munhu mukuru, aigona kunyatsoteerera kudya kwakakwana uye kusiya tsika dzakaipa.

Myocardiodystrophy maererano neCI-10

ICD-10 inorudzi rwepasi rese dzezvirwere zvezvegumi zvekare. Mune hutungamiri huno, chirwere chipi nechipi chine purogiramu yake yakasiyana, maererano neyo inogona kuonekwa nyore nyore. Somuenzaniso, myocardial dystrophy: ICD code 10: I42.

Parizvino, chikamu chakadaro chinoshandiswa zvakashandiswa navanachiremba munyika yose. Inokwanisa kubvisa zvisakarurama muzita rezvirwere uye inobvumira vanachiremba vanobva kunyika dzakasiyana kuti vatsinhanise ruzivo rwemhizha.

Sezvazvakazoitika, chirwere chemyocardial dystrophy chiri kutyisidzira nemigumisiro yakakomba zvikuru uye zvinokuvadza basa remuviri pamwe chete. Zvechokwadi, chirwere chero chipi zvacho chinonyatsodzivirirwa kunze kwekunge wakaneta nekurapa kwenguva refu. Nokuda kweizvi, huwandu hwezvidziviriro hunoitwa hunoenderana nekuchengetedza kushanda kwechirongwa chehupenyu uye kubvisa zvinhu zvekuvandudzwa kwechirwere chacho.