Saturday, August 18, 2012

Generally introducing _'s general knowledge of viral myocarditis

Generally introducing _'s general knowledge of viral myocarditis
[Cause of disease ]
The limitation or filling the air inflammation that the cardiac muscle takes place that myocarditis is, can take place in the cardiac muscle originally, also a part of whole body disease. The cause of disease has infecting, physical and chemical factor, medicine,etc., the most common one is viral myocarditis, among them with the intestinal virus, especially the strange B virus of Ke Sa is infected with to see at most.
[Clinical manifestation ]
1,Symptom: Tired generating heat, uncomfortable in chest, palpitation, breathe hard, not dizzy, can appear the intersection of heart and the intersection of function and the whole or heart source nature shock while being getting serious.
2,Physical sign: Heart rate increase fast, raise proportional with body temperature, heart circle expand, the noise changes, rhythm of the heart is not normal.
[Use medicine ]
1,Treatment having illness coming on originally
Very crucial. The infeted of virus can give antiviral medicine, alkane amine of Buddha's warrior attendant, every day 200mg; Agate quinoline guanidine 0.1g, takes orally, 3 times a day, the infeted of companion's bacterium, can give antibiotic.
2,Treatment to the ill
Acute one should stay in bed, take a favorable turn in symptom, physical sign, can increase the activity progressively after the electrocardiogram is normal, I am nutritious, light diet. Appear the intersection of heart and the intersection of function and complete, arrhythmia, should be corrected actively at the shock.
3,Promote the myocardium supersession
( 1) Vitamin C: 4- 5g adds the vein into 250ml liquid to instil, 1 times a day, it is a course of treatment in 10- 15 days, repeatable.
( 2) Mixture of energy: ATP20mg + coenzymatic A100u + cytochrome C30mg adds 5% of the glucose 500ml veins to instil, 1 times a day, it is a course of treatment in 10- 15 days, repeatable.
( 3) Glucoside of skin: 200- 400mg takes intramuscular injection orally, 2 times a day.
( 4) Ring acid of adenosine (CAMP) :20- 40mg, intramuscular injection, 2 times a day.
( 5) Polarise the liquid: 10% of the glucose 500ml adds ordinary insulinogenic 8u, 15% chlorine potassium 10ml vein is instilled, it is a course of treatment in 7- 10 days.
( 6) Immune inhibitor: Used in the chronic, delaying case. Glucocorticoid: Generally have illness coming on and does not advocate application in 10- 14 days, but if there are hyperpyrexia, serious arrhythmia in heart failure, heart source shock person can use, can give loose 40- 60mg betterly, clothes once of every day, or hydrogenate loose 400- 600mg day doing in the test, the vein is instilled, the decrement gradually after the condition takes a favorable turn, medicines will stop 26 weeks later in the moon.
[Prevent ]
Strengthen the body and do exercises, improve the body resistance against diseases, it is tired in order to prevent virus, bacterial infection to avoid. Take a good rest behind the onset, enter nutritious diet, resume so as to heart.
Spring will defend myocarditis: In recent years, because of the wide application of antibiotic, rheumatic fever caused by the fact that the streptococcus is infected with is reduced gradually, rheumatism myocarditis has illness coming on and obviously reduces, but viral myocarditis has illness coming on and increases day by day. Viral myocarditis can infect, cause by many kinds of virus, virus B most common with base Sa Ke among them, chicken-pox, EB virus can also be caused. According to studying, nearly 5% of the the infeted of virus can involve after infecting myocarditis take place in the heart heart. The direct invasion and attack cardiac muscle after can infect for the virus ing, due to one's own immunoreaction after can also infect for the virus. The former see more with the child, the latter meet more with teenagers. And viral myocarditis high to take place season in spring, should cause people's vigilance.
The disease is infected with symptom with upper airway infection or intestine at the beginning, palpitation, extremely weak, apt symptom of sweating etc. uncomfortable in chest will appear 7-10 days later. At this moment, such as having an electro-cardiogram, it is not normal that it has heart rate of fighting early etc. that perhaps discover and the cardiac muscle is damaged and behaved. Make erythrocyte sedimentation rate, myocardium enzyme and determine that may rise. Check the intersection of base and the intersection of virus and antibody Sa Ke, it resists the myocardium antibody to be positive very after the 2-4 week.
The weight of pathological change of the viral myocarditis differs, so symptom is various. Slightly and the intersection of limitation and pathological change person can have symptom at all, electrocardiogram have display unusually, erythrocyte sedimentation rate, myocardium enzyme have not risen. Some people because the contingency corpse just find that once there was pathological change of myocarditis while dissecting. The heavy one has obvious symptoms, the filling the air enlargement of heart appears, in heart failure, prominent and out of breath, it can't be flat to lie; Some serious heart rate is not normal, so that faint repeatedly, even die suddenly.
Studies have suggested, still in short, overworked, is engaged in the heavy manual labor and move vigorously continuously after the virus is infected, viral myocarditis incident. In addition, it is the inducement too to be malnutritive. After viral myocarditis took place, must absolutely stay in bed, otherwise can make the condition become more serious, cause the serious complication.
After ill toxic myocarditis, should generally have a rest for 3 months. If there is not symptom later, can resume working and studying normally progressively, it is not tired but must pay attention to, can't be engaged in manual labor and sport in one year. In addition, should pay attention to the rational diet and eat more fresh vegetables, fruit, guarantee nutritive equilibrium. Should guarantee that there is enough sleeping and having a rest, avoid cold, otherwise apt to recur. Break out and can change into chronic myocarditis, myocardium disease, danger all the life repeatedly.
The treatments of myocarditis and myocardium disease: It is unsatisfactory to study the therapeutic effect to myocarditis and myocardium disease Western medicine at present. To viral myocarditis patient, there is no specific antiviral medicine. The not normal curative effect of rhythm of the heart to the chronic myocarditis patient is not good enough. The cause of disease of the myocardium disease has not been bright so far, there is not a good treatment method. Myocarditis and myocardium disease are people's health of a kind of danger and disease difficult to be therapeutic. Until the intersection of Chinese medicine and the intersection of treatment and the myocardium curative effect of disease watch over these years, the situation is gratifying. Our Traditional Chinese medicine treatment can be raised efficiently. Reduce mortality. Reduce sequela. Improving patient's life quality has obvious advantages.
As to the thing that there is no special therapeutic method yet at present in viral myocarditis, mainly take the complex treatment measure. As the infant's parents, should cooperate with the doctor's treatment actively, and pay attention to the nursing in life.
To any disease, it is heavy treating to prevent. Prevent viral myocarditis, should prevent cold, viral infection of intestine at first, often participate in physical training, improve resistance against diseases of the body, live in the room to often open the window to ventilate, keep the air fresh. Take place in season at cold, should try hard to go in the place where there are more crowded people few, pay attention to preventing various virus from infecting. Once finding the virus is infected should pay attention to the abundant rest, it is overtired to avoid.
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