Chokulitsidwa mtima: zimayambitsa, zizindikiro, chithandizo ndi zotsatirapo

Zochita wanga, madokotala nthawi zambiri mumakumana ndi anthu amene ali ndi matenda a mtima. Nthawi zambiri izo nkhawa odwala achikulire kapena okalamba. Nthawi zina matenda a mtima amene amapezeka pakati anthu ntchito. Iwo nazonso ndi makanda, makhalidwe priobrotshie ngakhale utero. Chimodzi mwa zizindikiro za pathologies awa ndi mtima zikuluzikulu. Mbali imeneyi ndi ambiri matenda ambiri mtima. Kuwonjezeka kwa minofu mtima zambiri akusonyeza panopa yaitali matenda zomwe zinachititsa kuti matenda a mtima.

Cardiomegaly - ndichiyani?

Mu yachibadwa kukula mtima munthu aliyense. Akudalira pa thupi mtundu, jenda, zaka. Akukhulupirira kuti kuchuluka thupi ukufanana kukula kwa wothinikizidwa kanjedza nkhonya. Komabe, pali malire, kulekanitsa zachilendo kwa pathological. Chokulitsidwa mtima otchedwa cardiomegaly. Izo zikhoza kuonedwa ngati kudzifufuza thupi, ndi chifukwa cha diagnostics malangizo. Nthawi zambiri, kuchuluka mtima ventricle, makamaka kumanzere. cardiomegaly kamodzikamodzi kumachitika chifukwa m'madipatimenti lamanja. Kuchuluka thupi kumachitika chifukwa hypertrophy a minofu wosanjikiza komanso chifukwa m'mnyewa wamtima anatambasula (dilatation). zodabwitsazi kawirikawiri amapezeka mu nthawi yochepa. Cardiomegaly zambiri yoyamba nthawi yaitali matenda aakulu.

Kuchuluka zimayambitsa matenda a mtima

Cardiomegaly kumachitika chifukwa zifukwa zosiyanasiyana. Izo zimatengera wodwalayo zaka, kutengera za kumtundu, kulemera ndi moyo. Nthawi zina, mtima zikuluzikulu amaona kuti njira yachibadwa. Choncho cardiomegaly ayenera kukhala odziletsa. Zikatero zikuphatikizapo m'thupi kosalekeza ntchito, mimba, kawirikawiri unyamata. A kuwonjezeka kwambiri kukula mtima mu gulu ili la anthu alinso kudwala. Kuonetsetsa zotsatirazi zifukwa cardiomegaly:

1. matenda kobadwa nako (CHD). Iwo anapanga ngakhale woyembekezera, kungakhale zamitundu yosiyanasiyana. Wopunduka lalikulu kapena amaphatikiza mtima kulephera amapezeka mofulumira. Pankhaniyi, cardiomegaly angasonyeze mu miyezi ya moyo wa mwana. Ngati ziwonongeke zonyozeka, kuwonjezeka mu mtima kumachitika pang'onopang'ono, ndipo nthawizina sadzafika konse.
2. matenda yotupa. Zikuphatikizapo myo-, endo- ndi pericarditis. Nthawi zambiri, matenda awa zimachitika ubwana ndi unyamata. Cardiomegaly unkachitika pokha pokha kumene matendawa sizikutha. Komanso mu gulu lino monga dilated myopathy.
3. Yotengedwa mtima zopindika. Aumbike mwa akukula. Nthawi zambiri iwo ndi chifukwa la misempha.
4. Matenda a mtima matenda. Zikuphatikizapo m'mnyewa wamtima ischemia (matenda a mtima, angina), matenda oopsa.
5. Aakulu m'mapapo matenda. Pakati pawo - mphumu, COPD.
6. Kudwala ziwalo zina ndi kachitidwe. Kukulitsa za mtima kumachitika mu magazi kwambiri, aimpso ndi chiwindi kulephera, hyperthyroidism.
7. Kagayidwe kachakudya Syndrome (kunenepa, molumikizana ndi shuga).

