Aimpso infarction: zimayambitsa, zizindikiro ndi mankhwala

impso m'mnyewa wamtima, komanso matenda ena aliwonse overtakes munthu mwadzidzidzi. Mwamuna kapena mkazi mwina akuganiza kuti mu mtsempha pa mwendo okhwima thrombus, umene posachedwapa kuchokamo ndi kugwera mu mtsempha wamagazi ndi aimpso. Izi kuyambitsa pachimake magazi bwino ndipo necrosis a m'dera parenchymal. Koma adzakhala ina, koma nthawi yomweyo munthu wakukhala, wogona kapena chimayamba kugwira ntchito ndi Ndimasangalala. Kapena ayi?

tanthauzo

aimpso infarction - ochepa chabe Urological matenda, amene anatsagana ndi imfa ya foni thupi chifukwa cha kutha kwa magazi mu mtsempha wamagazi ndi aimpso kapena nthambi zake. Nthawi zambiri, kudwala izi si zachilendo anthu a okhwima ndi okalamba. Pathophysiology amanena izi chakuti zinthu comorbid zimene zimachitika anthu msinkhu, polenga zinthu yabwino kwa kukula kwa vuto la mtima.

Ngati ziwiya anali yatsekera pafupifupi mbali ziwiri, wodwalayo amafuna imfa. Izo zingachitike ngati pachimake mankhwala poizoni kagayidwe kachakudya ndi poizoni poizoni amene amagwa mu magazi m'thupi necrotic. Kubereka imfa alipo agonje munthu amaganiza, ngati wodwalayo matenda concomitant impso.

Mitundu ya infarction aimpso

Akuluakulu secrete hemorrhagic ndi ischemic aimpso infarction. maonekedwe ake zimadalira limagwirira wa necrosis mapangidwe.

Maonekedwe a hemorrhagic infarction amagwirizana ndi mkhutu ntchito venous maukonde. Kutsekeka kwa zotengera magazi kumabweretsa stagnation za thupi pamwamba pa malo choipa. Maselo amene simulandira mphamvu, kufa msanga, ndipo magazi venous akupitiriza kudziunjikira ndi kuloŵa impso minofu. Tsambali parenchyma adzakhala utoto violet-wofiira. Impso si mmene kwa chitukuko cha ndondomeko pathological, koma nthawi zina akadali amapezeka.

Ischemic aimpso infarction kumachitika pamene kulowererana wa wolumikizira bedi. Impso parenchyma salinso aziwapatsa magazi, izo zifika ischemia. Gawo lomwe amapeza necrotic wotumbululuka kulocha, mpaka whiteness.

magazi lapadera amadza pa mtundu wa matenda a mtima. Monga ulamuliro, zopanda moyo dera ndi phirilo akukumana pamwamba pa chipata kwa impso, chifukwa mtsempha wamagazi ndi aimpso pali anapatukana mu nthambi zake. Padziko gawo woyera zimawonedwa kukha magazi ambiri yaing'ono. Ichi ndi chifukwa chakuti capillaries woyamba spazmiruyutsya kenako kwambiri kukodzedwa.

aimpso infarction mwana

Zizindikiro kupweteka impso ndi zotheka ana. Iwo ambiri amene ana olumala mtima kapena zotupa za zida za valvular chifukwa la misempha. Komanso, iwo aona boma monga infarction urate aimpso.

Urate infarction imapezeka mu akhanda, choncho, ku mbali yaikulu, kusamalira neonatologists. Atabadwa mwana ayenera atengere kuli kunja kwa thupi la mayi, omwe si nthawi zonse pachabe iye. Popeza dongosolo buffering magazi komabe wangwiro, ndi zitsanzo mkodzo ang'ono kwambiri, aimpso parenchyma mchere mwina precipitate asidi uric.

Akamakula zotsatira za kuukira awa mtima kutha, ndipo iwo sanali angabweretse choopsa chilichonse. Pathological tinganene kuti mtima vuto, imene masiku opitirira khumi.

