DCMP ee eeyaha waa wadna xanuun

Ku saabsan DCM ee eeyaha

Dhinaca bidix ee wadnaha ayaa inta badan saameeya eeyaha leh DCM, in kasta oo ay jiraan kiisas dhaawac ah dhinaca midig ama labada dhinac isku mar. Cudurka waxaa lagu gartaa khafiifinta murqaha wadnaha, taas oo ay ugu wacan tahay wadnuhu ma si hufan u gudan karo shaqadiisa foosha. Ka dib, waxaa jira fadhiid dhiig oo wadnaha ah, wuxuuna kordhiyaa xajmiga. Sidaas awgeed, wadne xanuunka wadnaha (CHF) ayaa dhaca, ka dibna

arrhythmiasKu xad-gudubka inta jeer ee iyo isku xigxiga garaaca wadnaha, geeri degdeg ah.

Cilmi-nafsigan waxaa lagu sifeyn karaa koorsada qarsoon ee muddo dheer: xayawaanku ma laha wax calaamado caafimaad ah, cudurkana waxaa lagu ogaan karaa oo kaliya inta lagu jiro baaritaanka wadnaha.

Saadaasha eeyaha qaba xaaladdan way kala duwan tahay xagga taranka iyo xaalad ahaan wakhtiga gelitaanka. Bukaanka qaba CHF caadi ahaan waxay leeyihiin saadaal ka sii xun kuwa aan qabin wakhtiga booqashada rugta caafimaadka xoolaha. Wadnaxanuun xanuunka waa dhif in dib loo rogo, bukaannadu caadi ahaan way qabaan inta ay nool yihiin.

Sababaha cudurka

DCM ee eeyaha waxay noqon karaan kuwa hoose ama sare.

Nooca aasaasiga ah wuxuu la xiriiraa dhaxalka, taas oo ah, isbeddelka hidda-socodka ayaa dhacaya, kaas oo markaa loo gudbiyo faracyada oo keena dhaawac.

myocardiumNudaha murqaha ee nooca wadnaha.

Foomka labaad, oo sidoo kale loo yaqaan 'phenotype of cardiomyopathy' ee eeyaha, waxay ku dhacdaa arrimo kala duwan: cudurrada faafa, khalkhalka garaaca wadnaha ee muddada dheer, soo-gaadhista daawooyinka qaarkood, sababaha nafaqada (la'aanta L-carnitine ama taurine ), cudurada endocrine (cudurka tayroodh). Sababaha lagu sharraxay waxay keeni doonaan calaamado iyo isbeddello ku dhaca wadnaha oo la mid ah qaabka aasaasiga ah.

Saadaalinta taranka ilaa DCMP

Inta badan, DCMP waxay ku soo baxdaa noocyadan: Dobermans, Danish Great, Irish Wolfhounds, Boxers, Newfoundlands, Dalmatians, St. Bernards, Caucasian Shepherd Dogs, Labradors, English Bulldogs, Cocker Spaniels iyo kuwa kale. Laakiin cudurku kuma koobna noocyo gaar ah. Sida kor ku xusan, waxay caadi u tahay dhammaan noocyada waaweyn iyo kuwa waaweyn ee eeyaha. Waxa kale oo la ogaaday in ragga, pathology uu aad ugu badan yahay dumarka.

Calaamadaha

Sida caadiga ah, calaamadaha bukaan-socodka ayaa soo muuqda marxaladaha dambe ee cudurka, marka isbeddellada qaabdhismeedka ee myocardium ay keenaan cillad wadnaha, iyo dhammaan hababka la qabsiga ee jirka ayaa carqaladeeya. Calaamadaha DCM ee eeyaha way kala duwan yihiin heerka cudurka, waxaana laga yaabaa inay si lama filaan ah u soo baxaan oo ay dhaqso u socdaan. Xayawaanka ay saamaysay sida caadiga ah waxa ay arkaan: neefta oo ku yaraata, qufac, dhaqdhaqaaqa jidhka oo yaraada, suuxdin, rabitaanka cuntada oo yaraada, miisaanka oo yaraada,

ascitesDheecaan caloosha ku jira.

Cilad-sheegidda wadnaha oo fidsan

Hawsha ugu weyn ee ogaanshaha waa in la ogaado cudurka marxaladda hore oo laga saaro xayawaanka taranta. Dhammaantood waxay ku bilaabmaan ururinta anamnesis, baaritaanka xayawaanka, inta lagu jiro

ausculationDhageysiga laabta oo leh phonendoscope. Waxay kuu ogolaanaysaa inaad ogaato gunuuska wadnaha, xadgudub ku ah garaaca wadnaha.

Si loo qiimeeyo xaaladda guud, waxaa la sameeyaa baaritaanka dhiigga xinjirowga iyo biochemical, oo ay ku jiraan electrolytes, hormoonnada tayroodh, iyo sidoo kale calaamad muhiim ah oo dhaawac myocardial - troponin I.

Noocyada sida Dobermans, Irish Wolfhounds iyo Boxers, waxaa jira baaritaanno hidde-side ah si loo ogaado hidda-socodka u horseedaya dhibaatadan.

