Qhov Tseem Ceeb - Myocarditis vs Pericarditis
Myocarditis thiab pericarditis yog cov kab mob sib luag ntawm cov ntshav ncig, thiab lawv tuaj yeem txhais tau tias yog qhov mob ntawm myocardium thiab o ntawm pericardium feem. Yog li qhov sib txawv ntawm Myocarditis thiab Pericarditis nyob rau hauv lawv qhov chaw ntawm o. Hauv myocarditis, mob yog nyob rau hauv myocardium whereas nyob rau hauv pericarditis o nyob rau hauv lub pericardium.
Myocarditis yog dab tsi?
Myocarditis yog qhov mob ntawm myocardium, cov nqaij mos ntawm lub plawv.
Caus
– Idiopathic
– Kab mob
- kis kab mob - CMV, HIV, Coxsackie, kab mob siab, adenoviruses, thiab lwm yam.
- Kab mob kab mob - Kab mob Chagas tshwm sim los ntawm Trypanosoma cruzi, Toxoplasmosis
- Kab mob kab mob - kab mob streptococcal thiab kab mob diphtheria
- kab mob Lyme
– Kev kho hluav taws xob thiab ntau yam tshuaj xws li methyldopa thiab penicillin
– kab mob autoimmune
– Cawv thiab hydrocarbons
Nyob rau theem mob, lub plawv dhia thiab muaj ntau yam focal hemorrhages. Nyob rau hauv cov mob ntev ntawm myocarditis, lub plawv yog hypertrophied thiab loj.
Daim duab 01: Phab ntsa plawv
Tshuaj Kho Mob
- Ib feem ncaj ncees ntawm cov neeg mob tuaj yeem ua asymptomatic
- Tseem tuaj yeem ua rau qaug zog, palpitations, mob hauv siab thiab ua tsis taus pa
- Nyob rau theem kawg, cov yam ntxwv ntawm lub plawv tsis ua haujlwm xws li kev ua tsis taus pa, paroxysmal nocturnal dyspnea, thiab orthopnea yuav tshwm sim.
- Ntawm auscultation, lub suab nrov thib peb tuaj yeem txheeb xyuas tau.
Kev tshawb nrhiav
- lub hauv siab x-ray tuaj yeem ua rau pom kev mob plawv me me
- ST elevation pom hauv ECG
- Lub plawv enzymes nce
- Viral antibody titers kuj nce rau cov kab mob myocarditis vim yog kis kab mob
- Endomyocardial biopsy tuaj yeem pom cov mob myocardial
Kev kho mob
Qhov laj thawj yuav tsum tau txheeb xyuas thiab kho kom raug. Kev so hauv txaj yog pom zoo, thiab tus neeg mob yuav tsum tau qhia kom tsis txhob koom nrog kev ua kis las yam tsawg kawg 6 lub hlis. Cov tshuaj tua kab mob yuav tsum tau pib thaum muaj kab mob myocarditis. Thaum tus neeg mob tau txais lub plawv tsis ua haujlwm, nws yuav tsum tau tswj hwm los ntawm kev tswj hwm cov txheej txheem tshuaj uas suav nrog ACE inhibitors, beta blockers, spironolactone, thiab digoxin. NSAIDs yog contraindicated nyob rau theem mob tab sis tuaj yeem muab rau hauv cov kab mob ntev.
Pericarditis yog dab tsi?
Pericarditis yog qhov mob ntawm pericardium, uas cuam tshuam nrog kev tso tawm ntawm cov ntaub ntawv fibrous thiab txuam nrog cov kua dej pericardial.
Caus
– Kab mob
- kis kab mob xws li coxsackie thiab mumps
- kab mob kab mob xws li kab mob pneumococcal
- TB thiab kab mob sib txawv
– Post-myocardial infarction teeb meem (Dressler syndrome)
– Malignancies (xws li thawj lossis theem nrab tso nyiaj)
– Uremic pericarditis
– Myxoedematous pericarditis
– Chylopericardium
– kab mob autoimmune
– Tom qab kev phais thiab xov tooj cua
Tawm ntawm tag nrho cov teeb meem etiological, kab mob kis yog qhov ua rau mob pericarditis. Kev nce qib ntawm cov neeg mob HIV tau ua rau muaj kev nce ntxiv ntawm cov kab mob HIV txuam nrog pericarditis. Hauv qee tus neeg mob, tuaj yeem rov ua dua li 6 lub lis piam tom qab thawj zaug.
Daim duab 02: Pericarditis
Tshuaj Kho Mob
- Lub hauv siab mob hauv siab, uas ua rau muaj zog ntau dua los ntawm kev txav, pw thiab ua pa. Nws tuaj yeem ua rau lub caj dab lossis lub xub pwg nyom.
- Thaum qhov ua rau yog TB, poob phaus, tsis qab los noj mov, hnoos ntev ntev, thiab hemoptysis tuaj yeem pom.
