Rheumatic heart disease

I am suffering from rheumatic heart disease has been four or five years, and, I went to many hospitals do not help me to open any medicine, that is, long-acting penicillin shot me a month, but occasionally, when my symptoms are quite Obviously, now how do I do it the best? Thank you! you go to regular hospital check to see if valve regurgitation are not so big, as if the worst case, valve replacement surgery, medical treatment of rheumatic heart disease, there is little at home and abroad a good way, if you delay the disease would become a big heart too much trouble, or go to the hospital as soon as possible, for a regular hospital in Beijing, about 7 million of rheumatic valvular heart disease is a complication of rheumatoid disease. Cure to cure rheumatic heart disease, the traditional treatment of these are chronic lifelong disease, treatment is remission, the disease or in a step by step increase. I can give you good recommendations, Department of rheumatic fever sequelae of rheumatic heart disease, is caused due to acute rheumatic fever, heart inflammation, the left and to the main heart valve disease. Valve disease clinical performance is a corresponding area of the heart murmur; ventricular, atrial enlargement, such as the late cardiac dysfunction. Rheumatic heart disease (RHD) is a common type of heart disease is the consequence of rheumatic heart of change violation, showing valve stenosis and / or regurgitation in patients with women than men. Damage to the mitral valve is the most common, followed by the aortic valve, several valves at the same time can also be involved, known as the Joint valve disease. Recurrent inflammation of the valves, valve thickening and shortening, adhesions and fibrosis caused by valvular regurgitation and stenosis. May be associated with rheumatoid arthritis. Asymptomatic early stage, the heart over time have increased, arrhythmia, usually after 10 to 15 years progressive heart failure. Rheumatic fever caused by the incidence of valvular disease accounted for more than 50%. Echocardiographic diagnosis of rheumatic valvular disease is the best screening method. Normal adult mitral valve area 4cm2 ~ 6cm2. Mitral valve area after lesions can be reduced, 1.5cm2-4cm2 for the mild stenosis ,1.0-1 .5 cm2 as moderate stenosis, 1.0cm2 less severe stenosis, when the obstruction of blood flow that is quite obvious that the performance of patients after the event palpitation, shortness of breath, cough, fatigue, paroxysmal dyspnea. hemoptysis or heart failure, etc., may occur in some cases of atrial thrombosis, cerebral embolism and thrombosis may result in loss or other organs embolism. Upon diagnosis, especially in young patients with pulmonary edema and paroxysmal dyspnea, cardiac insufficiency, mitral stenosis and severe or more and the system of medical therapy, the effect is not obvious, surgical treatment should be implemented, Early surgical patient can lift the pain, restore life skills and work skills. Cause of rheumatic heart disease rheumatic heart valvular disease also known as chronic rheumatic heart disease, acute rheumatic carditis is left over after the heart valve disease mainly of a heart attack. Rheumatic valvular disease is the most common heart disease, cardiovascular disease in adults, about 40% of the disease, most patients is 20 to 40-year-old young adults, women slightly. Clinically, the most common mitral valve disease alone, 70% to 80%, followed by mitral valve with aortic valve disease, 20% to 30%. Symptoms of rheumatic heart disease with mitral stenosis, mitral regurgitation, aortic stenosis, aortic regurgitation are described. (A) of the mitral stenosis: young adults see the hot and humid with a history of decompensated heart function can be asymptomatic, decompensation, appear after the event shortness of breath, palpitations, paroxysmal dyspnea. Severe orthopnea, hemoptysis, etc., with advanced right heart failure occurs. Significant mitral valve face (two zygomatic and purple lips, touched the apex diastolic tremor). (B) mitral regurgitation: decompensated heart function can be asymptomatic, and can be heart palpitations, breathlessness after activity, fatigue, weakness, hemoptysis and other left ventricular dysfunction. The late symptoms of right heart dysfunction, such as the liver, lower extremity edema. Obvious signs, the apex beat shows a strong increase and reach limitations of lifting impulse samples, percussion Expanding the left heart border. (C) aortic stenosis: severe, dizziness, fraudulent claims syncope, angina, cardiac arrhythmia, or sudden death. Late breathing difficulties, cough, hemoptysis and other symptoms of left ventricular dysfunction, signs for the active flap area heard a loud coarse hair-like systolic murmur conducted to the neck, accompanied by systolic tremors. (D) of aortic regurgitation: visible decompensated heart palpitations, head vibration sense, sometimes angina, severe paroxysmal dyspnea and cough, the performance of left ventricular failure. Carotid artery and the dorsalis pedis artery pulse was, apical lobe pulse increased, to the left under the shift, was flattering nature. Treatment of rheumatic heart disease (a) mitral stenosis: Massive take seats, with sedatives such as stability, and other diuretics such as furosemide; treatment of acute pulmonary edema caused by acute left heart failure and pulmonary edema is similar to the difference is should not be dominated by expansion of the expansion of small artery vascular drugs and cardiac drugs, when there is rapid atrial fibrillation only when required cedilanid reduce ventricular law. When the company of acute fat fast Room law is preferable to reduce the ventricular cedilanid law. Right ventricular failure should be low-salt diet, diuretics and digoxin-based treatment. (B) mitral regurgitation: 1) medical treatment: attention to the prevention of rheumatic fever and infective endocarditis. Appropriate physical activity and rest, limiting sodium intake and the prevention and treatment of respiratory tract infection. With heart failure, the use of digitalis preparations, diuretics and vasodilators. 