Cardio-m'mapapo mwanga insufficiency: Zizindikiro ndi Chithandizo

Zambiri timamva mau oti "cardio-m'mapapo mwanga kulephera," koma anthu ochepa akhoza kunena motsimikiza chimene chimapanga kudwala izi. Kodi matenda, kodi zizindikiro zake ndi zinthu - ife ifufuza.

insufficiency Cardio-m'mapapo mwanga - ndichiyani?

Mu mankhwala amakono, ndi cardio-m'mapapo mwanga kulephera kumvetsa chikhalidwe imene mtima kulephera, mwachitsanzo kulephera kwa mtima kuonetsetsa yachibadwa magazi m'thupi, pamodzi ndi m'mapapo kumene kumachitika chifukwa kuthamanga kwambiri kwa magazi zotengera za m'mapapo kumene mpweya kuwombola amapezeka. Zonsezi zimathandiza munthu kuchepa mlingo wa mpweya magazi.

Zochita zambiri choyamba akufotokozera insufficiency m'mapapo mwanga, mtima zizindikiro Ufumuyo patapita kanthawi. Kwenikweni, chizindikiro ichi zingaoneke matenda ambiri a dongosolo mtima komanso matenda a m'mapapo. Pa kudwala ake pambuyo pake angasonyeze mu mawonekedwe pachimake, pamene zizindikiro kuonjezera pa nthawi yochepa ndipo mwina zosiyanasiyana aakulu, pamene kuwonongeka amapezeka mkati mwa zaka zochepa kapena zambiri.

Zimayambitsa mouzirira kulephera pachimake

Pachimake m'mapapo mwanga insufficiency ndi vuto kuti amapezeka ena zinthu zimene zingawononge moyo wodwalayo. Ziyenera kukhala mwamsanga mankhwala alowererepo. Monga ulamuliro, amatha pansi zinthu zotsatirazi:

• monga chotsatira cha thrombosis kapena m'mapapo mwanga mtsempha wamagazi kuphipha;
• pa thromboembolism;
• ndi pneumatic kapena gidrotorekse;
• ndi exacerbation mphumu bronchial, udindo mphumu.

Komabe, chifukwa cha kuthamanga mu mtsempha wamagazi ndi m'mapapo mwanga akhoza kukhala matenda a mtima. Nthawi zambiri izi zimachitika pamene mwadzidzidzi anayambika mitral regurgitation. Komanso chifukwa cha matenda m'mapapo mwanga kungakhale m'mapapo mwanga vavu insufficiency, pachimake infarction, myocarditis, valvular matenda a mtima pa siteji ya decompensation, cardiomyopathy. Pankhaniyi, kumanzere yamitsempha yamagazi M'mimbamo ndi kukodzedwa, ndi kuchepetsa mpanda wake sangathe kukankha mu lumen wa chotengera lonse buku magazi. Zina mwa izo stagnate ndi kumawonjezera kuthamanga mu mitsempha m'mapapo mwanga. Popeza ventricle pomwe akupitiriza kutulutsa magazi kudzaza zenera, kuthamanga chikukulirakulirabe, tingayambe edema m'mapapo mwanga kapena mphumu mtima.

Zimayambitsa kulephera aakulu mouzirira

Matenda obstructive m'mapapo mwanga matenda, monga kuyenera mawonekedwe pachimake, kukula pang'onopang'ono. The ndondomeko ya kukula kwa kusintha pathological ndi patangopita zaka zochepa. Pankhaniyi, chitukuko cha matenda oopsa ziwiya m'mapapo mwanga chikuchitika molumikizana ndi pathologies zotsatirazi:

• cholowa idiopathic oopsa;
• atherosclerosis;
• insufficiency m'mapapo mwanga kumene kumabwera ndi mwina kachiwiri endarteritis embolism nthambi yaing'ono;
• matenda aakulu m'mapapo - ndiko kumayambitsa pleurisy, fibrosis m'mapapo mwanga, obstructive matenda;
• pang'onopang'ono mwapang'onopang'ono matenda obadwa nawo a mtima ;
• kuthi valvular matenda.

M'mapapo mwanga insufficiency: kusalekerera

Chifukwa chakuti kwa mawonekedwe aakulu a matenda yodziwika ndi kuwonjezeka pang'onopang'ono ndipo nthawi zambiri pafupifupi imperceptible zizindikiro pathological chimatanthauza kusalekerera anayi a matenda:

• Ine digiri - zizindikiro za matenda alipidwa yaikulu kuwonekera kwa matenda zimawonedwa, ndi dyspnea yaing'ono limapezeka ndi kuwonjezeka katundu.
• II digiri - yekha alibe zizindikiro, koma alipidwa yaikulu pafupipafupi dyspnea ndi palpitations.
• Kalasi III - zizindikiro akusowa kumachitika ndi yaikulu kochepa, koma palibe mtendere.
• Kalasi IV - munthu sangathe kugwira osachepera zolimbitsa thupi, matenda a poyera okha.

