Myocarditis vs Cardiomyopathy | Cardiomyopathy vs Myocarditis Ua rau, Kev Tshawb Fawb, Kev Kho Mob, Kev Tswj Xyuas, thiab Kev Ntsuas
Myocarditis thiab cardiomyopathy yog ib pawg ntawm cov kab mob uas feem ntau cuam tshuam rau myocardium thaum tsis muaj ntshav siab, congenital, ischemic lossis valvular heart disease. Qhov sib txawv ntawm lawv yog me ntsis arbitrary thiab tsis yog ib txwm ua. Txawm hais tias, qee tus neeg sau cov kab mob myocarditis ua ib feem ntawm cardiomyopathy, ob peb qhov sib txawv pab kom paub qhov txawv ntawm ob qho xwm txheej thiab tsab xov xwm no qhia txog qhov sib txawv ntawm lawv qhov pib, etiology, pathology, kev kho mob, kev tswj hwm thiab kev kwv yees.
mob plawv
Nws yog qhov mob hnyav ntawm myocardium. Feem ntau ntawm cov sijhawm, qhov ua rau yog idiopathic, tab sis cov kab mob kis tau pom los ua lub luag haujlwm tseem ceeb. Feem ntau cov kab mob kis tau yog coxsackie virus B, mumps, influenza. Lwm yam ua rau muaj xws li autoimmune tej yam kev mob xws li rheumatic fever, rheumatoid mob caj dab, SLE, kab mob sclerosis, co toxins, sarcoidosis thiab hluav taws xob.
Nyob rau hauv myocarditis, lub plawv yog dilated, flabby thiab daj ntseg. Me me-scattered petechial hemorrhages tuaj yeem pom hauv myocardium. Microscopically cardiac cov leeg yog edematous thiab hyperaemic. Nws tuaj yeem nkag mus ntawm lymphocytes, plasma cells thiab eosinophils. Tus neeg mob yuav asymptomatic thiab qee zaum pom tau tias muaj qhov tsis tsim nyog tachycardia lossis txawv txav ECG lossis los ntawm cov yam ntxwv ntawm lub plawv tsis ua haujlwm.
Biochemical cov cim ntawm myocardial ischemia tau nce siab hauv kev faib ua feem ntawm kev puas tsuaj. Tej zaum yuav muaj leukocytosis thiab nce ESR nyob ntawm qhov ua rau. Endomyocardial biopsy yog kuaj, tab sis nws tsis tshua muaj.
Kab mob yog qhov txwv tus kheej. Kev tswj hwm feem ntau yog txhawb nqa nrog kev kho tshuaj tua kab mob nyob ntawm qhov ua rau. Arrhythmias thiab plawv tsis ua hauj lwm yuav tsum tau kho raws li. Nws raug nquahu kom tsis txhob siv lub cev hnyav thaum lub sijhawm muaj mob. Tus kab mob no muaj ib tug zoo heev prognosis. Tab sis thaum mob hnyav tuag yuav tshwm sim vim ventricular arrhythmias thiab lub plawv tsis ua hauj lwm.
YCardiomyopathy
Cardiomyopathy ua raws li cov chav kawm ntev uas cov tsos mob tsis zoo. Etiology ntawm tus kab mob tej zaum yuav tsis paub los yog txuam nrog tshuaj lom, metabolic, degenerative, amyloidosis, myxedema, thyrotoxicosis los yog glycogen cia kab mob txawm hais tias lawv muaj tsawg heev.
Cardiomyopathies raug cais raws li kev ua haujlwm cuam tshuam raws li dilated, hypertrophic, txwv thiab obliterative. Histological nta tsis yog tshwj xeeb. Cov kab mob atrophy tsis tu ncua thiab hypertrophy nrog mob fibrosis tuaj yeem pom.
Feem ntau cov neeg mob yog asymptomatic lossis nthuav tawm nrog cov tsos mob ntawm tus mob coronary mob. Kev mob hauv siab yog tshwm sim. Hauv cov xwm txheej hnyav, tej zaum yuav muaj mob plawv tsis ua haujlwm, arrhythmias thiab systemic embolisation. Kev hloov pauv ECG tuaj yeem tshwm sim.
Kev kho yog nyob ntawm hom cardiomyopathy tab sis feem ntau suav nrog cov tshuaj, cov kws tsim cov pace, cov tshuaj defibrillators lossis ablation. Kev haus dej cawv ntev ntev yog qhov pom tau tias ua rau mob plawv mob plawv thiab cov txiaj ntsig tuaj yeem thim rov qab nrog kev haus cawv rau 10-20 xyoo.
Qhov kev cia siab nyob ntawm qhov kev puas tsuaj ntawm myocardial kev ua haujlwm thiab cov teeb meem cuam tshuam.
Qhov txawv ntawm myocarditis thiab cardiomyopathy yog dab tsi?
• Myocarditis mob heev thaum cardiomyopathy yog qhov mob ntev dua.
• Myocarditis feem ntau yog ua rau kuv cov kab mob sib kis thiab co toxins, tab sis cardiomypathy feem ntau yog caj ces lossis tej zaum yuav cuam tshuam nrog cov mob degenerative.
• Hauv myocarditis cov yam ntxwv ntawm qhov mob hnyav hauv myofibrils yog qhov tseem ceeb tab sis nws tsis nyob hauv cardiomyopahty.
• Hauv myocarditis cov cim plawv tau nce siab nyob ntawm qhov kev puas tsuaj.
• Myocarditis muaj qhov tshwm sim zoo.
• kev xaiv kev tswj hwm txawv ntawm ob yam xwm txheej.
