Qhov Tseem Ceeb Qhov txawv - Cardiomegaly vs Cardiomyopathy
Qhov txawv txav ntawm lub plawv yog lub npe hu ua cardiomegaly whereas cardiomyopathies yog ib pawg ntawm cov kab mob ntawm myocardium cuam tshuam nrog kev siv tshuab thiab / lossis hluav taws xob tsis ua haujlwm uas feem ntau pom qhov tsis tsim nyog ventricular hypertrophy lossis dilatation thiab lawv yog vim muaj ntau yam. ua rau uas nquag genetic. Cardiomegaly yog ib qho kev kho mob tshwm sim ntawm cardiomyopathies. Qhov no yog qhov sib txawv tseem ceeb ntawm lawv. Qhov txawv txav ntawm lub plawv tuaj yeem tshwm sim hauv ntau lwm yam kab mob uas txhais tau hais tias cardiomyopathies tsis yog qhov ua rau cardiomegaly nkaus xwb.
Cardiomegaly yog dab tsi?
Qhov txawv txav ntawm lub plawv yog hu ua cardiomegaly. Lub plawv loj tuaj yeem ua haujlwm hauv nws lub cev ib txwm muaj peev xwm mus txog rau qee qhov kev txwv dhau qhov uas qhov kev puas tsuaj ntawm kev ua haujlwm thiab kev teeb tsa ntawm myocardial fibers pib.
Caus
- Hypertension
- Dilated cardiomyopathy
- Y Hypertrophic cardiomyopathy
- Kev cev xeeb tub
- Kab mob
- Kev tsis sib haum xeeb
Tshuaj Kho Mob
- Nyob
- Dyspnea
- Edema hauv thaj chaw nyob xws li pob taws
- mob siab
Diagnosis
Thaum muaj qhov tsis txaus ntseeg ntawm kev soj ntsuam ntawm cardiomegaly kev tshawb nrhiav sib txawv yog ua kom paub meej qhov kev kuaj mob.
- lub hauv siab X-ray
- USS
- Nyob catheterization
- Thyroid functions tests
- CT
- MRI
Daim duab 01: Cardiothoracic Ratio
Kev tswj hwm
Nws yog qhov nyuaj rau thim rov qab cov kev hloov pauv uas twb tau tshwm sim hauv cov leeg plawv yam tsis tau tshem tawm qhov tshwm sim. Kev tswj hwm cov ntshav siab kom zoo nrog kev siv cov tshuaj diuretics tuaj yeem txo cov haujlwm ntawm lub plawv yog li muab qhov chaw ua pa txaus rau nws kom ncav cuag qhov qub. Txhua qhov occlusions hauv coronary vasculature yuav tsum tau muab tshem tawm los ntawm coronary angioplasty thiab stenting lossis lwm txoj kev tsim nyog. Kev hloov pauv kev ua neej xws li txo qis kev haus cawv yog qhov tseem ceeb heev los txhim kho tus kab mob.
Cardiomyopathy yog dab tsi?
Cardiomyopathies yog ib pab pawg neeg ntawm cov kab mob ntawm myocardium cuam tshuam nrog kev ua haujlwm tsis zoo ntawm cov tshuab thiab hluav taws xob uas feem ntau pom qhov tsis tsim nyog ventricular hypertrophy lossis dilatation thiab yog vim muaj ntau yam ua rau uas nquag muaj caj ces. Lawv raug kaw rau hauv lub plawv lossis yog ib feem ntawm cov kab mob ntau yam kab mob, feem ntau ua rau cov hlab plawv tuag lossis mob plawv tsis ua haujlwm cuam tshuam txog kev tsis sib haum xeeb.
Type of Cardiomyopathies
Muaj peb yam tseem ceeb ntawm cardiomyopathies.
Dilated Cardiomyopathy
Hom kab mob plawv no yog tus cwj pwm los ntawm kev mob plawv dhia thiab kev ua haujlwm (systolic) tsis ua haujlwm, feem ntau nrog concomitant hypertrophy
Caus
- Genetic mutations
- mob plawv
- Alcohol
- Iron overload
- Supraphysiological stress
Morphology
Lub plawv loj, flabby thiab hnyav. Lub xub ntiag ntawm mural thrombi feem ntau pom. Cov kev tshawb pom histologic tsis yog tshwj xeeb.
Tshuaj Kho Mob
Cov neeg mob feem ntau tshwm sim nrog dyspnea, nkees yooj yim, thiab tsis muaj peev xwm ua haujlwm tsis zoo.
Daim duab 02: Lub Plawv Nrog Dilated Cardiomyopathy
Kev tswj hwm
Kev tswj hwm ntawm dilated cardiomyopathies suav nrog kev tswj cov pa ntawm lub plawv tsis ua hauj lwm nrog rau kev kho mob plawv. Qee tus neeg mob yuav tsum tau hloov pauv plawv los kuj tseem yuav tau.
