DCMP hauv dev yog dilated cardiomyopathy

Hais txog DCM hauv dev

Sab laug ntawm lub plawv feem ntau cuam tshuam rau cov dev nrog DCM, txawm hais tias muaj kev puas tsuaj rau sab xis lossis ob sab tib lub sijhawm. Tus kab mob no tshwm sim los ntawm thinning ntawm lub plawv cov leeg, vim tias lub plawv tsis tuaj yeem ua nws txoj haujlwm contractile. Tom qab ntawd, muaj stagnation ntawm cov ntshav hauv lub plawv, thiab nws loj tuaj. Yog li, congestive heart failure (CHF) tshwm sim, thiab tom qab ntawd

arrhythmiasUa txhaum ntawm qhov zaus thiab ntu ntawm lub plawv dhia, sudden tuag.

Cov kab mob no tuaj yeem tshwm sim los ntawm cov chav kawm latent rau lub sijhawm ntev: tus tsiaj tsis muaj cov tsos mob tshwm sim, thiab tus kab mob tuaj yeem kuaj pom tsuas yog thaum kuaj mob plawv.

Cov kev mob tshwm sim rau cov dev uas muaj tus mob no txawv ntawm qhov yug thiab los ntawm tus mob thaum lub sijhawm nkag. Cov neeg mob nrog CHF feem ntau muaj qhov mob hnyav dua li cov neeg uas tsis muaj nws thaum lub sijhawm mus ntsib kws kho tsiaj. Qhov no cardiomyopathy tsis tshua muaj kev thim rov qab, thiab cov neeg mob feem ntau muaj nws rau lub neej.

Ua rau muaj tus kabmob

DCM hauv dev tuaj yeem yog thawj lossis theem nrab.

Thawj daim ntawv yog txuam nrog heredity, uas yog, kev hloov pauv ntawm cov noob tshwm sim, uas yog tom qab kis mus rau cov xeeb ntxwv thiab ua rau kev puas tsuaj.

mob myocardiumCov nqaij mos ntawm lub plawv hom.

Daim ntawv thib ob, uas tseem hu ua phenotype ntawm dilated cardiomyopathy hauv dev, tshwm sim los ntawm ntau yam: kab mob sib kis, kev cuam tshuam lub plawv mus sij hawm ntev, raug rau qee yam tshuaj, noj zaub mov tsis txaus (tsis muaj L-carnitine lossis taurine. ), kab mob endocrine (tus kab mob thyroid). Cov laj thawj uas tau piav qhia yuav ua rau cov tsos mob thiab kev hloov pauv hauv lub siab zoo ib yam li thawj daim ntawv.

Predisposition ntawm breeds rau DCMP

Feem ntau, DCMP txhim kho hauv cov tsiaj xws li Dobermans, Great Danes, Irish Wolfhounds, Boxers, Newfoundlands, Dalmatians, St. Bernards, Caucasian Shepherd Dogs, Labradors, English Bulldogs, Cocker Spaniels thiab lwm yam. Tab sis tus kab mob no tsis txwv rau tej yam tsiaj. Raws li tau hais los saum no, nws yog qhov zoo rau txhua tus dev loj thiab loj heev. Nws kuj tau pom tias hauv cov txiv neej, pathology yog ntau dua li cov poj niam.

Cov tsos mob

Raws li txoj cai, cov tsos mob tshwm sim nyob rau theem kawg ntawm tus kab mob, thaum cov txheej txheem hloov pauv hauv myocardium ua rau lub plawv tsis ua haujlwm, thiab tag nrho cov kev hloov pauv ntawm lub cev raug cuam tshuam. Cov tsos mob ntawm DCM nyob rau hauv cov dev sib txawv raws li theem ntawm tus kab mob, thiab lawv yuav tshwm sim sai sai thiab loj hlob sai. Cov tsiaj raug mob feem ntau pom: ua tsis taus pa luv, hnoos, tsis ua haujlwm lub cev, ua tsis taus pa, tsis qab los noj mov, poob phaus,

ascitesKua dej hauv plab.

Kev kuaj mob ntawm dilated cardiomyopathy

Lub luag haujlwm tseem ceeb ntawm kev kuaj mob yog txhawm rau txheeb xyuas tus kab mob thaum ntxov thiab tshem tawm tus tsiaj los ntawm kev yug me nyuam. Nws tag nrho pib nrog kev sau ntawm anamnesis, kuaj tsiaj, thaum lub sijhawm ntawd

auscultationMloog lub hauv siab nrog lub phonendoscope. Nws tso cai rau koj kom pom kev yws hauv lub plawv, ua txhaum ntawm lub plawv dhia.

Txhawm rau ntsuas qhov xwm txheej dav dav, kuaj ntshav hematological thiab biochemical ntshav, suav nrog electrolytes, thyroid hormones, nrog rau cov cim tseem ceeb ntawm kev puas tsuaj ntawm myocardial - troponin I.

Rau cov tsiaj xws li Dobermans, Irish Wolfhounds thiab Boxers, muaj cov kev ntsuam xyuas caj ces los txheeb xyuas cov noob uas ua rau muaj teeb meem no.

Chest X-ray muaj txiaj ntsig zoo rau kev txiav txim siab txog cov kab mob venous congestion, pulmonary edema, pleural effusion, thiab ntsuas qhov loj ntawm lub plawv.

