Myocarditis nyob rau hauv ib tug me nyuam: Mob, Cov tsos mob thiab kev kho mob. Cov me nyuam lub plawv Center

Myocarditis nyob rau hauv ib tug me nyuam thiaj paub tias yog kuj nquag nyob rau hauv niaj hnub mob xyaum. Nws yuav tsum tam sim ntawd yuav hais tias qhov no txaus ntshai tus kab mob thiab yog hais tias tsis kho yuav ua tau kom loj teeb meem. Uas yog vim li cas muaj ntau yam cov niam cov txiv xav nyob rau hauv cov lus qhia txog tus kab mob no. Yog vim li cas yog xws li ib tug kab mob muaj txawm nyob rau hauv cov me nyuam mos, thiab zoo li cas cov tsos mob yuav tsum tau saib rau dabtsi? Yuav ua li cas puas muaj tus txoj kev kho thiab dab tsi yog txoj hau kev yuav rau lub me ntsis tus neeg mob?

Nta thiab cov yam ntxwv ntawm tus kab mob

Lub sij hawm "myocarditis" yog meant ib tug kab mob uas yog los ntawm o ntawm lub plawv mob. Tus kab mob no thiaj paub tias yog nyob rau hauv cov neeg mob ntawm hnub nyoog sib txawv. Myocarditis nyob rau hauv ib tug me nyuam los yog tub ntxhais hluas muaj peev xwm tsis yog yuav ntshai li ib tug tsawg cov ntaub ntawv.

Cov ua rau lub inflammatory txhab ntawm lub myocardium yuav ua tau txawv heev, xws li los ntawm allergic rau hauv cov ntaub so ntswg mob thiab xaus nrog kev fab loj thiab intoxications. Heev feem ntau, cov mob encompasses tsis tau tsuas yog lub plawv mob, tab sis kuj nyob ze lug, nrog rau cov pericardium, cov hlab ntsha thiab lwm yam kabmob.

Lub ntsiab ua rau myocarditis

Nws yog xav hais tias mob hauv lub plawv nqaij yuav tsum txuas nrog rau zoo yam paub hauv daim ntawv ntawm kab mob:

• Nyob rau hauv Feem ntau, lub "culprits" ntawm myocarditis yog cov kab mob - adenovirus, enterovirus Coxsackie, thiab parvovirus, cytomegalovirus, kab mob siab cov kab mob, thiab kab mob khaub thuas.
• O ntawm lub myocardium, thiab tej zaum kuj muaj ib tug kab mob hauv paus chiv keeb. Tus kab mob muaj nyob rau hauv lub keeb kwm yav dhau ntawm tuberculosis, brucellosis, ib tug kab mob meningitis. Lub inflammatory txheej txheem tshwm sim thaum ua kom cov streptococcal kab mob.
• Swb rickettsial kab mob feem ntau ua rau o ntawm lub plawv mob. Risk yam tseem ceeb muaj xws li Q kub taub hau, typhus kub taub hau, mob rocky toj siab.
• Nyob rau hauv lub luag hauj lwm ntawm lub pathogen yuav ua pathogenic fungi, thiab tshwj xeeb yog fungi genus Candida.
• Muaj protozoal myocarditis, tsim nyob rau hauv lub keeb kwm yav dhau ntawm toxoplasmosis, malaria, leishmaniasis.
• Helminths (Echinococcus, Trichinella) kuj ntxias o.
• Muaj tshuaj lom myocarditis tshwm sim los ntawm haus ntawm arsenic, mercury, carbon monoxide.
• Tej zaum tus kab mob no muaj nyob rau hauv cov tshuaj, los yog tom qab cov kev taw qhia ntawm txhaj tshuaj tiv thaiv sera.

• Risk yam tseem ceeb muaj xws li nab tom thiab kab.
• Lub cev los, xws li kev hypothermia, hyperthermia, raug ionizing tawg rau lub cev tseem provokes o.
• Tus lwm yam muaj tej yam xws li mauj lupus erythematosus, mob caj dab rheumatoid thiab lwm yam kab mob autoimmune.

Raws li koj tau pom, muaj ntau ntau yam yog vim li cas rau cov myocarditis. Diagnostics yuav tsum muaj xws li ib daim ntawv teev cov thawj kab mob raws li nws muaj feem xyuam rau txoj kev vam meej ntawm txoj kev kho.

