Tus kab mob, uas thickens cov phab ntsa ntawm sab laug, thiab nyob rau hauv ntau tsawg mob ntawm txoj hlab ntsha ntawm lub plawv, hu ua hypertrophic cardiomyopathy (HCMC). Nyob rau hauv tus kab mob no, thickening nyob rau hauv heev tsawg zaus tshwm sim symmetrically, thiab yog li ntawd lub slantum intervention ntau zaus.
Nws yog ntseeg hais tias qhov no yog ib qho mob ntawm cov neeg ncaws pob - nws yog vim hais tias ntawm kev ntxiv lub zog ntawm lub cev uas ua rau hypertrophy tshwm sim. Peb twb paub ob peb kis thaum cov neeg ncaws pob tuag rau ntawm qhov chaw ua si vim tias hypertrophic cardiomyopathy - Hungarian football player Miklos Feher thiab American athlete Jesse Marunde.
Nyob rau hauv tus kab mob no, cov leeg nqaij hauv lub myocardium muaj qhov chaw chaotic, uas yog txuam nrog kev hloov noob.
Cov ntaub ntawv ntawm hypertrophic cardiomyopathy
Niaj hnub no, cov kws kho mob txheeb xyuas pom 3 hom mob hypertrophic cardiomyopathy:
- Basal rhuav - lub gradient ntawm so yog ntau dua los yog sib npaug li 30 hli Hg. Kos duab.
- Txhuam ob leeg - kev tshwm sim ntawm qhov gradient uas tau tshwm sim yog raug cai.
- Tso cauj lem - ib qhov kev kub ntxhov hauv lub xeev calm tsawg tshaj 30 hli Hg. Kos duab.
Obstructive hypertrophic cardiomyopathy sib sau ua ke rau peb hom kab mob no, thaum ib daim ntawv uas tsis yog-obstructive yog ib hom mob grenent tsawg tshaj 30 hli Hg. Kos duab. nyob rau hauv ib qho kev thaj yeeb thiab kev nyuab siab.
Cov tsos mob ntawm hypertrophic cardiomyopathy
Symptomatic ntawm hypertrophic cardiomyopathy tej zaum yuav tsis tuaj - txog li 30% ntawm cov neeg mob tsis ua tej yam kev tsis txaus siab, nyob rau hauv cov xwm txheej kev tuag yuav yog qhov tseeb ntawm tus kab mob. Hauv ib cheeb tsam tshwj xeeb yog cov tub ntxhais hluas uas tsis pom kev tsis txaus siab, tshwj tsis yog rau lub plawv atherosclerosis.
Rau tus kab mob no yog tus cwj pwm hu ua me-emission syndrome - nyob rau hauv qhov no, tsaus muag tshwm sim, qis ua tsis taus pa thiab kiv taub hau, thiab angina tawm tsam.
Tsis tas li ntawd, nrog rau cov kev kho mob hypertrophic cardiomyopathy, tej zaum yuav muaj kev tshwm sim ntawm plab hlav plawv nres tsis ua hauj lwm, uas tuaj yeem tsim lub plawv tsis ua hauj lwm.
Kev tsis ua haujlwm hauv lub plawv ntawm lub plawv yuav ua rau tsaus muag . Feem ntau cov no yog cov voos hnyuv voos thiab cov kab mob paroxysms ntawm cov leeg tachycardia.
Hauv cov zauv tsis tshua muaj neeg mob, cov neeg mob yuav kis tau tus mob endocarditis thiab thromboembolism.
Kev kuaj ntawm kev mob hypertrophic cardiomyopathy
Tsis zoo li lwm hom mob cardiomyopathy, daim ntawv hypertrophic yog kuaj tau yooj yim dua vim qhov kev ntsuam xyuas pom tseeb: rau qhov kev kuaj mob pom zoo, lub thickococial thickening yuav tsum ntau dua los yog sib npaug 1.5 cm nrog rau kev kuaj plab (qhov tsis zoo).
Thaum kuaj, tus neeg mob tau pom tias yuav ua kom lub plawv dhia mus rau sab laug, thiab thaum tsis muaj teeb meem, suab nrov (systolic rhomboid).
Ntawm cov txheej txheem ntxiv ntawm kev kawm no pathology yog cov hauv qab no:
- electrocardiography - nrog lawv pom tias muaj kev nce ntxiv nyob rau hauv cov laug atrium;
- Echocardiography yog lub ntsiab txoj hau kev uas yuav pab nrhiav cov chaw hauv hypertrophy;
- ECG xyuas - txiav txim siab txog cov kev tuaj yeem cuam tshuam;
- magnetic resonance imaging - siv raws li txoj kev xav kom zoo;
- kev tshuaj ntsuam genetic diagnosis yog ib qho tseem ceeb tshaj plaws rau kev txheeb xyuas tus kab mob qhov.
Kev kho mob hypertrophic cardiomyopathy
Kev kuaj mob thiab kev kho mob ntawm hypertrophic cardiomyopathy muaj kev sib cuam tshuam nrog kev tiv thaiv kom tsis muaj kev tuag. Tom qab ntsuam xyuas cov kev mob ntawm tus kab mob, yog tias muaj ib qho kev tshwm sim hauv kev tuag, txoj kev kho mob ua tau tiav. Yog tias tsis muaj kev hem thawj, thiab cov tsos mob tsis yog
Rau kev kho mob nws yog ib qho tseem ceeb kom txwv tsis pub siv lub cev, thiab tseem yuav siv cov tshuaj muaj yees zoo nrog cov nyhuv tsis zoo. Pawg no suav nrog beta-blockers thiab calcium antagonists. Lawv raug xaiv ib tus zuj zus, thiab tau hais tias qhov kev txais tos yog ua tiav ntev mus (txog kev txais tos ntev), niaj hnub no cov kws kho mob tseem tabtom kho cov tshuaj muaj mob tsawg. Yav dhau los siv Anaprilin, thiab niaj hnub nim no muaj ntau yam sib txawv ntawm cov cim tshiab.
Tsis tas li ntawd, cov tshuaj noj tshuaj thiab tshuaj tua kab mob yog siv rau hauv kev kho mob thaum muaj kab mob kis tau pathology.