Mitral (Valve) Endocardiosis MuImbwa

Mitral nocardiosis ndiyo yakajairika chirwere chemoyo mumbwa. Mitral insufficiency inowanzoshandiswa sezwi rakafanana, iro, kunyatsotaura, risina kunyatsokwana.

Mitral nocardiosis chirwere chinodzikira chezvibatanidzwa zvemitral valve (atrial valve pakati peatrium yekuruboshwe uye kuruboshwe mukamuri huru), izvo zvinoita kuti mapeji evharuvhu "akunguruke". Mavharuvhu emwoyo anoshanda semavharuvhu asingadzoke, zvichireva kuti anotendera ropa kuyerera richienda kune rimwe divi kwete kune rimwe divi. Iri basa rinorasika zvishoma kana bepa revharuvhu richikwidiguka, uye vharuvhu inodonha (kana kusakwana). Uku kusakwana, zvakare, kunokosha pakati pekufambira mberi kwechirwere uye kukura kwezviratidzo zvechipatara. Muchikamu chekupedzisira, ropa rinoungana mumapapu kuburikidza nekuruboshwe atrium uye pulmonary edema ("mvura mumapapu") inoitika. Muchiitiko chakaipisisa, mitral valve endocarditis inotungamirira kuruboshwe rwomoyo kusakundikana.

Mukuwedzera kune mitral endocarditis, kazhinji kune tricuspid endocarditis - kureva chirwere chinopera chevhavha yeatrial yakarurama. Muchikamu chepamusoro, ropa rinogona kutsigira mukutenderera kwehurongwa uye nekudaro mudumbu remudumbu ("ascites" kana abdominal fluid) uye chipfuva ("thoracic effusion" kana "pleural effusion").

Imbwa Dzipi Dzinorwara?

Sezvatotaurwa, ndicho chirwere chemoyo chinowanzoitika mumbwa, katsi haatombozviwani. Chirwere chinotanga kuonekwa muhuwandu hwezviitiko mumhando dzembwa duku kubva pazera remakore manomwe kusvika ku7. Kunze kweCavalier King Charles Spaniel, iyo inowanzobatwa kubva pazera re 8 - 1.5 makore. Imbwa hombe hadzitani kurwara pane imbwa diki. Mhuka dzembwa dzinowanzobatwa dzinosanganisira:

• Cavalier Mambo Charles Spaniel
• dachshund
• miniature poodle
• yorkshire terrier

Ndezvipi Zviratidzo Zvinoonekwa naMuridzi?

Imbwa mukutanga kusvika pakati pechikamu hachiratidzi zviratidzo. Kushandisa nzira dzakasiyana-siyana dzokudzora, muviri unogona kazhinji kutsiva hosha yacho kwenguva refu. Kubva pane imwe nguva nenguva, zvisinei, muviri hauchakwanisa kubata izvi uye decompensation inoitika. Kubva panguva yekuderedzwa, zviratidzo zvekiriniki zvinova pachena kune muridzi. Zviratidzo zvinonyanya zvinosanganisira:

• Kukosora
• Kukurumidza kufema kana kutadza kufema
• Underperformance (chete mumatanho ekupedzisira)
• kupera simba
• Kupera-danho kuwonda
• Kuwedzera kweAbdominal (chete mu tricuspid endocarditis)

Zviratidzo zviri pamusoro hazvina kunyanya uye zvinogona kukonzerwa nezvimwe zvirwere zvakasiyana-siyana. Kungoti murwere ane mitral valve endocarditis hazvireve kuti zviratidzo zvavo zvinokonzeresa neiyo mamiriro!

Chaizvoizvo, kana zviratidzo zvichikonzerwa nehosha yemwoyo, zvicharamba zvichiwedzera kuipa kwenguva pfupi.

Naizvozvo, chikosoro chemoyo chikasabatwa nemazvo chinozowedzera kuipa kwemazuva mashoma kana mavhiki mashoma uye pakupedzisira chinotungamirira kukurumidza kufema uye kunyange kupfupika kwekufema.

Zviratidzo zvine chokuita nemoyo nguva dzose zvinoratidza tsika yekuipa - chero bedzi pasina kurapa kwakakwana.

Chikosoro, chinoitika pano neapo nguva nenguva, hachigone kukonzerwa nechirwere chemoyo chiri pasi. Izvi zvinoshandawo pakufemeruka, izvo zvinoitika zvakare uye zvakare uye zvinonyangarika zvega.