Limagwirira chitukuko cha cardiomegaly

Cardiomegaly pathogenesis zimadalira cholingacho. Nthawi zambiri, kumanzere yamitsempha yamagazi hypertrophy akupezeka anthu ndi matenda kagayidwe kachakudya, inatsekeratu matenda mtsempha wamagazi kapena matenda oopsa. Pa mpweya otsika kulowa minofu mtima yafupika kwambiri kuposa masiku, kenako kumawonjezera kukula. Ziri chinthu chomwecho chimachitika ndi matenda oopsa. Pankhaniyi, mtima alibe nthawi kutulutsa magazi moti chifukwa cha kukakamiza aatali, kotero thupi ayenera kuyesetsa kwambiri. cardiomegaly chitukuko limagwirira ndi stenoses osiyana ndi valavu kulephera. Pankhani ya matenda amenewa si kwathunthu magazi alowa chipinda lotsatira kapena chotengera (msempha, mtsempha wamagazi m'mapapo mwanga) ndipo amayambitsa anatambasula za mtima. Pamene zopindika kuleza alipo umachuluka ngati ventricle ndi atrium. Nthawi zina, angayambe hypertrophy onse limba. Kumanja mtima kulephera kumachitika pamene m'mapapo pathologies, matenda kwa chiwindi.

Zizindikiro za mtima yatupa

Zizindikiro za mtima zikuluzikulu tingasonyezere amakhala osiyana. Pamene anachoka yamitsempha yamagazi hypertrophy odwala amadandaula kupuma movutikira. Akulimbana ndi breathlessness kumachitika nthawi thupi, kunyamula zinthu zolemera, kudya ndi wautali. Mu cardiomegaly kwambiri ndi kufupika kwa mpweya angakhale pa mpumulo. Komanso, odwala azipereka syndrome Edematous. Nthawi zambiri, madzimadzi amasonkhana wachitatu m'munsi mwa mwendo m'munsi madzulo. Ngati chimayambitsa mtima kulephera ischemia, odwala nkhawa za ululu m'dera mtima. Komanso, chithunzi matenda zimadalira chifukwa cha cardiomegaly. Pamene kudwala m'mapapo mwanga kuti zizindikiro zomwe zalembedwa anawonjezera kutsokomola, kutsamwa. Chiwindi kulephera amakhala ndi edema chachikulu (ascites, anasarca), kutupa kwa mitsempha khosi. Okalamba amene ali ndi mtima zikuluzikulu, matenda oopsa kawirikawiri taonera.

Kodi matenda cardiomegaly?

Kuti awulule cardiomegaly, osakwanira mbiri deta. Izi zimafuna palpation ndi percussion thupi. Pa mtima dokotala prostukivanii zimaonekeratu kaya kukula kwake labwinobwino kapena kupitirira malire ake. Komanso, kuchititsa X-ray Kupenda pachifuwa. Pamene cardiomegaly ndondomeko kuchuluka thupi mafano. Kudziwa mbali za hypertrophy anati, kuchititsa electrocardiogram. M'maphunziro ano angapezeke ndi za chifukwa cha matenda (ischemia, pathologies ya m'mapapo). Matenda zolondola kwambiri amati echocardiography (ultrasound kwa mtima). Timatha kuthandauza kwa makulidwe a myocardium aliyense chipinda, M'mimbamo kukula, kupezeka dilation.

yatupa chithandizo mtima

Kudziwa chizindikiro ichi odwala ndikudabwa za zomwe mungachite ngati mtima wakulitsidwa. Chithandizo ayenera kuyamba pokhapokha kudzifufuza wathunthu ndi kudziwa zoyambitsazo. Ngati ndi kotheka, tisonyezeni bronchodilators, antihypertensives, okodzetsa. Nthawi zina, osakaniza njira izi. Kaya chifukwa chake, n'kofunika kumwa mankhwala bwanji chopinga kulephera mtima. Zikuphatikizapo "Coronal" mankhwala "Propronalol", "captopril" ndi zina zotero .. Mu nkhani ya zopindika akuoneka mtima chithandizo opaleshoni. Komanso akusonyeza kuti ischemia khama ndipo pachimake magazi kulephera.

Chokulitsidwa mtima: zotsatira za matendawa

Mwatsoka, mtima kulephera kawirikawiri akudutsa kwathunthu, monga aakulu mwapang'onopang'ono matenda. Pa mankhwala kuchepa kapena alibe zotsatira zake zikhoza kukhala zoopsa. Mu nkhani ya aakulu cardiomegaly mtima nthawi zonse adzasowe mpweya, motero zokhudza ziwalo zonse. Komanso, matenda kungachititse kuti infarction m'mnyewa wamtima, sitiroko, thromboembolism, mtima kapena ziwiya m'mapapo mwanga.