Y Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy yog ib yam kab mob caj ces uas yog tus cwj pwm los ntawm myocardial hypertrophy, ua tsis zoo rau sab laug ventricular myocardium ua rau txawv txav diastolic txhaws thiab cuam tshuam ventricular outflow obstruction.
Morphology
- Massive myocardial hypertrophy
- Disproportionate thickening ntawm interventricular septum txheeb ze rau phab ntsa dawb. Qhov no hu ua asymmetric septal hypertrophy.
- Loj myocyte hypertrophy, tsis tu ncua ntawm myocytes thiab contractile cov ntsiab lus hauv sarcomeres thiab interstitial fibrosis yog qhov tshwj xeeb microscopic nta.
Tshuaj Kho Mob
- Stroke ntim tau txo vim qhov tsis zoo ntawm diastolic filling.
- Atrial fibrillation
- Mural thrombi
Kev tswj hwm
xaiv kev kho mob suav nrog,
- txo qis cov tsos mob nrog kev siv beta-blockers thiab verapamil ob leeg ua ke lossis ib tus zuj zus.
- Implantable cardiovascular defibrillators tuaj yeem siv rau cov neeg mob uas muaj kev pheej hmoo siab.
- Dual chamber pacing yog tsim nyog rau cov neeg mob uas muaj qhov tso zis tsawg heev los ntawm sab laug lub plawv chambers.
Kev txwv tsis pub Cardiomyopathy
Qhov no yog yam tsawg tshaj plaws ntawm cardiomyopathies thiab yog tus cwj pwm los ntawm kev txo qis hauv ventricular ua raws, ua rau muaj kev cuam tshuam ventricular txhaws thaum lub sijhawm diastole.
Caus
- Radiation fibrosis
- Sarcoidosis
- Amyloidosis
- Metastatic qog
Kev tshawb nrhiav
- lub hauv siab x-ray
- ECG
- Echocardiogram
- Mob plawv MRI
- Coronary angiography
Dab tsi zoo sib xws ntawm Cardiomegaly thiab Cardiomyopathy?
Muaj morphological hloov pauv hauv myocardium hauv ob qho tib si kab mob no
Qhov txawv ntawm Cardiomegaly thiab Cardiomyopathy yog dab tsi?
Cardiomegaly vs Cardiomyopathy |
|
| Ib qho txawv txav ntawm lub plawv yog hu ua cardiomegaly. | Cardiomyopathies yog ib pawg neeg sib txawv ntawm cov kab mob ntawm myocardium cuam tshuam nrog kev siv tshuab thiab / lossis hluav taws xob tsis ua haujlwm. |
| Nature | |
| Cardiomegaly yog ib qho kev kho mob tshwm sim | Cardiomyopathy yog ib qho ua rau muaj peev xwm ua rau muaj qhov tshwm sim ntawm kev kho mob cardiomegaly. |
|
|
| kho mob nta | |
|
|
| Diagnosis | |
|
|
| Kev tswj hwm | |
|
Kev tswj cov ntshav siab kom zoo nrog kev siv cov tshuaj diuretics tuaj yeem txo cov haujlwm ntawm lub plawv Txhua qhov kev cuam tshuam hauv lub vascular vasculature yuav tsum raug tshem tawm los ntawm coronary angioplasty thiab stenting lossis lwm txoj kev tsim nyog. Kev hloov pauv kev ua neej xws li txo qis kev haus cawv yog qhov tseem ceeb heev los txhim kho tus kab mob. |
Kev tswj hwm ntawm lub plawv tsis ua hauj lwm nrog rau kev kho plawv resynchronization. Qee tus neeg mob yuav tsum tau hloov pauv plawv los kuj tseem yuav tau. Kev xaiv kev kho mob siv hauv kev tswj hwm ntawm hypertrophic cardiomyopathy yog,
|
Summary – Cardiomegaly vs Cardiomyopathy
Qhov txawv txav ntawm lub plawv yog hu ua cardiomegaly. Cardiomyopathies yog ib pab pawg neeg ntawm cov kab mob ntawm myocardium cuam tshuam nrog kev siv tshuab thiab / lossis hluav taws xob ua haujlwm tsis zoo uas feem ntau pom qhov tsis tsim nyog ventricular hypertrophy lossis dilatation thiab yog vim muaj ntau yam ua rau muaj ntau yam caj ces. Cardiomegaly yog tshwm sim los ntawm ntau yam kev mob cuam tshuam rau lub plawv uas cardiomyopathy yog ib qho. Qhov no yog qhov txawv ntawm Cardiomegaly thiab Cardiomyopathy.
Download PDF Version of Cardiomegaly vs Cardiomyopathy
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Cardiomegaly thiab Cardiomyopathy