Zimayambitsa matenda

Oddly okwanira, koma wamkulu akhoza anapezeka ndi infarction urate aimpso. Zimayambitsa chikhalidwe ichi imakhudzana ndi matenda monga gout kapena njira oncological.

impso embolism kumachitika chifukwa kufalitsidwa mu dongosolo la mwazi wa emboli. Iwo amaoneka pa matenda mtima: matenda fibrillation, mitral, atherosclerosis, periarteritis nodosa, m'mnyewa wamtima infarction, thrombosis kung'ambika ndi infective endocarditis.

Komanso, aimpso infarction kumachitika mwa anthu amene anali opaleshoni mitsempha ya aimpso. Mu obstetrics ndi traumatology Komanso ankaona kudwala monga DIC. Mawu osavuta, ndi maonekedwe a kuundana angapo ka magazi pa maziko a anticoagulation. Kwa odwala Pankhaniyi yodziwika ndi necrosis, imene zinkakhala m'dera - wosanjikiza yokhudza kotekisi.

chipatala

Zizindikiro kupweteka impso zimadalira angapo nephrons wakhala nthawi ya kufa. Ngati necrosis voliyumu si upambana ndi millimeters ochepa, munthu akhoza kudziwa nkomwe za izo. Koma ndi zikamera zizindikiro zotupa zazikulu sizitenga nthawi yaitali.

Choyamba, pali ululu kumbuyo m'munsi. Ndiye odwala kutentha limatuluka digiri sate-eyiti. Nayenso kutupa kuti akufotokozera m'dera la necrosis mu tsiku lachiwiri kapena lachitatu pambuyo isanayambike ischemia. Wodwala anadandaula za Ndikumva kuzizira, kutopa, kugona, nseru. The mkodzo adzakhala kuonekera ku maliseche kuundana diso magazi. boma adzapitiriza kwa masiku asanu. Potsatira kuchepa otaya aimpso magazi chifukwa ntchito kulimba kuwonjezeka magazi machitidwe compensatory.

zizindikiro chotero amachuluka mu necrosis ischemic, ischemia, hemorrhagic koma zikuoneka chimalemera kwambiri. Zizindikiro choyamba musakhale noticeable, koma pang'onopang'ono kutentha limatuluka digiri 39-40, amamangiriridwa vuto limeneli, m'chikaiko chowakaikitsa, ndi tulo. Kugonera kumbuyo kwanu kuli kovuta. Magazi mu mkodzo chotero kutchulidwa kuti madzi akufanana slops nyama ndipo kuundana akhoza kuletsa ndi mkodzo. Kuchuluka kwa mkodzo akutsikira zikuchepa kuti Botolo 150 patsiku. Izi zikusonyeza kuti thupi akupitiriza poizoni okha katundu wa kagayidwe.

Pa ana akhanda, mmene ambiri si kuwawa, koma mkodzo kusintha mtundu ku zachikasu njerwa. Izo nthawizonse zimapangitsa makolo mantha.

zosokonezeka

Lowopsya osati infarction aimpso. Zizindikiro ali ndithu zosangalatsa, koma pa nthawi yomweyo ndi mankhwala abwino ntchito chilichonse ungakonzedwe. Koopsa pamene kudwala alibe anawapeza mu nthawi kapena kuchuluka kwa chiwonongeko kwambiri kotero kuti onse a nsalu ntchito sangathe kulimbana ndi kuchuluka kwa poizoni.

Pambuyo mtima kuukira kuonongeka m'dera matenda ndi m'malo ndi minofu connective. Zimenezi zimabweretsa kuchepa kwa ntchito aimpso ndipo, chotero, kuti kulephera pachimake kapena aakulu aimpso. anthu amenewa katatu pa mlungu kupita pa dialysis, ndipo miyoyo yawo zonse zamangidwa kosamalira zachipatala, amene ali ndi zida zina zofunika.

diagnostics

aimpso infarction - ndi matenda osowa ndi zizindikiro achotsa matenda, choncho ndi kovuta kuzindikira. Pofuna kuti matenda, dokotala likamva mbiri zambiri. Anapempha wodwala za mankhwala anasamutsa zikunena opaleshoni ndiponso zinthu zina.