Zviratidzo zvinongoonekwa nemuridzi panguva yekupedzisira, chirwere chinowedzera kwenguva yakareba pasina kuratidza zviratidzo!

Varidzi vakawanda vanoshamiswa apo imbwa yavo inongoerekana yaratidza kupfupika kwekufema semugumisiro wemitral endocarditis nokuti kusvika panguva iyoyo vakanga vasati vaona chero shanduko mumhuka yavo!

Chii Chinokonzera Endocarditis?

Endocarditis inoreva kuchinja kunokanganisa mumavharuvhu emwoyo. Iyo chaiyo inokonzeresa haisati yazivikanwa. Kuzvimba kwemavharuvhu emwoyo kwakashandiswa kuve chikonzero kwenguva yakareba, asi dzidziso iyi yakarambwa kwenguva refu. Chingangove chiitiko chemajini, icho chinokurudzirwawo nekuitika kunowanzoitika mune dzimwe imbwa dzinza senge Cavalier King Charles Spaniel. Pakupedzisira, kuumbwa uye kuumbwa kwezvibatanidza zvemitral uye / kana tricuspid valve uye maapendages avo anoshanduka. Matunhu ekubatanidza anosunungura chisungo chavo, zvichiita kuti vharuvhu "ikwire" uye inowanzoita sekirabhu-kunge kutaridzika pa Ultrasound. Panguva imwe cheteyo, mamwe marunda emavharuvhu emwoyo (“chordate tendineae”) anogona kubvaruka, zvichiguma nekurembera, kureva “kubaya nepakati” kwevharuvhu rakasiyana. Izvi zvichawedzera kudonha kuri kuitika. Sezvatotsanangurwa, endocarditis inongobata mavharuvhu maviri eatrioventricular, kureva mitral ne tricuspid valves. Iyo mitral valve yega inobatwa mu60% yezviitiko, iyo tricuspid valve mu10%, uye mavharuvhu ese ari maviri mu30%.

Chirwere Chinoongororwa Sei?

Kuongororwa kwepakutanga kunowanzoitwa pamusana pekuongororwa kwekliniki kuburikidza nekuteerera ("auscultation"), panguva iyo kugunun'una kwemwoyo kunoonekwa. Nekudaro, kugunun'una kwemoyo kazhinji HAKUbvumire chero mhedziso kuti iitwe pamusoro pekuoma kwechirwere! Mukubatana ne-X-ray, zvisinei, iwe unogona kutotora maonero akanaka ehupamhi hwekuoma. Nekudaro, iyo yakanyanya kurongeka yekuongorora chishandiso ndeyemoyo ultrasound inosanganisira yeDoppler bvunzo. Pano makamuri ega ega anogona kuyerwa zvakanyatsonaka uye morphology yemavharuvhu inogona kuongororwa. Kuongorora kweDoppler kunoitawo kuti zvikwanise kuratidza uye kuenzanisa kudzoka kwekuyerera kweropa. Uyezve, zvirevo zvinogona kuitwa pano nezve basa rekupomba remakamuri makuru uye nezve intracardiac kuzadza kumanikidza.

Chirwere Chinowedzera Sei?

Chirwere chacho chinowanzowedzera zvishoma nezvishoma. Varwere vane mitral nocardiosis vanofanira kuongororwa nguva dzose kuitira kuti vakwanise kuongorora zviri nani nzira yechirwere uye kukwanisa kupindira mukurapa kana zvichidiwa. Pane kazhinji makore akawanda pakati pekuonekwa kwekutanga kwechirwere uye kuonekwa kwezviratidzo zvechipatara. Nekudaro, izvi hazvigone kuitika kune wese murwere. Imbwa huru kunyanya idzo dzinosiyana, kana chirwere ichi chichikura nekukurumidza pano. Kana murwere ari padanho rekupedzisira nemvura mumapapu ("pulmonary edema"), nguva yekurarama kazhinji isingasviki gore.

Pane Mukana Wekupora?

Zvinosuruvarisa, kwete. Chirwere ichi chinogona kurapwa chete nezviratidzo, apa chiri kutariswa pakuvandudza hupenyu. Sezvineiwo, varwere vazhinji vanorwara vachembera, kuitira kuti vasambova nezviratidzo nekuda kwekuwedzera kunonoka kwechirwere. Nzira yekuvhiya yekurapa (kugadzirisa vharafu) inokwanisika asi haina kumbobvira yaita basa mukurapa kwezvipfuyo nekuda kwemitengo yakakura.