Pachimake kuukira kwa matenda m'mapapo mwanga akhoza kukhala mmodzi wa yachiwiriyo - lamanja ndi lamanzere kulephera yamitsempha yamagazi. Kumanzere yamitsempha yamagazi kulephera angasonyeze edema m'mapapo mwanga kapena mphumu mtima.

mtima mphumu

Izi insufficiency m'mapapo mwanga, amene zizindikiro kuonjezera pang'onopang'ono. Mu magawo oyambirira izo ziri kuwonetseredwa ndi kufupika kwa mpweya, lomwe limapezeka choyamba pambuyo thupi, pa nthawi kumawonjezera anaonekera ngakhale pa mpumulo. Pamene dyspnea kovuta kuchita kwa inhalation (instigators khalidwe). Mu m'tsogolo, m'malo ndi matenda breathlessness, nthawi zambiri zimachitika akagona. Pakuti gawo ili la kwakukulu kwambiri ndi amakakamizidwa angabweretse - mkulu headboard, pa kuukira mtima amakakamizidwa pansi, miyendo yake dangling pa bedi ndi kutsamira pa manja, kupatula kupuma movutikira kuoneka palpitations, thukuta, kuopa imfa. Chifuwa mu mtima mphumu youma, ndi sputum zochepa. khungu wotumbululuka, aakulu cyanosis wa makona nasolabial, mosavuta. Kugunda spasmodic, ofooka anzawo yafupika.

Taganizirani zimene ali mtima ndi mphumu mbali:

edema m'mapapo mwanga

Pachimake m'mapapo mwanga insufficiency kungavute ndi edema m'mapapo mwanga. Izi kwambiri kuchuluka kwa magazi kufika m'mapapo minofu. kuukira akufotokozera mwadzidzidzi, kaya nthawi ya tsiku. Yambani yodziwika ndi awonongedwa lakuthwa, pamene pali kuwonongeka mofulumira alili:

• kufupika kwa ukuwonjezeka mpweya, wodwalayo alibe mpweya wokwanira, chizindikiro cyanosis wa khungu la nkhope ndi miyendo, ozizira thukuta;
• mkhutu chikumbumtima - kungakhale galimoto malemeredwe ndi stupor mpaka imfa kwathunthu kwa chikumbumtima;
• phokoso popuma, kuonekeratu, allocated pinki thovu;
• ngati nkhondo kunachitika ndi maziko a infarction m'mnyewa wamtima kapena myocarditis, cardiogenic mantha angathe.

chabwino kulephera yamitsempha yamagazi

Komanso angayambe kukhala vuto la infarction m'mnyewa wamtima kapena myocarditis. mawonetseredwe zake, kupatula kupuma movutikira ndi kukula breathlessness, ndi:

• cyanosis wa nkhope ndi zala;
• Ndi kuoneka bwino, makamaka pa kudzoza, kutupa khosi mitsempha;
• m'munsi mwendo edema, anthu m'mimba khoma mpaka ascites;
• kukulitsa a chiwindi, pali ripple mu epigastrium lapansi.

Matenda mouzirira insufficiency

Chifukwa chakuti mawonekedwe a matenda aakulu zimatenga zaka zambiri, mawonetseredwe ake matenda sakhala kutchulidwa. Popeza chifukwa cha matenda zambiri kugona kudwala a dongosolo kupuma, kenako amaonekera mu malo oyamba ndi kupuma movutikira. Zizindikiro zotsatirazi akhoza Ufumuyo:

• ululu pachifuwa;
• arrhythmia;
• tachycardia;
• cyanosis;
• kutupa mu miyendo;
• kutupa kwa mitsempha khosi;
• encephalopathy.

Monga matenda ili m'kati, zizindikiro kuyamba kukula, ndipo ngati poyamba anawonekera pambuyo katundu wina, ndiye mu gawo lotsiriza (mu siteji ya decompensation) ndi mu lopuma.

Cardio-m'mapapo mwanga insufficiency: chithandizo

Chitukuko cha matenda pachimake kumafunika analoŵererapo msanga ndi akatswiri. Kawirikawiri, mankhwala ikuchitika mu chipatala, ndi zambiri - mu odwala mwakayakaya. Ngati kumuukira zachitika kunyumba, muyenera bwanji kuti munthu posachedwapa ku malo dokotala. Therapy mawonekedwe aakulu matenda lagona mu njira mwatsatanetsatane kuti mankhwala a matenda. Si monga mankhwala kudzudzulidwa, komanso kukhathamiritsa la mlingo wa zolimbitsa thupi zakudya. mankhwala kwa matenda ndi n'kuika magulu zotsatirazi mankhwala:

• beta-blockers;
• okodzetsa;
• mtima glycosides.

Regimens ndi mlingo pa nkhani iliyonse anatsimikiza ndi dokotala. Kudzimvera medicate mu Zikatero ndi zosayenela. Mu chochitika cha kulephera kwa chithandizo ndiwofatsa vuto ndi kuthetsedwa opaleshoni.