Nkofunika kuuza dokotala zokhudza kukhala enaake ophwanya m'thupi, endocarditis kapena matenda a mtima, naonso zingachititse thrombosis. General magazi ndi mkodzo mayesero, magazi sayansi ndi kukuthandizani kumvetsa pa zimene kuchulutsa pali poizoni m'thupi. Kuchuluka lactate dehydrogenase ndi chikhomo yeniyeni ya zotupa impso. Kukhalapo kwa magazi mu mkodzo - zimasonyeza mwachindunji kwa cystoscopy. Izi ndi zofunika kuti akatsimikizire zina magazi Mwachitsanzo, ku mkodzo chikhodzodzo.

kafukufuku malangizo amathandiza kuti muzione impso m'mnyewa wamtima. Ultrasound wa pamimba ndi Doppler amatilola kuganizira necrosis malo ndipo fufuzani mlingo wa otaya magazi mwa iye. Komanso, zotupa mtima Tingaone ntchito angiography. Koma ndi njira olanda kuti si woyenera onse.

chithandizo

Kodi Ndi bwino kuchita pambuyo anandipeza ndi infarction aimpso. Litha kuchizika yekha mu chipatala kuyang'aniridwa ndi madokotala, chifukwa wodwala ayenera kutsatira bedi zina okhwima. The dokotala wamkulu mu nkhani iyi ndi urologist, koma dokotala kapena dokotala akhoza chokhudzana ngati n'koyenera.

mankhwala ndiwofatsa kumaphatikizapo kubwezeretsa kwa magazi ndi vasodilatation kaya ndi Kutha embolus (ngati nkotheka). Mankhwala anticoagulants ndi thrombolytics mwachindunji kapena kudzera m'njira zina. Izi zichitike mwamsanga, pamene parenchyma thupi asanayambe ndiyenera kufa. Komanso mosamala kuchotsedwa ululu syndrome. Kuti tichite zimenezi, wodwalayo wapatsidwa analgesics chomwa mankhwalawa. Ngati aakulu hematuria ndi chachikulu, chithandizo kumene anamuika Mwachitsanzo, "Etamsylate". Pofuna madzi m'thupi ndi kubwezeretsa magazi kufalitsidwa buku la wodwala ikuchitika ndi madzi mtsempha kulowetsedwa.

Opaleshoni mankhwala akusonyeza okha nkhani ya m'madera ambiri necrosis. Ngati thupi sangakhoze kupulumutsidwa, ndiye kuchotsedwa kwathunthu disconnecting ku pedicle mtima. Nthawi zina mungathe kugwiritsa ntchito zibaluni angioplasty kapena thrombus m'zigawo.

Ana urate infarction zao awo ndipo palibe mankhwala enieni chofunika. Kwa asidi timibulu uric adzatuluka, mwana dopaivat madzi.

kaonedwe

aimpso infarction - ndi chosowa yoopsa matenda, koma madokotala ananena zawo zambiri zabwino. kenako necrosis m'dziko m'malo ndi minofu connective, ndi onse a thupi kuchuluka azilipira imfa mphamvu ya mawu ndi ntchito. Kuchuluka kwa mkodzo ndi sidzasinthika, makamaka ngati nthunzi ndi thanzi impso.

Popeza odwalawo kukhala pa chiopsezo thrombosis ndi embolism, anaika anticoagulants kwa zaka mwinanso pa moyo. Aimpso infarction zakambidwa zimadalira zinkakhala m'dera ndi makonzedwe a imathamanga chithandizo.

kupewa

aimpso infarction - vuto la matenda a dongosolo mtima, kotero zodzitetezera ndi othandizabe chithandizo cha matenda choyambirira. Onetsetsani kuti kutsatira zofunikira za cardiologist, kuti kuwunika zoipazi kukaonana ndi dokotala nthawi zonse. Zikamera wa vegetations chachikulu, thickening ya mitsempha miyendo kapena pamimba - ndi chizindikiro oopsa, nthawi yomweyo kukaonana ndi katswiri.