Raajo laabtu waxay faa'iido u leedahay go'aaminta xaaladaha sida saxarada xididada, bararka sambabada, xuubka xuubka, iyo qiimeynta xajmiga wadnaha.

Baaritaanka Ultrasound ee wadnaha wuxuu bixiyaa go'aaminta ugu saxsan ee cabbirka qayb kasta oo wadnaha ah, dhumucda derbiga, qiimeynta shaqada foosha.

Electrocardiogram (ECG) ayaa cabbiri kara garaaca wadnahaaga oo baadhi kara wax kasta oo aan caadi ahayn. Si kastaba ha ahaatee, la socodka Holter waa heerka dahabka ee ogaanshaha wadna xanuunka. Sida aadanaha, eeyaha waxaa la siiyaa qalab la qaadi karo oo ay xirtaan 24 saacadood. Inta lagu jiro muddadan, garaaca wadnaha waa la diiwaangeliyaa.

Daawaynta DCM ee eeyaha

Daawaynta wadne xanuunka wadnaha ee balaadhiyey canine waxay ku xidhan tahay heerka cudurka iyo darnaanta.

xanuunada hemodynamicCilladaha wareegga dhiigga.

Waxa jira dhawr kooxood oo daroogo ah oo loo isticmaalo cudurkan. Kuwa ugu waaweyn waa:

• Daawooyinka wadnaha. Pimobendan waa wakiilka ugu weyn ee kooxdan. Waxay kordhisaa xoogga foosha ee myocardium ventricular waxayna leedahay saameyn vasodilating ah.

• Daawooyinka diuretic ee leh saamaynta durayo. Waxaa loo isticmaalaa in lagu xakameeyo samaynta ciriiriga ee xididdada dhiigga iyo dareeraha bilaashka ah ee godadka dabiiciga ah - laabta, pericardial, caloosha.

• Daawooyinka ka hortagga arrhythmic. Maadaama arrhythmias ay inta badan la socdaan cudurrada wadnaha, taasoo keenta tachycardia, suuxdin, dhimasho degdeg ah, daawooyinkan ayaa joojin kara.

• Angiotensin-converting enzyme (ACE) horjoogayaasha. ACE inhibitors waxaa loo isticmaalaa in lagu xakameeyo wareegga dhiigga iyo cadaadiska dhiigga.

• Wakiilada caawimada: cunto daweyn oo loogu talagalay xayawaanka qaba cudurrada wadnaha, nafaqooyinka dheeraadka ah (taurine, omega 3 fatty acids, L-carnitine).

Ka Hortagga

Noocyada waaweyn iyo kuwa waaweyn ee eeyaha, gaar ahaan kuwa qaba DCM sida cudur hidde-side ah, waa inay maraan baaritaanka wadnaha ee sanadlaha ah, echocardiography, ECG, iyo, haddii loo baahdo, la socodka Holter.

Dobermans, Boxers, Irish Wolfhounds, tijaabooyin hidde-sidaha ayaa diyaar ah si loo go'aamiyo joogitaanka cudurka oo isla markiiba ka saara xayawaanka taranta.

Xayawaan kasta wuxuu u baahan yahay cunto dheeli tiran. Ha iloobin daawaynta qorshaysan ee endo- iyo ectoparasites iyo tallaalka.

Bogga Hore

1. DCM ee eyda waa cudur uu muruqa wadnuhu noqdo mid khafiif ah oo daciifa.

2. Pathology waxay ku badan tahay noocyada eeyaha waaweyn iyo kuwa waaweyn.

3. Noocyada qaarkood, wadne xanuunka wadnaha waa cudur hidde-side ah. Laakiin waxay sidoo kale ku dhici kartaa sababo kale (infekshannada, cudurrada endocrine, iwm.).

4. Mid ka mid ah hababka ugu muhiimsan ee ogaanshaha waa echocardiography iyo habka maalinlaha ah ee kormeerka sida uu qabo Holter.

5. Haddii cudur lagu ogaado noocyada hidde-sidaha, waa lagama maarmaan in laga saaro xayawaanka taranta.

6. Cudurku wuxuu noqon karaa asymptomatic muddo dheer. Calaamadaha ugu caansan waxaa ka mid ah: qufac, neefta oo yaraata, daal, miyir beelid. Daaweynta, dhowr kooxood oo daroogo ah ayaa loo isticmaalaa iyadoo ku xiran calaamadaha bukaan-socodka, marxaladda cudurka: daawooyinka wadnaha, diuretics, daawooyinka antiarrhythmic, iwm.

Ilo:

1. Illarionova V. "Shuruudaha lagu ogaanayo cudurka wadnaha wadnaha ee eeyaha", Zooinform daawada xoolaha, 2016. URL: https://zooinform.ru/vete/articles/kriterii_diagnostiki_dilatatsionnoj_kardiomiopatii_sobak/

2. Liera R. "Dilated Cardiomyopathy in Dogs", 2021 URL: https://vcahospitals.com/know-your-pet/dilated-cardiomyopathy-dcm-in-dogs-indepth

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

4. Kimberly JF, Lisa MF, John ER. /2020/jvim.10.1111