I have a friend with severe arthritis, the doctor said in the near future she will have rheumatic heart disease, listening to my fears, I think this may be a bad rheumatism treatment, but how to prevent it? There is no better way to get the disease some of it ?????? the prevention of this disease should first focus on preventing the occurrence of rheumatic fever, valvular heart disease so that the fundamental basis of disease-free. Once the valve damage has been formed, should actively control and prevention of rheumatic activities to control symptoms, improve heart function, prevent disease worse. 1. Prevention of Streptococcus infections. Pay attention to living and health, of scarlet fever, acute tonsillitis, pharyngitis, otitis media and acute streptococcal infection lymph nodes go far, definitive treatment should be active in order to avoid the onset of rheumatic fever. Repeated attacks of rheumatic fever, heart valve damage will increase. 2. And rest. Appropriate exercise and physical labor can increase the compensatory ability of the heart, there is no difficulty in breathing and other symptoms of the patients., Work and life as usual, but avoid strenuous exercise and heavy labor. Rest can reduce the burden on the heart, is the necessary measures to combat this disease, patients with disease onset according to symptoms and doctor's orders, limit physical activity to different degrees, or even in bed, until the heart function improved. 3. Stable mind. A lot of mental stress in patients with rheumatic heart disease, agitation, it will suddenly tachycardia, increased burden on the heart, causing heart failure, heart and thus to wide flat gas, indifferent to observe God. 4. A reasonable diet. (1) prone to rheumatic heart disease, edema, and thus must limit salt intake to prevent edema increased, to prevent the increased burden on the heart, in general, patients with rheumatic heart disease in daily intake of salt 1 a, 5 grams more appropriate. (2) reduce fat diet: dietary fat intake after the business is not easy to digest, will increase the burden on the heart, and some will arrhythmia, so use less or no fat diet. (3) and limit salt the same reason, patients with rheumatic heart disease should eat less sodium rich foods such as bananas, etc., so as not to cause edema. (4) ease into the drink: one drink plenty of water, tea, soup, fruit juice, soft drinks or other beverages, it will rapidly increase the blood volume, thus increasing the burden on the heart. So do not eat too much drink, preferably a period not exceeding 500 ml. Need to drink plenty of water when the drink is divided into several times, each time less, separated by a longer time. (5) ring irritation and excitement of food drink drugs: pepper, ginger, pepper, tobacco, alcohol and a lot of drinking tea, clothing caffeine, amphetamines and other stimulants will be a burden on the heart, cardiac function in patients with rheumatic heart disease poor, especially when attention. 5. Restraint sex life. In general, rheumatic heart disease patients with heart failure if never happened, then the marriage, birth, breastfeeding and so there is not much hindrance. Since both husband and wife sex life, the heart rate and blood pressure will rise, increasing burden on the heart will follow. Therefore, rheumatic heart disease patients should control sex life. Female patients, such as severe illness, pregnancy, childbirth should not be, because during pregnancy; heart burden, may endanger the lives of mother and child. Young women with severe, it is best not to marry until the disease do better to consider the situation. 6. Changyin lemon juice. Oral lemon juice has a good effect to treat rheumatism. Experiments show that lemon juice can inhibit the ability of lead to rheumatic fever streptococcus. Lemon juice to drink is: starting from day 1, oral administration of lemon juice 10 ml per day, after serving lo ml of each day, has been adding services to 300 ml per day so far, and then daily by 10 ml, until reduced to until the first day lo ml. After two such courses generally, rheumatic heart disease will be significantly improved.
Saturday, November 13, 2010
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.
What is rheumatic heart disease, drug treatment
What is the treatment of rheumatic heart disease rheumatic heart disease drug treatment the following points: 1, asymptomatic phase of the treatment of rheumatic heart disease treatment principle is to maintain and enhance the compensatory function of the heart, one should avoid heart excessive load, such as heavy manual work, strenuous exercise, on the other hand should also note that combining static and dynamic, within its capacity to adapt to make some activity and exercise, to strengthen health, improve the heart's reserve capacity. Appropriate physical activity and rest, limiting sodium intake and the prevention and treatment of respiratory tract infection. Attention to the prevention of rheumatic fever and infective endocarditis. With heart failure, the use of digitalis preparations, diuretics and vasodilators. 2, treatment of complications of rheumatic heart disease: 1) the treatment of heart failure; 2) the rescue of acute pulmonary edema; treatment of acute pulmonary edema caused by acute left heart failure and pulmonary edema is similar to the difference is not with the expansion small arteries dilate blood vessels based drugs and cardiac drugs, when there is rapid atrial fibrillation, only to be used cedilanid reduce ventricular law. When the company of acute fat fast Room law is preferable to reduce the ventricular cedilanid law. 3) Control and elimination of atrial fibrillation. 3, rheumatic heart disease in the surgical treatment of chronic rheumatic heart valve disease and asymptomatic, generally do not need surgery; symptoms are indications for surgery and who can be either isolated mitral valve replacement surgery or artificial, artificial valve replacement surgery for the treatment of adults with aortic valve stenosis of the main method. 1) The operation to adapt to sign: no obvious symptoms of heart function in patients without surgical treatment of grade ��. Cardiac function �� �� patients should be treated surgically. Cardiac function should be a mandatory grade �� heart, diuretic and other therapy to improve heart function until after the surgery. Associated with atrial fibrillation, pulmonary hypertension, embolism and functional circulation tricuspid regurgitation are advised surgery. However, increased surgical risk. With rheumatic activity or bacterial endocarditis should be in complete control of active rheumatism and endocarditis 6 months after the surgery again. 