Cov ntaub ntawv thiab ntau yam ntawm tus kab mob no

Muaj ntau ntau schemes ntawm kev faib ntawm tus kab mob. Nws twb tau sib tham kev xaiv rau cov tus kab mob no, nyob ntawm seb qhov ua rau. Tab sis thaum lub sij hawm ntawm mob kws txawj kos xim rau lwm yam:

• Yog hais tias peb yuav sib tham txog rau thaum kawg ntawm tus kab mob no, lub myocarditis yuav ua tau mob, subacute los yog mob.
• Nyob rau hauv lub heev ntawm tus kab mob yuav ua tau me me, mob loj tsawv lossis mob hnyav.
• Tus kws kho mob thim mloog mus rau cov kev soj ntsuam ces - ntawm cov me nyuam yuav pom tus raug daim ntawv ntawm o, raws li zoo raws li hnav tawm thiab asymptomatic.
• Thiab nws muaj ib tug nqi raws li ntawm cov inflammatory txheej txheem - nyob rau hauv cov ntaub ntawv no focal raug rho tawm (muaj yog cais, ib qhov chaw ntawm o) thiab diffuse myocarditis (pathology siv rau tag nrho cov nqaij).

Yuav ua li cas yog myocarditis nyob rau hauv cov me nyuam? ntsiab theem

Myocarditis tus me nyuam muaj nyob rau hauv ob peb theem - nyob rau hauv niaj hnub tshuaj yog peb:

1. Theem ntawm viremia - kab hais (los yog lwm yam pathogens) poob mus rau hauv lub myocardium. Ua ntej, lawv yog tsau rau ntawm qhov chaw ntawm nqaij hlwb, thiab ces mus rau lub myocytes. Rau ntawm no theem, muaj yog ua kom cov lub cev, uas yog nrog los ntawm ib tug muaj zog synthesis thiab kev tso tawm ntawm interferon.
2. Autoimmune theem uas ua heev enhanced tiv thaiv kab mob cell teb thiab muaj zog ntau antikardialnyh tshuaj uas noog nyob rau hauv myocardium, adversely cuam tshuam rau nws cov lag luam. Rau ntawm no theem lub tshuab txais inflammatory kev sib kho. Muaj puas microvasculature.
3. Yog hais tias tus kab mob no yuav siv tau, ces muaj yog ib tug yuav txo tau ntawm edema thiab tsim los ntawm fibrotic chaw nyob rau hauv lub plawv mob. Yog hais tias kev kho mob yog tsis muab zoo tshwm sim (los yog txawm tsis tuaj kawm ntawv), tus kab mob yuav mob. Nyob rau hauv ntev o maj tsim teeb meem, xws li lub plawv tsis ua hauj lwm, cardiomegaly, cardio.

Tus txheej txheem ntawm kev kuaj mob thiab kev soj ntsuam ntawm tus me nyuam los pab tus kws kho mob paub rau hauv daim ntawv ntawm tus kab mob, nws ua, raws li zoo raws li lub theem ntawm kev loj hlob - tsuas yog tom qab tau txais cov ntaub ntawv muaj peev xwm tsim ib tug tiag tiag txoj kev kho regimen.

Cov tsos mob ntawm tus kab mob nyob rau hauv tus me nyuam mos

Tej yam tshwm sim ntawm tus kab mob nyob ntawm ntau yam tseem ceeb - yog tsim nyog noj mus rau hauv tus account tus me nyuam lub hnub nyoog, keeb kwm thiab hauv daim ntawv ntawm tus kab mob no. Tshwj xeeb tshaj yog mob loj heev myocarditis nyob rau hauv tus me nyuam mos cov me nyuam mos. Kid maj mam nkag mus rau hauv hnyav, ua lethargic thiab tsaug zog, raws li txawm tus txheej txheem ntawm pub nws yog tiring. Ib tug me nyuam daim tawv nqaij yog daj ntseg, feem ntau acquires ib tug grey zas.

Lwm cov tsos mob yog pom tias yuav tau luv luv ntawm ua tsis taus pa. Nws tshwm thawj zaug nyob rau hauv lub sij hawm ntawm kev ua si - cov me nyuam yaus sai sai thiab nqus pa hnyav ncawv thaum hnav khaub ncaws, da dej, plob tsis so tswj taw, pub mis. Raws li tus kab mob loj zuj zus ua tsis taus pa nyuaj yuav pom twb nyob rau hauv lub quiescent lub xeev. Vim hais tias ntawm cov plawv tsis ua hauj lwm tshwm sim edema - tej zaum lawv yog loj heev, vim uas tus me nyuam hnyav yog nce dramatically. tus me nyuam lub xeem qhia ib tug mob siab thiab tus po.