- A triphasic pericardial rub tuaj yeem hnov thaum lub sijhawm auscultation uas sib haum rau atrial systole, ventricular systole, thiab ventricular diastole. Qhov no tau hnov zoo tshaj plaws ntawm sab laug sab sternal ntug thaum lub sij hawm tas sij hawm thaum tus neeg mob ntswj rau pem hauv ntej.
- Hauv kab mob pericarditis, tus neeg mob feem ntau muaj kub taub hau thiab lymphocytosis lossis leukocytosis.
- Cov yam ntxwv ntawm pericardial effusion xws li exertional dyspnea, orthopnea, thiab paroxysmal nocturnal dyspnea tuaj yeem tshwm sim.
Kev tshawb nrhiav
ECG yog qhov kev tshawb nrhiav kev kuaj mob. Nws qhia tau hais tias dav concave (saddle-shaped nthwv dej), ST elevation thiab PR kev nyuaj siab. Nyob rau hauv cov ntaub ntawv ntawm kev txuam nrog myocarditis, cov qib ntawm lub plawv enzymes tuaj yeem nce mus. Yog tias lub hauv siab X-ray qhia tau hais tias cardiomegaly, nws yuav tsum tau lees paub los ntawm echocardiogram.
Kev kho mob
Yog tias pom qhov tshwm sim tshwm sim yuav tsum tau kho mob hnyav. Kev so hauv txaj thiab qhov ncauj NSAIDs tau siv tau rau feem ntau ntawm cov neeg mob. Aspirin yog cov tshuaj zoo tshaj plaws rau cov neeg mob uas tau muaj myocardial infarction tsis ntev los no. Corticosteroids tsuas yog muab thaum pericarditis tshwm sim los ntawm cov xwm txheej autoimmune.
Dab tsi yog qhov zoo sib xws ntawm Myocarditis thiab Pericarditis?
Nyob rau hauv ob qho tib si, muaj qhov mob ntawm daim tawv nqaij
Qhov txawv ntawm Myocarditis thiab Pericarditis yog dab tsi?
YMyocarditis vs Pericarditis |
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| Myocarditis yog qhov mob ntawm myocardium. | Pericarditis yog qhov mob ntawm pericardium thiab cuam tshuam nrog kev tso tawm ntawm cov ntaub ntawv fibrous thiab txuam nrog cov kua dej pericardial. |
| mob khaub thuas | |
| Lub myocardium yog mob. | Lub pericardium yog o. |
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| kho mob nta | |
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| Kev tshawb nrhiav | |
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ECG yog qhov kev tshawb nrhiav kev kuaj mob. Nws qhia tau hais tias dav concave (saddle-zoo li tsis muaj), ST elevation thiab PR kev nyuaj siab. Thaum muaj mob myocarditis, cov qib ntawm cov enzymes plawv tuaj yeem nce mus. Yog tias lub hauv siab X-ray qhia tias cardiomegaly nws yuav tsum tau lees paub los ntawm echocardiogram. |
| Kev kho mob thiab kev tswj hwm | |
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Qhov laj thawj yuav tsum tau txheeb xyuas thiab kho kom raug. so hauv txaj tau pom zoo thiab tus neeg mob yuav tsum tau qhia kom tsis txhob koom nrog kev ua kis las yam tsawg kawg 6 lub hlis. Tshuaj tua kab mob yuav tsum tau pib thaum kis mob myocarditis. Thaum tus neeg mob tau mob plawv tsis ua haujlwm, nws yuav tsum tau tswj hwm los ntawm kev tswj hwm cov txheej txheem tshuaj uas suav nrog ACE inhibitors, beta blockers, spironolactone, thiab digoxin. NSAIDs yog contraindicated nyob rau theem mob tab sis tuaj yeem muab rau hauv cov kab mob ntev. |
Yog tias pom qhov tshwm sim tshwm sim, yuav tsum tau kho mob hnyav. Kev so hauv txaj thiab qhov ncauj NSAIDs tau siv tau rau feem coob ntawm cov neeg mob. Hauv cov neeg mob uas tau muaj myocardial infarction tsis ntev los no, tshuaj aspirin yog cov tshuaj zoo tshaj plaws. Corticosteroids tsuas yog muab thaum pericarditis tshwm sim los ntawm cov xwm txheej autoimmune. |
Summary – Myocarditis vs Pericarditis
Kev mob ntawm myocardium txhais tau tias yog myocarditis thaum qhov mob ntawm pericardium txhais tau tias yog pericarditis. Raws li lawv cov ntsiab lus txhais tau hais tias qhov sib txawv loj ntawm myocarditis thiab pericarditis nyob hauv qhov chaw mob.
Download PDF Version ntawm Qhov Sib Txawv Ntawm Myocarditis thiab Pericarditis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline lub hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Myocarditis thiab Pericarditis