2) surgical treatment: to restore the integrity of the underlying valvular measures should in the event of irreversible left ventricular dysfunction before the implementation of prosthetic valve replacement. (C) aortic stenosis: 1) medical treatment: prevention of rheumatic fever and infective endocarditis, regular review. Moderate and severe stenosis, limiting physical activity, prevention of angina, syncope and heart failure. Heart failure sodium restriction, use of digitalis preparations, careful application of diuretics. 2) surgical treatment: severe aortic stenosis associated with angina, syncope, or heart failure as the main indications for surgery, artificial heart valve replacement surgery for the treatment of adults with aortic valve stenosis of the main method. (Iv) aortic valve insufficiency: 1) medical treatment: prevention of rheumatic fever and infective endocarditis. 2) surgical treatment: artificial heart valve replacement aortic valve regurgitation is a serious primary treatment. Chinese medicine treatment: 1) blood stasis mainly: restless heart palpitations, chest tightness, uncomfortable, sad, made, rather then the cough with hemoptysis, the two zygomatic purple, a purple lips, tongue or dark purple bruise, treatment principles: promoting blood circulation , qi meridians. 2) qi and blood deficiency mainly: palpitations, shortness of breath, dizziness, fatigue, minimalist looking, poor sleep, pale tongue, weak pulse. Treatment principle: blood nourishing the heart, Qi Anshen. 3) cardiac deficiency mainly: palpitations, dizziness, chest abdominal fullness, cough, Chuan Ji, and even then not lying. Edema oliguria, hand, foot and not warm, purple tongue, the pulse was thin and the number or knot generation. Treatment principles: Onyang and Water, left to righting. Care of rheumatic heart disease rheumatic heart disease (RHD) is a common type of heart disease is the consequence of rheumatic heart of change violation, showing valve stenosis and / or regurgitation in patients with women than men. Damage to the mitral valve is the most common, several valves at the same time can also be involved, known as the Joint valve disease. Recurrent inflammation of the valves, valve thickening and shortening, adhesions and fibrosis caused by valvular regurgitation and stenosis. Asymptomatic early stage, the heart over time have increased, arrhythmia, usually after 10 to 15 years progressive heart failure. Therefore, suffering from rheumatic heart disease should pay attention to rest and treatment under the guidance of doctors. Some patients can be surgery. Care points �� attention to rest, work and rest, avoid heavy physical activity. But the heart allows the case, can be the right amount of light physical activity or light physical work. �� prevent colds, prevent tonsil, gingivitis and so on. If the infection can be used penicillin treatment. Those who are allergic to penicillin or erythromycin can be used lincomycin therapy. �� heart failure who should control the water intake, dietary sodium restriction in the amount of daily to 10 grams (2 money) the following is appropriate, avoid the consumption of salted products. �� taking diuretics should eat fruits such as bananas, oranges and so on. �� atrial fibrillation patients are not suitable for vigorous activity. Should be on regular follow-up; at the appropriate time to consider surgical operations, when carried out by the doctor according to the case may be. �� For extraction or other minor surgery, preoperative use of antibiotics to prevent infection. Chinese medicine treatment recommendations for treatment of rheumatic heart disease, these symptoms should be on the hospital examination and treatment. Rheumatic heart disease heart failure, atrial fibrillation, cerebral embolism, should be treated. Syndrome in Chinese medicine practitioners use the following on the basis of medicine: 1. Is depleted heart yin nourishing Yin Yi, Ning Anshen. Dan can be served Tianwangbuxin, cinnabar sedative pills. 2. Is the heart qi insufficiency should raise the heart Yipi, yang qi. Can be served Guipi, Bai Zi Yang Xin Wan. 3. Is a type of blood stasis should pass Yang Qi, promoting blood circulation. Can serve Xuefuzhuyu pills, Guan Xin Su Wan, compound Danshen tablets. Note 1. Do not over-physical exertion, but not negative resting. To regular exercise in order not to increase the degree of symptoms. 2. Overeat at each meal can not increase the burden of heart are advised to Eat small meals often. Food should be soft, easy to digest, light; not too much salt ingestion, edema of heart failure but also to control sodium intake. 3. To avoid the cold, cold, aggressive treatment of tonsillitis and other reference materials: fsx / incidence of rheumatic heart disease is now much lower, mainly to improve people's living standards, and the major rheumatic heart for Heart Center valve surgery volume are on the decline. However, the ultimate disease treatment is valve replacement surgery after half a century of clinical experience, should be very mature, the major cardiac center technology should be good. Cardiothoracic Surgery, Changhai Hospital, Shanghai in this respect should be the strongest since the country's first case of valve replacement is carried out there.