Ndedzipi Nzira Dzokurapa Dziripo?

Parizvino pane kuvhiringika kukuru panyaya iyi. Kwenguva yakareba, yaive tsika yekurapa varwere vane ACE inhibitors kana digitalis gadziriro chete pahwaro hwekutsvaga kwewaya. Kuita uku hakuchashandi. Usati watanga kurapa, danho rechirwere rinofanira kugadziriswa ne-X-ray kana, kunyange zviri nani, ultrasound, nokuti imwe nzira yekurapa inobva pane izvi.

Matanho anotevera anogona kusiyaniswa:

• A: Murwere ari panjodzi: imbwa haisi kurwara, asi ndeimwe yemhando dzakafanorongwa (semudiki, imbwa yakura, Cavalier King Charles Spaniel)
• B1: Asymptomatic imbwa (kana imbwa ine zviratidzo zvisingaenderane nechirwere chemoyo) ine chirwere chevalvular pasina kuwedzera kwemoyo.
• B2: Asymptomatic imbwa (kana imbwa ine zviratidzo zvisingaenderane nechirwere chemoyo) ine chirwere chevalvular nekuwedzera kwemoyo.
• C: Symptomatic imbwa mu congestive heart failure (pulmonary edema) nekuda kwechirwere chevalvular
• D: Symptomatic imbwa mune refractory congestive heart failure isingateereri kurapwa kwakajairika

Danho A

hapana nzira yekurapa

Danho B1

Imbwa dzisina moyo wakakurisa hadzidi kurapwa. Izvi zvinoratidzika zvisinganzwisisiki kune varidzi vakawanda pakutanga, sezvo mhuka yavo inotambura nehosha yemwoyo, iyo isingarapwi. Nekudaro, sezvakangoita mukurapa kwevanhu, parizvino hapana mushonga unogona kupesvedzera maitiro echirwere panguva ino.

Danho B2

Panguva ino, zvisinei, kune kurapa kunoshanda kune imbwa kubva padanho rine mwero umo mune kuwedzera kwemoyo. Mune imwe yezvidzidzo zveveterinary cardiology yakakura kusvika parizvino, pimobendan yakaratidza kuve inoshanda zvakanyanya. Mushonga unotungamirira mukuderedzwa kwehukuru hwemhasuru yemwoyo uye kuwedzera kukuru kwechiratidzo-chisina nguva. Pimobendan saka mushonga wesarudzo kune varwere vane moyo yakawedzera.

Danho C

Varwere vane decompensated vane pulmonary edema vanobatwa nemusanganiswa wemishonga yemvura ("diuretics", furosemide kana torasemide) uye pimobendan. Kushandiswa kwegumbeze kweACE inhibitors senge benazepril kana enalapril kana mineralocorticoid antagonist spironolactone kunofanirwa kubvunzurudzwa zvakanyanya uye kunofanirwa kusarudzwa pane imwe nyaya-ne-nyaya.

Dzimwe nguva kune yechipiri cardiac arrhythmias, iyo inofanirwa kurapwa neantiarrhythmic, zvichienderana nekuoma kwavo. Kusiyana nemishonga yevanhu, kuwedzera anticoagulant therapy haikoshi kune imbwa. Sezvinongoita zvimwe zvirwere zvese zvemoyo, kana kurapwa kwangotangwa, kunofanirwa kupfuuridzirwa kwehupenyu munenge mune zvese zviitiko.

Danho D

Pamusoro pemishonga inotaurwa padanho C, mamwe ma diuretics akadai sehydrochlorothiazide kana spironolactone anogonawo kutariswa pano. Dzimwe nguva zvinobatsirawo kuderedza BP neamlodipine.

Chirongwa chiri pasi apa ipfupiso pfupi yezvidzidzo zvazvino uye maonero enyanzvi dzepasirese pane general therapy kurudziro yemitral endocarditis. Muzviitiko zvemunhu, zvisinei, zvingave zvakakosha kutsauka kubva pachirongwa chekurapa chakapihwa pano.

Zvine musoro / zvakakosha here Kuchinja Kudya?

