Mtima kuwawa: Amachititsa, Matendawa ndi Chithandizo

Nthawi zambiri anthu kusokoneza ululu pachifuwa kumanzere kwa mtima, ndipo amene n'zofanana ndi mavuto ena m'thupi, monga psinjika mitsempha msana. Komabe, ululu onyenga noncardiogenic khalidwe mtima ndithu kwathunthu. Muyenera kupita ndi kukaonana ndi katswiriyu ndi cardiologist kupeza chifukwa cha zopweteka mtima.

sanali cardiogenic ululu

Mu yochizira matenda, kupweteka mtima kulikonse otchedwa cardialgia. Iwo adzangokumvera, khalidwe blunted ndipo ndi akuthwa ndi amphamvu. Pa munthu wotsiriza zambiri amayankha yomweyo ndipo amapita kwa dokotala. Koma pamene yaitali kupweteka mtima, onse akuwachititsa kutopa. Ndipo ana amakumana ndi mavuto.

Non-cardiogenic kupweteka ululu mu mtima zikhoza kukhala chifukwa zifukwa zingapo:

• mtima gwero lachisokonezo;
• kuthamanga osteochondrosis;
• VSD (mtima dystonia);
• ukugunda.

kumenyedwa amaganiziridwa (mungoli chisokonezo kuchepetsa) zimachitika ngati wodwalayo limanena kuti iye udzaphwanya pachifuwa ake, kumverera mtima likumira, chotero amavutika kumeza.

Kodi kuzindikira limati izi? N'koopsa moyo pamene mtima zopweteka? Kuzindikira chifukwa chenicheni cha ululu komanso chifuwa ululu Ali cardiologist oyenerera.

Ululu chifukwa nyamakazi

Pa kafukufuku wina wodwala amene amadandaula ululu mu chifuwa kumanzere, dokotala ayenera kuchita mayesero. Pambuyo kumverera angina pafupifupi innervation lomwelo nthawi zina pano ululu mu dzanja lamanzere, koma kuukira chimakhala cha mphindi 3 mpaka 5.

Ngati akatswiri matenda zikusonyeza kupanga cheke:

• mutu wake kuponyedwa kumbuyo ndi kutenga mikono wopindidwa woyamba ndiyeno kumbuyo, anthu ndi mavuto msana thoracic yomweyo kumva kuwawa pachifuwa chake.
• Nitroglycerin amathandiza Mitsempha dilate Choncho, ntchito thandizo la angina. Pambuyo pakumwa mapiritsi a nitroglycerin kapena madontho ululu anabauka pambuyo mphindi 5-10. Ndipo ngati sichoncho, ndiye ululu si mtima.

Mu chifuwa zambiri inakula mitsempha plexus, amene innervated pa kukondoweza. Choncho, ululu chifukwa msana zoonekeratu ndithu. Pamene osteochondrosis kusapeza zambiri kumawonjezera pa cornering, kayendedwe mwadzidzidzi kapena pa inhalation. Koma palibe choopsa moyo. Muzawawa akuwonetseredwa mosiyana: iwo Musati muzidalira pa udindo wa thupi.

zinthu psychogenic

Kuyambitsa kwambiri ndi yaitali nkhawa ndi ululu chifuwa kumanzere kwa mtima amatchedwa gwero lachisokonezo. Pamene matenda cardiologist alibe kudziwa kuvutika aliyense mu thupi. Komabe, kuboola kapena kusokoneza zowawa sitileka kuukira anthu. Iwo sizimadziwika mu chirengedwe. Anthu ena zindikirani kumverera kuti chinachake amayikanikiza pachifuwa, ena zindikirani kuti kupweteka kwambiri. zomverera onse zotengera malingaliridwe kwambiri. Ndipo ululu imafalikira kapena nthambi, kapena kumbuyo.

Zikatero, muyenera kukaonana ndi dokotala amene amachita chimodzimodzi ndi neuroses ndipo amadziwa zizindikiro za matenda obwera chifukwa choganiza kwambiri. Pamodzi ndi ululu akhoza anati: kutopa, kutsitsa kutentha m'munsimu 36 ° C, dzanzi wa miyendo ndi mutu.

vasoneurosis

The matenda ndi yodziwika ndi kuzimiririka ndipo kupweteka, monga momwe zilili ndi angina. Makamaka anapeza odwala onse ndi VSD chizindikiro - madandaulo kuti kupweteka mtima ndi dzanzi kumanzere dzanja. Nthawi zina pali kumva kulasalasa mu dzanja lake. ululu limodzi ndi kugwedeza wa miyendo komanso kutopa nthawi zonse.