Soj ntsuam daim duab ntawm tus me nyuam laus tshaj ob xyoos

Nyob rau hauv cov me nyuam hlob, tus soj ntsuam daim duab zoo sib txawv. Tsis pub dhau 2-3 lub lis piam tom qab cov thawj kab mob myocarditis yog tsis muaj. Ces cov tsos mob ua ntau pronounced. Tej yam tshwm sim ntawm tus kab mob muaj xws li:

• tawv nqaij dawb ntawm daim tawv nqaij integument;
• qaug zog, tsis muaj zog, me ntsis nce nyob rau hauv kub;
• disappearance ntawm qab los noj mov thiab thiaj li kom yuag;
• mob nyob rau hauv cov nqaij thiab pob qij txha, thiab tej zaum kuj nyob rau hauv lub plab mog;
• raws li tus kab mob loj zuj zus, cov me nyuam pib tsis txaus siab ntawm qhov mob nyob rau hauv lub plawv;
• ua tsis taus pa thiab lub plawv palpitations.

Myocarditis: Mob ntawm tus kab mob

Nrog xws li ib tug kab mob ntawm kuj zoo kawg tseem ceeb yog qhov tseeb mob. Tus me nyuam mos yog zoo tshaj plaws hu rau tus me nyuam txoj kev Cardiology chaw. Cov nram qab no cov txheej txheem yuav tsum tau rau mob:

• Yuav pib nrog tus me nyuam thiab cov niam txiv muaj ib tug poll rau ua keeb kwm, los mus txiav txim hauv lub xub ntiag ntawm tej yam tsos mob.
• Twb thaum lub sij hawm qhov kev xeem, tus kws kho mob tej zaum yuav xav tias myocarditis - ib tug kws muaj txuj menyuam daj ntseg, txawm tawv nqaij cyanosis, ceev ceev lub plawv dhia, xub ntiag ntawm edema thiab ua tsis taus pa.
• Tau biochemical thiab serological cov ntshav mus kuaj uas yuav txiav txim rau hauv lub xub ntiag ntawm kab mob thiab o.
• Siab X-ray tso cai tus kws khomob tshwjxeeb mus saib tau tus expansion ntawm ib thaj tsam ntawm lub plawv thiab muaj cov ntshav stagnation nyob rau hauv cov hlab ntsha ntawm lub ntsws, uas tuaj yuav qhia muaj cov mob nyob rau hauv lub myocardium.

• Tas ua electrocardiography thiab echocardiography - cov txheej txheem muab ib lub sij hawm los mus ntsuam xyuas lub plawv thiab ntsuam xyuas cov neeg kawm ntawv ntawm puas.
• Ib tug me ntawm lub myocardium yog muaj xwb nyob rau hauv qhov loj tshaj plaws ntau vim nws yuav pab txiav txim seb tus twg ntawm lub inflammatory txheej txheem.

Kev kho mob ntawm tus kab mob: uas cov kws kho mob muaj?

Ntawm cov hoob kawm, kev kho mob nyob rau qhov ua rau thiab raws li ntawm tus kab mob loj hlob. Piv txwv li, nyob rau hauv lub xub ntiag ntawm cov kab mob kab mob xav tau tshuaj tua kab mob, thaum tus kab mob txhab yog qhia tau txais tshuaj antiviral. Tsis tas li ntawd, cov me nyuam tus kws kho immunomodulators, uas normalize lub chaw ua hauj lwm ntawm tus tiv thaiv mechanisms.

Yuav kom tshem tawm o cov neeg mob noj nonsteroidal anti-inflammatory siv tshuaj ( "Voltaren", "Brufen", "Indomethacin"). Nyob rau hauv loj heev zaum, siv cov steroid lawm cov tshuaj uas yog zoo tshaj nyob rau hauv sib ntaus sib tua o. Yuav kom tshem tawm edema diuretics siv, uas tau tshem ntawm tshaj kua. Nws tseem ceeb heev kom muaj xws li nyob rau hauv lub tswvyim ntawm txoj kev kho vitamin npaj. Yog hais tias nws yog ib tug mob cov txheej txheem, qhia spa kev kho mob. Yog hais tias muaj yog ib tug pheej arrhythmia, uas yog tsis amenable mus tshuaj kho mob, tej zaum koj yuav xav tau ib tug pacemaker implantation.