Kuchinja kwekudya kunogona kubatsira kune varwere vane ruzivo rwepamusoro-soro, pakutanga zvingangove zvinobatsira zvishoma. Munyu wekudya unofanirwa kubviswa kubva pakudya kwemhuka inorwara zvakanyanya. Saizvozvo, chikafu chinyoro, munyu-munyu, chepamusoro-simba chinogona kubatsira kuderedza kuoma kwezviratidzo uye kuve nechokwadi chekuwana simba rakakwana. Rimwe dambudziko, zvisinei, nderekuti zvipfuwo zvedu zvinowanzoramba kudya kusina munyu. Bva nguva dzose zviri nani kupa kumwe kudya kwaunofarira pane kuomerera pa“kudya kwomwoyo” uko imbwa isingadyi, zvikasadaro zvinodikanwa zvesimba zvomurwere hazvigoni kuitwa. Mumhuka dzakakanganiswa zvakanyanya, kushandiswa kwe omega-3 fatty acids kunogonawo kubatsira.

Zvakakosha kuziva kuti zvinopesana nekutenda kwakakurumbira, varwere vane chirwere chemoyo chepamusoro havafanirwe kuderedza uremu. Kurasikirwa kwehuremu kunotungamirira kukuwedzera kwekufa kwevarwere vanorwara nemoyo. Kuderedza uremu kuti "kurerutsa iyo yemoyo system" kwakaipa mumhuka dzine chirwere chepamusoro!

MaElectrolyte akadai sePotassium Kana Magnesium Anofanirwa Kuwedzerwa Kana Akarapwa Nemishonga Yakanyanya-Dose Dehydration?

Kazhinji kwete. Murwere anonwa uye kudya kazhinji haawanzoda mamwe ma electrolyte akadai se potassium kana magnesium. Basa remagesium mukurapa kwezvipfuyo harisati ranyatsojekeswa, sezvo chiyero che magnesium chiri mumuviri chakaoma kuyera, uye kuongororwa kweropa kwakajairika kunowanzo kuve kwakanyanyisa kuita izvi. Basa remagnesium rinogona kunge riri mukurapa kwerapi-resistant arrhythmias, inogona kuitika mumamiriro emitral endocarditis. Zvisinei, kurapa kwekutanga ne magnesium kunofanira kudziviswa, sezvo varwere vakawanda vane manyoka vanoita kune electrolyte.

Imbwa Yangu Iri Kurapwa NeDehydration Medication. Ndinofanira Kuderedza Kushandisa Kwake Mvura Here?

Mhinduro pfupi chete inodiwa pano: hapana zvakadaro!

Chii Chaungaite Semuridzi Wemurwere Anorwara?

Kunyanya varwere vari mumatanho epamusoro echirwere vanoda kunyatsotarisirwa kubva kumuridzi. Kunyanya mumhuka dzine yapfuura pulmonary edema, zvakakosha zvakanyanya kutarisisa kukosora kuri kuwedzera uye kugara uchiverenga kufema kwemurwere wako. Izvi hazvifanirwe kunge zvinopfuura 45 kufema paminiti pakuzorora (zvakakosha: usaverenge mushure mekuedza, izvi zvinongowedzera kurova kwemoyo). Zvakakoshawo kuziva mafambiro. Kana kufema kunowedzera - somuenzaniso, iwe unoverenga 20 / min mangwanani, 40 / min masikati, uye 50 / min masikati - izvi zvinogona kuratidza kutanga kwepulmonary edema uye unofanira kuonana nechiremba wemhuka nekukurumidza. .

Ndinofanira Kuchengeta Imbwa Yangu Here?

Kune huwandu hwakawanda hwezvirwere zvemoyo, mutemo wekutanga ndewekuti mhuka dzakabatwa dzinobvumidzwa kurovedza muviri mukati mehurongwa hwavanopa ivo pachavo. Imbwa dzinorwara dzinobvumirwa kuita maekisesaizi zvakajairika, asi kana dzichida kumbozorora kubva pakudzidziswa, izvi zvinofanirwa kugamuchirwa.

Nekudaro, kudzidziswa kwakanyanya kana kudzidziswa mukupisa kwakanyanya kunofanirwa kudziviswa mumhuka dzine zvakakomba zvakawanikwa. Kana usina chokwadi, chiremba wako wemwoyo anofanira kukwanisa kukupa ruzivo.