Nthawi zambiri odwala awa ndi tulo ndi zambiri zizindikiro zina. Kodi kuthandiza nokha mu zoopsa zotere? Madokotala analimbikitsa kutenga valokardin (50 madontho) ndi ena. Ndipotu VSD - monga matenda aakulu ndipo amafuna chithandizo neuropsychiatrist.

ululu cardiogenic

Taganizirani etiology wa cardiogenic ululu. Iwo chifukwa matenda mtima. Zikuphatikizapo magulu angapo a matenda:

1. Myocardiodystrophy - kagayidwe kachakudya matenda minofu mtima. Pa chiyambi cha matenda munthu akuganiza kuti pa zifukwa zosadziwika, zopweteka mtima, ululu poyamba sadzachitanso amaonekera, koma ukuwonjezeka ndi nthawi. Ndipo ngati inu simukuziwona dokotala pa siteji koyamba, ululu adzakhala lakuthwa ndi amphamvu.
2. Mtima zopindika.
3. Inatsekeratu matenda a mtima - osauka makope mu mitsempha mtima.
4. Kung'ambika aneurysm. Other.

ubale Causal ndi chidwi madokotala. Kodi kuthana ndi ululu - nkhaniyi ndi nkhawa kwambiri munthu akazindikira kuti kumbuyo zopweteka mtima. Kodi kuchita - dokotala kapena kutenga valerian? Doctor amatchedwa pamene pali matenda aakulu kwambiri a mtima - ndi ischemia, angina kwambiri, kapena aneurysm. Ngati inu simukudziwa momwe maganizo awo, matenda awa, kapena pa chifukwa mwadzidzidzi kupweteka mtima, ngakhale kulibe pamaso, ndi bwino kusewera izo otetezeka ndi itanani ambulansi.

Features wa ischemia mtima

Ndi matenda, mbali yaikulu ya matenda ndi ululu chifuwa kumanzere. Inatsekeratu matenda a mtima zambiri akufotokozera mu akazi mofulumira kuposa amuna. Chifukwa ndicho kuchepetsa wa lumen wa mtsempha wamagazi inatsekeratu imene mtima afika magazi atsopano.

Development wa episodic matenda. Nthawi zina ululu umakhala, ndiye kutola mphamvu yatsopano mu nthawi ya exacerbation. kuyan'anila Minor zimachitika mofulumira kutopa pambuyo zolimbitsa aliyense, amamva: kupweteka mtima. Ndipo ngati inu mvetserani kugunda kwa mtima, adzakhululukidwa speeded ngakhale pa mpumulo. Pa malo amenewa akhoza kudziwa ischemia:

• kuchuluka thukuta;
• kufooka;
• kufupika kwa mpweya;
• kupweteka mu mtima wofu- dzanja lake lamanzere.

Ngati nthawi dokotala sanali kufufuza ndi silinena inu mmene tiyenera kuchitira mtima wanu, kumaonjezera ngozi ya matenda a mtima mobwerezabwereza. Nditadwala mtima kanthu zosakwana kutha wathunthu wa kotunga magazi mtima chifukwa blockage Mitsempha.

Nthawi zina akanagwiritsa kuti mphamvu ya mtima zolimbitsa patsogolo kwa kagayidwe kachakudya matenda mmenemo. Iyi ndi imodzi mwa zinthu zimene zimawonjezera chiopsezo infarction m'mnyewa wamtima.

kung'ambika aneurysm

Okwera zoipazi mipukutuyi atherosclerotic mu mitsempha kudzabadwira aneurysm. Kung'ambika aneurysm - ukugwirizana gawo la chotengera. Wosakwiya delamination makoma kung'ambika magazi likuoneka kuti khoma Kodi sangaime kuthamanga ndi kuphulika. Ndiyeno munthuyo kuchitidwa opaleshoni mwadzidzidzi pa msempha.

Ululu aneurysm amapezeka mu chifuwa ndi amapereka kumbuyo. Iye sanali kubaya ndi kuzimiririka, ndipo zimatha nthawi yaitali. Other zizindikiro ndi: kufupika kwa mpweya ndi kumeza mabvuto. Ngati mpanda wayamba overstrain, ululu kwambiri, ozama. Wodwala igwera mu swoon, ndipo Akufunika kuitana madokotala.

cardialgia chithandizo

Izo zimatengera matenda. A matenda a matenda aliwonse mtima pokhapokha maphunziro angapo. Pamene chifukwa cha ululu ndi IRR kapena intercostal neuralgia, ndi cardiologist sikungakuthandizeni. Pankhani mavuto mtima, pali, malingana ndi mmene alili, adokotala akhoza mankhwala. Komabe, mankhwala aliwonse ayenera kusintha zakudya zoyenerera. Apo ayi, chithandizo ndi opanda ntchito mapiritsi.

kusintha kwambiri pa zotengera za mtima pa mankhwala ischemia mulibe kukonza. Pamene coronagraph mtima occlusion zikutsimikiziridwa, ntchito ulipo. Mfundo yaikulu ya opaleshoni - kubwezeretsa otaya yachibadwa magazi ndi stenting kapena inatsekeratu angioplasty.

njira amakono awa a mankhwala kwathunthu kuthetsa kufala kwa mavuto pa opaleshoni. Kochepa kuwonongeka zimakhala. Pambuyo pa opaleshoni, ndi zofunika kuchita kafukufuku wina kutsimikizira mphamvu ya stenting.