Kev kho mob yog nqa tawm nyob rau hauv ib tug lub tsev kho mob ib puag ncig, nws yog advisable mus xaiv ib tug zoo me nyuam txoj kev Cardiology chaw zoo cov tub txawg. Thaum kawm tas hoob no ntawm txoj kev kho tus me nyuam yuav tsum tseem undergo mus kuaj ib ce - thaum xub thawj txhua txhua ob peb lub hlis thiab ces ob zaug ib xyoos (nrog rau ib tug dej siab rau thaum kawg ntawm tus kab mob no). Ncha thiab electrocardiography, hauv siab X-ray, kev kuaj ntshav yuav tsum tau ua tseg - tsuas yog txoj kev ua tau rau daim ntawv ceeb toom muaj cov teeb meem los yog tsis tshua mob heev.

tus me nyuam txoj kev noj haus nrog myocarditis

Ntau cov niam txiv yuav xav nyob rau hauv cov lus nug hnub no hais txog yog vim li cas thiab dab tsi muaj yog ib tug myocarditis nyob rau hauv cov me nyuam. Cov tsos mob thiab kev kho mob ntawm tus kab mob no, nws ua - nws yog yeej tseem ceeb cov ntsiab lus. Tab sis nws yog tsim nyog xav tias nyob rau hauv cov kev kho mob ntawm tus me nyuam xav tau ib tug khoom noj tshwj xeeb (yog hais tias nws tsis yog hais txog cov me nyuam mos).

Kws txawj pom zoo kom mus tso tseg rau tej yam yooj yim carbohydrates - koj yuav tsum tsis txhob muab koj tus me nyuam ib tug muffin, qhob noom xim kasfes, khob cij dawb, fawm. Lawv yuav tsum tau hloov tsis poov xab ncuav pastries. Tsis tas li ntawd, tsis txhob ua phem rau cov qab ntsev thiab ntsim zaub mov, fatty nqaij thiab cov ntses, kua zaub thiab broths richness - zoo dua rau noj ntshiv nqaij qaib thiab siab (los ntawm txoj kev, nws yog ntshaw kom npaj noj mov rau ib tug ob peb). Ntses yog tso cai, tab sis tsuas yog hais tias nws yog ib tug muaj roj tsawg ntau ntau yam. Cov nab npawb ntawm cov qe yuav tsum kuj yuav xwb.

Cov khoom noj no yuav tsum muaj khoom noj siv mis, txiv hmab txiv ntoo thiab zaub (tshwj tsis yog plums, Quince, nyuaj pears thiab apples, txiv quav ntswv nyoos). Qhob noom xim kasfes thiab lwm yam khoom qab zib muaj peev xwm yuav hloov nrog zib ntab, jam, marmalade thiab marshmallow.

Forecasts nyob rau hauv myocarditis

Myocarditis nyob rau hauv ib tug me nyuam tshwj xeeb tshaj yog txaus ntshai nyob rau hauv thawj lub hlis ntawm lub neej - nyob rau hauv lub hnub nyoog no pawg ntawm cov neeg mob, feem ntau nquag cai tuag. Raug nyob rau hauv daim ntawv thiab degree ntawm tus kab mob heev. Piv txwv li, ib tug me me daim ntawv ntawm tus kab mob thiab tej zaum kuj tsis tau kev kho mob. Kab mob o amenable rau kev kho mob yooj yim dua, tab sis thaum tus kab mob txhab ntawm lub sij hawm ntawm tus kab mob tej zaum yuav tsis zoo.

Cov tsev kawm ntawv-hnub nyoog cov me nyuam thiab cov tub ntxhais hluas tsis tshua kaw phiv cov txheej xwm - feem ntau yog cov me nyuam sai sai rov qab thiab rov qab mus rau lub neej zoo. Txawm li cas los, tej zaum thaum lub sij hawm myocarditis lub plawv zoo li tus sclerotic chaw uas yuav pab raws li ib tug ua ntawm lub plawv tsis ua hauj lwm nyob rau hauv adulthood.

tiv thaiv cov tshuaj

Tu siab, muaj yog tsis muaj universal txoj kev myocarditis. Txawm li cas los, kws txawj pom zoo kom ua raws li tej kev cai. Ib tug cev xeeb tub poj niam yuav tsum attentive mus rau lawv noj qab haus huv, tiv thaiv cov kev loj hlob ntawm kis kab mob, kom tsis txhob sib cuag nrog co toxins kuaj tsis tu ncua.

Rau cov me nyuam mos lub xeev yuav tsum tau saib zoo - kab thiab inflammatory kab mob yuav tsum tau kuaj thiab kho nyob rau hauv lub sij hawm. Thaum lub sij hawm kab mob ntawm tus mob khaub thuas raws li tau nws yog tsis tsim nyog yuav tso cai rau tus me nyuam cov kev sib cuag nrog mob neeg. Zoo nyob rau lub xeev ntawm lub cev muaj feem xyuam rau ib tug kom noj cov zaub mov, ib tug ntshiab txhua hnub, muaj mob loj tsawv lub cev ua si thiab hardening.