2) surgical methods: mitral stenosis mitral valve surgery and dissection at the junction of two types of mitral valve replacement. The former was divided into two kinds of closed and open heart dissection. Closed mitral junction dissection: usually 4 or 5 left intercostal incision into the chest, longitudinal incision of the pericardium, the left atrial appendage at the base to make a purse suture, the surgeon index finger through the left atrial appendage into the left atrial incision exploration mitral valve. In the avascular zone, left ventricular mitral valve into the expansion, under the guidance of the index finger, through the mitral valve dilator, successive expansion, each expansion, the expansion should be back to the left ventricle is closed, the second probe tip of the index finger separation of valve junction, with or without regurgitation. Look directly at the junction of separation of mitral valve surgery; for the right or left atrial appendage small room with thrombosis. Cardiopulmonary bypass surgery should be carried out by longitudinal median sternotomy incision, insert the arterial and venous tubes, cardiopulmonary bypass perfusion began, the room groove cut into the left atrium to expose the mitral valve, cut the fusion junction, adhesion and fusion of separate tendons. Mitral valve replacement: valve disease for severe leaflet calcification, stiffness, contracture, or mitral chordae junction adhesion after dilatation with severe traumatic mitral insufficiency. Surgery under cardiopulmonary bypass, excision of the mitral valve lesions, implantation of artificial biological valve or mechanical valve. One. Western medicine treatment of rheumatic fever involving the heart should be absolute bed rest and hospitalization. Selection of antibiotics kill streptococcus, sensitive antibiotics such as penicillin 400 million u ~ 800 �� u, VD, 1 / d, for 10 to 14 days, then 800 000 u, im, 2 / d. When the ASO is normal, to long-acting penicillin preparations 120 million u, im, 1 / d, share 5 years, applied to 16-year-old children; salicylic acid preparations: Select enteric-coated aspirin, adult 4 ~ 6g / d, 100 ~ 150mg/kg body weight in children, 3 to 4 minutes immediately after a meal served to relieve gastrointestinal symptoms, if necessary, aluminum hydroxide gel serving. Even for 3 to 6 months, reduction to 2g / d, continuing to 1 year; adrenal cortex hormones: high fever when available hydrocortisone 100mg +100 ml liquid, VD, 1 / d, after the switch to the strong temperature control Song 30 ~ 40mg, 1 / morning, oral, 2 weeks after the reduction, every 3 days by 2.5mg, up to 5mg, 1 / morning, after 8 weeks of continuous use of withdrawal. When complete control of rheumatic activity, the rest still have myocarditis 2 weeks, then gradually increase the volume of activity. (A) of the 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 not with the expansion of small arteries dilation of blood vessels based 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. II. Chinese medicine treatment 1) blood stasis mainly: palpitations, anxiety, 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: blood of stasis, 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.
Chinese medicine treatment of rheumatic heart disease
Older older, surgery is too risky, so ask there is no drug treatment to stabilize the condition of Chinese medicine, it is best way to cure these diseases! Thank you to view the last two or three hundred years the history of human medicine, will find the real face of constantly being distorted body, the human ability to believe in science too, hoping to use technology to replace the forces of nature. Technology originally to assist the body's instinct, rather than deny the power of physical nature; medical function was originally born to keep healthy people tend to emphasize, to accompany way to guide people back to health. Thought that the health of modern people must rely on medical technology and drugs, this is the cart before the horse's point of view. Low level of ischemia and blood of human performance; tell you several ways to the elderly: 1. Every morning 6 - 8 pm bowl of brown sugar, ginger, jujube millet gruel and egg soup. ��2�� ginger fried skin. Should ensure that three meals a day to eat hot, eat, eat, three meals a day is unreasonable, health away from you. No evil thing the United States, too, compared with disaster; to meet the food \food, five percent of food fats and oils. Note slowly; 3. Water Way: Do not drink the morning, drink will be hot, thirsty and do not drink, drinks will be three to choose the water; firmly opposed to indiscriminate white \; 4. must wear warm, hand, foot and warm as the standard. Air conditioning disease prevention; cessation of all beer, cold drinks, raw chilled food; 5. Do not drink milk, coffee; careful to eat medicine, no drips, because all of the acid. Do not drink beverages, preservative sodium cyclamate, and so on, leading to leukemia; 6. Bedtime hot foot bath for 20 minutes, while drinking a bowl of hot rice wine, brown sugar, eggs, soup Angelica. 7. Must ensure that the 21:00 - 5:00 and effective sleep. Hard Banchuang recommended. Blood at night is a long time for people, but also the time to work liver lung, on human health is extremely important. 11-13 noon, when the best 30 minutes of pumping time to take a nap; 8. To maintain a happy, cheerful mood, appropriate exercise. Hit points every day ��stand at attention when the gall bladder, lateral thigh at the hands of means;�� 10 minutes. Press the \This is your elderly disease prevention, strengthening the economy to side. S cheap, quick; rheumatic heart disease called rheumatic heart disease. Is rheumatism involving the endocardium. Myocardium. Pericardium. Also known as rheumatic arthritis. Symptoms: a sense of difficulty breathing difficulties. Cyanotic lips. Network of blood. Chest pain with dorsal . dizziness. cough, shortness of breath. can not be supine. Edema. Palpitations. Tongue with ecchymosis. Using traditional Chinese medicine. Looking for old traditional Chinese medicine in your hometown. Look.