Kev kuaj ultrasound ntawm lub plawv muab qhov tseeb tshaj plaws kev txiav txim siab ntawm qhov loj ntawm txhua ntu ntawm lub plawv, phab ntsa thickness, kev ntsuam xyuas ntawm contractile muaj nuj nqi.

Ib qho electrocardiogram (ECG) tuaj yeem ntsuas koj lub plawv dhia thiab kuaj xyuas txhua qhov txawv txav. Txawm li cas los xij, Holter xyuas yog tus qauv kub hauv kev kuaj mob arrhythmias. Zoo li tib neeg, dev tau muab cov cuab yeej nqa tau yooj yim uas lawv hnav rau 24 teev. Thoob plaws lub sijhawm no, lub plawv dhia yuav raug kaw.

Kev kho DCM hauv dev

Kev kho mob rau canine dilated cardiomyopathy nyob ntawm theem ntawm tus kab mob thiab qhov hnyav.

hemodynamic ntshawv siabCov leeg ntshav tsis meej.

Muaj ntau pawg ntawm cov tshuaj siv nyob rau hauv no pathology. Cov tseem ceeb yog:

• Cardiotonic tshuaj. Pimobendan yog tus sawv cev tseem ceeb ntawm pab pawg no. Nws tsub kom lub zog ntawm contraction ntawm ventricular myocardium thiab muaj vasodilating nyhuv.

• Cov tshuaj diuretic uas muaj cov nyhuv diuretic. Lawv yog siv los tswj kev tsim ntawm congestion nyob rau hauv cov hlab ntsha thiab cov kua dej dawb nyob rau hauv tej kab noj hniav - hauv siab, pericardial, plab.

• Antiarrhythmic tshuaj. Txij li thaum arrhythmias feem ntau nrog cov kab mob plawv, ua rau tachycardia, fainting, tam sim ntawd tuag, cov tshuaj no tuaj yeem nres lawv.

• Angiotensin-hloov enzyme (ACE) inhibitors. ACE inhibitors yog siv los tswj cov hlab ntshav thiab ntshav siab.

• Cov neeg sawv cev pabcuam: kev noj zaub mov zoo rau cov tsiaj uas muaj kab mob plawv, cov khoom noj khoom haus (taurine, omega 3 fatty acids, L-carnitine).

Kev tiv thaiv

Cov dev loj thiab loj heev, tshwj xeeb tshaj yog cov uas muaj DCM raws li cov kab mob caj ces, yuav tsum tau mus kuaj mob plawv txhua xyoo, echocardiography, ECG, thiab, yog tias tsim nyog, Holter saib xyuas.

Rau Dobermans, Boxers, Irish Wolfhounds, muaj kev ntsuam xyuas caj ces los txiav txim seb muaj tus kab mob thiab tshem tawm cov tsiaj los ntawm kev yug me nyuam.

Txhua tus tsiaj xav tau kev noj zaub mov zoo. Tsis txhob hnov ​​​​qab txog kev npaj kho mob rau endo- thiab ectoparasites thiab txhaj tshuaj tiv thaiv.

Tsev

1. DCM nyob rau hauv dev yog ib tug kab mob uas lub plawv cov leeg yuav nyias thiab tsis muaj zog.

2. Pathology feem ntau tshwm sim hauv cov dev loj thiab loj heev.

3. Rau qee tus tsiaj, qhov no cardiomyopathy yog kab mob caj ces. Tab sis nws kuj tuaj yeem tshwm sim vim muaj lwm yam (kab mob, kab mob endocrine, thiab lwm yam).

4. Ib txoj hauv kev kuaj mob tseem ceeb yog echocardiography thiab cov txheej txheem ntawm kev saib xyuas txhua hnub raws li Holter.

5. Yog tias kuaj pom tus kab mob hauv cov tsiaj txhu nrog cov kab mob genetic predisposition, nws yog ib qho tsim nyog kom tshem tawm cov tsiaj los ntawm kev yug me nyuam.

6. Tus kab mob tuaj yeem ua asymptomatic rau lub sijhawm ntev. Cov tsos mob tshwm sim feem ntau muaj xws li: hnoos, ua tsis taus pa, qaug zog, ua tsis taus pa. Rau kev kho mob, ntau pab pawg ntawm cov tshuaj siv nyob ntawm seb qhov kev kho mob tshwm sim, theem ntawm tus kab mob: tshuaj cardiotonic, diuretics, tshuaj antiarrhythmic, thiab lwm yam.

Qhov chaw:

1. Illarionova V. "Cov txheej txheem rau kev kuaj mob ntawm dilated cardiomyopathy hauv dev", Zooinform Veterinary Medicine, 2016. URL: https://zooinform.ru/vete/articles/kriterii_diagnostiki_dilatatsionnoj_kardiomiopatii_sobak/

2. Liera R. «Dilated Cardiomyopathy hauv dev», 2021 URL: https://vcahospitals.com/know-your-pet/dilated-cardiomyopathy-dcm-in-dogs—indepth

3. Prosek R. «Dilated Cardiomyopathy hauv dev (DCM)», 2020 URL: https://www.vetspecialists.com/vet-blog-landing/animal-health-articles/2020/04/14/dilated-cardiomyopathy-in- dev

4. Kimberly J. F., Lisa M. F., John E. R., Suzanne M. C., Megan S. D., Emily T. K., Vicky K. Y. «Retrospective study of dilated cardiomyopathy in dogs», Journal of Veterinary Internal Medicine, 2020 URL: https://onlinelibrary.wiley. /10.1111/jvim.15972